The Minneapolis VA Healthcare System requires surgical instrument maintenance and repair services in accordance with the draft Statement of Work (SOW) below. This is a sources sought/proof of capability solicitation looking for vendors to perform the services per the SOW for market research purposes. No awards of a contract will be made from this announcement. If you are a vendor that can complete the work described in the SOW with competitive pricing, please send your contact and organization information with a descriptive proof of capability to:
[email protected] on or before May 16th, 2025. Only emailed responses will be considered. Additionally, please provide answers as appropriate to the following questions in the table below with your response to this sources sought. Failure to respond to the following questions may affect the acquisition strategy. 1. Identify your organization's socio-economic category. 2. State whether any of the requested services may be ordered against a government contract awarded to your organization (e.g Federal Supply Schedule (FSS), General Services Administration (GSA), etc.). 3. State if subcontracting is contemplated for this requirement and what percentage of the work will be subcontracted and for what tasks.  *If applicable, VAAR 852.219-75 VA Notice of Limitations on Subcontracting Certificate of Compliance for Services and Construction, will apply to the potential solicitation if set-aside for Veteran Owned Small-Businesses or Service Disabled Veteran Owned Small-Businesses.* *If applicable, FAR 52.219-14 Limitations on Subcontracting, will apply to the potential solicitation if set-aside for Small-Businesses.* Statement of Work Minneapolis Veterans Health Administration Health Care System Surgical Instrument Maintenance and Repair The Minneapolis Veterans Health Administration Health Care System (MVAHCS) requires surgical instrument Preventative Maintenance (PM) and repair services for their Surgical Processing Suite (SPS). The Contractor shall provide an online digital inventory system, or digital tracker, to track instrument repair status and requests that is accessible by the MVAHCS. Preventative Maintenance and Repair Instrument(s) for this requirement mean: individual general surgical instrument identified during assembly inspection or front line use as not functional and requires evaluation and repair. Instrument Set(s) for this requirement mean: a uniquely named instrument tray used to contain a series of instruments defined by an instrument count sheet. Sets are between 2 and up to 141 individual instruments used during invasive procedures. The instrument set is assembled and held inside of a container system where most instruments will stay inside the set over repeated use. An instrument set may include multiple levels of instruments inside one instrument set. All instruments sent out within the instrument set must return with the instrument set. Critical Instrument set : Instrument sets identified with a pink container label and are 1 or 2 of a kind. Critical sets cannot be removed from circulation. Routine Instrument Set : All non-critical instruments sets. Preventative maintenance of surgical instruments shall be done by the inspection of entire trays. Repairs MUST align with the original manufacturers design and product specifications. Any modification or repair performed during repair that deviates from the OEM standards will render the instrument damaged