JEFO-Endoscopic Video Systems_MAMC 1.28.2026 KM CUI- FINAL_Redacted.pdf
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- Attached to
- JEFO - Endoscopic Video Tower System
- Solicitation number
- SPE2D1-26-F-0097
About this file
This is a Justification for an Exception to Fair Opportunity (JEFO) document for a single-source acquisition through the Defense Logistics Agency (DLA) Troop Support, Medical Supply Chain, Capital Equipment Division.
The acquisition is for Karl Storz Endoscopic-America Video Tower Systems to be supplied to the Ear, Nose, and Throat (ENT) Clinic at Madigan Army Medical Center (MAMC), Joint Base Lewis-McChord, Washington. The order will be placed against existing Patient Monitoring and Capital Equipment (PMCE) Contract SPE2D1-20-D-0015. The required equipment includes Image1 S camera system modules, 4K camera heads, Advanced Image and Data Archiving (AIDA) Bella Image Capture Devices with Smart Screen, surgical carts, LED light sources, 27-inch 4K monitors, video connection equipment, accessories, software licenses, installation services, and project management services. The waiver authority cited is FAR 16.505(b)(2)(i)(B), justifying single-source procurement based on the supplies being unique or highly specialized.
The justification centers on system compatibility and operational necessity. The ENT Clinic requires equipment fully compatible with existing Karl Storz endoscopic systems and the proprietary StreamConnect platform already installed at MAMC, which serves as one of four Army hospitals training otolaryngology surgeons. The clinic performs comprehensive head and neck endoscopic examinations and must capture images and video for medical documentation integrated directly into the Electronic Medical Record (EMR). The document emphasizes that multiple vendors would create operational inefficiencies, staff training complexity, maintenance burdens, and compatibility issues that would negatively impact patient care. Market research conducted over two years identified Karl Storz Endoscopy-America as the only vendor capable of meeting all requirements and ensuring equipment interchangeability with existing infrastructure. The Contracting Officer, Anthony Giunta (FSD), and DLA Troop Support Competition Advocate, Maciej Okulicz-Kozaryn, have approved the justification.
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JUSTIFICATION FOR AN EXCEPTION TO FAIR OPPORTUNITY (JEFO)
Ear, Nose, and Throat (ENT) Clinic at Madigan Army Medical Center (MAMC)
CONTRACT SPE2D1-20-D-0015
Karl Storz Endoscopic-America Video Tower System
(1) Defense Logistics Agency (DLA) Troop Support, Medical Supply Chain, Capital Equipment Division, is the contracting activity.
(2) The action submitted for approval is a JEFO supporting an acquisition from Karl Storz Endoscopy – America for the Ear, Nose, and Throat (ENT) Clinic at Madigan Army Medical Center (MAMC), Joint Base Lewis-McChord, WA. The order will be placed against Patient Monitoring and Capital Equipment (PMCE) Contract SPE2D1-20-D-0015 which expires
(3) The United States (U.S.) Army has requirements for the following items:
Item Description: Endoscopic Video Tower Systems, which includes the following components: Image1 S camera system modules, Image1 S 4,000 pixel (4K) Camera Heads, Advanced Image and Data Archiving (AIDA) Bella Image Capture Devices with Smart Screen, surgical carts, Light-Emitting Diode (LED) light sources, 27-in 4K LED monitors, video connection equipment, associated accessories, software licenses, installation services, and project management services.
Manufacturer: Karl Storz Endoscopy – America Total Estimated Dollar Value:
(4) The authority waiving the competition requirements is FAR 16.505(b)(2)(i)(B): only one awardee is capable of providing the supplies or services required at the level of quality required because the supplies or services are unique or highly specialized in order to meet customer requirements.
The use of this authority is necessary since the Ear, Nose, and Throat (ENT) Clinic at Madigan Army Medical Center (MAMC), Joint Base Lewis-McChord, WA requires the Karl Storz endoscopic video tower systems to be fully compatible with existing Karl Storz endoscopic systems and StreamConnect platform that are already in place.
The ENT Clinic at MAMC provides full scope ENT care to beneficiaries of all ages and serves as one (1) of only four (4) hospitals that train future Otolaryngology surgeons within the Army.
Endoscopic Video Tower Systems are required in clinic exam rooms to perform comprehensive head and neck endoscopic exams for diagnosis and surveillance of benign and malignant pathology as well as to facilitate procedures to address pathology or provide post-operative care.
The ability to perform photo and video documentation is critical based on the mission of
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