Statement of Work.docx

USNS Comfort

( TAH 20 )

ABSTRACT

The purpose of this item is to repair, the RADIOGRAPHIC/FLUOROSCOPIC SYSTEM, ANGIOGRAPHY/INTERVENTIONAL located onboard USNS Comfort

REFERENCES/ENCLOSURES

References: None Enclosures: None

ITEM LOCATION/DESCRIPTION

Location/Quantity Locations OR Room 6

1.1.1 Quantity: 1 EA

Item Description/Manufacturer's Data

RADIOGRAPHIC/FLUOROSCOPIC SYSTEM, ANGIOGRAPHY/INTERVENTIONAL

Manufacturer: GE Medical Systems Model: Innova 4100

S/N: PG36BF1

Site ID: INNOVA 4100

ECN: 093347

GOVERNMENT/CONTRACTOR FURNISHED EQUIPMENT/MATERIAL/SERVICE:

GOVERNMENT FURNISHED EQUIPMENT: None

CONTRACTOR FURNISHED EQUIPMENT:

Live Monitor cable, power, video and ground Roadmap Monitor cable, power, video and ground Monitor without stand Mavig Double LCD Monitor Coolix 4000 Pump only kit SPARE PART

NOTES

The contractor and all subcontractors, regardless of tier must consult the General Technical Requirements (GTR) to determine applicability to this work item. In performance of this work item, the contractor and all subcontractors regardless of tier must comply with the requirements of all applicable GTRs including but not limited to GTRs 1 through 7, 22, 23, 24, 28, and 29.

The contractor and all subcontractors regardless of tier are advised to review other work items under this contract to determine their effect on the work required under this work item. Many of the definitions relating to performance of this work item are found in Work Item 0001.

QUALITY ASSURANCE REQUIREMENTS: None additional

STATEMENT OF WORK REQUIRED

Provide the services of a Field Service Technician from GE Healthcare to accomplish repairs for the Innova 4100 located onboard USNS Comfort.

Conduct an initial assessment of the Innova to verify the symptom.

Remove or lock monitor arm in place in accordance with manufacturers recommendations. If locking the arm in place, ensure that the arm placement is safe for use for staff and patients.

Remove all cabling and broken parts/monitors.

Install new cabling and monitors. Ensure new cabling is secured in a conduit and away from patients and staff.

Conduct repairs to cooling pump using Coolix 4000 Pump only kit SPARE PART provided as CFM.

Perform a safety inspection to ensure compliance with operational standards.

Provide a detailed report summarizing the diagnosis, repairs made, and testing outcomes.

Perform functional test to ensure unit functions as designed and is able to send and store images to WebMed.

1.2 Reports

When inspection, service and testing reveal any deficiency a condition report is to be submitted to the OMT REP with recommended repairs and parts required. Submit one electronic copy in Portable Document Format (PDF).

Submit a report that includes "as released" condition of the Angio unit.

Record nameplate data for equipment, such as Make, Model, Serial Number, Capacity, Location, and Noun Name used for identification..

Manufacturer's Representative Provide the services of an OEM authorized field service representative to accomplish all work and testing on the RADIOGRAPHIC/FLUOROSCOPIC SYSTEM, ANGIOGRAPHY/INTERVENTIONAL ensuring compliance with the manufacturer's standards and performance specifications.

Mandatory Source GE Healthcare Michael Mish michael.misch@gehealthcare.com 414-405-3623 Preparation of Drawings: None GENERAL REQUIREMENTS: None additional 0701 - 7