36S79725R0002 Orthotic Softgoods and Prosthetic Supplies.pdf

PAGE 1 OF 1. REQUISITION NO.

2. CONTRACT NO. 3. AWARD/EFFECTIVE DATE 4. ORDER NO. 5. SOLICITATION NUMBER 6. SOLICITATION ISSUE DATE

a. NAME b. TELEPHONE NO. (No Collect Calls) 8. OFFER DUE DATE/LOCAL

TIME

9. ISSUED BY CODE 10. THIS ACQUISITION IS UNRESTRICTED OR SET ASIDE: % FOR:

SMALL BUSINESS

HUBZONE SMALL

BUSINESS

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

WOMEN-OWNED SMALL BUSINESS

(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

8(A)

NAICS:

SIZE STANDARD:

11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

12. DISCOUNT TERMS

13a. THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

13b. RATING

14. METHOD OF SOLICITATION

RFQ IFB RFP

15. DELIVER TO CODE 16. ADMINISTERED BY CODE

17a. CONTRACTOR/OFFEROR CODE FACILITY CODE 18a. PAYMENT WILL BE MADE BY CODE

TELEPHONE NO. UEI: EFT:

PHONE: FAX:

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN OFFER

18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK BELOW IS CHECKED

SEE ADDENDUM

19. 20. 21. 22. 23. 24.

ITEM NO. SCHEDULE OF SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

(Use Reverse and/or Attach Additional Sheets as Necessary)

25. ACCOUNTING AND APPROPRIATION DATA 26. TOTAL AWARD AMOUNT (For Govt. Use Only)

27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA ARE ARE NOT ATTACHED.

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA ARE ARE NOT ATTACHED

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN _______________ 29. AWARD OF CONTRACT: REF. ___________________________________ OFFER COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND DATED ________________________________. YOUR OFFER ON SOLICITATION DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY (BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED SET FORTH HEREIN IS ACCEPTED AS TO ITEMS:

30a. SIGNATURE OF OFFEROR/CONTRACTOR 31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)

30b. NAME AND TITLE OF SIGNER (TYPE OR PRINT) 30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER (TYPE OR PRINT) 31c. DATE SIGNED

AUTHORIZED FOR LOCAL REPRODUCTION (REV. NOV 2021)

PREVIOUS EDITION IS NOT USABLE Prescribed by GSA - FAR (48 CFR) 53.212

7. FOR SOLICITATION

INFORMATION CALL:

STANDARD FORM 1449

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES

OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

36S79725R0002

Brandy Hudson 708-786-5220 10-31-2025

16:30 EDT

Brandy Hudson VA National Acquisition Center PO Box 76 1st Ave., One Block N of 22nd Hines IL 60141

X

339113

800 Employees

N/A

Department of Veterans Affairs OPAL / National Acquisition Center Building 37 1st Avenue, One Block North of Cermak

Department of Veterans Affairs

CHIEF, FISCAL DIVISION (901A)

HINES SERVICE AND DISTRIBUTION CENTER

PO BOX 7005

HINES IL 60141-7005

Orthotic Softgoods and Prosthetic Supplies

Table of Contents

SECTION A

A.1 SF 1449 SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL PRODUCTS

AND COMMERCIAL SERVICES

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

B.2 ABBREVIATIONS AND DEFINITIONS

B.3 STATEMENT OF WORK

B.3.1 INTRODUCTION AND BACKGROUND

B.3.2 SCOPE

B.3.2 CONTRACT PERIOD OF PERFORMANCE

B.3.3 ORTHOTIC SOFTGOODS AND PROSTHETIC SUPPLIES CONTRACT LINE

ITEMS AND MINIMUM TECHNICAL REQUIREMENTS FOR EACH CONTRACT LINE

ITEM NUMBER (CLIN) ARE AS FOLLOWS:

B 3.4 COMMERCIAL PACKAGING

B 3.5 COMMERCIAL WARRANTY

B 3.6 IDIQ TERMS AND CONDITIONS AND ORDERING INFORMATION

B 3.6.1 ORDERING INFORMATION

B 3.6.1 CONTRACT ORDERING OFFICERS

B 3.6.2 COMMUNICATION OF ORDERS

B 3.6.3 CONTRACT MINIMUM AND CEILING AMOUNT

B 3.7 DELIVERY AND SHIPPING REQUIREMENTS

B 3.7.1 DELIVERY

B.3.7.2 SHIPPING

B.3.7.3 INSPECTION AND ACCEPTANCE

B 3.8 PRODUCT REMOVAL OR RECALL

B 3.8.1 NOTIFICATION OF SUBSTITUTED AND BACK-ORDERED

B 3.8.2 PRODUCT REFRESH AND WARRANTY

B 3.8.3 REPLACEMENT WITH ALTERNATIVE SUPPLY

B 3.8.4 CONTINGENCY PLAN AND SERVICE INTERRUTPTION:

B 3.9 INVOICING/ELECTRONIC COMMERCE SYSTEMS

B 3.10 CONTRACT MODIFICATIONS

B 3.11 QUALITY ASSURANCE SURVEILLANCE PLAN (QASP)

B 3.12 CONTRACTOR PERFORMANCE ASSESSMENT REPORTING SYSTEM

(CPARS)

B 3.13 CONTRACTOR PERFORMANCE METRICS

B 3.14 PERFORMANCE REQUIREMENT SUMMARY TABLE

SECTION C - CONTRACT CLAUSES

C.1 52.212-4 CONTRACT TERMS AND CONDITIONS—COMMERCIAL PRODUCTS

AND COMMERCIAL SERVICES (NOV 2023)

C.2 52.216-18 ORDERING (AUG 2020)

C.3 52.216-19 ORDER LIMITATIONS (OCT 1995)

C.4 52.216-22 INDEFINITE QUANTITY (OCT 1995)

C.5 52.216-32 TASK-ORDER AND DELIVERY-ORDER OMBUDSMAN (SEP 2019) ...81

C.6 52.217-6 OPTION FOR INCREASED QUANTITY (MAR 1989)

C.7 52.225-5 TRADE AGREEMENTS (NOV 2023)

C.8 52.225-6 TRADE AGREEMENTS CERTIFICATE (FEB 2021)

C.9 VAAR 852.232-72 ELECTRONIC SUBMISSION OF PAYMENT REQUESTS (NOV

2018)

C.10 VAAR 852.242-71 ADMINISTRATIVE CONTRACTING OFFICER (OCT 2020) ..86

C.11 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

C.12 52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT

STATUTES OR EXECUTIVE ORDERS—COMMERCIAL PRODUCTS AND

COMMERCIAL SERVICES (JAN 2025) (DEVIATION FEB 2025)

C.13 MANDATORY WRITTEN DISCLOSURES

SECTION D - CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS

D.1 LIST OF ATTACHMENTS

SECTION E - SOLICITATION PROVISIONS

E.1 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL PRODUCTS AND

COMMERCIAL SERVICES (SEP 2023)

E.3 52.201-1 ACQUISITION 360: VOLUNTARY SURVEY (SEP 2023)

