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Internal DEPARTMENT OF VETERAN AFFAIRS PHILADELPHIA VETERANS MEDICAL CENTER STATEMENT OF NEED (SON) Draeger Apollo Anesthesia Machine (Replacements) Anesthesia machines are essential for anesthetizing... Internal DEPARTMENT OF VETERAN AFFAIRS PHILADELPHIA VETERANS MEDICAL CENTER STATEMENT OF NEED (SON) Draeger Apollo Anesthesia Machine (Replacements) Anesthesia machines are essential for anesthetizing VA Philadelphia s Veterans requiring surgery or special procedures. The veteran population of VAMC Philadelphia include a wide range of ages and diagnoses including acute and chronic lung diseases, cardio-thoracic abnormalities, and metabolic disorders resulting in vascular deficiencies as well as morbid obesity that require precise and advanced modes of ventilation, which only the Draeger anesthesia machines offer. VAMC Philadelphia is purchasing four replacement (4) Draeger Apollo anesthesia machines for operating rooms to comply with National Anesthesia Directive 1220. The machines are considered end-of-life after eight years and should be replaced to remain compliant and ensure safe continuity of care for veterans. It is the desire of the anesthesia department to standardize on the same brand or equal to of anesthesia machine (in this case, Draeger Apollo, Tiro, and Fabius MRI anesthesia machines) in order to have the same standard of care throughout the operating rooms and all remote anesthetizing locations and to assure standardization of user interface for patient safety purposes. Purchasing Brand Name or Equal to Draeger machines provides consistent operation at all locations (main OR, MRI, or ancillary areas) and allows users to respond intuitively during emergency situations. This helps reduce VAMC Philadelphia s investment in training for clinicians, biomedical staff and technicians. All Draeger anesthesia machines use the same consumables and accessories, saving the VAMC Philadelphia from stocking multiple brands. This acquisition is being procured on a brand name or equal to basis for the following reasons: Since anesthesia machines are life critical systems, in order to meet the patient safety requirements of our facility, the systems must not be reliant upon electrical power for fresh gas flows (O2, Air, N2O, anesthetic agent) for continued delivery of anesthetic agent with no power to the anesthesia machine and hypoxic guard to be operational. (Explanation: In the event of total power or backup battery failure, patient fresh gas flow must be maintained, and anesthetic agents continue to be delivered, thereby maintaining the safety of the patient for the remainder of the surgical procedure.) Additionally: The same user interface for our entire fleet of Draeger anesthesia machines means an easy transition with no need for training the clinical staff (i.e., user interfaces, fresh gas controls, vaporizer controls). Standardization of Draeger anesthesia machines means business as usual for the biomedical department, no need for training on a different brand of anesthesia machine. ANESTHESIA EQUIPMENT: 8606500 1 Apollo Anesthesia machine 4 EA OPC5280 2 Standard floor unit SW version 4.53 4 EA MX50090 3 CLIC adapter 4 EA 8605481 4 Drager Auto exclusion, 3 vap. 4 EA 8603705 5 Press red. O2, small, CGAV-1 4 EA 8603714 6 Press. red. N2O, small, CGAV-1 4 EA 8603514 7 Press. red. AIR, small, CGAV-1 4 EA 8608312 8 1 power socket strip 4 EA OPC5589 9 Software options in package AF+enh. Ventilation + Monitoring Software option package Autoflow + Advanced Ventilation + Advanced Monitoring 4 EA OPC0001 10 Drager AGS 4 EA M33295 11 AGS transfer hose, 1.0 4 EA MK03140 12 Endotracheal suction DISS, VAC 4 EA 8605416 13 Endotracheal suction on swivel arm 4 EA OPC5593 14 Writing tray, large Dimensions: approx 21.6-inch x 15.7 inch (width and depth) 4 EA M36049 15 Castor guard 4 EA OPC0053 16 Hook for supply gas hoses 4 EA 1901078 17 Apollo w/ options PrevCare, 1 Yr POS 4 EA M35054 18 Vapor 2000 4 EA OPC0095 19 Isoflurane 4 EA OPC5417 20 Plug-in ad. Auto Exclusion 4 EA M36110 21 Filling adap. DRager Fill Iso 4 EA M35054 22 Vapor 2000 4 EA OPC0096 23 Sevoflurane 4 EA OPC5417 24 Plug-in ad. Auto Exclusion 4 EA M36120 25 Filling adap.Drager Fill Sev 4 EA 8620512 26 Reading lamp N30-PA 4 EA 8604126 27 Halogen lamp holder 4 EA 8605679 28 Arm Extension 4 EA 4199596 30 Hose ASM-N2O DISS Hand 10L 4 EA 4199594 31 Hose ASM-AIR DISS Hand 10L 4 EA 4199590 32 Hose ASM- VAC DISS Hand 10L 4 EA MP20029 33 Hose ASM-WAGD Hand DISS N 10L 4 EA Salient Characteristics for the Apollo Anesthesia Machines Utilizes a piston ventilator (non bellows) Eliminates the excessive consumption of oxygen necessary in bellows type devices. All of our competitors machines