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SIEMENS
Siemens Medical Solut ions USA, Inc. 51 Valley Stream Parkway, Ma lvern PA 19355 VA ANN ARBOR 506
2215 FULLER ROAD ANN ARBOR, Ml 48105 Quote#
T/i
PROPOSAL REFERENC E Proposal: 1-C7Y4XV Da te: 11/18/
3//i
2008
1-C9GCMT Revision 6
Quote Name
Artis zee ceiling
Terms of Payment 00% Down, 80% Delivery, 20% Installation
Defense Supply Center Philadelphia terms and condions app ly to system
FOB: Destination
RELEVANT Items for Qu ote #1-C9GCMT Revision 6 (Included in Contract Total> Qty Part # Description Extended Net Price
Artis zee ceiling
Artis ZEE Ceiling ANGlO Detector System Universal, ceiling-mounted C-arm angiography system . Fully digital imaging cha resolution flat detector. 100 in with highkW angio RE generator. DR acquisition module, pul DSA acquisition module; DV sed fluoroscopy; D/CD writer. Integrated Mu ltispace T with motorize DICOM connectivity; syngo d stand rot user interface; prepared for Siemens Remote Servic SRSTM ation. System configuration e ,
The universal single-plane C-arm system for digital sub traction acquisition is des requirements of modern ang igned to meet the iography and intervention al procedures. High flexibility and fast pos itioning: up to 5 programm ed work positions and add defined work positions. itional 50 user-
14407147
One single joystick for pat ient angle oriented operat ion of gantry, C-arm and ACCEPTANCE ON FIRST PAG flat detector E INCLUDES ALL
FOLLOWING PAGES AS SPECIFIED ABOVE
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SIEMENS
Siemens Medical Solution s USA, Inc.
51 Valley Stream Parkway, Ma lvern PA 19355 VA ANN ARBOR 506
I
2215 FULLER ROAD ANN ARBOR, Ml 48105
Proposal: 1-C7Y4XV Dat e: 11/18/2008
PROPOSAL REFERENCE
RELEVANT Items for Qu ote #1-C9GCMT Revision 6 (Included in Contract To tal) Qty Part # Description movements. Integrated, computer-aided collision monitoring IC P (In telligent Collision Protec tion). C-arm ceiling-mounted sta nd: System cable outlet at the ceiling carriage, on the pat ients left side. C-arm positioning 00 to the head end side and variable up to 135 to the left and the patient longitudinal axi right side along s. Extended Net Price
Double oblique projections of 10O in orbital movement s and up to 330 (+180 movements (depending on /-150) in rotational gantry positioning and pat ient size>. Variable C-arm speeds up to 25/s. Variable source-to-flat-dete ctor distance between 35 inches /90 cm and 47 inc hesll2O cm. lsocenter-floor distance 42 inches/i 08 cm.
Integrated Multispace T: With motorized gantry rotatio n ( 135) for free positio ning of system and table, access. for optim urn patient Orthogonal system contro l, referring to patient longitu dinal axis. InFocus function to maintain projection during gantry rot ation. InFocus saves tim because the C-arm can be e and dose positioned in a flexible wa y without any impact on the image display. Iso-tilt function to maintain projection during table tilt in longitudinal direction (de pending on table
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SIEMENS
Siemens Medical So lutions USA, Inc.
51 Valley Stream Parkway, Malvern PA 19355 VA ANN ARBOR 506 2215 FULLER ROAD ANN ARBOR, MI 4810 5
PROPOSAL REFERENC E [Proposal:l-C7Y4XV Date: 11/18/2008
RELEVANT Items for Quote #1-C9GCMT Re vision 6 (Included in Co ntract Total> Qty Part # Description
type).
Extended Net Price
Operation An ideal workflow requir es full user operation cap abilities under sterile con way the user is able to op ditions at tableside. Th erate the system by him at self without the need of room. The intuitive tables leaving the examinatio ide operating elements n allow for managing the preparation of the patient whole process from to image post processi ng in a simple and time efficient way. In the examination room: Complete system operatio n through modular contro l elements directly at the controlling C-arm rotation patient table for and longitudinal travel as well as C-arm moveme multifleaf collimator. Touc nts, patient table and hscreen operation using multi-functional joystick imaging system, including for operation of the post-processing and qua ntification as well as sel programs. ection of the organ
In the control room: Standard Siemens syngo control via keyboard and mouse for all imaging sy image post-processing, storing and configuring stem functions such as of organ programs. Data display
Large-format flat scree n color display integrat ed in the display sus pe and table geometry, sy nsion system for displa stem messages and do y of unit se data with CAREWA TCH.
ACCEPTANCE ON FIR ST PAGE INCLUDES ALL FOLLOWING PAGESA S SPECIFIED ABOVE
Page 5 of 68
SIEMENS
Siemens Medical Solution s USA, inc.
51
Valley Stream Parkway, Malver n PA 19355
VA ANN ARBOR 506

2215 FULLER ROAD ANN ARBOR, Ml 48105 Proposal: 1-C7Y4XV Dat e: 11/18/200J
PROPOSAL REFERENC E
RELEVANT Items for Qu ote #1-C9GCMT Revision 6 (Included in Contract To tal) Qty Part # Description Image system Extended Net Price
High-resolution digital imagi ng system with high quality image display, DICOM con syngo user interface. nectivity and In order to provide highes leve t l system availability, the imaging system is built of computer systems that ma two independent nage central tasks such as real-time image processin fluoroscopy or acquisition g during as well as post-processing and networking functionality. system performance will alw This ensures the ays meet the highest possib le demands. Image storage capacity 25,000 images in lk/12 bit im age matrix (extendable).
Operating modes
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Digital radiography (DR) in 1k112 bit matrix and digital real-time filtration, single acquisition of 0.5 f/s to 7.5 image and serial f/s (with high-speed option up to 30 f/s) with time-cont manually variable frame rat rolled and e.
Digital subtraction angiog raphy (DSA) in 1k112 bit mat rix and digital real-time filtr and serial acquisition of 0.5 ation, single image f/s to 7.5 f/s (with high-s peed option up to 30 f/s) controlled and manually var with timeiable frame rate. Digital pulsed fluoroscopy wit h pulse frequencies of 10, 15 and 30 p/s in lk/12 bit real-time filtration, continuou m atrix and digital sly weighted averaging wit h motion detector. Roadmapping: subtracted fluoroscopy with simultane ous display of roadmap flat display and native image sub-image on the live on the reference flat display. Overlay Fade: on-line superp osition of active fluorosco py and reference image. ACCEPTANCE
ON FIRST PAGE INCLUOES ALL FOLLOWING PAGES AS SPECIFIED ABOVE
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SIEMENS
Siemens Medical Solutions USA, Inc.
51 Valley Stream Parkway, Malvern PA 19355
VA ANN ARBOR 506

1 L
PROPOSAL REFERENCE Proposal: 1-C7Y4XV Date: 11/18/2008
RELEVANT Items for Quote #1-C9GCMT Revision 6 (Included in Contra ct Total)
Qty
Part #
Description
Extended Net Price
DDO (Dynamic Density Optimization) for on-line harmonization of native series and single images. DDO provides a more homogenous image impression by harmo nizing over and under exposed images. This is handled through the fluoro, roadmap and acquis ition programs, thus eliminating any further user interaction.
Image processing
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Real-time edge enhancement, positive/negative image display, windo wing, contrast/brightness, electronic display (shutter), image shift (roaming), vertical and horizo ntal image inversion, magnifying glass and zoom functions.
Automatic and manual pixel shift, remask, peak opacification for iodine contrast (MaxOpac) and 002 contrast (MinOpac), adding of the anatomical background (landm ark) from 0 to 100%. Storing of single images as reference images also during fluoros copy. Quantification: Angle/length measurement, automatic and/or manual calibra tion. Text functions: user-definable image annotation, free annotation or by means of text components, comments line for the image, RJL display. Fast and direct access to all series, single images and photofile via MULTIMAP both in the examination and in the control room.
CD recorder
CD drive for automatic digital image storing on CD-ROM for off-lin e data exchange in DICO M 3 format.
ACCEPTANCE ON HRST PAGE INCLUDES ALL FOLLOWING PAGES AS SPECIFIED ABOVE
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SIEMENS
Siemens Medical Solutions USA, Inc. 51 Valley Stream Parkway, Malvern PA 19355 VA ANN ARBOR 506 2215 FULLER ROAD ANN ARBOR, Ml 48105
PROPOSAL REFERENCE Proposal: 1-C7Y4XV Date: 11/ 18/2008
RELEVANT Items for Quote #1C9GCMT Revision 6 (Included in Contract Total) Qty Part# Description Networking Network interface (100 BaseT) wit h the following integrated DIC OM 3 services:
Extended Net Price
DICOM Send: sending of images into the DICOM network. DICOM automatic transfer of each scene Send allows for to another DICOM destination be it an archive or a workstation. This is a backgroun d process, thus does not interfer e with the ongoing fluoroscopy or acquisition. DICOM-Storage Commitment (StC ): feedback from the image arch ive. DICOM SC (Storage Commitment) is the bi-direction al communication that visually tells the user whether the transferred data is successfully received by the storage receiver . This provides the necessary safety to the user before deleting the acquired images locally in the imaging system. DICOM-Query/DICOM-Retrieve : Retrieval of archived images from a digital archive or from a workstation. DICOM Query/ DIC OM-Retrieve allows the user to query an external DICOM database and search for previously acquired cardiac / anglo scenes or even CT / MR images. A study can be selected, retrieved back into the imaging system and be displayed as a reference image. DICOM-Print: printing of images by means of a virtual film sheet on a DICOM laser camera. DICOM Print: allows to print images via virtual filmsheet on a DIC OM Laser camera. Optimization of the workflow is realized by an auto-send functio n for all filmsheets. Images are transferred successively. In add ition, the virtual filmsheet allows an individual layout. The user can preview and even manipulate or change the layout directly on-screen, saving unnecessary print-outs.
Siemens Remote Service
SRSTMTM
L_____________
ACCEPTANCE ON FIRST PAG E INCLUDES ALL FOLLOWING PAGES AS SPECIFIED ABO VE Page
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SIEMENS
Siemens Medical Solution s USA, Inc. 51 VaHey Stream Parkway, Ma lvern PA 19355 VAANNARBORSO6
PROPOSALREFERENCE Proposal:_1-C7Y4XV Date: 11/18/
2008
RELEVANT Items for Qu ote #1-C9GCMT Revision 6 (Included in Contract To tal) Qty Part # Description Prepared for
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Extended Net Price Siemens Remote Service (du ring warranty, then with ser vice contract): Hardware and software rem ote diagnosis
SRSTMTM
System remote configuration, e.g. adding of a DICOM nod e. Early warning system ensuri ng system operation.
X-ray generator
Microprocessor-controlled hig h-frequency X-ray generator with automatic dose rate control. 100 kW at 100kV (DIN 6822).
SID tracking (automatic tube current adaptation to source -to-image receptor distance) . Automatic X-ray control sys tem CAREMATIC for fully automatic calculation and opt exposure data based on fluo imization of ros copic data. Patient transparency monito ring. Tube load monitoring with ind ication in the data display. Generator operation fully int egrated in the system operat ion. The optimal X-ray paramete rs including appropriate kVvalues depend on the tra patient at the current angulat nsparency of the ion, measured during fluo roscopy. These paramete being calculated and update rs are continuously d. Every release of exposure results in a perfect image, test shot or additional image no need for a s and extra dose.
ACCEPTANCE ON FIRST PAGE INCLUDES ALL FOL LOWING PAGES AS SPECIFI ED ABOVE
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SIEMENS
Siemens Medical Solutions USA, Inc. 51 Valley Stream Parkway, Malvern PA 19355 VA ANN ARBOR 506
2215 FULLER ROAD ANN ARBOR, Ml 48105 Proposal:_1-C7Y4XV Date: 11/ 18/2008
PROPOSAL REFERENCE
RELEVANT Items for Quote #1C9GCMT Revision 6 (Included in Contract Total) Qty Part# Description Accessories included in the scope of delivery
-
Extended Net Price
Arm cradles (pair)
Unilateral armrest Infusion bottle holder Instrument tray
Note concerning DICOM interfac e(s)

