LSJ_FM891172760001_Signed_Redacted.docx

LIMITED SOURCE JUSTIFICATION {LSJ)

1. Defense Logistics Agency (DLA) Troop Support, Medical Supply Chain, Hospital Supply Division, Electronic Catalog (ECAT), is the contracting activity.

2. This justification is for the acquisition of the CAE Healthcare ISTAN 200R patient simulator. The order will be placed against GAE Healthcare Electronic Catalog (ECAT) contract number SPE2DH14D0010 that expires on Sept. 11, 2019.

3. The United States Air Force, School of Aerospace Medicine (USAFSAM), Wright Patterson Air Force Base, Ohio has the following requirement:

Item Description: Model Number: Quantity:

Unit Price:

Total Dollar Value:

Patient Simulator CAE ISTAN 200R 6 each $70,397.77 $422,386.62

4. This action is being conducted under the Multiple Award Schedule Program. The authority waiving the competition requirements is FAR 8.405-6(b)(1): only one awardee is capable of providing the supplies or services required at the level of quality required because the supplies or services ordered are unique or highly specialized. The GAE Healthcare ISTAN 200R patient simulator is the only item on ECAT that can meet the clinical and technical requirements of United States Air Force, School of Aerospace Medicine (USAFSAM) needs.

Patient simulators are utilized in the en-route training for Flight Nurses and Aeromedical Technician courses, at the School of Aerospace Medicine located at Wright-Patterson Air Force Base Ohio. The minimum technical requirements are as follows:

A. Shall perform mechanical/automatic/manual blood pressures B. Shall have fully articulated movement in the wrists, elbows, knees, and ankles C. Shall have bilateral Intravenous insertion areas with permanent access options D. The unit shall be tetherless with an internal waste reservoir for intravenous fluids greater than or equal to 500ml E. Shall have a wide range of amputation emulation options for each limb F. Shall provide a compatible interface with the Zoll Propaq Monitor/Defibrillator to include temperature, invasive lines, and Defibrillation capability G. Shall monitor and record depth and rate of chest compressions H. Shall be approved for use on Aeromedical Evacuation aircraft (C-130, KC-135, C- 17) I. Shall support mechanical ventilation (Assist control/pressure control/BVM) w/ PEEP of 12cmH2O

5. The Contracting officer has determined the price of the CAE ISTAN 200R to be fair and reasonable based upon a favorable comparison to commercial and Federal Supply Schedule pricing at the time of CAE's initial ECAT submission. This order represents the best value to the Government and results in the lowest overall cost alternative (considering price, special features, and administrative cost). CAE will be issued a Request for Quote (RFQ) prior to the placement of the delivery order in an effort to obtain better pricing than was previously negotiated.

6. The USAF School of Aeromedical Medicine at Wright-Patterson AFB conducted market research between May 2017 and July 2017. The research consisted of attending a simulation market symposium as well as on-site visits with various industry leaders. Three products were evaluated and they included the CAE ISTAN 200R, the Gaumard HAL S3201 and the Laerdal SimMan 3G. The subsequent evaluation found the CAE Healthcare ISTAN 200R met all the essential characteristics. The Gaurmard HAL S3201 did not meet the minimum requirements (D, H & F). The three primary reasons were the lack of internal fluid holding, the core simulator not being flight approved, and the unreliable vital signs monitoring on the Zoll ProPaq MD. The Laerdal SimMan 3G did not meet the minimum requirements (B, C & E). The three primary reasons were the lack of an elbow joint, the 3G had only one IV access point and the limited capability for amputations.

The areas of non-compliance with the minimum requirements are critical because the equipment will be utilized within the en-route training environment. The SimMan 3G does not offer bilateral joints at the elbow, leaving the simulators straight-armed. This is unrealistic to the environment in which the learner trains in where improper patient securing techniques lead to injury or complications during inpatient loading/unloading.

The importance of having multiple areas for peripheral and central IV line placements is significant. Multiple sites are required since they are dependent upon numerous factors. The two primary of which are the injury pattern and patient placement in the aircraft. The injury patterns used are based upon traumas experienced in the wartime environment with multiple long bone fractures, bilateral upper extremities amputations, and other poly traumas. The SimMan 3G only has one peripheral IV site in the right antecubital, whereas the ISTAN 200R has bilateral upper extremities IV sites, including options for learners to either insert an IV or for the simulation staff to place an IV that does not involve actually puncturing the skin with fixed IV sites. In the environment that the learners train in, they have to decide the optimal placement of peripheral IVs that make the site accessible. For example if the patient is placed head first on the left side of the aircraft a right arm peripheral IV would be extremely difficult to access in an emergent situation so the team would ideally decide to place another IV in the left arm.

Most of the scenarios used by the courses with providers attending have radio graphical images obtained from actual (de-identified) traumas from either the OEF/OIF battlefields.

Although this increases the fidelity of the pre-flight briefs, it does limit the simulation staff's ability to create example based upon the simulator limitations. Both the SimMan 3G and the !STAN 200R have amputation modules, but similar to the IV insertions, the !STAN 200R allows for increased flexibility in the creation of these amputations.

7. ECAT vendors have the opportunity to add products that fall within the scope of the ECAT contract at any time; however, currently there are no other known ECAT vendors that would be able to offer a similar or equivalent product.

8. In addition to the Services, DLA Troop Support will attempt to locate other acceptable sources inside and outside the ECAT program for future requirements as they arise.

As the Contracting Officer, I hereby certify that the information contained in this justification is accurate and complete to the best of my knowledge and belief.

November 21, 2017 Date

HARA:--

S3?> )I hereby certify that the requirements which form the basis of this justification are accurate, that these supplies meet the Government's minimum needs and that this justification is accurate and complete to the best of my knowledge and belief.

\:J fu)'v '90\7 Date Supervisor Technical Branch

I have reviewed this justification and recommend approval.

--h.) 2

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TENHOLME

--...u.wa.i,,_...CAT Div.

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