S06 Response to Vendor Questions 36C26326Q0870 0002.docx
DOCX document 156 KB Posted
- Attached to
- Central Iowa VHA Health Care System Surgical Instrument Maintenance and Repair Solicitation
- Solicitation number
- 36C26326Q0870
About this file
This is a Response to Vendor Questions document (Amendment 0002) for a surgical instrument maintenance and repair solicitation issued by the Department of Veterans Affairs Veterans Health Administration (VA-VHA) through the Network Contracting Office 23 in Saint Paul, Minnesota. The amendment addresses 28 vendor questions and clarifies the Statement of Work (SOW) requirements for the Central Iowa Veterans Health Care System (CIHCS).
The contract requires comprehensive maintenance and repair services for approximately 950 surgical instrument sets/trays at the Central Iowa VAMC in Des Moines, Iowa. Services must include biweekly onsite repairs via a mobile repair lab, preventative maintenance, and emergency repair capabilities. Critical instrument sets must be completed within one week; routine sets within two weeks. The VA clarified that specialty devices (power equipment, video systems, cameras, scopes, dental handpieces, laser equipment) have been removed from the inventory and will not be covered. Contractors may perform repairs at approved off-site facilities with SPS Chief approval, though some instruments require digital QR code tracking upon return. The contractor must provide a 24/7 accessible online digital inventory dashboard, staff training documentation, security badge compliance, and monthly service reports. All repairs must conform to original manufacturer specifications and meet CDC, HSPA, AORN, APIC, ANSI, and AAMI standards. Pricing should be based on the provided schedule using unit pricing for critical and routine instrument set maintenance and repair. The question deadline was 07/03/2026, and the offer deadline is 07/24/2026, both at 17:00 Central Time.
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Other files
| File | Type | Posted |
|---|---|---|
| S06 Amendment 36C26326Q0870 0003.docx | DOCX document | |
| Instrument Trays Utilization 7.13.26.xlsx | XLSX spreadsheet | |
| S06 Offer Deadline Extension 36C26326Q0870 0001.docx | DOCX document | |
| Supplemental Instrument Classes and Repairs.docx | DOCX document | |
| S02 Surgical Instrument Maint and Repair CIHCS 36C26326Q0870.docx | DOCX document |
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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)
07-15-2026
36C263
DEPARTMENT OF VETERANS AFFAIRS
NETWORK CONTRACTING OFFICE 23
316 ROBERT STREET N, SUITE 506
SAINT PAUL MN 55101
DEPARTMENT OF VETERANS AFFAIRS
NETWORK CONTRACTING OFFICE 23
316 ROBERT STREET N, SUITE 506
SAINT PAUL MN 55101
To all Offerors/Bidders
36C26326Q0870 06-25-2026
X
See following pages.
Jeffrey Brown Contracting Officer
VA-VHA-RPOC-2024-0033
The purpose of this amendment is to:
1. Respond to vendor questions.
2. Edit the Statement of Work. Changes highlighted.
See attached document: Instrument Trays Utilization 7.13.26.
Vendor questions in bold, VA responses in red.
1. The SOW states that "the repairer must be able to provide onsite, twice-weekly repairs for (i) unscheduled repair needs and (ii) same-day PM services for critical sets."
Has been updated to biweekly repairs. See SOW.
2. Can the VA clarify whether alternative service methods, including expedited pickup, repair at a qualified repair facility, and return of equipment, would satisfy this requirement when such an approach achieves equivalent or improved turnaround times and minimizes equipment downtime?
The following language has been added to the SOW:
“The CIHCS, at its own discretion and cost, may ship instruments the Contractor to expedite repair times, however, the Contractor shall be responsible for the cost of return shipping the instruments to the CIHCS.”
3. Can the VA define the acceptable turnaround time expectations for repairs that cannot reasonably be completed during an on-site visit?
Acceptable turn around for critical items is one week, longer times must be approved by the CIHCS. Two weeks is acceptable for noncritical items, longer times approved by CIHCS. The SOW has been updated to reflect these changes.
4. For repairs requiring specialized processes, such as bipolar instrument repairs involving coating, potting, environmental controls, or manufacturer-specific procedures, may those services be performed at an approved repair facility rather than on-site? If not, please identify any repair categories that must be performed on-site.
Yes, specialized repairs may be performed at an approved repair facility but must be approved by the SPS Chief or designee prior to sending out.
SOW has been updated to reflect this.
5. The inventory provided appears to include assets beyond traditional surgical instrument repair services, including power equipment, video systems, cameras, positioning devices, and other surgical equipment.
Power equipment, video systems, cameras and other specialty instruments have been removed from the inventory list.
6. Can the VA clarify which equipment categories are intended to be included within the scope of this contract?
The instrument categories/classes covered by this solicitation can be found in section 14 of the SOW “Covered Instrument Classes” and the attachment “Instrument Classes and Repairs” which lists additional covered instrument classes.
7. Are all listed assets intended to be covered under the contract value, or are certain equipment categories expected to be excluded and supported through separate service programs?
All listed instrument classes shall be covered under this contract and those that are not listed are not shall not be covered under this contract.
8. If these assets are included, can the VA provide a complete inventory by asset type and quantity to support accurate pricing and service planning?
The most accurate and current inventory that the CIHCS can provide is Appendix A and Appendix B set lists.
9. The solicitation references approximately 950 trays/sets, tray-based pricing, and an overall contract ceiling amount. Can the VA confirm that the stated contract ceiling value is accurate?
The Contract ceiling is based off of Government estimates but vendors are free to submit quotes that go above the contract ceiling.
10. Can the VA provide the historical repair volume, tray utilization data, or workload assumptions used to establish both the contract value and anticipated service requirements?
The best we can provide is the attached “Instrument Trays Utilization 7.13.26” showing annual usage of trays. The accuracy of the spreadsheet is not guaranteed.
11. Should offerors develop pricing based on total inventory quantity, actual utilization, trays serviced, historical repair volume, or another methodology preferred by the VA?
Vendors should be basing their pricing based on the schedule, Statement of Work and other terms and conditions of the solicitation and its attachments.
