S02 - Combined Synopsis Solicitation RFQ 36C25622Q1162 - Automated Dispensing System MEDVAMC.pdf

36C25622Q1162

COMBINED SYNOPSIS/SOLICITATION FOR COMMERCIAL ITEMS

General Information:

Document Type: Combined Solicitation/Synopsis

Solicitation Number: 36C25622Q1162

Posted Date: August 26, 2022

Questions Due Date/Time: September 05, 2022/14:00pm (CST)

Response Due Date/Time: September 14, 2022/16:00pm (CST)

Product or Service Code: 6515

Set Aside: Unrestricted (Full and Open)

NAICS Code: 339112

Size Standard 1000 Employees

Point of Contact: Steven A. Berkeley – Email: Steven.berkeley@va.gov

Contracting Office Address

Department of Veterans Affairs Network Contracting Office 16 5075 Westheimer Road, Suite 750 Houston, TX 77056-5643

Description

This is a combined synopsis/solicitation for commercial items prepared in accordance with the format in Federal Acquisition Regulation (FAR) subpart 12.6, “Streamlined Procedures for

Evaluation and Solicitation for Commercial Items,” in conjunction with FAR Part 13.5 for Certain

Commercial Items, as supplemented with additional information included in this notice. This announcement constitutes the only solicitation; quotes are being requested, and a written solicitation document will not be issued.

This solicitation is issued as a Request for Quotation (RFQ). The solicitation document and incorporated provisions and clauses are those in effect through Federal Acquisition Circular:

2022-07, 08-10-2022. This competitive unrestricted (Full and Open) solicitation.

The associated North American Industrial Classification System (NAICS) code for this procurement is 339112, with a small business size standard of 1000 employees.

The Department of Veterans Affairs (VA), Michael E. DeBakey VA Medical Center (MEDVAMC), located at 2002 Holcombe Boulevard, Houston, TX 77030, has a need for Automated Dispensing Cabinets and Related Equipment to be used within the main hospital and surrounding Community Base Outpatient Clinic (CBOC). These cabinets are used for tracking and controlling the dispensing for all drugs. This is a brand name or equal RFQ. See B.2 mailto:Steven.berkeley@va.gov

Price/Cost Schedule/B.4 Statement of Work (SOW) pages. 5 through 45 of this document for details of the Governments requirement.

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

a. CONTRACTOR: POC Name: _________________ Address: ___________________ Phone: _____________________ Email: ______________________ Unique Entity Number: ______________ Tax ID Number: ______________

b. GOVERNMENT: Steven A Berkeley, Contracting Officer 36C256

Department of Veterans Affairs

Network Contracting Office 16

5075 Westheimer Road, Suite 750

Houston TX 77056-5643

Phone: 713-971-1414

E-mail: Steven.berkeley@va.gov

2. CONTRACTOR REMITTANCE ADDRESS: All payments by the Government to the contractor will be made in accordance with:

[X] 52.232-33, Payment by Electronic Funds Transfer—System for Award

Management, or

[] 52.232-36, Payment by Third Party

3. INVOICES: Invoices shall be submitted in arrears:

a. Quarterly []

b. Semi-Annually []

c. Other [X] Upon delivery and Government acceptance

4. GOVERNMENT INVOICE ADDRESS: All Invoices from the contractor shall be submitted electronically in accordance with VAAR Clause 852.232-72 Electronic Submission of Payment

Requests.

FSC e-Invoice Payment http://www.fsc.va.gov/fsc/einvoice.asp Invoice Setup Information 1-877-489-6135 Invoice must be submitted electronically mailto:Steven.berkeley@va.gov

5. ACKNOWLEDGMENT OF AMENDMENTS: The offeror acknowledges receipt of amendments to the Solicitation numbered and dated as follows:

AMENDMENT NO DATE

B.2 PRICE/COST SCHEDULE

ITEM INFORMATION

ITEM

NUMBER

DESCRIPTION OF

SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

4.00 EA __________________ __________________

MES-2B-0H-0N1U1MOB0V MEDSTATION, ES, MAIN,2DR

(PHYSICAL EQUIPMENT)

Brand name or Equal

Contract Period: Base

POP Begin: TBD

POP End: TBD

MESR2B-P0H--0N1U1M0B0V MEDSTATION, ES, MAIN,2DR, MLM

Brand name or Equal

Contract Period: Base

MES-6B--0H--0N2U2M1B0V MEDSTATION, ES, MAIN,5DR, BIN

Brand name or Equal

Contract Period: Base

6.00 EA __________________ __________________

MESR6B-P0H--0N3U3M0B0V MEDSTATION, ES, MAIN,6DR, MLM

Brand name or Equal

Contract Period: Base

1.00 EA __________________ __________________

MES-6B--0H--0N23U3M0B0V MEDSTATION, ES, MAIN,6DR

2.00 EA __________________ __________________

MES-6B-P0H-0N4U2M0B0V MEDSTATION, ES, MAIN,6DR, MLM

MES-6B--0H--0N5U1M0B0V MEDSTATION, ES, MAIN,6DR

MES-6B-P0H--0N5U1M0B0V MEDSTATION, ES, MAIN,6DR, MLM

MESR6B-0H--ON5U1M0B0V MEDSTATION, ES, MAIN,6DR

63.00 EA __________________ __________________

MESR6B-P0H--0N5U1M0B0V MEDSTATION, ES, MAIN,6DR, MLM

AES-7---0H--0N3U4M0B0V MEDSTATION, ES, AUX,7-DRAWER

36.00 EA __________________ __________________

AES-7---0H--0N6U1M0B0V MEDSTATION, ES, AUX,7-DRAWER

16.00 EA __________________ __________________

MES---S--1A1N0P3M0B PYXIS ANESTHESIA SYSEM ES

65.00 EA __________________ __________________

AES-S---------------MEDSTATION, AUX, TOWER, SC

AES-D---------------MEDSTATION, ES, AUX, TOWER, DC

RRM---------------MED, RM, ROUNDOFFSET,12FT

MES-S---1B----------MEDSTATION ES TOWER,1HH,1FH

MES-S---0B----------MEDSTATION ES TOWER

MES-S---1B----------MEDSTATION ES TOWER,2HH

5.00 EA __________________ __________________

111-160-201 CIISAFE, TALL DBL AUX, SOLID D

111-202-01 CIISAFE, V8, X, DBL INTG MAIN, BIO

0.00 EA __________________ __________________

134314-01 ES FACILITY LICENSE

134561-01 CCE SITE (COVERED UNDER ENTERRISE)

