502-18-3-084-0057 - Telemetry Cardiac Monitors - VA256-18-AP-7328
Combined Synopsis/Solicitation Announcement
The Alexandria VA HealthCare System Medical Center in Pineville, LA is issuing an Open Market RFQ IAW FAR 13.5 for Purchase of a Cardiac Telemetry Monitoring Suite. This procurement is conducted under NAICS 339112 Surgical and Medical Instrument Manufacturing.
This is a Total Service Disabled Veteran Owned Small Business (SDVOSB) Set-Aside. In order to qualify for this set-aside, firms must be registered in the Vendor Information Pages at https://www.vip.vetbiz.gov/ .
Statement of Work/Salient Characteristics:
Alexandria VA Patient Monitoring System STATEMENT OF WORK
SUPPLIES OR SERVICES AND PRICE/COST
Contractor shall provide all equipment, labor, material, and supplies necessary to provide a fully functional physiologic patient monitor system, including wireless telemetry, to the VA Health Care System located in Alexandria, Louisiana as defined in the Statement of Work (SOW) and in accordance with the respective Federal Supply Service (FSS) contract. This procurement is being conducted under the authority Federal Acquisition Regulation (FAR) Part 13. Prices are all inclusive for items and conditions identified in the SOW and any associated shipping and handling to or from Alexandria VA Health Care System 2495 Shreveport Hwy, Pineville, Louisiana 71360.
OVERVIEW
Contractor to provide all equipment, labor, material, and supplies necessary to install a complete physiological patient monitoring system, including wireless telemetry, for the Alexandria VA Health Care System located at 24.
A single contract will be awarded for the medical center. Offers should be based on volume of supplies and services summarized in the table below. Specifications for each line item are further described in the Patient Monitor System Requirements section.
Table 1: Alexandria VA Health Care System
Item
Qty
IACS with C500
3
Swiv.arm-v.rail-VESA,400,30/0
3
ExportProtocol Cable
3
Infinity MCABLE-ANALOG/SYNC
3
Analog Output Cable
3
QRS SYNC OUTPUT CABLE
3
Rainbow Cable RC-4, 1.2m
3
SpO2 Massimo M-LNCS DCI Adult
3
ECG 3-Lead single pin AHA, 1m
3
ECG 5-Lead single-p AHA, 1m
3
ECG EXTENSION SINGLE-PIN, 2m
3
NBP extension Hose, adult 3.7m
3
INFINITY MCABLE DUAL HEMO
3
TRANSDUCER CABLE DRAGER 10-pin
6
Temp Probe Adapter Cable
3
Implementation Services
1
INFINITY M300
8
M300 w/Bedside Chgr x care 3yr
8
Infinity Central Station Wide
2
Extw Infinity Central Station 2yr
2
ECG 3-Lead single-pin AHA, 1m
8
SPO2 Masimo Cable LNCS 3M
8
Masimo SpO2-sensor LNCS DC-IP
8
RECORDER PAPER 50mm (10rolls)
1
SHP OEM INF M300 CENTRAL CHRGR
1
POWER CORD, N.AMERICA, 5-15A
1
Infinity M540
8
Extw M540 2-years
8
INFINITY M500 WITH POWER
12
120W Desktop Power Supply
12
Y-ADAPTER M500 Docking Station
12
ECG 3-Lead single-pin AHA, 1m2
8
Rainbow Cable RC-4, 1.2m2
20
SpO2 Masimo M-LNCS DCI Adult
20
M540 Rainbow Set MCABLE Holder
20
NBP Cuff S, 17-25/29cm
8
NBP Cuff M, 23-33cm
8
NBP Cuff L, 31-40cm
8
NBP Cuff L+, 31-40/55cm
8
NBP extension hose, adult 3.7m2
8
3rd party hardware
1
3rd party hardware2
1
3rd party hardware3
1
3rd Party Hardware4
1
3rd Party Hardware5
1
IACS Monitoring with C500
3
Extw M540 2years
3
Extw C500 2years
3
EXTW Infinity P2500 2y
3
INFINITY M500 TRANS DOCK/CLAMP
1
INFINITY M540 USA
1
Extw M540 2yr
1
ECG 3-Lead Single pin AHA, 1m_
4
Rainbow Cable RC-4, 1.2m.