12. Does the listed inventory represent assets that may require service during the contract term, or assets expected to receive recurring service regardless of utilization?
All instrument sets will require at least once a year preventative maintenance and repair.
13. Certain repairs may require specialized capabilities that are not available during on-site service. Can individual instruments requiring specialized repair be removed from a tray/set and processed separately through an approved repair facility?
Yes, this shall be approved by the SPS Chief or designee and shall be tracked by the instrument and tray.
14. When operationally feasible, would the VA permit the remaining functional tray/set to be returned to service while the individual instrument undergoes repair?
Yes.
15. Does the VA prefer service approaches that prioritize returning functional trays and sets to service as quickly as possible while individual components receive specialized repair?
Yes, however the CIHCS must be notified when a tray is missing an instrument.
16. The solicitation appears to contemplate pricing based on tray/set quantities. Given that individual instruments may be repaired independently of a tray assembly, instruments may be added or removed from sets over time, and repair requirements can vary significantly across assets, would the VA consider a Comprehensive Firm-Fixed-Price (FFP) Service Program utilizing a single contract line item (CLIN) or other consolidated pricing structure to cover all services required under the SOW?
No.
17. If a Comprehensive Firm-Fixed-Price approach is acceptable, would the VA consider revising the pricing schedule to reflect a consolidated contract value rather than unit-based tray/set pricing?
See above.
18. Can the VA confirm that detailed repair documentation, service reports, asset tracking records, and repair history can be provided independently of the invoicing methodology to ensure full contract oversight and transparency?
Yes, the information listed in the question above should be accessible via the digital inventory system, as covered under section 10 of the Statement of Work, and may be described in a manner differing from that of the schedule. However, invoicing must still be performed in accordance with the schedule.
19. The Statement of Work and supplemental repair documentation appear to include repair services for equipment beyond standard stainless-steel surgical instrumentation.
a. Please confirm whether the scope includes specialty devices such as:
• Rigid and flexible scopes – No.
• Camera systems - No.
• Power equipment and handpieces – No.
• Phaco handpieces – No.
• Dental handpieces – No.
• Laser handpieces, fibers, and accessories - No.
• Specialty cables and related surgical accessories – No.
20. For any specialty devices included in the scope, can the Government provide an inventory list identifying the manufacturer, model number, and quantity?
No specialty devices/instruments are or will be included in the contract inventory. Any previously listed in the inventory have been removed.
21. What is the estimated number of Critical Instrument Sets/Trays expected to require maintenance and repair per month?
We cannot provide usage data for month to month, the estimated repair/preventative maintenance quantities in the schedule for critical and routine sets is based on the assumption of at least one instance of repair and/or preventative maintenance occurring every year with additional quantities added on for buffer. If we divide these estimated quantities by twelve months, we arrive at approximately 18 critical sets and 62 routine sets requiring repair/preventative maintenance per month.
21. What is the estimated number of Routine Instrument Sets/Trays expected to require maintenance and repair per month?
22. For specialty equipment such as dental handpieces, laser systems, scopes, cameras, power equipment, and other non-standard surgical devices: Can the Government provide historical repair volume and usage data, if available?
No specialty devices/instruments are or will be included in the contract inventory. Any previously listed in the inventory have been removed.
23. Are contractors expected to perform repairs directly, or are OEM-authorized repair services acceptable when required by the manufacturer?
Contractor or subcontractor maintenance and/or repair of instruments is acceptable as long as compliance with the terms and conditions of the contract is maintained.
24. The pricing schedule requires offerors to provide unit pricing for Critical Instrument Set Maintenance and Repair and Routine Instrument Set Maintenance and Repair. Traditionally, per-set pricing is based upon the repair and maintenance of surgical instrument trays and the instrumentation contained within those sets. However, the Statement of Work and supplemental repair requirements appear to include laparoscopic instruments, specialty devices such as dental handpieces, scopes, power equipment, cameras, phaco handpieces, laser equipment, fibers, and related accessories.
No specialty devices/instruments are or will be included in the contract inventory. Any previously listed in the inventory have been removed.
25. Confirm whether offerors are expected to include the repair costs associated with specialty devices within the unit pricing for Critical and Routine Instrument Sets.
No specialty devices/instruments are or will be included in the contract inventory. Any previously listed in the inventory have been removed.
26. If specialty device repairs are to be included within the tray-based CLIN pricing, please provide the equipment inventory and any available historical repair volume data so offerors may develop realistic and consistent pricing assumptions.
No specialty devices/instruments are or will be included in the contract inventory. Any previously listed in the inventory have been removed.
27. Given the significant variability and potentially high costs associated with repairs to scopes, dental handpieces, cameras, power equipment, laser systems, fibers, OEM components, and other specialty devices, will the Government consider establishing separate CLINs for these items rather than requiring such costs to be incorporated into per-tray pricing?
No specialty devices/instruments are or will be included in the contract inventory. Any previously listed in the inventory have been removed.
28. If separate CLINs will not be established, how does the Government intend for offerors to account for the cost of specialty device repairs under the current pricing structure?
No specialty devices/instruments are or will be included in the contract inventory. Any previously listed in the inventory have been removed.
B.4 Statement of Work Central Iowa Veterans Health Administration Health Care System Surgical Instrument Maintenance and Repair
The Central Iowa Administration Health Care System (CIHCS) requires surgical instrument Preventative Maintenance (PM) and repair services for their Surgical Processing Suite (SPS). The Contractor shall provide an online digital inventory system, or digital tracker, to track instrument repair status and requests that is accessible by the CIHCS.