For diagnostic purposes, hardco py cameras/laser printers explici tly approved for this system be used only. may
The description in the ,,DICOM Conformance Statement, whi ch can be downloaded from Internet, is binding for the functio the nality of the DIC OM interface(s) exclusively.
,,
Functionalities across system borders with/between partner systems require explicit validati since the interpretation of the inte on, rface by the partner/target sys tem is not part of the produc responsibility. ts
A potential change of interface is not part of the offer; e.g. in the rare case that existing configurations are not sufficient. With regard to expenses for inte rface configurations that might be required, the agreements maintenance/service of the pro on duct apply.
ACCEPTANCE ON FIRST PAG E INCLUDES ALL FOLLOWING PAGES AS SPECIFIED ABO VE
Page 10 of 68
SIEMENS
Siemens Medical Solutions US A, Inc.
51 VaHey Stream Parkway, Malvern PA 19355
VA ANN ARBOR 506

PROPOSAL REFERENCE
Proposal: 1-C7Y4XV Date: 11/ 18/2008
RELEVANT Items for Quote #1C9GCMT Revision 6 (Included in Contract Total)
Qty
Part #
-
Description
Extended Net Price
Life the customer care solution by Siemens Medical

From the moment you purchase you r Siemens angiography system you will benefit from many services that are offered by Life, e.g.:
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initial application training,
interactive application e-learning s, free customer magazines, arrangements for clinical trainin gs via a global network, free trial licenses and much more.
You will find information on our e-le arnings and further details on gen eral Life-Services on the Internet.
14409358
Interventional Radiology
Cardiovascular system with prim ary clinical use in interventional rad iology. 1
3D Acqu. mci. DYNAVISION DSA/D R Digital rotation angiography with angle triggering used for 3D reco nstructi
14409307
on. Digital rotation angiography in 3D effect with native or subtracted ima ge display and angle triggering.
Angle triggering permits dose sav ing by frame rate reduction wit h simultaneously improved image quality. Acquisition framerates up to 30 f/s in 1k matrix (60 f/s with reduce d spatial
ACCEPTANCE
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SIEMENS
Siemens Medical Solution s USA, Inc. 51 Valley Stream Parkway, Malvern PA 19355 VAANNARBOR5O6
PROPOSALREFERENCE ProposaL i-C7Y4XV Date: 11/ 18/2008
RELEVANT Items for Quote #1C9GCMT Revision 6 (Included in Contract Total) Qty Part # Description
Extended Net Price
resolution) can be selected (hig h speed option not neede d). Rotation speed is up to 60/s (Ar tis zee ceiling, Artis zeego) up to 45/s (Artis zee floor, Artis zee biplane). Includes Dynavision DR for native rotation angiography. Includes 3D Acquisition modes with user message guided wor kflow for reconstruction with Inspace 3D, DynaC T and Large Volume Dyn aCT (only for Artis zeego) on an optional syngo Wo rkplace.
14404984
Peripheral digital angiography with stepping and online subtrac tion display. Excellent image quality from the abdomen to the feet is due to the fact that adjustable parameters such as acquisition framerate, measuri ng fields, position of collimator blades and semitransp arent filters are stored specifi cally for each table position. That way the different x-ra y transparencies for abdomen, legs and feet can be compensated and a consist ent, contrasty image quality is ensured. Just one single injection of con trast media protects the health of the patient and gives the physician an instant, sub tracted image display of the peripheral blood vessels.
PERISTEPPING I PERIVISION
PERISTEPPING: Peripheral digital stepping angiog raphy with only a single contras t medium injection under visual control of the bol us flow. C-arm stepping with ceiling mo unted systems, table stepping with floor mounted and biplane systems.
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Position-dependent variable fram e rates. Fully automatic exposure con trol.

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SIEMENS
51
Valley Stream Parkway, Malvern PA 19355
VA ANN ARBOR 506

[ L
PROPOSAL REFERENCE
RELEVANT Items for Quote #1-C9G CMT Revision 6 (Included in Con tract Total)
Qty Part #
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Description Automatic storage of the coil ima tor settings for each step. PERIVISION:
Extended Net Price
Peripheral digital stepping angiog raphy with online subtraction display in an examination procedure with only one single contrast medium inje ction under visual control of the bolus flow.
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Only one single automatically acq uired mask image for each ind ividual position. Position-dependent variable fram e rates. Fully automatic exposure control . Automatic storage of the collima tor setting for each step.
Detector 30X40 incl.Compnts( T) High-resolution dynamic flat dete ctor for fully digital imaging cha in with integrated, removable CARE WATCH measuring chamb grid. er for detection of the dose-area product: 3-focus highperformance X-ray tube assemb ly, rotatable angio collimator and integrated collision protection . Flat detector 30 x 40 The digital high-resolution dynami c flat detector with integrated rem ovable grid is especially designed to fulfill the requiremen ts of angiographic and interve ntional applications. 154 m pixel arrays provides high spatial resolution of 325 LP/mm and excellent contrast. Fluoroscopy as well as image acq uisition are always done in 14 bit gray scale resolution, allowin excellent detail visibility. Acquisi g tion frame rates are possible up to 30 f/s. Usable input formats:
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14409415
Overview mode 30 cm x 38 cm (12 in x 15 in), diagonal 48 cm (19 in). ACC
EPTANCE ON FIRST PAGE INCLUD ES ALL FOLLOWING PAGES AS SPECIFIED ABOVE
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SIEMENS
VA ANN ARBOR 506
2215 FULLER ROAD

ANN ARBOR, Ml 48105
PROPOSAL REFERENCE
Proposal1-C7Y4XV
RELEVANT Items for Quote #1-C9GCMT Revi sion 6 (Included in Contract Total)
Qty
Part #
Description
Extended Net Price
Zoom 1: 30cm x 30cm (12 in x 12 in), diagonal 42cm (17 in).

Zoom 2: 22 cm x 22 cm (9 in x 9 in), diagonal 32 cm (13 in). Zoom 3: 16 cm x 16 cm (6.5 in x 6.5 in), diag onal 22 cm (9 in). Zoom 4: 11 cm x 11 cm (4.5 in x 4.5 in), diag onal 16 cm (6 in). Zoom 5: 8 cm x 8 cm (3.2 in x 3.2 in), diag onal 11 cm (4 in). The very compact design with integrated colli sion protection provides maximum C-arm angulation range for excellent patient access. The flat detector is mounted on a motorized rotat ing turntable at the C-arm. It can be rotated by 90, so that it can be adjusted to landscape for mat or portrait format. Any angle inbetween can be adjusted. Automatic synchronous rotation of flat detector and collimator for compensating the image rotation is available. Motorized adjustment of the detector-patient distance. The data transfer from the detector to the imag ing system is done via a high-speed Giga link fiber optic cable.
Removable grid: The grid can easily be removed, saving the user time in examinations not requiring a grid such as in pediatrics, where dose reduction is of special importance.
Megalix Cat12511 5140180 X-ray tube assembly