4
SpO2 Massimo M-LNCS CDI Adlt
4
M540.Rainbow SET MCABLE HOLDER
4
NBP Cuff M, 23-33cm,
4
NBP Cuff M+, 23-33cm.
4
NBP Cuff L, 31-40cm,
4
NBP Cuff L+, 31-40cm.
4
NBP Cuff XL, 38-50cm
4
NBP Extension hose
4
INFINITY CENTRAL STATION WIDE.
1
Extw.Infinity Central Station 2yr
1
R50-N+T PWT/NETW-CLB MT KIT
1
3rd Party Hardwre.
1
3rd Party.Hardware
1
3rd Party,Hardware
1
TSR TIME HOURS
24
SW OPT & UPG-GATEWAY Symphony
2
Gtwy+Symphy3Y S/W Support POS
2
Clinical Application Support Monitor 8h segm
8
3RD Part.Hardware
1
Implementation Services.
65
Seminar Infinity Central Station VG
2
Seminar Infinity M300 Telemetry
2
Travel Expenses
1
Trade-in M540/OMEGA S(PO)
17
PATIENT MONITORING SYSTEM REQUIREMENTS
Central Station
This equipment shall permit a user to view all networked monitors associated with the particular care area. This shall include, but not be limited to, a large high-quality display, software, mounts, UPS and all connections and accessories to accommodate the remote monitoring functionality. The equipment shall provide the following features and functionality:
Display must be 22-24 inches
Full Disclosure
At least 72 hours
At least user choice 6 parameters per patient
May be stored at central station or on a separate server
Ability to transfer full disclosure information from one unit to another at the time of patient transfer
The number of patients displayed on the central station will be unit specific
Up to 16 simultaneous views on single display.
Displays waveforms and numerical information
Central Station and full disclosure may be on separate computers
Enables users of central station to rapidly view, adjust, and respond to alarms.
Alarm review
At least 3 levels of alarms with visual and audible alerts
Ability to print alarms and measured parameters
Arrhythmia Histories
Graphic trends
Tabular trends
Easy trend data review capability for physicians
Bed overview of any patient on network
Touch screen and Keyboard and mouse to enter patient information
1 channel strip recorders
Industry standard Printer
Industry standard non-proprietary display
UPS to power the central station processor and monitor for at least 10 minutes
System shall be configured to allow all telemetry packs and/or patient monitors networked in associated care area to be viewed on the central station and any central station client system associated with said central station.
Networked to allow view of patients in other units from any central station.
Include features that enable remote diagnostics, troubleshooting, and maintenance of equipment.
System shall permit the exchange of HL7 data with VISN 16 Clinical Information Systems.
Operating Room (OR) Monitors
This equipment shall permit user to monitor a wide variety of parameters commonly utilized in the OR environment. These monitors shall include, but not be limited to, all connections and accessories to accommodate the following functionality:
Networked with the ability to view other monitors within network via OR patient monitor.
Ability to view and manipulate additional medical IT systems from the OR patient monitor.
Features that maximize space in the OR environment (wall mounts, cart mounts, etc.)
Shall include modular device for efficient patient transfer to PACU.
OR appropriate software package, associated hardware and modules.
24-inch Display
Touch Screen Display
Anesthesia gas module (O2, CO2, N2O, ENF, Halothane, ISO, DES, sero)
SpO2 Module Shall be Massimo
Invasive (IVP) & Non-Invasive Blood Pressure Monitoring (IBP)
BIS Module
Capnography monitoring module with cable sets
Temperature Monitoring Enabled
Cardiac Output Monitoring: Invasive/Non-invasive
Post-Anesthesia Care Unit (PACU) Monitors:
This equipment shall permit user to monitor a wide variety of parameters commonly utilized in the PACU environment. These monitors shall include, but not be limited to, all connections and accessories to accommodate the following functionality:
20-inch Display
Networked with the ability to view other monitors within network via patient monitor
Design features that maximize space in the ICU patient room. (wall mounts, cart mounts, etc.)
Shall include modular device for efficient patient transfer from OR and ICU.
Touch Screen Display
PACU Appropriate Software and associate hardware and modules.
