MTRs 36C24724Q0578.docx

DOCX document 87 KB Posted Apr 17, 2024

Attached to: 6540--36C24724Q0578: Ophthalmic Supplies required to stand up new Ophthalmology Community Based Outpatient Clinic (CBOC) in Goose Creek, South Carolina.
Solicitation number: 36C24724Q0578
Issued by: Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 7

About this file

Written by GovTribe AI · Apr 17, 2024

This document is a Combined Synopsis/Solicitation Notice for a Request for Quotations (RFQ) issued by the Department of Veterans Affairs (VA) for ophthalmic equipment and supplies required to establish a new Ophthalmology Community Based Outpatient Clinic (CBOC) in Goose Creek, South Carolina.

The VA is seeking vendors who can provide all the ophthalmic equipment and accessories identified in the 20-line item Price/Cost Schedule, which includes items such as instrument stands, exam chairs, slit lamps, tonometers, refractors, and lensometers. Vendors must provide descriptive literature demonstrating that the quoted products meet or exceed the specified Minimum Technical Requirements (MTRs). Quotes are due by April 24, 2024 and must be submitted electronically. The government's required delivery date for all items is June 30, 2024, with white glove delivery and installation at the new CBOC location in Goose Creek, South Carolina. This is an unrestricted procurement under NAICS code 339115 for Ophthalmic Goods Manufacturing.

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Combined Synopsis/Solicitation Notice Combined Synopsis/Solicitation Notice

SUBJECT*

36C24724Q0578: Ophthalmic Supplies required to stand up new Ophthalmology Community Based Outpatient Clinic

GENERAL INFORMATION

CONTRACTING OFFICE’S ZIP CODE*

29209-1639

SOLICITATION NUMBER*

36C24724Q0578

RESPONSE DATE/TIME/ZONE

04-24-2024 11:59PM EASTERN TIME, NEW YORK, USA

ARCHIVE

60 DAYS AFTER THE RESPONSE DATE

RECOVERY ACT FUNDS

SET-ASIDE

UNRESTRICTED

PRODUCT SERVICE CODE*

6540

NAICS CODE*

339115

CONTRACTING OFFICE ADDRESS

Department of Veterans Affairs W.J.B. Dorn VA Medical Center 6439 Garners Ferry Road Columbia SC 29209-1639

POINT OF CONTACT*

Joseph Locke Contracting Officer 803-979-0338 joseph.locke@va.gov

PLACE OF PERFORMANCE

ADDRESS

Charleston, SC VA Warehouse located at 3130 Pacific St., North Charleston, SC 29418.

North Charleston SC

POSTAL CODE

29418

COUNTRY

USA

ADDITIONAL INFORMATION

AGENCY’S URL: https://www.va.gov/charleston-health-care/

URL DESCRIPTION: Charleston, SC VAMC

AGENCY CONTACT’S EMAIL ADDRESS

EMAIL DESCRIPTION

DESCRIPTION

Solicitation: Ophthalmic Supplies Notice Type: Combined Synopsis/Solicitation Contracting Office Address:

NCO 7 – Contracting Office Department of Veterans Affairs VA Columbia Healthcare System 6439 Garners Ferry Road Columbia, SC 29029

Description This is a combined synopsis/solicitation for commercial items prepared in accordance with the format in Federal Acquisition Regulation (FAR) subpart 12.6, “Streamlined Procedures for Evaluation and Solicitation for Commercial Items,” as supplemented with additional information included in this notice. This announcement constitutes the only solicitation; quotes are being requested, and a written solicitation document will not be issued.

This solicitation is a Request for Quotations (RFQ). The solicitation document and incorporated provisions and clauses are those in effect through Federal Acquisition Circular 2024-01 dated January 25, 2024.

This solicitation is UNRESTRICTED. All vendors interested in submitting a quotation for this requirement MUST be registered in System for Award Management (SAM), www.sam.gov

The associated North American Industrial Classification System (NAICS) code for this procurement is 339115; Ophthalmic Goods Manufacturing; Small Business Size Standards; 1000 employees. The FSC/PSC is 6540

The Ralph H. Johnson VA Medical Center, 109 Bee Street, Charleston SC 29401 is seeking to procure all ophthalmic equipment contained in an examination room used for the purpose of providing an eye care provider the ability to perform ocular examinations. Offerors are therefore asked to complete PRICE/COST SCHEDULE-Item Information for each period of performance in their response, and to include a Grand Total.

PRICE/COST SCHEDULE

ITEM NUMBER

DESCRIPTION OF SUPPLIES/SERVICES

QUANTITY

UNIT

UNIT PRICE

AMOUNT

8.00

__________________

7900 STAND W/ CONSOLE,WHEELCHAIR UNIT

BRAND NAME: Haag-Streit

8.00

__________________

CHAIR, FULL POWER DUAL CNTL -CHARCOAL

8.00

__________________

HAAG STREIT BQ LED SLIT UNIT MODEL

3.00

__________________

SHORT OBSERVER TUBEW/EYEPIECE

3.00

__________________

BEAM SPLITTER 50/50

8.00

__________________

TONOMETER F/ BQ, BP, BX

8.00

__________________

OMEGA 600 - WALL CHARGER SET

BRAND NAME: Heine

__________________

REMOVED FROM SOLICITATON GROUPING

8.00

__________________

CLEARCHART 4X CLEARCHART

BRAND NAME: Reichert

18.00

__________________

STOOL, ROUND W/BACK -CHARCOAL

8.00

__________________

+/- CYL. FULL DIA.TRIAL LENS S

10.00

__________________

TF50 TRIAL FRAME

8.00

__________________

CL-300 LENSMETER W/PRINTER

BRAND NAME: Topcon

3.00

__________________

101 LENSOMETER, MANUAL

6.00

__________________

TONOPEN AVIA

2.00

__________________

KR-800S AUTO KERATO- REFRACTOMETER

2.00

__________________

AIT-16 TABLE, WITHOUT TOP

1.00

__________________

KEELER PSL PORTABLE SLIT LAMP CASE INCLUDED

BRAND NAME: Keeler

1.00

__________________

RETINOMAX 5 K-PLUS 5 AUTOREFRACTOR/KERATOMETER

BRAND NAME: Walman

8.00

__________________

RELIANCE,MARCO,REICHERT,SMALL MOVER

BRAND NAME: Reliance

GRAND TOTAL

__________________

MINIMUM TECHNICAL REQUIREMENTS:

