Attch 2 SSJ_V2_Redacted-Signed.pdf

Single Source Justification (Simplified Acquisition)

FOR OFFICIAL USE ONLY

March 2018 FOR OFFICIAL USE ONLY Page 1 of 2

RT-6100 Digital Refractor Memory Box for RT-2100/RT-5100/RT-6100 with Wireless Function

MEMBOX-200W

AFC-00A1 10 ft Ethernet Cable AFC to PC 6060R Pkg Incl: SC-1600 LCD Acuity Chart System w/Remote TRS-25-0707 RB to CP Cable, 7 to 7, 25 ft (Includes installation and on-site training by the Local Area Manager) MANUAL Manual - Operator & Service 2 WARRANTY 12 Month Warranty is Included

What AFI/OI/MDGI drives the requirement for this medical procedure that requires this piece of equipment? Air Force Waiver Guide. Mandatory equipment for all Eye Clinics military or civilian.

7: Are there compatibility issues with other pieces of equipment already in use in your section? It'll be a compatibility upgrade 8: Please state that (the vendor) is the only vendor which sells (this equipment) that meets X/Y/Z requirements. Only vender that meets the capabilities below.

-By electronically integrating with Marco Ophthalmic Automated Refractors, Automatic Lensmeters, Automatic Chart Projectors, the RT/TRS-6100 enables the operator to call up readings from the Automatic Refractor and Lensmeter instantly. This data gathering and storing capability allows immediate comparison between a patient’s unaided vision, and an old prescription and the patient’s new prescription with the simple touch of a button.

9: Are there special circumstances specific to this purchase? Required sooner than later to replace current equipment that is out of service and outdated.

Single Source Justification (Simplified Acquisition)

FOR OFFICIAL USE ONLY

March 2018 FOR OFFICIAL USE ONLY Page 2 of 2

26 Apr 22 Christina A. Blair, GS-12