The Naval Medical Logistics Command (NMLC) intends to award a sole source contract pursuant to FAR part 13.5 procedures to Iron Bow Technologies, LLC, for information systems, telemedicine videoconferences carts and telemedicine warranties/licenses for new and existing telemedicine systems in support of CONUS and OCONUS Navy Medical Treatment Facilities (MTFs).

1. Basic Virtual Health Carts (CAS CART). These systems shall include the following:

• An examination station/cart with a computer, SX20 Codec camera, pan-tilt-zoom (PTZ) camera, microphone, and speakers. The cart shall include at least one (1) 22-inch and one (1) 27-inch 1080 pixel (p) high-definition (HD) monitors that have independent electric height adjustment and at least 120º of vertical axis rotation. One (1) monitor shall have an articulating mount to allow for transportation through narrow doorways (folding into the center axis of the cart to protect the screen). The cart shall include an anti-microbial work surface, an integrated waterproof and dust-proof keyboard, powered hydraulic locking storage bins, and device holders for the exam camera and stethoscope. The cart shall have a useable working surface area of at least 320 in2 and the tabletop shall adjust to a height of at least 42 inches. The cart shall be held in place by dual locking casters and shall have electronic, hydraulic-locking compartments that are customized to hold the handheld body examination camera. The cart shall include an integrated computer system. The cart shall have a retractable power cable and reel. Battery life shall last at least 8 hours with typical use with an AC input voltage range of 90-220 V DC. The system shall be a U.S. Food and Drug Administration (FDA) FDA Class I registered device. The cart shall contain a managed switch authorized to connect to the Defense Health Agency (DHA) network.
• Two (2) handheld body examination cameras. Each camera shall have a complementary metal oxide semiconductor (CMOS) sensor, resolution of at least 720p, 1 megapixel still image capture, freeze frame, auto color balance, and light intensity control functions. The cameras shall include accessories for a tongue depressor, dermatology hood, and variable polarizing hood to eliminate glare. The cameras shall have a minimum focal range of 45 mm. The cameras shall include an otoscope module with light-emitting diode (LED) lights to control variable intensity settings. The otoscope module shall be compatible with Welch Allyn Universal Otoscope Specula.
• An electronic stethoscope chest piece with a coiled cable connectible to the computer. The stethoscope shall come with software to offer Bell mode, Diaphragm mode, and Extended Range Stethoscope filters. The software shall allow remote users to listen with a standard headset and connect to the DHA-fielded stethoscope/software server.
• A vital signs monitoring device to record peripheral capillary oxygen saturation (SpO2), pulse rate, and body temperature. The vital signs monitor shall determine the body temperature within five (5) seconds. The system shall wirelessly integrate live vital signs into the telemedicine cart software.
• The following minimum consumable supplies to enable rapid use: 850 disposable otoscope specula and 300 dermatology collars.
• A minimum of two (2) days of onsite training and configuration for the cart (hardware, software, support, troubleshooting, and maintenance).
• Software and hardware licenses to provide connectivity to the DHA fielded infrastructure. The systems shall include a minimum of one (1) year of warranty support (24 hours, 7 days a week (24/7) access via email and phone) for the comprehensive case as delivered (e.g., all software, peripherals, codec, computer, and case). Operating system support will be provided by the Government.