SpO2 Module Shall be Massimo
Invasive & Non-Invasive Blood Pressure Monitoring
Capnography monitoring module enabled with cable sets
Temperature Monitoring Enabled
12 Lead ECG Capability
ST Monitoring Capability
Cardiac Output Monitoring: Invasive/Non-invasive
Central venous pressure monitoring capability
Bedside Monitors
This equipment shall be mounted near the patient bedside in a manner that permits efficient workflow with the emergency department staff. These monitors shall include, but not be limited to, all connections and accessories to accommodate the following functionality:
20-inch Display
Networked with the ability to view other monitors within network via patient monitor
Shall include modular device for efficient patient transfer to various departments.
Saved event and memory are easily retrievable with minimal steps (less than 5 steps)
Shall include variable height, pivoting mount, and cable management solution.
Ability to dismount and utilize monitor in event portable monitoring is required.
Touch Screen Display
SpO2 Module Shall be Massimo
Invasive & Non-Invasive Blood Pressure Monitoring
Capnography monitoring enabled with cable sets
Temperature Monitoring Enabled
12 Lead ECG Capability
ST Monitoring Capability
Multiple Lead Capability
Ability to display telemetry parameters through connection to telemetry transceiver
Portable Monitor
This equipment shall be light weight, easy to carry, compact, and robust in design. These monitors will also be used in a variety of care areas. The monitors may also be also being utilized in transferring patients to and from care areas in the medical facility. These monitors shall include, but not be limited to, all connections and accessories to accommodate the following functionality:
11-13-inch Display
Touch Screen Display
Carrying handle
Lightweight
Various mounting options for effective transport
Extended battery operation, offeror shall specify battery life.
SpO2 Module Shall be Massimo
Invasive & Non-Invasive Blood Pressure Monitoring
Capnography enabled with following modules/cable sets
Temperature Monitoring Enabled
12 Lead ECG Capability
Multiple Lead Capability
Capable of associating with telemetry pack
EKG capabilities
Design features that enable efficient data transfer from department to department.
OR, PACU, and ICU transport monitors shall be compatible with modular monitoring devices
Telemetry Packs
The telemetry system should provide coverage for the facility through use of existing infrastructure, new infrastructure, or a combination of both. Offeror shall be responsible for site survey, design, system infrastructure, installation, commissioning, and project management. The telemetry solution shall include, but not be limited to, all connections and accessories to accommodate the following functionality:
Patient worn device enabling wireless monitoring of physiological data
Transmits in 600 MHz or 1.4 GHz (WMTS Spectrum)
Permits viewing from remote central monitoring station
Monitoring Functionality: ECG, SpO2
General Specifications
For all monitoring hardware must be able to interface with VISTA/CPRS.
This includes complete implementation and set-up for all monitoring hardware to be able to view VISTA/CPRS records and send/receive (i.e. open/ close consults) information into VISTA/CPRS.
Must integrate with GE Muse Cardiology Management System.
Cabling/Network
Turn-Key Installation providing all hardware and accessories for a complete system, services shall include removal of current patient monitoring infrastructure.
This is a standalone network just for Patient Monitors
All cabling and accessories to provide a complete and functional system
If current cabling and antennas are to be re-used it must be recertified with proper documentation presented to the COR.
Current cabling must be CAT 5 certified or higher, if it is not it must be removed and re-wired.
All current network hardware: switches, routers, hubs, etc. must be replaced
The quote for the network installation needs to be a separate line item than the equipment and shall include cost per network node, including cable run, terminations, any necessary hardware and installation cost.
Unit to unit connection charge shall include all cable runs, hubs, switches, routers and any other hardware or software required.
All above ceiling cabling runs shall be tie-wrapped and placed in telephone/data trough, in a conduit, or properly routed through interstitial area per hospital facilities requirements and local electric codes.
Cables shall be bundled neatly and in a professional manner especially when cables converge at network hardware.
Cables shall be marked at each end indicating the termination point of the other end.
All new network cabling, terminations, and any patch panels used shall be CAT5E/CAT6 certified.
All cables shall be terminated TIA568A.
Any cable run through plenum space shall be plenum rated according to NEC and applicable fire codes.
All cable runs shall be tested and certified in accordance with TSB-67 and TIA/EIA 568-A or latest TIA/EIA Revisions.
The Offeror shall provide a copy of all test results to the COR in electronic format that can be displayed and/or viewed.
Cable length shall be included in this report.
Documentation of the network shall also be provided and include a marked-up drawing (as built) showing jacks and room locations.
The system will be configured to view patients throughout the hospital or care areas.
Drawings that indicate the location of the monitoring devices will be provided for the Medical Center.