Three-focus high-performance X-ray tube assem bly with metal center tube with lubricated spiral groove bearing technology for permanent, nois e-free rotation.
ACCEPTANCE ON FIRST PAGE INCLUDES ALL FOLLOWING PAGES AS SPECIFIED ABOVE
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SIEMENS
2215FULLERROAD ANN ARBOR, MI 48105
PROPOSAL REFERENCE
Proposal: 1-C7Y4XV Date: 11/18/2008
Qty
Part #
-
Description
Extended Net Price
Max. tube voltage 125 kV.
Focus 0.3/0.6/1.0 (15/40/80 kW). Anode angle 12. High tube power provides brilliant image quality even with heavier patients. In addition there is no need for X-ray pauses even during lengthy case s. The X-ray tube is completely silent which is an additional benefit for patient and user.
Angio collimator
Compact multileaf collimator for DSA and cardiolog ical applications with rectangular diaphragm, wedge-shaped filter diaphragms and finger-sha ped graduated filter. Five-step adaptive Cu pre-filtration (CAREFILTE R)to reduce the equivalent skin dose and improve radiation quality through dose reduction of the soft radiation parts. Filter steps: 0.1; 0.2; 0.3; 0.6; 0.9 mm Cu.
Independent rotation and shi fting of filter diaphrag ms. Automatic synchronous rotation of detector and collimator unit to compensate image rotation in the different working positions of the gantry. CAREFILTER is an intelligent control software, that helps minimize X-ray dose without negative impact on image quality. Especially the soft radia tion gets reduced. During fluoroscopy and acquisition special copper prefilters are being inser ted fully automatically into the X-ray beam depending on current X-ray transparency calculated by CAR EMATIC. This is necessary to ensure that the optimal prefilte r value is always active. For the user it would be too time consuming to adjust prefiltration via man ual operation.
CA REWATCH
ACCEPTANCE ON FIRST PAGE INCLUDES ALL FOLLOWiNG PAGES AS SPECIFIED ABOV E
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SIEMENS
VA ANN ARBOR 506

RELEVANT Items for Quote #1 -C9GCMT Revision 6 (Included in Contract Total) Qty Part # Description Extended Net Price
Display of the measured dose-area product and the calcul ated patient entrance dose (CAREWATCH) at the flatpanel display. Electronics unit with DIAMENTOR measuring chamber integrated in the collimator housing for detection of the dose-area product and the calculated patient entr ance dose (CAR EWATCH). Configurable displays on data display and image system monitor. During fluoroscopy: Patient entrance dose rate.
During fluoroscopy interval: Accumulated patient entrance dose or dose-area product or percentage of the dose limit (total dose from fluoroscopy and acquis ition). The critical equivalent dose of the skin (skin dose) to avoid X-ray related skin injury is at about 2 Gy. CAREWATCH consistently calculates and displays the actual accumulated skin dose (in percent of the 2 Gy limit). This helps the user to realize a potential patient hazard early enough. 1 14402026 Acquistion 2k
The 2k option enables acquisition and stor age of singel images and series with a resolution of up to 4.76 Mega pixel (2,480 pixel x 1,920 pixel) at up to 7.5 f/s.
14407240
Table OR Version
Floor-mounted swivelling patient table with teles copic foot, floating and tiltable tabletop (in two axes); motor-driven stepping for digital peripheral angiog raphy. Table control module, powerassisted. Floor-mounted patient positioning table desi gned for angiographic examinations and interventions. Direct patient access from all sides, both through the swivelling table and large tabletop cantilever.
ACCEPTANCE ON FIRST PAGE INCLUDES ALL FOLLO WING PAGES AS SPECIFIED ABOVE
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SIEMENS
VA ANN ARBOR 506

2215FULLER ROAD ANN ARBOR, Ml 48105
PROPOSAL REFERENCE XV 4 Y 7 Proposal-C Dat 11/18/2008
RELEVANT Items for Quote #1-C9GCMT Revision 6 (Included in Contract Total) Qty
Part #
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Description 15 Trendelenburg position. 15 lateral tilting range.
Extended Net Price
Iso-tilt functionality for maintaining the projection during table tilt along the patient axis. Motorized, power-dependent table movement in longitudinal direction when the table is tilted (power-assisted control). Electromechanical release of table swivel by the push of a button at the table. Telescopic foot with motorized height adjustm ent. Maximum patient weight: 200 kg plus 40 kg of suppli ed access ories.
04435140
Table Top & Mattress, Narrow
Carbon fiber tabletop in narrow design with head-end recess and matching special foam mattress, for example for cardiological applications. Tabletop tapered in the thorax area for maximum freedom of angulation of the C-arm.
14402010
Foot Switch MonopL(Wireless)
For release of fluoroscopy, exposure and table brake as well as a configurable additional function. Wireless connection via radio communication.
Displays Artis zee Monoplane
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SIEMENS
VA ANN ARBOR 506

PROPOSAL REFERENCE
RELEVANT Items for Quote #1-C9GCMT Revision 6 (Includ ed in Contract Total>
Qty
1
Part #
14407155
Description
Extended Net Price
DCS 4m DVI 2xBWD19(Live+Ref+2xPrp) Display suspension system for four flat-screen displays in a row. Two (2) 19 flat-screen displays with blue background color. Prepared for two additional displays. Ceiling-mounted, swivable, rotatable and height-adjustable display suspension system with longitudinal travel and two (2) 19 high-contrast b/w display for live and reference image display.
Displays in monochrome TFT technology with high lumina nce and extended view ing angle.
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19 (48 cm) monitor. Resolution: 1,280 x 1,024 (pixel). Maximum brightness (typ.): 1 .000 cd/rn . 2 Flicker-free and distortion-free image display. Ambient light sensor for optimum adaptation to the room brightness.
14407157
Roadmap Plus DCS DVI (Monoplane)
Additional flatscreen display b/w 19 for enhanced roadm ap functionality. Display in monochrome TFT technology with high lumina nce and extended viewi ng angle.
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19 (48 cm) monitor. Resolution: 1,280 x 1,024 (pixel). Maximum brightness (typ.): 1 .000 cd/rn . 2
ACCEPTANCE ON FIRST PAGE INCLUDES ALL FOLLO WING PAGESAS SPECIFIED ABOVE
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SIEMENS
VA ANN ARBOR 506

RELEVANT Items for Quote #1-C9GCMT Revision 6 (Includ ed in Contract Total) Qty Part #
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Description
Flicker-free and distortion-free image display. Ambient light sensor for optimum adaptation to the room brightness. The following is displayed on the additional display: During fluoro native live fluoro image; otherwise Last
Extended Net Price
Image Hold. During roadmap/subtracted fluoro native live fluoro image; otherwise LIH. During DSA acquisition native live acquisition; otherwise native max-fill image.
14407184
ACE Cable Set in Equipm.Room
Image system interface to the displays in the control room if the image system is installed in the equipment room.
C-Room DVI 2xBWD-19 (Live+Ref) 36m Two monochrome 19 flat-screen displays with blue backgr ound color.
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14407170
Two 19 high-contrast b/w displays for live and reference image display in the control room. Table design with black frame. Displays in monochrome TFT technology with high luminance and extended view ing angle.
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19 (48 cm) monitor. Resolution: 1,280 x 1,024 (pixel).
ACCEPTANCE ON HRST PAGE CLUDES
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SIEMENS
VA ANN ARBOR 506

2215 FULLER ROAD ANN ARBOR, MI 48105
PROPOSAL REFERENCE
Part #
-
Description
Maximum brightness (typ.): 1.000 cd/rn . 2 Flicker-free and distortion-free image display. Ambient light sensor for optimum adaptation to the room brightness.
Extended Net Price
Multi-Modality-Viewing Artis zee! Artis zeego
MultiModality-Viewing DCS System Consisting of a basic kit with video switch, optical video isolation and isolation transformer, as well as a color flatscreen display with black frame and cable for installation in a DCS.
14407248
MMV interface for switching at ECC At the ECC touchscreen console, switching betw een different video sources, e.g. syngo Workpla ce, integrated workstation, ultrasound system and patie nt monitoring, for display on an in-room monitor. 04490673 Multi Modality Viewing LEO kit
14400268
For connection of the color flatscreen display /mon itor in the examination room to the LEONARDO workstation.
ACCEPTANCE ON FIRST PAGE INCLUDES ALL FOLLOWING PAGES AS SPECIFIED ABOV E
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SIEMENS
51
Valley Stream Parkway, Malvern PA 19355
VA ANN ARBOR 506

PROPOSAL REFERENCE
RELEVANT Items for Quote #1-C9GCMT Revision 6 (Included in Contract Total)
Qty
1
Part #
14409448
Description Multi-Mod.-View. LEO
Extended Net Price
joystick/mouse
Additional joystick in the examination room for precise and fast control of a syngo Workplace parallel to mouse operation in the control room. 1 04490681 Multi Modality PaLMon. kit
For connection of the color flatscreen display / monito in r the examination room to the Sirecust monitoring system. 1 1k Matrix) Memory capacity extension to 50,000 images in 1k matrix/200,000 images in 05k matrix.
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14407185
Memory Extens. 3 (50k
04435850
Vessel analysis
Fully integrated stenosis quantification for objective, accurate and reproducible evaluation of vessels.
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Automated contour detection of the vessel.
Determination of degree of stenosis through geome trical and densitometrical values.
ACCEPTANCE ON RRST PAGE INCLUDES ALL FOLLOWING PAGES AS SPECIFIED ABOVE
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SIEMENS
51 Valey Stream Parkway, Malvern PA 19355 VAANNARBOR5O6 2215 FULLER ROAD ANN ARBOR, Ml 48105
PROPOSALREFERENCE
Proposal : 1-C7Y4XV Date: 11/18/2008
RELEVANT Items for Quote #1-C9GCMT Revision 6 (Included in Contract Tota l) Qty Part # Description Extended Net Price
Automatic and manual reference diameter deter mination. Automatic and manual calibration. Distance and angle measurement. I 04435819 Carevision
Three different fluoroscopy programs are always available for instant selection at table side. This is the easiest way for the user to modifiy fluor oscopy dose even under sterile condition s. This is a big help for the user. Due to the intuitive user inter face fluoroscopy dose values can also be easily changed without any change in tem poral resol ution (constant puisrate). 1 04435827 Careprofile
CAREPROFILE Industry exclusive radiation-free positioning of the primary and semi-transparent diap hragms via unique graphic display in the LIH image on the image monitor. Allowing dose savin g operation for staff and patient and precise positioning filters and collimator blades for optimized image impression. 1 14411163 FluoroLoop(1)
Storage and review of dynamic fluoroscopic sequences (Fluoro Loop). The maximum storable fluoroscopy time depends on the selected pulse rate, e.g. 17 s at 30 p/s, 34 s at 15 p/s.
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SIEMENS
51 Valley Stream Parkway, Malvern PA
19355
VA ANN ARBOR 506