1. Preventative Maintenance and Repair
a. “Instrument(s)” for this requirement mean: individual general surgical instrument identified during assembly inspection or front line use as not functional and requires evaluation and repair.
b. “Instrument Set(s)/Trays” for this requirement mean: a uniquely named instrument set/tray used to contain a series of instruments defined by an instrument count sheet. Sets may be between 1 and up to 612 individual instruments used during invasive procedures.
i. The instrument set is assembled and held inside of a container system where most instruments will stay inside the set over repeated use.
ii. An instrument set may include multiple levels of instruments inside one instrument set.
iii. All instruments sent out within the instrument set must return with the instrument set.
c. “Critical Instrument set”: Instrument sets listed below in Appendix A. Critical sets cannot be removed from circulation for more than two to three days at a time without approval of the SPS Chief or designee.
d. “Routine Instrument Set”: All non-critical instruments sets, identified in Appendix B.
e. Preventative maintenance of surgical instruments shall be done by the inspection of entire trays.
f. Repairs and preventative maintenance shall align with the original manufacturer’s design and product specifications.
g. Instruments subject to repairs and preventative maintenance shall be returned to a state near or at its original OEM specifications in terms of functionality and appearance.
h. Any modification or repair performed during repair that deviates from the OEM functional or physical specifications for the instrument will render the instrument “damaged beyond repair” and will need to be replaced at the expense of the repairer per FAR 52.212-4(b).
i. The Contractor shall ensure repairs and service functions are performed in conformance, the Center for Disease Control (CDC) regulations, Healthcare Sterile Processing Association (HSPA), Association of Peri-Operative Registered Nurses (AORN) Standards, Associate for Professionals in Infection Control and Epidemiology (APIC), the American National Standards Institute (ANSI) and Association for the Advancement of Medical Instrumentation (AAMI).
j. The following instruments general repairs and preventative maintenance shall be provided as appropriate:
i. sharpened,
ii. adjusted,
iii. aligned,
iv. straightened,
v. calibrated,
vi. cleared of rust or debris,
vii. oiled
viii. removal of stains, sharp edges and/or scratches
ix. cannulated/lumened items shall have interior lumen flushed and visually inspected.
x. all instruments able to be disassembled, shall be disassembled and undergo a detailed inspection.
k. The above list of instrument general repairs and preventative maintenance under j. and section 14 “Covered Instrument Classes” are supplemented by the attached “Instrument Classes and Repairs” that outlines all the potential classes of instruments that may require repair under this contract and all the potential repairs necessary for those instruments. The instrument and repair list in the attachment is not representative of the current instrument inventory at the CIHCS, it is to be used to establish all possible instruments and repairs/preventative maintenance that are covered under this contract under the circumstances those instruments were added into or already exist in the CIHCS inventory.
l. Returned Instruments shall have legible QR Code, manufacturer name, and instrument catalog number.
m. The Contractor shall provide maintenance and repair for rigid instrument containers to ensure that all lid gasket vent devices are fully functional, in accordance with manufacturer specifications.
n. Items deemed unrepairable need to be returned to facility with clear identification as such.
o. Any non-OEM parts used to repair an instrument must have product part numbers provided and must have a Food and Drug Administration (FDA) approved Instructions for Use (IFU) that outlines all steps for reprocessing.
p. The repairer must be able to provide onsite biweekly repairs for:
i. Unscheduled repair and PM needs
q. Site visits shall follow a set schedule and be arranged so there is a minimum of 2 weeks between service site visits.
r. During repair and PM, all instruments are to be evaluated for a 2D QR scan code. When a device does not have a 2D laser code, the repairer will place a laser marked QR code on the instrument, as part of the PM service contract or will flag the instrument.
i. Devices with new QR codes shall be returned as part of the set it arrived in.
ii. Notification of code placement needs to be communicated to facility via the digital tracker for entry into Censitrac, information to be documented on the digital tracker are:
1. Device product number,
2. Device description
3. Device serial number (if applicable)
4. QR code numeric assignment.
iii. The Contractor shall place a QR code on the instrument using a laser etching system if no etch is present.
s. Delicate sharp, pointed instruments delivered in puncture proof containers shall returned be returned in puncture proof containers.
t. Routine individual instruments that need to have part replacements or more complex repairs, can be relocated to facility repair shop with updates of location change provided via the digital tracker.
u. Any instruments that fail the quality check upon return to CIHCS shall be resubmitted to the Contractor for repair at the Contractor’s expense per Federal Acquisition Regulations (FAR) 52.212-4(a).
v. All single instruments and surgical trays picked up and delivered back to the hospital shall be updated by the Contractor on the digital tracker and following information shall be included for each:
i. Instrument
1. Name of instrument,
2. Manufacture catalog number,
3. Serial number (when applicable),
4. Quantity of items for accountability,
5. QR code number assigned to the item.
ii. Instrument set:
1. Instrument set name,
2. Tray actual number,
3. # of instruments included.
2. Prohibited Repairs
a. Any instrument found having an unreadable or non-existent Manufacturer’s name AND product number visible on the instrument are NOT considered valid reusable instruments.
i. These instruments shall be marked as “damaged beyond repair” and returned to SPS.
ii. Any repairs performed on these instruments will not result in compensation.
b. The Repairer is prohibited from knowingly altering or modifying an original instrument in ANY WAY from the original manufacturers intended design.
c. Any instrument rendered damaged beyond repair due to performance of the repair or preventative maintenance will be replaced at the Contractor’s expense. This can include but not limited to:
i. Sandblasting shiny instruments to make them dull.
ii. Removing the manufacturer’s name or product number found on the instrument.
iii. Altering the product dimensions, angles, length, or adding/removing materials.
iv. Creating a “custom” instrument.
3. Refusal to Repair
a. The contractor shall not classify any instrument(s) as irreparable without providing, concurrently with the return of the instrument(s) to CIHCS:
i. Written justification citing the specific conditions preventing repair.
ii. Photographic documentation.
iii. Evidence of repair attempt.
iv. Approval of the instrument(s) by a CIHCS representative.
b.
4. Repairer Response window:
a. Urgent instrument repair service: Unscheduled repair of critical individual instrument or instrument set which the following applies:
i. The damage is identified on a day where no onsite visit is anticipated.
ii. The damaged item is a critical instrument for the instrument set.
iii. No alternative substitution available in house to meet the need while waiting for repair.
iv. Patient care delays or cancellations.
b. The Contractor has a week to complete urgent instrument repairs. The week starts at the time of notification by CIHCS to the Contractor.
c. Instruments or sets necessitating emergency repairs may be shipped to Contractor facilities if necessary. The CIHCS, at its own discretion and cost, may ship instruments the Contractor to expedite repair times, however, the Contractor shall be responsible for the cost of return shipping the instruments to the CIHCS.
