Federal Supply Schedule V797P4377A

Department of Veterans Affairs Federal Supply Schedule

Authorized Federal Supply Schedule Price List Includes Modifications #6 & #0012

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Medical Equipment and Supplies FCS Group 65, Part II Sections A

FCS Class(es) 6510, 6515, 6530 and 6532

Effective February 1, 2011

Contract No. V797P-4377a Contract Period: October 1, 2007through September 30, 2012

For more information on ordering from Federal Supply Schedules Click on the FSS Schedules button at fss.gsa.gov

HipSaver, Inc.

7 Hubbard Street

Canton, MA 02021 Toll Free Telephone Number: 1-800-358-4477

Fax: 781-821-6514 URL: www.hipsaver.com email: info@hipsaver.com

Size of Business: Small / Woman Owned

TIN: 04-3269935

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Customer Information

1. Table of awarded special item number with appropriate cross-referenced page number:

SIN Page

A-25g 3-11

2. Maximum Order: $100,000.00

3. Minimum Order: 2 units

4. Geographic coverage: 50 States, Washington D.C. and Puerto Rico

5. Points of Production: Canton, Massachusetts and Norwood, Massachusetts

6. Prices shown herein are net, discount deducted

7. Quantity discounts: 50-100 units additional 2% off FSS net prices; 101+ units, additional 4% off FSS net prices

8. Prompt Payment terms: 2%-20 days, Net 30 days. Does not apply to Government credit card purchases

9. Government commercial credit card accepted - no additional discount

10. Foreign items: None

11a. Time of delivery: Within 14 days ARO

11b. Expedited delivery: Within 24 hrs ARO. Government pays difference between normal freight charges and expedited freight charges

12. F.O.B Destination points: Destination 50 contiguous States, Washington D.C. and Puerto Rico

13. Ordering address: HipSaver, Inc. 7 Hubbard Street Canton, MA 02021

13b. For supplies and services, the ordering procedures information on Blanket Purchase Agreements(BPAs) and a sample BPA can be found at the GSA/FSS Schedule homepage (fss.gsa.gov/schedules)

14. Payment address: HipSaver, Inc. 7 Hubbard Street Canton, MA 02021

15. Warranty Provision: HipSaver, Inc. warrants and implies that the items delivered hereunder are merchantable and fit for use for the particular purpose. HipSavers are guaranteed to be free of defects that render the product un-usable for one year from the delivery date. HipSavers are considered un-usable if any damage occurs to the protective padding or if any substantial structural damage occurs to the brief.

HipSaver, Inc. will replace all products found defective within the period with cost of replacement, including shipping charge, to be borne by HipSaver, Inc.

Under no circumstances will any product covered by this guarantee be returned without (a) advance written notice to HipSaver, Inc. or (b) obtaining shipping instructions from HipSaver, Inc.

16. Return Goods Policy HipSaver hip protector underwear can be returned for a full refund within 30 days of purchase for any reason if the package is unopened. If a shipping error occurs due to HipSaver, Inc.’s error, HipSaver, Inc. will pay freight both ways for return/exchange of goods. If an ordering facility error occurs, the ordering facility will pay return freight. No restocking fee will apply. Please call the customer service department for a return authorization number (RA#) at 1-800-358-4477.

17. Special Attributes None

18. Data Universal Number System (DUNS) number:83-967-5048

19. Notification regarding registration in Central Contractor registration. Yes

1-800-358-4477

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HipSaver, Inc.

Authorized Federal Supply Schedule Price List

Contract Number: V797P-4377a

SIN Product Description Unit FSS Net Price Code Per Unit

A-25g SF HipSaver® SlimFit™: Designed for optimum style and 1 $25.49 comfort, HipSaver SlimFit delivers superior protection that “disappears” under most clothing.

Made of light-stretch, polycotton with form-fitting Lycra, HipSaver SlimFit looks good, feels good — and pulls on just like regular underwear.