Interface will be compliant with VA National interface standard.
All networking equipment must be Cisco. (Switches, hubs, routers, etc.)
Any offsite server or network maintenance or support provided by the Offeror can only be done VPN access after the Offeror has obtained the VPN access from the VA.
Offerer must provide VPN contract number if applicable.
All networking hardware shall be rack mounted in room designated by Facility Project Manager or COR.
Caballing and telemetry field will be needed for the following areas within ALXVAMC:
Ground Floor:B Main Hallways only
1st Floor: Main Hallways only
2nd floor: 7A South (main hallways, patient rooms, and nursing areas)
3th floor: ICU (main hallways, patient rooms, and nursing areas)
4th floor: OR/Recovery (main hallways, patient rooms, and nursing areas)
HL7 Solution
Offeror shall provide an HL7 interface solution allowing the exchange of data from point-of-care equipment through HL7 messaging to VISN 16 s Clinical Information System (CIS) / Anesthesia Record Keeper (ARK).
Included in the quote the offeror shall have a separate line item for 5 (five) year HL7 software support.
Clinical Training
The successful Offeror will provide training for all shifts in care environments where patient monitors are installed. This will require more than one training session per shift, no more than three weeks prior to installation. Training would include initial setup and user training; onsite training for go-live support, super user training and follow-up training.
Biomedical Engineering Service Training
The Offeror shall provide the training of at least two in-house service biomedical engineering technicians. This training shall be equal to the training provided by the manufacturer for their service personnel, and will train the designated in-house personnel on the calibration, maintenance, and repair of the entire system purchased. This training will occur at the location of the Offeror s training facility, and shall include associated travel and lodging expenses. This training shall be provided prior to expiration of the warranty period.
Service Workstation
The service workstation should permit maintenance professionals the ability to connect to the patient monitoring network to perform diagnostics, troubleshooting, and maintenance. This workstation should include remote connectivity to off-site, vendor supported diagnostic services.
Installation and Implementation Services
The offerors shall provide coordinated professional installation and implementation project management services to implement the system specified in the scope of work at the Alexandria VA Health Care System. This service shall include a site visit to confirm final configuration of mounts, modules, caballing (total amount needed), network hardware, and peripheral equipment. Installation meetings and related activities shall begin within one week of contract award. This service shall include removal of existing system and turnkey installation. Offerors shall provide a firm estimate of working days required from date of purchase order to go-live based on scope of work (maximum of 45 days).
The price quoted shall include cost of installation which consists of assembling, positioning, and mounting of all equipment listed on the delivery order and connections of all cables. The hospital is responsible for furnishing all conduit and raceways unless specified otherwise on the delivery order. The equipment contractor is responsible for furnishing and pulling interconnecting wiring and cabling through conduit and raceways, and for making any connections. Interconnecting wiring and cabling which do not run through conduit and raceways shall be furnished and installed by the equipment contractor. It is the responsibility of the equipment contractor to install junction boxes, wall/ceiling mounts, and support structures supplied by the equipment contractor. The equipment contractor must provide well qualified field engineers or technicians to install and conduct all necessary tests which shall begin within (10) ten days after receipt of notice to proceed from the Contracting Officers Representative (COR) at the affected hospital.
Once installation is started, it shall be continuous, eight (8) hours per day coinciding with the regular working hours at the hospital. Compliance with this requirement shall be manifest by the continuous presence of the engineers or technicians on the job site during the daily working period. Installation shall be continuous, without interruption, until all installation and testing work has been completed. The contractor must provide the physical movement of the equipment from the storage point at final destination, to the area of installation, and the uncrating of the equipment.
Rigging and special handling costs, if required, to move the equipment from dock area to the installation site within the consignee's premises, shall be borne by the equipment contractor.
Upon receipt of notice to proceed with installation, it shall be the contractor's responsibility to inform the Contracting Officer of any problems which may be anticipated in connection with installation or which will affect optimum performance once installation is completed. Such matters as inadequacy of power supply, limitations of site or inadequate preparation of site shall be reported prior to start of installation. Installation shall not proceed under such circumstances until authorized by the Contracting Officer.
In the event that progress of the installation is interrupted through no fault of the contractor, the continuous installation referenced in the preceding paragraphs may be terminated until such time as the cause of delay has been eliminated, and then shall be resumed within twenty-four (24) hours after the contractor has been notified that work may again proceed. Such termination of continuous installation shall be made only after two (2) hours notice has been given to the Contracting Officers Representative (COR) or person acting in that capacity at the hospital receiving installation. Contractor must notify the Contracting Officer within 48 hours of termination of installation.