The Department of Veterans Affairs (VA) is seeking vendors who can provide ALL products identified within the schedule of supplies which meet all the following minimum technical requirements (MTRs). Vendors are encouraged to provide any product solution or configuration so long as they meet the following MTRs. Additionally, vendors responses can include any additional product that may be beneficial. These items must be clearly identified by brand name and part number.

For each product the response must include descriptive literature demonstrating the product meets or exceeds the MTRs specified above. The Government's intent is to include all ancillary items to ensure the equipment can function as designed by the OEM and as clinically required.

LINE-ITEM NUMBER - 1

ITEM NAME: Reliance 7900 Instrument stand Purpose: This device's purpose is to hold the slit lamp and other devices such as pen lights, retinoscopes, overhead light and provide recharging capabilities for both. It supports the slit lamp while it is positioned in front of the patient.

LINE-ITEM NUMBER - 1

ITEM NAME: Reliance 7900 Instrument stand

MTR #

MINIMUM TECHNICAL REQUIREMENTS

(MTRS) and Justification

METHOD OF EVALUATION

VENDOR’S PROVIDE PAGE # WHERE EACH MTR IS MET IN YOUR TECHNICAL LITERATURE

Characteristic: Must be wheelchair accessible Justification: A significant portion of VA patient population is elderly and/or disabled.

Literature Review

Characteristic: Must have a minimum of 3 charging wells for hand-held instruments Justification: Hand-held instruments needed are rechargeable battery powered and must be recharged within easy reach of the clinician. Recharging at a distance or other location will impede efficient clinic operations.

Literature Review

Characteristic: Must have light source that is a warm tone in color (not bright white). The light source must be an overhead, adjustable arm that can be maneuvered by the clinician to an optimal location for each exam Justification: The clinician must be able to see the eye clearly to make a proper examination. The color used is important as a warm tone makes it easier to read the patient's chart and other necessary materials. The light must be adjustable to accommodate a wide variety of patients and clinicians.

Literature Review

Characteristic: Instrument stand refractor arm must have a range of a minimum of 10". Justification: The clinician needs to be able to move the refractor into position in relation to the patient lined up with the vision checker. Any length less than 10" will inhibit proper alignment.

Literature Review

Characteristic: The instrument stand must have an integrated control panel with switches that electronically control multiple elements. At a minimum, the panel must be able to control the exam chair to allow for the proper positioning of the patient, the overhead light and the slit lamp arm. This panel must ensure easy, one-handed adjustment of arm positions to accommodate both ambulatory and wheelchair patients. Justification: Controls must be within easy reach of the clinician during the exam to maximize efficiency. The clinician needs to control arm movement with one hand as they will be holding instruments in the other.

Literature Review

Characteristic: Must biocompatible the slit lamp quoted in LIN 3. This means the stand can physically hold and connect to the slit lamp including any electrical connections, etc. Justification: The purpose of the stand is to hold the slit lamp. A stand that cannot hold, connect to and support the control of the slit lamp quoted in LIN 3 would be of no use.

Literature Review

Characteristic: Spare parts must be readily available for purchase to ensure proper maintenance and timely repair of the stand. Justification: Unavailability of, or delays in obtaining parts will render the stand inoperable and therefore render the exam room unusable for eye exams. This defeats the purpose of the room and would severely impact clinic efficiency and patient access to care.

Literature Review

Characteristic: it is preferred that the stand be capable of subsequent add-ons or modifications. For example, at a future date, we may add the capability to control the lights of the exam room itself. This enables the clinician to turn the room lights on or off without having to get up and move across the room. Justification: This preference is solely for clinic efficiency. Any time a clinician has to rise from their seated position at the controls and move across the room impacts efficiency. Efficiency impacts the number of exams that can be conducted in a day, and cumulatively over time. This impacts patient's timely access to care.

Literature Review

LINE-ITEM NUMBER - 2

ITEM NAME: Reliance 7000 Full Power Articulating Exam Chair

Purpose: This is the chair the patient will be sitting/lying in during the exam. It must be able to maneuver and support a wide variety of patients of all shapes, sizes and wieghts and move them hydraulically into the proper position.

LINE-ITEM NUMBER - 2

ITEM NAME: Reliance 7000 Full Power Articulating Exam Chair

MTR #

MINIMUM TECHNICAL REQUIREMENTS

(MTRS) and Justification

METHOD OF EVALUATION

VENDOR’S PROVIDE PAGE # WHERE EACH MTR IS MET IN YOUR TECHNICAL LITERATURE

Characteristic: Must be able to move into any position necessary for the proper examination of the patient, including reclining to a near flat (horizontal) position. Justification: The clinician must be able to maneuver the patient into proper alignment for any given examination. This is also to ensure patients can be maneuvered by means of the powered chair without any physical exertion on the part of the patient or the clinician for safety reasons.

Literature Review

Characteristic: The chair must have multiple options for control of the chair including controls on the chair itself, on the control stand (as described in LIN 1), and a foot switch/pedal. The chair mounted switches must be available on both sides of the chair. The chair must be compatible with the instrument stand described in LIN 1. Justification: The clinician must be able to maneuver the patient effectively and efficiently by use of the chair from multiple positions based on the needs of the exam/patient. This includes being able to approach the patient and control the chair from either side, as well as controlling the chair while both hands are full.