E.4 52.204-24 REPRESENTATION REGARDING CERTAIN TELECOMMUNICATIONS

AND VIDEO SURVEILLANCE SERVICES OR EQUIPMENT (NOV 2021)

E.5 52.204-29 FEDERAL ACQUISITION SUPPLY CHAIN SECURITY ACT

ORDERS—REPRESENTATION AND DISCLOSURES (DEC 2023)

E.6 52.209-7 INFORMATION REGARDING RESPONSIBILITY MATTERS (OCT 2018)

E.7 52.216-1 TYPE OF CONTRACT (APR 1984)

E.8 52.233-2 SERVICE OF PROTEST (SEP 2006)

E.9 VAAR 852.233-71 ALTERNATE PROTEST PROCEDURE (OCT 2018)

E.10 52.252-1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE

(FEB 1998)

E.11 52.212-2 EVALUATION—COMMERCIAL PRODUCTS AND COMMERCIAL

SERVICES (NOV 2021)

E.12 52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS—

COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (MAY 2024) (DEVIATION

FEB 2025)

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

1. Contract Administration: All contract administration matters will be handled by the following individuals:

a. CONTRACTOR:

b. GOVERNMENT:

Contracting Officer 36C791

Brandy Hudson VA National Acquisition Center PO Box 76 1st Ave., One Block N of 22nd

2. CONTRACTOR REMITTANCE ADDRESS: All payments by the Government to the contractor will be made in accordance with:

[X] 52.232-33, Payment by Electronic Funds Transfer—System For Award Management, or

[] 52.232-36, Payment by Third Party

3. INVOICES: Invoices shall be submitted in arrears:

a. Quarterly []

b. Semi-Annually []

c. Other []

4. GOVERNMENT INVOICE ADDRESS: All Invoices from the contractor shall be submitted electronically in accordance with VAAR Clause 852.232-72 Electronic Submission of Payment Requests.

ACKNOWLEDGMENT OF AMENDMENTS: The offeror acknowledges receipt of amendments to the Solicitation numbered and dated as follows:

AMENDMENT NO DATE

B.2 ABBREVIATIONS AND DEFINITIONS

As used through this solicitation/contract the following abbreviations, words or terms are used as defined.

ACL Anterior Cruciate Ligament

ADA American with Disabilities Act

AFO Ankle Foot Orthosis

AK Above Knee

ANC Alaska Native Corporation

ANSI American National Standards Institute

ARO After Receipt of Order

ASC Accredited Standards Center

BK Below Knee

BOC Budget Object Code

CDR Contractor Discrepancy Reports

CFR Code of Federal Regulations

CLIN Contract Line Item Number

CO Contracting Officer

COR Contracting Officer Representative

CPARS Contractor Performance Assessment Reporting System

CSAS Commodities & Services Acquisition Service

CVE Center for Verification and Evaluation

DJD Degenerative Joint Disease

DLC Denver Logistics Center

DLS Denver Logistics Service

EA Each

EDI Electronic Data Interchange

EO Elbow Orthosis

FAR Federal Acquisition Regulation

FDA Food and Drug Administration

FCP Funding Control Point

FFP Firm-Fixed- Price

FO Foot Orthosis

FOB Free on Board destination

FSC Financial Services Center

FSS Federal Supply Schedule

GAO Government Accountability Office

GSA US General Services Administration

HCPC Healthcare Common Procedure Coding

HIPPA Health Information Portability and Accountability Act

HUB HubZone

IDIQ Indefinite Delivery Indefinite Quantity

IPT Integrated Project Team

ISSO Information System Security Officer

ISO International Organization for Standardization

KO Knee orthosis

LSO Lumbar-sacral orthosis

MM Millimeter

MMHG Millimeters of mercury

NAC National Acquisition Center

OA Osteoarthritis

OO Ordering Officer

OPPCS Orthotic, Prosthetic & Pedorthic Clinical Services

PPIRS Past Performance Information Retrieval System

PQDR Product Quality Deficiency Report

PSAS Prosthetic and Sensory Aids Service

PO Purchase Order

Pub. L. Public Law

QASP Quality Assurance Surveillance Plan

ROES Remote Order Entry System

SAM System for Award Management

SB Small Businesses

SDB Small Disadvantaged Businesses

SDVO Service-Disabled Veteran- Owned

SOP Standard Operating Procedure

SOW Statement of Work

SF Standard Form

TF Transfemoral

TT Transtibial

TIN Taxpayer Identification Number

UNICOR Federal Prison Industry

U.S. United States

USC United States Code

VA U.S. Department of Veterans Affairs

VAAR Veterans Affairs Acquisition Regulation

VHA The Department of Veterans Health Affairs

VIP VA Vendor Information Page

VO Veteran Owned

WO Women-Owned

WHO Wrist Wand Orthosis

WTO GP World Trade Organization Agreement on Government Procurement

QA Quality Assurance

QASP Quality Assurance Surveillance Plan

DEFINITIONS

Anterior - The front of or the front surface of the body, or a foot or shoe.

Doffing - removing an orthotic or prosthetic device.

Donning - put on an orthotic or prosthetic device.

Medial - towards the midline

Lateral -away from the midline

Lumbar - referring to the five lumbar vertebrae which are situated below the thoracic vertebrae and above the sacral vertebrae in the spinal column.

Orthosis - Custom fabricated or fitted brace or support intended to provide support and/or control of disorders associated with neuromuscular and/or musculoskeletal dysfunctions.

Package - The combination of compatible and/or supporting parts that may be contained within a single order.

Patella - Another word used to describe the knee cap.

Posterior or Dorsal - Behind, toward the back of the body.

PLY- Thickness of material. The higher the ply number the thicker the socket.

ROES - Remote Order Entry System is the prosthetic device ordering and decision support system used by VA prosthetists ordering through the Denver Logistics Center.

” Symbol - is the double prime (″). Universally recognized for denoting inches, crucial in ensuring precision across various measurements and contexts.

Thoracic - Related to the trunk/rib cage.

Transfemoral - A type of amputation that occurs above the knee (AK , TF).

Transtibial - A type of amputation that occurs below the knee (BK, TT).

Ventral: stomach side (front part) of the body

Year - For this contract, a full calendar year, 365 days (366 days for Leap year) during performance from the time of award.

B.3 STATEMENT OF WORK

B.3.1 INTRODUCTION AND BACKGROUND

A) INTRODUCTION & BACKGROUND

The Department of Veterans Affairs (VA) Commodities and Services Acquisition Service (CSAS) and the Denver Logistics Service (DLS), manage holistic supply chain management for the VA National Audiology, Prosthetics, and Telehealth Programs and supports VA and other Government agencies with professional acquisition and logistical services. The Department of

Veterans Health Administration (VHA), Prosthetic and Sensory Aids Service (PSAS) and Orthotic, Prosthetic & Pedorthic Clinical Services (OPPCS) has identified the need to procure Orthotic Softgoods and Prosthetic Supplies through CSAS and the DLS in order to meet Veteran Patient Care needs and aligning to the Mission Act to meet the needs of the Veteran.

