Attach 001 SON_Low Vision Diagnostic Dispensing System and accessories.docx

STATEMENT OF NEED FOR

LOW VISION DIAGNOSTIC DISPENSING SYSTEM AND ACCESSORIES AT

LEBANON VA MEDICAL CENTER

1700 SOUTH LINCOLN AVENUE

LEBANON, PA

17042-7529

1. Background. The Low Vision Diagnostic Dispensing System and its accessories will be utilized in the VISOR and Optometry Clinics. These devices will be used for our Low Vision Veterans who have difficulty reading, writing, watching television and recognizing people’s faces.

2. Scope of Work: The Lebanon VA Medical Center (LVAMC) has a brand name or equal requirement to the Eschenbach Optoform Diagnostic Dispensing System and its accessories.

3. List of required items for the Low Vision Diagnostic Dispensing System and accessories:

3.1 1895-C - Display - Optoform Cabinet Only: (21.8 inches W x 17.7 inches D x 35 inches H) the main display unit has eight (8) adjustable dust-free storage shelves and locking capabilities, ensuring proper storage to maintain the function and security of high-value equipment included with the dispensary. The main unit is illuminated by LEDs, and is equipped with four rollers, of which the rear rollers can be locked, ensuring patient and provider safety for use (Contract Line Item Numbers (CLINs) 0020 and 0021).

3.2 1438-30 - MenasLux (LED)- provides 3x (12D) magnification has a wide 63mm (2.5 in) diameter lens that provides a generous field of view. Unique meniscus/aspheric lens design that combines the benefits of a bright field magnifier (comfortable eye-to-lens viewing distance) and a hand-held magnifier (which allows for a higher magnification) all in one device. As an illuminated magnifier, requires only one AA battery to operate the SMD LED illumination. LEDs provide the brightest light, last 10,000 hours, and use less battery energy, (4.5 oz) and low in height (45mm or 1.7 in) (CLIN 0022).

3.3 1511-2, 1511-41, 1512-2 - Mobilux LED Hand-held: Features bright LED illumination, SMD LED (light emitting diode) illumination provides an alternative light source. The bulbs offer 50,000 hours. The magnifiers include a comfortable, ergonomic handle with a large, easy-to-operate ON/Off light switch, a battery compartment that uses high quality springs that makes changing the batteries easier and a slip-on protective case (CLINs 0023, 0024, 0025, and 0026).

3.4 1520-94, 1520-97 and 1520-910 - Mobilent LED Folding Pocket White: Pocket magnifier that offers high magnification in a compact size with added illumination. An 18” lanyard is included with each Mobilent LED magnifier which can be threaded through the loophole in the magnifier case and worn around the neck. The quick-release clasp on the lanyard allows the magnifier to be easily unhooked when needed (CLINs 0027, 0028, and 0029).

3.5 1521-33 and 1522-11 - easyPocket (LED): Features a 50x46mm aspheric / diffractive hybrid lens that is distortion-free and extremely thin (only 3 mm). Bright illumination is provided by SMD LED technology, with bulbs that never need to be changed (CLINs 0030, 0031, and 0032).

3.6 1586-14, 1586-20, 1586-201, 1586-28 and 1586-281 – Powerlux: The ergonomic design of a computer mouse, providing a relaxed hand position when used over long periods of time. The mouse easily moves across any reading material by both right and left-handed users and, because the lens is located close to the hand position, it offers easy orientation so patients will not lose their place when reading. This stand magnifier features an aspheric, 14 diopter lens (3.5x magnification) with twoSMD LED lights for bright illumination. The Powerlux is also available in a 20 Diopter lens (5x magnification) and a 28-diopter lens (7x magnification) (CLINS 0033, 0034, and 0035) .

3.7 1632 Galilean - Binocular for Distance TeleMED: This Eschenbach TeleMED Galilean telescope for distance is available in a binocular system. Galilean systems are small, lightweight optical systems that offer a bright image. They consist of a plus objective lens and a minus ocular lens (CLIN 0036).

3.8 1636-2, 1636-4 and 1634 - Galilean & Keplerian Assortment: The telescopes for near are available as monocular or binocular systems. Small, lightweight optical systems that offer a bright image. They consist of a positive objective lens and a negative ocular lens (CLINs 0037, 0038, and 0039).

3.9 1673-3 and 1673-4 Focusable Keplerian Monocular: Can be used for distance, intermediate and near use, unlimited working distances by adjusting the focus (from 20 cm to infinity). Can be used as a hand-held spotting telescope, mounted in the ESCHENBACH 1631 frame to do hands-free tasks (CLINs 0040 and 0041).

4.2x Dist. / 5x Near Lens Type: Keplerian Lens Material: Achromatic Glass Lens Coating: Multi-Coating Mount: Brushed Metal with Rubber Grip Lens Size: 12 mm Focal Range: 20 cm+ Field of view: 12.5 Degrees Dist. / 9.2 Degrees Near Rx-able

3.10 1674-832 - Focusable Keplerian Monocular w/stand - Vario Plus: Hand-held spotting telescope that can also be used as a stand microscope. It features a Keplerian roof prism system with multi-coated lenses, a high level of light transmission and a dust-proof metal housing. A 3x stand magnifier is included with the telescope which provides 24x magnification when attached, with an 8-degree field of view, and 8x magnification (CLIN 0042).

