6515--AUDIOLOGY EQUIPMENT " BRAND NAME OR EQUAL TO GSI & AUDIO SCAN" IAW SALIENT FEATURES MARTINSBURG VA MEDICAL CENTER

THIS REQUEST FOR INFORMATION (RFI) - IS ISSUED SOLELY FOR INFORMATION AND PLANNING PURPOSES ONLY AND DOES NOT CONSTITUTE A SOLICITATION. THE SUBMISSION OF PRICING, CAPABILITIES FOR PLANNING PURPOSES, AND OTHER MARKET INFORMATION IS HIGHLY ENCOURAGED AND ALLOWED UNDER THIS RFI IN ACCORDANCE WITH (IAW) FAR 15.201(e). SEE ATTACHMENT FOR DETAILS: MUST BE BRAND NAME OR EQUAL TO GSI & AUDIO SCAN MUST PROVIDE AN AUTHORIZED DISTRIBUTOR LETTER IF YOU ARE NOT THE MANUFACTURER This is a requirement for: U.S. Department of Veterans Affairs Martinsburg VA Medical Center (VAMC). DESCRIPTION: The Martinsburg VAMC requires the contractor to deliver within 60 calendar days from contract award to the VA medical facility warehouse below during normal business hours from 8:00 a.m. to 3:30 p.m. (EST), Monday through Friday: Delivery to: U.S. Department of Veterans Affairs Martinsburg VA Medical Center WAREHOUSE 510 Butler Avenue Martinsburg, WV 25405 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. IAW FAR 15.201(e), 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. Note: The contractor shall deliver required commodities (Please see attachments) no later than 60 calendar days or less from date of award, unless otherwise directed by the Contracting Officer (CO). Commodities shall not be delivered to the Government site on Federal holidays or weekends unless directed by the CO. Delivery shall be made between the hours of 8:00 am and 3:30 pm of the delivery location, during normal workday business hours. The U.S. Government is Performing Market Research to identify responsible sources who have the skills, experience, and knowledge required to successfully meet the requirements. Information received from Market Research will determine the best acquisition strategy and if responsible sources exist for competition, and/or a total Small Business Set-Aside. This is only for Market Research but may result in an invitation to an open discussion with the U.S. Government. This notice is not to be construed as a commitment by the U.S. Government. All information is to be submitted at no cost or obligation to the U.S. Government. Any information submitted by respondents to this notice is strictly voluntary. Propriety information or trade secrets should be clearly marked. Information received will not be returned. The U.S. Government reserves the right to reject, in whole or in part, any private sector input as a result of this Sources Sought notice/market survey. The U.S. Government is not obligated to notify respondents of the results of this notice. All responses to this Sources Sought must be submitted to the point of contact listed herein. This does not constitute a commitment, implied or otherwise, that procurement will be accomplished and is not a request for proposal or invitation for bid. Responding to this notice in no manner guarantees a contract will be awarded. **Respondents to this source sought announcement capable of manufacturing these items should at a minimum provide the following information for U.S. Government review** Legal Business/Company Name (as it is indicated in www.sam.gov) Unique Entity ID UEI (SAM) and DUNS Number Contract Number. Warranty Information (Can be a separate attachment) Point of Contact Name Telephone number and email