Literature Review

Characteristic: Chair must have a minimum hydraulic rating of greater than 500 lbs. Justification: A significant portion of VA patient population is elderly overweight or obese and the chair must be able to accommodate and support a variety of patients including those more than 500 lbs.

Literature Review

Characteristic: The chair must be able to accommodate and safely support a variety of patients with varying needs to enter/exit the chair and be positioned comfortably during the exam. The chair must have adjustable head rests with at least two points of adjustment. It must have armrests and footrests that can move out of the way to enable patients to enter/exit the chair from either side directly to a walker or wheel chair. Justification: Patients of all sizes, shapes, and physical ability to sit up, etc. must be able to safely enter/exit the chair. The patient must be able to rest comfortably with proper support during the exam. Patients who are not properly supported may move which impacts the precision of the exam and may even be injured.

Literature Review

Characteristic: This chair must be compatible with the requirements of the chair mover described in LIN 20. Justification: As the name implies, the chair mover enables clinicians to move the chair out of the way enabling examination of wheelchair-bound patients who are unable to otherwise move into the chair. Inability to move the chair out of the way or attempts by clinicians to move the chair manually may result in injury to the patient or the clinician.

Literature Review

Characteristic: Chair materials must be sufficient in terms of materials used, and quality to stand up to heavy use and be easy to clean between patients, many times per day. Justification: Torn chairs cannot be used because they cannot be properly cleaned. Chairs that cannot be properly cleaned put patients and staff at risk because they do not meet infection control standards.

Literature Review

Characteristic: Chair is preferred, but not required to have a auto-positioning and/or return to default position feature. Justification: Clinicians do not stay in a single exam room all day. They rotate using multiple rooms as patients are arriving and departing. Multiple clinicians may use an exam room during a given day. Clinicians often have a preferred position of the chair for various eye exams and it is helpful to be able to quickly return the chair to its default position to accommodate quicker cleaning of the chair and room preparation for turnover to the next clinician/patient.

Literature Review

LINE-ITEM NUMBER - 3

ITEM NAME: Haaq-Streit BQ 900 LED Slit Lamp

Purpose: This device is used to examine, diagnose and determine prescriptions for diseases or conditions of the eye. It is one of the primary instruments and it is the centerpiece of an "eye lane". It is capable of a complete eye exam from the exterior of the eye all the way

LINE-ITEM NUMBER - 3

ITEM NAME: Haaq-Streit BQ 900 LED Slit Lamp

MTR #

MINIMUM TECHNICAL REQUIREMENTS

(MTRS) and Justification

METHOD OF EVALUATION

VENDOR’S PROVIDE PAGE # WHERE EACH MTR IS MET IN YOUR TECHNICAL LITERATURE

Characteristic: Must have LED illumination Justification: LED lights are more durable and reliable over the long-term and fail far less frequently than other types of illumination such as halogen lights. Any time the light is down the slit lamp, and therefore the entire exam room is unusable. This impacts efficiency and patient access to care.

Literature Review

Characteristic: Must have versatile light-filtering options including red-free, blue, green and grey filtering. Justification: Various exams require the clinician to filter out certain light spectrums (colors).

Literature Review

Characteristic: Must have a minimum of 5 Galilean magnification settings (6x, 10x, 16, 25x and 40x). Justification: Various exams require the clinician to set varying degrees of magnification. It is critical that all devices across the service line have the same magnifications setting available to ensure exams performed in one exam room can be comparted to those conducted in another room without variation caused by differing magnification settings.

Literature Review

Characteristic: Must be capable of producing high-quality imaging identical to that of the other slit-lamps already in use in the clinic and the affiliated medical university. This is facilitated by certain features of the slit-lamp including slit width and length, rotatability, as well as adjusting eye pieces. The lamp must be able to support a slit width of 0mm to 14mm and a length of 1mm to 14mm. The lamp must also support image rotatability of 0 to 90 degrees. Must support a range of adjusting eye pieces +8 to -8 diopters. Justification: Exams conducted with this device must produce images commensurate with images produced by the other slit-lamps in use within the clinic and the affiliated medical university where the residents (physicians training to become Ophthalmologists are trained). Variations in image quality and precision impact patient care because an image may vary from one exam room to another. For example, a defect within the eye visible in one system, but not visible in another, may lead to missed diagnosis and other complications.

Literature Review

Characteristic: Must be able to attach beam splitters and observer tubes accessories. Justification: These accessories enable a second person to see what is happening during the exam. This is an essential function as the RHJ VA HCS is an educational facility and teaches residents (physicians training to specialize in Ophthalmology) to see the eye while the attending physician (instructor) performs the eye exam. Without these devices it would not be possible to teach Ophthalmology.

Literature Review

Characteristic: Must have a warranty of a minimum of 10 years. Justification: This is one of the main examination tools used by clinicians during an eye exam. It will be used many times per day and must be able to withstand the wear and tear of daily use. When the device is inoperable, this renders the exam room useless which reduces the number of exam rooms available thereby reducing patient efficiency and flow which impacts the number of patients seen per day. Patient seen per day determines the availability of patient slots for veterans to be seen in clinic. In short, if the machine is down, fewer veterans will be seen timely and more veterans will have to wait longer for care.

Literature Review

LINE-ITEM NUMBER - 4

ITEM NAME: Haaq-Streit Short Observer Tube w/eyepiece for BQ LED Slit Lamp

Purpose: This device attaches to the slit lamp to enable students to see what the instructor sees facilitating the discussion of the patient's eye and its features and condition

LINE-ITEM NUMBER - 4

ITEM NAME: Haaq-Streit Short Observer Tube w/eyepiece for BQ LED Slit Lamp.

MTR #

MINIMUM TECHNICAL REQUIREMENTS

(MTRS) and Justification

METHOD OF EVALUATION

VENDOR’S PROVIDE PAGE # WHERE EACH MTR IS MET IN YOUR TECHNICAL LITERATURE

Characteristic: Observer tube must attach to, and be compatible with slit lamp requirements described on LIN 3 Justification: Observer tubes are needed to support teaching and instruction of resident (trainee) physicians which is an integral part of clinical operations at RHJ VA HCS.