Magnification: 8x Lens Type: Keplerian Lens Material: Achromatic Glass Lens Coating: Multi-Coating Mount: Brushed Metal with Rubber Grip Lens Size: 1.25 in. (32 mm) Focal Range: 70 cm+ Field of view: 8 Degrees Weight: 2.11 oz.

3.11 1680-1 Kit of 5 Half-eye Prismatic Eyewear: Contains one of each of the Noves Bino Prismatic Eyewear (1680-14, -15, -16, -18, -110) (CLIN 0043).

Lens Material: CR-39 Lens Coating: Anti-reflective coating Temple Design: Temple covers slide off, can be cut to shorten length Frame Size: 41mm Temple Size: 145mm Bridge Size: 22mm Rx-able: Yes

3.11.1 1832-13 - Gray Tray Insert for 1832 (CLIN 0044)

3.11.2 1837-63 - Gray Tray Insert for 18371 (CLIN 0045)

3.11.3 1881-03 - Half-tray insert for 1881-0# (CLIN 0046)

3.11.4 1881-13 - Half-tray insert for 1881-13# (CLIN 0047)

3.11.5 1881-53 - Half-tray insert for 1881-5# (CLIN 0048)

3.11.6 1882-03 - Half-tray insert for 1882-0# (CLIN 0049)

3.11.7 1883-33 - Half Tray insert for 1882-3# (CLIN 0050)

3.11.8 1882-43 - Half Tray insert for 1882-4# (CLIN 0051)

3.11.9 1882-63 - Half-tray insert for 1882-6# (CLIN 0052)

3.11.10 1883-13 - Half-tray insert for 1883-1# (CLIN 0053)

3.11.11 1883-33 - Half-tray insert for 1883-3# (CLIN 0054)

3.11.12 1895-01 - Tray - Optoform Tray Base Grey (CLIN 0021)

3.12 1895-C - Display - Optoform Cabinet Only: The cabinet base has a modern design and compact dimensions (21.8 inches W x 17.7 inches D x 35 inches H. Comes with a secure key lock to keep the products safe, wheels for easy movement (rear wheels can be locked once the piece is set in place) and holds 6 tray inserts. There are 8 shelves altogether – some of which are adjustable to hold higher tray inserts (CLIN 0020).

Weight: 80 pounds Dimensions: 21.8 in. W x 17.7 in. D x 35 in. H

3.13 4248-418 - Vision Binocular 418 and 4248-618 - Vision Binocular 618: Compact, lightweight, and ideal for low vision applications. Available in 4x and 6x magnification, both featuring a unique near point of 20 inches providing a detailed image at short distances. They include high quality BK-7 prisms and multi-layer coating which provide a true color image. Adjustable and include a large focus wheel that allows for smooth manual focusing from near too far (CLINs 0055 and 0056).

Lens Size: 18 mm lens diameter Focal Range: 20 in. near point Weight: 5.6 oz.

3.14 4294-413 - Microlux 4x13 and 4294-618 -Microlux 618: Designed for single-hand use, this compact monocular telescope is ideal for quick spotting tasks such as reading signs, viewing sporting events and many other leisure activities. Lightweight and inconspicuous making it easy to carry around in a purse or pocket. The keplerian roof prism system features blue multi-coated lenses and provides a 13-degree field of view with a fixed focus (CLINs 0057 and 0058).

Magnification: 4x13 Lens Type: Keplerian Lens Material: Achromatic Glass Lens Coating: Multi-Coating Mount: Rubberized Coating Lens Size: 0.51 in.

Focal Range: 1 m+ Field of view: 13 degrees Dimensions: Open: 2'' x 1'' x 2'' (LxWxH) Closed: 2'' x 1'' x 1.25''

3.14.1 CO-5000-4 - Premium Prism Eyewear Lg. Frame (+4D w/6D Prism In) (CLIN 0059)

3.14.2 CO-5000-6 - Premium Prism Eyewear Lg. Frame (+6D w/8D Prism In) (CLIN 0060)

3.14.3 CO-5000-8 - Premium Prism Eyewear Lg. Frame (+8D w/10D Prism In) (CLIN 0061)

3.14.4 CO-5000-10 - Premium Prism Eyewear Lg. Frame (+10D w/12D Prism In) (CLIN 0062)

3.14.5 CO-5001-4 - Premium Prism Eyewear Sm. Frame (+4D w/6D Prism In) (CLIN 0063)

3.14.6 CO-5001-6 - Premium Prism Eyewear Sm. Frame (+6D w/8D Prism In) (CLIN 0064)

3.14.7 CO-5001-8 - Premium Prism Eyewear Sm. Frame (+8D w/10D Prism In) (CLIN 0065)

3.14.8 CO-5001-10 - Premium Prism Eyewear Sm. Frame (+10D w/12D Prism In) (CLIN 0066).

3.15 Frames: Hands-free magnification solution for patients with near task goals where powers higher than reading glasses are needed. A/R coating to provide a clear, edge-to-edge image.

