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SOURCES SOUGHT NOTICE AMENDMENT 0001 This is a Sources Sought NOTICE (SSN) AMENDMENT. The purpose of this Amendment is to update the language in the Statement of Need (SON). This amendment updates the... SOURCES SOUGHT NOTICE AMENDMENT 0001 This is a Sources Sought NOTICE (SSN) AMENDMENT. The purpose of this Amendment is to update the language in the Statement of Need (SON). This amendment updates the statement of need and reflects the removal of any language around Infinity Acute Care System . **DRAFT** DEPARTMENT OF VETERAN AFFAIRS PUGET SOUND HEALTH CARE SYSTEM (PSHCS) STATEMENT OF NEED (SON) Dräger Perseus A500 Anesthesia Machine Workstations and Dräger Fabius MRI Anesthesia Machine Background: Anesthesia machines are essential for anesthetizing Puget Sound s Veterans requiring surgery or special procedures. The Veteran population of Puget Sound s VA Health Care System include a wide range of ages and diagnoses that require precise and advanced modes of ventilation. Scope of Work: The Puget Sound Health Care System (PSHCS) has a brand name only requirement for 12 (twelve) Dräger Perseus A500 Anesthesia Workstations and 1 (one) Dräger Fabius MRI Machine. Our current fleet of Dräger Anesthesia Machines has reached the end of their life cycle and need replacement. The vendor shall provide all necessary labor, parts, transportation, configurations, equipment needed for installation and any training that may be required for the Dräger Perseus A500 Anesthesia Workstation and the Dräger Fabius MRI. Onsite Draeger Service and Technical implementation specialists will unpack, inventory, install all components and calibrate/verify function. Care will be taken to protect floors and surfaces and remove packaging and debris from the work area. Salient Characteristics of the brand name only required Dräger equipment: Dräger Perseus A500 Anesthesia Machine Workstation (Qty 12): General Design: The anesthesia machine must be approved by the Federal Food and Drug Administration (FDA). The anesthesia machine must be suitable for general and regional anesthesia cases for adult, pediatric and neonatal patients without having to change any components of the device (only the breathing circuit). The anesthesia machine must accept O2, N2O, and Air supplied by a medical gas pipeline system or by externally mounted gas cylinders. The anesthesia machine must include gas hoses (at least 15-foot) and adapters for oxygen (O2), Nitrous Oxide (N2O), Medical Air, Vacuum, Waste Anesthetic Gas Disposal (WAGD) and E-cylinder Diameter Index Safety System (DISS). The anesthesia machine will have a minimum of two storage drawers. In the event of a mains power failure, the battery backup will support operation for a minimum of 30 minutes. The anesthesia machine will have a central brake. Pre-use Checks The anesthesia machine must include either a fully automated self-test with no user interaction required or semi-automated self-tests with limited user interaction required. The anesthesia machine must have the ability to detect malfunctions of the ventilation delivery system such as leaks in the breathing circuit. An abbreviated check will be available when the anesthesia machine is in Standby to permit testing of components that are changed between cases (e.g., checking the breathing circuit for leakage and compliance). Anesthetic agent delivery: The anesthesia machine must be suitable for volatile anesthesia delivery in a rebreathing system. The anesthesia machine will have a safety mechanism that prevents dosing more than one agent at a time. The anesthesia machine must be capable of supporting two in-line vaporizers. The anesthesia machine will include an on-screen low flow anesthesia feedback tool as standard to assist clinicians in the delivery of low flow anesthesia. The anesthesia machine vaporizers must be capable of delivering the following anesthetic agents: Desflurane, Enflurane, Isoflurane, Halothane and Sevoflurane. The vendor's vaporizer must include a transport (T) setting for intrahospital transport in any position while filled with anesthetic agents. The Anesthesia system should have the capability of detecting low agent in vaporizers. Gas analysis The anesthesia machine will have an integrated gas analysis package: to include an integrated oxygen analyzer that is paramagnetic and an integrated gas analyzer that is infrared spectrometry and automatically detects (5) anesthetic agents Sevoflurane, Isoflurane, Desflurane, Halothane, Enflurane along with N2O and CO2. It must be impossible to deactivate the Oxygen (FiO2) alarms. Ventilation The anesthesia machine will make possible manual and automatic ventilation as well as spontaneous breathing with or without pressure support. During pressure supported ventilation a minimum back up rate must be adjustable for assuring minimum minute ventilation. The anesthesia machine will be capable of delivering a tidal volume up to at least 1,400 mL to the patient. The unit shall be able to provide both volume-controlled ventilation (with compliance compensation) and pressure-controlled ventilation. The anesthesia machine will be capable of delivering a tidal volume of down to 5 ml. Offers Vol. Ctrl. AutoFlow SIMV/PS or SIMV PCV-VG and APRV. Offers CPAP + PSV Mode. The anesthesia machine will