J066--VHA Minneapolis Health Care System Surgical Instrument Maintenance and Repair Sources Sought

Active

Contract Opportunity

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: Jeffrey.Brown8@va.gov 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.
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*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.Â
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

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