70-H6901-26-CP287_071326 Cyclomedica SS UNMH.pdf.PDF

UNM Proposed Sole Source Form – Rev 04/07/2021

Proposed Sole Source Purchase Form Pursuant to New Mexico Procurement law, the UNM Purchasing Department will post your completed form on the UNM Sunshine

Portal and the State of New Mexico Procurement website for 30 days prior to purchase of the goods/services.

I. GENERAL INFORMATION. PLEASE PROVIDE THE FOLLOWING:

Date of Request 7.13.26 Requisition Number (If Applicable)

Request Submitted by:

Christopher Wallace Title Director, Clinical Radiology

Department Radiology Email cawallace@salud.unm.edu Phone 505-272-9988 Proposed

Vendor Cyclomedica USA LLC Amount $88,500 initial term

Vendor Address

Office: 621 North Ave NE, Ste C-160, Atlanta, GA 30308 Distribution: 5126 South Royal Atlanta Dr, Tucker, GA 30084

Term of Purchase

3 year + auto renewal

Buyer Team - See Commodity list at http://purchase.unm.edu/department-information/comm-code-listing.pdf

Provide a basic description of goods/services to be provided:

Technegas Plus Generator technology access/service, delivery, installation, onsite applications training, and ongoing service support for pulmonary ventilation imaging. Includes purchase of Technegas System Pack consumables (Technegas Crucibles, Patient Administration Sets, and Contacts) used to prepare technetium Tc-99m carbon ventilation aerosol for lung imaging.

Why is this purchase needed?

Technegas system purchase, disposables needing to purchased that must be used with system.

II. BASIS FOR SOLE SOURCE PROCUREMENT. CHOOSE APPLICABLE BOX(ES) AND

PROVIDE ADDITIONAL INFORMATION, AS REQUESTED:

☒ Proprietary item, technology or service only available from the proposed vendor. (Check box and describe proprietary component)

Technegas is a proprietary pulmonary ventilation imaging agent and delivery system supplied by Cyclomedica, and purchased by UNMH. The Technegas Plus Generator, Technegas Crucibles, Patient Administration Sets, and Contacts are designed and manufactured for use together as an integrated system. The consumables and critical accessories are specific to the Technegas system and are not interchangeable with products from other vendors.

☒ Compatibility requirement with existing item, technology or service. (Check box and describe compatibility requirement)

The requested consumables, accessories, training, service, and support are required for compatibility with the Technegas Plus Generator and the approved Technegas workflow. Use of non-Cyclomedica crucibles, patient administration sets, contacts, service parts, or unauthorized service would not meet system requirements and could adversely affect safe and effective operation.

☐ Renewal of support/maintenance/subscription of software, technology or other intellectual property. (Check box and describe)

☐ Other Basis for Sole Source: Please describe below:

http://purchase.unm.edu/department-information/comm-code-listing.pdf http://purchase.unm.edu/department-information/comm-code-listing.pdf

UNM Proposed Sole Source Form – Rev 04/07/2021

III. SUPPLEMENTAL DETAILS. PLEASE PROVIDE ADDITIONAL INFORMATION AS

REQUESTED BELOW:

Describe in detail the unique capabilities of the proposed vendor’s goods/service and/or personnel performing the work and why this constitutes the only source. Focus on what is unique about the goods/service and why no other vendor could meet your needs.

Cyclomedica is the only supplier of Technegas technology in the United States, including the Technegas Plus Generator, approved Technegas System Pack consumables, patient administration sets, contacts, installation, applications training, preventative maintenance, technical service, and product support.

Describe the due diligence made to locate other possible sources including communications with other universities, communications with similar providers, web searches, yellow page searches, review of advertisements and trade publications, etc.

No other vendor can satisfy the required specifications for Technegas-compatible consumables, accessories, service, and support.

List the other vendors who were contacted. Please describe the specs/qualifications/criteria that the other vendors were unable to satisfy.

No other vendor can satisfy the required specifications for Technegas-compatible consumables, accessories, service, and support.

Approved: _________________________________________________ Date: ___________________________

(must be signed by UNMH Purchasing)

Jeffrey Gilmore (Jul 13, 2026 13:56:37 MDT) 07/13/2026 https://secure.na2.echosign.com/verifier?tx=CBJCHBCAABAAdj2XqbdP3qIgVjYM7QwImv_GLVToxr21

Sole_Source_Cyclomedica_Technegas_UNMH Final Audit Report 2026-07-13

Created: 2026-07-13

By: Shannon Rodgers (sjrodgers@salud.unm.edu)

Status: Signed

Transaction ID: CBJCHBCAABAAdj2XqbdP3qIgVjYM7QwImv_GLVToxr21

"Sole_Source_Cyclomedica_Technegas_UNMH" History Document created by Shannon Rodgers (sjrodgers@salud.unm.edu) 2026-07-13 - 7:47:57 PM GMT- IP address: 206.192.168.19

Document emailed to Jeffrey Gilmore (jcgilmore@salud.unm.edu) for signature

2026-07-13 - 7:48:40 PM GMT

Email viewed by Jeffrey Gilmore (jcgilmore@salud.unm.edu) 2026-07-13 - 7:56:29 PM GMT- IP address: 206.192.168.22

Document e-signed by Jeffrey Gilmore (jcgilmore@salud.unm.edu) Signature Date: 2026-07-13 - 7:56:37 PM GMT - Time Source: server- IP address: 206.192.168.22 - Signature Appearance Selected: DRAW

Agreement completed.

2026-07-13 - 7:56:37 PM GMT