SOW-Audio Equipment.docx

Statement of Work Central Alabama Veterans Health Care System Geriatrics, Extended Care & Rehabilitation Service (GEC&R)

Scope of Work

LOCATION: Audiology Clinic – Robert S. Poydasheff VA Clinic

DESCRIPITION: Deliver, install, and perform training on Audiology Equipment. The contractor will supply all equipment and tools needed to complete installation. Onsite delivery and installation to the Robert S. Poydasheff VA Clinic located in Columbus, Ga.

1. The contractor shall deliver, install, and calibrate as selected for designated clinics. Installation and training shall be performed in accordance with manufacturer’s guidelines and safety codes for health care facilities.

2. Line items needed:

1. (2 each) AudioStar Pro V2 -with TDH 50, B81, IP30 and DD450 Transducers with GSI-AMTAS automated audiometry Version 2 Includes: 8004365 Subject Response Hand Switch; 8010870 Monitor Headset with boom PC 131 ; 8501251 Headphones, Assistant (Aux Intercom) with inline control; 8100179 Extension cable for Assistant headset (stereo, m-f, 3.5mm); 8100682 Gooseneck Microphone; 8101853 Talk Back Microphone with mounting bracket; 8030554 Wireless keyboard and mouse;

8104416 Earpads 2 pack Sennheiser HZP 09; 8504476 Microphone windscreen Sennheiser PS 01 ; 8011241 Cable, USB A/B, 2 meters; 8004385 Patch Cord, 6 feet, red, 1 each;

8004387 Patch Cord, 6 feet, blue, 1 each; 8004383 Patch Cord, 6 feet, black, 1 each; 8013226 Dust Cover; 8011399 US Power cord; 8106460 Remote Keyboard Shortcut Guide; 8100770 Quick Guide, English, hardcopy; 8504192 AudioStar Pro Software and Manuals, USB Bundle; 8019060 GSI Suite Data Management

2. (2 PAIR (2 each booth) Radioear 90db Wall/corner mount passive speaker pair W/GSI cable- RoHS compatible, Robust design, Easy to use, Thick MDF walls, Reduced sound reflection, Protective metal grills, and Rounded corners. Power Input: 40 W continuous 80 W peak Connections: Red /Black spring-loaded connector for bare end wire Total Harmonic Distortion: < 5% at rated power Frequency Response: 125 Hz - 8 kHz Sensitivity: 94 dB/1 W Impedance: 8 ohm Dimensions (each): (H) 13.78” (350 mm) x (W) 13.78” (350 mm) x (D) 5.12” (130 mm) Weight: 10.23 lbs./4.6 kg Materials and Construction: • 12 mm thick MDF cabinet • 6.5”.

3. (2 each) GSI TympStar Pro - Comprehensive Middle Ear Analyzer Probe Assembly (226 Hz, 678 Hz and 1000 Hz), Contra Phone, Includes Parts: Probe Mount - Shoulder, Probe Mount - Wrist, Probe Mount - Clip Assembly, Probe House Mount Kit, Wireless Keyboard, Eartip Sample Kit (3-18.5mm), Calibration Test Cavity, Probe Tube Replacement Kit, Probe Tip Replacement Kit (3), Cleaning Cloth (display), Probe Floss Cleaning Kit, GSI Suite Flash Drive Bundle, TympStar Pro Flash Drive Bundle, TympStar Pro Quick Guide, USB Cable, A/B (2m), USB Active Extension Cable (10m), Power Cord (US).

4. (2 each) GSI 39 Auto Tymp - Version 2 - 226 Hz Tymp with Ipsi Reflex & Contra Reflex Includes: 8006045 Power Supply ; 8001125 Test Cavity; 8012939 Paper, Thermal, 4" Wide, 3 Rolls; 8013174 Eartips Package, 6 Sizes, 2 Each; 8503759 GSI 39 Manuals and Quick Guides USB Bundle; 8013349 Wall Chart, 226 Hz, English; 8109060 GSI Suite Flash Drive Bundle; 8011241 USB Cable, A/B (2m); 8006560 GSI 39 Probe; 8010910 Contralateral Insert Phone.

5. (2 each) Interacoustics Lyra DPOAE- includes Lyra hardware, probe, DPOAE module, Frequency range 500Hz to 10kHz, Manually select to test additional DP point, and individual tests *Does not include computer or printer*) and furnished with all the needed equipment for conducting comprehensive hearing evaluations, including C&P exams for Audiology, and equipment needed to fit hearing aids

6. (3 each) Hi-Pro- is a universal hardware interface designed to program all kinds of hearing instruments. The high-speed mode enables fitting modules to communicate with the hearing instrument faster than the Hi-Pro USB version.

