X1DB--MRI Trailer Lease (VA-20-00035508)

Change Order Notice

Notice of Intent to Extend a Sole Source Requirement

Notice of Intent to extend the period of performance of a Sole Source Requirement. This is a
supplemental agreement within scope of contract 36C24221C0177. The Department of Veterans
Affairs, VA Healthcare System, New York Harbor Healthcare System (Brooklyn Campus) VISN 02
Contracting Activity intends to award a sole source modification contract under the authority of FAR
Part 52.243-1 Changes-fixed-price. The associated NAICS code for this requirement is 621512; the size
standard is $15 million. The awardee will be Insight Health Corp, 26250 Enterprise Ct Ste 100, Lake
Forest, CA 92630. Description of equipment requirements: The requirement is for a rental Philips
Mobile MRI (for full description see attached draft statement of work). A firm fixed price contract for
an additional six (6) months is anticipated and shall be awarded. It is the Government's belief that
only the proposed candidate possesses the required capabilities to successfully meet this
requirement. It is the Government's intention to solicit only the listed source. This notice of intent is
not a request for competitive proposals. It is not a solicitation or request for offers. No solicitation
package is available. Any response to this notice must show clear and convincing evidence that
competition would be advantageous to the Government. Responses must be received by 1:00 pm EST
on Wednesday, December 22, 2021. All responses must be sent to Contracting Officer Megan Ross at
Megan.Ross3@va.gov and Contract Specialist Enell Riley Eneill.Riley@va.gov.

STATEMENT OF WORK
MRI Trailer Lease at the VA New York Harbor Healthcare System
Location: VA NY Harbor Healthcare System, 800 Poly Pl, Brooklyn, NY 11209.
Period of Performance: 01/01/2022-06/30/2022
The VA NY Harbor Healthcare System is seeking to extend its current rental of
a Philips Mobile MRI rental while the permanent MRI suite is being built. The
Special Notice

current contract is due to expire on 12/31/2021. We are seeking a 6-month
extension option year contract from 01/01/2022 to 06/30/2022.
The Philips Mobile MRI rental must be capable of supporting the ongoing
clinical programs at the Brooklyn campus, including Cardiology and Cardiac
Surgery, Neurology and Neurosurgery, Orthopedics, Vascular Surgery, and
Oncology.
The vendor must also have the capability of providing a mobile MRI unit to be on
site 7
days per week.
The Vendor must provide specific services as follows:
 Mobile Philips Ingeina MRI at the VA Brooklyn Campus.
 Mobile MRI unit on site 7 days per week
 The MRI must meet the specifications (MRI System Requirements
Below)
 VA MRI technologists are already trained in the Philips Ingenia MRI that
will require minimum applications training.
 The Vendor is responsible for transporting the unit to and from the
location.
 The Vendor is responsible for the maintenance of the unit, including all
preventive maintenance, and all parts and labor.
 The Vendor is responsible for the removal of the mobile unit as well as
the existing retired Siemens Symphony MRI.
 System must be able to transfer image and data to multiple modalities
including PACs, VISTA Imaging, and printers. OEM Engineer will
establish network and printer connectivity at the site in coordination with
local IT staff. Verification of connectivity must be made prior to the start
of patient procedures.
Special Notice

 System scan protocols must be verified and validated by VA reading
radiologists.
 Biomed will remove system Hard Drive at contract end and
destruct/dispose according to VA policy.
 The system will be installed and operated in compliance with all
applicable VA security and privacy standards, practices, and policies.
MRI Trailer
1. Trailer size is 704’’ long x 241’’wide.
Responsibility of VA Facility: VA Medical Center is responsible for the
following:
 VA will provide electrical power, and Emergency Generator Backup,
480 volt AC 3 phase 125 KVA fused at 150 amps Maximum voltage
variation is +- 5% from nominal steady state, Voltage surges must not
exceed +5%, 5 wire Russellstoll receptacle DF 2504 FRAB0,
waterproof.
 VA will provide 3 data lines and 3 telephone lines and connections to
the VA Police/Fire Alarm system and the Code Alarm system.
Contractor to connect power, data, phone and alarm systems to the
Mobile MRI trailer.
 VA will provide network access for MRI remote diagnosis connection
between trailer and service organization.
 VA will provide water supply with a flow rate of 5 gallons per minute (45-
60PSA), maximum temp. of 70 degrees F.
 VA will provide means of sanitary wastewater drainage from the system
 The services of MRI technologists/technicians to perform all scans.
Special Notice

