equipment replacement application

Certificate of Need Program EQUIPMENT REPLACEMENT APPLICATION -Expedited review if equipment to be replaced was CON-approved.-Full review if equipment was not CON-approved.

Project Name:________________________________________________________ Project No:_____________________________

Project Description:_______________________________________________________________________________________________

Done Page N/A Description

Divider I. Application Summary:

__ ________ __ 1. Applicant Identification and Certification (Form MO 580-1861)

__ ________ __ 2. Representative Registration (From MO 580-1869)

__ ________ __ 3. Proposed Project Budget (Form MO 580-1863) and detail sheet with documentation of costs.

Divider II. Proposal Description:

__ ________ __

__ ________ __

__ ________ __

Divider III. Service Specific Criteria and Standards:

__ ________ __ 1. Describe the financial rationale for the proposed replacement equipment.

__ ________ __ 2. Document if the existing equipment has exceeded its useful life.

__ ________ __ 3. Describe the effect the replacement unit would have on quality of care.

__ ________ __ 4. Document if the existing equipment is in constant need of repair.

__ ________ __ 5. Document if the lease on the current unit has expired.

__ ________ __

Divider IV. Financial Feasibility Review Criteria and Standards:

__ ________ __

__ ________ __

1. Document that sufficient financing is available by providing a letter from a financial institution or anauditor's statement indicating that sufficient funds are available.

2. Provide Service-Specific Revenues and Expenses (Form MO 580-1865) projected through three (3) FULLyears beyond project completion.

3. Document how patient charges are derived.

4. Document responsiveness to the needs of the medically indigent.

__ ________ __

__ ________ __

MO 580-2506 (03/20)

__ ________ __

__ ________ __

__ ________ __

__ ________ __

__ ________ __

1. Provide a complete detailed project description and include the type/brand of the existing equipment andthe replacement equipment.

2. Provide a listing with itemized costs of the medical equipment to be acquired and bid quotes.

3. Provide a timeline of events for the project, from CON issuance through project completion.

6. Describe the technological advances provided by the new unit.

7. Describe how patient satisfaction would be improved.

8. Describe how patient outcomes would be improved.

9. Describe what impact the new unit would have on utilization.

10. Describe any new capabilities that the new unit would provide.

11. By what percent will this replacement increase patient charges.

(If replacement equipment was not previously approved, also complete Divider IV below.)

THE CHILDREN’S MERCY HOSPITAL

KANSAS CITY, MISSOURI

CERTIFICATE OF NEED APPLICATION

REPLACE CATH EQUIPMENT

October 2021

PROJECT # 5898 HT

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CERTIFICATE OF NEED APPLICATION 5898 HT REPLACE CATH EQUIPMENT

DIVIDER I: APPLICATION SUMMARY

1. Applicant Identification and Certification (Form MO 580-1861). See Exhibit One

2. Representative Registration (Form MO 580-1869).

Exhibit Two is the Representative Registration form for the project lead at The

Children’s Mercy Hospital (CMH). Others will be completed as needed. 3. Proposed Project Budget (Form MO 580-1863) and detail sheet.

See Exhibit Three

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CERTIFICATE OF NEED APPLICATION 5898 HT REPLACE CATH EQUIPMENT

DIVIDER II - PROPOSAL DESCRIPTION 1. Provide a complete detailed project description.

The Children’s Mercy Hospital (CMH) is proposing to replace its existing pediatric cardiac catheterization lab (CATH) unit with a new CATH to improve access and quality for CMH’s patients. Growth in volume of procedures at CMH, advancement in technology, as well as specialized consideration for pediatric acute patients has created a need to replace the existing CATH which is thirteen years old (CON approval in 2007, Project Number 4074HS).

The Children’s Mercy Hospital’s mission is to provide leadership in promoting the health and well being of children. A new state of the art CATH will allow CMH to come closer in meeting its mission, by providing a more definitive diagnosis, and decrease down time caused by older equipment.

2. Provide a listing with itemized costs of the medical equipment to be acquired.

Item New Vendor Quote AmountCath Lab Equipment Canon (Item A) $1,458,000

3D Mapping Equipment

BIosense Webster (Carto) (Item B) $575,900+

$148,500 CartoUnivu Module

OR Lights Stryker (Item C) 150,000Headsets and Tower Carrot Medical (Item D) $17,500Injector Bayer (Item E) $31,030 plus trade in

EP Recording systemGE through Biosens (CardioLab) or

Abbott (Item F) $269,469

3D Mapping Equipment Abbott $175,000System Upgrade for current system

Ultrasound software

GE through Biosense$79,638

Renovation Cost Estimate Internal Estimate $594,963

TOTAL $3,500,000 See Exhibit Four for detailed bid quote and specific Items.

