ATTACHMENT A RFQ Eye Clinic Equipment for Hershel Woody Williams VAMC.pdf

ATTACHMENT A

Eye Clinic Equipment for Hershel "Woody" Williams VAMC

Statement of Work (SOW)

Background: The mission of the Hershel “Woody” Williams VAMC is to provide patient care. The mission of the Optometry Service is to provide assessment, diagnosis, and treatment of vision care. This acquisition will be multiple pieces of equipment that will be needed for day-to-day eye exams.

Objective: This acquisition will be multiple pieces of equipment that will be needed for day-to-day eye exams. Without these items, we will not be able to have a routine eye clinic at the new Prestonsburg location. These include but are not limited to the patient chair, the phoropter (used to check eyeglasses prescriptions), the acuity chart, the slit lamp, etc. All items are required for basic eye exams.

Place of Performance: The place of performance will be the eye clinic at the new Prestonsburg CBOC.

Prestonsburg CBOC 236 North Highland Avenue Prestonsburg, KY 41653

Deliverables:

• The contractor will coordinate with the Veterans Affairs Medical Center department of biomedical engineering, to service all on-site installation of hardware.

• The contractor shall provide a warranty for the products and provide any on-going support within the frame of the warranty-period. The warranty shall be pursued and maintained by the department of biomedical engineering.

• The products will be installed and used at the new Prestonsburg CBOC.

ITEM INFORMATION

ITEM

NUMBER

DESCRIPTION OF

SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

1.00 EA __________________ __________________

Reliance 942 Chair Glide

LOCAL STOCK NUMBER: CS1RL942

Brand-name or equal

Salient characteristics: Item paired with Reliance 7000 examination chair to allow accessibility by wheelchair-bound persons.

Reliance 7900-IC Floor Unit with Wheelchair Modification, #20 Pear

LOCAL STOCK NUMBER: CS0RL7900ICW20FG

Brand-name or equal

Salient characteristics: Item allows operation of required ophthalmic equipment such as biomicroscope, phoropter, and hand-held diagnostic pieces.

Reliance 5348 Pneumatic Stool, #206 Charcoal with Back and D Shaped Cushion

LOCAL STOCK NUMBER: ST0RL5348CH

Brand-name or equal

Salient characteristics: Examination-room stool for use by doctor.

Reliance 7000-LFC Chair, #20 Pearl, Upholstery Color Required

LOCAL STOCK NUMBER: CS0RL7000L20

Brand-name or equal

Salient characteristics: Motorized examination chair for patient including with options of elevation, depression, and full recline.

Reliance 7000 Designer Cushion Set, #206 Charcoal

LOCAL STOCK NUMBER: CS0RL7000UCH

Salient characteristics: Cushions required for use with Reliance 7000 examination chair.

Volk 90D Small Aspheric Lens, Clear (21.5mm), with Black Ring

LOCAL STOCK NUMBER: IL0VO90SMC

Brand-name or equal

Salient characteristics: 90-diopter funduscopy lens required for eye examination.

Volk 78D Small Aspheric Lens, Clear (31mm), with Black Ring

LOCAL STOCK NUMBER: IL0VO78SMC

Brand-name or equal

Salient characteristics: 78-diopter funduscopy lens required for eye

Volk 20D Large Aspheric Lens, Clear (50mm), with Black Ring

LOCAL STOCK NUMBER: IL0VO20LGC

Brand-name or equal

Salient characteristics: 20-diopter funduscopy lens required for eye

Volk VPRC Pan Retinal 2.2 Lens Clear (52mm), with Black Ring

LOCAL STOCK NUMBER: IL0VOPANC

Brand-name or equal

Salient characteristics: 22-diopter funduscopy lens required for eye

Luneau Retinoscopy Rack

LOCAL STOCK NUMBER: RR0LU122084

Salient characteristics: Item used in objective refraction of patient.

Marco Brightness Acuity Tester Head Only

LOCAL STOCK NUMBER: BAT-2000

Salient characteristics: Item used in planning for cataract surgery.

Welch Allyn 71670 3.5v NiCad Well Handle

LOCAL STOCK NUMBER: HI0WA71670NI

Brand-name or equal

Salient characteristics: Item required for hand-held diagnostic pieces (direct ophthalmoscope, retinoscope, transilluminator).

Reichert AVIA Tonopen

LOCAL STOCK NUMBER: TO0RE230650

Brand-name or equal

Salient characteristics: Hand-held and multi-positional device used to measure patients’ eye-pressures.

Reliance 5399 Monitor Arm

LOCAL STOCK NUMBER: CS1RL0538992

Brand-name or equal

Salient characteristics: Item used with stand to allow support for anterior-segment–camera computer.

Lombart Metal Trial Frame

LOCAL STOCK NUMBER: TF0LOMTFFG

Salient characteristics: Item used during refraction.

Stereo Randot Test

LOCAL STOCK NUMBER: RA0SORANDOT

H.R.R. Pseudoisochromatic Color Test, 4th Edition

LOCAL STOCK NUMBER: CT0ZZHRR

Salient characteristics: Item used to measure stereoacuity.

Red Maddox Rod Long Handle - Occluder

LOCAL STOCK NUMBER: OC0ZZLHRM

Salient characteristics: Item used to measure heterophoria/heterotropia.