5. Place of Performance
a. The mobile repair lab will provide onsite repairs at the VA Central Iowa Health Care System, 3600 30th Street, Des Moines, Iowa 50310.
b. Instruments are to be picked up from the SPS Preparation Area and OR.
c. Instruments are to be returned to the SPS Decontamination Area.
d. Off-site repairs: For Contractor's designated facility the address and certification (ISO 13485:2016 certification or VA determined equivalent) provided to COR prior to performance and upon any change.
e. Off-site repairs are allowable after receipt of permission from the CIHCS.
6. Scheduled PM for Critical Instrument Sets:
a. See Appendix A for the list of critical instruments.
b. Preventative maintenance of critical instrument sets shall be scheduled, and work completed within a week. Any exception to the week turnaround time is permissible from the COR or another CIHCS representative.
c. In the event this is not attainable this is to be communicated directly and immediately with SPS Designee to include what complications are creating a barrier and an ETA of expected downtime.
d. Off-site repair is allowable for critical instrument sets assuming the repairs are completed within the required timelines for critical instrument sets.
7. Scheduled PM for Routine Instruments Sets:
a. See Appendix B for the list of routine instrument sets.
b. The Contractor shall have 2 weeks, or longer at CIHCS discretion, to complete routine preventative maintenance on surgical instrument trays with day of pick up considered as day one (1).
c. If a set will be removed from circulation for longer than two weeks, this needs to be directly communicated with the SPS designee and an explanation as to why.
d. Off-site repair is allowable for routine instrument sets.
8. Mobile Repair Lab Requirements
a. Instrument repairs completed onsite at the Central Iowa Veterans Administration Medical Center (VAMC) shall occur in a mobile repair lab/vehicle in a designated space. CIHCS is not responsible for the supply of any items or utility services of any kind needed for the sustainable functioning of the mobile unit.
b. Safety cones shall be utilized around the perimeter of the mobile repair vehicle to ensure the safety of hospital and Contractor staff.
c. Any equipment requiring set up at the mobile repair lab at the hospital shall be done at the expense of the Contractor.
d. Mobile Repair Unit shall properly display the Contractor’s name and permit numbers.
e. The contractor shall provide access to repair facilities (mobile or otherwise) upon request by the VA to ensure compliance with the contract and applicable regulatory standards.
f. Contractor mobile unit(s) shall be registered with the CIHCS Police Department.
9. Contractor documentation and tracking requirements
a. Accessible online service dashboard that displays and tracks all repair and maintenance activities.
b. Contractor uses an online dashboard that displays and tracks all repair and maintenance activities.
c. The dashboard must be online and must be accessible to SPS designees 24 hours a day, 365 days a year except for maintenance related down times.
d. The following dashboard functions must be included:
i. Repair request function,
ii. Scheduled maintenance request function,
iii. Critical repair request function,
iv. Display request is received with date of anticipated repair,
v. Status updates while active repair is being performed,
vi. Closed “completed” repairs with all associated documentation attached,
vii. Visible annual calendar that establishes an annual PM schedule for sets attached in the appendixes,
viii. The dashboard shall allow for all repairer documentation to be attached directly to the repair request
ix. This shall include a preventative maintenance checklist with at least:
1. Repair performed,
2. What parts were ordered,
3. Invoices,
4. Any other related documentation,
e. Repair services that Interface with current equipment and Censitrac program are preferred.
10. Contract Monitoring:
a. The CIHCS SPS shall designate a representative to monitor Contractor employee work services through one or a combination of the following mechanisms:
i. The SPS representative, SPS Chief, Reusable Medical Equipment (RME) Coordinator and/or Contracting Officer Representative (COR) shall monitor Contractor instrument pick-up and drop-off through the inhouse Censitrac system to ensure that services called for in the contract have been received by the CIHCS.
ii. SPS shall utilize Contractor’s digital dashboard to request services from Contractor. Daily monitoring of digital dashboard and repair status to ensure all requests are being handled appropriately.
iii. Documentation of services performed shall be reviewed by the Contracting Officer Representative prior to certifying payment.
iv. The SPS representative will conduct periodic customer service interviews with end users to confirm quality repair services are being performed to their standards.
v. Contract monitoring and recordkeeping procedures shall be sufficient to ensure proper payment and confirmation that services were provided.
vi. Monthly invoices shall be submitted to the SPS Representative and COR at the beginning of the contract, until it is determined that billing documentation meets requirements. Once billing practices have been found to be acceptable then invoices may be directly submitted to Tungsten. The COR shall verify that services were performed against Contractor’s certified delivery repairs document. Only after verification are invoices certified for payment. Billing disagreements that cannot be resolved by the COR shall be forwarded to the Contracting Officer for review and resolution.
vii. The CIHCS SPS representatives retain the option to perform site visits of Contractor repair facilities to confirm that repairs are being performed in accordance with the requirements listed above.
viii. The Contractor shall provide monthly reports as requested, detailing the work performed that month.
11. Contractor Requirement
a. Contractor shall have a training program or third-party training program for their staff who will be providing services on this contract. Any Contractor staff performing services on this contract shall have completed the aforementioned training.
b. The Contractor shall provide documentation of staff training, competencies, and any pertinent certifications in relation to the repairs they shall be conducting upon CIHCS request.
c. The contractor shall provide CIHCS SPS staff with in-service training on as needed basis, at the request of the facility. Up to a total of six (6) hours, two (2) per shift, CEU eligible in-services, on instrumentation, per year.