PROPOSAL REFERENCE Proposal: 1-C7Y4XV Date: 11/18/2OO8J
RELEVANT Items for Quote #1-C9GCMT Revision 6 (Included in Contra ct Total) Qty 1
Part #
Description Automap
Extended Net Price
04435801
Optimized procedure workflow, especially during interventions is the result of the automap-function. A selected reference image displaying the needed medical information (e.g. before dilatation) is used as the basis for moving the system to the correlated position autom atically. The intervention can be continued immediately without manually repositioning the patient . Vice versa, an already stored reference image for a dedicated system position is automatically displayed when automap is selected, making it easy to switch from one angulation to another with instant ly available image information. 1 04435926 DICOM HIS I RIS
Note concerning DICOM interface(s) For diagnostic purposes, hardcopy cameras/laser printers explicitly approv ed for this system may be used only.
The description in the ,,,,DICOM Conformance Statement, which can be downloaded from the internet is binding for the functionality of the DIC OM interface(s) exclusively. Functionalities across system borders with/between partner systems require explicit validation, since the interpretation of the interface by the partner/target system is not part of the products responsibility.
ACCEPTANCE ON FIRST PAGE NCLUDES ALL
Page 23 of 68
SIEMENS
VA ANN ARBOR 506

PROPOSAL REFERENCE Proposal: 1-C7Y4XV Dat 11/18/2008
Part #
Description
Extended Net Price
A potential change of interface is not part of the offer; e.g. in the rare case that existing configurations are not sufficient. With regard to expenses for interface configurations that might be required, the agreements on maintenance/service of the product apply.
04491960
DICOM MPPS
With DICOM Modality Performed Procedure Step the progre ss of the examination at the modality is reported back to the RIS and data, such as the dose-area produc t, can be transferred to the RIS,
Note concerning DICOM interface(s) For diagnostic purposes, hardcopy cameras/laser printers explici tly approved for this system may be used only.
The description in the ,,DICOM Conformance Statement, which can be downloaded from the internet is binding for the functionality of the DICOM interfa
ce(s) exclusively.
Functionalities across system borders with/between partner system s require explicit validation, since the interpretation of the interface by the partner/target system is not part of the products responsibility. A potential change of interface is not part of the offer; e.g. in the rare case that existing configurations are not sufficient. With regard to expenses for interface configurations that might be required, the agreements on maintenance/service of the product apply.
ACCEPTANCE ON FIRST PAGE INCLUDES ALL FOLLOWiN G PAGES AS SPECIFIED ABOVE
Page 24 of 68
SIEMENS
VA ANN ARBOR 506

PROPOSAL REFERENCE
Proposal:l -C7Y4XV Date: 1 1/18/2008
RELEVANT Items for Quote #1-C9GCMT Revision 6 (Included in Contra ct Total)

Qty
1 Part # 14409318
Description
Lower body radiation protection
Extended Net Price
For shielding the lower body against scattered radiation within the examin ers moving range. The lower body radiation protection can be attached to the access ory rails either on the right or on the left side of the patient positioning table. It consists of the following independent shielding units:
-
A basic unit shielding the area between accessory rails and the floor. It is flexible and can be adapted to the exam iners preferences. Two clip-on units pointing upwards from the upper edge of the basic unit with a length of 57 cm and 27 cm. Option: A third upward-pointing scattered radiation shielding unit that can be clipped onto the upper edge of the basic unit, with a length of 27 cm. The scattered radiation shielding units can be attached to the basic unit in an overlapping and fan-shaped way so that they ensure a closed, adapted scattered radiation protection even in the lower thorax area. The maximum load of the accessory rails is 40 kg, the weight of the attached scattered radiation protection is 8 kg.
14400179
Upper Body Rad. Prot. Artis-T
To protect the upper body against s cattered radiation in the operators environment, e.g. during interventional procedures. Radiation protection attached through a ceiling-mounted, mobile stand for protection against scattered radiation; mcI. 4 m ceiling rail.
Page 25 of 68
SIEMENS
VA ANN ARBOR 506

2215 FULLER ROAD ANN ARBOR, Ml 48105 Proposal: 1-C7Y4XV Date: 11/1 8/2008
PROPOSAL REFERENCE
RELEVANT Items for Quote #1C9GCMT Revision 6 (Includ ed in Contract Total> Qty Part # Description Extended Net Price
-
acrylic glass with lead equivalent of 0.5 eq (w x h: 61 cm x 76 cm), wit interventional examinations. h recess for
swivable and rotatable around the fixing point, swivel range 360 degrees. counter-weighted, height-adjustab le support arm.
04443383
Ceiling-mounted examination lam p, flexibly adjustable towards the user, for diagnostics and surgery. minor Examination light Mach 130F wit h focusable dielectric light sys tem. luminance: 50,000 Lux (4,650 fc) for 100cm distance working distance: 70 to 140 cm color rendering index Ra (gen.): 96
-
Examination lamp, 115 V
color temperature: 4,300 Kelvin focusable spot size: 14 to 25 cm light body diameter: 22 cm halogen lamp: 22.8 V/50 W Power supply examination lam p 115 V. Additional control sites Art is zee I Artis zeecio
ACCEPTANCE ON FIRST PAG E INCLUDES ALL FOLLOWING PAGES AS SPECIIIED ABO VE
Page 26 of 68
SIEMENS
VA ANN ARBOR 506 PROPOSAL REFERENCE

2215 FULLER ROAD ANN ARBOR, Ml 48105 Proposal: 1-C7Y4XV Date: 11/ 18/2008
RELEVANT Items for Quote #1-C9G CMT Revision 6 (Included in Con tract Total) Qty Part # Description
1 Interface for C-Room Operati on(MA) Interface for connecting the option al system control from the con trol room. C-Room Table Support Long Table extension for depositing con trol modules in the control roo m. 14409253 14407252
Extended Net Price
CtrI room gantry control Control modules for all functions to control the C-arm projections and the collimator from the con room. trol 04443433
14407208
Handswitch
Additional hand switch for radiati on release with additional con trol functions 1 04443615 Control Room Injector Interfac e
Interface for controlling the contras t medium injector from the con trol room. 1 14407176 syngo Keyboard, English
-
Keyboard with special syngo key s.
US
Keyboard for easy operation of syn go (browser, viewer, filming). There are special keys for windows, sheets, printing, markin g and network communication .
ACCEPTANCE ON FiRST PAG E INCLUDES ALL FOLLOWING PAGES AS SPEcFIED ABO VE
Page 27 of 68
SIEMENS
Siemens Medical Solutions USA, Inc. 51 Valley Stream Parkway, Malvern PA 19355 VAANN ARBOR 506
2215 FULLER ROAD ANN ARBOR, Ml 48105 Proposal: 1-C7Y4XV Date: 11/18/2008
Qty
Part #
Description Emergency Power supply UPS for Artis zee / Artis zeego Systems
Extended Net Price
Emergency power image system Emergency power image system for 50/60 Hz.
Bridging of the imaging system power supply (50/60 Hz) until line voltage is back. In case of power failures of more than 90 seconds the imaging syste m will be shut down automatically.
14407210
14409361
Cable Set UPS
Imag. System (long)
syngo X Workplace
14409267
XWP w. InSpace 3D FlashRT zeelzeego
syngo X/MM Workplace high-end post processing work station, comprising Windows XP PC with syngo-based user software and network modules, equi pped with the required HW and SW modules for real-time 3D reconstruction to virtually eliminate the time between the acquisition of a rotational angiographic examination and the display of the corre sponding reconstructed volume in the InSpace taskcard of the syngo Workplace.: syngo X/MM Workplace, syngo InSpace 3D Flash RT (in syngo iDentify), InSpace 3D accessories. The software functionality can be extended to suit sped fic user or clinical needs in angiography, cardiology, fluoroscopy, and radiograp hy by adding optional appli cation
_______
Page 28 of 68
SIEMENS
51 Valley Stream Parkway. Malvern PA 19355
VA ANN ARBOR 506

PROPOSAL REFERENCE Proposal: i-C7Y4XV Date: 11/18/ 2008
RELEVANT Items for Quote #1-C9G CMT Revision 6 (Included in Contrac t Total) Qty Part # Description
Extended Net Price
modules. The use of the licensed soft ware, including optional programs, is limited exclusively to the specific syngo X Wor kplace included with this order or the original workstation order. syngo X Workplace is a syngo-based postprocessing workstation for ang iography, cardiology, fluoroscopy and radiog raphy configured as a DICOM-co nnected standalone system. The workstation is ideal for providing additional or specialist clinical workplaces. The base viewing system can be exte nded by adding a wide range of app lication options.
syngo X Workplace PC
High-performance workstation based on Windows X P Professional with maximized 8 GB RAM and hard drive with 147 GB /300 GB for image data. The worksta tion is equipped with an Open GL acceler ator board to support 3D application s. To exchange medical images on DICOMcompatible CDRs and DVDs, the system is equipped with a C D/DVD writer.
syngo X Workplace can be connected to an existing network via Gigabit/i 00 M bit Ethernet. syngo X Workplace Basic User Softwa re The syngo X Workplace software feat ures an intuitive and thus easy to learn user interface developed from prototypes
tested in close cooperation with use rs. Standard functions such as filming or image review, and optional clinical application software, are performed in individual processes on dedicated task cards. A number
ACCEPTANCE ON FIRST PAGE INCLU DES ALL FOLLOWING PAGES AS SPECIFIED ABOVE
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SIEMENS
VAANN ARBOR 506