7. (2 each) Audioscan Verifit 2 CLINICAL REM/HIT - fully binaural system. Verifit Skull Simulator Objectively verify audibility and adaptive features with bone-anchored hearing devices (BAHDs). No external power supply required • Easy to set up and use, just plug Verifit Skull Simulator into the coupler jack inside the test box DSL-BCD targets in Speechmap • Objectively verify that appropriate levels of audibility are provided for various speech signals ANSI/IEC, directional, noise reduction testing • Conduct quality control testing and assess the impact of advanced features No license required • No extra cost for an additional software suite. REAL-EAR (REM) Per IEC 61669/ANSI S3.46 REM Speakers dual 5 x 9 cm w/ ducted ports Probe modules dual probe and ref. microphones Probe microphone tube silicone 1 mm diameter x 75 mm Analyzer frequency range 200 – 16000Hz Analyzer filter parameters tones, warble 1/12 octave speech, noise 1/3 octave Analyzer display range 200 – 12500 Hz Probe microphone noise floor (200 – 12500 Hz). TEST BOX (HIT) Per IEC 60118/ANSI S3.22 Test box speakers 1 front, 2 side, 30 mm independent Working space 28w x 12.7d x 3.8h cm3 Isolation @1kHz >25dB Analyzer frequency range 200 – 16000 Hz Analyzer filter parameters tones 1/12 octave speech, noise 1/3 octave Analyzer display range 200 – 12500 Hz Coupler microphone noise floor (200 – 12500 Hz).

8. (2 each) MedRx Video Otoscopes- is particularly helpful when comparing a clean ear canal with normal eardrum to a canal that has excessive cerumen, foreign bodies, external otitis, PE Tube status, cholesteatoma, TM perforations or other abnormalities. Store pictures in NOAH, retrieve results easily for followup visits showing the patients their progress. User Friendly, USB Connection, Plug and Play Technology. Capture, View and Store Digital Images. Perform an Otoscopic Examination. View the Probe Microphone Tube in the Ear Canal. Clear and Sharp Images. Conveniently Shows a List of Captured Pictures, Comments and Previews of the Selected Images. NOAH™, TIMS, Blueprint OMS and Sycle Compatible. An Integrated Video Module is Available in MedRx Software. Ideal for Cerumen Management.

9. (1 each) Etymonic Design NOAH Module

10. (1 each) Audioscan additional NOAH Module

11. Other Digital Equipment

12. Digital Clinical

13. Screen Portable

3. The Contractor and the designated representative from Audiology department will jointly review the specific site of installation within the clinic prior to initiation of work.

4. Changes to the design after formal acceptance will be agreed upon jointly by the Contractor and the designated representative from Audiology Clinic; with the representative providing the Contractor written documentation of the changes.

5. Testing Process:

· The Contractor will perform safety checks/testing in accordance with manufacturer’s guidelines at the conclusion of installation.

· The Government Owner (Audiology department representative and/or Biomedical Engineering representative) reserves the right to be present during any or all of testing.

· 100% of installed equipment must be tested. All tests must pass acceptance criteria.

6. Standards Compliance & Test Requirements

Refer to manufacturer’s guidelines.

7. Documentation Requirements:

· Test reports may be submitted in hardcopy or electronic format. Hand-written test reports are not acceptable;

· Test reports shall be submitted within seven business days of completion of testing.

· Electronic reports are to be submitted via e-mail. If proprietary software is used, CD shall contain any necessary software required to view test results. If the results are delivered in a standard format like Excel, Access, CSV files, etc., then software to read these files are not provided. Electronic reports must be accompanied by a Certificate signed by an authorized representative of the Contractor warranting the truth and accuracy of the electronic report. Certificate must reference traceable circuit numbers that match the electronic record.

8. Information Technology Requirements

· The Certification & Accreditation requirements do not apply, and a Security Accreditation Package is not required.

· 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.

9. Acceptance

Once all work has been completed, test documentation has been submitted, and the Government (Audiology and Biomedical Engineering departments) is satisfied that all work is in accordance with contract documents, the Government shall notify Contractor at time of installation of equipment acceptance.

10. Acceptance Requirements

Contractor must warrant in writing that 100% of the installation meets the requirements specified under Standards Compliance & Test Requirements above.

Acceptance shall be subject to completion of all work, successful post-installation testing which yields 100 percent PASS rating, and receipt of full documentation as described under Documentation.

11. Warranty

Manufacturer’s warranty includes a period of one year for parts and labor. Contractor shall adhere and warrant installation against all product and labor defects for a period of one year.

12. The contractor shall provide a timeline to the Government on the installation and training. Contractor shall deliver and install no earlier than December 23, 2021. Training is to be coordinated once installation is complete. Point of contacts for training are Vanessa Woods 334-727-0550 ext. 55041 or Dr. Denise Lensgraf-Landers 334-727-0550 ext. 53060.

13. Schedule of Performance: Contractor will provide dates and times when items are to be accomplished to facility, Logistics/Warehouse.

Technical contact regarding all matters related to the selection of equipment: Dr. Denise Lensgraf-Landers, Audiology Supervisor 334-727-53060.