160 hospital beds answer questions

Awarded Award Notice Posted

Solicitation number
VA25817Q0507
Agency
Veterans Integrated Service Network 22 Veterans Health Administration, Department of Veterans Affairs
Awarded
to Disorb Systems Inc.
Set-aside
No set-aside

Opportunity facts

Contract number
VA25817C0068 Federal contract award
NAICS code
339999 All Other Miscellaneous Manufacturing
PSC
Not on record

Notice details come from SAM.gov. Updated .

Notice text

2 versions

Update #2 · Latest ·

Added: Jun 13, 2017 1:44 pm Modified: Jun 20, 2017 6:56 pmTrack Changes Specifically, within the Statement of Work, section 1; Subsection 1.3.1 Hospital Bed Quantity (160)



Specification: Must have dual castors for ease of transport.



Question:  Will this specification be expanded to allow for double wide single casters that achieves the same goal of ease of transport?



RESPONSE: The push pull requirements for bed transport are the emphasis for the dual caster request. Yes, the double wide single casters that still minimize the forces and provide exceptional performance are acceptable. Please include estimated push-pull forces as evidence of vendor statement.



Rationale: Double wide single casters are available for purchase by the government. The thicker caster allows for better mobility and is less susceptible to debris getting caught in between the wheels of dual casters which can cause the wheel to malfunction and become immobilized over time. Allowing for double wide single casters will increase opportunity for competition while providing exceptional performance. 





Specification: The bed exit alarm must have minimum 3 sensitivity levels i.e. out of bed, perimeter of bed, and patient sitting.



Question: Will the specification be expanded and be interpreted to accept a system that incorporates an optimal zone for fall prevention with additional unique alarm features to help reduce falls and prevent caregivers from forgetting to reset the bed alarm?



RESPONSE: The specification stands as written.



Rationale: Products with these systems are available in, and being successfully used in the commercial market to prevent patient falls. Some manufactures believe that having multiple zones may create confusion for the nursing staff, leading to the nursing staff setting the bed exit alarm on the least sensitive zone. This least sensitive zone is not sufficient for preventing falls. A bed that has an optimal fall prevention zone, in conjunction with an auto-reset alarm feature, ensures the alarm is always engaged. An auto-alarm shut off helps to prevent alarm fatigue. 





Specification: Must have capability to weigh patients to +/- 1% standard deviation of error.



Question:  Will the specification be expanded to allow for bed scales that meet +/- 3% standard deviation of error?



RESPONSE: The specification stands as written.



Rationale: There is no regulatory standard for the testing of bed scales. A claim by a manufacturer of 1% does not provide an indication of how the testing of bed scale accuracy, precision and repeatability is conducted. Beds with scales that have the capability to weigh patients to +/- 3% standard deviation of error in any bed position/configuration are used successfully in the commercial market, and these beds are available for purchase by the government. 





Specification: Must have custom fitted trapeze specifically manufactured for this bed (20% of beds).



Question: Will this specification be expanded to allow beds that possess removable trapeze adaptors that fit all major manufacturers of trapeze patient helper bars?



RESPONSE: The specification stands as written.



Rationale: Traditionally, trapeze bars are an additional purchase, outside of the commercially available medical bed manufacturers.  A wide assortment of trapeze bars from third party suppliers that are clinician-preferred items are commercially available to the government. Furthermore, most facilities already own trapeze bars so it would be wasteful and cost prohibitive to require the facility to purchase a bed specific trapeze bar. Purchasing a bed that includes a trapeze bar adapter that works with all major manufacturer s trapeze bars will allow the trapeze bars to be utilized across the hospital on ICU beds, specialty beds, and future bed purchases allowing for increased clinical and financial flexibility. 





Specification: Bed frame must have integrated no tools required deck frame and deck plate extension lengthening capability beyond 84 inches to a minimum of 90 inches to accommodate the taller patient. (integrated decking/plate extension to minimize time requirement to shorten bed for fitting into the elevator during emergency transport)



RESPONSE: The specification stands as written.



Question: Will this specification be expanded to allow for beds that expand to 84 ? 