allow for the delivery of at least O2 and anesthetic agent without any power to the anesthesia machine for manual ventilation in emergency instances where care must be provided or continued immediately. Usability The anesthesia machine will have a display rotary knob to facilitate fast, accurate adjustments to parameters and alarm settings. The anesthesia machine will offer a user interface that is easy to navigate and change from ventilation mode to another mode easily without resetting key patient relative settings. The user doesn't need to stand up to adjust the fresh gas flow on the anesthesia machine. Alarms The alarm structure on the anesthesia machine will be hierarchical with each alarm falling into one of three categories: high priority, medium priority, and low priority. Each priority level must have a distinct audible and visual indication. The anesthesia machine must monitor the following patient parameters and activate visual and audible alarms if set parameters are out of range: Paw, MV, FiO2. It shall not be possible to silence any unresolved alarm for more than 2 minutes on the anesthesia machine. O2+ Flush The anesthesia machine is equipped with a clearly labeled and color-coded O2+ Flush capable of delivering an O2 flow of at least 35 L/min to the breathing system. Breathing system The anesthesia machine should be equipped with an integrated breathing system. The anesthesia machine can be equipped with a non-tinted disposable CO2 absorbent canister which that can be changed intraoperatively without creating a leak in the breathing system. The anesthesia machine is equipped with an APL (airway pressure limitation) valve which is easily accessible to the user. The anesthesia machine must provide a scavenging system. All anesthesia machines shall be capable of monitoring at least the following: Tidal Volume, Airway Pressure, Breath Rate, Positive End-Expiratory Pressure (PEEP), and O2 concentration. The volume of gas delivered to the patient by the ventilator should not be influenced by the fresh gas entering the breathing system. The anesthesia machine will offer either an actively heated breathing system or condenser to prevent of collect moisture. Accessories CO2 absorbent canisters and flow sensors used on this device can be used on other actively sold anesthesia families in the vendor's anesthesia machine portfolio. Workstation Will be able to mount an IT (EMR) solution with optional keyboard tray on the breathing system side of the anesthesia machine and patient monitor on top of the anesthesia machine and still comply with Manuf. IFU recommendations. The anesthesia machine must be capable of exporting at least the following variables: fresh gas flow, airway pressure, respiratory rate, tidal volume, minute volume. The anesthesia machine must have an active communication port solely dedicated to the export of all measured parameters and key settings from the ventilator and gas analyzer. Trade-in Equipment Trade-in: Current eleven (11) Dräger Apollos are to be returned by the installation technician and given a monetary credit by the contractor for each machine. A monetary credit will also be given by the contractor for the trade-in value of the Dräger Apollos. Salient Characteristics of the brand name only required Dräger equipment: Fabius MRI anesthesia machine (Qty 1): Must be Certified for field strengths of up to 40 mTesla or 400 Gauss. Must provide ventilation with 1.5 and 3 Tesla MRI systems Incorporates a servo-controlled, piston ventilator that requires no drive gas. The piston is capable of delivering higher inspiratory flows than traditional bellows, more accurate volume. Broad range of ventilation modes: volume, pressure, pressure support, SIMV/PS Highly visible repeater LED optical alarms Must be compatible with Dräger s uniform user interface Technical Data Patient categories: Adults, pediatrics, neonates Fresh Gas decoupling Ventilator technology: Electronically-controlled E-Vent APL-Technology/Precise Manual ventilation: Dräger APL-Valve Breathing gas warmer: optional Low-and minimal flow setting support: visual filling level of bag Ventilation modes: Man/Spon, Volume Controlled (VC), VC Synchronized + PS, Pressure Controlled (PC), Pressure support. Vaporizers capability: up to 2 Device self-test: semi-automatic self-test Patient Gas Module: in/ex O2, N2O, CO2, Agent (with Tesla 3) Trolley version Breathing system (dual mount options) Gases: O2, Air, N2O Emergency ventilation in case of total gas supply failure Typical battery run-time in case of power supply failure: 120 mins Emergency start-up procedure Additional Information: The Dräger Perseus A500 anesthesia machines and Fabius MRI is required for continuity of care for Veterans, as the facility already utilizes Dräger Anesthesia Units throughout the OR and Endo Suite and all our Anesthesia Staff are trained to use them, the accessories we have in stock only work with Dräger machines, and the durability, dependability and stellar functionality of such an important device is of paramount importance. Delivery: Delivery shall be within ninety (90) days from the time of award. The Dräger Perseus A500 Anesthesia Workstation and the Dräger Fabius MRI, shall be delivered to: Department of Veterans Affairs Puget Sound Health Care System (PSHCS) Attn: Biomedical - 1660 S. Columbian Way