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STATEMENT OF WORK (SOW)
Patient Monitoring System
1. Background The Eastern Oklahoma Veterans Health Care System is in need one GE Carescape Monitor B450 Patient Monitoring System for the Endoscopy Suite at the new Tulsa Health Care Center (THCC) in Tulsa, OK.
2. Description
a. Schedule of Supplies
| Item |
| Description |
| Quantity |
| Unit |
| 1 |
| Carescape Monitor B450, item# 2068491-001 |
| 13 |
| EA |
| 1.a. |
| B450 Frame without WLAN, item# 2065433-001 |
| 13 |
| EA |
| 1.b. |
| Carescape B450 ESP V2 Software US, item# 5822895 |
| 13 |
| EA |
| 1.c. |
| B450 No Recorder Option, item# 2066522-001 |
| 13 |
| EA |
| 1.d. |
| B450 English US Gov Localization, item# 5822718 |
| 13 |
| EA |
| 1.e. |
| B450 English US Keyboard SW Setting, item# 2068494-005 |
| 13 |
| EA |
| 1.f. |
| B450 Power Frequency Setting 60Hz, item# 2068494-017 |
| 13 |
| EA |
| 1.g. |
| B450 4ICU – Critical Care Software Package, item# 2064277-001 |
| 13 |
| EA |
| 1.h. |
| B450 PARR – Full Arrythmia License, item# 2064304-001 |
| 13 |
| EA |
| 1.i. |
| B450 AVOA – Auto View On Alarm License, item# 2064495-001 |
| 13 |
| EA |
| 1.k. |
| B450 CHMO – Hemodynamic Calculations License, item# 2064496-001 |
| 13 |
| EA |
| 1.j. |
| B450 PPCO – PICOO Cardiac Output License, item# 2065172-001 |
| 13 |
| EA |
| 1.k. |
| B450 PSCV – Central Venous Oxygen Saturation License, item# 2066494-001 |
| 13 |
| EA |
| 1.l. |
| Power cord, USA/Canada, 8ft Angle |
| 13 |
| EA |
| 1.m. |
| Battery, FLEX-32P 10.8V 18650 LI-ION SMBUS (B450 Compatible) |
| 13 |
| EA |
| 2. |
| Wall mount VHM Locking w/o wall channel |
| 13 |
| EA |
| 3. |
| Wall channel, 19 inch |
| 13 |
| EA |
| 4. |
| Utility hook, GCX, for use w/ M & VHM series arms, mounts under arm and provides 2 hooks for cable/ accessory management |
| 13 |
| EA |
| 5. |
| Patient Data Module (PDM) |
| 5.a. |
| Patient Data Module, item# 2042084-001 |
| 13 |
| EA |
| 5.b. |
| Nellcor SpO2, item# 2041390-002 |
| 13 |
| EA |
| 5.c. |
| English, item# 2041390-020 |
| 13 |
| EA |
| 5.d. |
| 60Hz, item# 2041575-002 |
| 13 |
| EA |
| 5.e. |
| Invasive Pressures, item# 2041575-002 |
| 13 |
| EA |
| 5.f. |
| Battery, item# 2041390-041 |
| 13 |
| EA |
| 5.g. |
| No Bedside Dock |
| 13 |
| EA |
| 6. |
| CBL SpO2 Nellcor Oximax#m Cable Assy SpO2 Nellcor Oximax 3.6m, item#2021406-001 |
| 13 |
| EA |
| 7. |
| Dinaclick Airhose, 12ft (3.6m) Care Hose w/ Rectangle Connector to Adult 2T Dinaclick Connector, item# 2058203-002 |
| 13 |
| EA |
| 8. |
| Soft-CUF Assortment Kit, 2T Dinaclick – 20/pk (5 sm.adult, 10 adult, 5 lg.adult) item# 2059303-001 |
| 13 |
| EA |
| 9. |
| ECG Trunk Cable, 3/5-lead, AHA, 3.6m |
| 13 |
| EA |
| 10 |
| ECG Leadwire set, 5-lead, grabber, AHA, 51in |
| 13 |
| EA |
| 11. |
| Carescape Monitor B450 |
| 11.a. |
| Carescape Monitor B450, item# 2068491-001 |
| 1 |
| EA |
| 11.b. |
| B450 Frame without WLAN, item# 2065433-001 |
| 1 |
| EA |
| 11.c. |
| Carescape B450 ESP V2 Software US, item# 5822895 |
| 1 |
| EA |
| 11.d. |
