Amendment 5 Attachment A - Scope of Work Ultrasound.docx

Attachment A – Scope of Work Ultrasound

A. Ultrasound Unit:

Contractor to include delivery, installation, testing, set-up and service requirements for the procurement for 4 ultrasound units for the Phoenix Indian Medical Center (PIMC). The System shall be Food and Drug Administration (FDA) approved and be on the Vista Imaging Digital Imaging and Communications in Medicine (DICOM) Modality Interfaces list dated August 1-31, 2022 (Attachment C - Vista Imaging DICOM Modality Interfaces August 1-31, 2022). It must interface with Vista Imaging and Vista Rad, which are supported by the Veteran’s Administration. Descriptions herein describe the minimum system requirements to be provided by the Contractor, which if properly configured and installed, shall utilize ultrasound to create diagnostic images in the medical treatment of PIMC patients. These systems shall be utilized by Registered Medical Instrument Technologist (Sonographer) and Radiologists. The contractor shall provide connectivity with Vista Rad and Vista Imaging Picture archiving and Communication System (PACS). The contractor shall demonstrate with the Contracting Officer Representative (COR) that the system has connectivity and is functioning.

Below is the manufacture and model to include salient characteristics and is listed in accordance with *52.211-6 Brand Name or Equal.

I. EQUIPMENT:

A. Ultrasound Unit Quantity: 4 Units Manufacturer: Siemens Model: Acuson Sequoia

Salient Characteristics:

1. Ultrasound unit.

2. Keyboard

3. OB software and license for biometric measurements of fetus (CRL, BPD, HL, HC, AC and FL), including software for automated measurements.

4. CD/DVD drive for exporting images on CD/DVD. CD/DVD drive must be able to save images to CD/DVD for the purpose of transferring patients to another medical facility. Saved CD/DVD images must be accessible to all medical facilities to open and read.

5. Protective cover for entire unit. (plastic).

6. Standard penetrating probes for patients under 300 lb.

7. Deep penetrating probes for greater than 300 lb patients, up to 400-500 lb patients.

8. Trophon-compatible probes (preferred).

9. 1 TB hard drive (SSD)

10. Unit must be on wheels.

11. 5C1 CP (Curvilinear transducer), one for each unit.

12. 14L5 CP (Linear transducer) one for the order (only 1)

13. 15L4 CP (Linear transducer) one for each unit; if approved and available. If not approved, substitute 18L6 (Linear transducer) one for each unit.

14. 10L4 CP (Linear transducer) one for each unit.

15. 10EV (Endocavity transducer) two for the order (only 2)

16. 9VE4 (Endocavity 4D transducer) Two for the order (only 2)

17. DAX (Curvilinear transducer) one for each unit.

18. 7L2 (Linear transducer) one for the order (only 1)

19. Gesture detecting software.

20. DICOM Query/Retrieve

21. DICOM Send and Print

22. Power Surge Protection and Uninterrupted Power Supply

The contractor will provide and install Power Surge Protection and Uninterrupted Power Supply with each unit. The intent of the Power Surge Protection and Uninterrupted Power Supply is to protect the equipment from unintended damage to the equipment. Power surges may include lightning strikes, PIMC generator testing, city power electrical fluctuations, or any other cause of a power surge.

Contractor will recommend the unit size needed and install the units. Power Surge Protection and Uninterrupted Power Supply is required for three units in the Radiology Department. The other two units for Medical Surgical and Women’s clinic will not require a Power Surge Protection and Uninterrupted Power Supply.

23. In addition, the units the features below are minimum requirements:

I. DICOM – VA Vista Rad and Vista Imaging compatible; DICOM Worklist display II. Windows 10 or Unix;

III. Hard copy and digital copy, if available, of the original OEM System manuals, software CD/DVDs, schematic drawings, and any additional OEM documents;

IV. Attachment C - Vista Imaging DICOM Modality Interfaces August 1-31, 2022.

V. Complete the Indian Health Service Network Interconnection Security Agreement (ISA) for remote access.

24. Options

The following are options to be included with quote. The government may exercise any of the below options up to 1 year after award. Each item is to be priced individually. Government may order 1, 2 or 3 units separately, as noted per line item.

a. 14L5 CP (Linear transducer) QTY: 1 to 3 units

b. 15L4 CP (Linear transducer) QTY: 1 to 3 units

c. 18L6 (Linear transducer) QTY: 1 to 3 units

d. 10EV (Endocavity transducer) QTY: 2 unit

e. 9VE4 (Endocavity 4D transducer) QTY: 1 to 3 units

f. 7L2 (Linear transducer) QTY: 1 to 3 units

g. Needle Guide Set 9EC4 QTY 1 to 3 units

h. Virtual Touch Abdomen and DAX Curvilinear Transducer (Gesture Detecting) QTY 1 to 3 units

i. 9EC4 (Endocavity transducer) QTY 1 to 2 units

25. 3D Ultrasound Capability (One Ultrasound unit) One ultrasound unit for the Women’s Clinic (OB/GYN) will require 3D capability in addition to the specifications listed above. The following is required:

One 3D OB Probe (9EC4 Transducer) One 3D OB/GYN software package

26. Ultrasound Units

- 3 ultrasound units are for Radiology

- 1 ultrasound unit is for Women’s Clinic (OB/GYN)

*52.211-6 Brand Name or Equal (Aug 1999)

(a) If an item in this solicitation is identified as “brand name or equal,” the purchase description reflects the characteristics and level of quality that will satisfy the Government’s needs. The salient physical, functional, or performance characteristics that “equal” products must meet are specified in the solicitation.

