SOW EYESI NMCSD.pdf

Date: 15 Jan 2025

Statement of Work

Cataract and Vitreoretinal Virtual Reality Surgical Simulator for Naval Medical Center San Diego

SECTION 1 – BACKGROUND

Ophthalmology and Refractive Surgery Department in Naval Medical Center San Diego (NMCSD) offers ophthalmic residency training programs that requires Ophthalmology residents to perform cataract and vitreoretinal surgeries using virtual reality (VR) surgical simulator provided by Eyesi prior to performing any intraocular surgeries on actual patients. Currently, the Eyesi VR surgical simulator onsite non-functional and has reached end-of-life (EOL). Eyesi is crucial to ensure residents get necessary hands-on training/experience as well as supplements medical readiness/skills sustainment of staff surgeons. The only other way residents can get hands on experience and develop proficiency would be operating on actual patients, which is not ideal in terms of patient safety.

Eyesi is utilized by Graduate Medical Education (GME) and Ophthalmology. The Eyesi provides ophthalmologists with a virtual environment to hone their skills in delicate eye surgeries such as cataract removal and retinal procedures. Surgeons can practice intricate maneuvers and develop precision without additional risk to patients, ensuring optimal patient safety during actual procedures. The Eyesi allows for the opportunity to practice procedures on demand and allows for continual remediation until proficiency is achieved. On average, NMRTC SD has 9 residents per academic year completing a 3+ year training program. Each resident completes approximately 75 cataract surgeries per year as primary surgeons and 30 per year as assistants to staff surgeons. Total number of cataract surgeries annually per trainee is a little more than 100, totaling 900 cumulatively.

The Eyesi is the most prevalent of the commercially available VR surgical simulators in U.S. ophthalmic residency training programs. The Eyesi simulator is the only system that has the curriculum that allows residents to become proficient prior to operating on an on an actual patient and is part of the GME Surgical Foundations Curriculum, which residents complete prior to any intraocular surgical experience. It is the only one that has been validated in peer-reviewed publications and available on the market for the training of both cataract and vitreoretinal surgeries.

In addition to the built-in curriculum that a trainee must work through in a step-wise fashion, the Eyesi simulator is also the only simulator available that comes with handheld instruments that mimic the instruments surgeons use inside the eye. Residents are required to practice and pass a specific syllabus on the simulator itself before beginning any intraocular surgeries. The Eyesi also supports achieving competency throughout the last two years of intraocular surgical training with simulation of more advanced maneuvers. Additionally, the Eyesi is an excellent tool used in recruiting residents to the training program as they are very interested in gaining surgical experience early in their training.

SECTION 2 – SCOPE OF WORK

Tasks/Requirements:

Defense Health Agency has a one-time purchase equipment requirement of VR Simulator Eyesi Surgical Complete System, Complete Gold Software plan 60 months, and CAT spare instrument set to replace current EOL system for NMCSD. The VR Simulator shall provide training for both cataract and vitreoretinal surgeries.

The contractor shall provide the following:

Eyesi Surgical Complete System

Item Description ES_SET_COMPL_IC36 Eyesi Surgical Complete System 60M ES_PS-2004_W Eyesi Surgical Platform 2.11 ES_SOFTWARE Simulator Software

Eyesi Cataract Components

Item Description ES_SI-C-2011 Eyesi CAT Surgery Interface Pack ES_IS-C003 Including: Eyese CAT hand-activated Forceps ES_TMP-C001 Eyesi CAT Basic Skills Pack 1 (License) including: Eyesi CAT Anti-tremor training, Eyesi CAT Forceps Training, Eyesi CAT Phaco Basic Skills Training

ES_TMP-C003 Eyesi CAT Basic Skills Pack 3 (License) including: Eyesi CAT Anti-tremor training (Intracapsular), Eyesi CAT Navigation Training (Intracapsular), Eyesi CAT Phaco Chopping Training

ES_TM-C101 Eyesi CAT Capsulorhexis (Licence) ES_TM-C103 Eyesi CAT Hydromaneuvers (Licence) ES_TM-C102 Eyesi CAT Phaco Divide&Conquer (Licence) ES_TM-C104 Eyesi CAT IrrigationAspiration (Licence) ES_TM-C105 Eyesi CAT IOL Insertion (Licence) ES_TM-C106 Eyesi CAT Anterior Vitrectomy (Licence) ES_TM-C107 Eyesi CAT Iris Expansion Ring (Licence) ES_TM-C108 Eyesi CAT Capsular Tension Ring (Licence)

Eyesi Vitreoretinal Components

Item Description ES_SI-V_2011 Eyesi VIT Surgery Interface Pack ES_IS-V002 Eyesi Surgical VIT hand-activated Forceps ES_SI-AO02 Eyesi VIT BIOMv5/SDI mimic ES_TMP-V101 Eyesi VIT Basic Skills Pack 1 (Licence) including:

Eyesi VIT Forceps Training, Eyesi VIT Anti Tremor Training, Eyesi VIT Vitrector Training

ES_TMP-V102 Eyesi VIT Basic Skills Pack 2 (Licence) including:

Eyesi Navigation Training, Eyesi VIT Bimanual Training, Eyesi VIT Bimanual Scissors

ES_TM-V101 Eyesi VIT Epiretinal Membranes (Licence) ES_TM-V102 Eyesi VIT ILM Peeling (Licence) ES_TM-V103 Eyesi VIT Posterior Hyaloid (Licence) ES_TM-V104 Eyesi VIT Endolaser (Licence) ES_TM-V105 Eyesi VIT Retinal Detachment (Licence)

The contractor is responsible for the shipping, delivery and equipment set-up. A Government Representative at NMCSD must be present upon delivery and equipment set-up.

A factory warranty for the hardware components is one year from purchase.

SECTION 4 – DELIVERY DATE

The delivery date for the equipment shall be no later than 1 March 2025.

SECTION 5 – DELIVERY LOCATION

NMCSD San Diego Loading Dock 1 ATTN: Cheryl Marquez 34800 Bob Wilson Drive, San Diego, CA 92134