address. Must provide an Authorized Distributor letter if you are not the manufacturer. Must provide Manufacture Name (OEM) & Manufacturer Part # (MPN). Must identified each line items are on the GSA Contract or Open Market. The Government intends to award a Firm-Fixed Price (FFP) contract for this purchase. To be considered for award, prospective quoters must be registered with the System for Award Management (SAM) website and complete representations and certifications at https://www.sam.gov . Prospective awardees MUST be registered with the System for Award Management (SAM) at http://www.sam.gov. PRIOR TO AWARD and through final payment and must complete the Online Representations and Certifications Application (ORCA) at http://www.sam.gov prior to award and through final payment. CONTRACT WILL NOT BE AWARDED UNTIL SAM REGISTRATION HAS BEEN COMPLETED. SDVOSB and VOSB socio-economic categories MUST be registered within the Vendor Information Pages (VIP) and the Verification Case Management System (VCMS) via www.vip.vetbiz.gov (VetBiz.Gov) PRIOR TO AWARD if selected. Responses to this notice shall be submitted via email: contact@example.gov. Telephone responses shall not be accepted. Responses must be received no later than Friday, August 26, 2022, by 3:00 PM EST. Responses to this Sources Sought notice will be utilized by the Government to make appropriate acquisition decisions. After review of the responses to this Sources Sought notice, a solicitation announcement may or may not be published in SAM.GOV/ Open Market or GSA eBuy. Attachment 1: GRAY MARKET PREVENTION LANGUAGE: A.1 VAAR 852.212-71 GRAY MARKET ITEMS (APR 2020) (a) No gray market or remanufactured items will be acceptable. Gray market items are Original Equipment Manufacturers (OEM) goods sold through unauthorized channels in direct competition with authorized distributors. This procurement is for new OEM medical equipment only for VA medical facilities. (b) Vendor shall be an OEM, authorized dealer, authorized distributor or authorized reseller for the proposed equipment/system, verified by an authorization letter or other documents from the OEM. All software licensing, warranty and service associated with the equipment/system shall be in accordance with the OEM terms and conditions. (End of Clause) A.2 VAAR 852.212-72 GRAY MARKET AND COUNTERFEIT ITEMS (MAR 2020) (a) No used, refurbished, or remanufactured supplies or equipment/parts shall be provided. This procurement is for new Original Equipment Manufacturer (OEM) items only. No gray market items shall be provided. Gray market items are OEM goods intentionally or unintentionally sold outside an authorized sales territory or sold by non-authorized dealers in an authorized sales territory. (b) No counterfeit supplies or equipment/parts shall be provided. Counterfeit items include unlawful or unauthorized reproductions, substitutions, or alterations that have been mismarked, misidentified, or otherwise misrepresented to be an authentic, unmodified item from the original manufacturer, or a source with the express written authority of the original manufacturer or current design activity, including an authorized aftermarket manufacturer. Unlawful or unauthorized substitutions include used items represented as new, or the false identification of grade, serial number, lot number, date code, or performance characteristics. (c) Vendor shall be an OEM, authorized dealer, authorized distributor or authorized reseller for the proposed equipment/system, verified by an authorization letter or other documents from the OEM. All software licensing, warranty and service associated with the equipment/system shall be in accordance with the OEM terms and conditions. (End of Clause) SALIENT FEATURES SALIENT FEATURES REAL-EAR HEARING AID VERIFICATION SYSTEM REAL-EAR (REM) Per IEC 61669/ANSI S3. 