✦ Soft, thin ( 1/2"), sewn-in pads, tapered for protection with style

✦ Not tight or binding

✦ Can be worn 24 hours a day

✦ Fully machine wash-and-dry, even at high institutional temperature (up to 250°F)

✦ Six full sizes - from XS to XXL - for proper fit

A-25g SFFF HipSaver SlimFit™ Fly-Front: All the same features and 1 $28.04 benefits of the SlimFit (above) with the addition of a fly-front for males

A-25g SFTB HipSaver SlimFit™ with Tailbone Protection: All the same 1 $32.29 features and benefits of the SlimFit (above) with the addition of protectional padding over the tailbone

A-25g SFFFTB HipSaver SlimFit™ Fly-Front with Tailbone Protection: 1 $34.84 All the same features and benefits of the SlimFit Fly-Front (above) with the addition of protectional padding over the tailbone

A-25g NH HipSaver Nursing Home Model: Designed for the mobility 1 $25.49 and comfort of residents — and the convenience and peace of mind of caregivers — the HipSaver Nursing Home is a durable brief with a roomy fit for easy dressing and incontinence care.

The elastic waistband and large leg openings make the HipSaver Nursing Home brief easy to pull on and off. The full, soft, fabric crotch perfectly accommodates liners or diapers.

✦ Ample leg openings for easy dressing and toileting

✦ Soft, thin (1/2"), sewn-in tapered pads

✦ Crotch fully accommodates incontinence liners and pad

✦ Can be worn 24 hours a day — even while sleeping

✦ Withstands even high-temperature institutional laundering (up to 250°F)

✦ Six full sizes — from XS to XXL — for proper fit

A-25g NHFF HipSaver Nursing Home Fly-Front: All the same features 1 $28.04 and benefits of the Nursing Home (above) with the addition of a fly-front for males

A-25g NHTB HipSaver Nursing Home with Tailbone Protection: All 1 $32.29 the same features and benefits of the Nursing Home (above) with the addition of protectional padding over the tailbone

A-25g NHFFTB HipSaver Nursing Home Fly-Front with 1 $34.84 Tailbone Protection: All the same features and benefits of the Nursing Home Fly-Front (above) with the addition of protectional padding over the tailbone

HipSaver® SlimFit™

HipSaver Nursing Home

HipSaver Nursing Home Fly-Front

Tailbone Protection

Tailbone Protection

HipSaver SlimFit™ Fly-Front

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SIN Product Description Unit FSS Net Price Code Per Unit

A-25g QC HipSaver QuickChange™: All the features and benefits 1 $29.74 of HipSaver Nursing Home with a “snap-down” front crotch panel that allows incontinence pad/liner changes — all without having to pull the brief down. Simply unsnap the crotch panel, shift the QuickChange up on the patient’s waist, change the pad, liner or diaper, shift back into position and fasten the two crotch panel snaps. Perfect for changing residents, even while they are standing.

✦ Snap-down panel enables quick pad/liner change — without having to pull briefs down

✦ Pads and liners can be changed easily while wearer is standing or lying down

✦ Easy two-snap front-panel design reduces labor

✦ Reinforced snaps for durability

✦ Machine wash-and-dry even in high temperature institutional laundries

✦ Soft, thin (1/2"), sewn-in tapered pads

✦ Can be worn 24 hours a day — even while sleeping

✦ Six full sizes — from XS to XXL — for proper fit

A-25g QCTB HipSaver QuickChange™ with Tailbone Protection: 1 $36.54 All the same features and benefits of the QuickChange (above) with the addition of protectional padding over the tailbone.

A-25g WS HipSaver Wrap&Snap™: The HipSaver Wrap&Snap 1 $33.99 unsnaps completely to eliminate pull-up and pull-down dressing. Perfect for hard-to-dress residents or those who require frequent changing Our simple design ensures proper hip protector pad placement every time.

✦ Snaps completely off for hard-to dress residents or those who need frequent changing

✦ Simple design makes it easy to snap together

✦ Reinforced snaps for durability

✦ Machine wash-and-dry even in high temperature institutional laundries

✦ Soft, thin (1/2"), sewn-in tapered pads

✦ Can be worn 24 hours a day — even while sleeping

✦ Six full sizes — from XS to XXL — for proper fit

A-25g WSTB HipSaver Wrap&Snap™ with Tailbone Protection: 1 $40.79 All the same features and benefits of the Wrap&Snap (above) with the addition of protectional padding over the tailbone.

HipSaver, Inc.