12. Security Clearance
a. The following security language is applicable to Contractor staff who will regularly enter CIHCS facilities.
b. Contractor staff will utilize a temporary Contractor’s security badge until a permanent security PIV badge can be issued. Temporary badge use will not exceed 30 calendar days.
c. The Contractor shall comply with Central Iowa VAMC security, access, and badging requirements. Employees must provide fingerprints and be able to pass a background check so they can obtain a security access badge.
d. All Contractor staff will need a valid individual personal or professional email account that can be easily checked. Notifications regarding fingerprint scheduling/appointments, background investigation tasks, and Training Management System (TMS) required classes will be sent to their email address throughout the badging process.
e. The Contractor will submit all required security badging documents for each employee within fifteen (15) business days from the award date of contract to the COR. All documents must be legible. The following documents will be sent to the Contractor via email after contract is awarded.
i. OF 306 – Must be Typed. Submission of handwritten forms will not be acceptable.
ii. Self-Certification
iii. VA 10-2417
iv. Employee Fingerprint Resource Form
f. Appropriate Contractor staff (as determined by the VA) performing the duties of the Statement of Work shall complete the computer-based training course “TMS 10176 Infosec/Rules of Behavior”.
g. Contractor staff shall be escorted while in CIHCS sensitive locations or without a security badge or PIV badge.
13. Additional Information
a. National Holidays. There are eleven (11) holidays observed by the Government as follows: New Year’s Day, Martin Luther King Day, Presidents Day, Memorial Day, Juneteenth Independence Day, Independence Day, Labor Day, Columbus Day, Veterans Day, Thanksgiving Day, Christmas Day. SPS is a 24/7 operation and continues sterilization operations on these holidays.
b. Repairs must be performed in a clean and orderly environment.
14. Covered Instrument Classes (Including but not limited to):
| General Scissors: |
| Metz Scissors, Mayo Scissors, Cast/Bandage Scissors, Iris Scissors, Suture Scissors, Serrated Scissors, Delicate Scissors |
| Osteotomes: |
| Total Joint Osteotomes, Podiatry Osteotomes and ENT Osteotomes |
| Curettes: |
| Total Joint, Curettes, D & C Curettes, Adenoid Curettes |
| Elevators: |
| Periosteal Elevators, Cobb Elevators, Key Elevators, Freer Elevators, DIE Elevators |
| Gouges: |
| Total Hip Gouges |
| Small Knives: |
| Amputation Knives, Cartilage Knives, Meniscus Knives, Knife Handles |
| Rongeurs: |
| AB Rongeurs, Pituitary Rongeurs, Kerrison Rongeurs, Kerrison Punches, Dermal Punches |
| Cutters: |
| Bone Cutters, Wire Cutters, Pin Cutters, Rib Cutting Forceps |
| Forceps/Clamps: |
| Artery Forceps, Sponge Forceps, Kelly Forceps, Adson Forceps, Allis Forceps Tissue Forceps, Mosquito Forceps, Biopsy Forceps, Hemostats, Clip Appliers, Kocher Clamps, Towel Clips/Clamps, Bone Clamps |
| Miscellaneous Instruments: |
| Reamers, Total Hip Cup Graters, Cranial Burrs, Enlarging Burr, Retractors, Balfour Retractor, Hand Retractors, Perforating Twist/Spinal Drills, Chisels, Tonsillectomies, Adenotomes, Trocars, Skin Hooks, Skin Rakes, Suction Tips/Tubes, Dissectors, Rasps, Mouth Gags, Saw Blades, Speculums, Dilators, Dental Instruments, all needle holders, Acetabular Cutters |
| Ophthalmic Instruments: |
| Speculums, Retractors, Knives (not diamond), Spoons, Punches, Spatulas, Manipulators, Loops, Hooks, Markers, Calipers, Scissors, Forceps |
| Arthroscopic Instruments: |
| Punches, Shavers, Scissors, Intra-Articular Hooks, Intra-Articular Knives, Intra-Articular Graspers, Forceps |
| Align/Sharpen Laparoscopic Instruments: |
| Laparoscopic Punches, Laparoscopic Shavers, Laparoscopic Scissors, Laparoscopic Hooks, Laparoscopic Knives, Laparoscopic Graspers, Laparoscopic Forceps |
| Micro Instruments: |
| Verres Needles, Biopsy Needles, Corneal Scissors, Urethra tomes, Micro Rongeurs, Micro Forceps Micro Scissors |
| Bi-Polar Repairs: |
| Standard Bipolar, Irrigating Bipolar, Standard Bipolar, Irrigating Bipolar |
| Sterilization Container Repair: |
| Aesculap, Katena, Case Medical |
| Endoscopic and Laparoscopic Instruments (modular and non-modular): |
| Graspers, dissectors, scissors, clamps, biopsy instruments and forceps (to include with or without ratchets). |
| Light Cables and adaptors to fit all manufacturers: |
| Light Cable 3mm x 6 ft w/2 adaptors, Light Cable 3mm x 8 ft w/2 adaptors, Light Cable 4mm x 6 ft w/2 adaptors, Light Cable 5mm x 6 ft w/2 adaptors, Light Cable 5mm x 8 ft w/2 adaptors |
The lists provided below are not all inclusive of the instruments that will be on the contract over its lifetime and may be subject to change over time.
APPENDIX A:
· Critical sets: Appendix A- high risk.
