S02 - ATTACHMENT 1 - Revised SOW - Omaha Pkg 56 - v2.1 6.11.20.pdf

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VA Nebraska-Western Iowa Healthcare System Initial Outfitting, Transition &

Activation

Statement of Work

Package 56 – Surgical Instrument Sets

VA Nebraska-Western Iowa Healthcare System

4101 Woolworth Avenue Omaha, NE 68105

Ambulatory Care Center Project

V2.1 June 11, 2020

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INTRODUCTION

Veteran Affairs Nebraska-Western Iowa Healthcare System (VANWIHS) has a requirement to purchase Package 56 – Surgical Instrument Sets with an authorized vendor to supply and deliver the item(s) identified in Table 1 below. This is in support of a brand name or equal. Karl Storz is the basis for design. See salient characteristics below. This requirement is in support of the activation of VA Nebraska-Western Iowa Healthcare System Ambulatory Care Center. The new Ambulatory Care Center has the need for Surgical Instrument Sets for surgical use in the new Operating Rooms.

Table 1 – Package Items Summary

CLIN JSN Item Description Qty

0001 U0098 Bowel Grasper Set 4

0002 U0099 Endo Ear Lens Set 4

0003 U00100 Endrobrow Set 2

0004 U0101 ENT Lens Set 2

0005 U0103 ENT Plastic Micro Set 1

U0104 Esophagoscopy and Bronchoscopy Sets 2

U0105 Marchal Complete Set 2

U0106 Micro Laryngeal Set 2

U0107 Myringotomy Set 2

U0108 New Sinus Endoscopy Set 1

0011 U0109 Plastic Set 1

0012 U0110 Septoplasty Set #1 2

0013 U0111 Typanomastoid Set 4

Additional Item Requirements

For all Surgical Instrument Sets the vendor shall provide user manuals that describe proper use, care, and cleaning for users of the equipment.

In addition, the vendor shall provide service manuals that include theory of operation, maintenance requirements, repair information, schematics, part lists, and troubleshooting information in electronic format for use by the VA Biomedical Engineering Department.

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Date of manufacture shall not be greater than two (2) years before the purchase order date. The equipment shall not be used or refurbished and shall have the latest manufacturer’s software/hardware updates installed. Any batteries provided with the unit shall not be manufactured more than 12 months before the purchase order issue date.

GENERAL CONDITIONS

Site Address

The address of the VA Nebraska-Western Iowa Healthcare System Ambulatory Care Clinic is provided below.

Delivery Schedule

Items shall be delivered no earlier than the estimated delivery start date and no later than the delivery end date listed in Table 2 below. The site requires initiation of the project management support of this contract immediately in order to coordinate the construction engineering required to support the VA construction management team guiding the site contractor.

Table 2 – Anticipated Building Outfitting Schedule

Building Name Building # & Letter

Acronym Est. Delivery Start Date Est. Delivery End Date

Ambulatory Care Center 4101 31 JULY 2020

Schedule and Order Management

2.3.1 The above delivery schedule is based upon the current construction schedule due to the nature of activation efforts and construction. Timelines and dates may vary and shift. Delivery dates shall be flexible.

The delivery of items for installation are dependent upon the completion of applicable areas within the building. If there is a delay, the Contractor may be required to adjust the delivery date at no cost to the Government. The Contractor will coordinate with the on-site POC’s before delivery.

2.3.2 Actual delivery dates will be confirmed by the VA upon award.

2.3.3 Post-award, the vendor shall coordinate delivery identified in this document with the VANWIHS prior to beginning any work (See Section 2.4). Once the dates have been confirmed, modifications to the schedule are subject to written approval by the CO, COR, and the vendor only.

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Delivery and Receiving

2.4.1 Delivery and receipt of the proposed items is anticipated to be directed to the location identified below. Confirmation of delivery location will be provided post-award. To coordinate delivery, contact Government POC Mark Stockstell at (402) 995-5847, mark.stockstell@va.gov, Colin Beal at (402) 930-7775, colin.beal@va.gov, Dan Thompson at (785) 477-2820, dan.thompson@sme-solutions.com, and Robert Stonerook at (706) 304-7194, Robert.stonerook@sme-solutions.co.

☒ VANWIHS Omaha VA Ambulatory Care Clinic (Direct Delivery to address detailed in paragraph 2.1.1) Special Note: There is no loading dock available at this location. All delivery vehicles must be equipped with a “Tommy Gate” type lift to facilitate unloading to ground level.

☐ IOT&A Contractor-Provided Warehouse Local to the VANWIHS SME Solutions Warehouse:

Attn: SME Solutions-VA Project Gratton Warehouse Co.

11005 E Circle Omaha, NE 68137

2.4.2 The vendor is required to define the need for a staging area to accommodate item delivery, if needed. Post-award, this information will be confirmed with the vendor.

2.4.3 The delivery of items identified in this document shall take place during normal loading dock business hours which are defined as: 8:15 AM to 3:00 PM Central Standard Time, Monday through Friday, and excluding Federal Holidays.

2.4.4 Delivery trucks will not be permitted to remain at the loading dock. Trucks shall be unloaded, moved from the dock, and then brought back to the dock if required to haul out any waste, tools, or excess materials.

2.4.5 Labeling of delivered items shall include the VA facilities contract number and VA purchase order number for identification and reference upon receipt of product.

Use of Warehouse

If the vendor requires the use of the Government’s activation contractor’s warehouse to meet the requirements of this contract the vendor must provide a certificate of insurance prior to the delivery and offloading of the item(s). This insurance certificate must be completed and presented to the activation contractor prior to delivery.

The vendor shall communicate through the VA and IOT&A POC any required coordination requirements.

mailto:mark.stockstell@va.gov mailto:colin.beal@va.gov mailto:dan.thompson@sme-solutions.com mailto:Robert.stonerook@sme-solutions.co

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Clean Up and Disposal

2.6.1 There are no dumpsters available for vendor use.

2.6.2 The removal of waste and/or excess material shall be conducted through the loading dock area.

Assembly and Installation Required (Yes ☐ No ☒)

SCOPE OF WORK

*NOTE: See attached brand name reference sheet (ATTACHMENT 1 to SOW – Karl Storz Product Reference Sheet). The items on the attached are for reference purposes only. They do not represent the brand the Government requires. They are the brand name items identified as the basis of design to allow vendors to provide an “or equal.” Click the blue text below to link to the appropriate page for the salient characteristics.