utilize a bellows ventilator that is driven by oxygen from a pressurized source (cylinder or wall unit). This is referred to as drive gas . Their ventilators are not electrically controlled or electrically driven. This is totally and distinctly different. Offers an actively heated breathing system designed specifically to prevent rainout (moisture accumulation) Among the key metrics for surgical patient outcomes is the preservation of a patient s core temperature post-operatively. All Draeger anesthesia machines have a heated breathing system which warms the gas delivered to the patient at body temperature. Competitive machines do not have a heated breathing system which thus delivers cold gas to the patient, effectively cooling that patient in an already cold OR environment. A heated breathing circuit eliminates moisture and mold which are a big concern and eliminates the potential for ventilator malfunction. Our competitors anesthesia machines do not have a heated breathing system. They may offer creative explanations that mention the use of a filter or a heat & moisture exchanger that meets or equals Draeger s heated breathing system, but that is simply not the case. Must allow the clinician to be able to continue to deliver (1) all fresh gases (O2, N2O and Air), (2) agent, (3) monitor airway pressure with a mechanical gauge, and (4) ventilate via the bag during (1) power outage/brown out, (2) battery failure, (3) power supply failure, or (4) circuit board failure. This would be relevant in an emergency induction and/or catastrophic situation where there is a loss of power and backup battery. Draeger prioritizes patient safety as #1. All of our machines can deliver anesthesia and monitor the patient even with the machine turned off or loss of power. Its core design and components are mechanical that will still function in the absence of any electricity or battery, should that scenario present itself. With the loss of central and cylinder gas supplies, Draeger s machines are designed to entrain room air during ventilation in order to effectively function. Competitive machines require drive gas in order for their bellows-driven ventilator to operate. The loss of a gas source would eliminate their machine s ability to ventilate. Is equipped with an APL (airway pressure limitation) valve which is easily accessible to the user and can simply be pulled up to release breathing system pressure. Draeger designs all of their machines with SAFETY as the top priority and maintenance of airway pressure is paramount to patient safety. The design of Draeger s APL valve is unique in that it allows the provider to rapidly release high airway pressure by pulling-upward on the valve which immediately releases pressure. Competitive machines have a traditional design where the provider has to spin the APL control to the open position to relieve pressure which may add critical seconds of time to accomplish. Is equipped with a user interface and a fresh gas control operating philosophy that is consistent across the vendor's currently sold anesthesia machine portfolio. This is important for the Corporal Michael J. Crescenz Department of Veterans Affairs Medical Center because they currently use the Draeger Apollo anesthesia machine. With this purchase we are adding to an existing fleet of Draeger Apollos. Purchasing Draeger machines provides consistent operation at all locations (main OR, MRI, or ancillary areas) and allows users to respond intuitively during emergency situations. This helps reduce the Corporal Michael J. Crescenz Department of Veterans Affairs Medical Center investment in training for clinicians, biomedical staff and technicians. All Draeger anesthesia machines use the same consumables and accessories, saving the Corporal Michael J. Crescenz Department of Veterans Affairs Medical Center System from stocking multiple brands. Among the key metrics for surgical patient outcomes is the preservation of a patient s core temperature post-operatively. Draeger anesthesia machines (exception: Fabius MRI) have actively heated breathing systems which help warm the gas delivered to the patient to help maintain body temperature; and help reduce the risk of airway complications. One of the reasons minimal flow is possible on Draeger anesthesia machines is because they return the exact gas that is sampled for analysis back to the breathing system effectively eliminating what would otherwise be considered a systematic leak. Other machines on the market may return a mixture of sampled gas and ambient air back to the breathing system effectively diluting the gas in the breathing system with ambient air. This combination reduces expensive anesthetic agent usage and maximizes cost savings to the