Literature Review

Characteristic: Observer tube must allow for observers to view from variable angles including from a seated position. Justification: Observers (such a residents) may have to observe through the tube for length of an appointment. Appointments generally range from 30-60 minutes.

Literature Review

Characteristic: The beam splitter within the observer tube must divert 50% of the light from the slit lamp to the observer as described on LIN 6. Justification: Observers (such a residents) must see exactly what the attending physician (instructor) sees in order to enable proper instruction

Literature Review

LINE-ITEM NUMBER - 5

ITEM NAME: Haaq-Streit Beam Splitter 50/50 for BQ 900 LED slit lamps

Purpose: This device works in conjunction with the observe tube to ensure both observers see the exact same image

LINE-ITEM NUMBER - 5

ITEM NAME: Haaq-Streit Beam Splitter 50/50 for BQ 900 LED slit lamps.

MTR #

MINIMUM TECHNICAL REQUIREMENTS

(MTRS) and Justification

METHOD OF EVALUATION

VENDOR’S PROVIDE PAGE # WHERE EACH MTR IS MET IN YOUR TECHNICAL LITERATURE

Characteristic: The beam splitter within the observer tube must divert 50% of the light from the slit lamp to the observer and be compatible with the observer tube described on LIN 4. Justification: Observers (such a residents) must see exactly what the attending physician (instructor) sees in order to enable proper instruction

Literature Review

LINE-ITEM NUMBER - 6

ITEM NAME: Haaq-Streit Tonometer AT 900 for BQ and BP slit lamps

Purpose: This device is the universal tonometer for checking eye pressure. This is a critical element of post-op checks and diagnosing and following -up on glaucoma patients.

LINE-ITEM NUMBER - 6

ITEM NAME: Haaq-Streit Tonometer AT 900 for BQ and BP slit lamps.

MTR #

MINIMUM TECHNICAL REQUIREMENTS

(MTRS) and Justification

METHOD OF EVALUATION

VENDOR’S PROVIDE PAGE # WHERE EACH MTR IS MET IN YOUR TECHNICAL LITERATURE

Characteristic: Tonometer must be compatible with slit lamp requirements described on LIN 3 Justification: Tonometers are an important instrument used during exams and must work properly with the equipment to ensure safe and accurate testing. Tonometers are used to measure eye pressure which is a part of diagnosing Glaucoma which if left undetected and/or untreated can lead to vision loss and/or blindness.

Literature Review

LINE-ITEM NUMBER - 7

ITEM NAME: Heine OMEGA 600 with wall charger set

Purpose: This device is a more comprehensive way to look at the back of the retina do diagnose such things as a retinal detachment or tear. While the slit lamp can see back this far in the eye, to really focus on this part of the eye this device is used.

LINE-ITEM NUMBER - 7

ITEM NAME: Heine OMEGA 600 with wall charger set.

MTR #

MINIMUM TECHNICAL REQUIREMENTS

(MTRS) and Justification

METHOD OF EVALUATION

VENDOR’S PROVIDE PAGE # WHERE EACH MTR IS MET IN YOUR TECHNICAL LITERATURE

Characteristic: The rechargeable hand-held binocular indirect ophthalmoscope (BIO) must have a battery capable of operating for 10 hours without charging Justification: To support a clinic, the device must operate throughout the entire duration of the clinic (anywhere between 4 - 10 hours). If the device cannot last the clinic day it will need to charge and will be unavailable for clinician use during the clinic

Literature Review

Characteristic: The rechargeable hand-held binocular indirect ophthalmoscope (BIO) must have 10-year warranty covering material, processing, construction, and accidental damage in use (such as a clinician dropping and breaking the device). Justification: These devices will be used all day, every day in clinic and need to hold up to rigorous use. And in the event a repair or replacement is needed it must happen quickly or clinical operations will be impacted.

Literature Review

Characteristic: The rechargeable hand-held binocular indirect ophthalmoscope (BIO) must have a yellow, blue and red-free filter. Justification: Filtering various colors is an integral part of the eye exam. The device must be able to support this important aspect of eye exams.

Literature Review

Characteristic: The rechargeable hand-held binocular indirect ophthalmoscope (BIO) must have a minimum interpupillary distance or range of 46mm to 74mm. Justification: This distance is a critical aspect of an accurate eye exam. The device must be able to support this important aspect of eye exams

Literature Review

Characteristic: The rechargeable hand-held binocular indirect ophthalmoscope (BIO) must have a minimum working distance of 400mm. Justification: This distance is a critical aspect of an accurate eye exam. The device must be able to support this important aspect of eye exams

Literature Review

Characteristic: The rechargeable hand-held binocular indirect ophthalmoscope (BIO) must have LED illumination. LEDs are more reliable over the longer term leading to fewer episodes of equipment failure Justification: It is important to minimize equipment failures since such failures mean the equipment will be unusable until repaired. This in turn impacts clinic efficiency and ultimately, patient access to care.

Literature Review

Characteristic: The rechargeable hand-held binocular indirect ophthalmoscope (BIO) must have a battery charge status indicator. Justification: The device cannot run out of power unexpectedly in the middle of an exam which would lead to failure of the exam and potentially a safety issue.

Literature Review

Characteristic: The rechargeable hand-held binocular indirect ophthalmoscope (BIO) must have a wall-mounted battery charger. Justification: Surface space in exam rooms is limited and must meet infection control standards. Devices charging on horizontal surfaces impede their cleaning and are more prone to accidental damage.

Literature Review

Characteristic: Hands-free operation is preferred, but not required Justification: Clinicians hands are holding other instruments or adjusting settings of equipment and devices that can be operated hands-free facilitate a smoother, more efficient clinic by enabling the clinician to continue making adjustments with both hands while operating the BIO.

