Paragraph (vi) of this Combined Synopsis is amended to read "(vi) The Department of Veterans Affairs located in Minneapolis, MN has a requirement for one Vision System for cataract lens removal (Phacoemulsification Machine) plus accessories. The system should possess the following characteristics: (a) Phaco Emulsifier Unit shall include the following modes of operation: Irrigation, Irrigation/Aspiration, Ultrasound, Diathermy, Vitrectomy; (b) System shall include seven (7) hand pieces which meet the following requirements: Modality - hand pieces shall utilize an ultrasound-based cataract removal modality. Material - shall be constructed of an autoclavable material (example: titanium). Weight - shall be light weight (Less than 5 oz (142 g) each). Frequency - shall use a piezoelectric transducer to vibrate the hand piece tips at a frequency between 25 and 80 kHz. Hand pieces shall posses a Pulse Mode. Proposals should specify if hand pieces also include liquefaction technology. If hand pieces with liquefaction technology are sold separately, proposals may include a quote for the liquefaction hand pieces as well. (c) Irrigation/Aspiration (I/A) System with the following functions: I/A shall include a peristaltic pump capable of 500 mmHg maximum vacuum; I/A shall include an atmospheric vent(s); I/A shall include gravity or pump reversal reflux; I/A shall include autoclavable ports with diameters between 0.2 and 0.5 mm. Proposals shall specify whether irrigation/aspiration system is included in the hand pieces. If not included as part of the hand piece, proposals shall include pricing to match the requirements for the hand pieces. (d) Foot Control - The Phacoemulsification system shall be operational via remote (foot) control. A second (spare) foot control shall also be provided (Biomed staff will store the spare foot control)."

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