VHA has made a considerable investment organizationally as well as in medical technologies to support advancing health technology and capabilities. VHA consistently seeks advances in health technologies to:

• Improve the quality of health for the Veteran

• Increase the quality of health care available throughout VHA

• Improve the efficiency of health care providers and staff

• Increase Veterans’ overall satisfaction with VA/VHA

The VHA, PSAS and OPPCS have identified Orthotic Softgoods and Prosthetic Supplies as preferred products for consolidated contracting through the VA CSAS, the DLS. The products purchased under the respective contracts will be used to improve service delivery outcomes for Veterans/patients and reduce wait times. The contract(s) is a firm-fixed-price (FFP), IDIQ contract, which will be used as a primary source of supply by the VA and other authorized Government agencies. Contracted items will be ordered from time to time and in such quantities as needed to fulfill agencies’ requirements in accordance with applicable supply procedures.

B. PURPOSE AND OBJECTIVES

VA’s purpose under this solicitation and resulting contract is to obtain orthotic softgoods and prosthetic supplies while securing a continuous supply of products. These products are purchased by the VA CSAS and DLS for stocking, distribution, and assignment to individual VA medical facilities and subsequent issue to Veteran patients. This provides the contractor with a single point of contact for all ordering activity under the contract.VA DLS’s Remote Order Entry System (ROES) will electronically place purchase delivery orders to the awarded contractor for restocking via designated Ordering Officers (OO). ROES allows for a streamlined ordering process and increases operating efficiency while providing greater transparency among stakeholders. Additional orders may be placed by the Contract Officer (CO) and duly appointed Ordering Officers to replenish depleted stock.

The VA has been providing orthotic softgoods and prosthetic supplies to eligible Veterans for multiple years. The need for orthotic softgoods and prosthetic supplies for Veterans has increased steadily over the years. To meet the increasing demand with the highest level of technology at the lowest prices, VHA PSAS and OPPCS have worked in conjunction with DLS and CSAS to develop contracts for orthotic softgoods and prosthetic supplies that provide the best value.

The objectives are to:

a) Obtain quality products at lower than current open-market prices.

b) Ensure availability and consistency of product for nationwide usage while integrating the

DLS ROES program for ordering. Products will be ordered using the DLS’s ROES and will be shipped directly to the clinic or in some cases the Veteran. This mechanism will be the primary source for contracted products for the VA.

c) Improve operating efficiency throughout the VA.

d) This contract will also allow for higher level of effective communication between the

Government and Contractor which is essential for partnering for this performance-based contract to succeed. The success of this Contract is shared between the Government and the Contractor.

B.3.2 SCOPE

This requirement is not a personal services contract (as described in FAR 37.104(a) and defined in FAR 2.101, Performance Base Contract and the success of this contract depends on not only the performance satisfaction of the requirement but on the satisfaction of the Veteran beneficiary and VHA Clinical Staff on services received. The VA intends to solicit and award a multiple award IDIQ contracts to provide the widest range of technologies for clinicians and Veterans and to ensure that the demand created by the large volume of orders generated by the VA can be met.

The preferred product features shall be defined by clinical prescription which profiles the intended user and environment as well as physical and performance specifications. The contract will fulfill the supply requirement for the Orthotic Softgoods and Prosthetic Supplies nationwide.

The contractor(s) shall provide an uninterrupted source of supply of various Orthotic Softgoods and Prosthetic Supplies that meet or exceed the specifications and deliver within the terms of the contract(s). Delivery shall take place within 20 business days of the ROES delivery order issuance. The delivery orders placed through ROES shall indicate the specific items ordered, item quantities, and all necessary delivery and payment procedures.

Implementation of the contracts will be accomplished by the DLS and CSAS under the purview of VHA PSAS and OPPCS.

B.3.2 CONTRACT PERIOD OF PERFORMANCE

This is a ten-year contract which consists of a base five-year period with one, five-year option period.

B.3.3 ORTHOTIC SOFTGOODS AND PROSTHETIC SUPPLIES CONTRACT

LINE ITEMS AND MINIMUM TECHNICAL REQUIREMENTS FOR EACH

CONTRACT LINE ITEM NUMBER (CLIN) ARE AS FOLLOWS:

• Group 1 Foot and Ankle CLIN #s 001-099

• Group 2 Knee CLIN #s 100-199

• Group 3 Spinal CLIN #s 200-299

• Group 4 Upper Extremity CLIN #s 300-399

• Group 5 Compression Therapy CLIN #s 400-499

• Group 6 Prosthetic Socks CLIN #s 500-599

CATEGORY 1 - LOWEST PRICE TECHNICALLY ACCEPTABLE

GROUP 1 - CATEGORY 1 – FOOT AND ANKLE (CLINS 001 – 099)

LOWEST PRICE TECHNICALLY ACCEPTABLE (LPTA)

CLIN 001-GROUP 1 - CATEGORY 1 LPTA

DESCRIPTION: ZERO COMPRESSION NEUROPATHIC FOOT PROTECTIVE INTERFACE

(VA125)

Need total: 1 product

Indications:

• Neuropathy

• Skin pathology as a protective interface

• Protective interface against orthotic fitting pressures

Minimum Technical Requirements: Item must have all of the below features.

• Type: Below the knee, non-constrictive proximal end, less constrictive than remaining stocking.

• Size: Must be clearly marked on product

• Equivalent shoe sizes on or visible through packaging

• Range Fits:

• All commercially available sizes

• Clearly indicate relative shoe sizing

• Height: Crew or above

• Seams: Non-prominent seams.

• Closure: Closed toe

• Material: Multi-fiber excluding cotton

• Colors: A minimum of 2 colors to include the following:

• White

• Black

• With or without antibacterial, antifungal finish

• Packaging

• Minimalist packaging to reduce waste and space

• Sizing to be listed on the package or visible through packaging.

CLIN 002 – GROUP 1 - CATEGORY 1 LPTA

DESCRIPTION: GEL HEEL CUPS (L3170)

Need total: 1 product

Indications:

• Heel Spur

• Heel Pain

• Bursitis

• Achilles tendonitis

Minimum Technical Requirements: Item must have all of the below features.

• *Medical Grade Silicone (Hypoallergenic)

• Sold in Pairs

• Sizes:

• Small (S)

• Medium (M)

• Large (L)

• Extra-Large (XL)

• OR EQUIVALENT SIZES

CLIN 003 – GROUP 1 - CATEGORY 1 LPTA

DESCRIPTION: ELASTIC PULL-ON ANKLE ORTHOSES WITH GEL MALLEOLI SUPPORT

(L1902)

Need total: 2 products

Indications:

• Stabilizes the ankle muscles and joints for healing and pain relief following injury or surgery.

• Mild ankle sprains

• Mild instabilities

• Ankle arthritis

• Ankle pain

• Ankle swelling

Minimum Technical Requirements: Item must have all of the below features.