Rationale: Some manufacturers have opted to include indentations in the headboard and footboard which provides an expanded 86 patient surface without the need to add extra mattress pads.  Adjusting all beds beyond 86 requires the use of external extenders and/or mattress pads to fill in the gaps.  This can create an issue for storage as well as become an issue in the event of an emergency.  Beds with extender pads added will not shrink in to fit on the elevators.  VA Phoenix has always used beds that are 84 and they have chosen not to extend them beyond that due to room sizes, elevator size and up to 6 beds per room.  The average height of a male in the US is 69.3 and less than .5% of males are taller than 77 .  Patient s requiring a bed longer than 86 is unlikely. 



VA is requesting:

Must have dual castors for ease of transport.

&

Must have a minimum clearance height of 6 (below the bed) to allow access for under-bed tables and lift equipment.

 

Our bed, under bed clearance with dual castors is 5 . Would the VA accept 5 inch twin wheel caster with 10 inch low height and 5 inch under bed clearance or 5 inch standard single wheel caster with 11.5 inch low height and 6.5 inch under bed clearance



RESPONSE : Yes.  Dual castors with 5 inch under bed clearance and 10 inch low deck height is preferred to maintain deck height
 

VA is requesting:

Must have footboard with staff controls on an angled surface for ergonomics with an LED display, backlit for ease of reading.

Our bed offers staff controls on an angled surface with an LED display as per VA requirements, however motion controls buttons are not backlit, only the screen is. Should we understand that the backlit feature applies only for the screen?



RESPONSE :  Yes.

 

VA is requesting:

Must have brake status indicator (locked/unlocked).

Our bed is equipped with clearly marked pedals and brake status. However there are no light indicator. Is a clearly marked brake status an acceptable equivalent to VA requirement?



RESPONSE :   CLEARLY visible from the doorway is acceptable. 



VA is requesting:

Must have removable deck cover, footboard and headboard for cleaning/replacement

Our bed offers removable deck covers with the exception of the knee section. Knee section of the deck has no removable cover, it requires to be removes as a complete assembly. Could this be considered an acceptable equivalent to VA requirements?



RESPONSE :   Acceptable IF the knee section can clearly and easily be cleaned under and around for infection prevention.  Please provide evidence.

 

1.3.2 Mattresses:

 

VA is requesting:

Must have a maximum mattress height of 6 for easy ingress and egress of patients.

Our proposed powered surfaces are all 7 in height . Could 7 be considered an acceptable equivalent?



RESPONSE :   The mattress height specification of 6 inches relates to the height of side rails for fall prevention during patient in bed activities.  16 inch minimum side rail height from mattress deck to the top of the rail with a 6 inch mattress allows for 10 inches of protective rail height. 

 

Update #1 ·

Added: Jun 13, 2017 1:44 pm PLEASE NOTE THAT THIS WAS SUPPOSED TO BE ORINALLY POSTED AS A SOLICITATION. TIME WILL BE EXTENDED TO ACCOMMODATE FOR ERROR. ALL QUOTES ALREADY RECEIVED ARE WILL REMAIN ACCEPTABLE. THE BELOW ARE QUESTIONS ASKED AND ANSWERS GIVEN. PLEASE SEE SOW THAT S FOLLOWS FOR UPDATED CHANGES





-How many units are needed in the inpatient acute, CLC, spinal cord injury clinic, and excess in the basement? Are any units going into the ICU?

RESPONSE: 160



-Is the facility looking to trade in the existing beds? If yes, how many units and what models (list of serial numbers)?

RESPONSE: No, no trade in is requested; however vendor removal of the retiring beds is required.



-Must have a maximum mattress deck height of 11 inches in the low position (addresses fall risk). Is there a falls reduction guarantee based off the 11 inches height? Or a percentage of falls reduction guarantee on annual basis?

RESPONSE: No guarantee in falls reduction is requested



- Compatibility with the PVAHCS current Evacusleds. What model of Evacusleds is currently used at the facility? It s our understanding, that the life expectancy of Evacusleds is approx. 10 years. Do you have plans to replace and for what model?

RESPONSE:

Current model is the standard Evacusled, utilizing the bed mattress for patient evacuation

Possible future change to meet facility needs has not been fully evaluated.



-Must be able to integrate into existing nurse call system. What nurse call system is the facility currently using?

RESPONSE: Westcall's West-Com Novus. Connection required.



HOSPITAL MATTRESS:



-Must have a 40-degree full body turn capability for assistance with early mobility and prevention of pulmonary complications. Is turn assist required? Is Continual Lateral Rotation Therapy (CLRT) required?

