LOMA/605_ ESOPHAGOSCOPE INSTRMT SET_605A60341

DEPARTMENT OF VETERANS AFFAIRS Justification for Brand Name Only IAW 11.105(a) For Over Micro-Purchase Threshold but Not Exceeding the SAT ($250K)

Acquisition Plan Action ID:

36C262-26-AP-2566 1. Contracting Activity: Department of Veterans Affairs, Regional Procurement Office West (RPOW), Network Contracting Office 22 (NCO-22), 4811 Airport Plaza Drive, Suite 600, Long Beach, CA 90815 for the VA Loma Linda Healthcare System.

Transaction Number: 605-26-1-073-0017 2. Brief Description of Supplies/ Services required and the intended use/Estimated Amount: The Nursing Service department is requesting Esophageal ENT Instruments, which include Esophagoscopes, Graspers, Suctions and forcep items for the VA Loma Linda Healthcare System. This set will be used to provide surgeons with a direct optical view inside the Esophagus of Veteran patients for treating conditions of the head and neck, better known as, the ear, nose and throat regions.

The supply items are equipped with lens illumination and fiber optic light sources and are intended to be used during otolaryngology and gastroenterology procedures. The agency s request for this equipment will also enable Loma Linda surgeons to increase workflow efficiency of current Esophagus procedures conducted and continue to meet patients needs. Transaction amount: $24009.00 3. Unique characteristics or circumstances that limit the requirement to Brand Name Only commodities.

The Teleflex Pilling instruments being requested are instruments of specific design which enable healthcare providers to achieve direct visualization of the esophagus during procedures. The design and configuration of each instrument are critical to supporting clinical procedures involving the esophagus, including foreign body removal and biopsy procedures. The requesting department currently maintains one Pilling Esophagoscopy tray set.

However, the necessary equipment processing and four-hour sterilization procedures have caused increased wait times for clean instruments and the department s inability to avoid cancelations and /or postponements because of a lack of backup trays. This request will allow the department to perform procedures effectively because trays are circulating efficiently.

This second tray will be used in conjunction with the existing equipment, and due to design specifications and instrument compatibility requirements, instruments from other manufacturers cannot be integrated with this system set. To meet mandated clinical health procedures and surgical expectations, the requested items must be the same brand to ensure functionality and proper fit.

This acquisition will provide the department with an additional instrument tray to support add-on patient procedures and back-to-back cases. 4. Unique characteristics that limit availability to only one source, with the reason no other supplies or services can be used: N/A Page 2 of 2 5. Description of market research conducted and results or statements why it was not conducted: Market research was conducted using DSBS, Adds Up, FPDS, SCMC, and internet websites.

A search of SCMC did not render any mandatory contracts for the items requested. A search of FPDS rendered past procurement information for the Pilling ENT items that are currently in the department. Market research found that other brands will not properly integrate with the existing esophageal set currently used in this department.

Further market research relayed information that Teleflex Pilling esophageal instruments are a part of a system manufactured solely by Teleflex LLC. 6. Contracting Officer's Certification: Purchase is approved in accordance with IAW 11.105(a). I certify that the foregoing justification is accurate and complete to the best of my knowledge and belief.

Prepared by:

Approved by:

Approved by: _RMalveaux

FKnightner