2. Virutal Health Cart with Audiology (CAS Audiology). New, remote diagnostic audiology services for occupational and hearing conservation support for individuals in Service-mandated hazardous noise safety programs. These systems shall include the following:
• The systems shall include an examination station/cart with a computer, SX20 Codec camera, PTZ camera, microphone, and speakers. The cart shall include at least one (1) 22-inch and one (1) 27-inch 1080p HD monitors that have independent electric height adjustment and at least 120º of vertical axis rotation. One (1) monitor shall have an articulating mount to allow for transportation through narrow doorways (folding into the center axis of the cart to protect the screen). The cart shall include an anti-microbial work surface, an integrated waterproof and dust-proof keyboard, powered hydraulic locking storage bins, and device holders for the exam camera and stethoscope. The cart shall have a useable working surface area of at least 320 in2 and the tabletop shall adjust to a height of at least 42 inches. The cart shall be held in place by dual locking casters and shall have electronic, hydraulic-locking compartments that are customized to hold the handheld body examination camera. The cart shall include an integrated computer system. The cart shall have a retractable power cable and reel. Battery life shall last at least 8 hours with typical use with an AC input voltage range of 90-220 V DC. The system shall be an FDA Class I registered device. The cart shall contain a managed switch authorized to connect to the DHA network.
• The systems shall include two (2) handheld body examination cameras. Each camera shall have a CMOS sensor, resolution of at least 720p, 1 megapixel still image capture, freeze frame, auto color balance, and light intensity control functions. The cameras shall include accessories for a tongue depressor, dermatology hood, and variable polarizing hood to eliminate glare. The camera shall have a minimum focal range of 45 mm. The cameras shall include an otoscope module with LED lights to control variable intensity settings. The otoscope module shall be compatible with Welch Allyn Universal Otoscope Specula.
• The systems shall include an electronic stethoscope chest piece with a coiled cable connectible to the computer. The stethoscope shall come with software to offer Bell mode, Diaphragm mode, and Extended Range Stethoscope filters. The software shall allow remote users to listen with a standard headset and connect to the DHA-fielded stethoscope/software server.
• The systems shall include a vital signs monitoring device to record peripheral capillary SpO2, pulse rate, and body temperature. The vital signs monitor shall determine the body temperature within 5 seconds. The system shall wirelessly integrate live vital signs into the telemedicine cart software.
• The systems shall include software authorized to connect to the DHA network with SmartCard reader.
• The systems shall measure Distortion Product Otoacoustic Emissions (DPOAEs). The systems shall measure five (5) frequencies with a minimum stimulus range of 500-10000 Hz, a minimum frequency step of 1 Hz, a minimum level of 0-75 dB of sound pressure level (SPL) (dependent on frequency), and a minimum level step of 1 dB. The systems shall have a minimum recording acquisition time of 204.27ms, a minimum A/D resolution of 16 bit, preprogrammed and user defined protocols, and a choice of chirp or optimized in situ calibration.
• The systems shall include audiometer ergonomic probes for diagnostic and clinical testing with auto tympanometry. The systems shall include PC-based diagnostic tympanometry at 226 Hz with reflex screening/threshold/decay (both ipsi- and contra-lateral) and Eustachian Tube Function (ETF). The systems shall integrate into the PC with The Hearing Instrument Manufacturers' Software Association (HIMSA) Noah software compatibility. The systems shall conduct bone conduction, include two (2) high definition headsets, and have cleanable audiometer surfaces.
• The systems shall include a Cisco SX20 VTC codec camera, remote microphone, 4 x zoom pan/tilt/zoom camera, and at least a 28" diagonal liquid-crystal display (LCD) monitor on a desktop mount with articulating arm. The following items shall be included: DVI to HDMI cable, DVI to VGA cable, power cord, power supply, and a camera breakout cable to RJ45 and HDMI (both Female). The systems shall include one (1) year of extended warranty. The systems shall be configured to DoD/DISA specifications and interoperable with the DHA Video Networking Center infrastructure, registration and expressways. The systems shall include an audiology tabletop for efficient hardware mounting.
• The systems shall include a minimum of 300 dermatology collars; Eartip size 3A/Standard bag of 50 (qty 8); Eartip size 3B/small bag of 50 (qty 2); Eartip size 3A/Jumbo bag of 24 (qty 4); Otoflex tips Size 11 (blue) Bag of 100 (qty 2); Otoflex tips: Size 12 (green) bag of 100 (qty 2); Otoflex tips: Size 13 (yellow) bag of 100 (qty 4); Otoflex tips Size 14 (red) bag of 100 (qty 4); Otoflex tips: Size 16 (green) bag of 100 (qty 2); otoscope Specula Adult 4.25mm, Otoscope (Box of 850).
• The systems shall include a minimum of two (2) days of onsite audiology training and configuration for the audiology system (hardware, software, support, troubleshooting, site maintenance). The systems shall include a minimum of two (2) days of onsite VH cart and non-audiology training and configuration for the basic cart (hardware, software, support, troubleshooting, and maintenance).
• The systems shall include software and hardware licenses to provide connectivity to the DHA fielded infrastructure. One year of warranty support (24/7 email and phone) for the comprehensive case as delivered (e.g., all software, peripherals, codec, computer, and case). Operating system support will be provided by the Government.