Literature Review

LINE-ITEM NUMBER - 8

REMOVED FROM SOLICITATION; REMOVED FROM FURTHER AWARD CONSIDERATION

LINE-ITEM NUMBER - 9

ITEM NAME: Reichert Clear Chart 4x Enhanced Digital Acuity System

Purpose: Characteristic: The acuity system must have contrast testing Justification: These are necessary for complete eye exams

LINE-ITEM NUMBER - 9

ITEM NAME: Reichert Clear Chart 4x Enhanced Digital Acuity System

MTR #

MINIMUM TECHNICAL REQUIREMENTS

(MTRS) and Justification

METHOD OF EVALUATION

VENDOR’S PROVIDE PAGE # WHERE EACH MTR IS MET IN YOUR TECHNICAL LITERATURE

Characteristic: The acuity system must be digital. Justification: Digital screens offer LED backlight and randomization of targets as opposed to older, out-of-date methods such as a paper chart or projectors with slides. Exam rooms have differences in size, shape, etc. Digital systems are more easily adapted to a given room, or change the background, etc. Older, mirror/projector-based systems mainly do not provide this capability.

Literature Review

Characteristic: The acuity system must have at least a 24" color LED backlit display Justification: A large display is helpful to see the eye in a large enough image for clinicians to make accurate assessments. It also facilitates discussions of the images between the clinicians and the patient and the attending physician (instructor) and the resident physician (trainee)

Literature Review

Characteristic: The acuity system must have pediatric fixation video capabilities Justification: Many "pediatric" capabilities are useful in examining, diagnosing and educating patients such as those with poor reading and comprehension skills or patients with neurological patients which cannot describe what they are seeing if it is a letter or a number, but can if it’s a picture.

Literature Review

Characteristic: The acuity system must have connect to digital phoropters. Justification: The device must connect with and be compatible with phoropters which are already in use in the clinic, to facilitate eye examinations.

Literature Review

Characteristic: The acuity system must have astigmatic test charts Justification: These are necessary for complete eye exams capable of detecting and examining astigmatism

Literature Review

Characteristic: The acuity system must have LEA symbols and LEA numbers Justification: These are necessary for complete eye exams for patients with poor reading skills

Literature Review

Characteristic: The acuity system must have contrast testing Justification: These are necessary for complete eye exams

Literature Review

Characteristic: The acuity system must have parent education capabilities Justification: These facilitate discussions with care providers and patients' family members who may need to understand the issue because the patient may be incapable of understanding (i.e. patients with dementia). Furthermore, some "pediatric" education can apply to adults, mainly those with eye misalignment.

Literature Review

Characteristic: Must be wall-mounted and come with wall brackets Justification: Exam rooms are of a certain size and there is a lot of equipment in each one, in addition to any people who may be in the room. Floor space is at a premium. Wall-mounted systems save space and allow the device to be stowed out of the way when not in use

Literature Review

Characteristic: Must be operable by remote control Justification: The clinician must be able to operate the device while maintaining their position while examining the patient. Without a remote, the clinician would have to stop looking at the eye through equipment and get up from their position to operate the device. This constitutes a disruption of the exam and leads to clinic inefficiency.

Literature Review

Characteristic: Is preferred, but not required to be capable of importing videos and images Justification: Using a wide variety of images and videos provides the patient with many options to view and enables the clinician to better detect and diagnose eye issues.

Literature Review

LINE-ITEM NUMBER - 10

ITEM NAME: Reichert Clear Chart 4x Enhanced Digital Acuity System

Purpose: Characteristic: This is the stool the clinician sits on during the exam. It supports them as they move around the room still seated and swiveling between the patient and various pieces of equipment.

LINE-ITEM NUMBER - 10

ITEM NAME: Reichert Clear Chart 4x Enhanced Digital Acuity System

MTR #

MINIMUM TECHNICAL REQUIREMENTS

(MTRS) and Justification

METHOD OF EVALUATION

VENDOR’S PROVIDE PAGE # WHERE EACH MTR IS MET IN YOUR TECHNICAL LITERATURE

Characteristic: Must have 15" circular seat dimension Justification: This size accommodates the greatest variety and size of the clinicians who will be using them on a daily basis.

Literature Review

Characteristic: Must swivel 360° Justification: During the course of an exam day, the clinician must frequently reposition and swivel around between various pieces of equipment and patients, etc. Having a stool that can swivel fully 360° enables the clinician to move without being disrupted by a stool that won't turn where they need it to.

Literature Review

Characteristic: Must have 5 legs for stability Justification: Safety guidelines demonstrate the 5-legged stools are far less likely to overturn when occupied than those with fewer legs. This is required for the safety of the clinicians who will be using the stools on a daily basis.

Literature Review

Characteristic: Must have a vertical lift of 6.25" Justification: Lifting to this height enables clinicians to reposition vertically during the exam in order to reach all the equipment in use during an exam.

Literature Review

Characteristic: Must have must have a seat height of 18" to 25" Justification: This height range ensures the comfortable seating of clinicians of all sizes. Clinicians do not stay in the same room all day. They move in and out of a given eye lane room as one becomes available for the next patient and then must adjust their seating accordingly.

Literature Review

Characteristic: Seat cushion must be made (covered with) material that are easy to clean and maintain in accordance with infection control procedures Justification: The stool will be used every day, all day that the clinic is open. The seat must hold up to wear and tear as well as be easily cleaned/disinfected per infection control standards.

Literature Review

Characteristic: Seat adjustment settings are preferred, but not required, to be intuitive and easy to use/learn Justification: The intent of the stool is to facilitate the seated mobility of the clinicians during the exam. Stools with complex to use, or complex to understand controls impede this purpose.

Literature Review

LINE-ITEM NUMBER - 11

ITEM NAME: Reichert Trial Lens Set

Purpose: Characteristic: Used for diagnostics and refining refractions and prisms in lenses for correcting a patient's vision.

