P01_SOW_Boothless Audiometry.docx

Statement of Work Natus Sensory Boothless Audiometry and Components Eastern Colorado Health Care System Aurora, CO 3 Apr 2026

1. PURPOSE

1.1. The purpose of this requirement is to deliver Sensory Boothless Audiometry and components to the VA Eastern Colorado Health Care System, located at 1700 N. Wheeling Street, Aurora, CO 80045.

2. SCOPE

2.1. The Contractor shall deliver all items listed in section 2.5.

2.2. All items must meet all salient characteristics defined in section 2.5.

2.3. The Contractor shall furnish all personnel, supplies, and equipment required for delivery.

Technical Specifications/Salient Characteristics:

· MADSEN Astera2 P/N 8-04-13402 OR EQUIVALENT

· Channels: Two separate and identical channels

· Test Modalities: Tinnitus module, Advanced audiometry options (TEN and SAL tests), Speech tests.

· Frequency Range:

· TOH39 earphones: Standard frequencies: 125 • 12500 Hz

· HOA 300 earphones: Standard frequencies: 125 • 20000 Hz

· Insert earphones: Standard frequencies: 125 • 8000 Hz

· BC: Standard frequencies: 250 • 8000 Hz

· SF: Standard frequencies: 125 • 20000 Hz

· FRESH noise stimuilus: Available in entire frequency range within the transducer specified range.{for SF 125 • 12500 Hzi Accuracy 0.3%

· Narrow Band Noise masking: Available in entire frequency range

· Frequency resolution: 1/48, 1/24, 1/12, and 1/6 act, 1 Hz step

· Stimulus types: Fresh Noise: Frequency--specific hearing assessment noise. Consists of noise bands, with frequency-specific filter width. The FRESH noise is filtered to obtain very steep slopes outside the passband.

· Masking Types:

· AC and BC: Narrow Band Noise (Correlated}, Speech Weighted Noise (Correlated), White Noise (Wide band noise) {Co,related)

· SISI: S, 2, 1 dB increments

· Accuracy of sound level:

· AC: 12S to sooo Hz: +-3 dB, 5000 to 20000 Hz: +-5 dB

· BC: 2SO to sooo Hz: +-4 dB, 5000 to 8000 Hz: +-5 dB

· Level resolution: 1, 2, or S dB step resolution over the entire range

· HL Range:

· AC: •10 to 120 dB HL (SOO to 4000 Hz; supra-aural earphones)

· BC: •10 to 80 dB HL (lSOO to 3000 Hz; mastoid placement)

· SF: 103 dB HL (Note: with external amplifier)

· Total harmonic distortion:

· Air: <2.5%

· Bone: <5%

· Selectable transducers:

· AC: TDH39, HOA 300, and Insert Earphones

· BC: Bone vibrator (Mastoid/ Forehead)

· SF: Passive sound field speaker, using the built in amplifier in MADSEN Astera 2, or Sound field speaker with built in amplifier or external amplifier, with both types using the line output from MADSEN Astera 2

· Outputs:

· AC: 3 x 2 mono jacks, ¼”

· BC: 2 x mono jacks, ¼”

· SF power output: 5 x terminals, 5 x 40 W peak, 80 load

· SF line output: 3x mini XLR 6 pin, 5 x +6 dBu, balanced

· External Output:

· CO/Analog line in: 0.2 to 2.0 Vrms, 10 kΩ 2 x RCA phone

· Talk Back microphone: Electret microphone, Input voltage: 0.002 to 0.02 Vrms, Input resistance: 2.21 kΩ, 3.5 mm jack

· Stimulus presentation:

· Normal: The signal is presented when the Stimulate button is press.ed.

· Continuous ON: The signal is interrupted when the Stimulate button is press.ed.

· Pulse: The signal is pulsed.

· Pulse duration: 225 ms on and 22S ms off (default).

· Operator accessories: monitor speaker, headset-headphones, boom microhone, desktop microphone, assistant monitor headset.

· USB port connector: USB 2.0, Full-speed (12 Mb/s)

· Dimensions: Approx. 325 x 255 x 60 mm (12.8 x 10 x 2.4 inches)

· Weight: Approx. 1.3 kg (2.85 lb}

· Power Supply: OUtput: 24 V DC, 3.75 A, Input: 100-240 V AC, 50-60 Hz, 1.5 A - 0.75 A and output: 24 v DC, 3.33 A max, Input: 100-240 V AC, 47-63 Hz, 1.1 A - 0.45 A.