| Service |
| Container Name |
| Number of Sets |
| Instrument |
| Clinic |
| Minor Clinic |
| 2 |
| 19 |
| Dental |
| Straumann Implant Kit with AS |
| 5 |
| 16 |
| Dental |
| Standard Oral Surgery |
| 6 |
| 25 |
| OR - Basic |
| Basic Set |
| 4 |
| 44 |
| OR - Delicate |
| Duet Forcep |
| 2 |
| 3 |
| OR - Eye |
| Cataract Trays |
| 10 |
| 35 |
| OR - Eye |
| Toric Instrument Set |
| 4 |
| 4 |
| OR - Eye |
| Lacrimal Duct Probes |
| 1 |
| 4 |
| OR - Eye |
| Pterygium (Plastics Eye Tray) |
| 2 |
| 26 |
| OR - Eye |
| Katena Cataract Extras |
| 4 |
| 4 |
| OR - General |
| Lap Chole Set New 2018 |
| 4 |
| 22 |
| OR - General |
| Rectal Set |
| 3 |
| 26 |
| OR - General |
| Needle Holder & Knot Pusher 2018 |
| 2 |
| 5 |
| OR - General |
| Closure Tray |
| 2 |
| 19 |
| OR - General |
| Bookwalter Bars |
| 1 |
| 8 |
| OR - General |
| Bookwalter Blades |
| 2 |
| 21 |
| OR - General |
| Bookwalter Bar #2 |
| 1 |
| 9 |
| OR - General |
| Lap Chole Extras 2018 |
| 2 |
| 12 |
| OR - General |
| Adjustable Bookwalter Ring/Bar (Codman) |
| 1 |
| 12 |
| OR - General |
| Bookwalter Blades Extras |
| 1 |
| 10 |
| OR - Laparoscopic |
| Karl Storz Scope Holder |
| 2 |
| 6 |
| OR - Laparoscopic |
| Princeton Long Laparoscopic Set |
| 2 |
| 43 |
| OR - Lesion |
| Lesion Set |
| 6 |
| 28 |
| OR - Ortho |
| Ortho Basic |
| 4 |
| 44 |
| OR - Ortho |
| Ankle Distractor |
| 1 |
| 3 |
| OR - Retractor |
| Retractor Set |
| 5 |
| 27 |
| OR - Retractor |
| Balfour Retractor Regular |
| 1 |
| 8 |
| OR - Retractor |
| DeBakey Balfour Retractor Deep |
| 2 |
| 4 |
| OR - Retractor |
| Grand/Henley Retractor |
| 1 |
| 7 |
| OR - Retractor |
| Henley Smooth Blades |
| 1 |
| 3 |
| OR - Retractor |
| Lighted Thorlakson Retractors |
| 1 |
| 3 |
| OR - Retractor |
| Retractor Anal Parks Set |
| 1 |
| 7 |
| OR - Retractor |
| Retractor Balfour Pedi Abdominal 3 ½” |
| 1 |
| 6 |
| OR - Retractors |
| St. Mark Retractor 9” Angled Lip Fiberoptic |
| 2 |
| 3 |
| OR - Retractors |
| Thorlakson Retractors |
| 1 |
| 3 |
| OR - TPX |
| TPX Set New |
| 5 |
| 17 |
| OR - Vascular |
| CV Set New |
| 3 |
| 44 |
| OR - Vascular |
| Thompson Bar |
| 2 |
| 5 |
| OR - Vascular |
| Thompson Blade Pan |
| 2 |
| 19 |
| OR - Vascular |
| Thompson Carotid Extras |
| 1 |
| 6 |
| OR - Vascular |
| Thompson Liver Blade Extras |
| 1 |
| 8 |
| OR - Vascular |
| Thompson Carotid Bar Set |
| 2 |
| 3 |
| OR - Vascular |
| Thompson Carotid Bar Pan |
| 2 |
| 25 |
| OR - Vascular |
| Vascular Extras |
| 1 |
| 13 |
| OR - Vascular |
| Carotid Bar with 1 Knuckle set |
| 1 |
| 3 |
| OR - Vascular |
| Scanlon Tunneler Set |
| 3 |
| 5 |
| OR -Vascular |
| Thompson Knuckles & Discs |
| 2 |
| 32 |
| OR/Clinic - GU |
| Vasectomy |
| 5 |
| 11 |
| OR-Vascular |
| CV Extra’s Set |
| 1 |
| 14 |
APPENDIX B:
Routine Sets: Appendix B: Preventative Maintenance Schedule –
| Service |
| Container Name |
| Number Of Set |
| Inst |
| Dental |
| Restoration |
| 20 |
| 32 |
| Dental |
| Hygiene |
| 28 |
| 15 |
| Dental |
| Dental Exam |
| 43 |
| 5 |
| Dental |
| Dental Hygiene Student |
| 12 |
| 13 |
| Dental |
| Straumann Implant Kit |
| 10 |
| 1 |
| Dental |
| Dental Lamb Extras |
| 2 |
| 1 |
| Dental |
| Dental Denture Adjustment Kits |
| 30 |
| 8 |
| Dental |
| Dental Cindy Extras |
| 2 |
| 9 |
| Dental |
| Straumann Novaloc |
| 4 |
| 3 |
| Dental |
| Dental Hygiene Perio |
| 6 |
| 16 |
| Dental |
| Dental Titanium Implant Scaler Kit K-1800 |
| 6 |
| 5 |
| Dental |
| Lundy Extras |
| 2 |
| 10 |
| Dental |
| Nobel Implant Kit |
| 2 |
| 3 |
| Dental |
| Dental Garrison Ring Kit |
| 4 |
| 3 |
| Dental |
| Dental Student Extras |
| 2 |
| 3 |
| Dental |
| McGarvey Extras |
| 2 |
| 3 |
| Dental |
| Standard Dental Endo |
| 3 |
| 28 |
| Dental |
| BlisSonic Scaling Tips |
| 12 |
| 3 |
| Dental |
| Dental Endo Files 30mm |
| 5 |
| 7 |
| Dental |
| Dental Gates Glidden Kit |
| 2 |
| Dermatology |
| Derm Tray |
| 8 |
| 9 |
| ER |
| Facial Laceration Tray |
| 8 |
| 6 |
| OR - Cardiothoracic |
| Chest Set |
| 2 |
| 38 |
| OR - Cardiothoracic |