• Available in right and left

• Two-way stretch, Compression Reduced Along Distal & Proximal Edges of Support

• Minimum 1/8” gel pads imbedded between fabric, positioned over each malleoli for malleolar relief/protection

• May or may-not contain spiral stays within material (not exposed)

• Breathable, elastic fabric, (latex free)

• Sizes range from:

• Extra- Small (XS)

• Small (S)

• Medium (M)

• Large (L)

• Extra- Large (XL)

*Salient Characteristics for Medical Grade Silicone (Hypoallergenic): Provides support and comfort, shock absorbing properties, able to withstand extreme temperatures, soft and pliable, making it ideal for contact with human skin, hypoallergenic, non-toxic, non-flammable and odor free, has even pressure distribution providing relief from heel pain, the products shall be compressible and be of one density, washable and transferable between footwear, will not get warmer than body temperature, will not deform or degrade with use.

If an equivalent product is being offered, documentation that demonstrates that the offered product meets the salient characteristics, as shown above, must be included with the technical proposal.

CLIN 004 – GROUP 1 - CATEGORY 1 LPTA

DESCRIPTION: HEEL LIFT (L3332)

Need total: 2 products

Indications:

• Adjust for leg length inequality

• Allow for temporary contralateral orthotic interventions

Minimum Technical Requirements: Item must have all of the below features.

• Extra firm sponge rubber or equal (non-compressible)

• Tapered toward distal edge

• Size:

• Small (Narrow)

• Medium (Medium)

• Large (Wide)

• OR EQUIVALENT SIZES

• Height:

• 1/8”

• 3/8”

• 1/2”

CLIN 005 – GROUP 1 - CATEGORY 1 LPTA

DESCRIPTION: PREFABRICATED IN-SHOE FOOT ORTHOSES (L3040)

Need total: 2 products

Indications:

• Foot Pain, discomfort.

• Plantar Fasciitis

Minimum Technical Requirements: Item must have all of the below features.

• Female 5-13

• Male 7-15

• Full Length

• Deep heel contour

• Fabric top-cover - Sheer or non-abrasive texture

• PDAC approved.

• Multi-layer cushioning construction

CLIN 006 – GROUP 1 - CATEGORY 1 LPTA

DESCRIPTION: HEEL OFF-LOADING SHOE (A9283)

Need total: 2 products

Indications:

• Reduce weight bearing pressure on the heel postoperatively, post-trauma or when heel wounds or ulcerations are present.

Minimum Technical Requirements: Item must have all of the below features.

• Fits right or left

• Breathable Fabric Upper

• Top layer of shoe should be lightweight, non-toxic, odorless, nonabsorbent, washable, able to be disinfected and wiped clean and resilient

• Adjustable Closures at instep & forefoot

• Surgical Opening

• PDAC approved.

• Wedge Sole (In Plantarflexion) with good plantar traction

• Range Fits:

• All commercially available sizes

• Clearly indicate relative shoe sizing, visible on or through packaging

CLIN 007 – GROUP 1 - CATEGORY 1 LPTA

DESCRIPTION: FOREFOOT OFF-LOADING SHOE (A9283)

Need total: 2 products

Indications:

• Reduce weight bearing pressure on the forefoot post operatively, post-trauma or when forefoot wounds or ulcerations are present.

Minimum Technical Requirements: Item must have all of the below features.

• Fits Left or Right

• Breathable Fabric Upper

• Removable insole or adjustable pressure relief system

• Top layer of shoe should be lightweight, non-toxic, odorless, nonabsorbent, washable, able to be disinfected and wiped clean and resilient

• PDAC approved

• Adjustable Closures at instep & forefoot

• Surgical Opening

• Wedge Sole (In Dorsiflexion) with good plantar traction

• Equivalent shoe sizes on or visible through packaging

• Range Fits:

• Women’s size 5 to Men’s size 14

• Clearly indicate relative shoe sizing visible on or through packaging

CLIN 008 – GROUP 1 - CATEGORY 1 LPTA

DESCRIPTION: NIGHT SPLINT- PLANTAR SURFACE DESIGN, CLOSED CELL FOAM,

DORI-ASSIST ADJUSTABLE HOOK AND LOOP STRAPS (L4396)

Need total: 2 products

Indications:

• Plantar Fasciitis

• Achilles Tendonitis

Minimum Technical Requirements: Item must have all of the below features.

• Design: Non-ambulatory splint

• Size Range:

• Small (S)

• Medium (M)

• Large (L)

• Extra-Large (XL)

• Or Equivalent Sizes (between men’s 6 to 15)

• Calf Circumference: must accommodate minimum calf 12 inches

• Length: Full - foot length

• PDAC approved

• Closure: Hook & Loop Closures - calf, instep, and forefoot straps

• Material: Removable washable liner

• Semi-rigid frame with non-slip plantar sole

• Universal (fits Left or Right lower extremity)

CLIN 009 – GROUP 1 - CATEGORY 1 LPTA

DESCRIPTION: ANKLE ORTHOSIS, STIRRUP STYLE (L4350)

Need total: 2 products

Indications:

• Acute ankle injury (ankle sprains/strains)

• Chronic ankle instability

Minimum Technical Requirements: Item must have all of the below features.

• Stirrup design

• Size: Universal

• Closure that is reinforced and securely attached to plastic facilitating multiple donning and doffing

• Gel, pneumatic padding or foam material within a plastic shell adhered with Hook & Loop closure

• Adjustability:

• Medial/Lateral width of heel

• Circumferentially around ankle

• PDAC approved

• Height: Minimum 6”

GROUP 2 KNEE (CLINS 100 – 199)

CATEGORY 1: LOWEST PRICE TECHNICALLY ACCEPTABLE (LPTA)

CLIN 100 – GROUP 2 - CATEGORY 1 LPTA

DESCRIPTION: KNEE IMMOBILIZER (L1830)

Need total: 2 products

Indications:

• Post-Op or Post-Injury knee immobilization for mild to severe knee injuries when full knee extension is desired

• Universal Tri-panel

• Hook & Loop Closures

• Minimum 4 Straps

• Minimum 2 straps (1½” or 2” width) proximal to the knee

• Minimum 2 straps (1½” or 2” width) distal to the knee

• Elastic strap providing compressive force to patella-minimum 1” width

• Malleable medial, lateral and posterior stays

• PDAC approved

• No sharp edges

• Non-Latex open celled foam

• Provide a range of sizes to include the following sizes:

• 16” Length

• 18” Length

• 20” Length

• 24” Length

• OR EQUIVALENT SIZES

• Must cover calf: 12” to 18”

• Must cover Thigh 14” to 25”

CLIN 101 – GROUP 2 - CATEGORY 1 LPTA

DESCRIPTION: IMMEDIATE POST-OP ROM KNEE ORTHOSIS-ADJUSTABLE LOCKING

KNEE JOINTS, POSITIONAL ORTHOSIS, RIGID SUPPORT,

BREATHABLE OR OPEN STYLE (L1832)

Need total: 2 products

Indications:

• For swollen or tender knee resulting from sprains, strains, sports injuries, ligamentous injuries, arthritis, chondromalacia, patellar tracking abnormalities and tendonitis or post-operative rehabilitation.

• Size:

• Universal (Will accommodate mid-thigh circumference of at least 27” or above)

• Length: Adjustable/telescoping- Minimum 18 1/2” or less; Maximum 27” or more

• Closure: hook & loop closure or equivalent. Must have two straps proximal to knee and two straps distal to knee.