PROPOSAL REFERENCE
RELEVANT Items for Quote #1C9GCMT Revision 6 (Included in Contract Total) Qty Part # Description
Extended Net Price
of functions and input parameters , as well as the language used, can be selected according to individual requiremen ts. Package comprising the followi ng software licenses Basic software with CD and dongle for the following functions: Patient Browser Filming Viewing System services. Patient Browser: Patient management. DICOM 3 com munication with Send, Receive , Query/Retrieve, Print. Reading of CDs/DVDs. Mo dule for writing DICOM CDs/DVD s for data exchange. Writing is in backgroun d mode. Filming: A virtual film sheet shows a 1:1 disp lay of the film sheets to be prin ted. This permits an effective preview of the filming job and re-windowing the images , as well as providing a large number of evaluat ion functions. Image Review: Image Review supports interactive 2D review, evaluation and docum entation functions. Multiple studies from the same patient can be displayed side-by-side for comparison.
-
Image display: 1.0242 screen mat rix, configurable with up to 64 ima ge segments.
cEo HRST PAGE INCLUDES ALL FOLLOW ING PACIfE D A8OVj
LAccEPTA N
Page 30 of 68
SIEMENS
51 Valley Stream Parkway, Malver n PA 19355
VAANN ARBOR 506

PROPOSAL REFERENCE LProposa1-07Y4X VDe8008
RELEVANT Items for Quote #1C9GCMT Revision 6 (Inclu ded in Contract Total)
Qty Part #
-
Extended Net Price CINE display: Automatic or inte ractive dynamic presentation technique for the visualization of time and volum e series. Synchronized viewing of multip le series. Measurement and annotation: Text annotation; Distance, ang le, ci rcle, ROl and pixel lens, depending on information available from the acquisition system.
Description
System services: Microsoft Office 2003 Word, Exc el, Powerpoint plus Outlook are supported (not provided!). Any user-selectable file, such as cardiac, DSA or InS pace AVI video sequences, can be burned to CD to prepare qua lity presentations and dem os of pathologies. Network Module: For connection to a local Ethernet (Gigabit ode r 100 Mbit) for communication with networked archives, printers, diagnostic and therapy workstations, HIS! RIS system s and teleradiology routers.
Scope of functions Network stations can be configu red. Unlimited selection of stations.
litates the interactive 3D reconstr uction and visualization in real time of a vol ume in volume rendering techniq ue, MPR and MIP. InSpace 3D is focused to suppor t the interventional radiologist and neuro radiologist in the angio lab. (Text aus 14407019 ubernehm en) Based on dedicated accele ration hardware the primary reconstruction result s are available in full diagnos tic quality in the
ACCEPTANCE ON FIRST PAG E INCLUDES ALL FOLLOW iNG PAGES AS SPECIRED ABOVE
syngo lnSpace 3D Flash RT syngo InSpace 3D Flash RT faci
Page
31
of68
SIEMENS
VA ANN ARBOR 506

PROPOSAL REFERENCE
Proposal: 1-C7Y4XV Date: 11/1 8/2008
Extended Net Price
examination room within 18 second s for high contrast images and less than one minute for soft tissue DynaCT images . Subsequent secondary reconstr uctions are available even faster. The application facilitates interactive volume rendering provided by a high-end graphics card. It offers support for large data records of up to 1,600 images (512 x 512 matrix>.
differentiation between contrast-filled vessels, bones, stents and coil s. Furthermore visualization of the anatomical stru cture of tumors in combination with the feeding vessels becomes possible. Features:
-
syngo iDentify (Dual Volume Visuali zation) syngo iDentify enables the differentiation between two high-contrast 3D objects have virtually the same contrast density and allows the display of one low con that and one high contrast volume in one view trast . syngo iDentify enables clear
Reconstruction protocols, for visualiza tion of vessels, bones, clips and coils. The result of the reconstruction can be native or subtracted. Modification of reconstruction area to allow zoom via reconstruction. Visualization with shading and light source for an improved three-d imensional impression. lnterventional volume measuremen t. Image data:
Volume data from CT, MR and AX modalities.

ACCEPTANCE ON FIRST PAGE INCLU DES A1.L FOLLOWiNG PAGE S AS SPECIFIED ABOVE
Page 32 of 68
SIEMENS
51 Vaey Stream Parkway, Malvern PA 1935 5
VA ANN ARBOR 506

PROPOSAL REFERENCE
Proposal: 1 -C7Y4XV Date: 11/18/2008
RELEVANT Items for Quote #1-C9GCMT Revision 6 (Included in Contract Total) Qty Part # Description
-
Extended Net Price
Loading of two volume data sets simultane ously. Layouts: single (lonl), double (2 oni ) and quadruple (4onl) for MPR display. Two displays are supported for simultane ous display of two volumes side-by-side Image display modes:
VRT Color VRT, MIP, MinIP and MPR rendering. Thin slice renderings for VRT, MIP and MinlP. Variable light source. Shading effects. Volume editing:
Cut planes. Clip plane and clip box editing. ROl punching. Presets:
Series-specific bookmarks, to store and retrieve volume visualization paramete rs. Global presets for series-unspecific appl ication of volume visualization para meters. Output:
Radial ranges, including macro range definitions. 2D and 3D measurements, measurement grid, distance measurement and annotations.
ACCEPTANCE ON FIRST PAGE INCLU DES ALL FOLLOWING PAGES AS SPECI FIED ABOVE
Page 33 of 68
SIEMENS
VA ANN ARBOR 506

RELEVANT Items for Quote #1-C9GCMT Revi sion 6 (Included in Contract Total> Qty Part #
-
Description
AVI format export with selectable compression format and compression ratio. TIFF, PNG, BMP, JPEG image export. Send to film sheet.
Extended Net Price
Advantages and features of InSpace 3D Flas h RT In angiography the three-dimensional infor mation is used for diagnosis, planning of therapy and documentation in the field of endovascular and non-endovascular interventional procedures.
Diagnosis and treatment can be performed in one session, thus providing a major advantage through the fully integrated work flow. Transfer of the projection angle to the C-ar m stand. Indication whether the angulation can be achie ved at the C- arm without collision with the patient or table. Interventional volume measurement. Options:
-
Tableside control of InSpace. Display of the 3D image data in the examinati on room via inroom display. Stenosis measurement.
InSpace 3D accesso ries

Includes the accessories required for 3D reco nstruction and visualization: Plexiglass calibration phantoms
ACCEPTANCE ON FIRST PAGE INCLUDES ALL FOLLOWiNG PAGES AS SPECIFIED A Bj Page
34 of 68
SIEMENS
Siemens Medical Solutions USA, Inc .
51 Valley Stream Parkway, Malvern PA 1935 5
VA ANN ARBOR 506

PROPOSAL REFERENCE
RELEVANT Items for Quote #1-C9GC MT Revision 6 (Included in Contract Total>
Qty
Part #
-
Description
Line phantom for image quality control Test plates for image quality equalizatio Form filter 3D data link
Extended Net Price
n measurement
DICOM Industrial standard for the transmissio n of information between DICOM-com patible units from different manufacturers. The scope of functions is described in detai l in the DICOM Conformance Statement and in its standard version includes the Transmission! Reception, Query! Retr ieve and Basic Print functions. Note on DICOM interface(s) For diagnostic purposes, hardcopy cam eras/laser printers explicitly approved for this system may be used only. The only information binding for the func tional ity of the DICOM interfaces is their description in the DICOM Conform ance Statement, which can be dow nloaded from the Internet.
Extended interface functionalities with /between partner systems require expl icit validation, since the interpretation of the interface by the partner/target sys tem is not within products responsibility. Any changes to the interface( s) that migh t be required, e.g. in the event that the existing configuration possibilities prov e insufficient, are not included in the offer. The agreements pertaining to maintenanc e/service of the product shall apply to any costs
Page3Sof68
SIEMENS
Siemens Medical Solutions US A, Inc. 51 ViIey Stream Parkway, Malvern PA 1935 5 VA ANN ARBOR 506
PROPOSAL REFERENCE
Proposal: 1-C7Y4XV Date: 11/18/ 2008_J
RELEVANT Items for Quote #1-C9GC MT Revision 6 (Included in Contract Total) Qty Part # Description
incurred by necessary interface conf igurations.
Extended Net Price
Note on software usage The use of the licensed software, inclu ding optional programs, is limited exclusively to the specific syngo X Workplace inclu ded with this order or the original workstation order.
14402025
DynaCT Package
syngo DynaCT offers cross-sectiona l imaging in the interventional suite from projection images of rotational angiography by an Artis ED system. syngo DynaCT provides excellent soft tissue image quality (512 matrix) for neuro and body imaging. Body images are reconstr ucted in 30 seconds neuro images in less than 1 minute. syngo DynaCT extends the existing ran ge of high-contrast resolution for the visualization of vessel and bone structures, providing soft-tissue imaging.in the intervent ional suite.
syngo DynaCT is especially suited to sup port radiologists and neuro- radio logists during interventional procedures in the angi ography suite with both endova scular and non endovascular procedures. Providing enhanced decision making during oncology procedures such as chemoembolization and RE-a blations, spinal procedures. In neuroradiology syngo DynaCT allows the visualization of bleed ings, the ventricular system of the brain and microstent placement.
With syngo DynaCT it is possible to visu alize a density difference of 10 HU (Hounsfield Units) of an object 10 mm in size in a Thick-MPR display. (Measured with a CATPHAN 15 CT phantom).
Page36of68
SIEMENS
51 Vafley Stream Parkway, Malvern PA 19355
VA ANN ARBOR 506