Authorized Federal Supply Schedule Price List (continued)

Contract Number: V797P-4377a

HipSaver Size Fits Hip Size

XS Extra Small 28” - 31”

S Small 32” - 35”

M Medium 36” - 39”

L Large 40” - 44”

XL Extra Large 45” - 50”

XXL Extra Extra large 51” - 57”

HipSaver QuickChange™

HipSaver QuickChange™ w/tailbone protection

HipSaver Wrap&Snap™

HipSaver Wrap&Snap™ w/tailbone protection

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A-25g OB HipSaver Open-Bottom™

Open crotch design for easy self-toileting. 1 23.79 The HipSaver Open-Bottom can be put on once and left on all day or all night. The totally open crotch allows the wearer to use the toilet without having to pull the HipSaver down. It’s the perfect hip protector for those residents who may need to suddenly and quickly use the toilet—no fumbling!

The sleek brief design allows the HipSaver Open-Bottom to fit nicely under the resident’s underwear or can be worn alone.

A-25g OBV HipSaver Open-Bottom with Velcro® 1 $29.74 All the same features and benefits of the Open–Bottom with Velcro® closures at the waist and leg-holes

HipSaver SoftSweats™ Soft, fleece-lined sweat pants with genuine HipSaver protection. HipSaver SoftSweats come in 6 hip sizes and 6 lengths to fit both men and women perfectly. Grey, navy or burgundy.

✦ Perfect for both men and women

✦ Loose ankle hem — no binding elastic

✦ Six hip sizes and 6 lengths for a perfect fit

✦ Machine wash and dry up to 230°F

✦ All soft, proven protection

A-25g SWEATS -H HipSaver SoftSweats with hip protection 1 $38.24

A-25g SWEATS -HT HipSaver SoftSweats with hip & tailbone protection 1 $42.49

A-25g SWEATS -HK HipSaver SoftSweats with hip & knee protection 1 $59.49

A-25g SWEATS -HKT HipSaver SoftSweats with hip, knee and tailbone protection 1 $63.74

HipSaver SoftSweats Shorts All the features and benefits of HipSaver SoftSweats in a short above-the-knee length

A-25g SHORTS -H HipSaver SoftSweats Shorts with hip protection 1 $33.99

A-25g SHORTS -HT HipSaver SoftSweats Shorts with hip & tailbone protection 1 $38.24

HipSaver, Inc.

Authorized Federal Supply Schedule Price List (continued)

Contract Number: V797P-4377a

HipSaver Open-Bottom™

HipSaver Open-Bottom™ with Velcro®

HipSaver SoftSweats™

HipSaver SoftSweats™ Shorts

1-800-358-4477

SUPPLEMENT: The following items are new additions effective July 1, 2004

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A-25g INT HipSaver Interim™ 1 $33.99

Designed to be available when needed, the HipSaver Interim provides hip protection for new admissions, short-stay acute care patients and residents who have a sudden or temporary change in their condition

✦ Perfect for both men and women

✦ Patient transferable

✦ Four hip sizes

✦ Machine wash and dry up to 230°F

✦ All soft, proven protection

HipSaver, Inc.

Authorized Federal Supply Schedule Price List (continued)

Contract Number: V797P-4377a

1-800-358-4477

SUPPLEMENT: The following items are new additions effective July 1, 2004

HipSaver Interim™

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A-25g DermaSaver Full Arm Tube 1 $15.29 Two layers of MicroSpring Textile protects fragile skin on the arm.

A-25g DermaSaver Full Arm Tube 1 $21.24 with Double Elbow Protection

Four layers of MicroSpring Textile are added for extra protection of elbow.

A-25g DermaSaver Elbow Tube 1 $11.89 Two layers of MicroSpring Textile protects fragile skin on the elbow.

A-25g DermaSaver Double Elbow Tube 1 $18.69 Four layers of MicroSpring Textile protects fragile skin on the elbow.

HipSaver, Inc.

Authorized Federal Supply Schedule Price List (continued)

Contract Number: V797P-4377a

1-800-358-4477

SUPPLEMENT: The following items are new additions effective Feb 15, 2006

DermaSaver SkinTubes™ For Arms & Legs Two layers of soft, lightweight MicroSpring Textile™ form a loose-fitting tube that stays in place to protect fragile skin from pressure, friction and minor traumas.

SkinTubes are protected by the Aegis Microbe shield which uses an EPA registered antimicrobial technology to inhibit the growth of micro-organisms on the product.

