Justification and Approval for: Other than Full and Open Competition The VA Togus Healthcare System intends to negotiate on a sole source basis pursuant to FAR 6.302-1 -- Only One Responsible Source and No Other Supplies or Services Will Satisfy Agency Requirements with Karl Storz or its authorized dealers for the lease of OR Equipment and accessories as shown in salient Characteristics. Salient Characteristics Material Description Quantity TC200US CCU,MODULAR,IMAGE1 CONNECT,US 3 TC300US CCU,MODULAR,H3-LINK,US 3 TC301US CCU,MODULAR,IMAGE1 S X-LINK,US 3 TC009 ADAPTOR,USB ACCESSORY 3 20040240US KEYBOARD, SILICONE, US, FOR TELE PACK X 3 TH100 ASM,HEAD,IMAGE1 S,H3-Z, CE 12 495ND LIGHT CABLE, 3.5MM X 300CM. LGTH 9.8 FT 16 39301HCTS TRAY, STERRAD, HIGH DEF CAMERA HEADS 12 20205501-140 AIDA HD CONNECT, DVD,WITH SMARTSCREEN,CE 3 WU1333 SONY UP-DR80MD MEDICAL GRADE PRINTER 3 201331-20-1 LIGHT SOURCE, 300 WATT XENON w/SCB 3 487UO ADAPTOR,UNIVERSAL CABLE,TURRET. KARL 3 26430520-1 ELECTRONIC,C02 ENDOFLATOR W/ 3 26020H-2P HOSE, ASSEMBLY, DUAL YOKE CO2 3 9606A-32 VIDEO CART, FULL DOOR+DRAWER+UPGRADE ARM 3 9402 UNIVERSAL VARIABLE HEIGHT MONITOR STAND 3 9826NB-US 26" LED MONITOR 6 9826NB-US-SP 26" SCREEN PROTECTOR FOR 9826NB-US 6 TZ100-KT3 ZEROWIRE G2 PAIR KIT W/HIROSE Y-PWR CBLS 3 TC200US CCU,MODULAR,IMAGE1 CONNECT,US 1 TC300US CCU,MODULAR,H3-LINK,US 1 TC301US CCU,MODULAR,IMAGE1 S X-LINK,US 1 TC009 ADAPTOR,USB ACCESSORY 1 20040240US KEYBOARD, SILICONE, US, FOR TELE PACK X 1 20205501-140 AIDA HD CONNECT, DVD,WITH SMARTSCREEN,CE 1 WU1333 SONY UP-DR80MD MEDICAL GRADE PRINTER 1 201331-20-1 LIGHT SOURCE, 300 WATT XENON w/SCB 1.000 487UO ADAPTOR,UNIVERSAL CABLE,TURRET. KARL 1.000 26430520-1 ELECTRONIC,C02 ENDOFLATOR W/ 1.000 26020H-2P HOSE, ASSEMBLY, DUAL YOKE CO2 1.000 26046AA TELESCOPE,HOPKINS II, 0º, ENLARGED VIEW, 5.000 26046BA TELESCOPE,HOPKINS II, 30º, 5mm x 29cm 5.000 26003AA TELESCOPE,HOPKINS II,AUTOCLAVABLE 5.000 26003BA TELESCOPE,HOPKINS II,AUTOCLAVABLE 5.000 39301BS TRAY, STERRAD, 2 RIGID SCOPES 5MM X 35CM 10.000 39301CS TRAY, STERRAD, 2 RIGID SCOPE 10MM X 31CM 10.000 R28731BWA TELESCOPE, HOPKINS II WIDE ANGLE,FORWARD 6.000 R28731CWA TELESCOPE, HOPKINS II WIDE ANGLE,FORWARD 4.000 39301AS TRAY, STERRAD, 2 RIGID SCOPES 4MM X 18CM 10.000 28136DS HIGH FLOW ARTHROSCOPY SHEATH,6MMX13.5CM 6.000 28136BT SEMI-SHARP OBTURATOR, F/USE W/28136DS/S 6.000 R28208BA TELESCOPE,HOPKINS,30',AUTOCLAV 2.000 28133DS ARTHRO SHEATH,SNAP-IN,2STPCK,4MMX7.5CM 2.000 28133BC OBTURATOR, BLUNT 2.000 39301AS TRAY, STERRAD, 2 RIGID SCOPES 4MM X 18CM 2.000 R7230AA TELESCOPE, HOPKINS II, 0', LENGTH 18 CM 4.000 R7230BA TELESCOPE,HOPKINS II, FORWARD-OBLIQUE, 4.000 39301AS TRAY, STERRAD, 2 RIGID SCOPES 4MM X 18CM 4.000 R27005AA TELESCOPE,AUTOCLAV,HOPKINS II> 2.000 27068DK URETHROTOME SHEATH SET, 21 FR 2.000 27068DO OBTURATOR ONLY.F/27068C/D 21FR 2.000 27050E ELEMENT,WORKING.ONLY.SPRING 2.000 27068CD BRIDGE,TELESCOPE. W/CHANNEL F/ 2.000 39312D TRAY, RESECTION INSTRUMENT SET 2.000 27005BA TELESCOPE,HOPKINS II,AUTOCLAV, 8.000 27005CA TELESCOPE,HOPKINS II,AUTOCLAV,4MM X 30CM 4.000 27005EA TELESCOPE, HOPKINS II, 120', AUTO 4.000 39301BS TRAY, STERRAD, 2 RIGID SCOPES 5MM X 35CM 10.000 11272VNUK 16 FR. FLEXIBLE