LINE-ITEM NUMBER - 11

ITEM NAME: Reichert Trial Lens Set

MTR #

MINIMUM TECHNICAL REQUIREMENTS

(MTRS) and Justification

METHOD OF EVALUATION

VENDOR’S PROVIDE PAGE # WHERE EACH MTR IS MET IN YOUR TECHNICAL LITERATURE

Characteristic: Must have a minimum of 228 lenses including: - 70 Spherical Concave Lenses: 0.12 to 20.00 Diopters (0.12 / 0.25D increments)

- 70 Spherical Convex Lenses: 0.12 to 20.00 Diopters (0.12 / 0.25D increments)

- 34 Cylindrical Concave Lenses: 0.12 to 6.00 Diopters (0.12 / 0.25D increments)

- 34 Cylindrical Convex Lenses: 0.12 to 6.00 Diopters (0.12 / 0.25D increments)

- 12 Prismatical Lenses: 0.5(2), 1(2), 2(2), 3, 4, 5, 6, 7, 8

- 8 Accessory Lenses: Red, Green, Slit, Occluder, Pin Hole (2)

- Jackson Cross Cylinder (2) +/- .25 and +/- .50 Justification: A wide array is necessary to facilitate the complete eye exam among a very broad and diverse patient population. Some lens sets come in adjustment intervals greater than 0.12, such as 0.25. Such systems do not allow for the more precise and accurate measurements which in turn influences the diagnosis and prescription.

Literature Review

Characteristic: Accessory lenses must include red, occlude, pinhole, and slit options Justification: These are necessary to facilitate the complete eye exam among a very broad and diverse patient population. Often, these accessories are purchased separately. Including them in the set ensures their compatibility.

Literature Review

Characteristic: Lenses must be compatible with frame requirements listed in LIN 12 Justification: Lenses cannot be used without a frame and may or may not fit frames that are not designed to hold them. It does not make sense to purchase lenses and frames that do not fit together.

Literature Review

LINE-ITEM NUMBER - 12

ITEM NAME: Reichert TF50 Trial Frame

Purpose: Characteristic: The frame supports the trial lenses during their use

LINE-ITEM NUMBER - 12

ITEM NAME: Reichert TF50 Trial Frame

MTR #

MINIMUM TECHNICAL REQUIREMENTS

(MTRS) and Justification

METHOD OF EVALUATION

VENDOR’S PROVIDE PAGE # WHERE EACH MTR IS MET IN YOUR TECHNICAL LITERATURE

Characteristic: Trial frame must fit with and be compatible with Lense requirements described on LIN 11. Justification: Lenses cannot be used without a frame and may or may not fit frames that are not designed to hold them.

Literature Review

Characteristic: Must provide smooth controls for quick, easy lens fitting Justification: a clinician must switch between various lenses frequently during an examination. Often this means switching back and forth between one or more lenses to facilitate their observation of the patient's eye. If it is cumbersome or difficult to move between lenses, it will dramatically impede the clinicians ability to conduct the exam and directly impact clinic efficiency.

Literature Review

Characteristic: Must have multiple lens seating options and adjustability factors such as pupillary distance, tilt, nasal adjustment, and adjustable temple pieces Justification: It is essential that patients remain comfortably and perfectly still during exam. For this, it is important for the frame to have a broad variety of adjustments to accommodate patients of all sizes and shapes comfortably. Patient movement directly impacts the accuracy of the exam.

Literature Review

LINE-ITEM NUMBER - 13

ITEM NAME: Topcon CL-300 Computerized Lensometer with Printer

Purpose: This is the automated, table-top lensometer that is the primary device used to determine and adjust the lenses for patient's vision

LINE-ITEM NUMBER - 13

ITEM NAME: Topcon CL-300 Computerized Lensometer with Printer

MTR #

MINIMUM TECHNICAL REQUIREMENTS

(MTRS) and Justification

METHOD OF EVALUATION

VENDOR’S PROVIDE PAGE # WHERE EACH MTR IS MET IN YOUR TECHNICAL LITERATURE

Characteristic: Must have a digital monitor (LED or LCD) Justification: The monitor must be absolutely clear and easy to see and read. As the clinician uses the machine to determine the power of a given Lense, it’s important that they can see the reading quickly for the sake of efficiency and clearly to avoid mistakes.

Literature Review

Characteristic: Must have automatic Mono & Multi-focal detection Justification: Modern lenses come with a variety of coatings (for UV protection, etc.). A machine that can automatically account for this is essential for clinic efficiency and prevent errors.

Literature Review

Characteristic: Must have a green measurement light Justification: The green light eliminates errors due to varying ABBE values (a lenses value of disbursement of light). This enables the clinician to examine the lens and the reading is not influenced by aberrations or distortions. Without a green light the lens may end up being incorrect for the patient.

Literature Review

Characteristic: Must measure lenses for glasses and both hard and soft contact lenses Justification: Necessary to ensure the proper fit of a Lense of either type. Otherwise, multiple machines are necessary (one for each type).

Literature Review

Characteristic: Must provide means to measure Pupillary Distance as well as Ultraviolet (UV) Measurement Function information on the UV transmittance in the range from 0% to 100% Justification: Necessary to ensure the proper fit of a Lense. This ensures the center of the power of the Lense is precisely where it should be for the patient.

Literature Review

Characteristic: Must have a minimum of a 5" tilt monitor Justification: Because clinicians of all sizes may use this device tilting the monitor (screen) so they can properly see it is essential. If the monitor is at an improper angle, it may distort what the clinician sees. For example, one cannot see all televisions clearly if the viewer is too far off to one side or another.

Literature Review

Characteristic: Must have a printer Justification: Printing results in the exam room is necessary to maintain efficiency. If the clinician must go find a printed document down the hall it will slow the clinic significantly.