PROPOSAL REFERENCE
Proposal: 1-C7Y4XV Date: 11/1 8/2008
RELEVANT Items for Quote #1-C9GC MT Revision 6 (Included in Contract Total) Qty Part # Description 1 14401891
Extended Net Price
syngo 3D Basic SW-License Basic 3D viewer platform for display of 3D series with Multiplanar Rec onstruction (MPR), Surface Shaded Display (SSD) and Maximum Intensity Projection (MIP) Input check for data consistenc y: 3D series list function with consist ency check of 3D series that are suitable for 3D processing. Overlapping 3D series can be merged to a single con sistent 3D series.
Data set preparation: The data to be displayed can be limit ed through the clip box or the function irregular volume of interest, which filters out disturbing information.
Image processing
Multi-Planar Reconstruction (MPR) for interactive movement thro ugh 3D volumes in any direction
-
Real-time reconstruction of second ary cuts in orthogonal, oblique or double oblique orientation with freely selectable slice thickness (MPR thick, MPR thin) and slice distance. Calculation of curved cuts is possibl e. Automatic generation of parallel or radial areas. Frequently used area settings can be stored. Reference lines can be determined in the reference topogram or from a 3D surface reconstruction. Maximum Intensity Projection (MIP ) for angiographic display: Projection of the pixels with the hig hest intens ity (vascular informati on) on any plane for display and diagnosis of e.g. aneurysms, plaques, stenoses, vascular anomalies ACCE
PTANCE ON FIRST PAGE INCLU DES ALL FOLLOWING PAGES AS SPECIFIED ABOVE
Page 37 of 68
SIEMENS
51 Valley Stream Parkway, Ma lvern PA 19355
VA ANN ARBOR 506

PROPOSAL REFERENCE Proposal: i-C7Y4XV Date: 11/18/2008
RELEVANT Items for Quote #1-C9GCMT Revision 6 (Inclu ded in Contract Total) Qty Part #
Description Extended Net Price or vascular exits.
-
Thin MIP function for the pro jection within a slab of the data set. Automatic generation of rad ial areas. The resulting ser ies can be viewed in threedimensional display by means of the Movie function. Shaded Surface Display (SS D) for the surface display of complex anatomies: Three-dimensional display of surfaces from a series of adjacent slices by means an adjustable threshold val of ue with quick preview and high image quality mode. used to display and analyse It is different anatomies, as for example the interior of the skull, pelvis, hips, etc. in ord er to plan surgical procedure s. The 3D objects can be tilted and rotated on the monitor in real-time by means of virtual trackball. a Automatic generation of rad ial series of SSD displays. Since MPR, MIP or SSD are different visualization filters of the same data set, the user is free to switch betwe en these modes and can als o magnify the current disp segment. Reconstructed im lay ages or areas can be stored or transferred to film she ets.
14402096
i-Pilot SW license
iPilot workflow
iPilot provides guidance and confidence to the physici an during the interventional displaying more information procedure by on the live display. iPilot cre ates a visualization and live 2D fluoro image and the fading between the matching 3D reconstruction.
In preparation for an iPilot run the physician typically perfor ms one 3D reconstruction visualize the complete ves to sel tree. A 3D is often done for the diagnosis to find the pathology.
ACCEPTANCE ON FIRST PAG E INCLUDES ALL FOLLOW ING PAGES AS SPECIFIED ABOVE
Page38of68
SIEMENS
51 Vafley Stream Parkway, M&vern PA 1935 5
VA ANN ARBOR 506

PROPOSAL REFERENCE
Proposal: 1-C7Y4XV Date: 11/18/20 08

Qty Part # iPilot benefits For any projection, zoom, SID and table position the physician can create an iPilot view which is overlaying the life fluoro image. Via a fade with the joystick the degr ee of visibility can be determined. The physician is guid ed and can perform the procedure with more confidence. No extra contrast is needed to make the vessel tree visible.
-
Description
Extended Net Price
At a point where the physician can see the guide wire in the area the 3D reco nstruction was performed of he can press at any time the iPilot button at the table side cont rol. An image is calculated, created and sent to the reference storage of the imaging syste m. Via the Overlay Fade functionality the physician can show the 3D and 2D life informati on in one image.
iPilot (enhanced funct) zee/zeego syngo iPilot (enhanced functionality) allow s to overlay the colored 3D volume with regular fluoro as well as with subtracted fluoro (Roadma p) and acquisition series on the display of the syngo Workplace. Thus the Pilot information is available in parallel to the regular or subtracted fluoro or acquisition images on the live display of the acquisition system. syngo iPilo t automatically updates to table, c-arm, zoom and SID changes. Even patient movement can be man ually updated.
14409268
syngo iPilot workflow
In preparation for an syngo iPilot guided intervention, the physician typically performs a 3D reconstruction to visualize the vess el tree or an anatomical structure. Upon selection, this 3D reconstruction is over laid with the 2D live image. The degree of visibility can be modified by the user. Patient movements can be compensated by adjusting the 3D volume according ly.
Page 39 of 68
SIEMENS
51 Valley Stream Parkway, Malv ern PA 19355
VA ANN ARBOR 506

PROPOSAL REFERENCE
Proposal: 1 -C7Y4XV Date: 11/ 18/2008
RELEVANT Items for Quote #1C9GCMT Revision 6 (Included in Contract Total) Qty Part # Description 1 14409271 syngo iGuide
Extended Net Price
monitored.
syngo iGuide provides live and inte grated needle guidance for inte rventional procedures such as vertebroptasties, kyphoplasties, biopsies, drainages or radiofrequ ency ablations. syngo iGuide takes advantage of the very goo d patient access on a C-arm bas ed Angio system. Thus especia complex needle procedures where lly a double oblique
needle path is needed are easil y planned and
syngo iGuide provides a menu guided intuitive 3 step approach for con sistent needle results:
Step 1: Definition and check of the needle path on a DynaCT or an externa l CT dataset. Step 2: Check of automatically proposed pro gression views that will be use d for monitoring the needle procedure. Step 3: Alignment and progression of the needle under fluoro control whil e the planned needle path is overlaid on the live image of the acquisition system. Easy switch between the defined progression views to control the real needle position and direction.
14409272
syngo iGuide Toolbox
syngo iGuide Toolbox contains the fun ctions Linked Marker, Linked Poi nter and Linked Contours that provide tools that take graphics drawn on the 3D volume and sim ultaneously display it on the live monitor. These graphical marker s allow pretreatment planning on the syngo 3D workstation by marking spots or areas on the 3D vol ume. The graphics are linked in real time for display on the live ACCEPTANCE ON FIRST PAGE
INCLUDES ALL FOLLOWING PAG ES AS SPECIFIED ABOVE Page4Oof68
SIEMENS
51 Valley Stream Parkway, Malvern PA
19355
VA ANN ARBOR 506

-
PROPOSAL REFERENCE
RELEVANT Items for Quote #1C9GCMT Revision 6 (Includ ed in Contract Total)
Qty
Part #
image monitor. Linked Marker
Description
Extended Net Price
Linked Marker is used to display a graphical reference overlaid to the live image marking an anatomical structure that is visi ble in the 3D volume or markin g the pathway for a puncture to guide the needle. The Linked Marker tool places points or lines onto the 3D data set. Placement can be performed either in the MPR view or directly in the VRT view. Eith er all or selected graphics may be overlaid on the current live image Fluoro, Roadmap or Acquisition in order to support the user during an interve ntion. Modifications such as e.g. moving, resizing, deleting any selected graphics are possibl e.

Linked Marker graphics may be saved with the 3D data set. Tha t means these points and lines can be archived for later rev iew with the 3D data. Linked Pointer Linked Pointer displays the cur rent mouse cursor position on the 3D volume and matches the corresponding position on the live monitor. With Linked Pointer function sele cted, all cursor movements in the InSpace MPR view are simultaneously shown at the cor responding position in the 2D image on the live monitor.
Linked Contours Linked Contours displays a gra phical outline on the live monito r to indicate the shape or contour of the 3D volume displaye d on the syngo workplace. It may be used to give the user a hint of the 3D volume on the live monitor, e.g. a stent or a coil ing basket.
LZ
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SIEMENS
VA ANN ARBOR 506

PROPOSAL REFER
RELEVANT Items for Quote #1-C9G CMT Revision 6 (Included in Con tract Total) Qty Part # Description
Extended Net Price
Selecting the function Linked Con tour will generate a graphical disp lay of the outlines in the 3D volume and overlay it on to the image Fluoro, Roadmap or Acq uisition on the live monitor.
The displayed contours are depend ent on the current rendering setting s (VOI, punching, windowing, transparency) of the displayed volume. Geometrical changes (stand ang ulation, zoom size, SID, table pos itions) will automatically result in an update of the displaye d graphics on the live monitor.
Inroom Control SW-License Software extension to InSpace 3D Pro or Flash and InS pace EP for remote control of the LEONARDO/syngo Workplace from the examination room via touch pan el and joystick. The InRoom Control software exte nsion allows for remote control of the LEONARDO/syngo Workplace from the examination room via touchscreen and joystic k. For this, another set of functions is offered on the Artis touchscree n. These are implemented for 3D navigation and allow the use r to manipulate the 3D image disp layed on the optional display.
14401876
lnSpace 3D Stenosis Measurem t InSpace 3D Stenosis measuremen t to determine the degree of sten osis. Measurement option for syngo Insp ace 3D Flash, syngo lnSpace 3D Pro and for syngo InS pace Viewer for vessel evaluation: Automated contour detection and path finding in the vessel tr ee.
-
14401900
LZ
ACCEPTANCE ON FIRST PAGE INCLUDES ALL FOLLOWING PAG ES AS SPECIFIED ABOVE
Page 42 of 68
SIEMENS
2215FULLER ROAD ANN ARBOR, MI 48105
PROPOSAL REFERENCE Proposal:_1-C7Y4XV_Dat 11/18/2008
RELEVANT Items for Quote #1-C9GCMT Revision 6 (Includ ed in Contract Total>
Qty
Part #
-
Description
Determination of degree of stenosis. Automatic and manual reference diameter determination .
Extended Net Price
The ease of use and the high degree of comfort allow for measurements during the intervention at the examination table.
14402033
191n Color Flatscreen Display
LCD color flatscreen display with high luminance and extend ed field of view. The Siemens 19 LCD flatscreen display features a very high contrast even under very bright ambient light conditions. The Gamma curve was precisely adapted to the CIE-/DICOM recommendation and is thus suited especia lly for gray scale display. LCD flatscreen display
-
19 (48 cm) screen size Resolution: 1.280 x 1 024 (pixel) Maximum brightness (typ.): 280 cd/m2 Flicker-free and distortion-free image display Anti-glare screen
The controlled background lighting provides stable lightin g throughout the entire product life cycle.
ACCEPTANCE ON FIRST PAGE INCLUDES ALL FOLLOWIN G PAGES AS SPECIFIED ABOVE
Page 43 of 68
SIEMENS
51 Vafley Stream Parkway, Malvern PA 1935 5
VA ANN ARBOR 506