• Material: Must come in “cool version” which has foam only under the straps. Open Cell

Foam or equivalent material. No Latex.

• Knee joint component: Must have the ability to control range of motion with the ability to lock motion in 10 degree increments. Total range available must have Extension starting: -10 degrees to at least 110 degrees of Flexion. Range of motion increment stops should be clearly labeled according to the degree of measurement. Knee joint componentry must have the ability lock both the Extension limit and Flexion limit to be utilized to limit range of motion or fixed at a single ROM (e.g. 0 degrees).

• PDAC approved

• Special features: Contourable bars (aluminum)

CLIN 102 – GROUP 2 - CATEGORY 1 LPTA

KNEE JOINTS, POSITIONAL ORTHOSIS, RIGID SUPPORT, FULL FOAM

WRAP-AROUND STYLE (L1832)

Need total: 2 products

Indication:

• For swollen or tender knee resulting from sprains, strains, sports injuries, ligamentous injuries, arthritis, chondromalacia, patellar tracking abnormalities and tendonitis or post-operative rehabilitation.

Minimum Technical Requirements: Item must have all of the below features.

• Size:

• Universal (Will accommodate mid-thigh circumference of at least 27”)

• Length: Adjustable/telescoping- Minimum 18 1/2” or less; Maximum at least 27”)

• Closure: hook & loop closure or equivalent. Must have two straps proximal to knee and two straps distal to knee.

• PDAC approved

• Material: Must come in full foam which has full foam circumferential wraps. Open

Cell Foam or equivalent material. No Latex.

• Knee joint component: Must have the ability to control range of motion with the ability to lock motion in 10 degree increments. Total range available must have Extension starting: -10 degrees to at least 110 degrees of Flexion. Range of motion increment stops should be clearly labeled according to the degree of measurement. Knee joint componentry must have the ability lock both the Extension limit and Flexion limit to be utilized to limit range of motion or fixed at a single ROM (e.g. 0 degrees).

• Special features: Contourable bars (aluminum)

GROUP 3: SPINAL (CLINS 200-299)

CATEGORY 1 LOWEST PRICE TECHNICALLY ACCEPTABLE (LPTA)

CLIN 200 – GROUP 3 - CATEGORY 1 LPTA

DESCRIPTION: LUMBAR-SACRAL ORTHOSIS (L0626, L0641)

Need total: 2 products

Indications:

• Low back pain/strain

• Lumbar disc injury

• Post-operative discectomy/fusion (L1-5)

• Disc herniation and degeneration

• Spondylolisthesis

• Spondylolysis

• Breathable fabric (Latex Free)

• Universal sizing – Adjustable to fit a waist circumference range from at least 28” – 60”

• Low Profile, Minimum L1 to L5

• Hook & loop closure

• Single or double pulley system (or similar) for abdominal cavity compression

• Semi-rigid posterior panel or stays within soft covering

• No exposed metal or plastic

CLIN 201 – GROUP 3 - CATEGORY 1 LPTA

DESCRIPTION: LUMBOSACRAL ORTHOSIS - WITHOUT POSTERIOR INSERT (L0628)

Need total: 2 products

Indications:

• Lower back pain

• Post-operative care

• Facet Syndrome

• Muscle spasms.

Minimum Technical Requirements: Item must have all of the below features.

• Design: Lumbar-sacral orthosis

• Size Range:

• Universal sizing – Adjustable to fit a waist circumference range from at least 25” – 60”

• OR EQUIVALENT SIZES

• Length: extends from sacrococcygeal junction to T-9 vertebrae)

• Closure: Hook & Loop Closure (adjustable side pull straps)

• PDAC approved

• Material: Drytex®, Koolflex® or equal (no latex)

• Support: Intra-abdominal support and posterior stays, Without posterior insert

*Salient Characteristics for Drytex®: Constructed of a nylon core and polyester/lycra fabric, breathable, provides compression, hypoallergenic and able to draw moisture away from the skin.

*Salient Characteristics for Koolflex®: Constructed of a polyester/nylon core with a polyester spandex outer cover. Breathable, has good stretch and memory and able to draw moisture away from the skin.If an equivalent product is being offered, documentation that demonstrates that the offered product meets the salient characteristics, as shown above, must be included with the technical proposal.

CLIN 202 – GROUP 3 - CATEGORY 1 LPTA

DESCRIPTION: ABDOMINAL BINDER (A4467)

Need total: 2 products

Indications:

• Lower back pain

• Control pendulous abdomen

• Muscle spasms

Minimum Technical Requirements: Item must have all of the below features.

• Design: abdominal binder, elastic wraparound

• Size Range Fits:

• Single sizes (not height) that fit a waist circumference range from 26” – 60”

• Length: extends from sacral-coccygeal junction to Thoracic vertebrae)

• Closure: Hook & Loop Closure

• PDAC approved

• Material: Lined elastic (No latex)

• Support: Intra-abdominal support, may include support stays within soft closure

• Height:

• 8”

• 10”

• 12”

CLIN 203 – GROUP 3 - CATEGORY 1 LPTA

DESCRIPTION: SEMI RIGID CERVICAL ORTHOSIS (L0172)

Indications:

• Post-operative care

• Severe spinal arthritis

• severe cervical syndrome

• slipped cervical discs

• Stable cervical fractures

Minimum Technical Requirements: Item must have all of the below features.

• Universal Sizing – Circumference & height adjustments with secure locking feature

• Hook & Loop Closure (both sides)

• Anterior and Posterior Sections

• PDAC approved

• Adequate Tracheal Access

• Semi-rigid thermoplastic with removable & replaceable, washable, soft-lined padding.

• Must include 1 additional replacement set of pads

CLIN 204 – GROUP 3 - CATEGORY 1 LPTA

DESCRIPTION: CERVICAL COLLAR (L0120)

Need total: 2 products

Indications:

• Neck Extension Injuries (Whiplash)

• Cervical Spondylitis

• Cervical Spondylosis

• Rheumatoid Arthritis (R/A) & Osteoarthritis (OA) Cervical Spine

• Herniated Cervical Disc

Minimum Technical Requirements: Item must have all of the below features, and sizes.

• Design: Soft foam design

• Size: Universal

• Length: N/A

• Closure:

• Hook & loop

• Minimal length of strap should be 6 inches pile hook & loop closure for adjustability

• Minimum 2” hook & loop closure sewn on collar

• Strap extension to cover any exposed hook & loop closure for all sizes

• Minimum 1 Additional stockinette covering for hygiene

• PDAC approved

• Material:

• Medium density foam

• Contoured shape

• Soft tubular stockinet covering

• Height:

• 2 ½”

• 3”

• 4”

GROUP 4: UPPER EXTREMITY (CLINS 300-399)

CATEGORY 1 – LOWEST PRICE TECHNICALLY ACCEPTABLE (LPTA)

CLIN 300 – GROUP 4 - CATEGORY 1 LPTA

DESCRIPTION: HAND FINGER ORTHOSIS – THUMB SPICA; HFO WITHOUT JOINTS

(L3923)

Need total: 2 products

Indications:

• De Quervaiin’s syndrome

• Sprains

• Strains

• Carpal tunnel syndrome

• Gamekeeper’s thumb

• Scaphoid injuries

Minimum Technical Requirements: Item must have all of the below features.

