A2-SOW_Cadavers.pdf

Cadaveric Services

Statement of Work (SOW)

GENERAL INFORMATION

1.0 Scope of Work:

The Contractor must provide for training for one (1), two (2)-day event that consists of five (5) cadavers and five (5) technicians. Training execution will be both static and dynamic in nature with Tactical Combat Casualty Care being the focus. The Contractor must provide cadaver perfusion services, to include all consumable materials, and services by cadaveric technicians trained in arterial and venous cannulation, wounding protocols, cadaver preparation protocols and perfusion pump management. The Contractor must provide fresh never frozen cadavers. The Contractor must provide, maintain, service and dispose of fresh cadaveric bodies in accordance with Federal law, DoD Policy and training, and evaluation requirements. The perfusion technology must provide and a functional circulatory system and cadaver rewarming capability. The Technology must have the ability to provide continuous perfusion of the cadaver for a minimum of 12-hours without extensive swelling (third Spacing) of the cadaver or loss of surgical and procedural landmarks. The Cadaver must be perfused with fresh whole blood (Bovine or other animal product is acceptable) or a blood substitute, no water or saline. The perfusion system must be mobile (ie. battery operated) and have the ability to function free of a fixed power source to support field medical training in an austere training environment. The perfusion system must provide the capability to support medical care training in the back of tactical vehicles or on approved evacuation platforms.

The contractor will provide training consultations and induce wounds and injuries on the cadaver that facilitates medical training objectives and support education on clinical practice guidelines for treatment protocols or surgical intervention. The Contractor must supply on site mobile refrigeration space to maintain, and store of all materials associated with preparing and perfusing the cadavers and blood. Contractor is responsible for movement of the refrigeration unit to and from training locations.

The contractor must provide serology documentation of fresh cadaver bodies in Hepatitis B, Hepatitis C, HIV 1&2, and BioGX SARA-CoV-2 PCR Test (COVID-19).

The Contractor will provide pre-laboratory consultation and CONOP development training for use with the perfusion system. Training will center on the Unit training objectives and educate the user on the maximization of cadaveric tissue. Training will also address proper Army Cadaveric Policy and wounding protocols. The Contractor must provide all necessary wounding instrumentation and perform injuries in accordance with DoD Cadaveric Use for Training Policy and Guidelines. Contractor will provide cadaveric tissue that is no less than 50 KGs in weight and not morbidly obese.

Contractor will provide fresh whole blood (Bovine or other animal product is acceptable) or synthetic blood substitute per cadaver.

2.0 Background:

The requirement is to provide medical and non-medical soldiers the most realistic and pragmatic TCCC training prior to deployment as possible. Delivering life-saving care requires a rare mix of skill, speed, confidence, and ingenuity. To develop these traits, military personnel must gain experience and proficiency in complex, perishable skills under the most realistic conditions. Unfortunately, many military medical and non-medical personnel lack sufficient live opportunities to maintain competence and confidence in lifesaving skills. The cadaveric training proposed must fulfill these requirements while operating within the parameters outlined in Uniform Anatomical Gift Act (UAGA).

CONTRACTOR REQUIREMENTS

3.0 Technical Requirements/Tasks:

1. The Contractor will provide Reanimated Tissue Training - Dynamic Lab, one (1) days, five

(5) Cadavers with consent for research and training purposes.

2. The Contractor will provide sufficient pulsatile pumps to emulate heart function and hemodynamics for each cadaver. The Contractor will be prepared to operate one (1) cadaver without power for one (1) day for upwards of 12 hours using an independent power supply (ie. battery packs).

3. The Contractor will provide sufficient fluid reservoirs, cannulas, tubing and consumable supplies necessary to perfuse five (5) Cadavers for one (1) training day.

4. The Contractor will prepare the technicians and tissue to operate in an austere environment with limited amenities. Contractors will prepare technicians for cold weather and possible snow.

5. The Contractor will provide on-site support and refrigeration needed to: move, and store cadavers during preparation, setup, training execution, and recovery/closeout (CDL license required on installation).

6. The Contractor will provide 10 liters of bovine whole blood or proprietary blood substitute per cadaver per day of perfusion.