beyond repair and will need to be replaced at the expense of the repairer. The Contractor shall ensure repairs and service functions are performed in conformance with manufacturer s specifications, the Center for Disease Control (CDC) regulations, Healthcare Sterile Processing Association (HSPA), Association of Peri-Operative Registered Nurses (AORN) Standards, Associate for Professionals in Infection Control and Epidemiology (APIC), the American National Standards Institute (ANSI) and Association for the Advancement of Medical Instrumentation (AAMI). Instruments submitted for repair and preventative maintenance shall be: sharpened, adjusted, aligned, straightened, calibrated, cleared of rust or debris, oiled removal of stains, sharp edges and/or scratches cannulated/lumened items shall have interior lumen flushed and visually inspected. all instruments able to be disassembled, shall be disassembled and undergo a detailed inspection. Returned Instruments shall: have a mirror finished appearance, have legible QR Code, manufacturer name, and instrument catalog number Contractor shall provide maintenance and repair for rigid instrument containers to ensure that all lid gasket vent devices are fully functional, in accordance with manufacturer specifications. Items deemed unrepairable need to be returned to facility with clear identification as such. Any non-OEM parts used to repair an instrument must have product part numbers provided and must have a Food and Drug Administration (FDA) approved Instructions for Use (IFU) that outlines all steps for reprocessing. Repairer must be able to provide onsite, twice weekly repairs for: Unscheduled repair needs same day PM services for critical sets Site visits should follow a set schedule and be arranged so there is a minimum of 2-3 days between service site visits. During repair and PM, all instruments are to be evaluated for a 2D QR scan code. When a device does not have a 2D code or has a code in place that is taped on, the repairer will place a key dot or laser marked QR code to the instrument, as part of the PM service contract. Devices with new QR codes shall be returned as part of the set it arrived in. Notification of code placement needs to be communicated to facility via the digital tracker for entry into Censitrac, information to be documented on the digital tracker are: Device product number, Device description Device serial number (if applicable) QR code numeric assignment. Contractor shall place a QR code on the instrument using either a laser etching system or key dot application if no etch is present. Delicate sharp, pointed instruments delivered in puncture proof containers shall returned be returned in puncture proof containers. Routine individual instruments that need to have part replacements or more complex repairs, can be relocated to facility repair shop with updates of location change provided via the digital tracker. Any instruments that fail the quality check upon return to MVAHCS shall be resubmitted to the Contractor for repair at the Contractor s expense per Federal Acquisition Regulations (FAR) 52.212-4(a). All single instruments and surgical trays picked up and delivered back to the hospital should be updated by the Contractor on the digital tracker and following information should be included for each: Instrument Name of instrument, Manufacture catalog number, Serial number (when applicable), Quantity of items for accountability, QR code