This is a combined synopsis/solicitation for commercial products and services, issued as an RFQ with a Total Small Business Set-Aside under NAICS 334118 (1,000-employee size standard). The VA’s VISN 22 is seeking a contractor to supply the Expression Patient Monitor (MR400), accessories, and software updates, or suitable domestic alternatives that meet the stated salient characteristics and Statement of Work. Delivery must occur within 30 days after receipt of order. Award will be based on a comparative evaluation of quotes, and offerors must submit written quotes with spec sheets and an acceptance or exception statement regarding the solicitation’s terms and conditions.