137409-01 VIEWER DISPENSING SUBSCRIPTION

134807-01 ENTERPRISE USER/FORM MGMT LIC

134782-01 ENTERPRISE USER/FORM MGMT LIC

129766-01 INTF, MED, STD, NEW, ADT

129773-01 INTF, MED, STD, NEW USAGE

129812-01 INTF, MED, STD, NEW, PATIENT PROF

138603-01 HOSTED DATA SERVICES OPT IN

134157-01 ES S/W Only Server

136452-02 ES VM TEST SERVER

89.00 EA __________________ __________________

136276-02 MEDICATION LABEL MODULE

SPLH 801-------- PYXIS ES LINK LICENSES

SPLH 140--------PYXIS ES LINK LICENSES

SLS550i SAFE LABEL SYS PRINTER

134208-01 KIT MOUNTING ARM

135813-01 INTF, CODONICS FORMULARY

135340-01 500i BATCH PRINT MODE FEATURE

134780-01 SLS ADMIN TOOL S/W APP Regional License

MES-2B-0H-0N1U1MOB0V MEDSTATION, ES, MAIN,2DR

(MONTHLY EQUIPMENT SUPPORT FEES)

MESR2B-P0H--0N1U1M0B0V MEDSTATION, ES, MAIN,2DR, MLM

MES-6B--0H--0N2U2M1B0V MEDSTATION, ES, MAIN,5DR, BIN

MESR6B-P0H--0N3U3M0B0V MEDSTATION, ES, MAIN,6DR, MLM

MES-6B--0H--0N3U3M0B0V MEDSTATION, ES, MAIN,6DR

MES-6B-P0H--0N4U2M0B0V MEDSTATION, ES, MAIN,6DR, MLM

MES-6B--0H--0N5U1M0B0V MEDSTATION, ES, MAIN,6DR

MES-6B-P0H--0N5U1M0B0V MEDSTATION, ES, MAIN,6DR, MLM

MESR6B--0H--0N5U1M0B0V MEDSTATION, ES, MAIN,6DR

63.00 EA __________________ __________________

MESR6B-P0H--0N5U1M0B0V MEDSTATION, ES, MAIN,6DR, MLM

42.00 EA __________________ __________________

AES-7---0H--0N3U4M0B0VMEDSTATION, ES, AUX,7-DRAWER

MES----S--1A1N0P3M0BPYXIS ANESTHESIA SYSTEM ES

65.00 EA __________________ __________________

AES-S---------------MEDSTATION, ES, AUX, TOWER, SC

RRM-----------------MED, RM, ROUNDOFFSET,12FT

MES-S---1B----------MEDSTATION ES TOWER,1HH,1FH

MES-S---0B----------MEDSTATION ES TOWER

MES-S---1B----------MEDSTATION ES TOWER,2HH

MES-S---1B----------MEDSTATION ES TOWER,2FH

5.00 EA __________________ __________________

111-160-201CIISAFE, TALL DBL AUX, SOLID D

111-202-01CIISAFE, V8.X, DBL INTG MAIN, BIO

134314-01ES FACILITY LICENSE

134561-01 Site (Covered under Enterprise)

137409-01 Viewer Dispensing Subscription

134807-01 Enterprise User/Form MGMT LIC

134782-01 ENTERPRISE USER/FORM MGMT LIC

129766-01INTF, MED, STD, NEW, ADT

129773-01INTF, MED, STD, NEW USAGE

129812-01INTF, MED, STD, NEW, PATIENT PROF

12.00 MO __________________ __________________

138603-01Hosted Data Services OPT IN

134157-01 ES S/W Only Server

136452-02ES VM Test Server

89.00 EA __________________ __________________

136276-02MEDICATION LABEL MODULE

SPLH-----801--------PYXIS ES LINK LICENSES

SPLH-----500--------PYXIS ES LINK LICENSES

137586-01SLS550i SAFE LABEL SYS PRINTER

134208-01Kit Mounting Arm

135813-01INTF, CODONICS, FORMULARY

135340-01500i BATCH PRINT MODE FEATURE

134779-01SLS ADMIN TOOL S/W APP ENTERPR

70.00 EA __________________ __________________

PYXISES REF 5CF, LHG-3 STD BIN

3.00 EA __________________ __________________

PYXISES REF 5CF, LHG-6 STD BIN

PYXISES REF 13CF, LHG-6DEEP,3S

PYXISES REF 13CF, LHG-6 STD BI

PYXISES REF 13CF, RHG-3DEEP,9S

70.00 EA __________________ __________________

PYXISES REF 5CF, LHG-3 STD BIN (MONTHLY FRIDGE SUPPORT

FEES)

PYXISES REF 5CF, LHG-6 STD BIND

PYXISES REF 13CF, LHG-6DEEP,3S

PYXISES REF 13CF, LHG-6 STD BI

PYXISES REF 13CF, RHG-3DEEP,9S

GRAND TOTAL __________________

*****Note to Contractor(s)******

This procurement is being processed on a Brand Name or Equal basis in accordance with

Federal Acquisition Regulation 11.104. BD Pyxis is the reference brand for the requirement description. The following schedule of supplies and services, contract line items 0001 through

0089, represents the acceptable BD Pyxis medication dispensing system solution. Vendors offering a different brand solution should use the schedule of supplies and services contract line items to formulate their proposed equal solution considering equipment and quantities. As long as a proposed equal solution has an acceptable history for successfully meeting the medication dispensing system needs of a hospital of a similar size as MEDVAMC, the proposed different brand solution will be considered as equal.

B.3 DELIVERY SCHEDULE

120 days after award

B.4 STATEMENT OF WORK (SOW)

Statement of Work (SOW) Pharmacy Medication Automated Dispensing Cabinets (ADCs)

For Michael E. DeBakey VA Medical Center

1. Purpose

1.1. Contractor shall provide all equipment, labor, material, hardware, software, licensing, warranty, installation, user training, and supplies necessary install a medication automated dispensing cabinet (ADC) system and all of the necessary components at the Michael E. DeBakey VA Medical Center (MEDVAMC) located at 2002 Holcombe Blvd., Houston, Texas 77030 and CBOCs which allows for distribution of medication for both the inpatient bed and outpatient clinic settings.

2. Scope:

2.1. The contractor shall provide a comprehensive turnkey solution that enables MEDVAMC to distribute medications for multiple use cases, including but not limited to:

2.1.1. Inpatient units

2.1.2. Outpatient clinics

2.1.3. Emergency Department

2.1.4. Surgical or Procedural rooms/clinics

2.1.5. Anesthesia

2.1.6. Pharmacy main storage

2.2. Necessary system capabilities are described below:

2.2.1. Shall be purpose built for hospital setting and workflows to include acute inpatient care units, outpatient primary and specialty care clinics, operating rooms, procedure rooms, and the emergency department.