number assigned to the item. Instrument set: Instrument set name, Tray actual number, # of instruments included. Instruments includes a wide variety of general and specialty surgical tools to include but is not limited to curettes, hemostats, scissors, graspers, laparoscopic instruments, rongeurs, surgical knifes, power equipment (camera, drills & saws), etc. This contract shall not include rigid or flexible endoscopes or camera heads. Prohibited Repairs Any instrument found having an unreadable or non-existent Manufacturer s name AND product number visible on the instrument are NOT considered valid reusable instruments. These instruments shall be marked as damaged beyond repair and returned to SPS. Any repairs performed on these instruments will not result in compensation. Repairer is prohibited from knowingly altering or modifying an original instrument in ANY WAY from the original manufacturers intended design. Any instrument rendered damaged beyond repair due to performance of the repair or preventative maintenance will be replaced at the Contractor s expense. This can include but not limited to: Sandblasting shiny instruments to make them dull. Removing the manufacturer s name or product number found on the instrument. Altering the product dimensions, angles, length, or adding/removing materials. Creating a custom instrument. Repairer Response window: Urgent instrument repair service: Unscheduled repair of individual instrument or instrument set which the following applies: The damage is identified on a day where no onsite visit is anticipated. Damaged item is a critical instrument for the instrument set. No alternative substitution available in house to meet the need while waiting for repair. Patient care delays or cancellations. The Contractor has 48 hours to complete urgent instrument repairs. Forty-eight hours starts at time of notification by MVAHCS to the Contractor. Instruments or sets necessitating emergency repairs may be shipped to Contractor facilities if necessary. Scheduled PM for Critical Instrument Sets: See Appendix A for the list of critical instruments sets, identifiable by a pink container label. Preventative maintenance of critical instrument sets shall be scheduled, and work completed with same day turnaround. In the event this is not attainable this is to be communicated directly and immediately with SPS Designee to include what complications are creating a barrier and an ETA of expected downtime. Scheduled PM for Routine Instruments Sets: See Appendix B for the list of routine instrument sets. The Contractor shall have seven (7) calendar days to complete routine preventative maintenance on surgical instrument trays with day of pick up considered as day one (1). If a set will be removed from circulation for longer than seven (7) days, this needs to be directly communicated with the SPS designee and an explanation as to why. Mobile Repair Lab Requirements Instrument repairs completed onsite at the Minneapolis Veterans Administration Medical Center (VAMC) shall occur in a mobile repair lab/vehicle in a designated space. MVAHCS is not responsible for the supply of any items or utility services of any kind needed for sustainable functioning of the mobile unit. Safety cones shall be utilized around the perimeter of the mobile repair vehicle to ensure the safety of hospital and Contractor staff. Any equipment requiring set up at the mobile repair lab at the hospital shall be done at the