Literature Review

Characteristic: Must have an interface to send data to a patient's electronic medical record (specifically, it must be capable of interfacing with the RHJ VA HCS system which is VistA/CPRS Justification: Necessary for documentation of care.

Literature Review

Characteristic: Must have capability to provide measurement of Pupillary Distance (PD) Justification: Measurements of PD ensures the proper placement of the center of power for the Lense. Without this, a Lense cannot be properly fitted.

Literature Review

Characteristic: Touch screen controls are preferred, but not required Justification: ease of use for clinicians who must manage multiple devices simultaneously and touch screens are more able to be cleaned and kept in sanitary conditions than other controls.

Literature Review

LINE-ITEM NUMBER - 14

ITEM NAME: Marco Lensometer

Purpose: This is a manual lensometer that can be used as an alternate to the automated lensometer if the physician wants to verify the output of the automated lensometer.

LINE-ITEM NUMBER – 14

ITEM NAME: Marco Lensometer

MTR #

MINIMUM TECHNICAL REQUIREMENTS

(MTRS) and Justification

METHOD OF EVALUATION

VENDOR’S PROVIDE PAGE # WHERE EACH MTR IS MET IN YOUR TECHNICAL LITERATURE

Characteristic: Must have LED-illuminated target Justification: Light is required for proper use in order to properly align the lens’s power with the patient’s eye. A clear and precise target is essential. LEDs are more reliable enabling the device to withstand daily use and remain operational.

Literature Review

Characteristic: Must have a crosshair or crossline style target Justification: To ensure proper targeting for accurate assessment of a lens and it’s fit to the patient.

Literature Review

Characteristic: Must include minimum eyepiece adjustment of +3 to -5 diopters Justification: Allow for adjustments for clinicians' own eyesight to be mitigated as a variable when examining lenses.

Literature Review

Characteristic: Must have battery power capability Justification: This manual lensometer is often moved from room to room. Battery power supports efficient use so clinicians don't have to hunt for outlets in a given room, but can immediately begin using the device which improves clinic efficiency.

Literature Review

Characteristic: Must have prism compensator Justification: To ensure proper targeting for accurate assessment. Some lenses contain prisms to help for conditions such as double vision. The prims must be accounted for (mitigated) when centering the power of the lens to that particular patient.

Literature Review

Characteristic: Must have a reading ring for prisms of at least 5 diopters Justification: To ensure proper targeting for accurate assessment to mitigate a broad and clinically significant range of prisms within a given Lense.

Literature Review

LINE-ITEM NUMBER - 15

ITEM NAME: Reichert Tono-Avia Starter Kit with Carrying Case & 2 Boxes of tip covers and battery

Purpose: This device is a screening tool used for patients that cannot be maneuvered into position for the slit lamp.

LINE-ITEM NUMBER - 15

ITEM NAME: Reichert Tono-Avia Starter Kit with Carrying Case & 2 Boxes of tip covers and battery.

MTR #

MINIMUM TECHNICAL REQUIREMENTS

(MTRS) and Justification

METHOD OF EVALUATION

VENDOR’S PROVIDE PAGE # WHERE EACH MTR IS MET IN YOUR TECHNICAL LITERATURE

Characteristic: Must be able to take measurements in any position including patients in beds and wheelchairs Justification: This is a hand-held device and must be able to compensate or adjust to any position that the patient might be positioned in. This allows for adjustments for clinicians to properly use the device and achieve accurate measurements.

Literature Review

Characteristic: Must operate on battery power Justification: The intent of this device is portability to support the clinician going to patients where they are to conduct measurements. In many locations no electric outlets would be readily available and to find an outlet may waste valuable time and reduce efficiency.

Literature Review

Characteristic: Must not require routine (frequent) recalibration Justification: Allow for clinicians to adjustment the device properly use the device and achieve accurate measurements without having to recalibrate the device with each use. This increases the efficiency of use as well as ensuring clinicians receive accurate measurements without need of recalibration.

Literature Review

Characteristic: Must be able to take intra-ocular pressure (IOP) measurements in 2-5 taps Justification: The device must generate verifiable, trusted results relatively quickly and easily and not require a series of complex steps.

Literature Review

LINE-ITEM NUMBER - 16

ITEM NAME: Topcon KR-800S Auto Keratometry-Refractor with Subjective & Glare Testing

Purpose: This is a screening all-in-one tool that performs to some degree many of the functions of the more specialized tools. It is used primarily by technicians (not physicians) and is also used in rooms not large enough for a full eye lane.

LINE-ITEM NUMBER - 16

ITEM NAME: Topcon KR-800S Auto Keratometry-Refractor with Subjective & Glare Testing

MTR #

MINIMUM TECHNICAL REQUIREMENTS

(MTRS) and Justification

METHOD OF EVALUATION

VENDOR’S PROVIDE PAGE # WHERE EACH MTR IS MET IN YOUR TECHNICAL LITERATURE

Characteristic: Must have Refractive Measurement Ranges below:

Sphere Range: 25 to +22D (0.12D/0.25D steps) Cylinder Range: 0D to 10D (0.12D/0.25D steps) Axis Range: 0°to 180° (1°/5° steps) Min. Measurable Pupil Diameter: 2mm Justification: This device helps perform a quick screening and provides several exams and subjective testing. All of these specifications are necessary to use this device as intended in the spaces given. Some rooms may be less than optimal for all of the equipment needed for an eye lane. This device is like a one-stop-shop to perform a wide variety of functions and can be used for screening patients quickly to determine if further examination is required in a room with a full eye lane.

