6515--Welch Allyn 3.5V Diagnostic Set with PanOptic Plus LED Ophthalmoscope, and MacroView Plus LED Otoscope (Delivery for VA CBOC Monroeville) This is Brand Name Only. This is not a request for quote.

THIS IS NOT A SOLICITATION ANNOUNCEMENT. THIS IS A REQUEST FOR INFORMATION ONLY. This Request for Information (RFI) is intended for information and planning purposes only at this time; and shall not be construed as a solicitation or as an obligation on the part of the Department of Veterans Affairs. Because this is a Request for Information announcement, no evaluation letters and/or results will be issued to the respondents. This Sources Sought Notice is for market research purposes only and shall not be considered an Invitation for Bids, Request for Quotations, or a Request for Proposal. Do not submit a proposal or quote. This market research is issued for information and planning purposes only and does not constitute a solicitation nor does it restrict the Government as to the ultimate acquisition approach. Responses to this notice are not offers and cannot be accepted by the Government to form a binding contract. Additionally, there is no obligation on the part of the Government to acquire any products or services described in this sources sought notice. You will not be entitled to payment for direct or indirect costs that you incur in responding to this Sources Sought Notice. Any contract that might be awarded based on information received or derived from this market research will be the outcome of a competitive process. Interested parties are responsible for adequately marking proprietary, restricted or competition sensitive information contained in their response. No solicitation exists. Therefore, do not request a copy of a solicitation. See instructions on page 6. Welch Allyn 3.5V Diagnostic Set with PanOptic Plus LED Ophthalmoscope, MacroView Plus LED Otoscope (Brand Name Only) INTRODUCTION/BACKGROUND: 1.1. The Welch Allyn PanOptic ophthalmoscopes are intended to be used by clinicians and medically qualified personnel for examination of the retina, cornea, aqueous, lens, and vitreous of the eye under illumination and magnification in adult patients. OBJECTIVE: The Department of Veterans Affairs, VISN 04, VA Pittsburgh Health Care System Monroeville, PA hereby referred to as the VA CBOC Monroeville, is requesting the Brand Name only acquisition of the following: Part No. 71-PM3LDE-US, Welch Allyn 3.5V Diagnostic Set with PanOptic Plus LED Ophthalmoscope, MacroView Plus LED Otoscope MAJOR REQUIREMENTS: Salient Characteristics for Brand Name Welch Allyn Inc. Universal Desk Set Panoptic Plus Ophthalmoscope Re-designed with a familiar form factor Long-lasting LED illumination QuickEye alignment technology helps you direct the patient s gaze for better optic disc alignment Designed with the same focus wheel, filters and apertures you're used to on a standard ophthalmoscope, including cobalt-blue to support corneal examinations. 20x Larger field of view Designed with DuraShock The new Lithium Ion Plus Power Handle optimizes both PanOptic ophthalmoscopes, staying bright over the life of a battery charge with no color change when dimmed, unlike with halogen lamps Macroview Plus Otoscope Focus-free design Long-lasting LED illumination For brighter views, pair with new Welch Allyn LumiView Clear Single-Use Ear Specula 4X brightness through an adult speculum when compared to a black speculum. Backwards compatible to work universally on all Welch Allyn otoscopes Works with all Welch Allyn 3.5 V power sources Technical Specifications PanOptic Plus Ophthalmoscope Height x Width x Depth 8 cm x 4.5 cm x 7.5 cm Weight 130 g Apertures Small, Large, Red Free, Slit, Fixation target, Cobalt Blue Diopter Range -20 to +25 D Diopter Steps -20, -15, -12, -10, -9, -8, -7, -6, -5, -4, -3, -2, -1, 0, 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 12, 15, 20, 25 Crossed-linear Polarizers Lamp Type and Warranty SureColor LED, 7-year warranty Color rendering index (CRI): 95 typical; R9: 85 typical Color temperature: 2700K - 3500K Lamp Life 80+ years (typical) Field of view 20o Welch Allyn Lithium Ion Plus Power Handle with USB Charger Height x Width X Depth 14 cm x 3 cm x 3 cm Weight 140 grams Compatibility 719-DSK Welch Allyn® Universal Desk Charger; 71140 chargers Integrated Charging USB-C Warranty Two years On-time 5.5 hours; Approximately 660 30-second exams Battery Type Lithium Ion USB Quick-charge time (0-75%) 90 minutes Power Cord and Cord Options 719-USB Welch Allyn Universal Desk Charger Height x Width X Depth 10 cm x 19 cm x 11 cm Weight 1.2 kg Compatibility 71140, 719-3, 71910, 71670 handles. 