LRMC - LSJ - O.R. Elder -Excimer Laser_Final- signed_Redacted.pdf

LIMITED-SOURCES JUSTIFICATION

1. Defense Logistics Agency (DLA) Troop Support, Medical Supply Chain, Capital Equipment Division, is the contracting activity.

2. This limited source justification is for the purchase of one Alcon Wavelight EX- 500 excimer laser with Vario Topolyzer and Wavenet Laptop for Landstuhl Regional Medical Center (LRMC), Landstuhl, Germany. This acquisition is conducted under the authority of the Electronic Catalog (ECAT) Multiple-Award Schedule Program.

3. The equipment necessary to meet this requirement is available on the O.R. Elder, Inc.

DLA ECAT contract SPE2DH-15-D-0012, which expires July 27, 2020. The total estimated dollar value of this acquisition is

4. The authority waiving competition requirements is FAR 8.405-6(a)(1)(i)(B), only one source is capable of providing the supplies required at the level of quality required because the supplies are unique or highly specialized.

LRMC has a requirement for one Alcon Wavelight EX-500 excimer laser package to add to the ophthalmology suite at Landstuhl Regional Medical Center to treat military members.

The excimer laser utilizes an array of different treatments to perform corrective eye surgeries for low order refractive errors, including all forms of astigmatism, hyperopia (farsightedness) and myopia (nearsightedness).

In addition to being a Food and Drug Administration (FDA) approved product, LRMC has the following minimum requirements for an excimer laser:

A laser pulse duration between 4 to 25ns and a laser repetition rate between 1.5 to

500Hz. This will result in additional patient capacity, increased comfort for patients, reduced corneal dehydration during treatment, decreased risk for patient based errors from movement during ablation, more precise correction and improved clinical workflow.

Eye tracking technology to follow the eye’s fastest movements to decrease risk for patient based errors from movement during ablation.

Capability to perform wavefront optimized ablation to minimize the induction of new higher order aberrations (imperfections) in the eye such as, night-glare, halos, and starbursts caused by looking at lights

Capability to perform topography-guided treatments that use a placido disk system with 22,000 elevation points, utilize pupil centroid with shift detection, and must offer precise cyclotorsion control which customizes treatment for each patient allowing for a better and more precise outcome during both LASIK and Photorefractive keratectomy (PRK) procedures.

The only laser that is available on ECAT that can meet these requirements is the Alcon Wavelight EX500 excimer laser, which is offered by O.R. Elder. Only the Alcon Wavelight EX500 excimer laser can meet all of the customer requirements listed above.