Literature Review

Characteristic: Must have Measurement/Corneal Curvatures below:

Corneal Curvature Radius: 5.00mm to 10.00mm (0.01mm display unit) Corneal Refraction: 67.50D to 33.75D(0.12D/0.25D steps) Refraction Index: 1.3375 Corneal Astigmatism: 0D to 10D (0.12D/0.25D steps) Corneal Astigmatism Axial Angle: 0 to 180° (1°/5° steps) Justification: This device helps perform a quick screening and provides several exams and subjective testing. All of these specifications are necessary to use this device as intended in the spaces given. Some rooms may be less than optimal for all of the equipment needed for an eye lane. This device is like a one-stop-shop to perform a wide variety of functions and can be used for screening patients quickly to determine if further examination is required in a room with a full eye lane.

Literature Review

Characteristic: Must accommodate pupillary distance from 20mm to 85mm with a 0.5mm display unit Justification: This ensures accuracy as the clinician seeks proper alignment of the Lense to the patient's eye. The intent of this device is to be used as an all-in-one screening tool and having to use a separate piece of equipment defeats this purpose.

Literature Review

Characteristic: Must have capability to conduct glare testing Justification: Some devices may not contain this feature. The intent of this device is to be used as an all-in-one screening tool and having to use a separate piece of equipment to conduct glare testing defeats this purpose.

Literature Review

Characteristic: Must have the capability for subjective testing (this is where the clinician asks the patient what they can see and refines the settings on the device in response to the patient's answers). Justification: Some devices may not contain this feature. The intent of this device is to be used as an all-in-one screening tool and having to use a separate piece of equipment to conduct glare testing defeats this purpose.

Literature Review

LINE-ITEM NUMBER - 17

ITEM NAME: Topcon AIT-16A with Single Top

Purpose: This is the table that supports the auto refractor. It enables the auto refractor to be maneuvered into position for use with the patient.

LINE-ITEM NUMBER - 17

ITEM NAME: Topcon AIT-16A with Single Top

MTR #

MINIMUM TECHNICAL REQUIREMENTS

(MTRS) and Justification

METHOD OF EVALUATION

VENDOR’S PROVIDE PAGE # WHERE EACH MTR IS MET IN YOUR TECHNICAL LITERATURE

Characteristic: Table must accommodate auto-refractor requirements listed on LIN 16. Justification: The table must support the device with the capabilities listed including accommodating the instrument and the patient. For example, it must be adjustable to accommodate wheelchair bound patients, etc. The table and device must work together.

Literature Review

Characteristic: Must have the capability for subjective testing (this is where the clincian asks the patient what they can see and refines the settings on the device in response to the patient’s answers). Justification: Some devices may not contain this feature. The intent of this device is to be used as an all-in-one screening tool and having to use a separate piece of equipment to conduct glare testing defeats this purpose.

Literature Review

LINE-ITEM NUMBER - 18

ITEM NAME: Keeler PSL1 Portable Slit lamp with sturdy/hard carrying Case

Purpose: This is a portable slit lamp for use in situations where the patient cannot be maneuvered into position of a normal slit lamp in an exam room (i.e. bedridden patient)

LINE-ITEM NUMBER - 18

ITEM NAME: Keeler PSL1 Portable Slit lamp with sturdy/hard carrying Case.

MTR #

MINIMUM TECHNICAL REQUIREMENTS

(MTRS) and Justification

METHOD OF EVALUATION

VENDOR’S PROVIDE PAGE # WHERE EACH MTR IS MET IN YOUR TECHNICAL LITERATURE

Characteristic: Must have 2 magnifications which are controllable by the clinician Justification: This is a portable device used for examining the cornea which requires an adjustment of less or more enabling the clinician to move back and forth between magnifications. For instance, this is useful for examine scratches in the cornea.

Literature Review

Characteristic: Must be portable. Justification: The portable device is used when patient limitations inhibit the patient from being placed in a normal slit lamp for examination. For instance, a bed-bound patient that cannot be maneuvered into position for using a normal slit lamp.

Literature Review

Characteristic: Must have a hard case. Justification: The portability of the device increases risk of damage. The hard case is required to protect the equipment during transport and storage.

Literature Review

LINE-ITEM NUMBER - 19

ITEM NAME: Retinomax K Plus 5 HH Auto Refractor/Keratometer

Purpose: This is a portable device used to determine refraction, etc. for patients that cannot be maneuvered into position for use of the normal auto refractor in the eye lane.

LINE-ITEM NUMBER - 19

ITEM NAME: Retinomax K Plus 5 HH Auto Refractor/Keratometer

MTR #

MINIMUM TECHNICAL REQUIREMENTS

(MTRS) and Justification

METHOD OF EVALUATION

VENDOR’S PROVIDE PAGE # WHERE EACH MTR IS MET IN YOUR TECHNICAL LITERATURE

Characteristic: Must support the following Measurement Ranges:

Pupil size: 2.0 mm – 12 mm Radius curvature of 5.00 – 11.00 mm Corneal astigmatism: 0 – 12.00D Axis: 0 – 180° Residual astigmatism range: 0 – 12.00D Residual astigmatism axis: 0 – 180° Justification: The device must accommodate these measurements to ensure proper diagnosis and prescription, etc. Devices that cannot measure these ranges inhibit the clinician’s ability to perform correct diagnosis and prescription.

Literature Review

Characteristic: Must have view finder angle changeable from 0 to 135°. Justification: The portable device is used when patient limitations inhibit the patient from being placed in a normal slit lamp for examination. For instance, a bed-bound patient that cannot be maneuvered into position for normal examination. This range enables the clinician to maneuver the device into a very broad array of positions, regardless of the orientation of the patients head (i.e. the patient is not able to move their head to the machine) to conduct the examination. Or it enables the clinician to target the pupils in confined spaces where it is not possible to be directly in front of the patient.

Literature Review

Characteristic: Must have battery power capability of at least 180 minutes Justification: Battery power supports efficient use so clinicians don't have to hunt for outlets in a given room, but can immediately begin using the device which improves clinic efficiency. 180 minutes is long enough to support more than one examination per use.

This is the start of the file's text. The full file is on GovTribe.

File details come from the government source that posted it. Updated Apr 17, 2024.