Unless otherwise authorized by the Contracting officer, installation of equipment shall in no event exceed sixty (60) days per room from the date of notice to proceed with installation.
Trade In
Offers shall include new equipment and infrastructure for all care areas. Existing equipment will not be upgraded or utilized with the new system, with the exception of cabling/antennas if they are recertified. All physiological monitoring equipment at the facility will be traded in. Each offerer shall include a separate line item showing the amount for the trade in.
IHE INTEGRATION STATEMENT
Vendor shall provide IHE (Integrating the Healthcare Enterprise) integration statement(s) (IIS) for proposed solution. (See http://www.ihe.net/ for more information)
MAINTENANCE REQUIREMENTS
Licensing Software updates
The Offeror shall provide at no charge for the duration of the warranty period (minimum of five years) all computer software, access keys or codes, or external devices required for the operation, calibration, or repair of the equipment purchased. Any such items not listed on the price quote and required for maintenance of the system, shall be taken as included with the purchase of the system. Any minor upgrades or changes to the maintenance software, hardware, or access keys or codes shall be provided at no charge to the medical center during the time the equipment is operational at this facility. All application software licenses are included in the purchase of the equipment and shall not a require renewal charge for the period of time the equipment is in use in the facility.
Warranty
The Offeror shall provide a minimum warranty of no less than five (5) year for parts and labor. All equipment sent for replacement must be returned/replaced with a working replacement within 24 hours of receipt to the ALX VA Medical Center.
Service
The Offeror shall provide annual pricing for service and support post warranty for a period of five years. In addition, maintenance and other service shall be provided with 24 hours of notice of failure.
Emergency service must be provided within 4 hours of notification. Telephone response does not satisfy this requirement. An emergency is deemed anything which prevents system operation or disrupts continued patient care.
The contractor guarantees availability of servicing and replacement parts for a period of ten (10) years from the point of install.
User and Service Manuals
The Offeror shall provide, at no charge, two (2) complete and unabridged printed copies and one (1) electronic version (CD) of operator manuals, service manuals, electronic schematics, troubleshooting guides and parts lists for each piece of equipment purchased to the (Contracting Officer s Technical Representative (COR) with delivery of equipment. Additionally, any upgrades to these documents shall be provided by the Offeror free of charge. These manuals will include all components and subassemblies, including those not manufactured by the Offeror. These manuals and documentation shall be identical to the ones supplied to the manufacturer s service representatives and shall contain the diagnostic codes, commands, and passwords utilized in maintenance, repair and calibration of the equipment.
Biomedical testing Equipment
The Offeror shall include all necessary biomedical testing and preventative maintenance equipment necessary for the system.
Hardware Upgrades
All equipment and related peripherals contracted for shall be state-of-the-art technology. "State-of-the-art" is defined as the most recently designed components that are announced for marketing purposes, available, maintained and supported in accordance with mandatory requirements specified in the solicitation. Components and products with a manufacturer's planned obsolescence within the first year of contract award are not acceptable.
If hardware upgrades become available after award of this contract but prior to installation of the equipment, the contractor is requested to offer them to the Contracting Officer for consideration.
The contractor's proposal for such upgrades shall include the following information:
Pricing information, to include both the price of the equipment to be added and the equipment to be deleted.
Specific awarded items that shall be changed if the proposal is awarded.
Performance data, including both comparisons to the specification requirements and to the equipment on contract.
A detailed description of the differences between the awarded items and those being proposed, and a specific analysis of the comparative advantages/disadvantages of the items involved.
An evaluation of the effect proposed changes will have on the life cycle of the equipment and an associated cost impact as it relates to site preparation, installation, maintenance, and operational expense.
An analysis of the timeframe required to institute the change.
Part numbers are provided for the Draeger system components for illustrative and placeholder purposes. Equal items can be quoted if sufficient information for comparison is provided with the quote. The technically acceptable quote with the lowest price will obtain the award.
This RFQ closes on 27 June 2018 at Noon Central Time. Quotes may be submitted via email to paul.filhiol@va.gov .
Paul G Filhiol
Contracting Officer
318-990-4088
paul.filhiol@va.gov