PROPOSAL REFERENCE
Proposa i-C7Y4XV Date: 11/18/20 08
RELEVANT Items for Quote #1-C9GC MT Revision 6 (Included in Contract Total) Qty Part # Description 1 14401878
Extended Net Price
syngo Angio Package Software package consisting of DSA Ang lo Viewer as well as High-Speed Revi ew for real-time display of native and subtracted angiog raphy images. On the LEO NARDO/syngo Workplace, the syngo Angio package allows for dynamic review of DSA scenes (in subtracted or native display) and their post-proce ssing with functions such as:
-
Remasking Pixelshift Anatomic background Opacification etc. Review of DYNAVISION and PERIVIS ION scenes The high-speed functionality increas es the image review frequency in the syngo Anglo (DSA) viewer of the LEONARDO/ syngo Workplace WS for biplanar and monoplanar radiographies, depending on the frame rate and the LEON ARD O/syngo Workplace hardware used. With the current LEONARDO/syngo Wor kplace hardware R610 the following maximum image review frequencies of the scenes can be achieved: Biplane (native):
6 f/s with a 1,0242 matrix 15 f/s with a 5122 matrix
Page 44 of 68
SIEMENS
Siemens Medical Solutions USA , Inc. 51 Valley Stream Parkway, Malvern PA 19355 VA ANN ARBOR 506
PROPOSAL REFERENCE Proposal: 1-C7Y4XV Date: 11/18/20 08
RELEVANT Items for Quote #1-C9GC MT Revision 6 (Included in Contract Total) Qty Part # Description Monoplane (native): 30 f/s with a 5122 matrix
15 f/s with a 1,0242 matrix
Extended Net Price
syngo keyboard, USA Keyboard with special syngo keys. Keyboard for easy operation of syng o (browser, viewer, filming). There are special keys for windowing, scrolling, printing, marking and network communication.
04472853
Additional customer documenta tion
04451022
Customer documentation, English
14411153
VAkitforsyngoXWPVBl3
Second set of documentation for Vete rans Affairs Administration Hospitals in the U.S. Image Memory Extension R640 XWP Option to increase the available image storage capacity of a syngo X Workpla ce with FSC Celsius R640 from 147 GB to 294 GB. 14407103
Page45of68
SIEMENS
51 Vafley Stream Parkway, 1Valvern PA 19355
VA ANN ARBOR 506

PROPOSAL REFERENCE
RELEVANT Items for Quote #1-C9GC MT Revision 6 (Included in Contract Total) Qty Part # Description syncjo X Workplace Local
-
Extended Net Price
Workplaces Clinical Education Local
AXA_INITIAL_32
Initial onsite training 32 hrs
Up to (32) hours of on-site clinical educ ation training, scheduled consecuti vely (Monday during standard business hours for a Friday) maximum of (4) imaging profession als. Training will cover agenda items on the ASRT approved checklist. Uptime Clinical Education phone support is provided during the warranty period for specified posted hours. This educational offering must be completed (12) months from inst all end date. If training is not completed within the applicable time period, Siemens obl igation to provide the training will expire without refund.
AXAMISC_MATERIAL
for syngo X Workplace per contractual agreement
Offset of initial onsite training 32 hrs
Options and accessories Artis zee I Artis zeego
L_______
ACCEPTANcE ON FIRST PAGE INCLU DES ALL FOLLOWING PAGES AS SPECIFIED ABOVE
Page46of68
SIEMENS
VA ANN ARBOR 506

PROPOSAL REFERENCE
RELEVANT Items for Quote #1-C9GC MT Revision 6 (Included in Contract Total) Qty Part # Descrip
tion
Extended Net Price
04430133
Intercom
Intercom system for communication between examination room and cont rol room. 1 04452517 Tabletop, Wide
Carbon fiber tabletop in wide, non tape red design for universal applications. The tabletop has a non tapered design in the head region for maximum positioning conven ience also in case of obese patients. 1 04452475 Mattress for Tabletop, Wide
This visco-elastic comfort mattress for tabletop wide, reacting to temper ature, has the special property of adapting to the mdiv idua l body shape under the infi uence of body weight and heat. 14402008 Head support with set of pads Head holder for head immobilization during neuroradiological examinati ons. The AXIOM Artis head holder is use d for immobilizing the patients head during examinations and treatments. The patie nts head is fixed in the head hold er usi ng the pads or the wedge. The head holder is mounted to the table top with two knurled screws and a mounting device. The thin table mattress must be use d for patient examination.
Page 47 of 68
SIEMENS
PROPOSAL REFERENCE Proposal: 1-C7Y4XV Date: 11/ 18/2008
RELEVANT Items for Quote #1C9GCMT Revision 6 (Included in Contract Total) Qty Part # Description 1 04451139 Body module, narrow
Extended Net Price
Table insert with attached accesso ry rails for mounting control mo dules in the abdominal part of patient positioning tabletop. the The insert with accessory rails attached to the right and left slid es over the outer edges of the patient positioning tabletop. It is locked in place through two locking bolts on either side. The part to be inserted underneath the tabletop consist s of radiolucent carbon fibre mat erial, which avoids disturbing edges in the image. load capacity of the accessory rail s: 40 kg max. length of the accessory rails: 45 cm.
04453986
Body module
Table insert with attached accesso ry rails for mounting control mo dules in the abdominal part patient positioning tabletop. of the The insert with accessory rails attached to the right and left slid es over the outer edges of the patient positioning tabletop. It is locked in place through two locking bolts on either side. The part to be inserted underneath the tabletop consist s of radiolucent carbon fibre material, which avoids disturbing edges in the image. load capacity of the accessory rail s: 40kg max. length of the accessory rails: 45 cm.
ACCEPTANCE ON FIRST PAGE INCLUDES ALL FOLLOWING PAG ES AS SPECIFIED ABOVE
Page 48 of 68
SIEMENS
[ L
PROPOSAL REFERENCE Proposal: 1-C7Y4XV Date: 11/18/20 08
Qty
1
Part # 14400182
Description Connector Panel
Extended Net Price
Connector panel for installation in the Artis table base for plug connection of coun try-specific type (USA/Canada).
Lower Body Radiation Prot. Left For shielding the lower body against scatt ered radiation within the examiners mov ing range. The lower body radiation protection can be attached to the acces sory rails either on the right or on the left side of the patient posi tioning table. It consists of the following independent shiel ding units: A basic unit shielding the area between acce ssory rails and the floor. It is flexible and can be adapted to the exam iners preferenc es. Two clip-on units pointing upwards from the upper edge of the basic unit with a length of 57 cm and 27 cm.
-
14409322
Option: A third upward-pointing scattered radiation shielding unit that can be clipped onto the upper edge of the basic unit, with a length of 27 cm. The scattered radiation shielding units can be attached to the basic unit in an overlapping and fan-shaped way so that they ensure a closed, adapted scattered radiation protection even in the lower thora x area. The maximum load of the accessory rails is 40 kg, the weight of the attached scattered radiation protection is 8 kg.
Page 49 of 68
SIEMENS
VA ANN ARBOR 506

PROPOSAL REFERENCE
RELEVANT Items for Quote #1-C9GCMT Revi sion 6 (Included in Contract Total) Qty 1 Part # 04443243 Description Extended Net Price
Armholder (pair) Two arm holders for comfortable lateral arm posi tioning along the patients body. For Artis tabletops, the two arm holders help to later ally position the arms comfortably along the patients body. They are slid laterally undernea th the mattress, level with arms, and fixed by the patients body weight. The patients arms can be immobilized with com mercially available fixing straps. Two pairs of arm holders of different length and height (mat ching the mattress height) are supplied, that are suitable both for thick and thin mattresse s.
04443284
Shoulder Support
Shoulder supports for ergometry or in case of Tren delenburg positions of the tabletop. Shoulder supports are required for stress ECG or for Trendelenburg positions of 10 degrees or more. They prevent the patient from sliding. The padded shoulder supports with a washable plast ic cover are attached to steel bracket holders that are fixed to the head-end holder of the tabletop.
14407199
VA-Kit Artis Systems
Second set of documentation for Veterans Affairs Administration Hospitals in the U.S. Additional customer documentation
ACCEPTANCE ON RRST PAGE INCLUDES ALL FOLLOWING PAGES AS SPECIFIED ABOVE
Page 50 of 68
SIEMENS
VA ANN ARBOR 506

PROPOSAL REFERENCE
Proposal:_1-C7Y4XV Date: 11/18/2008

Qty
1 Part # 04451022 Description Customer documentation, English Extended Net Price
04499112
Pre-install. Artis-T (Mono)
04499138
Pre-install Artis table, std
Artis zee ceiling
Local
Clinical Education AXA
Local
AXA_CUSTCDJR
Onsite Pre-requisite CDIWBT Training
Pre-requisite basic clinical education training through WBT (web based training> and/or CD ROM to be completed prior to on-site training.
ACCEPTANCE ON FIRST PAGE INCLUDES ALL FOLLOWING
Page 51 of68
SIEMENS
VA ANN ARBOR 506