2.2.2. System shall have warning capabilities for critical issues, such as a refrigerator temperature decline, to decrease or eliminate asset loss.

2.2.3. Complies with all VA security requirements.

2.2.4. MEDVAMC needs a system that is easy to administer and easy to use

2.2.5. Install components to have minimal impact on the business operations of the facility and meet applicable infection control and health and safety requirements such as Joint Commission and Infection Control Risk Assessment (ICRA) findings and standards

2.2.6. Support the addition of future applications and the expansion to additional areas (e.g., additional devices and rooms, zones, floors, new buildings, etc.)

2.2.7. Shall support 100–240 V, 50–60 Hz power

2.2.8. Shall support 1 amp NOM, 3-amp MAX power

2.2.9. Network Security and IT

2.2.9.1. Leverage existing wired networks, and can be maintained and managed in a centralized location

2.2.9.2. System must have an approved Enterprise Risk Assessment (ERA) or be capable of passing the requirement for an ERA

2.2.9.3. Contractor must have an approved memorandum of understanding interconnection service agreement (MOU-ISA) or be capable of getting one approved for remote support or have an approved method of remote access

2.2.9.4. Credentialed support personnel with VA elevated privileges and remote access to work on servers

2.2.9.5. Utilize server architecture which is already deployed, configured and running across VISN 16 sites and on VISN-level servers to the greatest extent possible.

2.2.9.6. Servers shall run on a virtual environment, preferably hypervisor (Hyper-V, AHV, ESXI, vSphere, etc.) agnostic

2.2.9.7. Operating systems shall remain current with OEM (e.g., Microsoft, etc.)

support life cycle. Windows 10 and SQL/Server 2019 or newer preferred if system is Windows based

2.2.9.8. Cabinet shall have the ability to automatically log the user off after a user-defined period of time

2.2.9.9. The system shall interface with the VA VISTA/CPRS electronic medical record system and medication orders, with the ability to interface with Cerner in the future.

2.2.9.9.1. Shall have the ability to extract and update patient information from hospital information systems on a real time basis

2.2.9.10. Compatibility with VA PADE interface

2.2.9.11. Shall have biometric technology for secure entry

2.2.9.12. Web based software shall be PIV card or single sign on compatible for log on

2.2.9.13. Print to a network printer from both the server and station

2.2.9.14. The drug information on the cabinets shall have the ability to be printed on network printers

2.2.9.15. Shall support IPsec encryption

2.2.9.16. Concurrent users shall have access the system at the same time

2.2.9.17. Shall support multiple Active Directory domains

2.2.9.18. Shall allow new and terminated users to be managed through the IT user management system (i.e., integration with Active Directory)

2.2.9.19. Shall allow users to use a touch screen, keyboard and touchpad for navigation

2.2.9.20. Shall maintain transaction data upon loss of network connectivity.

2.2.9.21. Shall automatically reconcile transaction data upon reestablishment of network connectivity

2.2.9.22. Shall back-up and restore transaction data per site based on Government defined timeframe (e.g., 30 days, 45 days, or 60 days)

2.2.9.23. Shall be capable of rebuilding damage/lost files during data recovery process using database back-up data.

2.2.9.24. Shall be configurable by local sites to set up the parameters for incremental database back-up data.

2.2.9.25. Shall store, archive, and readily retrieve historical data for a minimum of five years

2.2.10. ADC and workflow attributes

2.2.10.1. Shall have multiple drawer configurations. Configuration capacities include:

2.2.10.1.1. Refrigerated product dispensing

2.2.10.1.2. Controlled substance dispensing, wastage and return

2.2.10.1.3. Single-use dispensing, tamper-free drawers

2.2.10.2. Ability to store and dispense controlled and non-controlled medications and products in various packaging forms, sizes and types, including but not limited to: ampules, bags (e.g. intravenous (IV) bags, TPN bags, IV piggyback, ready-to use IV bags, premixed IV bags, bottled medications (e.g., oral liquids, spray, canister, droppers), box

(e.g., dose packs, inhalers, cream, ointment), refrigerated medications, syringes up to 60ml (e.g. oral syringes, intravenous (IV) syringe), unit dose packaged medications (e.g., blister packs, liquid cups), vials (e.g.

single-dose, multi-dose), patient specific medications.

2.2.10.3. Main unit of the station shall contain locked & covered compartments in drawer configuration which have a capacity of at least 60 different types of medications.

2.2.10.4. Shall have multiple, configurable lidded compartment sizes

2.2.10.5. Compartment shall be reconfigurable by the customer without requiring vendor support

2.2.10.6. Shall have the flexibility to reconfigure secure storage spaces to accommodate changing medication requirements within minutes and at zero additional cost

2.2.10.7. Shall restrict access to only one medication at a time during the removal and refill process

2.2.10.8. Shall prevent the inadvertent loading of unsafe medications within the selected cabinet

2.2.10.9. If a bin fails or jams, it should not affect the function of the other bins.

Describe the notification and system response to jammed bins.

2.2.10.10. Shall include bar code scanner at each ADC location

2.2.10.11. Shall provide barcode scan verification of every dose leaving the

Pharmacy that can be barcoded

2.2.10.12. Shall provide override features for the patient profile globally and per drug

2.2.10.13. Shall store bulk items on shelves and items in secure pharmacy bins in the same cabinet footprint

2.2.10.14. Shall have the ability to turn patient profile functionality on or off per cabinet

2.2.10.15. Cabinet shall have the ability to obtain several different medications at the same time from a single drawer location but only one compartment shall be accessible at a time

2.2.10.16. Shall have an Integrated Medication Label Printer

2.2.10.17. Shall print patient dose-specific label for med removed from cabinet, as configured by Pharmacy

2.2.10.18. System management shall be available via a web-based application

2.2.10.19. Shall allow a nurse to queue meds or document medication waste from patient room or any computer via a fully web-accessible application

2.2.10.20. Shall allow remote dose request via web-accessible system for patient-specific doses not residing in cabinet

2.2.10.21. Shall locate medications not available at current station to support rapid medication access and timely administration of therapy

2.2.10.22. Shall support dispensing of items consisting of multiple medications or components

2.2.10.23. Shall allow removal of a partial dose from a multi-dose container, minimizing waste and associated costs

2.2.10.24. Shall allow reallocation of medications between stations to support availability and reduce waste

2.2.10.25. Brand and generic medication names shall be available on the system

2.2.10.26. Shall identify least removed medications at each station to optimize inventory

2.2.10.27. Narcotic vault shall expect and track inventory that is returned from cabinets

2.2.10.28. System shall be able to reconcile controlled substances dispensed to cabinets

2.2.10.29. System shall have narcotic waste process and options at the cabinet and away from the cabinet

2.2.10.30. System shall proactively warn the nurse that he/she has unaccounted for waste when the nurse logs into the system