3. Audiology Desktop. Audiology desktop system to provide remote diagnostic audiology services for occupational and hearing conservation support for individuals in Service-mandated hazardouse noise safety programs. These systems shall include the following:
• The systems shall include a computer and software authorized to connect to the DHA network with SmartCard reader.
• The systems shall include one (1) handheld body examination camera with a CMOS sensor, resolution of at least 720p, 1 megapixel still image capture, freeze frame, auto color balance, and light intensity control functions. The cameras shall include accessories for a tongue depressor. The cameras shall have a minimum focal range of 45 mm. The cameras shall include an otoscope module with LED lights to control variable intensity settings. The otoscope modules shall be compatible with Welch Allyn Universal Otoscope Specula.
• The systems shall measure DPOAEs. The systems shall measure five (5) frequencies with a minimum stimulus range of 500-10000 Hz, a minimum frequency step of 1 Hz, a minimum level of 0-75 dB of sound pressure level (SPL) (dependent on frequency), and a minimum level step of 1 dB. The systems shall have a minimum recording acquisition time of 204.27ms, a minimum A/D resolution of 16 bit, preprogrammed and user defined protocols, and a choice of chirp or optimized in situ calibration.
• The systems sh all include audiometer ergonomic probes for diagnostic and clinical testing with auto tympanometry. The systems shall include personal computer (PC)-based diagnostic tympanometry at 226 Hz with reflex screening/threshold/decay (both ipsi- and contra-lateral) and ETF. The systems shall integrate into the PC with HIMSA Noah software compatibility. The systems shall conduct bone conduction, include two (2) high definition headsets, and have cleanable audiometer surfaces.
• The systems shall include a Cisco SX20 VTC codec camera, remote microphone, 4 x zoom pan/tilt/zoom camera, and at least a 28" diagonal liquid-crystal display (LCD) monitor on a desktop mount with articulating arm. The following items shall be included: DVI to HDMI cable, DVI to VGA cable, power cord, power supply, and a camera breakout cable to RJ45 and HDMI (both Female). The systems shall include one (1) year of extended warranty. The systems shall be configured to DoD/DISA specifications and interoperable with the DHA Video Networking Center infrastructure, registration and expressways. The systems shall include an audiology tabletop for efficient hardware mounting.
• The systems shall include the following consumables: Eartip size 3A/Standard bag of 50 (qty 8); Eartip size 3B/small bag of 50 (qty 2); Eartip size 3A/Jumbo bag of 24 (qty 4); Otoflex tips Size 11 (blue) Bag of 100 (qty 2); Otoflex tips: Size 12 (green) bag of 100 (qty 2); Otoflex tips: Size 13 (yellow) bag of 100 (qty 4); Otoflex tips Size 14 (red) bag of 100 (qty 4); Otoflex tips: Size 16 (green) bag of 100 (qty 2); otoscope Specula Adult 4.25mm, Otoscope (Box of 850).
• The systems shall include a minimum of two (2) days of onsite and configuration for the system (hardware, software, support, troubleshooting, and maintenance).
• The systems shall include software and hardware licenses to provide connectivity to the DHA fielded infrastructure. One(1) year of warranty support (24/7 email and phone) for the comprehensive case as delivered (e.g., all software, peripherals, codec, computer, and case). Operating system support will be provided by the Government.

4. Audiology (Retrofit). Retrofitting of existing virtual audiology capability at the MTF - switching from cart-based to desktop-based. The systems will provide remote diagnostic support for individuals in Service-mandated hazardous noise safety programs. The systems shall include the following:
• The systems shall include a computer and software authorized to connect to the DHA network.
• The systems shall include one (1) handheld body examination camera with a CMOS sensor, resolution of at least 720p, 1 megapixel still image capture, freeze frame, auto color balance, and light intensity control functions. The cameras shall include accessories for a tongue depressor. The cameras shall have a minimum focal range of 45 mm. The cameras shall include an otoscope module with LED lights to control variable intensity settings. The otoscope modules shall be compatible with Welch Allyn Universal Otoscope Specula.
• The systems shall measure DPOAEs. The systems shall measure five (5) frequencies with a minimum stimulus range of 500-10000 Hz, a minimum frequency step of 1 Hz, a minimum level of 0-75 dB of SPL (dependent on frequency), and a minimum level step of 1 dB. The systems shall have a minimum recording acquisition time of 204.27ms, a minimum A/D resolution of 16 bit, preprogrammed and user defined protocols, and a choice of chirp or optimized in situ calibration.
• The systems shall include audiometer ergonomic probes for diagnostic and clinical testing with auto tympanometry. The systems shall include PC-based diagnostic tympanometry at 226 Hz with reflex screening/threshold/decay (both ipsi- and contra-lateral) and ETF. The systems shall integrate into the PC with HIMSA Noah software compatibility. The systems shall conduct bone conduction, include two (2) high definition headsets, and have cleanable audiometer surfaces.
• The systems shall include a Cisco SX20 VTC codec camera, remote microphone, 4 x zoom pan/tilt/zoom camera, and at least a 28" diagonal liquid-crystal display (LCD) monitor on a desktop mount with articulating arm. The following items shall be included: DVI to HDMI cable, DVI to VGA cable, power cord, power supply, and a camera breakout cable to RJ45 and HDMI (both Female). The system shall include one (1) year of extended warranty. The systems shall be configured to DoD/DISA specifications and interoperable with the DHA Video Networking Center infrastructure, registration and expressways. The systems shall include an audiology tabletop for efficient hardware mounting.
• The systems shall include the following consumables: Eartip size 3A/Standard bag of 50 (qty 8); Eartip size 3B/small bag of 50 (qty 2); Eartip size 3A/Jumbo bag of 24 (qty 4); Otoflex tips Size 11 (blue) Bag of 100 (qty 2); Otoflex tips: Size 12 (green) bag of 100 (qty 2); Otoflex tips: Size 13 (yellow) bag of 100 (qty 4); Otoflex tips Size 14 (red) bag of 100 (qty 4); Otoflex tips: Size 16 (green) bag of 100 (qty 2); otoscope Specula Adult 4.25mm, Otoscope (Box of 850).
• The systems shall include software and hardware licenses to provide connectivity to the DHA fielded infrastructure. The systems shall include one (1) year of warranty support (24/7 email and phone) for the comprehensive case as delivered (e.g., all software, peripherals, codec, computer, and case). Operating system support will be provided by the Government.