| B450 No Recorder Option, item# 2066522-001 |
| 1 |
| EA |
| 11.e. |
| B450 English US Gov Localization, item# 5022718 |
| 1 |
| EA |
| 11.f. |
| B450 English US Keyboard SW Setting, item# 2068494-005 |
| 1 |
| EA |
| 11.g. |
| B450 Power Frequency Setting 60Hz, item# 2068494-017 |
| 1 |
| EA |
| 11.h. |
| B450 4ICU – Critical Care Software Package, item# 2064277-001 |
| 1 |
| EA |
| 11.i. |
| B450 PARR – Full Arrythmia License |
| 1 |
| EA |
| 11.j. |
| B450 AVOA – Auto View On Alarm License, item# 2064495-001 |
| 1 |
| EA |
| 11.k. |
| B450 CHMO – Hemodynamic Calculations License, item# 2064496-001 |
| 1 |
| EA |
| 11.l. |
| B450 PPCO – PICOO Cardiac Output License, item# 2065172-001 |
| 1 |
| EA |
| 11.m |
| B450 PSCV – Central Venous Oxygen Saturation License, item# 2066494-001 |
| 1 |
| EA |
| 11.n. |
| Power cord, USA/Canada, 8Ft Angle |
| 1 |
| EA |
| 11.o. |
| Battery, FLEX-3S2P 10.8V 18650 LI-ION SMBUS (B450 Compatible) |
| 1 |
| EA |
| 12. |
| 16” ‘M’ Series Wall Mounting Arm w/ 5” tilt/swivel mounting plate |
| 1 |
| EA |
| 13. |
| 19” wall channel |
| 1 |
| EA |
| 14. |
| PDM w/o cables: Biomed Spare |
| 14.a. |
| Patient Data Module, item# 2042084-001 |
| 1 |
| EA |
| 14.b. |
| Nellcor SpO2, item# 2041390-002 |
| 1 |
| EA |
| 14.c. |
| English, item# 2041390-020 |
| 1 |
| EA |
| 14.d. |
| 60Hz, item# 2041575-002 |
| 1 |
| EA |
| 14.e. |
| Invasive Pressures, item# 2041575-003 |
| 1 |
| EA |
| 14.f. |
| Battery, item# 2041390-041 |
| 1 |
| EA |
| 14.g. |
| No Bedside Dock, item# 2041390-044 |
| 1 |
| EA |
| 15. |
| Airway Gas Module with CO2 (single width), item# E-MINI-00-EN |
| 14 |
| EA |
| 16. |
| Mini D-fend water trap, pkg of 10, item# 8002174 |
| 14 |
| EA |
| 17.a. |
| Carescape Central Station V2 MAI 700 ATO Model, item# 2092670-001 |
| 1 |
| EA |
| 17.b. |
| CSCS V2.1 SW with MAI700 Integrated HW, item# 2092695-005 |
| 1 |
| EA |
| 17.c. |
| CSCS V2.1 English US Government Localization with eManuals, item# 2092690-47 |
| 1 |
| EA |
| 17.d. |
| CSCS English US Keyboard with Mouse, item# 2081739-004 |
| 1 |
| EA |
| 17.e. |
| Power Cord, North American, 6ft |
| 1 |
| EA |
| 17.f. |
| Bed View License – 1 Bed, item#2092862-001 |
| 14 |
| EA |
| 17.g. |
| MiltiKM License, item# 2092863-004 |
| 1 |
| EA |
| 17.h. |
| Patient Management Licenses, item# 2092863-001 |
| 1 |
| EA |
| 17.i. |
| ADT Picklist License, item# 2092863-002 |
| 1 |
| EA |
| 17.j. |
| Review Licenses, item# 2092864-001 |
| 1 |
| EA |
| 17.k. |
| FD Page and Realtime Trends Licenses, item# 2092864-002 |
| 1 |
| EA |
| 17.l. |
| OXYCRG License, 2092864-007 |
| 1 |
| EA |
| 17.m. |
| PDF to EMR License, item# 2092864-007 |
| 1 |
| EA |
| 17.n. |
| CSCS 24 Hr FD License, 2095336-001 |
| 14 |
| EA |
| 18. |
| CIC UPS, 600VA, 110V |
| 1 |
| EA |
| 19. |
| inSite Connectivity, item# 2025330-001 |
| 1 |
| EA |
| 20. |
| CSCS V2.1 User Manual English, item# 2048001-418 |
| 1 |
| EA |
| 21. |
| Training, Patient Monitoring Clinical Applications, 1 Day training and Go Live Support |
| 8 |
| EA |
| 22. |
| Training, CSCS Clinical User and Configuration, item# 2016373-400 |