2.2.10.31. Nurse shall be able to waste a medication at a cabinet location different from where the medication was dispensed

2.2.10.32. Cabinet shall be able to return without an External Return Bin Shall identify medications that have expired

2.2.10.33. Shall track any medication removal that varies from the ordered dose and undocumented wastes outstanding

2.2.10.34. System shall be able to inventory controlled medications that have been accessed since the prior inventory count

2.2.10.35. Stock out and critical low monitoring shall be available via a web-based application

2.2.10.36. System shall inform user when removing a medication greater or less than the ordered quantity

2.2.10.37. Shall allow automated formulary updates from the pharmacy information system

2.2.10.38. Shall have UPS or battery backup for all systems. Minimum 2-hour backup for anesthesia units

2.2.11. Refrigerated medication storage/workflow

2.2.11.1. Offer shall include CDC-compliant medical-grade refrigerators.

2.2.11.2. Refrigerators shall be able to manage single line item.

2.2.11.3. Refrigerators shall have ability to enable secure, single-line-item access for high-risk, high-value, and patient-specific refrigerated medications

2.2.11.4. Refrigerators shall have clear, secure locking bins that light up and unlock when accessed via the cabinet

2.2.11.5. Refrigerators shall be able to manage bulk refrigerated meds to help reduce inefficiencies and waste. Refrigerators shall provide increased utilization visibility.

2.2.11.6. Refrigerators shall have the ability to include secure-access drawers.

Refrigerators shall meet applicable state, federal, and safety organization guidelines

2.2.11.7. Refrigerators shall integrate with cabinet

2.2.11.8. Refrigerators shall be able to automatically record/report temperature

2.2.12. Reporting

2.2.12.1. Generates compliance reports to satisfy: USP, TJC, CLIA, FDA/CDC

Care and Handling of Vaccines, FACT, HACCP, AABB, or other appropriate regulatory bodies

2.2.12.2. Configurable automatically generated reports at specific times and to specific individuals or groups at specific frequencies (daily, weekly, monthly, quarterly, or annually, etc.)

2.2.12.3. Shall be able to view system changes across facilities

2.2.12.4. System shall match and report on medication dispense and cabinet administration times

2.2.12.5. Shall allow authorized users to connect Structured Query Language

(SQL) based third party reporting and analytical tools (e.g., Business

Objects, Statistical Analysis Software (SAS) Tableau/Power BI, Open

Refine).

2.2.13. 24/7/365 vendor support. Onsite response within 1 business day

2.2.14. Minimum 12-month warranty from final acceptance date

2.2.15. Training

2.2.15.1. Shall be provided by the contractor at time of delivery Installation for super users and regular users. Vendor shall proctor trained super users administering training during the go live event

2.2.15.2. Shall be scheduled within an 8-hour day times mutually agreed to by the COR and Contractor

2.3. Deliverables:

2.3.1. Task 1: Project Management Plan (PMP)

2.3.1.1. The PMP shall include the Contractor’s approach to management of the project schedule, resource (staffing), quality control, risk management, communications, configuration management, change management, and issues log. The vendor shall provide an implementation plan/transition plan to remove the old units and install the new equipment. A cut sheet shall be provided upon reward of contract. Equipment must not be shipped until the recognized planned date.

2.3.2. Task 2: Analysis of Current Process and Recommendations Report

2.3.2.1. The analysis will include at a minimum a review of current process documentation to be supplied by the VA, interviews with three stakeholders and ten users of the current process and a review of current process performance metrics. Recommendations will be sufficient to achieve or exceed performance objectives.

2.3.3. Task 3: Develop Formalized New Process Report

2.3.3.1. The new process will include at a minimum process flow chart, input and output templates, computer system changes required along with screen designs and other critical documentation similar to what exists for the current system. This report will emphasize current processing times and include projected processing time given each recommended change to the process.

The new process shall be documented in a report and submitted to the VA for review and feedback. The equipment shall include the capability to export data to excel, provide the username, date, time, location, identify the equipment accessed, used and dispensed within the report. The equipment shall have the ability to generate override reports and a mechanism that captures diversion attempts. The equipment shall be able to run all reports in real time.

2.3.4. Task 4: Develop New Process Training

2.3.4.1. The training course shall be designed and developed such that attendees can recognize the changes, understand the new process and be able to perform the new process upon completion of the training course. The course must include all shifts, validate lessons learned, and be designed to include face to face training for end-users across all shifts and disciplines.

The vendor shall ensure that all End users become subject matter experts.

2.3.5. Task 5: Deliver New Process Training

2.3.5.1. The Contractor shall deliver training on the new process on the VA site for a minimum of 1 year. The vendor shall provide remote assistance for a period of 5 years. The contractor shall provide a product demonstration.

2.3.6. TASK 6: Software Specifications

2.3.6.1. Technical submission shall include the following documentation for evaluation:

2.3.6.1.1. MDS2

2.3.6.1.2. Network topology depicting components of system and internal/external communication

2.3.6.1.3. Ports, Protocols, and Services used. Document must remain editable and its original file format.

2.3.6.2. System inventory. Document must remain editable and its original file format.

2.3.6.2.1. Recommended IT configurations or other internal document provided to customers for consideration of network design.

2.3.6.2.2. Physical Hardware network, space, and environmental requirements to include technical diagrams depicting equipment dimensions and locations of networking/power locations.

2.3.6.3. Software configuration per attached equipment list or equal

2.3.7. TASK 7: Equipment Deliverables Equipment configuration per attached equipment list or equal

2.3.8. Services

2.3.8.1. Survey and Design

2.3.8.2. Installation and Commissioning

2.3.8.3. Testing, Configuration and Certification

2.3.8.3.1. Conduct testing of the Vendor solution to evaluate that it complies with all requirements

2.3.8.3.2. Provide and install all necessary items, including software interfaces, and designate staff assignments and access, set up reports manager, and install the Vendor software.

2.3.8.3.3. Provide a Test Report to MEDVAMC upon successful completion of testing

2.3.8.4. Training: End User and Maintenance

2.3.8.4.1. Provide training plan as part of quote

2.3.8.4.2. Training will cover all vendor dashboards, alert configurations, and user interfaces and provided in video, in person, and virtual formats depending on user type

2.3.8.4.3. Access to vendor training resources and knowledge base for life of system

2.4. DELIVERY, INSTALLATION, AND IMPLEMENTATION

2.4.1. DELIVERY

2.4.1.1. Contractor shall deliver all equipment to the building 100 warehouse in the Michael E. DeBakey VA Medical Center, 2002 Holcombe Blvd. Houston, TX 77030 upon coordination with COR and warehouse staff.