expense of the Contractor. Mobile Repair Unit shall properly display the Contractor s name and permit numbers. Contractor shall provide access to repair facilities (mobile or otherwise) upon request by the VA to ensure compliance with the contract and applicable regulatory standards. Contractor mobile unit(s) shall be registered with the MVAHCS Police Department. Contractor documentation and tracking requirements Accessible online service dashboard that displays and tracks all repair and maintenance activities. Contractor uses an online dashboard that displays and tracks all repair and maintenance activities. Dashboard must be online and must be accessible to SPS designees 24 hours a day, 365 days a year except for maintenance related down times. The following dashboard functions must be included: Repair request function, Scheduled repair request function, Emergency repair request function, Display request is received with date of anticipated repair, Status updates while active repair is being performed, Closed completed repairs with all associated documentation attached, Visible annual calendar that establishes an annual PM schedule for sets attached in the appendixes, Dashboard should allow for all repairer documentation to be attached directly to the repair request This shall include a preventative maintenance checklist with at least: Repair performed, What parts were ordered, Invoices, Any other related documentation, Repair services that Interface with current equipment and Censitrac program are preferred. Contract Monitoring: The MVAHCS SPS shall designate a representative to monitor Contractor employee work services through one or a combination of the following mechanisms: The SPS representative, SPS Chief, Reusable Medical Equipment (RME) Coordinator and/or Contracting Officer Representative (COR) shall monitor Contractor instrument pick-up and drop-off through the inhouse Censitrac system to ensure that services called for in the contract have been received by the MVAHCS. SPS shall utilize Contractor s digital dashboard to request services from Contractor. Daily monitoring of digital dashboard and repair status to ensure all requests are being handled appropriately. Documentation of services performed shall be reviewed by the Contracting Officer Representative prior to certifying payment. The SPS representative will conduct periodic customer service interviews with end users to confirm quality repair services are being performed to their standards. Contract monitoring and recordkeeping procedures shall be sufficient to ensure proper payment and confirmation that services were provided. Monthly invoices shall be submitted to the SPS Representative and COR at the beginning of the contract, until it is determined that billing documentation meets requirements. Once billing practices have been found to be acceptable then invoices may be directly submitted to Tungsten. The COR shall verify that services were performed against Contractor s certified delivery repairs document. Only after verification are invoices certified for payment. Billing disagreements that cannot be resolved by the COR shall be forwarded to the Contracting Officer for review and resolution. Contractor Requirement The Contractor shall provide documentation of staff training, competencies, and any pertinent certifications in relation to the repairs they shall be conducting. Contractor shall provide MVAHCS SPS staff with in-service training