Horizontal Prism Bar

LOCAL STOCK NUMBER: PR0ZZB15

Brand-name or equal

Salient characteristics: Item used to measure horizontal heterophoria/heterotropia.

Vertical Prism Bar

LOCAL STOCK NUMBER: PR0ZZB14

Brand-name or equal

Salient characteristics: Item used to measure vertical heterophoria/heterotropia

Stereo Distance Randot Stereo - Test

LOCAL STOCK NUMBER: RA0SODRANDOT

Salient characteristics: Item used to measure distance stereoacuity.

ARK-1A Automatic Objective Refractor/Keratometer

LOCAL STOCK NUMBER: ARK-1A

Brand-name or equal

Salient characteristics: Item used for automated objective refraction and corneal-measurement.

• Multimodality device

• Includes autorefraction and keratometry.

• Automated instrument measures with objective accuracy and features accommodation testing and retro-illumination.

• Accurate measurements on patients with cataracts, corneal opacities, IOLs, and post LASIK procedures.

• Multiple pupil zone imaging method combined with rotary prism technology

• Auto alignment Eye Tracking System to ensure consistent, accurate, reliable and repeatable data

• Super Luminescent Diode (SLD) for sharper images compared to

LED

• Accurate data even through many cataracts

• Eye Tracking system provides X-Y-Z tracking for superior alignment and focus

• Large pupil zone imaging method (up to 6mm diameter)

• Accommodation measurement

• Keratometry measurement with mire ring to reduce eyelid artifacts

• Retro illumination illustrates media opacity in both the cornea and lens

• 6.5″ high-quality, full-color LCD screen

• High speed printer

• Objective Spherical Refractive Error: -30.00 to +25.00 D (VD = 12

mm) (0.01/0.12/0.25 D increments)

• Cylindrical Refractive Error: 0 to ±12.00 D (0.01/0.12/0.25 D increments)

• Cylinder Axis: 0 to 180° (1°/5° increments)

• Minimum Measurable Pupil Diameter: ø2 mm

• Corneal Curvature Radius: 5.00 to 13.00 mm (0.01 mm increments)

• Corneal Refractive Power: 25.96 to 67.50 D (n = 1.3375)

(0.01/0.12/0.25 D increments)

• Corneal Cylindrical Power: 0 to ±12.00 D (0.01/0.12/0.25 D increments)

• Corneal Cylinder Axis: 0 to 180° (1°/5° increments)

• Pupillary Distance Measurement: 30 to 85 mm (1 mm increments)

• Corneal Size Measurement: 10.0 to 14.0 mm (0.1 mm increments)

• Pupil Size Measurement: 1.0 to 10.0 mm (0.1 mm increments)

• Accommodation Measurement: 0 to 10.00 D (0.01/0.12/0.25 D increments)

• Observation/Display Method: 6.5-inch color LCD

• Printer: Thermal line printer with auto cutter

• Interface Connectors: RS-232C: Two ports USB: One port LAN:

One port

Reliance 7800/7900 Third/Auxiliary Arm, #20 Pearl

LOCAL STOCK NUMBER: CS1RL53801120

Brand-name or equal

Salient characteristics: Item used with stand to support auto-refractor/-keratometer.

Small Top for TA0LOLET Electric Table, 23.5 x 16

LOCAL STOCK NUMBER: TA0LOTOPS

Brand-name or equal

Lombart Table Plate (T Style)

LOCAL STOCK NUMBER: TA9LOTPLATE

Brand-name or equal

Lensmeter, LM-101 Manual Operation

LOCAL STOCK NUMBER: LE0MA101

Brand-name or equal

Salient characteristics: Item used to measure spectacle-lens power.

• Measure soft and hard contact lenses as well as conventional spectacle lenses.

• Compact lensmeter with a full 90-degree inclination that facilitates the measurement of contact lenses when used in the vertical position.

• Prism compensator,

• External power and axis reading,

• LED illumination,

• AC or battery-powered operation,

• Lens table permits the measurement of conventional lenses from

30mm to 90mm in diameter

• Full 90-degree inclination, prism compensator, and American-style cross-line target

• Read hard or soft contact lenses as well as lenses from 24mm through 90mm in diameter

• Switchable dual color (green/orange) LED illumination system for lens measurements

• Ocular type; external reading

• Target American Cross-line

• Vertex Power Range: +25 to -25 diopters Step: 0.125 diopters up to ±3 diopters 0.25 diopters beyond ±3 diopters

• Cylindrical Axis Range: 0 to 180 degrees Step: 1 degree

• Prismatic Power: Range: 5 prism diopters in field of view (20 prism diopters by prism compensator) Step: 1 prism diopter

• Eyepiece Focusing: +5 to -5 diopters

• Diameter of Lenses Accommodated: 24 to 90mm

• Lamp: AC 100V (LED illumination)

• Target Illumination: Switchable Dual color, Green/Orange LED (2V

25mA)

• Power Source DC: 5V 1.2A (AC adapter 100~240V 50~60Hz

0.5A) 2 Each 1.5V D size battery (included)

• Tilting Angle: 0 to 90 degrees General

• Storage Temperature: 10C –40C, Humidity 30%–85% Dust-free environment

Exam Lane Installation

LOCAL STOCK NUMBER: SVRAEINSTALLLANE

Salient characteristics: Installation.

Pre-Test Instrument Installation

LOCAL STOCK NUMBER: SVRAEINSTALLPT

Salient characteristics: Installation.