5. Virtual Health Transportable Kits (TES MAX). The portable telemedine units shall include the following:

• The portable telemedicine units shall be under 40 pounds, encased in a water-resistant, padded, rugged, wheeled case with retractable handle. The units shall contain a wireless ruggedized touchscreen tablet computer (not less than 11 inches diagonal), Windows 10 operating system, keyboard with sliding tray, built-in 4G network card, battery, four (4) USB 3.0 ports, and Ethernet port. The units shall include a portable solar panel, backpack harness, USB web camera on armature, device holder, one (1) HDMI video output port, and one (1) Total Exam 3 camera w/auto focus otoscope head and variable polarizing hood. The units shall include a USB chest piece (stethoscope), electrocardiogram, total vitals with blood pressure, SpO2, temperature, glucometer, horus ophthalmoscope, horus camera handle, charger, backpack harness, and noise-canceling high definition headphones.
• The systems shall include the following minimum consumable supplies to enable rapid use: 850 disposable otoscope specula, 100 disposable electrocardiogram electrodes, and 300 dermatology collars.
• The systems shall include two (2) days of onsite training and configuration for the kit (hardware, software, support, troubleshooting, and site maintenance).
• The systems shall include software and hardware licenses to provide connectivity to the DHA fielded infrastructure. The system shall include one (1) year of warranty support (24/7 email and phone) for the comprehensive case as delivered (e.g., all software, peripherals, codec, computer, and case). Operating system support will be provided by the Government. The systems shall include extended warranty and technical support coverage for four (4) additional years (five years total) (to include device replacement).

6. Virtual Health Support Kits (Support Kits). The kits shall include the following:

• The support kits shall include a Cisco Catalyst 3560CX Series compact switch. The switch shall support a minimum of eight (8) gigabit Ethernet connections and have a compact footprint allowing it to fit in the base of a previously purchased GlobalMed Clinical Access Station located at the MTF. The switch shall be quiet and fan-less.
• The Support kits shall also include one (1) handheld body examination camera body with a CMOS sensor, resolution of at least 720p, 1 megapixel still image capture, freeze frame, auto color balance, and light intensity control functions. The devices shall be compatible with the previously purchased GlobalMed Clinical Access Station and the TotalExam 3 Camera lens, variable polarizing lens, and otoscope head located at the MTF. All devices must be compliant with the DHA and Defense Information Systems Agency (DISA) standards.
• The systems shall not include training due to previously purchased training.
• The systems shall include software and hardware licenses to provide connectivity to the DHA fielded infrastructure. The systems shall include one (1) year of warranty support (24/7 email and phone) for the comprehensive case as delivered (e.g., all software, peripherals, codec, computer, and case).

7. Extended warranties/licenses for new telemedicine systems. The extended warranties/licenses shall be for four (4) one-year option periods. The base year extended warranties/licenses are included with the purchase of the equipment.