on as needed basis, at the request of the facility. Up to a total of six (6) hours, two (2) per shift, CEU eligible in-services, on instrumentation, per year. Security Clearance The following security language is applicable to Contractor staff who will enter MVAHCS facilities. Contractor staff will utilize a temporary Contractor s security badge until a permanent security PIV badge can be issued. Temporary badge use will not exceed 30 calendar days. The Contractor shall comply with Minneapolis VAMC security, access, and badging requirements. Employees must provide fingerprints and be able to pass a background check so they can obtain a security access badge. All Contractor staff will need a valid individual personal or professional email account that can be easily checked. Notifications regarding fingerprint scheduling/appointments, background investigation tasks, and Training Management System (TMS) required classes will be sent to their email address throughout the badging process. The Contractor will submit all required security badging documents for each employee within fifteen (15) business days from the award date of contract to the COR. All documents must be legible. The following documents will be sent to the Contractor via email after contract is awarded. OF 306 Must be Typed. Submission of handwritten forms will not be acceptable. Self-Certification VA 10-2417 Employee Fingerprint Resource Form Appropriate Contractor staff (as determined by the VA) performing the duties of the Statement of Work shall complete the computer-based training course TMS 10176 Infosec/Rules of Behavior . Contractor staff shall be escorted while in MVAHCS sensitive locations or without a security badge or PIV badge. Additional Information National Holidays. There are eleven (11) holidays observed by the Government as follows: New Year s Day, Martin Luther King Day, Presidents Day, Memorial Day, Juneteenth Independence Day, Independence Day, Labor Day, Columbus Day, Veterans Day, Thanksgiving Day, Christmas Day. SPS is a 24/7 operation and continues sterilization operations on these holidays. The lists provided below are not all inclusive of the instruments that will be on the contract over its lifetime and may be subject to change over time. APPENDIX A: Critical sets: Appendix A- high risk, low volume. On site same day turn around Service Container Name Number of Sets Instrument OR - Neuro OSTEOMED FAST-FLAP 2 141 OR - ENT ENT SINUS TRAY 2 116 OR - ENT OPEN REDUCTION-ENT FX 1 115 OR - Cardiothoracic MINI MVR 1 103 OR - Neuro CSF SHUNT PROCEDURE NEURO 2 101 OR - Neuro PERIPHERAL NERVE DISS SET 2 95 OR - ENT NASOPHARYNGOSCOPY SET 1 89 OR - GYN ABD/VAG 2 87 OR - DENTAL BASIC DENTAL SET 2 84 OR - ENT MINOR ENT/ THYROPLASTY SET 2 79 OR - ENT NASAL PLASTIC SET 1 78 OR - UROLOGY GU MICRO INST SET 2 76 OR - Neuro ANT CERVICAL LAMI SET A-- 2 74 OR - General Surgery LASER GENERAL INSTRUMENT SET 1 66 OR - ENT BLOM/PANGE/T-E FISTULA 1 66 OR - UROLOGY PERINEAL PROCTECTOMY SUPP 2 66 OR - ENT SINUS INSTRUMENTS 2 57 OR - Cardiothoracic ESOPHAGECTOMY SUPP 1 55 OR - ENT BAHA SET 2 55 OR - ENT CLOSED REDUCT WIRE MANDIBLE 1 53 OR - DENTAL DEN BONE GRAFT DONOR SUPP 2 53 OR - ENT LASER ORAL INSTRUMENT SET 1 52 OR - Neuro ACOUSTIC SET 1 48 OR - DENTAL FRACTURE/OSTEOTOMY SUPP 2 42 OR - Ortho TRANSTIBIAL ACL/PCL SET 2 41 OR - UROLOGY GU MICRO SUPP 2 41 OR - Neuro SHADOW-LINE RETRACTOR 2 38 OR - Ortho EXPLANT ACETABULAR CUP REMOVAL 1 37 OR - Ortho