SCOPE OF WORK CT Expansion Project.pdf

SCOPE OF WORK

128 Slice Computed Tomography

Lawton Indian Hospital

Lawton, Oklahoma

A. Overview of Project

The intent and objective of this Scope of Work is to install a new state of the art 128 Slice Computed Tomography equipment which will perform diagnostic CT, Cardiac, Brain Perfusion, Bone Density, Dual Energy, 3D Camera integrated into the workflow, Power Injector attached to the scanner with minimal exposure to the patient. We would like to purchase the 128 Slice Computed Tomography equipment with in the next 3 months. The addition of 128 Slice Computed Tomography equipment will make available the most update computed tomography services to the Lawton Service Unit patient population. To ensure a smooth transition into 128 Slice Computed Tomography the project will need to be turnkey.

B. Services to be Performed by the Vendor

1. The Vendor will sell to the Lawton Service Unit a state of the art 128 Slice

Computed Tomography system

2. The Vendor purchased 128 Slice Computed Tomography unit will consist of the following items:

i. 128 Slice Computed Tomography System

3. Vendor will provide the following setup and installation services:

i. Deliver 128 Slice Computed Tomography unit

ii. Complete setup of 128 Slice Computed Tomography unit

Setting up 128 Slice Computed Tomography unit in designated room including leveling and anchoring

Connect utility service at the Lawton Service Unit’s source

Connect phone and data to the Lawton Service Unit network

Startup and testing of 128 Slice Computed Tomography unit

Physicist Inspection and Acceptance for compliance by Physicist of Lawton Service Unit Imaging choice

4. Minimum System Requirements

i. The 128 Slice Computed Tomography System

Straton X-ray tube

Stellar Infinity detector, keeps electronic noise low, increased dose efficiency and improves spatial resolution. The smart configuration of the detector elements simplifies access, eases maintenaces and increases scanner uptime.

128 slice

Windows 10 OS

Tablet app for mobile workflow

Metal detection alerts the user when wearable metallic objects are in the scan field

Postprocessing is part of the standard recon task

0.30 mm Spatial resolution

0.3s Rotation time for high temporal resolution and limit patient motion, specifically in Cardiac

150 ms In-plane temporal resolution

105kW Generator, to allow scanning to 150 kV

21.7 cm/s Maximum scan speed

1,200 mA Maximum (70, 80, 90 kV)

82 cm Gantry opening

Water/Air Gantry cooling

676 lbs/307 kg Table weight limit and 78.7” scanable range, with mattress, accessory tray and foot switch table control

Automatically identifies the ROI in the aorta for automatic triggering of bolus tracking exams

UPS for power supply to computer system

93PM-150 kW Eaton UPS for power supply to CT System

Eaton 93PM Remote Monitoring Device, wall-mounted

Secure data link that connects CT to service to monitor equipment in real time, via VPN

Imaging Reconstruction System for the preprocessing and reconstruction of CT raw data

Metal Artifact reduction

Cardiac Imaging, must be easily utilized by technologist with less experience in Cardiac CT procedures, protocols will suggest which setting are more appropriate for every patient based on the procedure and patient characteristics and finds the optimal combination of acquisition and reconstruction parameters.

Neuro Imaging, volume perfusion studies in head application for a range of up to 10 cm, easily utilized by technologists of any level Tiltable head holder, Neuro Digital Subtraction Angiography, single click, bone free visualization without increasing dose, utilizing non-enhanced head scan.

Bone Density (QCT), quantitative assessment of the bone mineral content in lumbar spine and hip for diagnosis of osteoporosis

Dual Energy capabilities with spectral imaging package

Wireless Tablet and Remote Scan Control for mobile workflow

3D camera integrated into workflow that allows automatic patient positioning in the exam room. Utilizes a combination of AI 3D camera and mobile workflow, sets the patient at Isocenter

Patient Observation Camera, integrated into the gantry

Visual Patient Instruction, intuitive color-coded breathhold count-down displayed on the front and rear part of the tunnel as visual guidance for patients

Contrast Media clinical workflow efficiency and monitoring of patients during contrast media injection and scan start, including protocols, quantified parameterization of flow and concertation for the media, calculated for the average patient

Pediatric cradle, arm support, patient fixation slider and positioning straps

Surge Protective Device

CT Slicker

Low Contrast CT Phantom and Holder

Lung Imagining, utilizing Tin Filter, automatic exposure control that default low dose lung imaging protocols below 1 mSv

Adaptive dose modulation for up to 60% dose reduction

Real-time dose modulation, reference curves for each body region and for each body habitus allowing to adjust the configuration even more precisely to the patient’s anatomy

DICOM structured file for the extraction od does values (CTDIvol

DLP)

DoseLogs, whenever a dose limit exceeds the established reference dose levels a report is automatically created on the system

Dose Alert, automatically adds CTDIvol and DLP values depending on z-position. the Dose Alert window appears if either of these cumulative values exceeds a user-defined threshold

Dose Notification, provides the ability to set dose reference values for each scan range

NEMA-XR-29 Standard, MUST BE IN COMPLIANCE

Advanced 3D functionality, containing volume rendering technique and advanced editing functions

Bone Removal, automated removal for 3D application

4D direct generation of sagittal, coronal, oblique or double-oblique reconstructed images directly from CT rae data as part of the CT protocol

Stellant Flex Injector-CT mounted with workstation, NO informatics, but informatics ready (our current injector informatics license will be transferred per Bayer)

MedRad Interface

Preventative Maintenance- Safety Inspection and System Checks are performed every 12 months and last approximately 2 hours;

Full System Maintenance is performed triennially (every 36 months) and last approximately 4 hours

5. Contractor will provide the following support

i. On-line help

ii. Technical support

iii. Customized Equipment to support clinical needs

iv. Applications Training – Initial 32 hours, and follow-up 16 hours

v. Customer Support 24/7

vi. Site Assistance, Pre-planning and Set-up, Project Management

vii. Transportation, On-Time Delivery

viii. CT Standard Rigging, Installation and possible additional Rigging

ix. Systems meet OEM Specifications or greater

x. Equipment Maintenance

C. Pre-purchase Inspection:

Pre-purchase Inspection – pre-purchase inspection date is the date established in the contract documents when the 128 Slice Computed Tomography is to be setup, fully functional, tested (i.e. images transmit to PACS), properly anchored and is ready to turn over to the Government. All deliverables shall be complete and submitted to the Government at that time.

D. Period of Performance:

To be determined

E. Points of Contact:

Contractor Officer:

Sean Long 701 Market Drive Oklahoma City, OK 73114 405-951-3932, sean.long@ihs.gov

Contracting Officer Technical Representative:

Laquita J. Cormany, RT, R, CT, ARRT Lawton Service Unit Radiology Supervisor 1515 NE Lawrie Tatum Road, Lawton, OK 73505 580-354-5130, laquita.cormany@ihs.gov

Chief Executive Officer:

Capt Brian Wren CEO Lawton Service Unit, Indian Health Service 1515 NE Lawrie Tatum Road, Lawton, OK 73505 580-354-5407, brian.wren@ihs.gov