46. REM Speakers dual 5 x 9 cm w/ ducted ports Probe modules dual probe and ref. microphones Probe microphone tube silicone 1 mm diameter x 75 mm Analyzer frequency range 200 16000Hz Analyzer filter parameters tones, warble 1/12 octave speech, noise 1/3 octave Analyzer display range 200 12500 Hz Probe microphone noise floor (200 12500 Hz) <45 dB SPL Frequency accuracy 1% Measurement dynamic range 30 135 dB SPL (200 2500 Hz) 30 140 dB SPL (2500 12500 Hz) Speech-like stimuli calibrated speech (level and spectrum), ISTS, band-limited and s/sh for verifying frequency lowering, live speech Broadband noise stimuli tone burst, pseudo-pink noise Narrowband stimuli warble sawtooth modulated +/- 3% over 128 ms User supplied stimuli WAV file, auto level Stimulus level range 40 85 dB SPL in 5 dB steps Measurement accuracy at 1 kHz (CAL position) +/- 1 Db Measurement accuracy re 1 kHz 200 2000 Hz +/- 1.5 dB SPL 2000 8000 Hz +/- 2.5 dB SPL 8000 12500 Hz +/- 4 dB SPL Equalization modified pressure method concurrent and stored Distance of .5m in a quasi-free sound field, where the boundaries of the room exert a negligible effect. TEST BOX (HIT) Per IEC 60118/ANSI S3.22 Test box speakers 1 front, 2 side, 30 mm independent Working space 28w x 12.7d x 3.8h cm3 Isolation @1kHz >25dB Analyzer frequency range 200 16000 Hz Analyzer filter parameters tones 1/12 octave speech, noise 1/3 octave Analyzer display range 200 12500 Hz Coupler microphone noise floor (200 12500 Hz) <40 dB SPL Frequency accuracy 1% Measurement dynamic range 30 135 dB SPL (200 2500 Hz) 30 140 dB SPL (2500 12500 Hz) Speech-like stimuli calibrated speech (level and spectrum), ISTS, band-limited and s/sh for verifying frequency lowering, live speech Broadband noise stimuli tone burst, pseudo-pink noise Narrowband stimuli pure tone User supplied stimuli WAV file, auto level Test stimulus levels 40 90 dB in 5 dB steps Test stimulus distortion (tone) <2% at 90 dB SPL <0.5% at 70 dB SPL Measurement accuracy at 1 kHz (CAL position) +/- 1 dB Measurement accuracy re 1 kHz 200 2000 Hz +/- 1.5 dB SPL 2000 8000 Hz +/- 2.5 dB SPL 8000 12500 Hz +/- 4 dB SPL Equalization modified pressure method concurrent Harmonic distortion measurement 2nd and 3rd or 2nd plus 3rd Harmonic distortion range 200 4000 Hz Harmonic distortion accuracy +/- 1% Battery drains range (+/- .01 mA) 0 20 mA Battery drain accuracy +/- 5% Telecoil loop accuracy +/- 3 dB Telecoil stimulus 31.5 mA/m per ANSI S3.22 SALIENT FEATURES CLINICAL TYMPANOMETER Test Types: Tympanometry, Acoustic Reflex Threshold, Reflex Decay, Eustachian Tube Function (Intact, Perforated, and Patulous) Protocols: Diagnostic, Screening, Multi-component Tympanometry, Auto Sequence, and User Defined Display: Internal color touch screen and optional external HDMI monitor Interface: USB (keyboard, mouse, Flash Drive, PC communications) Printout: External printer Probe Tone: 226 Hz (85 dB SPL ± 1.5 dB)678 Hz (72 dB SPL ± 1.5 dB)1000 Hz (69 dB SPL ± 1.5 