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Source Justification Data
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General Information
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Requesting Agency:
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Department of Health
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Commodity Specialist Reviewer:
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Cheryl Barth-Taylor
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Material or Service:
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Materials: Two Otodynamics Otocheck ABR Screener Packages. Each package includes: 1 Otodynamics Otocheck ABR Screener, 1 UGS TEOAE probe, 1 probe pouch, 1 probe cable clip, 1 TEOAE sample box of 125 tips, 1cc test cavity, 1 ABR test cavity, 1 electrode cable lead (1m), 1 electrode cable lead (2mm), 1 starter pack of AMBU electrodes, 1 tube of skin prep gel, cotton wool pads, 1 USB download cable, 1 infection control sleeve, 1 ABR desktop stand/crib hook, 1 compact wired Otoport charger, Otolink PC software and user documentation.
Four Ambu Electrodes packs - pack of 25 (also includes one tube of NuPrep and one pack of cotton balls).
Four Otodynamics Otocheck TEOAE Screener Standard Packages. Each package includes: 1 Otodynamics Otocheck TEOAE Screener, 1 probe; Otolink PC software; 1 download cable; manuals; 1 consumables starter pack ( including box of probe tips); 1 charging cradle; 1 carry bag for both Otoport screener and standard accessories.
5 Otodynamics UGS TEOAE Probes (includes 5 replacement couplers, 5 replacement plastic probe bodies, 5 replacement plastic caps).
30 Spare Coupler Tubes packages for Transient Probes-(10 couplets per each package).
30 Transient Eartips 3mm-100/per package.
30 Transient Eartips 4.5mm-100/per package.
30 Transient Eartips 5.5mm-100/per package.
23 Infection Control Sleeve packages (10 sleeves in each package).
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E-mail:
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cbarthtayl@pa.gov
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Proposed Supplier:
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E3 Diagnostics, DBA Midatlantic Technologies Group
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Request Type(s):
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Single Source (Material/Repair/Maintenance)
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Description:
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Two Otodynamics Otocheck ABR Screener Packages and related testing supplies; four Otodynamics Otocheck TEOAE Screener Standard Packages and related testing supplies; delivery of all equipment and supplies to the Department of Health, Harrisburg; and, onsite training at locations throughout Central, North East and South East Pennsylvania by an audiologist licensed to practice in Pennsylvania.
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Date Submitted:
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11/18/2015
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Review Information
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ID:
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26183
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Review End Date:
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11/24/15
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Approval Status:
Submitted: 11/18/2015
Accepted: 11/18/2015
Approved by Commodity Specialist 11/24/2015
Approved by Chief Procurement Officer 11/24/2015
Approved by Sole Source Coordinator 02/01/2016
Material or service MUST be compatible with existing equipment
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Approval/Disapproval Date:
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Execution Date:
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01/28/16
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