8. Extended warranties/licenses for existing telemedicine systems. The extended warranties/licenses shall be for the one (1) base year and four (4) one-year option periods. The extended warranties/licenses shall include the following:
• Extended Warranty and Licensing. The extended warranty and licensure shall be for previously purchased GlobalMed Clinical Access Stations (FY2017 and FY2018 purchases). The warranty and licensure shall include 8 hours per day x 5 days/week (8/5) extended service (minimum) agreement with item replacement. Next business day response minimum. Methods includes phone, email, online knowledgebase support. Includes updates of firmware/software. Covers VTC integrated codec and peripherals.

o Licensure and extended support (to include replacement) for the following devices and software is required:
 Maintenance and support - Includes 24 Hour parts replacement after phone diagnosis, 24/7 technical support for GlobalMed Clinical Access Station TotalExam 3 camera w/ Auto Focus, Otoscope Heads and Variable Polaris
 Maintenance and support - Includes 24 Hour parts replacement after phone diagnosis, 24/7 technical support for GlobalMed Clinical Access Station GlobalMed TotalVital Signs Monitor
 GlobalMed eNcounter DHA approved version 1yr license clinician side
 GlobalMed eNcounter Vital Signs Module 1 yr station
 GlobalMed eNcounter ClearSteth Module 1yr station
 GlobalMed eNcounter TotalECG Module 1yr station
 GlobalMed eNcounter DHA approved version 1yr Station License
 Cisco extended service support with 8/5 x next business day for SX20 Quick Set HD, w/NPP, 4x PHD camera,1 microphone RC for integrated codec/camera/mic. Must support multi-party communications.

• Audiology Extended Warranty and Licensing. The extended warranty and licensure shall be for previously purchased GlobalMed Clinical Access Stations audiology capability (FY2017 purchases). The warranty and licensure shall include 8 hours per day x 5 days/week extended service (minimum) agreement with replacement. Next business day response minimum. Methods includes phone, email, online knowledgebase support. Includes updates firmware/software. Covers codec and peripherals.

o Licensure and extended support (to include replacement) for the following devices and software is required:

 Extended warranty, maintenance and support for GlobalMed Clinical Access Station GN Aurical Probe Microphone Measurement with HiPro - Includes 24 Hour Parts Replacement After Phone Diagnosis, 24/7 Technical Support
 Extended warranty, maintenance and support for GlobalMed Clinical Access Station GN Astera with HiFreq - Includes 24 Hour Parts Replacement After Phone Diagnosis, 24/7 Technical Support
 Extended warranty, maintenance and support for GlobalMed Clinical Access Station GN OtoFlex diagnostic - Includes 24 Hour Parts Replacement After Phone Diagnosis, 24/7 Technical Support
 Extended warranty, maintenance and support for GlobalMed Clinical Access Station Audiology Integration Kit - Includes 24 Hour Parts Replacement After Phone Diagnosis, 24/7 Technical Support

Vendor shall be an Original Equipment Manufacturer (OEM) authorized dealer, authorized distributor, or authorized reseller for the proposed equipment/system, such that OEM warranty and service are provided and maintained by the OEM. All software licensing, warranty, and service associated with the equipment/system shall be in accordance with the OEM terms and conditions. All devices and components shall be new and under manufacturers' warranty. Refurbished materials are not suitable for the intended use.

All electronic devices shall be approved to connect to and operate on the Defense Health Agency network (e.g., on the Defense Information Systems Agency Authorized Products List, have a Rapid Authority to Operate or Authority to Operate). In cases where multiple versions/configurations of a product are offered, the vendor shall deliver the configuration approved for the Department of Defense (DoD)/DHA network. All personal computers shall be delivered with the computer OEM's trusted platform module upgraded/at version 2.0. All software and licensing shall support the MTF reimaging the device without a restriction on number of license installs or licenses activated (on same device). The software shall integrate and exchange data with the DHA, Army, Navy, and Navy currently fielded virtual health care infrastructure (GlobalMed eNcounter and Cisco VTC). The vendor shall provide shipping and tracking information within 24 hours of shipment to allow MTF receipt preparedness. Contracted training and support individuals shall meet base access requirements, which may vary by site. The Government POC shall provide the site specific details during coordination.
The estimated period of performance is September 2019 - September 2024.

This notice of intent is not a request for competitive proposals and no solicitation document exists for the requirement. Sources interested in responding to this notice are required to submit a capability statement that includes management and technical data and cost information, in sufficient detail and with convincing evidence that clearly demonstrates the capability to perform the required work. Capability statements shall not exceed 5 (8.5 x 11 inch) pages using a font size no smaller than 10-point. All capability statements received by the due date of this notice will be considered by the Government. A request for documentation or additional information or submissions that only ask questions will not be considered as an affirmative response. A determination by the Government not to compete based on responses to this notice is solely within the discretion of the Government. Information received will be considered solely for the purpose of determining whether to conduct a competitive procurement or to proceed with a sole source contract.

Capability statements are due by 2:00 PM Local Time, August 01, 2019. Capability statements shall be submitted by e-mail ONLY as a Microsoft Word or Adobe PDF attachment to the following address: [email protected].