dB) Accuracy: ± 1% Harmonic Distortion: Less than 1% ADMITTANCE MEASUREMENTS Range: 226 Hz (-10 to + 10 mmho) 678 Hz (-21.0 to +21 mmho) 1000 Hz (-32.0 to +32 mmho) Sensitivity Scale: Auto scales to appropriate range, manual selection also possible in Reflex Modes only Accuracy (226 Hz): Tymp Mode: ± 5% of reading or ± 0.1 mmho, whichever is greater Reflex Mode: ± 5% of reading or ± 0.02 mmho, whichever is greater PRESSURE MEASUREMENTS (Load volume of 0.2 to 7.0 ml) Range: Normal = +200 to -400 daPa, Wide = +400 to -600 daPa Accuracy: ± 10% of reading or ± 10 daPa, whichever is greater Sweep Rate: 12.5, 50.0, 200, 600 and 600/200 daPa and manual Sweep Accuracy: 10% of nominal rate Maximum Limits (in 0.5cc cavity): -800 daPa and +600 daPa REFLEX MEASUREMENTS Stimuli: 250, 500, 1k, 2k, 4k, BBN, LBN, HBN, click, external input, non-acoustic Frequency Accuracy: ± 3% Harmonic Distortion (THD): Less than 5% (measured acoustically) Noise Signals: (3 dB bandwidths) Low Band: 400 -1600 Hz High Band: 1,600 -4000 Hz Broad Band: 400 -4000 Hz Intensity Range: 35 to 120 dB HL Step Size: 5 dB, 1 dB and 2 dB Calibration Accuracy: ± 3 dB Step Accuracy: ± 0.5 dB ON/OFF Ratio: 70 dB minimum STANDARD ACCESSORIES Probe assembly (including contralateral insert phone) Ear tip sample kit Calibration test cavity Cleaning kit Probe mount kit (shoulder, clip, wrist band) User Quick Guide Reference Instruction Manual POWER Power Consumption: 60 Watts Maximum Input Voltage: 100-240 VAC Input Frequency: 50-60 Hz Average Operating Current Idle: 220 mA Average Operating Current Running Test: 290 mA QUALITY SYSTEM Manufactured, designed, developed, and marketed under an ISO 13485 certified quality system COMPLIANCE Designed, tested, and manufactured to meet the following domestic (USA), Canadian, European, and International Standards: IEC 60601-1, EN 60601-1 International Standards for Medical Electrical Equipment CAN/CSA-C22.2 No. 60601-1 ANSI S3.39, IEC 60645-5, ISO 389 Medical Device Directive (MDD) 93/42/EEC 501C-65 Rev C DESIGNED SMA SALIENT FEATURES: TWO CHANNEL CLINICAL AUDIOMETER CHANNELS: Two Independent Channels PURE TONE CHANNELS 1 AND 2 FREQUENCY RANGE Air Conduction: 125 Hz - 20,000 Hz* Bone Conduction: 250 Hz - 8,000 Hz Sound Field: 125 Hz - 8,000 Hz Paired Inserts: 125 Hz - 8,000 Hz Frequency Accuracy: ±1% Total Harmonic Distortion: < 2% (earphones and paired insert phones) < 5% (bone vibrator) HEARING LEVEL RANGE Air Conduction: -10 dB HL - 120 dB HL Bone Conduction: Mastoid: -10 dB HL - 90 dB HL Forehead: -10 dB HL - 80 dB HL Sound Field: -10 dB HL - 90 dB HL (basic speakers) -10 dB HL - 96 dB HL (high performance speakers) -10 dB HL - 102 dB HL (high performance speakers and external booster amplifier) Paired Inserts: -10 dB HL - 120 dB HL Masking Intensity Range (Calibrated in effective masking): Narrow Band Noise: Maximum dB HL is 15 dB below tone White Noise: Maximum dB HL is 30 dB below tone SIGNAL FORMAT Steady: Tone continuously present Pulsed: Tone pulsed 200 msec ON, 200 msec OFF FM: Modulation Rate: 5 Hz Modulation Depth: +/- 5% Pulsed/FM: Pulsed and modulated SPEECH CHANNELS 1 AND 2 Microphone: For live voice testing and communications INT/EXT A & INT/EXT B: Can be utilized for internal wave files or recorded speech material from an external digital device INTENSITY RANGE Air Conduction: -10 dB HL - 100 dB HL Bone Conduction: Mastoid: -10 dB HL - 60 dB HL Forehead: -10 