Section Item Description Page #

3.1.1 JSN U0098 Bowel Grasper Set 6

3.1.2 JSN U0099 Endo Ear Lens 7

3.1.3 JSN U0100 Endobrow Set 8

3.1.4 JSN U0101 ENT Lens Set 9

3.1.5 JSN U0103 ENT Plastic Micro Set 10

3.1.6 JSN U0104 Esophagoscopy & Bronchoscopy Sets 11

3.1.7 JSN U0105 Marchal Complete Set 11

3.1.8 JSN U0106 Micro Laryngeal Set 13-14

3.1.9 JSN U0107 Myringotomy Set 15

3.1.10 JSN U0108 – New Sinus Endocopy Set 16-18

3.1.11 JSN U0109 Plastic Set 18-19

3.1.12 JSN U0110 Septoplasty Set #1 20-22

3.1.13 JSN U0111 Typanomastiod Set 23-26

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JSN Nomenclature: JSN U0098 – Bowel Grasper Set

Salient Characteristics:

• All instruments must be made of surgical grade stainless steel, unless otherwise specified

• All instruments are requested to be etched for use with Censitrac

• CLIN 0001 in “Table 1 – Package Items Summary” on page two (2) of this SOW represents a set and the set shall include an item comparable to the following:

o Fenestrated, Double-Action, Bowel Grasper Forceps, approximately 5 mm x 43 cm (Variance: +/- 2 UOM) o Insulated Outer Tubes, approximately 5 mm x 43 cm (Variance: +/- 2 UOM) o Plastic Handle Disengageable Ratchets

3.1.1 VA Nebraska-Western Iowa Healthcare System U0098

☐ Finish BMET Sample Required if Checked ☐ Manufacturer Certified Installation Required if Checked ☐ Training Required if Checked ☐ End User Training Required if Checked

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JSN Nomenclature: JSN U0099 – Endo Ear Lens Set

• All instruments must be made of surgical grade stainless steel, unless otherwise specified

• All instruments are requested to be etched for use with Censitrac

• CLIN 0002 in “Table 1 – Package Items Summary” on page two (2) of this SOW represents a set and the set shall include an item comparable to the following:

o Autoclavable 0o Sinus Telescope, approximately 2.7 mm x 11 cm o Autoclavable 30o Sinus Telescope, approximately 2.7 mm x 11 cm o Autoclavable 30o Sinus Telescope, approximately 1.9 mm x 10 cm o Sterilization trays for four (4) sinus telescopes and light cable compatible with the above items that fulfill CLIN 0002 set o Twelve (12) silicone telescope holders for two (2) scopes up to 4 mm (to be compatible with the above items that fulfill CLIN 0002 set)

3.1.2 VA Nebraska-Western Iowa Healthcare System U0099

☐ Finish Sample Required if Checked ☐ Manufacturer Certified Installation Required if Checked ☐ BMET Training Required if Checked ☐ End User Training Required if Checked

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JSN Nomenclature: JSN U0100 – Endobrow Set

• All instruments must be made of surgical grade stainless steel, unless otherwise specified

• All instruments are requested to be etched for use with Censitrac

• CLIN 0003 in “Table 1 – Package Items Summary” on page two (2) of this SOW o 30o Wide Angle Autoclavable Telescope, approximately 4 mm x 18 cm o Optical Dissection with large Fenestrate Spatula for use with the 30o telescope above.

o Double-Action Curved Sheath Insert/Out Tube Scissors, approximately 5 mm x 18 cm o Heavy, Double-Action, Curved Insert/Out Tube Grasping Forceps, approximately 3 mm x 18 cm o Plastic Handle without Ratchet o Color-Coded, Sharp, Straight, Raspatory Spatula, COLOR: Red, 12 mm x 12 mm, approximate length 15 cm o Color-Coded, Sharp, Curved, Raspatory Spatula, COLOR: Red, 12 mm x 12 mm, approximate length 15 cm o Sharp Upper Part, Curved, Elevator, Distal End 90 o, width 9 mm, approximate length 15 cm o Hollow Grinding, Slight Bended, Elevator, approximately 8 mm x 15 cm

3.1.3 VA Nebraska-Western Iowa Healthcare System U0100

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JSN Nomenclature: JSN U0101 – ENT Lens Set

• All instruments must be made of surgical grade stainless steel, unless otherwise specified

• All instruments are requested to be etched for use with Censitrac

• CLIN 0004 in “Table 1 – Package Items Summary” on page two (2) of this SOW o Autoclavable 0o Telescope, approximately 4 mm x 18 cm o 30o Telescope, approximately 4 mm x 18 cm o Sterilization tray for two (2) small scopes up to 4 mm x 18 cm compatible with the above items that fulfill CLIN 0004 set o 100CC Stainless-Steel Medicine Cup, approximately 30 mm height, 80 mm diameter o Nasal Speculum, Adult, approximately 13 cm length o Serrated, Ear Dressing Forceps, approximately 14 cm length o Generic ENT Sterilization/Storage Tray, approximately 19.8” x 9” x 1.8”

3.1.4 VA Nebraska-Western Iowa Healthcare System U0101

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JSN Nomenclature: JSN U0103 – ENT Plastic Micro Set

• All instruments must be made of surgical grade stainless steel, unless otherwise specified

• All instruments are requested to be etched for use with Censitrac

• CLIN 0005 in “Table 1 – Package Items Summary” on page two (2) of this SOW o Serrated, Curved, Spring Action, Micro Scissors with Round Handle, approximately 14 cm length o Serrated, Straight, Spring Action, Micro Scissors with Round Handle, approximately 14 cm length o Serrated, Curved, Spring Action, Micro Needle Holder with Round Handle, approximately 18 cm o Serrated, Curved, Spring Action, Micro Needle Holder with Round Handle, approximately 14 cm o Double Layer Microlaryngeal Instrument Sterilization Tray, approximately 20.5” x 12.5” x 2”

3.1.5 VA Nebraska-Western Iowa Healthcare System U0103

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JSN Nomenclature: JSN U0104 – Esophagoscopy & Bronchoscopy Sets

• All instruments must be made of surgical grade stainless steel, unless otherwise specified

• All instruments are requested to be etched for use with Censitrac

• CLIN 0006 in “Table 1 – Package Items Summary” on page two (2) of this SOW represents a set and the set shall include an item comparable to the following:

o Esophagoscope, Oval, OD: 10x14 mm, approximate length 30 cm o Fiber Optic Light Carrier for 30 cm Esophagoscopes o Autoclavable Prismatic Light Deflector o Biopsy Forceps with Round Cup, Double-Action Jaws, approx. 2.5 mm o Insertable Suction Tube for 30 cm Esophagoscopes o Fiber Optic Light Carrier for Adult Bronch Tube, Outer Diameter approximately 2.7 mm o Adult Bronch Tube compatible with fiber optic light carrier above, size: 7.5, approximately 10.2 mm x 43 cm o Flexible, Stainless Steel Ruler, approximately 20 cm length o Adaptor with Sliding Window and Rubber Telescope Guide for Adult Scope o Rubber Telescope Guide compatible with Adult Scope o Glass Window Plug compatible with Adult Scope o Instrument Guide without Stem for Adult Bronchoscopes o Respirator Adaptor for Rigid Bronchoscope Tubes o Full Lumen Operating Bronch Tube with Vent Holes for Stents, Outside Diameter 14 mm, approximately 43 cm length o Autoclavable 0o Telescope, approximately 4.5 mm x 50 cm o Optical Forceps for Removal of Stents for/compatible with 0o Telescope o Full Lumen Operating Tracheo Tube without Vent Holes, OD: approximately 14 mm, 33 cm length o Full Lumen Operating Bronch Tube with Vent Holes, OD: approximately 12 mm, 43 cm length o Universal Adult Bronch Tube without Light Carrier, Vent Holes, Size approximately 8.5 mm, approximately 11.2 mm x 43 cm o Sterilization Tray for Adult Bronchoscope, approximately 25.5” x 9.5” x 5”

3.1.6 VA Nebraska-Western Iowa Healthcare System U0104

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JSN Nomenclature: JSN U0105 – Marchal Complete Set

• All instruments must be made of surgical grade stainless steel, unless otherwise specified

