Statement of Work (SOW).docx

STATEMENT OF WORK

1. Description of Equipment Requested:

Updating the current mobile workstations to include a 2nd CO2 securely attached to the cart. The mobile workstation used during endoscopy procedures needs to be double wide width with working top tray as well as additional adjustable shelf space. It needs to support associated equipment without cluttering the clinical work environment. Additional CO2 holders for added safety.

2. How Equipment Works:

Storage and use of endoscopy equipment for GI and Bronchoscopy procedures.

3. Who Will Use This Equipment:

The mobile workstations will be used by endoscopy staff and physicians.

4. Where it will be used:

The mobile workstations will be used in the GI and Bronchoscopy endoscopy rooms.

5. Justification:

The CO2 cylinders are constantly getting knocked over because they are kept in a separate upright bottle holder that is unstable. When staff move the endoscopy carts, the CO2 cylinders frequently tip over due to the connection hose rigidity and short length. The new carts come with a bottle holder that is securely attached to the cart which will eliminate the risk completely. Mobile workstation will also need optimized cable management with the workstation hoop to provide easy access without additional clutter.

6. Privacy & Confidentiality statement:

• In reference to VHA Handbook 6500.6 Appendix A, Block 6, the equipment included in this contractor does or does not involve connection of IT devices to a VA network. Therefore, C&A, SAP, & the following from App C apply.

• In reference to VHA Handbook 6500.6 Appendix A, Block 7, the equipment does or does not involve storing, generating, transmitting, or exchanging VA sensitive information. Therefore, the following from App C apply.

• The contractor, their personnel, and their subcontractors shall be subject to the Federal laws, regulations, standards, and VA Directives and Handbooks regarding information protection, patient privacy, and information system security as delineated in this contract.

• During contract performance, contractor may require access to VA facility, equipment, information systems, or sensitive data; to provide services, install, train, maintain or repair equipment.

• VA Course No. VA10176 is privacy training required for VA contractors requiring access to VA facilities for more than 2 consecutive days or any access to VA information systems. Training will be completed prior to being granted access to facilities, equipment, or to the data therein. Training is available on VA TMS website at: https://www.tms.va.gov/SecureAuth35/.

• Contractor will provide evidence of training to the COR, upon request.

Manufacturer:

· Olympus America Inc.

Nomenclature:

· WM-DP3 MOBILE WORKSTATION US - WM-DP3 20A

· MAJ-2216 LCD MONITOR ARM 6.5-12kg - MAJ-2216

· MAJ-2159 SCOPE POLE KIT - MAJ-2159

· MAJ-2146 SLIDING KEYBOARD TRAY - MAJ-2146

· MAJ-1653 DUAL CO2 CYLINDER HOLDER WM-P2 - MAJ-1653

Model Number:

· WM-DP3 20A

· MAJ-2216

· MAJ-2159

· MAJ-2146

· MAJ-1653

Salient Characteristics:

1. Must have workstation fitting kit.

2. Must have WM-DP3 20A transformer.

3. Must have irrigation tube holder.

4. Must have standard side handles.

5. Must have IEC lead set.

6. Must have LCD monitor arm with max load of 12kg.

7. Must have scope pole kit.

8. Must have sliding keyboard tray.

9. Must have double CO2 cylinder holders.

Specifications:

· Dimensions max 1400mm (H) x 675mm (D) x 1170mm (W)

· Weight max 100kg including transformer.

· Shelf max load capacity 10 kg on top tray, 31kg per shelf, 50 kg on base panel.

· Castors max 125mm diameter with 2x braked conductive twin wheeled castors and 2x braked twin wheeled castors.

Construction:

· The workstation must be constructed with extruded profiled aluminum, mild steel, and injection molded ABS polypropylene.

· Maximum load: 300 lbs. single user or 550 lbs. with a therapist.

· Carts must integrate seamlessly with current standardized operational policies and procedures to ensure continuity and efficiency in daily operations.

· Assembly of carts required.