| 1 |
| EA |
| 23.a. |
| Carescape Gateway ATO Model, item# 2058580-002 |
| 1 |
| EA |
| 23.b. |
| Carescape Gateway – Hardware, ADT, Outbound Results, Network Time Synchronization 50 Licenses and Remote Access Software, item# 2058581-016 |
| 1 |
| EA |
| 23.c. |
| Power cord, 5ft, North American |
| 2 |
| EA |
| 23.d. |
| Test Interface (HL7 Only), item# 2058599-001 |
| 1 |
| EA |
| 24. |
| ITPS Basic Installation (HL7 Only), Requires VPN Access, item#2058601-001 |
| 1 |
| EA |
| 25. |
| ITPS Configuration, Documentation, and Testing for HL7 Trended Bed License – Up to 50 beds, item# 2058601-018 |
| 1 |
| EA |
| 26. |
| ITPS ADT Configuration, item# 2058601-019 |
| 1 |
| EA |
| 27. |
| HL7 Custom Configuration – 4 hours (remote) Requires VPN Access, item# 2058601-005 |
| 1 |
| EA |
| 28. |
| 1500VA UPS, Closet Rack Mount |
| 1 |
| EA |
| 29. |
| Carescape Network, Turney |
| 29.a. |
| Network Design/ Consult Seg Network – 15+ Nodes, item# 2036075-001 |
| 18 |
| EA |
| 29.b. |
| Network Design/ Consult Seg Network - < 15 Nodes, item# 2036075-034 |
| 14 |
| EA |
| 29.c. |
| Network Equipment w/Cisco (minimum 7 nodes), item# 2036075-009 |
| 32 |
| EA |
| 29.d. |
| Network Equipment – UPS for Switches/Routers (per 20 nodes) |
| 2 |
| EA |
| 29.e. |
| Carescape Networking Documentation Kit and Labels, item# 2036075-058 |
| 1 |
| EA |
b. User training will need to be provided for all users (Clinical Applications Training)
c. All network design/consultation will be included
d. All configurations needed will be included
e. Installation of entire system will be required, including any wiring, fiber, and drops that are needed
f. All dust containment needs will be provided during installation
g. Connectivity of entire system will be required
h. Testing of all connectivity and functionality will be completed before handing over for use
3. Delivery
a. No earlier than 6/1/2021
b. Warehouse:
i. Tulsa Health Care Center 8921 S. Mingo Rd.
Tulsa, OK 74133
c. The contractor will have all the products delivered and installed at Tulsa Health Care Center. Contractor delivery of equipment shall take place no earlier than 6/1/2021 between the hours of 0800 -1500, Monday through Friday. Contractor shall not be required, nor is authorized to perform any work on the following U.S. Government Federal Holidays:
New Year's Day, Martin Luther King Jr's Birthday, Washington's Birthday, Memorial Day, Independence Day, Labor Day, Columbus Day, Veterans Day, Thanksgiving Day, Christmas Day
POC
Matt Keefe – Supervisory Acquisition Specialist Christy Iven - Acquisition Utilization Specialist
CONTRACTOR FURNISHED ITEMS AND RESPONSIBILITIES
The Contractor shall furnish all supplies, equipment, facilities and services required to perform the service under this contract. The Contractor shall perform all work in accordance with this Statement of Work.
Contractor must sign and return VA Handbook 6500.6 Appendix D: Contractor Rules of Behavior within 3 business days of contract award and prior to beginning any work.
END OF STATEMENT OF WORK