Department of Veterans Affairs Medical Center (460) Wilmington, DE 19805 Statement of Need (SON) Page 1 of 3 TOPCON - Pascal Synthesis Photocoagulator Background: The Wilmington VA Medical Center Ophthalmology Department needs a new Brand Name Only procurement for the acquisition of one (1) TOPCON - Pascal Synthesis Photocoagulator, Item number SA-06454. The current Pascal Synthesis Photocoagulator is broken, and the ophthalmology department has been using a portable laser as a backup to perform surgery, but also has had servicing issues and is unreliable. To avoid potentially deferring future patients to care in the community, a procurement for a new Pascal synthesis photocoagulator is needed. Pascal Synthesis Photocoagulator - device for retina and trabecular meshwork therapy is the pattern photocoagulator. It combines a micro pulse mode and a scanner, which, with the help of galvo, are able to provide pattern photocoagulation. Item # Description/Part Number* Qty SA-06454 Pascal Synthesis Photocoagulator 1 Justification: The benefits to upgrading the existing Pascal equipment, are as follows: Precision spots with multi-fiber beam technology is easier to focus predictable and uniform spots with rapid pattern scanning laser delivery Unique fiber beam design offers more consistent and focused spot size for treatment Pascal s shorter pulse duration and reduced power results in faster procedures with less damage, pain, and scarring to patients Enhanced laser delivery slit lamp Pattern Scanning Laser Trabeculoplasty (PSLT)1 for IOP reduction Pattern Scanning Laser Trabeculoplasty (PSLT) is a tissue-sparing laser treatment for reducing intraocular pressure in open angle glaucoma PSLT provides a rapid, precise, and minimally traumatic computer-guided treatment that applies a sequence of patterns onto the trabecular meshwork Endpoint Management for sub-threshold treatment The Arrhenius Integral coupled with extensive data on retinal laser-tissue interactions define the algorithms for Endpoint Management Requirements: The Contractor/ Vendor must complete the following tasks to meet the needs of this acquisition: Coordinating delivery with COR and or facility. Deliver equipment to: Wilmington VA Medical Center (ATTN: Thomas Urso) 1601 Kirkwood Hwy Wilmington, DE 19805 Upon delivery, the contractor/vendor agrees to work with facility personnel in order to: Conduct a joint inventory of goods by material number, quantity, and serial number De-palletize shipment, unbox, and stage products Unbox and assemble roll stands Unbox and assemble wall mounts Attach devices to stand or wall mount Attach accessories to each device (SpO2 cable, NIBP hose, cuff, temperature sensor, power supply, barcode scanner, and quick reference card. Affix customer provided asset tags if required Perform device in-service. Dispose of waste packaging Register device warranty Perform ground continuity checks, leakage current, and power-on tests as required. Unboxing and assembly Disposal of any shipping/packaging materials Assist in the distribution of new devices to the nursing floors as needed to deploy new devices. Configure devices per customer requirements if needed Provide Summary Report The Government and the Contractor understand and agree that the services to be delivered under this contract by the Contractor to the Government are non-personal services and the parties recognize and agree that no employer-employee or master-servant relationships exist or will exist under the contract between the Government and the Contractor s employees. Government Furnished Information or Material: This acquisition does not include Government-furnished property (GFP), identify in the Statement of Work all available information on GFP to be provided, including the make, model, bar code number and serial number, if available, of all accountable assets with an acquisition cost of $500 or more. This acquisition does not include Contractor-acquired property (CAP). Contracting Officer s Representative (COR): The identified COR and technical representative for this acquisition is: Name: Thomas Urso Phone Number: (302) 994-2511 ext 4788 Email: thomas.urso@va.gov "No Government personnel, other than the Contracting Officer, have the authority to change or alter these requirements. The COR shall clarify technical points or supply relevant technical information, but no requirements in this scope of work may be altered as a sole result of such verbal clarification." Period of Service: Delivery shall occur within 30 days of receipt of contract or must occur within the timeframe designated by the Federal Government. Security/National Agency Check Requirements: No special security requirements are anticipated. Instructions The information identified above is intended to be descriptive, of the Brand Name Only - TOPCON - SA-06454 Pascal Synthesis Photocoagulator, 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. (8) 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 April 21, 2023. This notice will help the VA in determining available potential sources only. Reference 36C24423Q0738 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. All firms responding to this Request for Information are advised that their response is not a request for proposal, therefore will not be considered for a contract award. If a solicitation is issued, information will be posted on the Beta.Sam web site for all qualified interested parties at a later date and interested parties must respond to this Sources Sought Notice to be considered for a set-aside. This notice does not commit the government to contract for any supplies or services. The government will not pay for any information or administrative cost incurred in response to this Request for Information. Information will only be accepted in writing by e-mail to Contract Specialist at david.santiago2@va.gov DISCLAIMER This RFI is issued solely for information and planning purposes only and does not constitute a solicitation. All information received in response to this RFI that is marked as proprietary will be handled accordingly. Responses to this notice are not offers and cannot be accepted by the Government to form a binding contract. Responders are solely responsible for all expenses associated with responding to this RFI.