✦ Won’t slip down or bunch up ✦ Allows Moisture transfer

✦ Non-constricting ✦ Machine wash and dry

✦ Breathable ✦ Anti-Microbial

AT1300XS (X-Small) AT1300S (Small) AT1300M (Medium) AT1300L (Large) AT1300XL (X-Large)

EET1300XS (X-Small) EET1300S (Small) EET1300M (Medium) EET1300L (Large) EET1300XL (X-Large)

ET1350XS (X-Small) ET1350S (Small) ET1350M (Medium) ET1350L (Large) ET1350XL (X-Large)

4ET1350XS (X-Small) 4ET1350S (Small) 4ET1350M (Medium) 4ET1350L (Large) 4ET1350XL (X-Large)

DermaSaver Full Arm Tube™ and Full Arm Tube with Double Elbow Protection

DermaSaver Elbow Tube™ and Double Elbow Tube

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A-25g DermaSaver Forearm Tube 1 $11.89 Two layers of MicroSpring Textile protects fragile skin on the forearm.

A-25g DermaSaver Full Leg Tube 1 $21.24 Two layers of MicroSpring Textile protects fragile skin on the leg.

A-25g DermaSaver Full Leg Tube 1 $33.99 with Double Knee Protection

Four layers of MicroSpring Textile are added for extra protection of the knee.

A-25g DermaSaver Knee Tube 1 $15.29 Two layers of MicroSpring Textile protects fragile skin on the knee.

A-25g DermaSaver Double Knee Tube 1 $25.49 Four layers of MicroSpring Textile protects fragile skin on the knee.

A-25g DermaSaver Shin Tube 1 $15.29 Two layers of MicroSpring Textile protects fragile skin on the shin.

HipSaver, Inc.

Authorized Federal Supply Schedule Price List (continued)

Contract Number: V797P-4377a

1-800-358-4477

SUPPLEMENT: The following items are new additions effective Feb 15, 2006

FT1350XS (X-Small) FT1350S (Small) FT350M (Medium) FT1350L (Large) FT1350XL (X-Large)

LT1300XS (X-Sm) LT1300S (Sm) LT1300M (Med) LT1300L (Lrg) LT1300XL (X-Large)

EKT1300XS (X-Sm) EKT1300S (Sm) EKT1300M (Med) EKT1300L (Lrg) EKT1300XL (X-Large)

KT1350XS (X-Small) KT1350S (Small) KT1350M (Medium) KT1350L (Large) KT1350XL (X-Large)

4KT1350XS (X-Small) 4KT1350S (Small) 4KT1350M (Medium) 4KT1350L (Large) 4KT1350XL (X-Large)

ST1350XS (X-Small) ST1350S (Small) ST1350M (Medium) ST1350L (Large) ST1350XL (X-Large)

DermaSaver Forearm Tube™

DermaSaver Full Leg Tube™ and Full Leg Tube with Double Knee Protection

DermaSaver Knee Tube™ and Double Knee Tube

DermaSaver Shin Tube™

DermaSaver SkinTubes™ For Arms & Legs...continued from previous page

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SUPPLEMENT: The following items are new additions effective Feb 15, 2006

DermaSaver Heel Protection

✦ Won’t fall off or get out of position ✦ Allows Moisture transfer

✦ Non-constricting ✦ Machine wash and dry

✦ Breathable ✦ Anti-Microbial

SIN Product Description Unit FSS Net Price Code Per Unit

A-25g DermaSaver Stay-Put™ 1 $21.24 Heel Protector

Five layers of MicroSpring Textile cover the heel to reduce pressure and friction on the the heel and malleolus. Unique design keeps the heel protector from rolling around or slipping off the foot. Comfortable enough to wear all day and all night.

Can be worn while walking.

A-25g DermaSaver Relevator™ 1 $38.24 Heel Elevator Two inches of anatomically contoured, plush MicroSpring Textile layers lift the heel in total comfort. Full circle coverage provides consistent elevation during movement. One-piece, slip-on with no fasteners, also covers both malleoli.

Fits loosely yet will not fall off.

Durable and institution launderable for economical repeated long-term and non patient-specific use.

HP1300-S (Small) HP1300-M (Medium) HP1300-L (Large)

REL300-S (Sm)

REL300-M (Med)

REL300-L (Lrg )

HipSaver, Inc.