2.4.1.2. Deliver materials to job in manufacturer's original sealed containers with brand name marked thereon.

2.4.1.3. Package to prevent damage or deterioration during shipment, handling, storage, and installation. Maintain protective covering in place and in good repair until removal is necessary.

2.4.1.4. Deliver specified items only when the site is ready for installation work to proceed.

2.4.1.5. Store products in dry condition inside enclosed facilities.

2.4.1.6. Any government requested delayed delivery up to 120 days after initial award delivery date, shall be at no additional cost to the Government.

2.4.1.7. A pre-delivery meeting will be conducted 30 days prior to initial delivery for verification of delivery and installation dates.

2.4.1.8. Delivery and Installation will be coordinated through the COR.

2.4.2. INSTALLATION AND IMPLEMENTATION

2.4.2.1. The contractor shall provide installation and implementation project management to include site visits for each building to confirm physical installation of the system. Contractors shall provide a final project schedule within 10 days of award.

2.4.2.2. The contractor shall be responsible for all equipment until installed and accepted by the Government.

2.4.2.3. All required equipment shall be fully installed by the Contractor

2.4.2.4. The Contractor shall remove all related shipping debris and cleanup, any construction associated with delivery and installation of the specified items.

Contractor shall remove all packaging from the MEDVAMC premises. The Contractor shall be responsible for any damage to the building that occurs due to Contractor error or neglect.

2.4.2.5. The contractor shall coordinate all deliveries, staging areas, installations, and parking arrangements with the COR.

2.4.2.6. Upon coordination with COR for installation, the contractor shall inform the Contracting Officer of any problems which may be anticipated about installation or which will affect optimum performance once installation is completed.

3. SITE CONDITIONS

3.1. There shall be no smoking, eating, or drinking inside the hospital at any time unless done so in designated dining areas.

3.2. COVID-19 related situation subject to change. Contractor must comply with requirements at the time of installation or support.

4. PERIOD OF PERFORMANCE:

4.1. The anticipated Period of Performance for overall project is 240 days from award.

4.2. The anticipated period of performance for support services from the warranty is at a minimum 1 year from acceptance. Support services begin when physical installation and final implementation of all buildings are complete. Option Year dates will start from warranty end date.

5. INSPECTION AND ACCEPTANCE

5.1. The Contractor shall conduct a joint inspection with the COR once all equipment had been delivered and installed. The COR shall inspect all phases of delivery and installation and provide a punch list of any and all missing or damaged products.

5.2. Contractor shall provide dates of completion of punch list items and replacement parts and/or short ship items from the manufacturer(s).

5.3. The COR shall ensure all work is completed satisfactorily prior to acceptance. Disputes shall be resolved by the Contracting Officer.

6. DELIVERABLES

6.1. The contractor shall provide a proposed system design to be approved by the COR.

6.2. Contractor shall provide documentation of the network and include updated maps/drawing (as built) showing installed equipment as applicable.

6.3. The Contractor shall provide a Final Schedule that can be imported into Microsoft

Project.

6.4. User and Service Manuals

6.4.1. The Contractor shall provide, at no charge, two (2) complete and unabridged printed copies and one (1) electronic version (CD) of operator manuals, service manuals, electronic schematics, troubleshooting guides and parts lists for each model of equipment purchased to the Contracting Officer’s Representative (COR) with delivery of equipment. Additionally, the Contractor free of charge shall provide any upgrades to these documents. These manuals will include all components and subassemblies, including those not manufactured by the Contractor. These manuals and documentation shall contain the diagnostic codes, commands, and passwords utilized in maintenance, repair and calibration of the equipment.

7. PROTECTION OF PROPERTY

7.1. Contractor shall protect all items from damage. The Contractor shall take precaution against damage to the building(s), grounds and furnishings. The Contractor shall repair or replace any items related to building(s) or grounds damaged accidentally or on purpose due to actions by the Contractor.

7.2. The Contractor shall perform an inspection of the building(s) and grounds with the COR prior to commencing work. To ensure that the Contractor shall be able to repair or replace any items, components, building(s) or grounds damaged due to negligence and/or actions taken by the Contractor. The source of all repairs beyond simple surface cleaning is the facility construction contractor (or appropriate subcontractor), so that building warranty is maintained. Concurrence from the VA Facilities Management POC and COR is required before the Contractor may perform any significant repair work. In all cases, repairs shall utilize materials of the same quality, size, texture, grade, and color to match adjacent existing work.

7.3. The Contractor shall be responsible for security of the areas in which the work is being performed prior to completion.

7.4. Contractor shall provide floor protection while working in all VA facilities. All material handling equipment shall have rubber wheels.

8. PERFORMANCE REQUIREMENTS SUMMARY

8.1. The Contractor shall provide a proposed Performance Requirements Summary (PRS) for review and approval.

9. SECURITY REQUIREMENTS

9.1. Contractor is responsible for notifying COR for escorting duties prior to arriving at the facility. Contractor personnel shall check in with Biomed located in BA-200 upon arrival and departure each day. All contractor personnel must provide one form of valid picture identification at the time of check-in to receive a visitor’s badge. Badges must be worn above the waist and visible at all times while on the jobsite. All contractor personnel will be accompanied by a cleared member of the contractor (PIV cardholder) or MEDVAMC representative at all times while on the jobsite. All contractor personnel must turn-in their badges at the end of each day.

9.2. Contractor is responsible for notifying COR for vehicle parking prior to arriving at the facility. All contractor personnel must provide vehicle insurance, registration and valid driver’s license at the time of check-in to receive a vehicle-parking pass. Vehicle parking passes must be displayed on the front dashboard of the registered vehicle at all times while on MEDVAMC property. Contractor personnel will be allowed to register up to five (5) vehicles only. All contractor personal vehicles will be allowed to park in the designated vehicle parking spaces in the parking lot as advised by the VA Police upon registering the vehicle. All contractor personnel must turn-in their vehicle parking passes at the end of each day.

9.3. If the vendor requires a key, a $100 deposit will be required per key.

9.4. Information System Security/Privacy Language: See Section B.5.

No data, on any type of storage device will be removed from this VA location.