12800 & 22800 used with 71249 Adapter Sleeve Warranty One year Power Cord and Cord Options #18 AWG, 3-wire grounded cord, 6 feet long medical grade detachable with IEC60320 inlet Input 100-240V, 50-60 Hz, 100mA max, Class I, Continuous Operation Output 2.4V - 4.0V DC 80mA ma Table 1 Line Item Part No. Description Qty 0001 71-PM3LDE-US Welch Allyn 3.5V Diagnostic Set with PanOptic Plus LED Ophthalmoscope, MacroView Plus LED Otoscope for iExaminer, Universal Desk Charger, and two Premium Lithium Ion Plus USB Rechargeable Power Handles 51 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. POINT OF CONTACT (POC): The identified POC and technical representative for this acquisition is: Name: Ralph Simms Phone Number: +1 (555) 000-0000 Email: contact@example.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." REPORTS/DELIVERABLES: Delivery confirmation of equipment and commodities will be made through the Logistics Department of the VAMC Pittsburgh (646). This will include documentation of receipt and assignment of a facility based EE number for identification and tracking purposes. Delivery confirmation of non-equipment/ commodities acquisitions is the responsibility of the receiving Facility and/ or Service. REQUEST FOR INFORMATION INSTRUCTIONS: The information identified above is intended to be descriptive, not restrictive and 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, UEI Number, Cage Code, size of business pursuant to North American Industrial Classification System (NAICS) 339115 (size standard of 1000 employees). 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? If not, can you provide additional information shown below. This is to confirm compliance with the non-manufacturer rule IAW 13 CFR 121.406(b) Nonmanufacturers. Does your company exceed 500 employees; Primarily engaged in the retail or wholesale trade and normally sells the type of item being supplied; Take ownership or possession of the item(s) with its personnel, equipment or facilities in a manner consistent with industry practice; Obtained an individual or class waiver? 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). 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? 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. 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. 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? 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. Please submit your capabilities in regard to the salient characteristics detailed above and any information pertaining to equal to items to establish capabilities for planning purposes? Please review salient characteristics/statement of work (if applicable) and provide feedback or suggestions. If none, please reply as N/A. Please provide your UEI number. This RFI will be conducted in accordance with Federal Acquisition Regulation (FAR) Part 13. Telephone responses will not be accepted. Responses must be received via e-mail to contact@example.gov no later than Wednesdayday, September 28, 2022 at 16:30 PM Eastern Time (ET). This notice will help the VA in determining available potential sources only. 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 Contracting Specialist, Allan Tabliago. Questions or responses will include the Source Sought number in the subject line. 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. Any interested business concern must submit a no longer that 10-page capability statement addressing its ability to meet the requirements listed above to Capability Statement shall include a statement regarding how the business concern is engaged in wholesale trade and normally sells the item being supplied and how the business concern will take ownership of the items being delivered. Vendors shall also provide certification, evidence that they are an authorized distributor of the Original Equipment Manufacturer. If a solicitation is issued, information will be posted on the SAM web site for all qualified interested parties at a later date and interested parties must respond to the solicitation to be considered for award. 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 Contracting Officer at contact@example.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.