VIDEO CYSTOSCOPE 1.000 TC001 ADAPTER,XLINK,VIDEOENDOSCOPE 2.000 39403AS TRAY, STERRAD, FLEXIBLE CCD VIDESCOPES 1.000 11278VSUAK VIDEO-URETERO-RENOSCOPE FLEX XC 4.000 39406AS TRAY, STERRAD, FLEXIBLE CMOS VIDEOSCOPES 4.000 27010LA URETERO-RENOSCOPE, 7FR X 43 CM, ACLAV 2.000 39301LC TRAY, STRAIGHT EYEPIECE URETEROSCOPE 2.000 27026DAK CYSTOSCOPE-URETHROSCOPE SHEATH, 19 FR. 6.000 27026BAK CYSTOSCOPE-URETHROSCOPE-SHEATH SET,22FR 6 27026EF DEFLECTOR,CATHETER. W/DOUBLE 6 27025GA BRIDGE, TELESCOPE, WITH 1 INSTRUMENT 6 27072BSA FORCEPS, OPTICAL BIOPSY, EXTRA LARGE 6 27502 CONNECTOR,LUER-LOCK. WITH STOPCOCK 12 27550A-10 SEALING CAP, DIAMETER 0.8MM, PACKAGE OF 2 39312C TRAY, CYSTOSCOPY INSTRUMENT SET 6 27050SCK RESECTOSCOPE SHEATH SET, 26 FR 6 27048CK OBTURATOR,DEFLECTING,26FR. 6 27050BK TUBE,INSERT EXAMINATION. 6 UH801 BIPOLAR HIGH FREQUENCY CORD, 400 CM 8 27040EB BIPOLAR WORKING ELEMENT ONLY W/ SPRING 6 27224 EVACUATOR, ELLIK, CONTAINS LATEX 6 27224A CONNECTOR,W/TUBING. F/27224. 3 39312D TRAY, RESECTION INSTRUMENT SET 6 UH400U AUTOCON® III 400 2 UF902 TWO-PEDAL FOOTSWITCH HF GENERATORS 2 9700AC CART FOR AUTOCON III 400 ESU 2 27770E ELECTRODE,COAG,BALL END,8FR,UNSTERILE 6 26006M CORD,HIGH FREQ,W/8MM PLUG,300CM, 6 R27092AMA TELESCOPE,HOPKINS,6',AUTOCLAV, 1 R27292AMA TELESCOPE,HOPKINS,6'AUTOCLAV 1 R27325BA TELESCOPE,HOPKINS,FORWARD- 2 27027KLK CYSTOSCOPE-URETHROSCOPE SHEATH SET, 22FR 2 27027NL BRIDGE,TELESCOPE.W/INST CHNNL, 2 27027E DEFLECTOR,CATHETER,W/SINGLE 2 27040EO EXT LENGTH BIPOLAR WORKING ELEMENT 2 27051PLK RESECTOSCOPE SHEATH, 26 FR., 2 27040BB OBTURATOR,F/27040BP 2 PV27051B TUBE,'SCHMIEDT',EXAM/INSERT., EXT. LENTH 2 39312D TRAY, RESECTION INSTRUMENT SET 2 20233011 CCU,TELECAM DX II,USA,CE 5 20213070 CBL,TELECAM VE ADAPTOR, VIDEOENDOSCO 7 201315-20 LIGHT SOURCE,175W NOVA (DOM.) 5 20205501-140 AIDA HD CONNECT, DVD,WITH SMARTSCREEN,CE 5 WU1333 SONY UP-DR80MD MEDICAL GRADE PRINTER 5 9826NB-US 26" LED MONITOR 5 9826NB-US-SP 26" SCREEN PROTECTOR FOR 9826NB-US 5 9805TF-20 OFFICE CART W/3.5" DRAWER, IV POLE 5 11101VNK VIDEO-RHINO-LARYNGOSCOPE, NTSC 7 P-R11101VNK-12 PROMO 3.5MM VIDEO RHINO LARYNGO 5 11272VNUK 16 FR. FLEXIBLE VIDEO CYSTOSCOPE 12 27425FG FORCEPS,GRASPING,F/STONE 6 39403AS TRAY, STERRAD, FLEXIBLE CCD VIDESCOPES 24 26120BA TELESCOPE, HOPKINS,30'AUTOCLAVABLE 1 R26120BA TELESCOPE, HOPKINS,30'AUTOCLAV 3 26153EA 5MM HYSTEROSCOPE SHEATH, 1 PC DESIGN 3 26161VBK INNER SHEATH SET, DIAMETER 3.8 MM 3 26159UHW FORCEPS,BIOPSY/GRASPING,HORIZ 3 26159EHW SCISSORS,HORIZ CUT,RIGHT,SNGL 3 26159BHW FORCEPS,BIOPSY,SPOON.DOUBLE 3 26159H HESSELING FORCEPS 5 Fr. 3 39314A TRAY, BETTOCCHI HYSTEROSCOPY INSTRUMENTS 3 This Notice of Intent is NOT a request for competitive proposals. Parties may identify their interest, accompanied by supporting literature, to the Contract Specialist no later than 5/31/2018 at 12:00 p.m. Responses should be sent to [email protected]. Information received will be for the purpose of determining whether or not to conduct a competitive procurement. The determination to conduct a competitive procurement based on responses to this notice is solely within the discretion of the Contracting Officer.

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