Information technology security requirements: The contractor, their personnel, and their subcontractors shall be subject to the Federal laws, regulations, standards, and VA

Directives and Handbooks regarding information and information system security as delineated in this contract. The contractor shall comply with all Federal laws and regulations the VA has developed when VA sensitive information is accessed, used, stored, generated, transmitted, or exchanged by and between VA and a contractor. The information made available to the contractor by VA for the performance of this contract will be used only for the purposes of performance under this contract. The certification and accreditation requirements do not apply to this requirement and a security accreditation package is not required.

SECURITY STATEMENT: Sensitive VA information is not contained within the systems covered by this contract.

• Biomedical Engineering shall perform virus scans on all removable media prior to use on VA medical equipment. This includes all types of removable media, including media (e.g., USB devices, CDs, dongles, etc.) that has been issued by

VA, media not issued by VA, and media brought in by vendors or independent service organizations. Within accordance of VA Directive 6500, Information

Security Program, September 2007

• The Vendor will not transfer any VA information to a location outside the VA and only to VA locations determined by the VA System Administrator. The information in these systems may be covered by the Privacy Act 1974 which contains criminal penalties of abuse of information.

• During onsite service, the Vendor shall be chaperoned by VA Personnel.

However, the vendor shall not be issued a UserID/Password.

• Non-volatile memory devices, working or non-working, shall NOT be removed from the VA facility until the ISO has certified that the data has been destroyed.

For magnetic devices and media, the data destruction will be by degaussing.

Other forms of cleansing will be used for non-magnetic media.

• The vendor will not have remote access to complete the repair(s) and preventive maintenance.

• The vendor shall sign a Business Associate Agreement with the VA.

• The COR or designee is responsible for the actions of the vendor during the repair.

10. RECORDS MANAGEMENT STATEMENT

10.1. All records (administrative and program specific) created during the period of the contract belong to Michael E. DeBakey VA Medical Center (MEDVAMC) and must be returned to MEDVAMC at the end of the contract or destroyed in accordance to the VHA Record Control Schedule (RCS)10-1.

10.2. Citations to pertinent laws, codes and regulations such as 44 U.S.C Chapter 21, 29, 31 and 33; Freedom of Information Act (5 U.S.C. 552); Privacy Act (5 U.S.C. 552a);

36 CFR Part 1222 and Part 1228.

10.3. Contractor shall treat all deliverables under the contract as the property of the U.S.

Government for which the Government Agency shall have unlimited rights to use, dispose of, or disclose such data contained therein as it determines to be in the public interest.

10.4. Contractor shall not create or maintain any records that are not specifically tied to or authorized by the contract using Government ‘IT’ equipment and/or Government records.

10.5. Contractor shall not retain, use, sell, or disseminate copies of any deliverable that contains information covered by the Privacy Act of 1974 or that which is generally protected by the Freedom of Information Act.

10.6. Contractor shall not create or maintain any records containing any Government Agency records that are not specifically tied to or authorized by the contract or identified in the RCS 10-1.

10.7. The Government Agency owns the rights to all data/records produced as part of this contract.

10.8. The Government Agency owns the rights to all electronic information (electronic data, electronic information systems, electronic databases, etc.) and all supporting documentation created as part of this contract. Contractor must deliver sufficient technical documentation with all data deliverables to permit the agency to use the data.

10.9. Contractor agrees to comply with Federal and Agency records management policies, including those policies associated with the safeguarding of records covered by the Privacy Act of 1974. These policies include the preservation of all records created or received regardless of format [paper, electronic, etc.] or mode of transmission [e-mail, fax, etc.] or state of completion [draft, final, etc.].

10.10. No disposition of documents will be allowed without the prior written consent of the

Contracting Officer. The Agency and its contractors are responsible for preventing the alienation or unauthorized destruction of records, including all forms of mutilation.

Willful and unlawful destruction, damage or alienation of Federal records is subject to the fines and penalties imposed by 18 U.S.C. 2701. Records may not be removed from the legal custody of the Agency or destroyed without regard to the provisions of the agency records schedules.

10.11. Contractor is required to obtain the Contracting Officer's approval prior to engaging in any contractual relationship (sub-contractor) in support of this contract requiring the disclosure of information, documentary material and/or records generated under or relating to this contract. The Contractor (and any sub-contractor) is required to abide by Government and Agency guidance for protecting sensitive and proprietary information.

Minimum Salient Characteristics:

• System shall have multiple, configurable lidded compartment sizes

• Pockets shall be reconfigurable by the customer without requiring vendor support

• System shall restrict access to only one medication at a time during the removal and refill process

• Refrigerators shall have ability to enable secure, single-line-item access for high-risk, high-value, and patient-specific refrigerated medications

• Refrigerators shall have clear, secure locking bins that light up and unlock when accessed via the ADM

• The highly specialized, integrated automated dispense machine system shall be designed for use on acute inpatient care units, outpatient primary and specialty care clinics, operating rooms, procedure rooms, and the emergency department.

• The system shall interface with the VA VISTA/CPRS electronic medical record system and medication orders, with the ability to interface with Cerner in the future.

• Compatibility with VA PADE interface

• Main unit of the station shall contain locked & covered compartments in drawer configuration which have a capacity of at least 60 different types of medications.

• Shall have the flexibility to reconfigure secure storage spaces to accommodate changing medication requirements within minutes and at zero additional cost

• Shall have simple, reliable, flexible drawers that efficiently dispense drugs in smaller increment doses for greater control and safety

• Contractor shall prevent the inadvertent loading of unsafe medications within the selected ADM

• Shall allow a nurse to queue meds or document medication waste from patient room- or any computer- via a fully web-accessible system

• Shall allow remote dose request via web-accessible system for patient-specific doses not residing in ADM

• Shall print patient dose-specific label for med removed from ADM, as configured by Pharmacy

• Shall locate medications not available at current station to support rapid medication access and timely administration of therapy

• Shall support dispensing of items consisting of multiple medications or components

• Shall allow removal of a partial dose from a multi-dose container, minimizing waste and associated costs

• Shall allow reallocation of medications between stations to support availability and reduce waste

• Shall identify least removed medications at each station to optimize inventory

• Shall have an Integrated Medication Label Printer

• Shall have biometric technology for secure entry

• Narcotic vault shall expect and track inventory that is returned from ADM System shall be able to reconcile controlled substances dispensed to cabinets

• System shall have narcotic waste process and options at the ADM and away from the

ADM

• System shall proactively warn the nurse that he/she has unaccounted for waste when the nurse logs into the system

• Nurse shall be able to waste a medication at an ADM location different from where the medication was dispensed

• The drug information on the cabinets shall have the ability to be printed on network printers

• Shall provide barcode scan verification of every dose leaving the Pharmacy that can be barcoded

• ADM shall have the ability to extract and update patient information from hospital information systems on a real time basis

• Shall have the ability to turn patient profile functionality on or off per ADM Shall have multiple drawer configurations. Configuration capacities include:

a) Refrigerated product dispensing

b) Controlled substance dispensing, wastage and return

c) Single-use dispensing, tamper-free drawers

• Cabinet shall have the ability to automatically log the user off after a user-defined period of time

• If a bin fails or jams, it should not affect the function of the other bins.

