Department of Veterans Affairs Network Contracting Office 16 - HOUSTON In Support of the Overton Brooks VA Medical Center (OBVAMC) REQUEST FOR INFORMATION 36C25621Q00232 STATEMENT OF WORK Overton Brooks VA Medical Center (OBVAMC) Audiometer Background: The Overton Brooks VA Medical Center (OBVAMC) is requesting an Audiometer to preform hearing exams for the Audiology & Speech Pathology Department. Place of Performance: Overton Brooks VA Medical Center 510 E. Stoner Ave Shreveport, LA 71101 Salient Characteristics for Audiometer: Suggested Manufacturer Brand Name; Audiometer GSI AudioStar Pro or EQUIVALENT as listed below: ITEM SPECIFICATIONS TECHNICAL SPECIFICATIONS DIMENSIONS AND WEIGHT W x D x H (LCD raised): 20.1 in x 14.6 in x 13.2 in (51 cm x 37 cm x 33.5 cm) Height (LCD lowered): 5.5 in (14 cm) Weight: 17 lb (7.7 kg) Shipping Weight: 27 lb (12.25 kg) CHANNELS Two Independent Channels PURE TONE CHANNELS 1 AND 2 FREQUENCY RANGE Air Conduction: 125 Hz - 20,000 Hz* Bone Conduction: 250 Hz - 8,000 Hz Sound Field: 125 Hz - 8,000 Hz Paired Inserts: 125 Hz - 8,000 Hz Frequency Accuracy: ±1% Total Harmonic Distortion: < 2% (earphones and paired insert phones) < 5% (bone vibrator) HEARING LEVEL RANGE Air Conduction: -10 dB HL - 120 dB HL Bone Conduction: Mastoid: -10 dB HL - 90 dB HL Forehead: -10 dB HL - 80 dB HL Sound Field: -10 dB HL - 90 dB HL (basic speakers) -10 dB HL - 96 dB HL (high performance speakers) -10 dB HL - 102 dB HL (high performance speakers and external booster amplifier) Paired Inserts: -10 dB HL - 120 dB HL Masking Intensity Range (Calibrated in effective masking): Narrow Band Noise: Maximum dB HL is 15 dB below tone White Noise: Maximum dB HL is 30 dB below tone SIGNAL FORMAT Steady: Tone continuously present Pulsed: Tone pulsed 200 msec ON, 200 msec OFF FM: Modulation Rate: 5 Hz Modulation Depth: +/- 5% Pulsed/FM: Pulsed and modulated Pediatric Noise Pediatric Noise Pulsed SPEECH CHANNELS 1 AND 2 Microphone: For live voice testing and communications INT/EXT A & INT/EXT B: Can be utilized for internal wave files or recorded speech material from an external digital device INTENSITY RANGE Air Conduction: -10 dB HL - 100 dB HL Bone Conduction: Mastoid: -10 dB HL - 60 dB HL Forehead: -10 dB HL - 50 dB HL Sound Field: -10 dB HL - 90 dB HL Paired Inserts: -10 dB HL - 95 dB HL MASKING INTENSITY RANGE Speech Noise: Air Conduction: -10 dB HL - 95 dB HL Bone Conduction: -10 dB HL - 50 dB HL (mastoid) -10 dB HL - 40 dB HL (forehead) Sound Field: -10 dB HL - 85 dB HL White Noise: Air Conduction: -10 dB HL - 95 dB HL Bone Conduction: -10 dB HL - 60 dB HL (mastoid) -10 dB HL - 50 dB HL (forehead) Sound Field: -10 dB HL - 80 dB HL SPECIAL TESTS ABLB SISI High Frequency Audiometry TEN Test QuickSIN BKB-SIN Tone Decay AMTAS Pro SPECIAL TESTS (USER DEFINED) MLB Lombard test Pure Tone Stenger Speech Stenger SAL Doerfler - Stewart Test PC ENABLED/STAND-ALONE Transfer data to connected PC with an E-Record solution software Print complete report directly to a compatible USB printer COMMUNICATIONS AND MONITORING Talk Forward: Permits the tester to speak through the examiner microphone into the selected transducer Talk Back: Allows the examiner to listen to comments from the patient in the testing booth Monitor: The monitor headset or monitor speaker built into the instrument housing may be used by the examiner to listen to Channel 1, Channel 2, Aux intercom, and/or Talk Back signals Aux Intercom: The built-in Auxiliary Intercom and assistant headset allows the examiner to speak directly to an assistant and allows the assistant to hear what is being presented to the patient On-Board VRA Control: The built-in VRA controls facilitate fast and simple activation of VRA systems STANDARD ACCESSORIES Wireless Keyboard and Mouse Gooseneck Microphone POWER Power Consumption: 90 Watts Voltage & Amperage: 100-240, 1.0 A max Frequency: 50 Hz and 60 Hz ENVIRONMENTAL Temperature: +59° F (15° C) to +104° F (40° C) Storage Temperature: -4° F (-20° C) to +140° F (60° C) Relative Humidity: 5% to 90% (non-condensing) Ambient Pressure Range: 98 kPa to 104 kPa Background Sound Level: < 35 dB(A) Frequency of Use: Once a year to multiple times per day QUALITY SYSTEM Manufactured, designed, developed, and marketed under ISO 13485 certified quality systems COMPLIANCE Designed, tested, and manufactured to meet the following domestic (USA), Canadian, European and International Standards: ANSI S3.6, ANSI S3.43, IEC 60645-1, IEC 60645-2, ISO 389 UL 60601-1 American Standards for Medical Electrical Equipment IEC/EN 60601-1 International Standards for Medical Electrical Equipment CSA C22.2 # 601-1-M90 Medical Device Directive (MDD) Deliverables Schedule: The following parts list includes all items necessary for completion of this project: Item # Description/Part Number/Service* Qty Price Extended Amount  0001 AUDIOMETER 8518226-GSI AudioStar Pro Version 2 w/ DD45, B81, IP30, and DD450. High Frequency Headphones 1 0002 RAD 8102475 Radioear 90db Wall/Corner mount passive speaker pair W/GSI cable 1 0003 8070 Installation/Training-Advanced 1 0004 Shipping 1 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 soon. Interested contractors are requested to respond in accordance with the following: 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. If you have an existing GSA or VA, Federal Supply Schedule contract, please include the contract details in your response. DISTRIBUTORS: You must provide proof that you are an authorized distributor. VA does not accept grey market items. Please respond to this RFI if you can provide supplies that may 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. If you have an existing GSA or VA, Federal Supply Schedule contract, please include the contract details in your response. DISTRIBUTORS: You must provide proof that you are an authorized distributor. VA does not accept grey market items. Please note that VA is particularly interested in determining the availability of Small Business Manufacturers. If your company is a small business manufacturer of potentially equivalent items, please respond to this RFI. Vendors are requested to submit estimated market research pricing with their responses. The estimated pricing will be considered when determining the procurement strategy for the future solicitation. (e.g. if CO determines that capable small businesses cannot provide fair and reasonable pricing, then the solicitation will not be set-aside). Please note that if no responses to this notice are received, from either authorized distributors of the cited brand name nor from manufacturers marketing a potentially equivalent brand, then this action will be sole sourced to the manufacturer cited in the Background section above. CONTACT INFORMATION AND RESPONSE DUE DATE: Please email all responses to [email protected]. Please respond to this RFI no later than 12/14/2020. 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.

Bid Protests Not Available