| Finochietto Pediatric Rib Spreader |
| 2 |
| 1 |
| OR - Emergency |
| Tracheostomy Set |
| 2 |
| 45 |
| OR - Eye |
| Cataract Extras |
| 3 |
| 10 |
| OR - Eye |
| Eye Enucleation Set |
| 1 |
| 11 |
| OR - General |
| Acufex Set |
| 1 |
| 15 |
| OR - General |
| Retractor Hill/Ferg Lighted (Rectal) |
| 2 |
| 4 |
| OR - General |
| New Hemorrhoid Bander Set |
| 8 |
| 5 |
| OR - General |
| Bowel Clamps |
| 4 |
| 12 |
| OR - General |
| Dall Miles |
| 1 |
| 7 |
| OR - General |
| Injector Capsule Tension Ring |
| 1 |
| 1 |
| OR - General |
| Liston Amputation Knife |
| 1 |
| 1 |
| OR - General |
| Neuro Osteotomes |
| 1 |
| 11 |
| OR - General |
| Amputation Pack |
| 3 |
| 5 |
| OR - General |
| Hemorrhoid Bander Set |
| 2 |
| 6 |
| OR - General |
| Henley Blades 1 1/2” (4 blades) |
| 2 |
| 4 |
| OR - General |
| Curette Neuro Short |
| 1 |
| 8 |
| OR - General |
| Table Top Plate Bender |
| 1 |
| 1 |
| OR - General |
| Trocar Irrigating Canula |
| 1 |
| 4 |
| OR - General |
| Biomet CTR Angled Heiss Set |
| 2 |
| 2 |
| OR - General |
| Gallbladder Set |
| 2 |
| 12 |
| OR - General |
| Medline Crossroads Cotton Trials 5-6, 7-8 |
| 1 |
| 2 |
| OR - General |
| Thyroid Pan |
| 1 |
| 27 |
| OR - General |
| Unfolder Handpiece |
| 1 |
| 1 |
| OR - General Surgery |
| Long Instrument sets |
| 4 |
| 30 |
| OR - Laparoscopic |
| Laparoscopic TEP Extras |
| 1 |
| 9 |
| OR - Ortho |
| De Mayo Knee Positioner Base Case |
| 3 |
| 1 |
| OR - Ortho |
| Hand Set |
| 4 |
| 36 |
| OR - Ortho |
| New OR De Mayo Knee Positioner Acc Case |
| 3 |
| 2 |
| OR - Ortho |
| Knee Universal Patellar INST Tray |
| 2 |
| 35 |
| OR - Ortho |
| Stryker Fluted Headless Pins (x4) |
| 5 |
| 4 |
| OR - Ortho |
| Stryker Ortho Biters |
| 1 |
| 19 |
| OR - Ortho |
| Ortho Shaver Set |
| 3 |
| 16 |
| OR - Ortho |
| S&N GEN II Reamers 10-12-14MM |
| 2 |
| 3 |
| OR - Ortho |
| Elevators Key Ortho |
| 1 |
| 5 |
| OR - Ortho |
| Synthes Mini Frag Set (Back-up) |
| 1 |
| 34 |
| OR - Ortho |
| Stryker Backup Ortho Biters |
| 7 |
| 64 |
| OR - Ortho |
| Stryker Small Joint Inst. |
| 2 |
| 15 |
| OR - Ortho |
| Shukla Mini Screw Extraction Set |
| 2 |
| 29 |
| OR - Ortho |
| Shukla Univ. Screw Extraction Set |
| 2 |
| 29 |
| OR - Ortho |
| Bone Holding Forcep & Large Ankle Forcep |
| 1 |
| 11 |
| OR - Ortho |
| Cement Removal Instruments |
| 1 |
| 32 |
| OR - Ortho |
| Currettes (Ortho) |
| 1 |
| 9 |
| OR - Ortho |
| Synthes LCP Lg Fragment Inst Locking |
| 1 |
| 57 |
| OR - Ortho |
| Knee P/S Tibial Insert Trial Tray |
| 2 |
| 24 |
| OR - Ortho |
| Shukla Maxi Large Screw Extraction |
| 2 |
| 38 |
| OR - Ortho |
| Osteotomes |
| 2 |
| 4 |
| OR - Ortho |
| Bone Biopsy Instruments |
| 1 |
| 6 |
| OR - Ortho |
| Cannulated Screw Set Extras |
| 1 |
| 13 |
| OR - Ortho |
| Hand Osteotomes |
| 1 |
| 5 |
| OR - Ortho |
| Screw Removal Set |
| 1 |
| 55 |
| OR - Ortho |
| Steinmann Threaded Pin Set |
| 1 |
| 60 |
| OR - Ortho |
| Synthes D.C.P Plates |
| 1 |
| 44 |
| OR - Ortho |
| Synthes LC-DCP DCP Basic Inst Set Lg Frag |
| 1 |
| 56 |
| OR - Ortho |
| Synthes Mini Fragment Self Tapping |
| 1 |
| 258 |
| OR - Ortho |
| Craig Bone Biopsy Set |
| 1 |
| 8 |
| OR - Ortho |
| Ortho 6.5mm Cannulated Screw Set |
| 1 |
| 137 |
| OR - Ortho |
| Synthes LCP Large Fragment Plates |
| 1 |
| 34 |
| OR - Ortho |
| Synthes LCP Large Fragment Screw Set |
| 1 |
| 543 |
| OR - Ortho |
| Plantar Fasciotomy |
| 1 |
| 6 |
| OR – Ortho |
| Steinmann Plain Pin Set |
| 1 |
| 60 |
| OR – Ortho |
| Stryker Core Saber/PI Drive 2 Plus Drill |
| 1 |
| 6 |
| OR - Podiatry |
| Podiatry Set |
| 6 |
| 57 |
| OR - Podiatry |
| Arthrex Ankle Distractor |
| 2 |
| 8 |
| OR - Retractor |
| Henly Retractor Set |
| 3 |
| 7 |
| OR - Retractors |
| Hill Ferguson Retractors Set |
| 4 |
| 3 |
| OR - Retractors |
| St Marks 7 and 9” Retractors Fiberoptic |
| 1 |
| 3 |
| OR - Retractors |
| O’Sullivan O’Connor retractor w/4 Blades |
| 1 |
| 5 |
| OR - Vascular |
| Aortic Set |
| 2 |
| 23 |
| OR - Vascular |
| Mediastinoscopy |
| 1 |
| 20 |
| OR- Eye |