RESPONSE: This was added in error as requirement for ICU surfaces ONLY not the General Floor surfaces currently requested



-Must have ability to add pump for Low Air Loss option. Is Low Air Loss (LAL) required for all the mattresses? Is a pump/blower required for all the mattresses?

RESPONSE: The mattresses requested must have the availability to be converted to Low Air Loss Therapy by additional of an add-on pump













Statement of Work

















Hospital Beds Replacement



Phoenix Veterans Administration Health Care Services

650 E. Indian School Road

Phoenix, AZ 85012



Equipment Request #: 644-470-17-00001

POC: James Monigold ext 5550

CC: Tiffany Jennings, AO/PCS ext 6158

















1. Statement of Work



1.1 Introduction to Required Specifications



Purpose: The purpose of this Statement of Work (SOW) is to outline the technical specifications and responsibilities of the awarded Vendor, in relation to the provision, integration, and implementation of a complete hospital bed replacement in the inpatient acute, CLC, spinal cord injury clinic, and excess in the basement at the Phoenix VA Health Care System. The Phoenix VA shall require removal of the existing hospital beds in the aforementioned locations, and installation and implementation of the new replacement beds. The Vendor shall provide all necessary tools, equipment/hardware, installation, maintenance, warranty, and training in accordance with this SOW.



Primary Goals: The facility s primary goals are to achieve standardization, enhancement of patient safety, standardized/improvement safety protocols, enhanced patient data reports and record capabilities, reduction in labor, and overall improvement of patient care. In addition, these beds will replace existing beds that are at end of life, expand the capacity and capability of current clinical workflow, improve patient safety and handling, increased patient satisfaction, and provide consistent and reliable end user experience at point of care.



Equipment: All equipment shall be new, state of the art, and not recertified nor refurbished.



Industry Standards: Unless otherwise stated, all equipment shall be held to current industry standards for such equipment as present within the current market for hospital beds, supplies, related services, and the most recent International Standards set by the IEC (IEC 60601-2-52).



Definitions



Hospital Bed: A bed specially designed for hospitalized patients or others in need of some form of health care. These beds have special features both for the comfort and well-being of the patient and for the convenience of health care workers. Common features include adjustable height for the entire bed, the head, and the feet, adjustable side rails, and electronic buttons to operate both the bed and other nearby electronic devices. These beds are for medical surgical care appropriate for the use in long term and acute areas.



Hospital Mattress: A mattress specially designed for hospitalized patients or others in need of some form of health care. These mattresses have special features both for the comfort and well-being of the patient and for the convenience of health care workers. Common features include a therapeutic surface, pressure redistribution, shear management, moisture management, deep zipper flap, waterproof seams, delamination protection, fits bed frames 80-84 , has nonskid bottom and or straps to secure to bed frame, ability to support 500 pound weight, ability to use for High risk up to Stage IV pressure ulcers, five year or greater warranty, and full or prorated replacement availability. These mattresses are for medical surgical care appropriate for the use in long term and acute areas.



Hardware/Software



Hospital Bed (qty:160)



The hospital bed shall meet or exceed all technical specifications listed below:

Must support minimum weight capacity of 500 lbs.

Must have maximum bed frame weight of 500 pounds

Must have a battery back-up with battery power indicator.



Must have a power status indicator, indicating power source (AC Wall power), and battery only.

Must have a battery back-up with battery power indicator.

Must have 4 casters with central brake.

Must have dual castors for ease of transport.

Must have corner bumpers to protect bed frame and facility walls/doorways

Must have a flat mattress deck for standard mattress compatibility, and compatibility with the PVAHCS current Evacusleds.

Must have a maximum mattress deck height of 11 in the low position (addresses fall risk).

Must have a siderail height of 16 for maximum patient safety (from mattress deck to the top of the rail).

Must have a minimum clearance height of 6 (below the bed) to allow access for under-bed tables and lift equipment

Must not have horizontal or lateral movement of bed mattress deck.

Must have audible bed exit alarms and foot of bed visual sidelight indicators.

The sidelight indicators must be color coded for bed alarm settings or siderail configuration changes.

The bed exit alarm must have minimum 3 sensitivity levels i.e. out of bed, perimeter of bed, and patient sitting.

The bed exit alarm must have minimum of 3 volume status (low, medium, high).

Must have capability of an electronic log of all bed exit related events to include a minimum of 5 days.

Must have an automatic bed exit alarm reset function for fall prevention, in the event that a staff member forgets to reset.