Magnification: +4Dw/6D prism in, +6Dw/8D prism in, +8Dw/10D prism in, +10Dw/12D prism in Lens Coating: Premium lenses with A/R coating Mount: Titanium/Nickel Frame Temple Design: Spring hinged temples with rubberized temple tips

3.15.1 1615-325 Acuins FL-41 Brown Stainless Steel - 25% (CLIN 0001)

3.15.2 1615-350 Acunis FL-41 Brown Stainless Steel - 50% (CLIN 0002)

3.15.3 1615-375 Acuins FL-41 Brown Stainless Steel - 75% (CLIN 0003)

3.15.4 1615-425 Acunis FL-41 Anthracite Stainless Steel - 25% (CLIN 0004)

3.15.5 1615-450 Acunis FL-41 Anthracite Stainless Steel - 50% (CLIN 0005)

3.15.6 1615-475 Acunis FL-41 Anthracite Stainless Steel - 75% (CLIN 0006)

3.15.7 1615-6325 Acunis FL-41 Acetate Brown Tortoise - 25% (CLIN 0007)

3.15.8 1615-6350 Acunis FL-41 Acetate Brown Tortoise - 50% (CLIN 0008)

3.15.9 1615-6375 Acunis FL-41 Acetate Brown Tortoise - 75% (CLIN 0009)

3.15.10 1615-6425 Acunis FL-41 Acetate Anthracite - 25% (CLIN 0010)

3.15.11 1615-6450 Acunis FL-41 Acetate Anthracite - 50% (CLIN 0011)

3.15.12 1615-6475 Acunis FL-41 Acetate Anthracite - 75% (CLIN 0012)

3.15.13 1615-99 Acunis FL-41 Clip-on Diagnostic Kit: (CLIN 0013):

3.15.13.1 Designed to protect against unpleasant glare and help those with light sensitivity due to migraines, traumatic brain injury and other eye conditions. Reduce the transmission of select light wavelengths responsible for glare, thereby providing a more comfortable viewing experience.

Lens Material: CR-39 Optical Quality Lenses Mount: Stainless Steel Frame Temple Size: 140 mm Bridge Size: 17 mm Lens Size: 56 mm Rx-able: Yes Tint Color: 25% light absorption

3.15.13.2 1615-99 - Acunis FL-41 Clip-on Diagnostic Kit (CLIN 0013)

3.16 1663-585 - Wellness Protect Lg. Black Frame (Unisex) Dark tint (85%): Amber lenses blocking light 470nm in wavelength and less, cutting out most blue light. (CLIN 0014).

Also available without tinted lenses so you can offer a prescription corrected.

Lens Type: Blue-blocking (470nm) lenses; blocks 100% UVA and UVB Frame Size: 58mm Temple Size: 130mm Bridge Size: 16mm Style: Top, bottom and side shields Rx-able: Yes Tint Color: 5 tints: a light 15% brown, a darker 65% brown, a darker 75% brown polarized, the darkest brown 85%, or a gradient 50%-15%

3.17 CO-4100 - Tint Kit: (CLIN 0015)

Lens Size: 1.8'' lenses (2 of each color) Rx-able: Yes Tint Color: 36 sets of tint colors and color legend included Dimensions: 21''W x 9.5'' D x 8'' H case

3.18 TAE-15AFK - Absorptive Filter Case - Case Only: With flexible dividers and soft satin lining inside, the case allows for a variety of absorptive filter frames and tint colors to be presented. Black nylon coated case keeps the filters protected from damage when traveling and the magnetic closure allows for easy opening and closing.

Dimensions: 20.25'' L x 2.75'' H x 13.5'' W

3.19.1 TAE-3H3600S - Havens Banyan XL Black Frame (Gray) (CLIN 0017)

3.19.2 TAE-3H4600S - Havens Summerwood Large Black Frame (Gray) (CLIN 0018)

3.19.3 TAE-3H4653ST - Havens Summerwood Large Tortoise Frame (Amber): (CLIN 0019)

Polarized glasses that are designed to fit-over reading glasses or prescription frames, wrap-around lens that provides an unobstructed panoramic view - maximizing your peripheral vision and scenic view wherever you are. The lenses block 100% of UVA/UVB light rays and are polarized so they prevent reflective glare from causing eye discomfort. The lenses receive a ‘hard coat’ which offers 2 times more scratch resistance than ordinary sunglasses coating.

Lens Coating: Oleophobic coating

4. Delivery:

Delivery shall be within thirty (30) days from the time of award. The Eschenbach Optoform Diagnostic Dispensing System and its accessories or Like item. shall be delivered to the Lebanon VAMC located at 1700 S. Lincoln Ave., Lebanon, PA 17042; Attn; Warehouse. Placement in the LVAMC clinics shall be coordinated through the Point of Contact.

Government Technical Point of Contact (GTPOC): To Be Published (TBP) Phone: TBP Email: TBP