DEPARTMENT OF VETERANS AFFAIRS VETERANS INTEGRATED SERVICE NETWORK (VISN) 16 MICHAEL E. DEBAKEY VA MEDICAL CENTER (VAMC), HOUSTON, TEXAS REQUEST FOR INFORMATION 36C25619Q0627 BACKGROUND: The Houston VAMC has a requirement for the following BRAND NAME OR EQUAL supplies: WILL BE EVALUATED Manufacturer Stock# Description PLEASE SEE SOW ATTACHED FOR A LIST OF ITEMS NEEDED. REQUESTED RESPONSES: The intent of this Request for Information is to establish sources in order to define the procurement strategy. Interested contractors are requested to respond in accordance with the following Please respond to this RFI if you are capable of providing the brand name products listed in the table found in the background section above. In the response please cite business size status. Please respond to this RFI if you are capable of providing supplies that can be determined EQUIVALENT to the products listed in the table found in the background section above. You MUST provide SPECIFICATIONS AND DETAILS on proposed EQUIVALENT products such as Manufacturer Name, Part Number, and Description. If applicable, include GSA contract information. It is critical that you specify if you are providing brand name or an equivalent product. (Capability Statement) CONTACT INFORMATION AND RESPONSE DUE DATE: Please email all responses [email protected] Please respond to this RFI no later than 10:00am Central on Jan. 10, 2019. DISCLAIMER: This RFI is issued solely for informational and planning purposes and does not constitute a solicitation. Responses to this notice are not offers and cannot be accepted by the Department of Veterans Affairs to form a binding contract. Respondents are solely responsible for all expenses associated with responding to this RFI. SCOPE OF WORK AND GENERAL SPECIFICATIONS For Shockpulse-SE Lithotrispy System 1. Background: The Michael E. DeBakey VA Medical Center (MEDVAMC) is requesting procurement of the Shockpulse-SE Lithotripsy System since our current system is being phased out and will no longer be repairable. 2. Project Scope: Item # Description/Part Number* Qty SPL-S SHOCKPULSE-SE LITHOTRIPSY SYSTEM 1 SPL-FS SHOCKPULSE LITHOTRIPSY FOOTSWITCH 1 SPL-T SHOCKPULSE LITHOTRIPSY TRANSDUCER 1 SPL-NC SHOCKPULSE LITHOTRIPSY NOSE CONE 1 SPL-CSL SHOCKPULSE LITHOTRIPSY CLEANING STYLET 1 SPL-W SHOCKPULSE LITHOTRISPY WRENCH 1 SPL-PDBX376 SHOCKPULSE PROBE SINGLE USE 3.76MM 1 WA33036A PERCUTANEOUS NEPHROSCOPE 1 WA05970A HIQ+ STERILIZATION TRAY W/LID 1 WA63817A PCN GRASPING FORCEPS-3-NAILUM 1 WA33037A PCN OUTER SHEATH, 25FRM ROTATAB 1 75U UNIVERSAL STOPCOCK LUER LOCK 1 3. Supply Specifications: Salient Characteristics: Dual action lithotripsy with proprietary technology to simultaneously produce constant ultrasonic wave energy and intermittent shockwave energy Single probe design 90-264 VAC voltage 50/60 Hz 14.1 lbs 4. Warranty and Support: The warranty and support must cover all components of the requirement in accordance with standard manufacturer s warranty. Delivery Location: Michael E. DeBakey VA Medical Center 2002 Holcombe Boulevard Houston, TX 77030

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