Must have siderails with inner controls for the patient, and outer controls for the staff.

Must have footboard with staff controls on an angled surface for ergonomics with an LED display, backlit for ease of reading.

Both the siderails and footboard controls must have integrated lockout capability.

Must have frame mounted back up controls to prevent loss of bed control in the event footboard removal.

Must meet latest norm IEC 60601-2-52 and 60601-2-38.

Must have patient remote and removable control with minimum of 4 functions (head up, head down, legs up, and legs down).

Must have emergency CPR functions (automatic & manual) with no reset required.

Must be able to integrate into existing nurse call system.

Must have under bed lighting with minimum two light strength settings.

Must have capability to weigh patients to +/- 1% standard deviation of error.

Must have steering capability setting for transport .

Must operate with standard 120 v. wall power outlet.

Must have secured O2 E tank pivoting holder for safety and to allow fitting into elevators, with ability to secure in more than one bed frame corner.

Minimum of (2) 120v. auxiliary electrical outlets on frame.

Must have electronic positioning ability for both Trendelenburg and reverse Trendelenburg, without hitting headboard against wall (no bed location movement requirement) to prevent wall damage.

Must have electronic readouts for bed angles located on footboard.

Must have non-laser under bed obstruction sensor to prevent false detection.

Must have custom fitted trapeze specifically manufactured for this bed (20% of beds).

Bed width must not exceed 41 , in order to fit through patient room doorways.

Bed length must not exceed 91 (92.5 inches including frame bumpers) in order to fit in all hospital elevators.

Must have frame corner/end bumpers for prevention of wall damage.

Must have one touch electronic cardiac chair position (efficiency, consistency, ease of use, staff, and patient satisfaction).

Must have 30° back rest indicator on siderail.

Must have minimum of 2 drainage bag holders that are easily accessible on outside perimeter of bed frame (one on each side).

Must have minimum of 4 restraint secure points (2 on each side).

Must have integrated IV pump holder.

Must have ability to secure electrical cord on outside headboard area.

Must accept standard flat (not contoured) 35 x 84 hospital mattresses.

Must have 4 siderails, 2 upper and 2 lower, with one hand release

Must have seamless smooth plastic siderails and food/head boards (no metal, wood or laminate) with no openings for ease of cleaning, aesthetics and infection control.

Must be fully electronic for multi-positional, multi-height capability, with articulating back and knee gatch.

Siderails must have vertical up/down articulation (not swing outward), with color or light indicator for visual position locking indication/verification.

Must have brake status indicator (locked/unlocked).

Must have removable deck cover, footboard and headboard for cleaning/replacement.

Life expectancy of beds must meet or exceed 10 years.

Upper siderail must not extend past the articulation section between the head and middle bed sections when in the rail up position (allows for open area for patient to side enter/exit without a necessary secondary boosting up in bed)

Bed frame must have integrated no tools required deck frame and deck plate extension lengthening capability beyond 84 inches to a minimum of 90 inches to accommodate the taller patient. (integrated decking/plate extension to minimize time requirement to shorten bed for fitting into the elevator during emergency transport)

Must be compatible with existing facility Evacusleds for emergency evacuation requiring minimal staff lifting over siderails or mattress securing brackets and allow unencumbered Evacusled wheel movement over bed mattress deck with bed frame in extended (beyond 84 inches in length) or un-extended position.

Warranty: The Vendor shall provide a minimum warranty of no less than five (5) years for parts and labor for the beds. This warranty will cover the entirety of the bed and all its components and accessories.



Hospital Mattress(qty:160)



The hospital bed shall meet or exceed all technical specifications listed below:

Must support minimum weight capacity of 500 lbs.

Must have a therapeutic surface to assist in management of pressure, shear, and microclimate for the patient.

Must have ability to redistribute pressure through buckling and absorbing patient weight and allow immersion and envelopment to maintain comfort in all positions on the mattress.

Must have a breathable cover that wicks away moisture, equalizes pressure redistribution while balancing the microclimate of the patient s skin

Must not conduct heat

Must have compatibility with the PVAHCS current Evacusleds.

Must have a maximum mattress height of 6 for easy ingress and egress of patients.

Must allow for a side rail height of 16 for maximum patient safety (from mattress deck to the top of the rail).

Must have a nonskid bottom surface or straps to secure to bed frame.

