2 STATEMENT OF WORK/PWS Boss Retractor Instruments Veterans Affairs Health Care System Oklahoma City, Oklahoma General: Currently, the Oklahoma City Veterans Affairs Health Care System (herein after referred to as OKC VAHCS) Surgery Service requires one Globus Medical Complete Set instruments for Neuro and Ortho Spine surgeries in the OR. Delivery Location: Oklahoma City Veterans Affairs Health Care System, 921 N.E. 13th St. Oklahoma City, Ok 73104 Delivery Times: Delivery times shall be Monday through Friday from 07:00 to 16:00 (7:00AM to 4:00PM). Definitions/Acronyms OKC VAHCS: Oklahoma City Veterans Affairs Health Care System Scope: The Contractor will provide the necessary instrument system and trays to the OKC VAHCS for one (1) Globus Instrument Set. Additionally, the requirement is for a comprehensive and whole solution to the requirement. The Contractor is required to be an expert in the field of Neuro Spine/Ortho Spine. As such, the Contractor is required to include any items not specifically listed in the pricing schedule but is necessary to enable the equipment or accompanying software to function. Examples include installation expenses, VA staff training, equipment mounts, display charts, cables, connectors, plugs, and special equipment wiring requirements. The company will be responsible for replacing any malfunctions, breaks, or are not adequately operating at no additional cost to the VA within the first 12 months of purchase. The company will work with OKC VAHCS Biomedical Engineering Department to coordinate any preventive maintenance or replacement if applicable. Training for VA Employees: No training will be required. Specifications: Below are salient characteristics for the Brand Name or Equal requirement: Must be capable of treating the following: Used specifically for Neurology/Ortho Spine patients for surgical procedures in the OR. Must be capable of performing or have the following: Instruments must be reusable Must meet the following: Provides specialized surgical instruments for spinal procedures Fall under stainless-steel SOPs for the OKC VAMC Security Requirements: The contractor will have no access to patient records or areas of the hospital. The A&A requirements do not apply, and a Security Accreditation Package is not required. Price/Cost Schedule Globus Instrument Set CLIN Product Description Item Number Quantity Unit Price Total Globus Set 9120.0000/9120.9007 0001 Pedicle Probe, Straight 602.101 1 Each 0002 Pedicle Probe, Curved 602.102 1 Each 0003 Ball Tip Probe 602.105 1 Each 0004 Ball Tip Probe, Curved 602.106 1 Each 0005 Pedicle Probe, Thoracic 602.109 1 Each 0006 Rod Template, 150mm 602.501 1 Each 0007 Rod Template, 300mm 602.517 1 Each 0008 Pedicle Awl 6067.0001 1 Each 0009 Straight Handle, Ratcheting, ¼ inch Quick-Connect 6067.0010 1 Each 0010 T-Handle, Ratcheting, ¼ inch Quick-Connect 6067.0020 2 Each 0011 Driver Shaft, ¼ inch Quick-Connect, Short 6067.0050 1 Each 0012 Self-retaining Driver Shaft, ¼ inch Quick-Connect 6067.0060 2 Each 0013 Power Bender 6067.0075 1 Each 0014 Rod Holder 6067.0080 1 Each 0015 Cross Connector Driver, Torque-limiting 6067.1050 1 Each 0016 Rod Template, 500mm 6067.1500 1 Each 0017 Parallel Compressor, Threaded 6120.0090 1 Each 0018 Parallel Distractor, Threaded 6120.0095 1 Each 0019 Ball Tipped Probe, Double Ended 624.110 1 Each 0020 Power Rod Gripper, 5.5mm 624.517 1 Each 0021 Torque Limiting T-Handle, Ratcheting, *Nm, ¼ inch Connect, Black 634.611 1 Each 0022 4.5mm Tap 655.214 1 Each 0023 5.5mm Tap 655.215 1 Each 0024 6.5mm Tap 655.216 1 Each 0025 7.5mm Tap 655.217 1 Each 0026 8.5mm Tap 655.218 1 Each 9120.9007 0027 Driver Shaft, ¼ inch Quick-connect, Long 6067.0055 1 Each 0028 Counter Torque, Threaded 6120.1030 1 Each 0029 Screw Head Positioner, Internal, Threaded 6120.1070 1 Each 0030 Tower Reducer, Threaded 6120.2000 1 Each 0031 Tower Reducer Attachment, Threaded, ¼ inch Quick-connect 6120.2005 1 Each 0032 Geared Reducer, Pistol Grip, Threaded 6120.2015 1 Each 0033 Reduction Fork, Threaded 6120.2030 1 Each 0034 Threaded Locking Cap Driver 6120.5000 2 Each 0035 Rigid Screw Driver, Threaded, ¼ inch Quick-connect 6120.5080 2 Each TOTAL COST