PROPOSAL REFERENCE Proposal: i-C7Y4XV Date: 11/18/2008
RELEVANT Items for Quote #1-C9GC MT Revision 6 (Included in Contract Total> Qty Part # Description I AXA_INITIAL32 Initial onsite training 32 hrs
Extended Net Price
Up to (32) hours of on-site clinical educ ation training, scheduled consecutiv ely (Monday during standard business hours for Friday) a maximum of (4) imaging profession als. Training will cover agenda items on the ASRT approved chec klist. Uptime Clinical Education phon e support is provided during the warranty period for specified posted hours.
AXA_FOLLOWUP_12
Follow-up training 12 hrs
Up to (12) hours of follow-up on-site clini cal education training, scheduled con secutively (Monday Friday) during standard business hours for a maximum of (4) imaging profess ionals. Uptime Clinical Education phone support is provided during the warranty period for specified posted hours.
AXA_ADD.24
Additional onsite training 24 hours
Up to (24) hours of on-site clinical education training, scheduled consecutively (Mo nday standard business hours for a maximum Friday) during of (4) imaging professionals. Training will cover agenda items on the ASRT approved checklict if nnIirhIp
ACCEPTANCE ON FIRST PAGE INCLU DES ALL FOLLOWING PAGES AS SPECIFIED ABOVE Page
52
of
68
SIEMENS
VA ANN ARBOR 506
RELEVANT Items for Quota #1-C9GCMT Revision 6 (Included in Contract Total) Qty
1
Part #
AXA_GOV_CLS
Description
GOVT ONLY AXA Training Class
-
Extended Net Price
Tuition for (1) government attendee to attend a classroom course of choice at one of the Siem ens training centers.
M2PRM22060515SM5
Injector, ProVis, Rack Mt, Table BR

HD
M2PRM22060515SM5
Mark V ProVis Rack Mount (w/ Table Bracket)
The Mark V ProVis Rack Mount contrast medium injector consists of an electronics unit, a control console for remote control of all important functions, and an injector head.
In the table bracket configuration, the injector head is attached to the patient table in the examination room with a table bracket, head cable and base outlet (supplied). The electronics unit and control console are located in the control room.
The injector system includes:

-
An injector head with automatic mechanical stop (protection against over-volume injection), manual control knob, and syringe-release lever A table bracket and support arm for attaching the injector head to the tabletop
PageS3of68
SIEMENS
VA ANN ARBOR 506

2215 FULLER ROAD ANN ARBOR, Mi 48105
PROPOSAL REFERENCE
Proposal:_1-C7Y4XV Date: 11/ 18/2008
-
Extended Net Price
A separate user control console wit h large, segmented display field and monitor A separate electronics unit in the con trol room A contrast medium heat maintainer A manual release handswitch
Functions (for 150 ml syringes>
Pressure Limitation:
-
6 to 82 bar, corresponds to 100 to 1200 psi

Display can also be configured in kpa and kg/cm2
Flow Rates: 03 to 50 mI/s

-
Increments of 01 mi/s up to 10 mI/s and 1 mI/s up to 50 mI/s 0.3to59m1/min Increments of 01 mI/mm up to 10 mI/m m and 1 mI/mm 03to59 mi/hr
ACCEPTANCE ON FIRST PAGE INC LUDES ALL FOLLOWING PAGES AS SPECIFIED ABOVE
up to 59 mI/mm
Page 54 of 68
SIEMENS
VAANN ARBOR 506

RELEVANT Items for Quote #1-C9GCMT Revision 6 (Included in Contract Total) Qty Part #
-
Description Increments of 0.1 mI/hr up to 10 mI/hr and 1 mI/hr up to 59 mI/hr
Extended Net Price
Flow Rate Rise/Fall:

-
0 to 9.9 s in 0.1 seconds increments
Release Delay for Injection or Radiation:

-
0 to 99.9 s in 0.1 seconds increments
Adjustable Volume:
-
1 ml to the max. syringe capacity in 0.1 ml incremen ts.
Filling Rate:
-
Variable syringe filling speed up to 7 seconds or as long as required.
Programming:
-
Up to 49 single-phase or 33 multi-phase injection prog rams possible. Up to 4 steps (i.e. alle parameters) per injection.
E______
Page 55 of 68
SIEMENS
VA ANN ARBOR 506

PROPOSAL REFERENCE
RELEVANT Items for Quote #1-C9GCMT Revision 6 ( Included in Contract Tota l) Qty Part # Description
Display Parameters:
-
Extended Net Price
Injection speed Injection volume Remaining volume Injection duration Applied pressure
Contrast Medium Heating:

-
Nominal 37C (98F)
Included in the scope of deliv ery

-
Standard syringe configuration with 150 mI/l 50 ml dual turret Two pcs. 150 ml pressure jackets Two pcs. 150 ml disposable syringes SIEMENS interface cable User manual (German, English, French and other languages available) Service manual (English)
ACCEPTANCE ON FIRST PAGE INCLU DES ALL FOLLOWING PAGES AS SPECIRED ABOVE
Page 56 of 68
SIEMENS
VA AN N ARBOR 506
PROPOSAL REFERENCE
Part # Power supply
-
Description
Extended Net Price
Standard: 210-240 V, 60 Hz Special order: 95-105 V, 105-120 V, 120-125 V. 190-210 V, 210-240 V, 240-250 V 5OHz,6OHz
Artis OEM Accessories
Local
NT6001 0635
Blue anti-fatigue floor mat for hospital NT60010835 Interstate Mat Corporation Anti-fatigue Mat
Industrial-grade anti-fatigue floor mat that provides comfort and durability. As ahigh-quality product designed to fight fatigue, it provides support for tired, aching feet, legs and back. Beveled edges for safety. Size 3x5.
O4RIDGESPLUS
PERI BOLUS KIT
ACCEPTANCE ON FIRST PAGE INCLUDES ALL FOLLO\MNG PAGES AS SPEFIED ABOVE
Page57of68
SIEMENS
VA ANN ARBOR 506

PROPOSAL REFERENCE Proposal: 1-C7Y4XV Date: 11/1 8/2008
Qty
Part #
Description
Extended Net Price
AXA,MISC_MATERIAL
Offset of initial onsite training 32 hrs for main system oer contractual agreement
AXA_ADDL_RIGGING
Additional Rigging for Deinstallation
AXA_MISC_MATERIAL
2nd set of operator and service manuals provided free of charge.
AXAMISCMATERIAL
One complimentary biomedical tuition is included with the purchase of this system to be completed during the warranty period.
ACCEPTANCE ON FIRST PAGE INCLUDES ALL FOLLOWING PAGES AS SPECWIED ABOVE
Page 58 of 68
SIEMENS
VA ANN ARBOR 506

rPRoPosAL REFERENCE Proposal: 1-C7Y4XV Date: 11/18/2008
I Part # AXA_MISC_MATERIAL Description Round trip airfare for I employee from DTW to RDU for Syngo X Workplace government class Extended Net Price
AXA_MISC_MATERIAL
Round trip airfare for I employee from DTWto RDU for government customer Basic Artis Class
Quote #1-C9GCMT Extended Total:
ACCEPTANCE ON FIRST PAGE H%JCLUDES ALL FOLLOWING PAGES AS SPECIFIED ABOVE
Page 59 of 68

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SIEMENS

PROPOSAL REFERENC E Proposal: 1-C7Y4XV Da te: 11/18/

Terms of Payment 00% Down, 80% Delivery, 20% Installation

Defense Supply Center Philadelphia terms and condions app ly to system

Proposal: 1-C7Y4XV Dat e: 11/18/2008

PROPOSAL REFERENC E [Proposal:l-C7Y4XV Date: 11/18/2008

Extended Net Price

Valley Stream Parkway, Malver n PA 19355

VA ANN ARBOR 506

VA ANN ARBOR 506

PROPOSAL REFERENCE Proposal: 1-C7Y4XV Date: 11/18/2008

RELEVANT Items for Quote #1-C9GCMT Revision 6 (Included in Contra ct Total)

Extended Net Price

ACCEPTANCE ON HRST PAGE INCLUDES ALL FOLLOWING PAGES AS SPECIFIED ABOVE

PROPOSAL REFERENCE Proposal: 1-C7Y4XV Date: 11/ 18/2008

Extended Net Price

Siemens Remote Service

PROPOSALREFERENCE Proposal:_1-C7Y4XV Date: 11/18/

Extended Net Price

Arm cradles (pair)

Unilateral armrest Infusion bottle holder Instrument tray

Note concerning DICOM interfac e(s)

VA ANN ARBOR 506

RELEVANT Items for Quote #1C9GCMT Revision 6 (Included in Contract Total)

Extended Net Price

Life the customer care solution by Siemens Medical

initial application training,

PROPOSALREFERENCE ProposaL i-C7Y4XV Date: 11/ 18/2008

Extended Net Price

Position-dependent variable fram e rates. Fully automatic exposure con trol.

Valley Stream Parkway, Malvern PA 19355

VA ANN ARBOR 506

Extended Net Price

Overview mode 30 cm x 38 cm (12 in x 15 in), diagonal 48 cm (19 in). ACC

EPTANCE ON FIRST PAGE INCLUD ES ALL FOLLOWING PAGES AS SPECIFIED ABOVE

VA ANN ARBOR 506

2215 FULLER ROAD

Extended Net Price

Zoom 1: 30cm x 30cm (12 in x 12 in), diagonal 42cm (17 in).

Megalix Cat12511 5140180 X-ray tube assembly

ACCEPTANCE ON FIRST PAGE INCLUDES ALL FOLLOWING PAGES AS SPECIFIED ABOVE

Extended Net Price

Max. tube voltage 125 kV.

ACCEPTANCE ON FIRST PAGE INCLUDES ALL FOLLOWiNG PAGES AS SPECIFIED ABOV E

VA ANN ARBOR 506

PROPOSAL REFERENCE Proposal: 1-C7Y4XV Date: 11/18/2008

VA ANN ARBOR 506

PROPOSAL REFERENCE XV 4 Y 7 Proposal-C Dat 11/18/2008

Description 15 Trendelenburg position. 15 lateral tilting range.

Extended Net Price

Table Top & Mattress, Narrow

Foot Switch MonopL(Wireless)

Displays Artis zee Monoplane

ACCEPTANCE ON FIRST PAGE INCLUDES ALL FOLLOWING PAGES AS SPECIFIED ABOVE

VA ANN ARBOR 506

RELEVANT Items for Quote #1-C9GCMT Revision 6 (Includ ed in Contract Total>

Extended Net Price

Roadmap Plus DCS DVI (Monoplane)

VA ANN ARBOR 506