• All instruments are requested to be etched for use with Censitrac

• CLIN 0007 in “Table 1 – Package Items Summary” on page two (2) of this SOW represents a set and the set shall include an item comparable to the following:

o Autoclavable Marchal Mini-Sialendoscopy Irrig. Telescope, 0°, approx. 0.25 mm, 1.3 mm x 12 cm o Autoclavable Marchal Mini-Sialendoscopy Irrig. Telescope, 0°, approx. 0.20 mm, 0.89 mm x 12 cm o Autoclavable Marchal Mini-Sialendoscopy Irrig. Telescope, 0°, approx. 0.25 mm, 1.6 mm x 12 cm o Bougie, Outer Diameter approx. 1 mm for use with 0.4 mm Guide Wires o Bougie, Outer Diameter approx. 1.5 mm for use with 0.4 mm Guide Wires o Bougie for Sialendoscopy, 2 mm o Bougie for Sialendoscopy, 2.5 mm o Bougie for Sialendoscopy, 3 mm o Bougie for Sialendoscopy, 3.5 mm o Serrated, Angled, Dissecting Forceps, Length approx. 15 cm o Tissue Forceps, Angled, 1x2 Teeth, Length approx. 15 cm o Delicate Angled Scissors with Ball End, Length approx. 12.5 cm o Marchal Salivary Duct Probes, 2 each of sizes 0000, 000, 00, 0, 1, 2, 3, 4, 5, 6, 7, 8 o Salivary Duct Dilator, Length approx. 14 cm o Sialendoscopy Instrument Set Tray approx. 21.55” Length x 10.18” Width, 4.37” Height o Micro Burr for Salivary Stones, approx. diameter 0.38 mm o Salivary Duct Dilators, approx. 11.5 cm length, 2 each in the following sizes:

Size 1, approx. 0.5 mm to 0.8 mm

Size 2, approx. 0.7 mm to 1.0 mm

Size 2, approx. 0.9 mm to 1.2 mm

Size 2, approx. 1.0 mm to 1.6 mm

Size 5, approx. 1.3 mm to 1.8 mm

3.1.7 VA Nebraska-Western Iowa Healthcare System U0105

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JSN Nomenclature: JSN U0106 – Micro Laryngeal Set

• All instruments must be made of surgical grade stainless steel, unless otherwise specified

• All instruments are requested to be etched for use with Censitrac

• CLIN 0008 in “Table 1 – Package Items Summary” on page two (2) of this SOW o Kleinsasser Mini Forceps with Round 1mm Cup Jaws, Straight, approximate working length:23cm o Kleinsasser Mini Forceps with Round 1mm Cup Jaws, Curved Up, approximate working length:23cm o Kleinsasser Mini Forceps with Round 1mm Cup Jaws Curved Right, approximate working length:23cm o Kleinsasser Mini Forceps with Round 1mm Cup Jaws Curved Left, approximate working length:23cm o Kleinsasser Mini Alligator Grasping Forceps, Straight, approximate working length:23cm o Kleinsasser Mini Grasping Forceps Curved Right, Serrated, approximate working length: 23cm o Kleinsasser Mini Grasping Forceps Curved Left, Serrated, approximate working length: 23cm o Kleinsasser Mini Grasping Forceps Curved Up, Serrated, approximate working length: 23cm o Laryngeal Mini Grasping Forceps, Curved Up Right w/Triangular Fenstrated Jaws, approximate working length: 23cm o Laryngeal Mini Grasping Forceps, Curved Up Left w/Triangular Fenstrated Jaws, approximate working length:

23cm o Kleinsasser Laryngeal Scissors, Straight Horizontal Cutting, approximate Working Length, 23cm o Kleinsasser Mini Laryngeal Scissors, Straight, approximate Working Length, 23cm o Kleinsasser Mini Laryngeal Scissors Angled 45 Deg, approximate Working Length: 23cm o Kleinsasser Mini Laryngeal Scissors Curved Right, approximate Working Length: 23cm o Kleinsasser Mini Laryngeal Scissors Curved Left, approximate Working Length: 23cm o Ben-Havas Light: Rigid light carrier with 90ᵒ curve and spring clip to attach to laryngoscope blade. Needs to be compatible with all brands of light cables.

o Fiber Optic Light Carrier for use with Benjamin-Lindholm Laryngoscope, approximate Length: 6.5cm o Fiber Optic Light Carrier for use with Benjamin-Lindholm Laryngoscope, approximate Length 7.5mm o Insertable Suction Tube, for use with Lindholm Laryngoscope, approximate Length 6.5cm o Insertable Suction Tube, for use with Lindholm Laryngoscope, approximate Length 6.5cm o Fiber optic Light Carrier, for use with Holinger Laryngoscopes, compatible with different brands of light source

3.1.8 VA Nebraska-Western Iowa Healthcare System U0106

V2.1 06/11/2020 Page 14 of 26 o Light Cable, approximately 3.5mm x 300cm o Hopkins II 0 Deg Telescope, approximately 5mm x 29cm Autoclavable o Hopkins II 70 Deg Telescope, approximately 5mm x 24cm Autoclavable o Hopkins II 0 Deg Telescope, approximately 5mm x 24cm Autoclavable o Rudert Anterior Commissure Triangular Laryngoscope, Medium Size, approximate Length 17cm o Holinger Anterior Commissure, Laryngoscope, Adult Size, approximate Length 17cm o Lindholm Operating Laryngoscope, Adult Size, Distal End: 18mm approximate Length: 15cm o Dedo Operating Laryngoscope with Extra Light Weight Handle: approximate Length 18cm o Kleisasser Suction Tube, With Cut Off Hole Ø: 2mm approximate Length 23cm o Kleisasser Suction Tube, With Cut Off Hole Ø: 3mm approximate Length 23cm o Suction Tube, Ø: 4mm, approximate Length 23cm o Suction Tube with Cut Off Hole, Tip with Central Opening, Ø: 1mm, approximate Length: 20cm o Laryngeal Spoon Forceps with Round 4mm Cup Jaws Straight, approximate Working Length: 23cm o Laryngeal Cutting Forceps with Round 4mm Cup Jaws curved Up, approximate Working Length: 23cm o Lindholm Vocal Cord/False Cord retractor Self Retaining with Ratchet Handle, approximate Working Length:

24cm o Standard Ring Handle f/use w/3mm Instrument for Phonosurgery/Endolaryngeal, approximate Length: 9cm o Kleinsasser Laryngeal Hook, Blunt with Probe End Angled 90 Deg, Length 5mm, approximate Working Length 23cm o Straight Oval Spoon Curette, Delicate 3mm to 1mm Tapered Shaft, approximate Length 23cm o Slightly Curved Blunt Elevator, Delicate 3mm to 1mm tapered Shaft, approximate Length 23cm o L-Scope Handle for use w/Laryngoscopes o Kleinsasser Laryngeal Knife, Curved, Pointed Handle, approximate Working Length 23cm o Handle only for use w/Laryngeal Sickle Knives o Benjamin-Parsons Laryngoscope Holder with Lateral Stabilization Screws, approximate Ring size 12cm o Goettingen Support Table, Universal Autoclavable o Sterilization/Storage Tray with Two Levels approximately 20.5" X 9.8" X 5.7" o Adult Bronchoscope Sterilization Tray approximate ID: 25.5" X 9.5" X 5"

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JSN Nomenclature: JSN U0107 – Myringotomy Set

• All instruments must be made of surgical grade stainless steel, unless otherwise specified