Authorized Federal Supply Schedule Price List (continued)

Contract Number: V797P-4377a

DermaSaver Stay-Put™ Heel Protector

DermaSaver Relevator™ Heel Elevator

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HipSaver, Inc.

Authorized Federal Supply Schedule Price List (continued)

Contract Number: V797P-4377a

1-800-358-4477

SUPPLEMENT: The following items are new additions effective Feb 15, 2006

DermaSaver Pressure Reduction and Protection Layers of MicroSpring Textile put thousands of microfilaments per square inch to act as mini pressure-reducing springs.

Microfilaments flex to reduce pressure on bony prominences such as the heel, elbow, vertebra and trochanter. Ample ventilation space between the microfilaments and textile layers allow for air flow and moisture transfer.

DermaSaver products are protected by the Aegis Microbe shield which uses an EPA registered antimicrobial technology to inhibit the growth of micro-organisms on the product.

✦ Allows Moisture transfer ✦ Machine wash and dry

✦ Breathable ✦ Anti-Microbial

SIN Product Description Unit FSS Net Price Code Per Unit

A-25g DermaSaver Pressure 1 $33.99 Reduction Interface Pads

~ Wheelchair top cushion

Use over wheelchair cushion or other surfaces. Five layers of MicroSpring Textile provide relief from pressure, friction and shear.

A-25g DermaSaver Pressure 1 $67.99 Reduction Interface Pads

~ Area Flat Pad Use over mattress, wheelchair cushion or other surfaces. Five layers of MicroSpring Textile provide relief from pressure, friction and shear. Perfect for torso areas such as scapula, sacrum, ribs, trochanter, ischial tuberosity and condoyles.

A-25g DermaSaver Pressure 1 $161.49 Reduction Interface Pads

~ Area Flat Pad Use over mattress. Five layers of MicroSpring Textile provide relief from pressure, friction and shear. Perfect for torso areas such as scapula, sacrum, ribs, trochanter, ischial tuberosity and condoyles.

FP1818

Wheelchair Top Cushion (18” X 18”)

FP3524 Area Flat Pad (35” X 24”)

FP3578 Mattress Topper (35” X 78”)

DermaSaver Pressure Reduction Interface pads

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SUPPLEMENT: The following items are new additions effective Feb 15, 2006

DermaSaver Pressure Reduction and Protection continued from previous page

SIN Product Description Unit FSS Net Price Code Per Unit

A-25g DermaSaver Pressure Reduction 1 $50.99 Pillowcase

Standard pillowcase with 5 layers of MicroSpring Textile on top side to reduce pressure and shear on back of head and ears while sleeping or laying down. Standard size 26” x 20

A-25g DermaSaver Hand Mitt 1 $15.29 Comfortable hand mitt made of 3 layers of MicroSpring™ Textile slips easily over the hand to help prevent self-injury and tube pulling.

Cuff folds up to cover and conceal Velcro® closure

A-25g DermaSaver Oxygen/Feeding 1 $16.99 Tube Covers One layer of MicroSpring Textile with pressure sensitive medical grade adhesive and Velcro® covers feeding or oxygen tubes to reduce friction against skin, especially between the back of the ear and under the nose.

A-25g DermaSaver Knuckle Protector 1 $15.29 Two layers of MicroSpring Textile cover sensitive knuckles to prevent bumping, and scraping. Perfect for those using wheelchairs.

A-25g DermaSaver Finger Separator 1 $15.29 Four soft layers of MicroSpring Textile are placed between each finger and the cushioning palm pillow provides maximum comfort. MicroSpring Textile band keeps separator in place.

Will not flatten out

PC1300

HM1300-SM (Sm-Med) HM1300-LX (Lrg -X-lrg)

KP1300SM (Sm-Med) KP1300LX (Lrg - X-Lrg)

FS1300-one size

FTC1300

package of 10 2.5” X 4” covers

(can be cut to shape as desired)

HipSaver, Inc.

Authorized Federal Supply Schedule Price List (continued)

Contract Number: V797P-4377a

DermaSaver Pressure Reduction Pillowcase

DermaSaver Hand Mitt

DermaSaver Knuckle Protector

DermaSaver Oxygen/Feeding

Tube Covers

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