• Design: Thumb Spica

• Size Range:

• Multiple Sizes that fit a wrist circumference measurement range from 5” to 12”

• 5” – 6”

• 6” – 7”

• 7” – 8”

• 8” – 9”

• 9” – 10”

• 10 1/2” – 12”

• OR EQUIVALENT SIZES

• Closure: Hook & Loop Closure

• Material: *Drytex®, *Koolflex® or equal (no latex)

• Thumb, Palmer and Dorsal stays that are Removable/Malleable

• Allows full ROM of digits 2-5

• Sides: must have both sides in various sizes

• Right

• Left

CLIN 301 – GROUP 4 - CATEGORY 1 LPTA

DESCRIPTION: HEEL/ELBOW PADS (E0191)

Need total: 2 products

Indications:

• Provides pressure relief for ulcerations at heel or elbow

• Protects against excessive pressure or contusion to heel or elbow

Minimum Technical Requirements: Item must have all of the below features.

• Pressure relief provided through elastomer gel or equivalent

• Breathable elastic, latex-free material that is machine washable

• Sleeve-type design to ensure proportional fit, minimizing migration

• Sold in pairs

• Minimum range of sizes to include:

• Medium (M)

• Large (L)

• Extra- Large (XL)

• OR EQUIVALENT SIZES

• Or Single Universal Size

• Universal for both heel and elbow

CLIN 302 – GROUP 4 - CATEGORY 1 LPTA

DESCRIPTION: ELBOW IMMOBILIZER – CUBITAL TUNNEL TYPE (L3762)

Need: 2 products

Indication:

• Cubital Tunnel Syndrome Minimum Technical Requirements: Item must have all of the below features.

• Provide elbow immobilization in a slightly flexed position (from full extension) around 122 degrees, prevent hyperextension.

• Hook & Loop Closure – adjustable length, minimum 1 ½" wide for comfort

• Soft breathable interface – removable for washing.

• Universal side – Left or Right

• Available in short, medium and long lengths, or all commercially available sizes.

GROUP 5: COMPRESSION THERAPY (CLINS 400 – 499)

CATEGORY 1 – LOWEST PRICE TECHNICALLY ACCEPTABLE (LPTA)

CLIN 400 – GROUP 5 - CATEGORY 1 LPTA

DESCRIPTION: LOW COMPRESSION NEUROPATHIC FOOT PROTECTIVE INTERFACE

WITHOUT ANTIBACTERIAL (A4467)

Need total: 1 product

Indications:

• Minimal edema

• Mild varicosities

• Neuropathic management

• Protective interface

Minimum Technical Requirements: Item must have all of the below features.

• Type: Below the knee, non-constrictive proximal end, less than remaining stocking.

• Pressure: approximately 8-15 mmHg. Gradient/graduated pressure

• Size: Must be clearly marked on product

• Equivalent shoe sizes on or visible through packaging

• Range Fits:

• Women’s size 5 to Men’s size 14

• Clearly indicate relative shoe sizing

• OR EQUIVALENT SIZES

• Height: knee high

• Seams: Non-prominent seams.

• Closure: Compression relieved closed toe

• Material: Acrylic/multi-fiber

• Colors: at least 2, including

• White

• Black

• Without antibacterial, antifungal finish

• Packaging

• Sizing to be listed on the package or visible through packaging

CLIN 401- GROUP 5 - CATEGORY 1 LPTA

DESCRIPTION: LOW COMPRESSION NEUROPATHIC FOOT PROTECTIVE INTERFACE

WITH ANTIBACTERIAL (A4467)

Need total: 1 product

Indications:

• Minimal edema

• Mild varicosities

• Neuropathic management

• Protective interface

Minimum Technical Requirements: Item must have all of the below features.

• Type: Below the knee, non-constrictive proximal end, less than remaining stocking.

• Pressure: approximately 8-15 mmHg. Gradient/graduated pressure

• Size: Must be clearly marked on product

• Equivalent shoe sizes on or visible through packaging

• Range Fits:

• Women’s size 5 to Men’s size 14

• Clearly indicate relative shoe sizing

• OR EQUIVALENT SIZES

• Height: knee high

• Seams: Non-prominent seams.

• Closure: Compression relieved closed toe

• Material: Acrylic/multi-fiber

• Colors: at least 2, including

• White

• Black

• With antibacterial, antifungal finish

• Packaging

• Minimalist packaging to reduce waste and space

• Sizing to be listed on the package or visible through packaging.

List all advanced features: examples include but not limited to the following features:

• With antibacterial, antifungal treatment

• Moisture -wicking materials to include but not limited blends of cotton, wool and synthetic fibers

CATEGORY 2 - BEST VALUE

ORTHOTIC SOFTGOODS AND PROSTHETIC SUPPLIES CONTRACT LINE ITEMS AND

MINIMUM TECHNICAL REQUIREMENTS FOR EACH CONTRACT LINE ITEM NUMBER

(CLIN) ARE AS FOLLOWS:

• Group 1 Foot and Ankle CLIN #s 001-099

• Group 2 Knee CLIN #s 100-199

• Group 3 Spinal CLIN #s 200-299

• Group 4 Upper Extremity CLIN #s 300-399

• Group 5 Compression Therapy CLIN #s 400-499

• Group 6 Prosthetic Socks CLIN #s 500-599

GROUP 1 – FOOT AND ANKLE (CLINS 001 – 099)

CATEGORY 2 – BEST VALUE (BV)

CLIN 010- GROUP 1 – CATEGORY 2 (BV)

DESCRIPTION: ZERO COMPRESSION NEUROPATHIC FOOT PROTECTIVE INTERFACE

WITH ADVANCED FEATURES/MATERIALS (VA125)

Need total: 1 product

Indications:

• Neuropathy

• Skin pathology as a protective interface

• Protective interface against orthotic fitting pressures

Minimum Technical Requirements: Item must have all of the below features.

• Type: Below the knee, non-constrictive proximal end, less constrictive than remaining stocking.

• Size: Must be clearly marked on product

• Equivalent shoe sizes on or visible through packaging

• Range Fits:

• All commercially available sizes

• Clearly indicate relative shoe sizing

• Height: Crew or above

• Seams: Non-prominent seams.

• Closure: Closed toe

• Material: Multi-fiber excluding cotton

• A minimum of 2 colors to include the following:

• White

• Black

• List all advanced features: examples include but not limited to the following features, antibacterial, antifungal finish, non-cotton fibers, wicking materials, and reinforced toes/heels

• Packaging

• Sizing to be listed on the package or visible through packaging.

CLIN 011- GROUP 1 – CATEGORY 2 (BV)

DESCRIPTION: GEL HEEL CUPS (L3170)

Need total: 1 product

Indications:

• Heel Spur

• Heel Pain

• Bursitis

• Achilles tendonitis

Minimum Technical Requirements: Item must have all of the below features.

