ATTACHMENT__1.docx

da Vinci ATTACHMENT 1 (3 PAGES)

The da Vinci Xi Surgical System will at a minimum meet the following salient features:

(a) Must have two (2) da Vinci® Xi™ System Surgeon Consoles

(b) Must include magnified 3D HD vision technology.

(c) Must be equipped with Firefly Fluorescence Imaging, which provides real-time visualization and assessment of vessels, bile ducts, and tissue perfusion.

(d) Must be equipped with an ERBE VIO dV generator, which manages and minimizes monopolar and bipolar energy delivered to the surgical site.

(e) The system must be capable of filtering any hand tremors and transmitting the surgeon’s every movement to the robotic arms in real time.

(f) The system must have a motion-scaling capability to increase precision

(g) Must be capable of attaching an endoscope to any arm, providing flexibility for visualizing the surgical site.

(h) Must include Operations manual with manufacturer’s literature

2. In addition to the above, the following is also required:

(a) The contractor must offer a limited (1) one year warranty.

Operation Conditions:

The da Vinci Xi is a state-of-the-art robotic surgical system that includes two surgeon’s consoles, a surgical cart, a video cart, endoscope system, system software, system accessories, documentation and procedure-specific instrument sets. The requested da Vinci Surgical System is needed to replace our da Vinci S Model that is approaching its life expectancy and needs to be replaced with the more technologically advanced Xi system. The upgraded system will be used to support SGO Approved Protocols FWH20170021A, General Surgery Robotic Surgical Skills Training Lab and FWH20170102A, Urology Laparoscopic Surgery Skills Training. Currently SAMMC has one of the very few training programs that offer robotic surgery as part of its curriculum. Robotic surgery training is becoming a major part of its graduate medical education program. Surgeons at Brooke Army Medical Center and Keesler Air Force Base are already using their own Xi robot; therefore, in order to facilitate continuity throughout the San Antonio Military Health System and DoD, training with the same advanced da Vinci robotic Xi system is imperative.

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da Vinci ATTACHMENT 1

Two (2): da Vinci® Xi™ System Surgeon Console One (1): da Vinci® Xi™ System Patient Cart One (1): da Vinci® Xi™ System Vision Cart da Vinci® Xi™ System Documentation including:

User’s Manual For System User's Manual for Instruments and Accessories One (1) da Vinci® Xi™ Cleaning & Sterilization Kit Two (2) da Vinci® Xi™ Instrument Release Kit (IRK) da Vinci® Xi™ System Software

Instrument and Accessories including:

Accessory Starter Kit Two (2): Box of 6: 8 mm Bladeless Obturator One (1): 8 mm Blunt Obturator Four (4): Box of 10: 5 mm - 8 mm Universal Seal Four (4): 8 mm Cannula Three (3): Monopolar Energy Instrument Cord Three (3): Bipolar Energy Instrument Cord One (1): Box of 3: da Vinci® Xi™ Gage Pin Three (3): 8 mm Instrument Introducer One (1): Box of 10: Tip Cover for Hot Shears™ (MCS) One (1): Pmed Cable, Covidien Force Triad ESU

Drapes Two (2): Pack of 20 da Vinci® Xi™ Arm Drape One (1): Pack of 20 da Vinci® Xi™ Column Drape

Vision Equipment:

Two (2): da Vinci® Xi™ Endoscope with Camera, 8 mm 0 degree Two (2): da Vinci® Xi™ Endoscope with Camera, 8 mm 30 degree Four (4): da Vinci® Xi™ Endoscope Sterilization Tray

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Training Instrument Starter Kit One (1): Large Needle Driver One (1): ProGrasp™ Forceps One (1): Maryland Bipolar Forceps One (1): Hot Shears™ (Monopolar Curved Scissors) One (1): Tip-Up Fenestrated Grasper One (1): Mega™ SutureCut™ Needle Driver

Warranty: Warranties are required for manufacturing defects. Endoscope, Camera, Simulator, and System upgrades – 1 year warranty. Accessories – 90 day warranty.