| Crawford Lacrimal Intubation Set |
| 1 |
| 2 |
| OR -Ortho |
| Allen shoulder Holder New |
| 1 |
| 3 |
| OR -Ortho |
| Synergy Broach Tray Hip |
| 2 |
| 34 |
| OR-Emergency |
| Cooley Sternotomy Spreader Adult Set |
| 1 |
| 3 |
| OR-Eye |
| Amo Ophthalmic Emerald Unfolder Delivery System |
| 1 |
| 1 |
| OR-GU |
| TUR Set |
| 8 |
| 29 |
| OR-GU |
| Circumcision Tray |
| 2 |
| 10 |
| OR-GU |
| Olympus Gyrus Set |
| 4 |
| 4 |
| OR-GU |
| Olympus Long Resectoscope Set |
| 1 |
| 7 |
| OR-GU |
| Olympus Urethrotome Blade & Knife |
| 1 |
| 2 |
| OR-GU |
| Olympus Urethrotome Set |
| 1 |
| 7 |
| OR-GU |
| Penile Dilators |
| 1 |
| 7 |
| OR-GU |
| Penile Prothesis BackUp Set |
| 1 |
| 27 |
| OR-GU |
| Penile Prosthesis |
| 1 |
| 27 |
| OR-GU |
| Prostatectomy |
| 1 |
| 30 |
| OR-GU |
| Sounds Lefort Urethral (10Fr-30Fr) |
| 1 |
| 11 |
| OR-GU |
| Sounds Van Buren Urethral |
| 2 |
| 8 |
| OR-Gyn |
| Abdominal Hysterectomy Set |
| 1 |
| 32 |
| OR-Gyn |
| D & C Set |
| 2 |
| 26 |
| OR-Gyn |
| Gyn LEEP Set |
| 2 |
| 5 |
| OR-Gyn |
| Hegar Uterine Dilator Set |
| 1 |
| 11 |
| OR-Ortho |
| Affiniti Humeral Bottom Tray (Tornier) |
| 2 |
| 31 |
| OR-Ortho |
| Affiniti Humeral Middle Tray (Tornier) |
| 2 |
| 18 |
| OR-Ortho |
| Affiniti Humeral Top Tray (Tornier) |
| 2 |
| 21 |
| OR-Ortho |
| Allen Shoulder Holder Old |
| 1 |
| 2 |
| OR-Ortho |
| Arthrex MIS Instrument Set New |
| 2 |
| 4 |
| OR-Ortho |
| Bone Spikes |
| 1 |
| 5 |
| OR-Ortho |
| Cannulated Screw Set Extras |
| 1 |
| 12 |
| OR-Ortho |
| Cutting blocks Langs Favorite |
| 1 |
| 4 |
| OR-Ortho |
| DeMayo Knee Positioner Base Case |
| 3 |
| 1 |
| OR-Ortho |
| Dr. Olswing’s Knee Extras |
| 1 |
| 9 |
| OR-Ortho |
| Hemi-Arthroplasty Set |
| 2 |
| 40 |
| OR-Ortho |
| Knee ACF Cut Blocks & Ream Fem Trials |
| 2 |
| 18 |
| OR-Ortho |
| Knee ACF Femoral Instrument Tray |
| 2 |
| 22 |
| OR-Ortho |
| Knee CR Tibial Insert Trial Tray |
| 2 |
| 44 |
| OR-Ortho |
| Knee Femoral Miscellaneous |
| 2 |
| 16 |
| OR-Ortho |
| Knee Holder |
| 2 |
| 1 |
| OR-Ortho |
| Knee P/S Ream Through Femoral Tray |
| 2 |
| 13 |
| OR-Ortho |
| Knee P/S Tibial Insert Trial Tray |
| 2 |
| 24 |
| OR-Ortho |
| Knee Tibial Instrument Tray |
| 2 |
| 30 |
| OR-Ortho |
| Knee Tibial Miscellaneous Tray |
| 2 |
| 15 |
| OR-Ortho |
| Ortho 6.5mm Cannulated Screw Set |
| 1 |
| 138 |
| OR-Ortho |
| R3 Hip Main Inst Tray |
| 2 |
| 21 |
| OR-Ortho |
| R3 Reamer Dome Tray |
| 2 |
| 27 |
| OR-Ortho |
| R3 Trial Shell Tray |
| 2 |
| 21 |
| OR-Ortho |
| S&N Small Joint Shaver |
| 1 |
| 1 |
| OR-Ortho |
| Shoulder Mini-Open Retractor |
| 1 |
| 7 |
| OR-Ortho |
| Shoulder Set |
| 2 |
| 19 |
| OR-Ortho |
| Small Joint Arthroplasty System |
| 1 |
| 18 |
| OR-Ortho |
| Steinmann Threaded Pin Set |
| 1 |
| 60 |
| OR-Ortho |
| Synergy Femoral Reamer Tray (Hip) |
| 2 |
| 13 |
| OR-Ortho |
| Synthes LCP Lg Fragment Inst Locking |
| 1 |
| 57 |
| OR-Ortho |
| Synthes LCP Sm. Frag Inst & Implant Set 1A |
| 1 |
| 63 |
| OR-Ortho |
| Synthes LCP Sm Frag Inst & Implant Set 1 |
| 1 |
| 612 |
| OR-Ortho |
| Tornier Affiniti Glenoid Instrument Set |
| 1 |
| 39 |
| OR-Ortho |
| Total Shoulder Retractor |
| 2 |
| 9 |
| OR-Ortho |
| Total Shoulder Extras |
| 2 |
| 6 |
| OR-Ortho |
| Unipolar Trial |
| 1 |
| 26 |
| Or-Retractor |
| Charnley Amstutz Extras |
| 1 |
| 3 |
| OR-Retractor |
| Charnley Retractor Set |
| 2 |
| 14 |
| OR-Retractor |
| Henley Smooth Blades |
| 1 |
| 3 |
| OR-Retractor |
| Parsonnet Epicardial Retractor |
| 1 |
| 2 |
| OR-Retractor |
| Retractor Balfour Pedi Abdominal 1 ½” |
| 1 |
| 2 |
| OR-Vascular |
| AV Fistula Set |
| 3 |
| 5 |
| OR-Vascular |
| AV Sheath Tunneler |
| 1 |
| 20 |
| OR-vascular |
| Garrett Dilators x9 |
| 2 |
| 9 |
| OR-Vascular |
| Kelly Wick Tunnler |
| 1 |
| 14 |
| OR-Vascular |
| Mediastinoscopy Extras |
| 1 |
| 9 |
| OR-Vascular |
| PV Sheath Tunneler |
| 1 |
| 8 |
| OR-Vascular/GU |
| Yasergil Appliers |
| 3 |
| 2 |
| Specials |
| SPR Lesion Set |
| 7 |
| 10 |
File details come from the government source that posted it. Updated .