• All instruments are requested to be etched for use with Censitrac

• CLIN 0009 in “Table 1 – Package Items Summary” on page two (2) of this SOW o BARON ANGLED CYLINDRICAL SUCTION TUBE W/CUT-OFF HOLE + STYLET, LUER, approximately 1MMX7.5CM o BARON ANGLED CYLINDRICAL SUCTION TUBE W/CUT-OFF HOLE+STYLET, LUER, approximately 1.7MMX7.5CM o BARON ANGLED CYLINDRICAL SUCTION TUBE W/CUT-OFF HOLE+STYLET, LUER, approximately 2.3MM X

7.5CM

o HARTMANN NASAL SPECULUM, approximate LENGTH:13CM FOR ADULTS o BILLEAU EAR LOOP, SIZE 3, approximate LENGTH:16CM o WULLSTEIN NEEDLE WITH SLIGHT CURVE AND SHARP POINT, approximate LENGTH:16.5CM o HARTMANN EAR FORCEPS WITH VERY FINE SERRATED JAW:1 X 4.5MM, approximate working length :8CM o FISCH-HARTMANN EAR FORCEPS WITH FINE SERRATED JAWS:1.2 X 8MM, approximate working length :8CM o FARRIOR EAR SPECULUM, OVAL, SIZE 2 OUTER DIAM:4.8MM X 5.8MM, approximate LENGTH:4.5CM o FARRIOR EAR SPECULUM, OVAL, SIZE 1 OUTER DIAM: 3.8MM X 4.8MM, approximate LENGTH:4.5CM o HARTMANN EAR SPECULUM, approximately 3.6CM, OD:3MM o HARTMANN EAR SPECULUM, approximately 3.6CM, OD:4MM o HARTMANN EAR SPECULUM, approximately 3.6CM, OD:5MM o GENERIC STERILIZATION/STORAGE TRAY, approximately 20.5" X 9.7" X 4.7" (WDH)

3.1.9 VA Nebraska-Western Iowa Healthcare System U0107

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JSN Nomenclature: JSN U0108 – New Sinus Endocopy Set

• All instruments must be made of surgical grade stainless steel, unless otherwise specified

• All instruments are requested to be etched for use with Censitrac

• CLIN 0010 in “Table 1 – Package Items Summary” on page two (2) of this SOW o HOPKINS II 0º TELESCOPE, approximately 4MM X 18CM AUTOCLAVABLE o HOPKINS II 30º TELESCOPE, approximately 4MM X 18CM AUTOCLAVABLE o STERRAD COMPATIBLE STERILIZATION TRAY FOR TWO SMALL SCOPES, approximately 4MM X 18CM o LISTER BANDAGE SCISSORS, approximate LENGTH:18CM o BLUNT HOOK HANDLE, approximate LENGTH:18CM o LUCAE EAR DRESSING FORCEPS, SERRATED o JANSEN BAYONET SHAPED NASAL DRESSING FORCEPS, approximate LENGTH:16.5CM o DOUBLE-ENDED FREER ELEVATOR approximate LENGTH:20CM o FREER SUCTION ELEVATOR, LENGTH:19CM DISTAL TIP WIDTH: 4.8MM approximate LENGTH:19CM o DOUBLE-ENDED COTTLE ELEVATOR, SEMI SHARP AND BLUNT, GRADUATED, approximate LENGTH:20CM o V.EICKEN LONG CURVED ANTRUM CANNULA, LUER-LOCK, Ø: 3MM, approximate LENGTH: 12.5CM o V.EICKEN SHORT CURVED ANTRUM CANNULA, LUER-LOCK, Ø: 4MM, approximate LENGTH: 12.5CM o BLUNT SICKLE KNIFE, DOUBLE CUTTING, approximate LENGTH:19CM o KUHN-BOLGER FRONTAL SINUS CURETTE, 5º CURVE, SMALL, OBLONG, approximate LENGTH:19CM o MAXILLARY SINUS OBLONG ANTRUM CURETTE, SMALL SIZE, approximate LENGTH:19CM o KUHN-BOLGER FRONTAL SINUS CURETTE, 90º CURVE, SMALL, OBLONG, approximate LENGTH:19CM o DBL-ENDED CURETTE, CURVED OVAL TIPS, SEMI-SHARP/SHARP, approximate WORKING LENGTH:19CM o BLUNT HOOK FOR 660530 HANDLE, approximate LENGTH:18CM o TROCAR AND CANNULA WITH FENESTRATED BEAK, approximately 5MM X 8.5CM o CURVED SCISSORS W/TUNGSTEN CARBIDE INSERTS, SHARP/SHARP, approximate LENGTH:11CM o CURVED SCISSORS W/TUNGSTEN CARBIDE INSERTS, BLUNT/BLUNT, approximate LENGTH:11CM o MAYO SCISSORS, STRAIGHT, approximate LENGTH: 17CM o BACKHAUS TOWEL FORCEPS, approximate LENGTH:9CM o HALSTEAD CURVED MOSQUITO ARTERY FORCEPS approximate LENGTH:12.5CM

3.1.10 VA Nebraska-Western Iowa Healthcare System U0108

V2.1 06/11/2020 Page 17 of 26 o CRILE CURVED HEMOSTATIC ARTERY FORCEPS approximate LENGTH:14CM o CRILE-WOOD NEEDLE HOLDER, approximate LENGTH:15CM o COTTLE NASAL SPECULUM WITH SET SCREW BLADE LENGTH:35MM, approximate LENGTH:13CM o COTTLE NASAL SPECULUM WITH SET SCREW BLADE LENGTH:55MM, approximate LENGTH:13CM o RHINOFORCE NASAL SCISSORS, CURVED RIGHT, approximate WORKING LENGTH:13CM o SLIM SERRATED NASAL SCISSORS, STRAIGHT 10MM BLADE, approximate WORKING LENGTH:11CM o SLIM SERRATED NASAL SCISSORS, CURVED LEFT, 10MM BLADE, approximate WORKING LENGTH:11CM o BLAKESLEY SILCUT STRAIGHT NASAL CUTTING FORCEPS, THRU CUTTING, SIZE:1, approximate working length:13CM o BLAKESLEY SILCUT NASAL CUTTING FORCEPS THRU CUT, 45º UPTURNED, SIZE:1, approximate working:13CM o STAMMBERGER RHINOFORCE ANTRUM PUNCH UPSIDE BACKWARD CUTTING, approximate working length:10CM o STAMMBERGER ANTRUM PUNCH, 360º ROTATABLE SHEATH W/LOCKING SCREW, ADULT, approximate working length:10CM o STAMMBERGER-LUSK ANTRUM PUNCH, PEDIATRIC SIZE, UPSIDE BACKWARD CUTTING, approximate working length:10CM o STAMMBERGER ANTRUM PUNCH, 360º ROTATABLE BACKWARD CUTTING, PEDIATRIC SIZE, approximate working length:10CM o OSTRUM PEDIATRIC PUNCH, SHEATH SLIGHTLY CRVD DWN, BCKWARD CUT,3.5X4MM BITE, approximate working length:9CM o BLAKESLEY STRAIGHT NASAL FORCEPS SIZE:1, 3.5MMX9MM, approximate WORKING LENGTH:11CM o BLAKESLEY NASAL FORCEPS, STRAIGHT, SIZE 3 JAW:3.5MM, approximate WORKING LENGTH:11CM o BLAKESLEY STRAIGHT NASAL FORCEPS THRU CUTTING, WIDTH:2.5MM, approximate working length:11CM o BLAKESLEY NASAL FORCEPS, THRU-CUTTING TIP 45º UPTURNED, WIDTH:2.5MM, approximate working length:11CM o BLAKESLEY NASAL FORCEPS, THRU-CUTTING TIP 45º UPTURNED, WIDTH:4.2MM, approximate working length:11CM o BLAKESLEY-WILDE NASAL FORCEPS TIP 45º UPTURNED, SIZE:0, approximate working length:11CM o BLAKESLEY-WILDE NASAL FORCEPS TIP 45º UPTURNED, SIZE:1, approximate working length:11CM o BLAKESLEY-WILDE NASAL FORCEPS 90º UPTURNED, SIZE:1, approximate working length:11CM o BLAKESLEY-WILDE NASAL FORCEPS 90º UPTURNED, SIZE:2, approximate working length:11CM o KERRISON MICRO PUNCH, UPBITING 90º NOT THRU CUT, SIZE 2MM, approximate working length:17CM o KERRISON PUNCH, DOWNBITING 90º NOT THRU CUT, SIZE 2MM, approximate working length:17CM o LENS IRRIGATION SYSTEM SET, INCL: UNIT, POWER CORD, FOOTSWITCH o IRRIGATION SHEATH FOR 0º HOPKINS II TELESCOPES, APPROXIMATELY 5MM X 14CM o IRRIGATION SHEATH FOR 30º HOPKINS II TELESCOPE, APPROXIMATELY 5MM X 14CM o IRRIGATION SHEATH FOR 70º HOPKINS II TELESCOPE, APPROXIMATELY 5MM X 14CM o IRRIGATION SHEATH FOR 45º HOPKINS II TELESCOPE, APPROXIMATELY 5MM X 14CM o FRAZIER SUCTION TUBE WITH CUT OFF HOLE AND STYLET, ANGULAR, APPROXIMATELY 2.3MM X 10CM o FRAZIER SUCTION TUBE WITH CUT OFF HOLE AND STYLET, ANGULAR, APPROXIMATELY 3MM X 10CM o LIGHT CABLE, APPROXIMATELY 3.5MM X 300CM (9.8') o SINUS INSTRUMENT STERILIZATION TRAY, APPROXIMATELY 19.75" X 14.5" X 9.5" (WDH)

