SCOPE OF WORK AND GENERAL SPECIFICATIONS FOR HYSTEROSCOPY SET Background: MEDVAMC in need of additional surgical instrumentation for Urology and Operating Room related procedures. The requested Karl Storz brand instrumentation is currently in use at MEDVAMC. The purpose of this purchase request is to increase the inventory of surgical instrumentation and equipment to support the growing surgical case volume. Karl Storz is the sole manufacturer that currently owns and operates consoles at the MEDVAMC. Karl Storz currently has a contract with the VA instruments GSA contract number: V797D30255. Project Scope: The overall price of this purchase is $59,959.91 LINE ITEM QTY UNIT 26020FA HOPKINS II 12º TELESCOPE, 2.9MM X 30CM 5 EA AUTOCLAVABLE, FOR GYNECOLOGY 26176LV BIPOLAR HIGH FREQUENCY CORD FOR 5 EA VALLEY LAB, 1-PIECE PLUG, 300CM 495ND LIGHT CABLE, 3.5MM X 300CM (9.8') 5 EA 26176LV BIPOLAR HIGH FREQUENCY CORD FOR 5 EA VALLEY LAB, 1-PIECE PLUG, 300CM 26153BIK 4.3MM BETTOCCHI OPERATING SHEATH W/5FR 5 EA CHANNEL, F/USE AS INNER SHEATH W/26153BO 26153BOK 5MM BETTOCCHI OPERATING SHEATH, F/USE AS 5 EA OUTER SHEATH W/26153BI, CONTINUOUS FLOW 26161VCK 4.5MM CONTINUOUS FLOW EXAMINATION SHEATH 5 EA FOR USE AS OUTER SHEATH W/26161VB SHEATH 26161VBK 3.8MM EXAMINATION SHEATH W/LUER-LOCK, 5 EA FOR USE AS INNER SHEATH W/26161VC 26159BE 5FR BIPOLAR SEMIRIGID ELECTRODE, 5 EA LENGTH:42CM 26159DHW SEMI-RIGID PUNCH W/HORIZONTAL OPENING 5 EA SINGLE ACTION JAWS, 5FR X 34CM 26120BA HOPKINS II 30º TELESCOPE, 2.9MM X 30CM 2 EA AUTOCLAVABLE, FOR GYNECOLOGY 26153EA 5MM HYSTEROSCOPE SHEATH W/5FR CHNL 1 EA 1 PIECE DESIGN, F/12º AND 30º TELESCOPES 26120BA HOPKINS II 30º TELESCOPE, 2.9MM X 30CM 1 EA AUTOCLAVABLE, FOR GYNECOLOGY 495ND LIGHT CABLE, 3.5MM X 300CM (9.8') 1 EA 26055LDK 7MM GYN RESECTOSCOPE SHEATH,OBLIQUE BEAK 1 EA AND ROTATABLE INNER TUBE,CONTINUOUS FLOW 26055BE 7MM VISUAL OBTURATOR ONLY FOR 26055SL/LD 1 EA SLENDER RESECTOSCOPE SHEATHS 26055E WORKING ELEMENT WITH SPRING ACTION AND 1 EA MOVABLE THUMB SUPPORT 277KB MONOPOLAR HIGH FREQUENCY CORD WITH 1 EA 8MM PLUG FOR VALLEYLAB, LENGTH:300CM 26055CD TELESCOPE BRIDGE W/5FR CHANNEL F/26055LD 1 EA OR 26055SL SLENDER RESECTOSCOPE SHEATHS 26055XE 7MM ROTATABLE INNER TUBE W/CERAMIC 1 EA INSULATION, F/26055LD CF RESECTOSCOPE SHEATH 27502 LUER-LOCK CONNECTOR WITH STOPCOCK 1 EA 6626690 STOPCOCK WITH HANDLE 1 EA 8458190 STOPCOCK WITH HANDLE FOR CANNULAE WITH 1 EA LUER LOCK PORTS FOR INSUFFLATION 26055EB WORKING ELEMENT, BIPOLAR W/SPRING ACTION 2 EA AND MOVABLE THUMB SUPPORT, F/21FR UH801 BIPOLAR HIGH FREQUENCY CORD, 400CM FOR 2 EA KARL STORZ UH400U, SCB Supply Specifications Requirements For Scopes: Physical Characteristics Primary Application: Telescopes Provides unobstructed vision during all interventions. Improves pump function Specifications 100-240 VAC 50/60 HZ 4. Warranty and Support: The warranty and support must cover all components of the requirement in accordance with standard 1 year manufacturer s warranty. Delivery Location: Michael E. DeBakey VA Medical Center BLDG 100 Warehouse Recieving 2002 Holcombe Boulevard Houston, TX 77030 DEPARTMENT OF VETERANS AFFAIRS NETWORK CONTRACTING OFFICE (NCO) 16 MICHAEL E. DEBAKEY VA MEDICAL CENTER (VAMC), HOUSTON, TEXAS REQUEST FOR INFORMATION 36C25619Q0212 BACKGROUND: The Houston VAMC has a requirement for the following BRAND NAME OR EQUAL: SEE BELOW Manufacturer Stock # Item Description SEE SOW ATTACHED REQUESTED RESPONSES: The intent of this Request for Information is to establish sources to define the procurement strategy (e.g set-aside, sole source, unrestricted) for a solicitation that VA intends to post in the near future. Interested contractors are requested to respond in accordance with the following: 1. Please respond to this RFI if you can provide the exact brand name products listed in the table in the background section above. In the response please cite your business size status. a. If you have an existing GSA or VA, Federal Supply Schedule contract, please include the contract details in your response. 2. Please respond to this RFI if you can provide supplies that can be determined EQUIVALENT to the products listed in the table in the background section above. Please provide details on the proposed EQUIVALENT products such as Manufacturer Name, Part Number, and Description. a. If you have an existing GSA or VA, Federal Supply Schedule contract, please include the contract details in your response. b. Please note that VA is particularly interested in determining the availability of Small Business Manufacturers. If your company is a small business manufacturer of related items, please respond to this RFI. CONTACT INFORMATION AND RESPONSE DUE DATE: Please email all responses to [email protected]. 504-507-4148 Please respond to this RFI no later than Dec. 10, 2018. 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.

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