· Power Consumption: <90 VA

· 1066 ACP ASTERA 2 P/N 8-69-40800 OR EQUIVALENT

· MISCO Speaker P/N 8-75-1550 OR EQUIVALENT

· Full range speaker

· 8 inches diameter

· Cone material paper or polypropylene

· Frame materal stamped steel

· Nominal impedence 8 ohms

· Power handling 30 watts

· Frequency response 60 Hz-13,000 Hz

· Mounting depth 2.75 inches

· Mounting holes typicalle 4, onb 8.125” diameter bolt circle

· Magnet weight 6 oz ferrite

· Voice cooil diameter 1”

· 1066 CD Quicksin Material US P/N 8-49-91300-KIT OR EQUIVALENT

· Audiological test tool CD used to evualte a ptients ability tocomprehend speech in noisy environments widely used in VA Audiology clinics

· 1081 PMM CS W-HI-PRO US P/N 8-04-14546 OR EQUIVALENT

· Standard hardware interface used in hearing aid programming and verification uses PMM (Probe Microphone Measurement) system

· AuDX Pro FLEX P/N 025884 OR EQUIVALENT

· Must be compatible with Otometrics

· Multifunction Modular Design: Combine tympanometry, otoacoustic emissions (OAE), and audiometry (air, bone, speech) in a single, compact device.

· Tympanometry Features:

· Supports screening and diagnostic, including multi-frequency probe tones (226, 678, 800, 1000 Hz) and ETF/PE-tube testing.

· Displays 3D tympanograms, includes middle-ear reflex testing.

· Dimension: ca. 150 x 210 x 45 mm, 5.9 x 8.2 x 1.8 inches

· Weight: ca. 475 g, 16.7 oz

· Display properties: 240 x 320 pixel, graphic LCD, resistive touchscreen (can be used with gloves) Size: 5.0".

· Maximum power consumption: 2W

· Output rating of power supply units: 9-12 V, 0.4A

· Rechargeable battery pack: 3.7 V Li-Ion

· Bio-logic Diagnostic DPOAE License for Flex P/N 8-69-45611 OR EQUIVALENT

· Software license add-on that enablr Diagnostic DPOAE )Distortion Product Otocoustic Emmission) testing functionality on compatible Bio-logic system

· RE-VO2 Video Otoscope +Cradle P/N 4300103540 OR EQUIVALENT

· Handheld digital otoscope for visulazing and capturing images/video of ear canal and tympanic membrane

· Includes charging and storage cradle for recharging and desktop use

· Imaging sensor high resolution CMOS (typicall > 720p HD)

· Integrated LCD display 2-3” screen OR live video output to external monitor

· Focal length zoom

· Still photo and video modes saves to internal memory or USB

· Rechargeable Li-ion battey greater than 2 hours operating per charge

· 4mm single-use specula P/N C10000083 OR EQUIVALENT

· Disposable single use ear specula designed for use with compatible otoscopes

· Size 4mm internal diameter at distal end

· Length typically 25-40 mm

· Medical grade polypropylene material

· Color black or grey

· Non sterile

2.6.1. DELIVERY

2.6.1.1. Delivery Timeframe: within 30 days of award unless specified differently within scope of contract.

2.6.1.2. Delivery Location: Contractor shall deliver all equipment to the Eastern Colorado Health Care System, 1700 N. Wheeling Street, Aurora, CO 80045

2.6.1.3. Delivery Markings: Contractor shall deliver items in manufacturer's original sealed containers with manufactures’s name marked thereon. Deliveries shall be marked with the PO and contract number.

2.6.1.4. Delivery and Installation will be coordinated through the On-Site Point of Contact (POC). POCs for delivery and install are:

2.7. OPERATION AND MAINTENANCE MANUALS

2.7.1. Binders - Quantity (2) each for items identified in section 2.5

2.7.2. Digital Copies - Quantity (1) each for items identified in section 2.5.

2.7.3. Deliver compilation of all manufacturer recommended maintenance schedule and operation materials packaged in binder(s) to On-Site Point of Contact upon completion of installation.

3.1. SECURITY REQUIREMENTS

3.1.1. Security background checks are not required.

3.2. WARRANTY

3.2.1. The contractor shall provide all manufacturer(s) warranties on all parts and labor at time of delivery.

3.2.2. The warranties shall include all travel and shipping costs associated with any warranty repair.