Statement Of Work Ultrasound and Laser Service.docx

SCOPE OF WORK/SPECIFICATIONS

1. Project Description: Ultrasound, and Laser Service

2. Scope of Work:

Contract Provision:

Vendor Responsibilities for Urology and ENT Cases

The vendor agrees to transport and provide all essential equipment, products, and services required for Urology and ENT. The products and equipment are as follows; Holmium High Watt (greater than 30 watts), Laser Enucleation System (Piranha), Ultrasound-including probes, Ultrasound – Premium-including probes, Holmium Master Pulse, Flexible CO2 Laser, OmniGuide Handpiece Set OTO, Imperium 300 OTO Fiber. The Vendor shall be notified forty-eight hours prior to each case to ensure adequate coverage is maintained.

Urology and Ent procedures shall be conducted at the following locations:

1. Audie L Murphy VA Medical Center Address: 7400 Merton Minter Blvd, San Antonio, TX 78229

2. Christus Santa Rosa Hospital Address: 403 Treeline Park, San Antonio, TX 78209

The vendor is accountable for strict compliance with the notification timeline and ensuring the smooth delivery of equipment, products, and services for urology and ENT cases, including but not limited to Holmium Laser Enucleations of the Prostate, Ureter procedures, Robotic partial Nephrectomies, and Stapes procedures at the specified locations.

a. During the term of agreement, the equipment will be utilized only for medically necessary surgical procedures ordered by a licensed physician. The equipment will be used solely for its intended use, consistent with the Equipment’s labeling and in compliance with applicable standards of care, regulations, and laws. Each Surgeon designated to operate the equipment is trained and competent in the use of the equipment in his or her surgical specialty. The surgeon staffing the case will be VA Personnel. The vendor will provide a trained and competent technician to assist will all cases being performed. Vendor is responsible for any troubleshooting or maintenance of all equipment provided.

b. Vendor will provide on-site setup at the service location indicated by the assigned COR Lancelot Ellis. Delivery will occur during normal business hours M-F from 0630 to 1500. Deliver/installation all communication will be coordinated with the assigned COR.

3. Information System Officer, Information Protection: The contractor will not have access to VA Desktop computers, nor will they have access to online resources belonging to the government while conducting services. If removal of equipment from the VA is required, any memory storage devices, such as hard drives, solid state drives and non-volatile memory units will remain in VA control and will not be removed from VA custody.

4. Privacy Officer: The Contractor will not have access to protected Patient Health Information (PHI) nor will they have capability of accessing patient information during the services provided to the VA and if removal of equipment from the VA is required, any memory storage device will remain in VA control and will not be removed from VA custody. All research data available for Contractor analysis is de-identified.

5. Records Manager: There will be no federal records created, maintained, used, or dispositioned with this contract; regardless of format [paper, electronic, etc.] or mode of transmission [e-mail, fax, etc.].