• Describe the notification and system response to jammed bins.

• Shall provide override features for the patient profile globally and per drug.

• Shall store bulk items on shelves and items in secure pharmacy bins in the same cabinet footprint

• Cabinet shall have the ability to obtain several different medications at the same time from a single drawer location but only one compartment shall be accessible at a time

• Cabinet shall be able to return without an External Return Bin

• Shall identify medications that have expired

• Shall track any medication removal that varies from the ordered dose and undocumented wastes outstanding

• System shall be able to inventory controlled medications that have been accessed since the prior inventory count

• Stock out and critical low monitoring shall be available via a web-based application

• Shall print to a network printer from both the server and station

• System shall allow users to use a touch screen, keyboard and touchpad for navigation

• System shall inform user when removing a medication greater or less than the ordered quantity Brand and generic medication names shall be available on the system

• System shall match and report on medication dispense and administration times

• Shall support IPsec encryption

• The system shall support 100–240 V, 50–60 Hz power

• The system shall support 1 amp NOM, 3-amp MAX power

• Refrigerators shall include CDC-compliant medical-grade refrigerator.

• Refrigerators shall be able to manage single line item.

• Refrigerators shall be able to manage bulk refrigerated meds to help reduce inefficiencies and waste.

• Refrigerators shall provide increased utilization visibility.

• Refrigerators shall have the ability to include secure-access drawers.

• Refrigerators shall meet applicable state, federal, and safety organization guidelines.

• Refrigerators shall integrate with ADM

• Refrigerators shall be able to automatically record/report temperature.

• Shall utilize OEM supported operating systems (e.g., Windows 10, Windows Server 2019 or newer preferred)

• Shall have servers that run in a virtual environment

• System management shall be available via a web-based application

• Concurrent users shall have access the system at the same time

• The system shall allow new and terminated users to be managed through the IT user management system (i.e., integration with Active Directory)