7. The Contractor will provide sufficient Support to prepare five (5) Cadavers.

4.0 Government Furnished:

o The Government will provide all training instrumentation, training equipment and class VIII (8) supplies required for training o The Government will provide all training via 18D’s and other medical providers (eg.

BN PA) and support personnel with proper Personal Protective Equipment (PPE) o The Government will provide the contractor with access to Range 25, Yakima Training Center, Washington.

o The Government will provide onsite support to manually move cadavers during prep, setup, training execution, and recovery/closeout when training scenarios take place outside of a fixed structure o The Government will provide all site preparation, floor coverings, trash removal and clean-up of training site o The Government will provide two (2) five-gallon water container (or similar) and water source.

o The Government will provide a concept of perfusion support outlining all requirements for Contractor personnel including but not limited to dates, times, locations, and no later than fourteen (14) days prior to start date.

5.0 Deliverables / Schedule:

Item No.

Deliverable Objective Due

1 Delivery of 5 Fresh Never Frozen Cadavers

Cadaver delivery to Yakima Training- Must have ability to store cadavers as units will be conducting other training this day

10 FEB 2023

(0900 ST)

2 Preparation of 5 Cadavers on site

Facilitate the successful perfusion and simulated heart and circulatory function to support government training objectives

10 FEB 2023

(0900 ST)

3 Perfuse 5 Cadavers

To facilitate government training objectives

11 FEB 2023; up to 12 hours per day

4 Cadaver Storage and Transport

Transport cadaver to and from training area; store cadaver overnight on site

10-11 Feb 2023

Period of Performance (Schedule)

Event SUPPLY/

SERVICE

LOCATION Grid/ Bldg

START END

Aco, 1BN, 19nth SFG(A) Cadaver Lab

Personnel, equipment and supplies to perfuse 4 RTT Cadavers for one (1) days

Yakima Training Center

WA

10TGS

07479 69089

11 FEB

11 FEB

o Reporting Requirements: Record-keeping: Inventories of cadavers and their location, movement and use must be tracked from the time of arrival at the DA organization until their final disposition, including transfer between investigators and other institutions. Records related to the activity (e.g., approved protocol, test plan, or other governing document; financial transactions and approval documents) must be maintained for six (6) years after conclusion of the activity and may be subject to audit

6.0 Travel:

Contractor: Contractor is responsible for transportation of all cadavers. Price of transportation is included in O & M quote given to USG. The Contractor is required to coordinate travel to and from Yakima Training Center, WA for the training event. Contractor should seek to transport all cadavers in the least number of trips possible to Yakima Training Center (YTC). (UTAH USPFO PAX)

Government: All relevant government attendees will already be at YTC conducting Pre- Mission Training (PMT). All travel of government personnel will be conducted through established DTS procedures.

7.0 Contractor’s Key Personnel:

Certified technician from Contractor must be able to provide transportation, storage and disposal of cadavers IAW IAW Revised Uniform Anatomical Gift Act (UAGA) 20 APR 2012.

During execution of training, Contractor must be able to perfuse bodies with warmed whole blood (bovine or other animal blood product is acceptable) or blood substitute with use of a pulsatile pump to control heart rate, stroke volume and blood pressure to enable desired training outcomes. Must be able to support one (1) twelve (12) hour day with five

(5) cadavers, day, night, fixed facility, field environment, multi-echelon and TCCC through en route care, surgery and hospitalization/Prolonged Field Care (PFC) Scenarios.

Contractor must have previously executed cadaver training with SOF Medics and medical support staff.

8.0 Security Requirements:

The Contractor and his/her hired employees shall be responsible for ensuring all safety driving requirements are adhered to. The Contractor should consider snow and road conditions when traveling to Yakima Training Center. The Contractor is required to comply with force protection measures as directed by the US Government’s. Representative. In addition, Contractor personnel shall comply with all Government regulations regarding security procedures, access lists, and safety procedures

9.0 Data Rights: The Government retains no data rights. All data rights of the materials and or process remain the sole property of the contractor.

10.0 Section 508 – Electronic and Information Technology Standards:

Not Applicable

Attachment: Uniform Anatomical Gift Act (UAGA) 20 APR 2012