• *Medical Grade Silicone (Hypoallergenic)

• Sold in Pairs

• Sizes:

• Small (S)

• Medium (M)

• Large (L)

• Extra-Large (XL)

• OR EQUIVALENT SIZES

List all advanced features: examples include but not limited to the following features:

Muli-durometer, aperture relief

CLIN 012 – GROUP 1 – CATEGORY 2 (BV)BV

DESCRIPTION: PREFABRICATED IN-SHOE FOOT ORTHOSES WITH ADVANCED

FEATURES (L3040)

Need total: 2 products

Indications:

• Foot Pain, discomfort.

• Plantar Fasciitis

Minimum Technical Requirements: Item must have all of the below features.

• Female 5-13

• Male 7-15

• Full Length

• Deep heel contour

• Fabric top-cover - Sheer or non-abrasive texture

• Multi-layer cushioning construction

• List all advanced features: examples include but not limited to the following features:

semi-rigid moldable shell, easily adjustable, PDAC approved.

CLIN 013 - GROUP 1 – CATEGORY 2 (BV)

DESCRIPTION: DIABETIC MULTI-DENSITY INSERTS (A5510)

Need total: 2 products

Indications:

• Foot Pain, discomfort.

• Neuropathic discomfort

• Metatarsalgia

Minimum Technical Requirements: Item must have all of the below features.

• Female 5-13

• Male 7-15

• Full Length with metatarsal pad

• Deep heel contour, conformable

• Plastizote or similar top cover

• Multi-layer cushioning/density construction

CLIN 014- GROUP 1 – CATEGORY 2 (BV)

DESCRIPTION: PREFABRICATED IN-SHOE FOOT ORTHOSES WITH MET PADS (L3060)

Need total: 2 products

Indications:

• Foot Pain, discomfort.

• Plantar Fasciitis

• Metatarsalgia

Minimum Technical Requirements: Item must have all of the below features.

• Female 5-13

• Male 7-15

• Full Length with metatarsal pad

• Deep heel contour

• Fabric top-cover - Sheer or non-abrasive texture

• Multi-layer cushioning construction

CLIN 015 – GROUP 1 – CATEGORY 2 (BV)

DESCRIPTION: HEEL OFF-LOADING SHOE WITH ADVANCED FEATURES(A9283)

Need total: 2 products

Indications:

• Reduce weight bearing pressure on the heel postoperatively, post-trauma or when heel wounds or ulcerations are present.

Minimum Technical Requirements: Item must have all of the below features.

• Fits right or left

• Breathable Fabric Upper

• Top layer of shoe should be lightweight, non-toxic, odorless, nonabsorbent, washable, able to be disinfected and wiped clean and resilient

• Adjustable Closures at instep & forefoot

• Surgical Opening

• Wedge Sole (In Plantarflexion) with good plantar traction

• Range Fits:

• All commercially available sizes

• Clearly indicate relative shoe sizing, visible on or through packaging

• List all advanced features: examples include but not limited to the following features:

multi-durometer, multi-layer, removable inserts, removable plugs to create aperture, PDAC approved

CLIN 016 – GROUP 1 – CATEGORY 2 (BV)

DESCRIPTION: FOREFOOT OFF-LOADING SHOE WITH ADVANCED FEATURES

(A9283)

Need total: 2 products

Indications:

• Reduce weight bearing pressure on the forefoot post operatively, post-trauma or when forefoot wounds or ulcerations are present.

Minimum Technical Requirements: Item must have all of the below features.

• Fits Left or Right

• Breathable Fabric Upper

• Removable insole or adjustable pressure relief system

• Top layer of shoe should be lightweight, non-toxic, odorless, nonabsorbent, washable, able to be disinfected and wiped clean and resilient

• Adjustable Closures at instep & forefoot

• Surgical Opening

• Wedge Sole (In Dorsiflexion) with good plantar traction

• Equivalent shoe sizes on or visible through packaging

• Range Fits:

• Women’s size 5 to Men’s size 14

• Clearly indicate relative shoe sizing visible on or through packaging

• All advanced features: examples include but not limited to the following features: with removable toe cap and/or tongue, PDAC approved

CLIN 017 – GROUP 1- CATEGORY 2 (BV)

DESCRIPTION: NIGHT SPLINT-PLANTAR SURFACE DESIGN, CLOSED CELL FOAM,

DORSI-ASSIST ADJUSTABLE HOOK AND LOOP STRAPS WITH

ADVANCED FEATURES (L4396)

Need total: 2 products

Indications:

• Plantar Fasciitis

• Achilles Tendonitis

Minimum Technical Requirements: Item must have all of the below features.

• Design: Non-ambulatory splint

• Size Range:

• Small (S)

• Medium (M)

• Large (L)

• Extra-Large (XL)

• OR EQUIVALENT SIZES (between men’s 6 to 15)

• Calf Circumference: must accommodate minimum calf 12 inches

• Length: Full - foot length

• Closure: Hook & Loop Closures - calf, instep and forefoot straps

• Material: Removable washable liner

• Semi-rigid frame with non-slip plantar sole

• Universal (fits Left or Right lower extremity) non-slip sole/tread, quick-release buckles, strap pads, PDAC approved

CLIN 018 – GROUP 1 – CATEGORY 2 (BV)

DESCRIPTION: NIGHT SPLINT- DORSAL SURFACE DESIGN, CLOSED CELL FOAM

(L4396)4396)

Need total: 1 product

Indications:

• Plantar Fasciitis

• Achilles Tendonitis

• Design: Non-ambulatory splint

• Size Range:

• Small (S)

• Medium (M)

• Large (L)

• Extra-Large (XL)

• OR EQUIVELANT SIZES (between men’s 6 to 14)

• Calf Circumference: must accommodate minimum calf 12 inches

• Length: Full - foot length

• Closure: Hook & Loop Closures - calf, instep and forefoot straps

• Material: Removable washable liner

• Semi-rigid frame with soft interface (liner)

CLIN 019 – GROUP 1- CATEGORY 2 (BV)

DESCRIPTION: SURGICAL SHOE WITH TOE CAP AND TONGUE (L3260)

Need total: 1 product

Indication:

• Post-op or healing shoe that provides the foot with solid protection and will accommodate bulky bandages

Minimum Technical Requirements: Item must have all of the below features.

• Rigid Rocker-bottom sole

• Adjustable Closures at instep & forefoot, two straps minimum - one strap at in-step; one strap at forefoot

• Top layer of shoe should be lightweight, non-toxic, odorless, nonabsorbent, washable, able to be disinfected and wiped clean and resilient

• Minimum of one (1) removable inner sole of at least ¼ “thickness

• Equivalent shoe sizes on or visible through packaging

• Range Fits:

• Women’s size 5 to Men’s size 14

• Breathable upper

CLIN 020 – GROUP 1 CATEGORY 2 BV

DESCRIPTION: SURGICAL SHOE WITHOUT TOE CAP AND TONGUE (L3260)

Indication:

• Post-op or healing shoe that provides the foot with solid protection and will accommodate bulky bandages

Minimum Technical Requirements: Item must have all of the below features.