RICHARDS FX/EX STAPLES 1 35 OR - Ortho ACL REAR ENTRY DRILL SET 1 35 OR - General Surgery THOMPSON SYSTEM-BLADES 1 33 OR - ENT LASER DIRECT LARYNGOSCOPY SET 2 33 OR - Laparoscopic LAP ENDO URO SUPP 2 33 OR - ENT COCHLEAR IMPLANT INSTRUMENTS 2 31 OR - Vascular OMNI-TRACT STONEY DEEP SET 1 30 OR - DENTAL ARCH BAR SUPP PAN 2 29 OR - Vascular EMR SM GEN VASCULAR SUPP 2 29 OR - Ophthy DACROCYSTORHINOSTOMY SUPP 2 28 OR - Vascular EMR LG GEN VASCULAR SUPP 2 27 OR - Ortho STRYKER BIXCUT REAMERS 2 26 OR - Neuro TRIMLINE RETRACTOR SET 1 26 OR - Ortho ILIAC CREST GRAFT SUPP 2 25 OR - ENT EAR SCOPE INSTRUMENTS 2 25 OR - Ophthy DALK INSTR SET 2 24 OR - UROLOGY CYSTECTOMY SUPP 2 24 OR - ENT ENT ORAL INST SET 2 24 OR - ENT CLOSED REDUCT NASAL FX SET 1 23 OR - ENT LASER DL WOLF BIVALVE/GAPANY 1 22 OR - ENT LASER DL WOLF BIVALVE 2 22 OR - ENT BAHA INSTRUMENTS-COCHLEAR 1 22 OR - DENTAL ELEVATOR AND FCP SUPP 2 22 OR - Laparoscopic LAP EXTRA LONG INSTRUMENTS 2 22 OR - Cardiothoracic RADIAL ARTERY PAN 2 22 OR - Ortho EBI EXTERNAL FIXATOR 1 21 OR - Ophthy PTERYGUIM 2 21 OR - Ortho DALL-MILES CABLE GRIP SET 1 21 OR - Ortho ZIMMER CABLE READY INSTR 1 21 OR - Ophthy ENUC/EVIS/SOCKET REPAIR SUPP 2 20 OR - Neuro GREENBURG NEURO RETR SET 2 20 OR - Plastics MICRO VASC CLAMPS 1 20 OR - Ortho SHOULDER RETR INNOMED 1 19 OR - Ortho ACL GRAFT PREP BOARD TRAY 1 19 OR - Neuro ANT CERVICAL LAMI SET B-- 2 19 OR - Neuro MEDTRONIC SPINE REFERENCING TRAY 2 19 OR - Cardiothoracic OCTOBASE RETR. SET 2 19 OR - DENTAL TMJ/MICROSURGERY SUPP 1 18 OR - Ortho JOBE SHOULDER INSTR 1 18 OR - Cardiothoracic EXTRA LONG INSTR 1 18 OR - Ortho STRYKER GAMMA 3 DISTAL TARGETING 2 17 OR - UROLOGY BOOKWALTER OBESITY SUPP 1 17 OR - Ortho MENISCAL REPAIR SUPPLEMENT 2 17 OR - Ortho DEBRIS RETAINING REAMER SET 1 16 OR - Vascular CANNON ENDARTERECTOMY 1 16 Out Of Service ACUMED WRIST TOWER TRAY 1-- 1 16 OR - Ortho CHENG BIOPSY TREPHINE SYSTEM 1 16 OR - Ortho MORELAND CEMENT REMOVAL 2 16 OR - General Surgery OMNI-TRACT MINI SET 2 16 OR - Neuro TRANSPHENOIDAL ROTATABLE INST 1 15 OR - DENTAL BASIC DENTAL RETR TRAY 2 15 OR - Ortho MORELAND SUPP 2 15 OR - DENTAL SCREWDRIVER ENT/ORAL/HNP SET 1 15 OR - Cardiothoracic MITRAL VALVE RETR SET 2 15 OR - ENT PE TUBE/EAR ANESTHESIA SUPP 2 15 OR - Neuro JANNETTA DISS INSTR (OLD) 1 15 OR - Neuro ACF DISTRACTOR SET 2 15 OR - Neuro NEURO MICRO SPECIAL SUPP 2 15 OR - UROLOGY STORZ LONG RESECT 26FR VISUAL 2 14 OR - Neuro JANNETTA DISS INSTR (NEW) 1 14 OR - Vascular IN SITU VSC SUPP 2 14 OR - General Surgery THOMPSON SYSTEM-CONNECTORS 1 14 OR - Neuro MEDTRONIC SPINE APT EXTRA INSTR SUPP 1 13 OR - Vascular IMPRA TUNNELING SET 1 13 OR - Ortho HAND/TENDON REPAIR SUPP 2 13 OR - Ortho HIP RETR DEEP 1 12 OR - Vascular VEIN LIGATION SUPP 1 12 OR - ENT MICRO LASER DL FINE INSTR 2 12 OR - General Surgery OMNI-TRACT OBESE BLADES 2 12 OR - Cardiothoracic FINOCHIETTO RETR 1 12 OR - ENT BAHA INSTRUMENTS - Oticon 1 12 OR - Ortho METAL REMOVAL INSTR 2 12 OR - Neuro MEDTRONIC SOLERA TAPS AND DRIVERS 1 12 OR - Ortho RIGHT ANGLE SUPP 2 11 OR - ENT SINUS SUPPLEMENT 1 11 OR - ENT ENT FUSION NAVIGATION SUPP 2 11 OR - Ortho ACUMED BONE GRAFT SYSTEM 2 10 OR - Vascular VSC CHEST SUPP 1 10 OR - UROLOGY KTP/BIOLYTE LASER SHEATH-- 23FR RIGID CYSTO 2 10 OR - Neuro WILLIAMS RETR 1 10 OR - ENT STAPES SUPP 1 10 OR - Ortho BONE TAMP SUPP 2 10 OR - Neuro MEDTRONIC UNIVERSAL DRILL GUIDE 2 10 OR - ENT EAR CARTILAGE KNIFE 2 9 OR - GYN BALFOUR WITH FOURTH ARM 2 9 OR - Ophthy