S02 - ATTACHMENT 3 - STATEMENT OF WORK - INVENTIS WIRELESS VNG NYSTALYZE ROTARY CHAIR - BRAND NAME OR EQUAL TO INVENTIS IAW SOW.pdf

B.2 STATEMENT OF WORK

STATEMENT OF WORK (SOW)

A. GENERAL INFORMATION

1. Title of Project: Procurement of MED4 Rotary chair and End of Life Replacement VNG equipment “Brand Name or Equal to Inventius Wireless VNG Nystalyze Rotary Chair”

2. Scope of Work: The Audiology Service requires replacement current VNG system due to end of life. Audiology also needs Rotary Chair equipment to provide complete evaluation of Veteran’s vestibular system. Contract will include installation of the equipment by contractor and Huntington VAMC Biomedical Engineering. The contractor shall coordinate with Huntington VAMC and provide technical support of this highly specialized equipment.

3. Background: The mission of the Hershel “Woody” Williams VAMC is to provide patient care. The mission of the Vestibular Balance Program of the Audiology Service is to provide diagnostic evaluation, referral, and treatment resources for Veterans experiencing vertigo, disequilibrium, and/or imbalance.

The Audiology Vestibular Balance Program currently provides assessments for patients, however some of the current equipment has reached end of life and has had multiple service issues impacting patient care. Additionally, an expansion to the currently available vestibular testing via updated equipment will allow for more comprehensive assessment and treatment of balance disorders including comprehensive evaluation of all semi-circular canals and superior and inferior nerve complexes. When balance disorders are more completely managed patients experience fewer falls and improvements in quality of life.

4. Performance Period: The contractor shall deliver the goods required under this SOW in approximately 60 calendar days or less from date of award, unless otherwise directed by the Contracting Officer (CO). If the contractor proposes an earlier delivery date, and the Government accepts the contractor’s proposal, the contractor’s proposed completion date shall prevail. Work at the Government site shall not take place on Federal holidays or weekends unless directed by the CO.

Federal Holidays are:

New Year’s Day January 1

Martin Luther King ‘s Birthday Third Monday in January

President’s Day Third Monday in February

Memorial Day Last Monday in May

Juneteenth June 19

Independence Day July 4

Labor Day First Monday in September

Columbus Day Second Monday in October

Veterans Day November 11

Thanksgiving Day Fourth Thursday in November

Christmas Day December 25

When a holiday falls on a Sunday, the following Monday shall be observed as a legal holiday by U.S. Government agencies. When a holiday falls on a Saturday, the preceding

Friday shall be observed as a legal holiday by U.S. Government agencies. Also included would be any other day specifically declared by the President of the United States as a

National Holiday

5. Type of Contract: Firm-Fixed-Price

B. SPECIFICATIONS:

EQUIPMENT:

Line-Item Description Quantity

Wireless VNG + Rotary Chair combo 1

REQUIRED MINIMUM CHARACTERISTICS:

• 2 wireless cameras

• Visio mask for binocular open fields testing.

• Wireless binaural testing binocular

• 55-inch TV monitor

• Maestro software and dedicated laptop

• Vestibular test availability includes Caloric modules, spontaneous and positional nystagmus, Oculomotor tests include saccades, smooth pursuit, gaze and optokinetic

• Visual stimulation controlled via software

• Embedded fixation light

• Video recording license

• Kinetic module for VNG Electronic MED4 chair

• VNS3X adapted to MED4

• MED4 Safety power supply

• GBX acquisition video box and active connection for USB

• All necessary cords, cables, and mounts

• Adjustable and reclining chair with a Reclining range: 90°(vertical) - 0° (flat) with 10° indication label

• Adjustable and removable headrest

• Safety belt

MAXIMUM KINETIC VALUE

• Maximum speed: 200°/s

• Maximum acceleration: 100°/s2

REQUIRED SOFTWARE

• Compatible software – Synapsys VNG

Line-Item Description Quantity

One Day Training 1

• Provide One Day training

Line-Item Description Quantity

Product Installation 1

• Installation and configuration of Synapsys Nystalyze VNG software and rotary chair including all necessary cables and mounts.

PACKAGING AND DELIVERY:

All items shall be shipped to the customer at the following location:

Hershel Woody Williams VAMC

ATTN: Supply Chain Management

(For Healthcare Technology Management for Audiology)

1540 Spring Valley Drive

Huntington, WV 25704

C. SPECIFIC MANDATORY TASKS AND ASSOCIATED DELIVERABLES

Specific requirements need to include:

• One day manufacturer training-onsite

• Installation and configuration of Synapsys Nystalyze VNG and MED4 Rotary Chair

D. CONFIDENTIALITY AND NONDISCLOSURE

It is agreed that:

1. The preliminary and final deliverables, and all associated working papers, application source code, and other material deemed relevant by VA which have been generated by the contractor in the performance of this task order, are the exclusive property of the U.S. Government and shall be submitted to the CO at the conclusion of the task order.

2. The CO will be the sole authorized official to release, verbally or in writing, any data, draft deliverables, final deliverables, or any other written or printed materials pertaining to this task order. No information shall be released by the contractor. Any request for information relating to this task order, presented to the contractor, shall be submitted to the CO for response.

3. Press releases, marketing material, or any other printed or electronic documentation related to this project, shall not be publicized without the written approval of the CO.

VA information is not collected or stored. The C&A requirements do not apply, and a

Security Accreditation Package is not required.

E. CONTRACTOR PERSONNEL SECURITY REQUIREMENTS

The contractor employees shall not have access to VA sensitive or computer information and will not require routine access to VA Facilities. The contractor employees shall require intermittent access only and will be escorted by VA employees while at VA Facilities. No background investigation is required.

VA information is not collected or stored. The C&A requirements do not apply, and a

Security Accreditation Package is not required.

F. EVALUATION FACTORS:

1. Brand Name or Equal to Inventius Wireless VNG Nystalyze IAW SOW

2. OEM distributor/Authorization Letter from the manufacturer is required for all quotes, if no OEM letter is supplied the vendor will be considered non-responsive and the vendor will be dis-qualified at the time RFQ will close.

3. Delivery Lead Times

4. Price.