 The VA will be responsible for cleaning and infection control measures.
 VA will be responsible for all professional staff and MRI procedures,
safety, and protocols.
 VA Radiologist(s) will provide guidance for protocols and assume
responsibility for medical care of patients. Radiologist(s) will also
review studies for appropriateness according to established Department
of Radiology protocols.
 VA will be responsible for scheduling of patients to maximize patient
throughput and will provide clerical support for scheduling, patient
registration and other administrative responsibilities related to the MRI
Schedule.
 Provision of staff and equipment for emergency care and all CODE
procedures.
 Provision of medical supplies necessary to perform the procedures
including gadolinium, injector kits, laundry and other necessary medical
supplies and all consumable supplies.
 Provision of film media (film, CD’s) specific to each the needs of each
site, where required.
 Transportation of patients to/from reception area and /or medical ward,
to the MRI trailer.
MRI System Requirements
 Minimum requirements for this system are a state of the art 1.5T short
bore magnet
 The MRI must have the same capabilities of the standard configuration
for a Philips Ingenia 1.5 T MRI System or better with TIM technology

 Gradients : Omega 33mT/m
Special Notice

 Slew rate: 120 mT/m/ms
 Software Level: R5
 System must have capabilities for quantitative cardiac, neuro, and
vascular post-processing. Cardiac post-processing includes capability
for: volumes, flow, velocities, function; neuro cases: perfusion/diffusion;
Vascular , 3D/MIP, and stenosis analysis.
 Minimum of 425 lb load table limit
 Gradient noise level of 99 db or below without reducing performance
 Equipment will be capable of sending images to a minimum of 3
destinations (DVD, PAC’s, Hospital RIS System, etc)
 Power injector
 Patient physiologic monitor
 In room video monitoring system
Software and Applications Packages: Specifications
TIM Application Suite TIM Whole Body Suite
Neuro Suite Advanced Cardiac
Cardiac Suite Flow Quantification
Ortho Suite Argus Flow
Body Suite Argus Function
Onco Suite Advanced High Order Shim
Angio Suite Interactive Real Time
iPAT Extensions
AutoAlign Spine Composing
Inline Diffusion Neuro Perfusion Evaluation
Inline Post Processing Inline BOLD Imaging
Inline Perfusion BOLD Evaluation
Advanced Functional Neuro 3D PACE
Multiple Direction Diffusion Weighting
Single Voxel Spectroscopy Vessel View
Spectroscopy Evaluation 3D Volume Rendering Technique (3D VRT)
2D & 3D Chemical Shift Imaging CISS/DESS
Turbo Gradient Spin ECHO (GRASE) Modality Performed Procedure Step (MPPS)
Image Filter PMU Wireless Physio Control
Special Notice
 
Coils: Specifications
Patient Digital Video
and Audio entertainment
system:
 Patient microphone to enable speaking to MRI technologist
 Prefer camera at MRI technologist station. When talking to the patient the patient
sees and hears the MRI technologist with positive 2 way communication. The
patient voice response is transmitted from the microphone to the MRI
technologist station speaker
 Emergency call button for the patient to alert the MRI technologist of any
problem or to speak to the MRI technologist
Additional MRI Trailer and System requirements
 CD/DVD Burner
 Full compatibility with hospital PACS system
 DICOM 3.0
 Patient intercom system
 Safety and Warning Systems Visual and Audible Alarms
Brain – 12 Element
Neck – 4 Element
Spine (CTL) – 24 Element
Body Matrix 6 Elements – x2 coils
Peripheral Array – 16 Elements
Pediatric Array - Large
Shoulder Array
Foot/Ankle – 8 Channel
Lower Extremity (Knee) – 8 Channel
Wrist – 4 Channel
Loop Flex 4 CM – x2 coils
Double Loop Flex 7 CM – x2 coils
Flex Coil Large
Flex Coil Small
Breast – 7 Channel
Breast Array – 4 Channel
Flex Coil Interface
Special Notice

 Smoke Detectors, Fire Extinguishers
 Emergency Lighting Battery
 Phone and data ports
 480v 50’ power cable
 Hydraulic patient lift, Stairs and railings
 HVAC system to maintain trailer environmental systems
 Operators and Technical support Manuals
 Full System Service (Monday – Friday 8am to 5pm local time
excluding Federal Holidays)
 24 Hour telephone technical support toll free line, phone response
within 1 hour, on site within 4 hours as needed.
 All parts and labor for entire MRI system and trailer.
 All OEM recommended Preventative Maintenance Service schedules.
 Physicist Certification: Annual QA evaluation by an ACR certified
Diagnostic Medical Physicist
 OEM trained system applications specialist on site 3-5 days to train
VA technologists and modify protocols, as needed.
 Applications training for Digital Video and Audio entertainment
system.
 Applications training for fMRI audio and video system and paradigm
development
 Patient Monitoring equipment, pulse oximeter, EKG.