MST MICRO SYSTEM SUPP 2 9 OR - Ophthy EYE SPECULUM SUPP 2 9 OR - Neuro MEDTRONIC NAVLOCK INSTRUMENT SET 2 9 OR - Plastics LIPOSUCTION/FAT INJECTION SET 2 9 OR - ENT EAR SIZERS 2 8 OR - Plastics PLASTIC DILATOR SUPPLEMENT 2 8 OR - Neuro MEDTRONIC SHORT DRILL GUIDE 1 8 OR - Cardiothoracic ANKENEY DEEP RETR TRAY 2 8 OR - Neuro GARDNER WELLS TRACTION 1 8 OR - General Surgery ST MARK'S PELVIC RETRACTORS 2 8 OR - Ortho UNIVERSAL SCREW DRIVER SET 2 8 OR - Neuro UNIV INSTR ADAPTER NAV SUPP 2 8 OR - Cardiothoracic ANEURYSM INSTR SET 1 8 OR - Cardiothoracic ANKENEY STERNAL RETR TRAY 2 7 OR - ENT DERMABRASION HANDPIECE AND BURS 1 7 OR - ENT ENT MEDTRONIC NAV SUPP 1 7 OR - Ortho MITEK ANCHOR SYSTEM 1 7 OR - Neuro KARLIN CURETTES 2 7 OR - Ophthy EXTRA CAPSULAR SUPPLEMENT 2 7 OR - Ortho MAGNUM ELEVATOR/CURETTES 1 7 OR - Plastics PLASTICS SUPERFINE INSTRUMENTS 2 7 OR - ENT STEINER BIPOLAR FCP 2 7 OR - Ortho LINVATEC AWLS 1 7 OR - Cardiothoracic MITRAL VALVE SPECIALS 2 7 OR - Cardiothoracic CHEVY RETR TRAY 2 6 OR - Neuro MEDTRONIC SOLERA ILIAC TAPS 1 6 OR - UROLOGY ROSSELLO DILATORS 8-12FR 2 6 OR - Ortho FEM STEM REMOVAL/TREBAY 2 6 OR - UROLOGY CAVERNOTOME DILATOR SET 2 6 OR - Neuro MEDTRONIC LEGACY TAPS AND DRIVERS 1 6 OR - Ortho ULTRA CUT CURETTE SET 1 6 OR - Neuro CRANIAL MEDTRONIC NAV SUPP 2 6 OR - Cardiothoracic CV SCISS SUPP TRAY 2 5 OR - Cardiothoracic MYECTOMY/IHSS TRAY 2 5 OR - DENTAL DINGMANN ORAL RETRACTORS 2 5 OR - Neuro KERRISON RONGEUR LONG 2 5 OR - ENT EAR SCOPE SUPP 2 5 OR - General Surgery THOMPSON SYSTEM-ARMS 1 5 OR - Plastics MESHGRAFT II DERMATOME 2 5 OR - Cardiothoracic NATHANSON LIVER RETRACTOR 1 5 APPENDIX B: Routine Sets: Appendix B: Preventative Maintenance Schedule May be removed from site for up to 7 DAYs Service Container Name Number Of Set Inst OR - Cardiothoracic ZIMMER HALL STERNAL SAW 4 7 OR - General Surgery NECK RETR/BONE SUPP 3 33 OR - Ophthy CORNEAL TRANSPLANT SUPP 3 36 OR - Cardiothoracic COLLINS STERNAL 3 IN BLADE 4 4 OR - GYN KAHN UTERINE CANNULA 4 11 OR - Cardiothoracic COOLEY MITRAL LT/RT 3 2 OR - UROLOGY PCNL SUPP 5 13 OR - General Surgery COMMON BILE DUCT SUPP 3 18 OR - General Surgery ABD DEEP RETR SUPP 6 12 OR - Ortho COBB ELEVATOR SUPP 4 5 OR - ENT ESOPHAGOSCOPY SET 3 27 OR - ENT HARMONIC SCALPEL FOCUS 4 3 OR - General Surgery SHORT FOOT BALFOUR 4 6 OR - Ortho DEPUY FL OSTEOTOME NEW SET 3 3 OR - UROLOGY URETHROPLASTY SUPP 3 8 OR - Cardiothoracic POST OP BLEED/REWIRE 3 123 OR - Cardiothoracic RIB SUPPLEMENT 4 20 OR - Ophthy SCLERAL BUCKLE SET 3 8 OR - Neuro BURR HOLE INSTRUMENTS 3 80 OR - UROLOGY STORZ RESECT 24FR SUPP 3 4 OR - ENT MICRO DL SCISSOR SUPP 3 5 OR - Cardiothoracic T-BAR STERNAL RETRACTOR 4 19 OR - UROLOGY HANDPIECE-SHOCK PULSE LITHO 4 2 OR - Neuro NEURO MICRO SCISSORS 3 8 OR - Neuro FREE FLAP SUPP 3 73 OR - UROLOGY GU SUPPLEMENT 4 32 OR - UROLOGY PIRAHNA INSTRUMENTS 3 3 OR - UROLOGY STORZ PERC/NEPH 25CM 3 17 OR - Ortho STRYKER F1 MICRO SYST. 5 15 OR - General Surgery BOWEL/GASTRIC SUPP 6 20 OR - ENT TRACH BIOPSY SET 7 64 OR - UROLOGY HOLEP INSTRUMENTS 3 35 OR - ENT HARMONIC SCALPEL 5 5 OR - Vascular TOE AMP SUPP 4 8 OR - Ortho ARTHREX BIO-TENODESIS INST SET 3 19 OR - ENT STRYKER P DRILL 8 5 OR - General Surgery ABD DEEP INSTR SUPP 6 28 OR - Vascular VSC TX MAJOR RETR. SET 4 19 OR - UROLOGY STORZ STONE CRUSHING FCP 3 3 OR - Ophthy HANDLE, MST DUET FCP 3 3 OR - Cardiothoracic CHEST MAJOR 4 51 OR - Ortho FEMUR HOOK AND RAIL LT 3 5 OR - Vascular ABD VSC SUPP 6 34 OR - Cardiothoracic MEDIASTINOSCOPY SET 4 45 OR - UROLOGY DOUBLE HORN BRIDGE 4 7 OR - Vascular VSC TX MAJOR SET 5 110 OR - Cardiothoracic REDO HEART PAN 3 7 OR - Ophthy DSEK INSTRUMENT SET 4 36 OR - Plastics PADGETT ELECT DERMATOME 5 9 OR - Ortho BRUN ANG/STR CURETTES 4 10 OR - Ophthy TRABECULECTOMY SET 3 28 OR - GYN LAVH (D&C) SET 4 47 OR - Cardiothoracic MITRAL VALVE SUPP 3 61 OR - Ortho LANGENBECK RETR SUPP 6 7 OR - Laparoscopic LAP BULLDOG CLAMP SUPP 3 5 OR - Ortho FEMUR HOOK AND RAIL RT 3 5 OR - UROLOGY MENTOR INFLATABLE P.P. 4 76 OR - ENT ADENOID/TONSILLECTOMY SET 3 30 OR - Ophthy RESIGHT TRAY 6 9 OR - Neuro CRANI TRAY 4 121 OR - Vascular CAROTID VSC SUPP 4 14 OR - Ophthy RETINAL INSTR TRAY 6 31 OR - ENT TRACH/LARYNGEAL INJECTION 3 2 OR - Ortho SCREWDRIVER SUPP 3 12 OR - Ortho BONE HOLDING FCP 3 21 OR - Ortho HAND OSTEOTOME SET 3 12 OR - Neuro BECKMAN RETR SUPP 4 5 OR - UROLOGY HOLMIUM LASER GUIDE 3 2 OR - Ortho RONGEUR SUPP 4 6 OR - ENT MICRO/LASER ENT STORZ 3 52 OR - Vascular VSC HENLEY RETR SET 3 12 OR - UROLOGY BOOKWALTER RETR ARM KIT 12in 4 5 OR - UROLOGY BOOKWALTER RETR BLADE SUPP 4 28 OR - ENT DIRECT LARYNGOSCOPY TELE SUPP 4 9 OR - Neuro RONGEUR KERRISON 1 MM 4 2 OR - Plastics PLASTIC MICRO VASCULAR SET 3 31 OR - Ortho HAND BONE SUPP 4 22 OR - Vascular VSC DIALYSIS ACCESS SET 3 91 OR - Vascular AMPUTATION SET 4 103 OR - Cardiothoracic AORTIC VALVE SUPP 3 54 OR - Plastics MINOR PLASTIC 3 59 OR - Ophthy BASIC EYE/PLASTIC SET 5 55 OR - ENT ENT EAR PICK TRAY SUPP 3 21 OR - ENT ENT EAR SET 3 78 OR - Plastics PLASTIC SET 6 97 OR - Cardiothoracic COLLINS RETR 5 7 OR - UROLOGY RECTAL BASIC 6 74 OR - Ortho DRILL BIT SET 7 10 OR - Cardiothoracic HEART LEG PAN 7 20 OR - Neuro NEURO KERRISON SUPP 3 4 OR - Cardiothoracic IMA INSTRUMENT SUPP 6 8 OR - Neuro MIDAS REX LEGEND ELECTRIC SET 9 7 OR - Cardiothoracic CHEST MINOR 4 94 OR - Cardiothoracic REVASCULARIZATION PAN 8 45 OR - Cardiothoracic PACEMAKER TRAY 6 30 OR - General Surgery NECK SET 5 119 OR - UROLOGY VASECTOMY/CIRCUMCISION SET 4 43 OR - Ortho ORTHO MINOR SET 5 74 OR - Neuro MCCULLOCH RETR SET 4 37 OR - Cardiothoracic BASIC HEART SET 2- 7 69 OR - Cardiothoracic BASIC HEART SET 1- 7 122 OR - General Surgery MAJOR SET 8 99 OR - Cardiothoracic CONMED STERNAL HALL SAW 6 6 OR - Ophthy MST SPECIALTY SUPP 8 3 OR - Cardiothoracic HEART CONTAINER SET 6 5 OR - Cardiothoracic VATS SPECIALS 3 47 OR - Ortho ARTHREX SHOULDER REPAIR SET 4 35 OR - Cardiothoracic BUGGE RETR 4 3 OR - Vascular ACCESS/MINOR VSC SUPP 8 30 OR - Ortho ARTHREX SHAVER COMBO 6 14 OR - Ortho HIP RETR SUPP 6 29 OR - Ortho SHOULDER INSTRUMENTS 3 77 OR - Ortho SHOULDER RETRACTORS 3 37 OR - General Surgery MAJOR RETR SUPP 8 20 OR - Ortho KNEE RETRACTOR SUPP 6 21 OR - ENT ENT STEALTH SHAVER 4 1 OR - Ortho ARTHROSCOPY INSTR SET 5 34 OR - ENT SEPTO/RHINOPLASTY TRAY 4 79 OR - Vascular VSC TX MINOR SET 8 105 OR - Ortho OSTEO STR/CVD RACK 12 14 OR - Ortho ORTHO MAJOR SET 11 75 OR - Ortho UNIVERSAL HIP RETRACTOR TRAY 4 18 OR - Ortho HAND TRAY 4 72 OR - Laparoscopic LAP INSTRUMENTS 10 55 OR - Neuro RUGGLES CURETTE SET 4 23 OR - Cardiothoracic ESTECH SET 3 12 OR - UROLOGY TUR SET 6 9 OR - General Surgery MINOR SET 18 73 OR - Neuro LAMINECTOMY B- 3 22 OR - Neuro LAMINECTOMY A- 3 66 OR - Ortho STRYKER ELECT CORE SYSTEM 5 17 OR - UROLOGY STORZ RESECT 26FR VISUAL 5 11 OR - Ortho STRYKER SYSTEM 8 10 14 OR - Podiatry FOOT AND ANKLE SET 5 80 OR - UROLOGY STORZ CYSTO RIGID SET 22FR 9 15 OR - Ophthy CATARACT INSTRUMENTS 21 39