Must fit selected hospital bed frame of 84x35 (LXW)

Must have firm edges to prevent collapsing for sitting on side of bed and support weight during ingress and egress.

Must have delamination protection.

Must waterproof seams

Must have a deep zipper flap

Must be latex free

Must have a 40 degree full body turn capability for assistance with early mobility and prevention of pulmonary complications Added in error NOT a requirement for acute care mattresses

Prefer the availability of sensor technology for automatic adjustment of pressure for patient weight, height, position changes, and bed frame articulation changes

Must meet US flammability standards: 16CFR1632, 16CFR1633, CAL TB129, Boston BFD IX-11.

Must have bleach tolerant cover for cleaning

Must have ability to add pump for Low Air Loss option (transition)

Life expectancy of mattresses must meet or exceed 5 years with availability of full or prorated replacement prior to expiration of warranty.



Warranty: The Vendor shall provide a minimum warranty of five (5) years for parts and labor for the mattresses. This warranty will cover the entirety of the mattress and all its components and accessories.



Installation Considerations



Vendor shall provide all materials, labor, and travel needed for installation of the mattresses.



Vendor will work during normal business hours or as directed by the facility upon award.



Services shall include removal and disposal of all mattresses needing replacement. Vendor shall comply with all VA mandated and local permitted/safety requirements



User and Service Manuals: The Vendor shall provide to each station at no charge, two (2) completed and unabridged printed copies and one (1) electronic version (CD) of operator manuals, service manuals, electronics schematics, troubleshooting guides, and diagnostic software and tools, and parts lists for each piece of equipment purchased to the Biomedical Engineering department with delivery of equipment. Additionally any upgrades to these documents shall be provided by the Vendor free of charge. These manuals shall include all components and subassemblies, including those not manufacturer by the Vendor. These manuals and documentation shall be identical to the ones supplied to the manufacturer s service representatives, and shall contain the diagnostics codes, commands, and passwords utilized in maintenance, repair, and calibration of the equipment and provided for the life of the system at no additional cost.



Licensing Software updates: The Vendor shall provide at no charge, for the lifetime of the device, all routine software updates. All applications software licenses are included in the purchase of the equipment and shall not require a renewal charge for the period of time the equipment is in the use in the facility.



Clinical Training: The Vendor shall provide a training program that is coordinated with and timely to the equipment installation, sufficient to the size and scope of the facility s services and minimally equivalent to the terms and conditions for training defined in the Vendor s FSS Contract. Training shall include initial setup and user-training; onsite training for go-live support, and follow-up training as requested. Training will include ongoing customer support after the implementation of the equipment.



Biomedical Engineering Training: The Vendor shall provide training of the Biomedical Equipment Support Specialists (Hereafter referred as BESS) during initial setup and operations of the equipment, as well as follow-up training during everyday operation. The Vendor shall provide 24/7 technical customer support service for the duration of the equipment at the facility. The on-site training, following installation completion, shall include product nomenclature, printed circuit board assembly and subassembly identification and location, interpretation and usage of built-in system diagnostics, and the use of the troubleshooting manual. The Vendor shall also provide service seminars at the Vendor s facility tuition-free while the hospital owns the equipment.



Support/Maintenance Agreements: Vendor shall provide service/maintenance agreement for 8am-6pm PST coverage and provide 24/7 technical and clinical phone support.



Patient Information Privacy and Protection



In accordance with Appendix A, Handbook 6500.6 Checklist blocks 6, the C&A requirements do not apply to this requirement, and a Security Accreditation Package is not required. In reference to no. 7 there is no information to be protected. The equipment does not store any PHI/PII/PI, nor are there any hard drives/storage devices to service or remove.



The period of performance will be 120 days after receipt of award.



2.3 Delivery and Shipping Information: The vendor shall provide the following for shipment and delivery of equipment:



All items and services shall be shipped or contact to the following location:



Attention:

Susan Wyatt

Theresa Nussbaumer

650 E. Indian School Road

Phoenix, AZ 85012-1892

Attachments

Files attached to this notice, newest first
File Type Posted
VA258-17-Q-0507-A00003000.docx DOCX document
VA258-17-Q-0507-001.docx DOCX document

Notice history

Notices posted for this opportunity, newest first
Notice Type Posted
160 hospital beds Latest Award Notice
160 hospital beds answer questions This notice Award Notice
hospital beds Original Award Notice

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