V2.1 06/11/2020 Page 18 of 26 o STERILIZATION/STORAGE TRAY WITH TWO LEVELS, APPROXIMATELY 20.5" X 9.8" X 5

JSN Nomenclature: JSN U0109 – Plastic Set

• All instruments must be made of surgical grade stainless steel, unless otherwise specified

• All instruments are requested to be etched for use with Censitrac

• CLIN 0011 in “Table 1 – Package Items Summary” on page two (2) of this SOW o NO.3 SURGICAL BLADE HANDLE, APPROXIMATE LENGTH:12.5CM o ADSON TISSUE FORCEPS, SERRATED 1X2 TEETH, APPROXIMATE LENGTH:12CM o ADSON TISSUE FORCEPS WITH 1X2 TEETH, APPROXIMATE LENGTH:12CM o ADSON TISSUE FORCEPS WITH FINE SIDE GRASPING TEETH, APPROXIMATE LENGTH:12CM o JEWELER FORCEPS WITH FINE POINTS, APPROXIMATE LENGTH:11CM o BIPOLAR FORCEPS, INSULATED, BAYONET SHAPE, TIPS 0,3 MM, LENGTH:21CM o DELICATE CURVED SCISSORS, APPROXIMATE LENGTH:10CM o STEVENS CURVED SCISSORS, APPROXIMATE LENGTH:10.5CM o STEVENS STRAIGHT SCISSORS, APPROXIMATE LENGTH:10.5CM o METZENBAUM CURVED SCISSORS, APPROXIMATE LENGTH:14CM o MAYO STRAIGHT DISSECTING SCISSORS, APPROXIMATE LENGTH:15CM o MAYO CURVED DISSECTING SCISSORS, APPROXIMATE LENGTH:15CM o LISTER BANDAGE SCISSORS, APPROXIMATE LENGTH:14CM o TOWEL FORCEPS WITH SERRATED INSERTS FOR PAPER COVER SHEETS, APPROXIMATE LENGTH:9.5CM o HALSTEAD CURVED MICRO MODEL MOSQUITO ARTERY FORCEPS, APPROXIMATE LENGTH:12.5CM o CRILE CURVED HEMOSTATIC ARTERY FORCEPS, APPROXIMATE LENGTH:14CM o ROCHESTER-PEAN CURVED HEMOSTATIC FORCEPS, APPROXIMATE LENGTH:16CM o ALLIS FORCEPS, 5 X 6 TEETH, APPROXIMATE LENGTH: 16CM o NEEDLE HOLDER W/TUNGSTEN CARBIDE INSERTS, APPROXIMATE LENGTH:13CM o CRILE-WOOD NEEDLE HOLDER, APPROXIMATE LENGTH:15CM o SENN-MÜLLER RETRACTOR, DOUBLE-ENDED 3 SHARP PRONGS + BLUNT BLADES, APPROXIMATE

LENGTH:16CM

3.1.11 VA Nebraska-Western Iowa Healthcare System U0109

V2.1 06/11/2020 Page 19 of 26 o TRACHEAL RETRACTOR WITH 4 SHARP PRONGS, APPROXIMATE LENGTH:17CM o JOSEPH SHARP DOUBLE HOOK, WIDTH:2MM, APPROXIMATE LENGTH:15CM o JOSEPH SHARP HOOK WITH ONE SHARP CURVE, APPROXIMATE LENGTH:15CM o SINGLE TENACULUM WITH SMALL CURVE, APPROXIMATE LENGTH:17CM o DOUBLE-ENDED FREER ELEVATOR, APPROXIMATE LENGTH:20CM o FLEXIBLE STAINLESS-STEEL RULER, APPROXIMATE LENGTH:20CM o CASTROVIEJO CALIPER, APPROXIMATE LENGTH:8CM MEASURING RANGE:0-15MM o BARRAQUER MICRO NEEDLE HOLDER, W/ROUND HANDLE, SPRING ACTION, STRAIGHT, APPROXIMATE

LENGTH:14CM

o BARON ANGLED CYLINDRICAL SUCTION TUBE W/CUT-OFF HOLE+STYLET, LUER, APPROXIMATELY 2.3MM X

7.5CM

o BARON ANGLED CYLINDRICAL SUCTION TUBE W/CUT-OFF HOLE+STYLET, LUER, APPROXIMATELY

1.7MMX7.5CM

o COTTLE RETRACTOR, WIDE, APPROXIMATE LENGTH: 14CM o COTTLE RETRACTOR, APPROXIMATE LENGTH:14CM o GENERIC STERILIZATION/STORAGE TRAY, APPROXIMATELY 20.5" X 9.7" X 4.7" (WDH)

V2.1 06/11/2020 Page 20 of 26

JSN Nomenclature: JSN U0110 – Septoplasty Set #1

• All instruments must be made of surgical grade stainless steel, unless otherwise specified