dB HL - 50 dB HL Sound Field: -10 dB HL - 90 dB HL Paired Inserts: -10 dB HL - 95 dB HL MASKING INTENSITY RANGE Speech Noise: Air Conduction: -10 dB HL - 95 dB HL Bone Conduction: -10 dB HL - 50 dB HL (mastoid) -10 dB HL - 40 dB HL (forehead) Sound Field: -10 dB HL - 85 dB HL White Noise: Air Conduction: -10 dB HL - 95 dB HL Bone Conduction: -10 dB HL - 60 dB HL (mastoid) -10 dB HL - 50 dB HL (forehead) Sound Field: -10 dB HL - 80 dB HL SPECIAL TESTS ABLB SISI High Frequency Audiometry TEN Test QuickSIN BKB-SIN Tone Decay AMTAS Pro SPECIAL TESTS (USER DEFINED) MLB Lombard test Pure Tone Stenger Speech Stenger SAL Doerfler - Stewart Test PC ENABLED/STAND-ALONE Transfer data to connected PC with an E-Record solution software Print complete report directly to a compatible USB printer COMMUNICATIONS AND MONITORING Talk Forward: Permits the tester to speak through the examiner microphone into the selected transducer Talk Back: Allows the examiner to listen to comments from the patient in the testing booth Monitor: The monitor headset or monitor speaker built into the instrument housing may be used by the examiner to listen to Channel 1, Channel 2, Aux intercom, and/or Talk Back signals Aux Intercom: The built-in Auxiliary Intercom and assistant headset allows the examiner to speak directly to an assistant and allows the assistant to hear what is being presented to the patient On-Board VRA Control: The built-in VRA controls facilitate fast and simple activation of VRA systems STANDARD ACCESSORIES Wireless Keyboard and Mouse Gooseneck Microphone COMPLIANCE Designed, tested, and manufactured to meet the following domestic (USA), Canadian, European and International Standards: ANSI S3.6, ANSI S3.43, IEC 60645-1, IEC 60645-2, ISO 389 UL 60601-1 American Standards for Medical Electrical Equipment IEC/EN 60601-1 International Standards for Medical Electrical Equipment CSA C22.2 # 601-1-M90 Medical Device Directive (MDD) to comply with93/42/EEC 501C-61 LINE-ITEM DESCRIPTION AUDIOLOGY EQUIPMENT FOR MARTINSBURG VAMC BRAND NAME OR EQUAL TO GSI & AUDIO SCAN ITEM NO. DESCRIPTION QUANTITY UNIT COST ----------------------------------------------------------------------------- 8525169-GSI-8525169 1 TYMPSTAR PRO BASIC TESTS 3 EA BRAND NAME OR EQUAL TO GSI & AUDIO SCAN CONTRACT TYPE: FIRM-FIXED PRICE 8013647-GSI-8013647 2 SOUND FIELD SYSTEM 4 EA BRAND NAME OR EQUAL TO GSI & AUDIO SCAN CONTRACT TYPE: FIRM-FIXED PRICE 8521186 ETY-VA-113 3 VF2 FLOOR SPEAKER KIT 4 EA BRAND NAME OR EQUAL TO GSI & AUDIO SCAN CONTRACT TYPE: FIRM-FIXED PRICE 8521199 ETY-VA-201-ADDT 4 NOAH MODULE AUDIOSCAN 3 EA BRAND NAME OR EQUAL TO GSI & AUDIO SCAN CONTRACT TYPE: FIRM-FIXED PRICE 1002324 ETY-VA-201 5 AUDIOSCAN NOAH MODULE 1 EA BRAND NAME OR EQUAL TO GSI & AUDIO SCAN CONTRACT TYPE: FIRM-FIXED PRICE 1000086 6 TRAVEL FEE(FIXED) 1 EA BRAND NAME OR EQUAL TO GSI & AUDIO SCAN CONTRACT TYPE: FIRM-FIXED PRICE 8509895 GSI-8509895 7 TYMPSTAR PRO LPQ80 PRINTER KIT 3 EA BRAND NAME OR EQUAL TO GSI & AUDIO SCAN CONTRACT TYPE: FIRM-FIXED PRICE 8518226 GSI-8518226 8 GSI AUDIO STAR PRO GSI 4 EA AUDIOSTAR PRO VERSION 2 BRAND NAME OR EQUAL TO GSI & AUDIO SCAN CONTRACT TYPE: FIRM-FIXED PRICE 8521179 ETY-3547 9 AUDIOSCAN VERIFIT 2 4 EA BRAND NAME OR EQUAL TO GSI & AUDIO SCAN CONTRACT TYPE: FIRM-FIXED PRICE 8122535 10 INSTALLATION COST 1 EA BRAND NAME OR EQUAL TO GSI & AUDIO SCAN CONTRACT TYPE: FIRM-FIXED PRICE TOTAL COST: $