• Rigid Rocker-bottom sole

• Adjustable Closures at instep & forefoot, two straps minimum - one strap at in-step; one strap at forefoot

• Top layer of shoe should be lightweight, non-toxic, odorless, nonabsorbent, washable, able to be disinfected and wiped clean and resilient

• Minimum of one (1) removable inner sole of at least ¼ “thickness

• Equivalent shoe sizes on or visible through packaging

• Range Fits:

• Women’s size 5 to Men’s size 14

• Breathable upper

CLIN 021 – GROUP 1 - CATEGORY 2 BV

DESCRIPTION: SURGICAL SHOE WITH ADVANCED FEATURES (L3260)

Need total: 1 product

Indication:

• Post-op or healing shoe that provides the foot with solid protection and will accommodate bulky bandages

Minimum Technical Requirements: Item must have all of the below features.

• Rigid Rocker-bottom sole

• Adjustable Closures at instep & forefoot, two straps minimum - one strap at in-step; one strap at forefoot

• Top layer of shoe should be lightweight, non-toxic, odorless, nonabsorbent, washable, able to be disinfected and wiped clean and resilient

• Minimum of one (1) removable inner sole of at least ¼ “thickness

• Equivalent shoe sizes on or visible through packaging

• Range Fits:

• Women’s size 5 to Men’s size 14

• Clearly indicate relative shoe sizing visible on or through packaging

• Breathable upper

List all advanced features: examples include but not limited to the following features:

• Removeable toe cap, removeable tongue, adjustable pressure relief system, PDAC approved

CLIN 022 – GROUP 1 - CATEGORY 2 BV

DESCRIPTION: ANKLE STABALIZING ORTHOSIS (GAUNTLET) (L1902)

Need total: 1 product

Indications:

• Chronic ankle instability

• Talocalcaneal Varus or valgus

• Severe pes planus

• Ankle arthritis

• Tarsal tunnel syndrome

• Non-operative management of certain cases of Charcot breakdown and degenerative joint disease (DJD) of the hind foot and ankle Minimum Technical Requirements: Item must have all of the below features.

• Design: Gauntlet- multi-ligamentous

• Size Range:

• Multiple Sizes that an instep to heel circumference measurement range from 10” to 16” plus

• OR EQUIVALENT SIZES

• Height: Minimum 8”

• Closure: Variable adjustable.

• Figure 8, non-stretch inversion/eversion control straps. Minimum 2 straps

• Material: Non-stretch nylon, coutil or equivalent

• Special Features: Medial/Lateral stays, Closed or open heel, PDAC approved

CLIN 023 – GROUP 1 - CATEGORY 2 BV

DESCRIPTION: STATIC ANKLE FOOT ORTHOSIS – MULTIPODUS TYPE (L4396)

Need total: 1 product

Indication:

• Foot Drop, Prevention of foot ulcers, Foot contractures, Deformities of the foot and Positional support

• Design: Multi-podus posterior heel relief type

• Equivalent shoe sizes on or visible through packaging

• Size Range:

• Small (S)

• Medium (M)

• Large (L)

• Extra-Large (XL)

• OR EQUIVALENT SIZES

• Closure: Hook & Loop Closures (calf, instep, and forefoot straps) with or without quick connect feature

• Material: Nylon or equivalent fabric with lamb’s wool or synthetic wool material, washable, replaceable and removable

• PDAC approved

• Height: Minimum 10”

• Aluminum or plastic posterior upright

• Integrated non-slip footplate for ambulation, toe-extension and anti-rotational bar

CLIN 024 – GROUP 1 - CATEGORY 2 BV

DESCRIPTION: NON-PNEUMATIC WALKING SPLINT –CAM-WALKER TYPE; NON-

HINGED BOOT (L4386)

Need total: 1 product

Indications:

• Alternative to casting for fracture of the mid-tibia or fibula to mid-foot area

• Second and third-degree ankle sprains.

Minimum Technical Requirements: Item must have all of the below features.

• Design: Cam-Walker, non-hinged, non-pneumatic type

• Equivalent shoe sizes on or visible through packaging

• Size Range:

• Women’s size 6 to Men’s size 14

• MUST LIST CORRESPONDING SHOE SIZE

• Length: Full foot length

• Closure: Hook & Loop Closure - calf, instep and forefoot straps

• Material:

• Open celled foam or equivalent (no latex)

• Liner Must be removable

• Removeable, modifiable foam foot bed

• Height- Both Short and Tall versions are required

• Uprights: malleable that can be contoured into a preferred shape, non-hinged

• Rocker-bottom non-skid sole

CLIN 025 – GROUP 1 - CATEGORY 2 BV

DESCRIPTION: PNEUMATIC WALKING SPLINT – CAM-WALKER TYPE; NON-HINGED

(L4360)

Need total: 1 product

Indications:

• Foot/Ankle protection

• Stable fracture of foot/ankle

• Severe ankle sprain (grade III)

• Post-op immobilization

Minimum Technical Requirements

• Design: Cam-Walker, non-hinged, non-pneumatic type

• Equivalent shoe sizes on or visible through packaging

• Size Range:

• Women’s size 6 to Men’s size 14

• MUST LIST CORRESPONDING SHOE SIZE

• Length: Full foot length

• Closure: Hook & Loop Closure - calf, instep and forefoot straps

• Material:

• Open celled foam or equivalent (no latex)

• Liner Must be removable

• Removeable, modifiable foam foot bed

• Height- Both Short and Tall versions are required

• Uprights: malleable that can be contoured into a preferred shape, non-hinged

• Rocker-bottom non-skid sole

• Pneumatic

GROUP 2 KNEE (CLINS 100 – 199)

CATEGORY 2 BEST VALUE (BV)

CLIN 103 – GROUP 2 - CATEGORY 2 BV

DESCRIPTION: KNEE ORTHOSIS – SLIP-ON, OPEN PATELLA, SUPRA-PATELLA AND

INFA-PATELLA CIRCUMFERENTIAL HOOK AND LOOP STRAPS (A4467)

Need total: 2 products

Indications:

• For swollen or tender knee resulting from sprains, strains, sports injuries, arthritis, chondromalacia, patellar tracking abnormalities and tendonitis or post-operative rehabilitation.

• Design: Slip on (pull-up)

• Size Range:

• Multiple Sizes that fit all knee circumferences from at least 12” to 24”in 1 inch or 2 inch increments

• Length: Minimum 12”

• Flexible Medial/lateral stays

• Closure: two circumferential, Hook & Loop Closure (One – suprapatella, One-infrapatella)

• Material: *Drytex®, *Koolflex® or equal (no latex)

• Fits Left or Right

• Removable, Adjustable Patella Stabilizing Pad

• Open patella away from the skin.If an equivalent product is being offered, documentation that demonstrates

CLIN 104 – GROUP 2 - CATEGORY 2 BV

DESCRIPTION: KNEE ORTHOSIS-WRAPAROUND DESIGN WITH JOINTS WITH

POPLITEAL REFLIEF (L1810)

Indications:

• Mild Anterior Cruciate Ligament (ACL) injuries and instabilities

• PCL injuries and instabilities

• MCL injuries and instabilities

• LCL injuries and instabilities

• Meniscus injuries

• Mild OA

Minimum Technical Requirements: Item must have all of the below…