• All instruments are requested to be etched for use with Censitrac

• CLIN 0012 in “Table 1 – Package Items Summary” on page two (2) of this SOW o NO.3 SURGICAL HANDLE FOR 208010-15 AND 208210-15 BLADES, APPROXIMATE LENGTH:12.5CM o SURGICAL BLADE HANDLE NO. 7 o ADSON MICRO MODEL DRESSING FORCEPS, APPROXIMATE LENGTH:12CM o ADSON TISSUE FORCEPS WITH 1X2 TEETH, APPROXIMATE LENGTH:12CM o ADSON TISSUE FORCEPS WITH FINE SIDE GRASPING TEETH, APPROXIMATE LENGTH:12CM o LUCAE EAR DRESSING FORCEPS, SERRATED, APPROXIMATE LENGTH:14CM o GRUENWALD BAYONET SHAPED NASAL DRESSING FORCEPS, APPROXIMATE LENGTH:20CM o JEWELER FORCEPS WITH FINE POINTS, APPROXIMATE LENGTH:11CM o FREER SUCTION ELEVATOR, LENGTH:19CM DISTAL TIP WIDTH: 4.8MM, APPROXIMATE LENGTH: 19CM o DELICATE CURVED SCISSORS, APPROXIMATE LENGTH:10CM o CURVED SUTURE SCISSORS, SHARP/SHARP, APPROXIMATE LENGTH:12.5CM o SCISSORS, ANGLED, VERY DELICATE, SHARP/SHARP, APPROXIMATE LENGTH 11CM o STEVENS CURVED SCISSORS, APPROXIMATE LENGTH: 10.5CM o STRAIGHT DELICATE SCISSORS, APPROXIMATE LENGTH:10CM o METZENBAUM CURVED SCISSORS, APPROXIMATE LENGTH:14CM o MAYO STRAIGHT DISSECTING SCISSORS, APPROXIMATE LENGTH:15CM o FOMON DELICATE ANGULAR SCISSORS WITH SERRATED BLADES, APPROXIMATE LENGTH:6.5CM o COTTLE ANGULAR SCISSORS, HEAVY W/SERRATED BLADES, APPROXIMATE LENGTH:8.5CM o FOMON STRONG CURVE SCISSORS, APPROXIMATE LENGTH:12CM o LISTER BANDAGE SCISSORS, APPROXIMATE LENGTH:14CM o BACKHAUS TOWEL FORCEPS, APPROXIMATE LENGTH:9CM o PROVIDENCE HOSPITAL DELICATE ARTERY FORCEPS, CURVED, APPROXIMATE LENGTH: 14CM

3.1.12 VA Nebraska-Western Iowa Healthcare System U0110

V2.1 06/11/2020 Page 21 of 26 o CRILE CURVED HEMOSTATIC ARTERY FORCEPS, APPROXIMATE LENGTH:14CM o ROCHESTER-PEAN CURVED HEMOSTATIC FORCEPS, APPROXIMATE LENGTH:16CM o HEGAR-MAYO NEEDLE HOLDER, HEAVY, WITH TUNGSTEN CARBIDE INSERTS, APPROXIMATE LENGTH 18CM o SENN-MÜLLER RETRACTOR, DOUBLE-ENDED 3 SHARP PRONGS + BLUNT BLADES, APPROXIMATE

LENGTH:16CM

o JOSEPH SHARP HOOK WITH ONE SHARP CURVE, APPROXIMATE LENGTH:15CM o JOSEPH SHARP DOUBLE HOOK WIDTH:7MM, APPROXIMATE LENGTH:15CM o RHINOFORCE NASAL SCISSORS, CURVED RIGHT, APPROXIMATE WORKING LENGTH:13CM o COTTLE KNIFE GUIDE AND RETRACTOR, APPROXIMATE LENGTH:19CM o RETTINGER NASAL RETRACTOR, W/FLAT HANDLE BLADE:1.5CMX4.5CM, APPROXIMATE HANDLE

LENGTH:10CM

o AUFRICHT NASAL RETRACTOR, APPROXIMATE WORKING LENGTH:40MM o KILLIAN-STRUYCKEN NASAL SPECULUM BLADE LENGTH:40MM, APPROXIMATE LENGTH:13.5CM o HARTMANN NASAL SPECULUM, FOR ADULTS, APPROXIMATE LENGTH:13CM o HARTMANN NASAL SPECULUM FOR CHILDREN, APPROXIMATE LENGTH:13CM o SMALL LIGHTWEIGHT MALLET WITH REPLACEABLE HAMMER SURFACE, APPROXIMATE LENGTH: 18CM o TAKAHASHI STRAIGHT ETHMOID FORCEPS, APPROXIMATE WORKING LENGTH: 11CM o TAKAHASHI NASAL FORCEPS W/ CUPPED JAWS 30º UP, 9MMX2.5MM, WORKING LENGTH: 11CM o BLAKESLEY STRAIGHT NASAL FORCEPS SIZE:1, 3.5MMX9MM, APPROXIMATE WORKING LENGTH: 11CM o JANSEN-MIDDLETON ANGULAR SEPTUM FORCEPS THRU CUTTING, APPROXIMATE WORKING LENGTH: 10CM o JANSEN ANGULAR SEPTUM FORCEPS SPOON SHAPED, APPROXIMATE WORKING LENGTH: 9CM o RUBIN SEPTUM MORCELIZER WITH DOUBLE ACTION JAWS, APPROXIMATE WORKING LENGTH: 8.5CM o DOUBLE-ENDED COTTLE ELEVATOR, SEMI SHARP AND BLUNT, GRADUATED, APPROXIMATE LENGTH: 20CM o COTTLE RETRACTOR, APPROXIMATE LENGTH: 14CM o DOUBLE-ENDED FREER ELEVATOR, APPROXIMATE LENGTH: 20CM o JOSEPH ELEVATOR, SLIGHTLY CURVED, APPROXIMATE LENGTH: 17.5CM o FREER-JACOBS DOUBLE-ENDED ELEVATOR, 5MM SLIGHT CRVD END/2.5MM 45º ANGLE END, APPROXIMATELY 20CM o MCKENTY ELEVATOR, DOUBLE-ENDED 4.5MM AND 5.0MM WIDE, APPROXIMATE LENGTH: 19CM o JOSEPH CURVED BUTTON-END KNIFE, APPROXIMATE LENGTH: 15.5CM o COTTLE NASAL KNIFE WITH ROUNDED EDGE, APPROXIMATE LENGTH: 14CM o MALTZ NASAL RASP WITH COARSE TEETH BACKWARD CUTTING, APPROXIMATE LENGTH: 18.5CM o COTTLE CROSSBAR OSTEOTOME, W/DEPTH MARKINGS, STRAIGHT, 4MM, APPROXIMATE LENGTH: 18.5CM o COTTLE CROSSBAR OSTEOTOME, W/DEPTH MARKINGS, STRAIGHT, 6MM, APPROXIMATE LENGTH: 18.5CM o MASING CHISEL, STRAIGHT WITH ROUNDED GUARD ON RIGHT SIDE, APPROXIATE LENGTH: 18CM o CURVED FLAT COTTLE CHISEL WITH GRADUATED DISTAL END, APPROXIMATELY 6MM X 18.5CM o MASING CHISEL, SLIGHTLY CURVED WITH ROUNDED GUARD ON LEFT SIDE, APPROXIMATE LENGTH: 18CM o BALLENGER BAYONET SHAPED SWIVEL KNIFE 3MM WIDE, APPROXIMATE LENGTH: 19.5CM o COTTLE BONE CRUSHER W/CLIP, APPROXIMATE LENGTH: 7.5CM o FRAZIER SUCTION TUBE WITH CUT OFF HOLE AND STYLET, ANGULAR, APPROXIMATELY 2.3MM X 10CM

