SCOPE OF WORK AND GENERAL SPECIFICATIONS FOR Karl Storz-GYN Lap Sets Background: MEDVAMC in need of replacing missing and damage instruments Resection Sets 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. THIS REQUEST IS BRAND NAME OR EQUAL Project Scope: LINE ITEM QTY UNIT 26775UF Monopolar Dissecting L-Shaped 1 EA Electrode, 5mm X 36cm 26775UE Monopolar Dissecting Blunt Spatula 1 EA Electrode, 5mm X 36cm 33310LFD Clickline Wavy Grasping Forceps Insert 1 EA Dbl Actn Hollow Jaws,Atraumatic,5mmx36cm 33310R Clickline Right Angle Dissect Grasp Fcps 1 EA Insert, Double Action Jaws, 5mm X 36cm 33310MS Clickline Manhes Duckbill Dissect/Grasp 1 EA Fcps Insert,Blunt,Jaw Lgth:10mm,5mmx36cm 33310ML Clickline Kelly Dissect/Grasp Forceps 1 EA Insert, Long Dbl Action Jaws, 5mm X 36cm 33310ON Clickline Fenestrated Grasp Fcps Insert 1 EA Fine Serrations, Single Action, 5mmx36cm 33310A Clickline Babcock Grasp Forceps Insert 1 EA Fenestrated Dbl Action Jaws, 5mm X 36cm 33310BB Clickline Babcock Long Grasp Fcps Insert 1 EA Atraum Mult-Teeth,Fens,Sgl Actn,5mmx36cm 33310WTD Clickline Dbl Action Wavy Grasping Fcps 1 EA W/Teeth Insert, Atraumatic, 5mmx36cm 26176K Bipolar Forceps Paddle Jaw Insert With 1 EA Double Action Serrated Jaws, 5mm X 33cm 33300 Clickline Insulated Outer Tube, 5mmx36cm 8 EA 26276A Outer Sheath F/Dual Sheath Bipolar 1 EA Forceps, 5mm X 33cm 26276B Inner Sheath F/Dual Sheath Bipolar 1 EA Forceps, 5mm X 33cm 26175T Palpation Probe W/Cm Markings, 5mmx36cm 1 EA 26175R Injection Needle With Luer Lock, 1 EA 14 Gauge, 5mm X 36cm 26176LV Bipolar High Frequency Cord For 1 EA Valley Lab, 1-Piece Plug, 300cm 495ND Light Cable, 3.5mm X 300cm (9.8') 1 EA 26006M Monopolar High Frequency Cord W/8mm Plug 1 EA F/Valleylab Electrosurgical Units, 300cm 33121 Clickline Plastic Handle Without Ratchet 5 EA 33126 Clickline Plastic Handle With Disengageable 5 EA Ratchet 26296HM Bipolar Ring Handle For Dual Sheath 1 EA 26276 And 26277 Series Forceps 26046AA HOPKINS II 0ร‚ยบ TELESCOPE, 5MM X 29CM 1 EA AUTOCLAVABLE KSZ-27717DS Container System For Clickline & L 1 EA Instruments To 34cm 23.5" X 11" X 8# Supply Specifications 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 VETERANS INTEGRATED SERVICE NETWORK (VISN) 16 MICHAEL E. DEBAKEY VA MEDICAL CENTER (VAMC), HOUSTON, TEXAS REQUEST FOR INFORMATION 36C25618Q0226 BACKGROUND: The Houston VAMC has a requirement for the following brand name supplies: 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 1. 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. 2. 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. a. 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 to [email protected] Please respond to this RFI no later than 10:00am Central on Dec. 13, 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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