Stryker Neptune 3 Rover LSJ _Redacted.pdf

Stryker Neptune docking stations in place at the facility. A closed waste management system allows for collection of liquid surgical waste and smoke evacuation, waste disposal, and cannister cleaning while never being open to the outside and risking exposure to the OR staff.

During collection, fluid waste is removed from the surgical site through suction tubing connected to the inlet ports of the manifold(s) installed in the rover. Manifolds and suction tubing are single-use disposables and must be replaced between patients. When capacity is reached, the rover is relocated and connected to the Docking Station (docker) which cleans the rover system.

The required product is interoperable with existing Stryker units in place at the facility and utilizing products from two different manufacturers (incompatible by manufacturer design) would pose a risk of spills or splashes of blood or bodily fluid and exposure to electrosurgical smoke for the OR staff.

No other manufacturer has the capability of meeting the Tripler Army Medical Center’s requirements listed above. Only Stryker 120V Neptune 3 Rover can satisfy the requirement.

his suggested source can furnish the requirements to the exclusion of other sources.

5. DLA Troop Support has already determined the prices of the supplies under the ECAT Multiple Award Schedule Program fair and reasonable based on a favorable comparison to other than certified cost or pricing data.

This acquisition represents the best value to the Government consistent with FAR

8.404(d).

6. Market research was conducted using the FDA website, Google, the GREEN study (Greening operating Rooms in EuropE comparing Neptune vs. canisters), and Emergency Care Research Institute (ECRI) website in order to determine which surgical waste management system best meets the needs of Tripler Army Medical Center. Within the product catalog of surgical fluid waste management closed system, the only product available on the market is Stryker 120V Neptune 3 Rover. This rover is used in essentially all surgical procedures in the operating rooms for both fluid suction and smoke evacuation and is the only closed system surgical waste management product on the market that is backwards compatible with Neptune 2 manifolds, filters and docking stations.

Cannisters represent another “comparable” product offered which do not a provide safe, completely enclosed system. When utilized, surgical cannisters dispose of medical waste in one of two ways. OR Staff can treat the waste with a solidifier/disinfectant or the staff can manually dispose of the waste down the drain. Examples of traditional cannister-based surgical waste management systems include those offered by Stryker as well as the IntelliCart system from Zimmer Biomet, the Medi-Vac system from Cardinal Health, and the Amsino suction and fluid management system. The Minimum Requirements taken into consideration were interoperability with existing equipment, accessories, and consumables, backwards compatibility with the existing waste management system, and utilization of a closed system to reduce OR staff exposure to fluid and smoke dangers. However, these items do not meet the minimum requirements. The products listed above are unable to provide a safe, completely enclosed system. The canister does not provide the intended suction effectively and reliably, increasing exposure risk. The above products include open containers which increase incidences of fluid splash to the operating room staff during disposal.

Furthermore, a competitive product would not work with the existing infrastructure of consumable components found within the facility’s existing supply chain including manifolds, filters, and docking stations. Utilizing products from two different manufacturers (incompatible by design by the manufacturers) would pose a risk of spills or splashes of blood or bodily fluid and exposure to electrosurgical smoke for the OR staff.

In conclusion, the market research revealed that there are no other closed system surgical waste management products available capable of meeting the needs of Tripler Army Medical Center.

Stryker Neptune 3 Rover provides a closed waste management system capable of addressing the fluid and smoke dangers found within the OR for the multitude of surgical procedures performed at Tripler Army Medical Center and is the only item compatible with current inventory while guaranteeing sterile operating fields. Only the Stryker Neptune 3 Rover is capable of satisfying Tripler Army Medical Center’s requirements. In considering the market research noted by Tripler Army Medical Center’s, I concur with the results of their technical evaluation.

7. ECAT vendors have the opportunity to add products that fall within scope of the ECAT contract regularly, thereby increasing competition. In order to remove or overcome any barriers that led to this restricted consideration before any subsequent acquisition for the supplies or services is made, DLA Troop Support will continue to attempt to locate other acceptable sources for future requirements at Tripler Army Medical Center as they arise; however, any new items would need to meet all of the Tripler Army Medical Center’s requirements.

8. 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.

Daniel J Link Date IST Chief/Contracting Officer ECAT Med/Surg Program DLA Troop Support, Medical Directorate

I hereby certify that the requirements which form the basis of this justification are accurate, that these supplies meet the Government’s minimum need, and that this justification is accurate and complete to the best of my knowledge and belief.

3/6/25

Technical Branch IST Chief Medical Supply Chain - FSSC DLA Troop Support

I have reviewed this justification and recommend approval.