V2.1 06/11/2020 Page 22 of 26 o FERGUSON SUCTION TUBE W/CUT-OFF HOLE AND STYLET, LUER, MATTE FINISH, Ø:10FR, APPROXIMATE

WORKING LENGTH:11CM

o CASTROVIEJO CALIPER, APPROXIMATE LENGTH:8CM MEASURING RANGE:0-15MM o COTTLE COLUMELLA CLAMP, APPROXIMATE LENGTH:11CM o FREER-JOSEPH DOUBLE-ENDED ELEVATOR DELICATE, APPROXIMATE LENGTH:20CM o MASING CHISEL, STRAIGHT WITH ROUNDED GUARD ON RIGHT SIDE, APPROXIMATE LENGTH:18CM o MASING CHISEL, SLIGHTLY CURVED WITH ROUNDED GUARD ON RIGHT SIDE, APPROXIMATE LENGTH:18CM o MASING CHISEL, SLIGHTLY CURVED WITH ROUNDED GUARD ON LEFT SIDE, APPROXIMATE LENGTH:18CM o RUBIN FLAT OSTEOTOME W/ROUNDED CORNERS STRAIGHT, FINGER STABILIZER, APPROXIMATELY

14MMX16.5CM

o WHITE PLASTIC CUTTING BLOCK, AUTOCLAVABLE, APPROXIMATELY 8CM X 4CM X 1CM o TEFLON CUTTING BLOCK, AUTOCLAVABLE APPROXIMATE DIMENSIONS: 20CM X 15CM X 1CM o STERILIZATION/STORAGE TRAY WITH TWO LEVELS, APPROXIMATELY 20.5" X 9.8" X 5.7"

V2.1 06/11/2020 Page 23 of 26

JSN Nomenclature: JSN U0111 – Typanomastiod Set

• All instruments must be made of surgical grade stainless steel, unless otherwise specified

• All instruments are requested to be etched for use with Censitrac

• CLIN 0013 in “Table 1 – Package Items Summary” on page two (2) of this SOW represents a set and the set shall include an item comparable to the following:

o NO.3 SURGICAL BLADE HANDLE, APPROXIMATE LENGTH:12.5CM o ADSON TISSUE FORCEPS, SERRATED 1X2 TEETH, APPROXIMATE LENGTH:12CM o ADSON SERRATED DRESSING FORCEPS, APPROXIMATE LENGTH: 12CM o JEWELER FORCEPS WITH FINE POINTS, APPROXIMATE LENGTH: 11CM o ATRAUMA NON-ATRAUMATIC TISSUE FORCEPS WIDTH OF JAWS 2MM, APPROXIMATE LENGTH:20CM o SENN-MÜLLER RETRACTOR, DOUBLE-ENDED 3 SHARP PRONGS + BLUNT BLADES, APPROXIMATE

LENGTH:16CM

o LUCAE EAR DRESSING FORCEPS, SERRATED, APPROXIMATE LENGTH:14CM o FOMON STRONG CURVE SCISSORS, APPROXIMATE LENGTH:12CM o FOMON LOWER LATERAL SCISSORS STRONGLY CURVED, APPROXIMATE LENGTH: 17CM o STEVENS CURVED SCISSORS, APPROXIMATE LENGTH:10.5CM o DELICATE CURVED SCISSORS, APPROXIMATE LENGTH:10CM o STEVENS STRAIGHT SCISSORS, APPROXIMATE LENGTH:10.5CM o METZENBAUM CURVED SCISSORS, APPROXIMATE LENGTH:14CM o MAYO STRAIGHT DISSECTING SCISSORS, APPROXIMATE LENGTH:15CM o LISTER BANDAGE SCISSORS, APPROXIMATE LENGTH:14CM o TOWEL FORCEPS WITH SERRATED INSERTS FOR PAPER COVER SHEETS, APPROXIMATE LENGTH:9.5CM o HALSTEAD CURVED MOSQUITO ARTERY FORCEPS, APPROXIMATE LENGTH:12.5CM o KELLY ARTERY FORCEPS, CURVED, APPROXIMATE LENGTH: 14CM o ROCHESTER-PEAN CURVED HEMOSTATIC FORCEPS, APPROXIMATE LENGTH:16CM o CRILE-WOOD NEEDLE HOLDER, APPROXIMATE LENGTH:15CM o WHITE PLASTIC CUTTING BLOCK, AUTOCLAVABLE, APPROXIMATELY 8CM X 4CM X 1CM o SENN-MÜLLER RETRACTOR, DOUBLE-ENDED 3 SHARP PRONGS + BLUNT BLADES, APPROXIMATE

LENGTH:16CM

3.1.13 VA Nebraska-Western Iowa Healthcare System U0111

V2.1 06/11/2020 Page 24 of 26 o WEITLANER SHARP RETRACTOR WITH 3 X 4 PRONGS, APPROXIMATE LENGTH:16CM o FISCH RETRACTOR WITH 2X2 SHARP PRONGS, APPROXIMATE LENGTH: 13CM o LEMPERT CURVED ELEVATOR, TIP WIDTH:7MM, LENGTH:18CM o DOUBLE-ENDED FREER ELEVATOR, APPROXIMATE LENGTH:20CM o GELFOAM PRESS, APPROXIMATE LENGTH:18CM o HARTMANN EAR SPECULUM, APPROXIMATELY 3.6CM, OD:3MM o HARTMANN EAR SPECULUM, APPROXIMATELY 3.6CM, OD:4MM o HARTMANN EAR SPECULUM, APPROXIMATELY 3.6CM, OD:5MM o HARTMANN EAR SPECULUM, APPROXIMATELY 3.6CM, OD:6MM o HARTMANN EAR SPECULUM, APPROXIMATELY 3.6CM, OD:7MM o FARRIOR EAR SPECULUM, ROUND SIZE 1, Ø: 4MM, APPROXIMATE LENGTH: 4.5CM o FARRIOR EAR SPECULUM, ROUND SIZE 2, Ø: 5MM, APPROXIMATE LENGTH: 4.5CM o FARRIOR EAR SPECULUM, ROUND SIZE 3, APPROXIMATELY 6MM X 4.5CM o FARRIOR EAR SPECULUM, ROUND SIZE 4, Ø: 7MM, APPROXIMATE LENGTH: 4.5CM o FARRIOR EAR SPECULUM, ROUND SIZE 5, Ø: 8MM, APPROXIAMTE LENGTH: 4.5CM o FARRIOR EAR SPECULUM, ROUND SIZE 6, Ø: 9MM, APPROXIMATE LENGTH: 4.5CM o FARRIOR EAR SPECULUM, ROUND SIZE 7, Ø: 10MM, APPROXIMATE LENGTH: 4.5CM o GLASS PREPARATION PLATE, APPROXIMATELY 10CM X 8CM o AIACH GRADUATED GRID FOR PREPARATION OF CARTILAGE AND BONE GRAFTS, APPROXIMATELY 50MM X

90MM

o WULLSTEIN EAR FORCEPS WITH VERY FINE 1MM ROUND CUP JAWS, APPROXIMATE WORKING LENGTH

LENGTH:12.5CM

o WULLSTEIN EAR FORCEPS W/VERY FINE 0.9MM OVAL CUP JAWS CURVED RIGHT, APPROXIMATE WORKING

LENGTH LENGTH:8CM

o WULLSTEIN EAR FORCEPS W/VERY FINE 0.9MM OVAL CUP JAWS CURVED LEFT, APPROXIMATE WORKING

LENGTH:8CM

o FISCH-HARTMANN EAR FORCEPS WITH VERY FINE JAWS:1 X 4.5MM, APPROXIMATE WORKING LENGTH:8CM o FISCH-HARTMANN EAR FORCEPS WITH FINE SERRATED JAWS:1.2 X 8MM, APPROXIMATE WORKING