facility. It significantly decreases the amount of carbon-based greenhouse gases being released into the surrounding atmosphere and helps prevent condensation in the breathing system and the potential for malfunction. The system also enables the use of minimal flow anesthesia. In addition, the Low Flow Wizard software option (available on Draeger machines), which monitors the adequacy of fresh gas flow, adds a level of safety that is found to be indispensable. The feedback loop of the Low Flow Wizard, missing on other machines, quantifies the most efficient fresh gas flow and provides real time compliance for lower flows with simple color and text feedback. The use of the Low Flow Wizard SW option has shown up to 50% savings of anesthetic agents. The anesthesia machine must utilize an electronically controlled, electrically driven turbine ventilator not dependent on drive gas or flow sensor feedback for automatic ventilation. Thereby creating higher inspiratory flows producing accurate tidal volumes during periods of extremely low lung compliance and eliminating the excessive consumption of oxygen necessary in bellows type devices. Additionally, the Draeger anesthesia machine decouples fresh gas flows from the ventilated volume thereby providing precise inspiratory volume. Draeger machines combine the optimal design of an actively heated breathing system with the ability to use minimal gas flows. Instructions The information identified above is intended to be descriptive, of the Brand Name or equal to - Drager Apollo Anesthesia Workstations to indicate the quality of the supplies/services that will be satisfactory. It is the responsibility of the interested source to demonstrate to the government that the interested parties can provide the supplies/services that fulfill the required specifications mentioned above. Responses to this RFI should include company name, address, point of contact, phone number, and point of contact e-mail, DUNS Number, Cage Code, size of business pursuant to North American Industrial Classification System (NAICS) 339112. Please answer the following questions: Please indicate the size status and representations of your business, such as but not limited to: Service-Disabled Veteran Owned Small Business (SDVOSB), Veteran Owned Small Business (VOSB), HUBZone, Woman Owned Small Business (WOSB), Large Business, etc. Is your company considered small under the NAICS code identified under this RFI? Are you the manufacturer, distributor, or an equivalent solution to the items being referenced above? (4) If you are a large business, do you have any designated distributors? If so, please provide their company name, telephone, point of Contact and size status (if available). (5) Describe how your small business takes ownership of the equipment in the manufacturing, assembly, or delivery process. (6) If you re a small business and you are an authorized distributor/reseller for the items identified above or an equivalent solution, do you alter; assemble; modify; the items requested in any way? If you do, state how and what is altered; assembled; modified? (7) If you intend to subcontract any work on this contract, what portion of the total cost will be self-performed/will be performed by your organization? Please provide estimated detailed percentage breakdowns related to subcontracted work and completion of job. Does your company have an FSS contract with GSA or the NAC or are you a contract holder with any other federal contract? If so, please provide the contract number. (9) If you are an FSS GSA/NAC contract holder or other federal contract holder, are the items/solution you are providing information for available on your schedule/contract? (9) General pricing of your products/solution is encouraged. Pricing will be used for the purpose of market research only. It will not be used to evaluate for any type of award. (10) Please submit your capabilities regarding the brand name equipment. (11) Please review salient characteristics/statement of work (if applicable) and provide feedback or suggestions. If none, please reply as N/A. This RFI will be conducted in accordance with Federal Acquisition Regulation (FAR) Part 13. Responses must be received via e-mail to david.santiago2@va.gov no later than, 4 PM Eastern Standard Time (EST) on Tuesday August 6, 2024. This notice will help the VA in determining available potential sources only. Reference 36C24424Q0334 in the subject of the email response. Do not contact VA Medical Center staff regarding this requirement, as they are not authorized to discuss this matter related to this procurement action. All questions will be addressed by the Contract Specialist, David Santiago. 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