(b) To be considered for award, offers of “equal” products, including “equal” products of the brand name manufacturer, must-

(1) Meet the salient physical, functional, or performance characteristic specified in this solicitation;

(2) Clearly identify the item by-

(i) Brand name, if any; and

(ii) Make or model number;

(3) Include descriptive literature such as illustrations, drawings, or a clear reference to previously furnished descriptive data or information available to the Contracting Officer; and

(4) Clearly describe any modifications the offeror plans to make in a product to make it conform to the solicitation requirements. Mark any descriptive material to clearly show the modifications.

(c) The Contracting Officer will evaluate “equal” products on the basis of information furnished by the offeror or identified in the offer and reasonably available to the Contracting Officer. The Contracting Officer is not responsible for locating or obtaining any information not identified in the offer.

(d) Unless the offeror clearly indicates in its offer that the product being offered is an “equal” product, the offeror shall provide the brand name product referenced in the solicitation.

1. INSTALLATION

Contractor shall include installation to be performed by an OEM-certified service and installation engineer(s) to ensure a safe and functional installation. In addition, the contractor shall send out an OEM Project Manager to verify installation, certify that the room air conditions, room size, electrical and flooring will support the new proposed unit. This will take place one week after award or at a mutually agreed upon time with the COR.

A. Contractor shall provide equipment installation schedules to include all lead times and milestones;

B. Install all ultrasound templates and Powerscribe (Nuance) and Modlink set up. The government currently has a contract for both Powerscribe (Nuance) and Modlink. Contractor is to troubleshoot any issues and resolve problems with connectivity or transmission issues with the Powerscribe and Modlink systems. Ultrasound Templates shall be reviewed with the Chief Radiologist and agreed to before loaded and installed.

C. Contractor shall test the Modlink to include all templates and OB templates to ensure the new ultrasound unit successfully transmits all data to the Radiology Powerscribe package. This includes all data from ultrasound unit populates in the right data filed in Powerscribe.

D. Installation shall include commissioning start-up and that all functions of the ultrasound units are working. Demonstrate to the COR and PIMC Information Technology Department that the units are communicating with Vista Imaging and Vista Radiology, PACS; that units can create CDs and send images to PIMC Tele-Radiology contractor. Demonstrate that all templates from Modlink are correctly transmitting AND populating data fields in Powerscribe. Copy of system setting shall be saved to disk for future system configurations.

2. TRAINING

The purpose of this section is to understand the supplemental vendor Training Program fees throughout and after this procurement. The training audience shall include Medical Instrument Technologists (Sonographers), Radiologists and supporting imaging staff within the institution. PIMC seeks the costs of onsite training that follows the initial equipment install, in addition to the supplemental training to include distance learning, computer-based training, and/or web meetings.

Contractor training programs include the following minimum requirements:

A. Five (5) ten-hour days of onsite training for Radiologists and (4) four Medical Instrument Technologists (Sonographers) on the system and all components following the initial installation and acceptance testing for

a. As a minimum, training should include: applications training, emergency shutdown procedures, any proprietary QA/QC testing procedures, and system administrative configuration procedures;

b. Ten-hour days are Monday through Friday from 8 am to 6:30 pm.

B. Follow up training five (5) ten-hour days of onsite training for Radiologists and (4) four Medical Instrument Technologists (Sonographers) on the system and all components following the initial training, at a time at the discretion of the government within 12 months of installation:

a. As a minimum, training should include: applications training, emergency shutdown procedures, any proprietary QA/QC testing procedures, and system administrative configuration procedures;

b. Ten-hour days are Monday through Friday from 8 am to 6:30 pm.

2. Contractor shall also include access to web-based training for 12 months for Medical Instrument Technologists (Sonographers) and Radiologists.

C. Five (5) ten-hour days of onsite training on the system and all components following integration to Radiology Information System Package (RPMS) and PACS and/or as needed for advanced follow-up training for (4) four Medical Instrument Technologists (Sonographers), Radiologists, and PIMC PACS Administrator:

a. As a minimum, training should include: DICOM (MDWL, Store, Query/Retrieve, and Print) functionality training, applications training, any proprietary QA/QC testing in digital environment, and system administrative configuration procedures;

b. Ten-hour days are Monday through Friday from 7 am to 5:30 pm.

D. Training associated with proprietary Service Repair call systems, if applicable.

D. 12 months (unlimited) Remote/Online/Web training as needed.

E. Training off-site at contractor’s training facility for (4) four Medical Instrument Technologists.