Attachment 1 Single Source Justification MPT to SAT_Redacted.pdf

VHAPG Part 813.106 Simplified Acquisition Procedures: Soliciting from a Single Source Attachment 1: Single Source Justification for SAP under the SAT

Last Updated: 02/01/22 Page 1 of 3

DEPARTMENT OF VETERANS AFFAIRS

Justification for Single Source Awards IAW FAR 13.106-1 For

Over Micro-Purchase Threshold but Not Exceeding the SAT ($250K)

Acquisition Plan Action ID: 36C244-23-AP-0813

1. Contracting Activity: Department of Veterans Affairs, VISN4, Corporal Michael J. Crenscenz Medical

Center, Philadelphia VA Medical Center 3900 Woodland Ave. Philadelphia, PA 19104-4551.

PR: 642-23-1-315-0010

2. Brief Description of Supplies/ Services required and the intended use/Estimated Amount: The Philadelphia VAMC Anesthesia Department has a new brand name request for two (2) Fabius Tiro Anesthesia Workstations. The Drager Tiro Anesthesia systems are currently in use at the Philadelphia VA Medical Center facility. The machines provide safe anesthetic delivery to patients during procedures. The Department is looking to add two (2) Draeger Tiro Anesthesia machines in order to accommodate an increase in cardiology sites.

The Draeger Fabius Tiro Anesthesia Workstation combines provides high-quality ventilation in small spaces. Its compact design makes it a natural choice for applications where you need to get most of the available room without having to compromise on features or flexibility.

Line No. Part No. Description Qty 0001 8606000 Fabius Tiro 2 0002 OPC5386 Trolley mount version USA 2 0003 OPC5199 Vaporizer plug-in sys., single 2 0004 OPC5418 Pin Index cylinder sup.O2-AIR 2 0005 OPC5236 2nd RS232 port-COM2 2 0006 OPC5328 PCV + PS + SIMV/PS Option Package 2 0007 OPC5448 Color screen 2 0008 OPC5359 Cosy 2.6 with heating 2 0009 OPC5377 COSY arm, length 200 mm, left 2 0010 OPC5220 Moisture reduction kit, left 2 0011 8605088 Flexible breathing bag arm 2 0012 OPC5560 Mech. Airway pressure gauge 2 0013 8608016 Kit pressure port guards 2 0014 MX50090 CLIC Absorber adapter 2

0015 M33300 AGSS 2

0016 M33295 AGS transfer hose, 1 m 2 0017 4117515 AGS rail clamp for GCX 2 0018 4118454 Kit vacuum suction, USA 2 0019 OPC5020 Auxiliary O2 flowmeter, US 2 0020 4115837 Park holder Dräger, 2 vap. 2 0021 M32692 Sample gas return line 2

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0022 8607840 Kit power outlet strip 2 0023 8606259 With conversion kit-GCX rail 2 0024 G92558 Power strip JP/USA/CAN 2 0025 4199592 Hose ASM-02 DISS HAND 10L 2 0026 4199596 Hose ASM-N2O DISS HAND 10L 2 0027 4199594 Hose ASM-AIR DISS HAND 10L 2 0028 4199590 Hose ASM-VAC DISS HAND 10L 2 0029 MP20029 HoseASM-WAGD HAND DISS N 10L 2 0030 M35054 Vapor 2000 2 0031 OPC0096 Sevoflurane 2 0032 OPC5417 Plug-in ad. Auto Exclusion 2 0033 M36120 Filling adap. Dräger Fill Sev 2 0034 MX00004 CLIC absorber 800+ 6 0035 1901075 Fabius Tiro PrevCare 1Yr POS 2

The estimated value of the proposed action is $ .

3. Unique characteristics that limit availability to only one source, with the reason no other supplies or services can be used: Brand Name Draeger Fabius Tiro features a powerful and accurate E-vent piston ventilator, which requires no drive gas and delivers ICU-like ventilation performance. This gives you the ability to handle a wide range of acuity levels. The accuracy of the electrically driven E-vent piston ventilator means that you can also treat pediatric patients with confidence. Optional pressure-controlled and pressure support (PS) modes, including SIMV/PS, can expand your ventilation therapy repertoire. The combination of its high-precision ventilator and compact, heated breathing system makes the Fabius Tiro a natural choice for low-flow anesthesia.

In spite of its compact size, the Fabius Tiro comes complete with advanced features such as fresh gas decoupling, which maintains constant tidal volumes regardless of fresh gas flow changes.

Dynamic compliance compensation and backup ventilation for PS modes let you ventilate with enhanced safety, confidence, and control. In emergency situations, the quick-start feature allows manual ventilation when the device is off, on, or in standby mode for rapid support. Even in the unlikely event of a gas supply failure, automatic ventilation can be temporarily continued. The external compact breathing system (COSY) features a simple design for easy disassembly and cleaning. Because the piston-driven E-Vent ventilator requires no drive gas, no additional medical-grade gases are required for operating/driving the ventilator.

The Fabius Tiro is compatible with our CLIC absorber which effectively prevents skin contact with soda lime. In addition, the CLIC absorber feature enables the clinician to quickly exchange soda lime during the operation, enabling you to get the most out of every soda lime canister. Overall consumption of sodalime can be reduced by nearly 60% versus conventional sodalime absorbent systems.

Additionally, the Anesthesiology Department currently utilizes Draeger Apollo and Tiro Anesthesia Workstations in every anesthetizing location including the operating rooms, the GI suite, and the Cardiac Catheterization Lab. Ten (10) of the existing fleet of Draeger Anesthesia Systems will be retained, making standardization of anesthesia systems at VAMC Philadelphia important. The staff of anesthesiologists and certified registered nurse anesthetists are already trained on these

Last Updated: 02/01/22 Page 3 of 3 machines all Brand Name Draeger retain the same user interface providing continuity of care and safely providing anesthetic care to veterans. All Draeger consumables and accessories are compatible with Brand Name Draeger equipment. Standardizing Draeger Anesthesia Systems in the facility will leverage the existing technical and biomedical support and minimize the staff training required. It will also allow users to respond intuitively during emergencies, thus assuring the safety of our Veterans.

4. Description of market research conducted and results or statement why it was not conducted:

Sources Sought Synopsis (36C24423Q0205) was posted from 12-06-22 to 12-13-22. This effort produced three (3) responses: Draeger, Inc. (OEM) (Large Business), Sierra7, Inc. (SDVOSB), and Janz Corporation (SDVOSB).

in the Vendor Information Pages, VetBiz Portal, and SBA Dynamic Small Business Search, GSA Advantage, GSA eLibrary, Interagency Contract Directory Portal, VA Supply Chain Master Catalog, and VA National Acquisition Center Contract Catalog Search Tool (CCST) found zero (0) vendors.

one (1) vendor: Fort Defiance Industries, LLC (Large Business).

m-Next Generation found two

(2) vendors: Draeger, Inc. (Large Business) and Sierra 7, Inc. (SDVOSB).

Market research has indicated three (3) likely sources, Janz Corporation (SDVOSB), Sierra7, Inc.

(SDVOSB), and Draeger, Inc. (OEM) (Large Business). No NMR waiver was found but the Rule of Two has been met. Based on the above Market Research, the CS anticipates a Brand Name Small Business Set-Aside on the Open Market. This market research is less than 12 months old.

5. Contracting Officer's Certification: Purchase is approved in accordance with FAR13.106-1(b). I certify that the foregoing justification is accurate and complete to the best of my knowledge and belief.