• Shall support multiple Active Directory domains

• Shall integrate with multiple Pharmacy Information Systems

• Shall allow automated formulary updates from the pharmacy information system

• Shall be able to view system changes across facilities

• Shall support SQL Server 2019

• Shall support IPsec network encryption

Attachment 1 – List of cabinets by Quantity

Station Name Product ID Product Description Qty

Nuc Med 323 MEDSTATION,ES,MAIN,2DR 1

ECHO 323 MEDSTATION,ES,MAIN,2DR 1

5C-Ortho Clinic 323 MEDSTATION,ES,MAIN,2DR 1

Urology CL 323 MEDSTATION,ES,MAIN,2DR 1

Dialysis 323 MEDSTATION,ES,MAIN,2DR,MLM 1

SIU Clinic 323 MEDSTATION,ES,MAIN,2DR,MLM 1

Specialty Cl 323 MEDSTATION,ES,MAIN,2DR,MLM 1

Womens Cl 323 MEDSTATION,ES,MAIN,2DR,MLM 1

IR1 323 MEDSTATION,ES,MAIN,5DR,BIN 1

Cath Lab 323 MEDSTATION,ES,MAIN,5DR,BIN 1

EP 323 MEDSTATION,ES,MAIN,5DR,BIN 1

Dental CL 323 MEDSTATION,ES,MAIN,5DR,BIN 1

4D (exp) 323 MEDSTATION,ES,MAIN,6DR,MLM 1

ORANES 323 MEDSTATION,ES,MAIN,6DR 1

5E (exp) 323 MEDSTATION,ES,MAIN,6DR,MLM 1

5A (exp) 323 MEDSTATION,ES,MAIN,6DR,MLM 1

5B (exp) 323 MEDSTATION,ES,MAIN,6DR,MLM 1

3B (exp) 323 MEDSTATION,ES,MAIN,6DR,MLM 1

3C (exp) 323 MEDSTATION,ES,MAIN,6DR,MLM 1

MAIN OR 323 MEDSTATION,ES,MAIN,6DR,MLM 1

Onc Clinic 323 MEDSTATION,ES,MAIN,6DR,MLM 1

Prime Care 323 MEDSTATION,ES,MAIN,6DR 1

ER 323 MEDSTATION,ES,MAIN,6DR,MLM 1

Eye Clinic 323 MEDSTATION,ES,MAIN,6DR,MLM 1

5H 323 MEDSTATION,ES,MAIN,6DR 1

Bronch/GI 323 MEDSTATION,ES,MAIN,6DR 1

3A 323 MEDSTATION,ES,MAIN,6DR,MLM 1

3A (exp) 323 MEDSTATION,ES,MAIN,6DR,MLM 1

4D 323 MEDSTATION,ES,MAIN,6DR,MLM 1

MICU 323 MEDSTATION,ES,MAIN,6DR,MLM 1

CCU 323 MEDSTATION,ES,MAIN,6DR,MLM 1

6A 323 MEDSTATION,ES,MAIN,6DR,MLM 1

6A2 323 MEDSTATION,ES,MAIN,6DR,MLM 1

6F 323 MEDSTATION,ES,MAIN,6DR,MLM 1

6D 323 MEDSTATION,ES,MAIN,6DR,MLM 1

PACU 323 MEDSTATION,ES,MAIN,6DR,MLM 1

SICU 323 MEDSTATION,ES,MAIN,6DR,MLM 1

SICU (exp) 323 MEDSTATION,ES,MAIN,6DR,MLM 1

5E 323 MEDSTATION,ES,MAIN,6DR,MLM 1

5A 323 MEDSTATION,ES,MAIN,6DR,MLM 1

5B 323 MEDSTATION,ES,MAIN,6DR,MLM 1

4B 323 MEDSTATION,ES,MAIN,6DR,MLM 1

4B (exp) 323 MEDSTATION,ES,MAIN,6DR,MLM 1

3B 323 MEDSTATION,ES,MAIN,6DR,MLM 1

3C 323 MEDSTATION,ES,MAIN,6DR,MLM 1

3D 323 MEDSTATION,ES,MAIN,6DR,MLM 1

3D (exp) 323 MEDSTATION,ES,MAIN,6DR,MLM 1

1D 323 MEDSTATION,ES,MAIN,6DR,MLM 1

1D (exp) 323 MEDSTATION,ES,MAIN,6DR,MLM 1

1C 323 MEDSTATION,ES,MAIN,6DR,MLM 1

1C (exp) 323 MEDSTATION,ES,MAIN,6DR,MLM 1

2D 323 MEDSTATION,ES,MAIN,6DR,MLM 1

2D (exp) 323 MEDSTATION,ES,MAIN,6DR,MLM 1

1A 323 MEDSTATION,ES,MAIN,6DR,MLM 1

1A (exp) 323 MEDSTATION,ES,MAIN,6DR,MLM 1

1B 323 MEDSTATION,ES,MAIN,6DR,MLM 1

1B (exp) 323 MEDSTATION,ES,MAIN,6DR,MLM 1

2A 323 MEDSTATION,ES,MAIN,6DR,MLM 1

2A (exp) 323 MEDSTATION,ES,MAIN,6DR,MLM 1

2C 323 MEDSTATION,ES,MAIN,6DR,MLM 1

2C (exp) 323 MEDSTATION,ES,MAIN,6DR,MLM 1

ORRX 323 MEDSTATION,ES,MAIN,6DR,MLM 1

ORANES 324 MEDSTATION,ES,AUX,7-DRAWER 1

3B (exp) 324 MEDSTATION,ES,AUX,7-DRAWER 1

3C (exp) 324 MEDSTATION,ES,AUX,7-DRAWER 1

1B (exp) 324 MEDSTATION,ES,AUX,7-DRAWER 1

2A (exp) 324 MEDSTATION,ES,AUX,7-DRAWER 1

2C (exp) 324 MEDSTATION,ES,AUX,7-DRAWER 1

3A 324 MEDSTATION,ES,AUX,7-DRAWER 1

3A (exp) 324 MEDSTATION,ES,AUX,7-DRAWER 1

4D 324 MEDSTATION,ES,AUX,7-DRAWER 1

4D (exp) 324 MEDSTATION,ES,AUX,7-DRAWER 1

MICU 324 MEDSTATION,ES,AUX,7-DRAWER 1

CCU 324 MEDSTATION,ES,AUX,7-DRAWER 1

ER 324 MEDSTATION,ES,AUX,7-DRAWER 1

6A 324 MEDSTATION,ES,AUX,7-DRAWER 1

6A2 324 MEDSTATION,ES,AUX,7-DRAWER 1

6F 324 MEDSTATION,ES,AUX,7-DRAWER 1

6D 324 MEDSTATION,ES,AUX,7-DRAWER 1

SICU 324 MEDSTATION,ES,AUX,7-DRAWER 1

SICU (exp) 324 MEDSTATION,ES,AUX,7-DRAWER 1

5E 324 MEDSTATION,ES,AUX,7-DRAWER 1

5E (exp) 324 MEDSTATION,ES,AUX,7-DRAWER 1

5A 324 MEDSTATION,ES,AUX,7-DRAWER 1

5A (exp) 324 MEDSTATION,ES,AUX,7-DRAWER 1

5B 324 MEDSTATION,ES,AUX,7-DRAWER 1

5B (exp) 324 MEDSTATION,ES,AUX,7-DRAWER 1

4B 324 MEDSTATION,ES,AUX,7-DRAWER 1

4B (exp) 324 MEDSTATION,ES,AUX,7-DRAWER 1

3B 324 MEDSTATION,ES,AUX,7-DRAWER 1

3C 324 MEDSTATION,ES,AUX,7-DRAWER 1

3D 324 MEDSTATION,ES,AUX,7-DRAWER 1

3D (exp) 324 MEDSTATION,ES,AUX,7-DRAWER 1

1D 324 MEDSTATION,ES,AUX,7-DRAWER 1

1D (exp) 324 MEDSTATION,ES,AUX,7-DRAWER 1

1C 324 MEDSTATION,ES,AUX,7-DRAWER 1

1C (exp) 324 MEDSTATION,ES,AUX,7-DRAWER 1

2D 324 MEDSTATION,ES,AUX,7-DRAWER 1

2D (exp) 324 MEDSTATION,ES,AUX,7-DRAWER 1

1A 324 MEDSTATION,ES,AUX,7-DRAWER 1

1A (exp) 324 MEDSTATION,ES,AUX,7-DRAWER 1

1B 324 MEDSTATION,ES,AUX,7-DRAWER 1

2A 324 MEDSTATION,ES,AUX,7-DRAWER 1

2C 324 MEDSTATION,ES,AUX,7-DRAWER 1

OR 327 PYXIS ANESTHESIA SYSTEM ES 12

OR 2 327 PYXIS ANESTHESIA SYSTEM ES 4

3A 343 MEDSTATION,ES,AUX,TOWER,SC 1

3A (exp) 343 MEDSTATION,ES,AUX,TOWER,SC 1

4D 343 MEDSTATION,ES,AUX,TOWER,SC 1

MICU 343 MEDSTATION,ES,AUX,TOWER,SC 1

CCU 343 MEDSTATION,ES,AUX,TOWER,SC 1

Prime Care 343 MEDSTATION,ES,AUX,TOWER,SC 1

MAIN OR 343 MEDSTATION,ES,AUX,TOWER,SC 1

SICU 343 MEDSTATION,ES,AUX,TOWER,SC 1

SICU (exp) 343 MEDSTATION,ES,AUX,TOWER,SC 1

5E 343 MEDSTATION,ES,AUX,TOWER,SC 1

5E (exp) 343 MEDSTATION,ES,AUX,TOWER,SC 1

5A 343 MEDSTATION,ES,AUX,TOWER,SC 1

5A (exp) 343 MEDSTATION,ES,AUX,TOWER,SC 1

5B 343 MEDSTATION,ES,AUX,TOWER,SC 1

5B (exp) 343 MEDSTATION,ES,AUX,TOWER,SC 1

4B 343 MEDSTATION,ES,AUX,TOWER,SC 1

4B (exp) 343 MEDSTATION,ES,AUX,TOWER,SC 1

3B 343 MEDSTATION,ES,AUX,TOWER,SC 1

3B (exp) 343 MEDSTATION,ES,AUX,TOWER,SC 1

3C 343 MEDSTATION,ES,AUX,TOWER,SC 1

3C (exp) 343 MEDSTATION,ES,AUX,TOWER,SC 1

3D 343 MEDSTATION,ES,AUX,TOWER,SC 1

3D (exp) 343 MEDSTATION,ES,AUX,TOWER,SC 1

1D 343 MEDSTATION,ES,AUX,TOWER,SC 1

1D (exp) 343 MEDSTATION,ES,AUX,TOWER,SC 1

1C 343 MEDSTATION,ES,AUX,TOWER,SC 1

1C…