LENGTH:8CM

o FISCH-HARTMANN EAR FORCEPS, SERRATED DELICATE, 1.2MMX12MM, APPROXIMATE WORKING LENGTH:

8CM

o MCGEE WIRE CRIMPER, APPROXIMATE WORKING LENGTH:8CM o FISCH-MCGEE WIRE CRIMPER, APPROXIMATE WORKING LENGTH:8CM o FISCH CRUROTOMY SCISSORS, CURVED RIGHT, APPROXIMATE WORKING LENGTH:7.5CM o FISCH CRUROTOMY SCISSORS, CURVED LEFT, APPROXIMATE WORKING LENGTH:7.5CM o FISCH-HARTMANN EAR FORCEPS WITH FINE SERRATED JAWS:1.2 X 8MM, APPROXIMATE WORKING

LENGTH:8CM

o HARTMANN EAR FORCEPS WITH VERY FINE SERRATED JAW:1 X 4.5MM, APPROXIMATE WORKING

LENGTH:8CM

o FISCH-BELLUCCI MICRO EAR SCISSORS BLADES 7MM, APPROXIMATE WORKING LENGTH: 8CM

V2.1 06/11/2020 Page 25 of 26 o FISCH-BELLUCCI MICRO EAR SCISSORS, EXTRA DELICATE, BLADE:2MM, APPROXIMATE WORKING

LENGTH:8CM

o BELLUCCI EAR SCISSORS, DELICATE BLADES: 8MM, APPROXIMATE WORKING LENGTH:8CM o HOUSE-DIETER MALLEUS NIPPER, UPBITING, APPROXIMATE WORKING LENGTH:8CM o HOUSE-DIETER MALLEUS NIPPER, DOWNBITING, APPROXIMATE WORKING LENGTH:8CM o ROUND KNIFE WITH STRAIGHT TIP, Ø: 2MM, APPROXIMATE WORKING LENGTH: 16CM o WULLSTEIN NEEDLE WITH MEDIUM CURVE AND SHARP POINT, APPROXIMATE WORKING LENGTH:16.5CM o WULLSTEIN NEEDLE WITH SLIGHT CURVE AND SHARP POINT, APPROXIMATE WORKING LENGTH:16.5CM o HOUSE ELEVATOR WITH 15º ANGLED TIP TIP - Ø: 1MM, LENGTH:12MM, APPROXIMATE WORKING

LENGTH:16CM

o FISCH MICRO RASP WITH SINGLE CURVE TO RIGHT, APPROXIMATE WORKING LENGTH:16CM o FISCH MICRO RASP WITH SINGLE CURVE TO LEFT, APPROXIMATE WORKING LENGTH:16CM o SPRATT MASTOID CURETTE, SIZE 1, APPROXIMATE LENGTH:17CM o SPRATT MASTOID CURETTE, SIZE 2, APPROXIMATE LENGTH:16.5CM o SPRATT MASTOID CURETTE, SIZE 3, APPROXIMATE LENGTH:17CM o SPRATT MASTOID CURRETTE, SIZE 4, APPROXIMATE LENGTH:17CM o WEBER-LOCH EAR CURETTE, SIZE 0, APPROXIMATE LENGTH:14.5CM, 4MM X 3MM o WEBER-LOCH EAR CURETTE, SIZE 1, APPROXIMATE LENGTH:14.5CM, 5.3MM X 3.5MM o WEBER-LOCH EAR CURETTE, SIZE 2, APPROXIMATE LENGTH:14.5CM, 7.5MM X 4.2MM o HOUSE CALIPER STRUT FOR 4MM DISTANCE, APPROXIMATE LENGTH:16CM o HOUSE CALIPER STRUT FOR 4.5MM DISTANCE, APPROXIMATE LENGTH:16CM o HOUSE CALIPER STRUT FOR 5MM DISTANCE, APPROXIMATE LENGTH:16CM o EAR HOOK WITHOUT BALL END SIZE 1, APPROXIMATE LENGTH:15.5CM o FISCH 0.2MM HOOK WITH FOOTPLATE, APPROXIMATE LENGTH:16CM o PLESTER 0.6MM HOOK WITH FOOTPLATE, APPROXIMATE LENGTH:16CM o FISCH PERFORATOR, Ø:0.3MM, APPROXIMATE LENGTH: 16CM o FISCH PERFORATOR, Ø: 0.4MM, APPROXIMATE LENGTH: 16CM o FISCH PERFORATOR, Ø: 0.5MM, APPROXIMATE LENGTH: 16CM o FISCH PERFORATOR, APPROXIMATELY 0.6MM X 16CM o FISCH CYLINDRICAL SUCTION IRRIGATOR, SUCTN TUBE:4.5MM, IRRIG TUBE:2MM, APPROXIMATE WORKING

LENGTH:9.5CM

o FISCH CONICAL SUCTION IRRIGATOR, SUCTN TUBE:3.2MM, IRRIG TUBE:2MM, APPROXIMATE WORKING

LENGTH:9.5CM

o FISCH CYLINDRICAL SUCTION IRRIGATOR, SUCTN TUBE:2.5MM, IRRIG TUBE:2MM, APPROXIMATE WORKING

LENGTH:9.5CM

o FISCH CYLINDRICAL SUCTION IRRIGATOR SUCTION + IRRIG TUBES:1.9MM, APPROXIMATE WORKING

LENGTH:9.5CM

o FISCH CYLINDRICAL SUCTION IRRIGATOR SUCTION TUBE:1MM, IRRIG TUBE:1MM, APPROXIMATE WORKING

LENGTH:9.5CM

o ANGLED SUCTION CANNULA WITH LUER-LOCK, Ø: 0.7MM, APPROXIMATE WORKING LENGTH: 6CM o ANGLED SUCTION CANNULA WITH LUER-LOCK Ø: 0.5MM, APPROXIMATE WORKING LENGTH: 6CM o ANGLED SUCTION CANNULA WITH LUER-LOCK, Ø: 1MM, APPROXIMATE WORKING LENGTH: 6CM

V2.1 06/11/2020 Page 26 of 26 o ANGLED SUCTION CANNULA WITH LUER-LOCK, Ø: 0.7MM, APPROXIMATE WORKING LENGTH: 6CM o ANGLED SUCTION CANNULA WITH LUER-LOCK, Ø: 0.8MM, APPROXIMATE WORKING LENGTH: 6CM o FISCH ADAPTOR w/VARIABLE SIZERS ON EACH END o JEWELER FORCEPS WITH FINE POINTS, APPROXIMATE LENGTH:11CM o ROUND KNIFE WITH 45º ANGLED TIP, Ø: 2MM, APPROXIMATE LENGTH: 16CM o ROUND KNIFE WITH 45º ANGLED TIP, Ø: 1MM, APPROXIMATE LENGTH: 16CM o ROUND KNIFE WITH 45º ANGLED TIP, Ø: 2.5MM, WORKING LENGTH: 16CM o PLESTER DOUBLE EDGE SICKLE KNIFE SLIGHTLY CURVED, WORKING LENGTH:16CM o STERILIZATION/STORAGE TRAY WITH TWO LEVELS, APPROXIMATELY 20.5" X 9.8" X 5.7"

/END OF DOCUMENT/