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3. Provide a timeline of events for the project, from CON issuance through project completion.

Below is the timeline of events since the inception of the proposed project:

• December 2020-March 2021-Budgetary Quotes received • March 2021-Submit for Capital Budget • June 2021-Approved by Executive Leadership • September 10, 2021-CON Letter of Intent Submitted • October 2021-Vendor selection for EP Recording System/Pricing negotiations begin on

other capital equipment • October 12, 2021-CON Submitted • October 2021-Dec 2021- Lab software/hardware determined, PO’s Issued pending

approval of CON, Renovation planning begins, design/scope of the renovation • November 23, 2021-CON decision • March 2022-Constuction renovation starts/lab decommissioned • May 2022-New lab commissioned and first cath procedure performed

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CERTIFICATE OF NEED APPLICATION 5898 HT

REPLACE CATH EQUIPMENT DIVIDER III – COMMUNITY NEED CRITERIA AND STANDARDS 1. Describe the financial rationale for the proposed replacement equipment.

The decision to replace the fourteen-year-old CATH was not a financial issue rather it was an issue of quality patient care. However, the replacement CATH will improve access and volume growth that in turn will increase revenue.

2. Document if the existing equipment has exceeded its useful life.

The current CATH is fourteen years old and has exceeded its ability to serve the pediatric patients in the community effectively. Equipment of this kind is normally fully depreciated after seven years. In addition, repairs and maintenance of the current unit will become more frequent as it ages and it will become more difficult (and eventually impossible) to obtain replacement parts because this system has been replaced by units employing newer, different technology. It is difficult to timely serve patients during repairs and maintenance, thus increasing the backlog for this much needed service.

3. Describe the effect the replacement unit would have on quality of care. As stated earlier, the key component of CMH’s mission is to promote the health and well being of children. The proposed equipment will allow CMH to meet those standards by enhancing patient care, quality and safety. For example, the replacement cardiac catheterization laboratory’s ability to produce clearer images will enable CMH to better evaluate and diagnose heart conditions. This will enhance the quality of care and make it possible to perform established new procedures for management of cardiac conditions in children. 4. Document if the existing equipment is in constant need of repair.

The existing unit requires continued maintenance and repairs resulting in downtime for the lab. In fiscal year 2021, the Cath Lab 2 had 16 service tickets. Given the age of the existing unit and the significant volume levels associated with being the primary unit, CMH expects extensive repairs will continue to be required going forward. Any time the machine is down it causes a hardship to the families that CMH serves.

5

5. Document if the lease on the current equipment has expired.

Not applicable the equipment was not leased.

6. Describe the technological advances provided by the new unit.

The proposed CATH unit provide high definition imaging which is a great enhancement to the current unit.

7. Describe how patient satisfaction would be improved.

The new CATH will create better outcomes for children all of which will lead to better patient and staff satisfaction.

8. Describe how patient outcomes would be improved.

CATH units have been necessary for the diagnosis and treatment of congenital heart disease from the very beginning of this field. Improvements in technology have made it possible to develop procedures which now take the place of cardiac surgery for a number of cardiac conditions. This results in shorter hospital stays with no chest wall scar or sequelae associated with cardiac surgery. Better imaging capabilities will also improve the quality of the information given to the Cardiovascular Surgeon when surgery is necessary.

9. Describe what impact the new unit would have on utilization.

The improvement in the images obtained with the new equipment will enhance its usefulness for current utilization and will allow its application in established new techniques for the management of congenital cardiac defects. This Cath lab is primarily used to treat patients who have cardiac rhythm diagnoses. The procedures completed in this lab are specific to electrophysiology and sometimes will include cardiac Cath diagnostic procedures. In providing care to patients with a cardiac rhythm diagnosis, specific electrophysiology equipment is needed to help to determine where and how the rhythm can be corrected for these patients. The number of patients treated in this lab is significant less than the number of patients treated in our main lab and these procedures take a lot longer to complete due to the precise care being providing in correcting the cardiac rhythms.

10. Describe any new capabilities that the new unit would provide.

The image quality is significantly improved by the flat panel detectors and other imaging enhancements and allow for high definition imaging

6

11. By what percent will this replacement increase patient charges?

There is no intention to raise the fee for CATH services other than by normal annual inflation.

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CERTIFICATE OF NEED APPLICATION 5898 HT

REPLACE CATH EQUIPMENT DIVIDER IV – COMMUNITY NEED CRITERIA AND STANDARDS 1. Document that sufficient financing is available by providing a letter from a financial institution or an auditor's statement indicating that sufficient funds are available.

See Exhibit Five 2. Provide Service-Specific Revenues and Expenses (Form MO 580-1865) projected through three (3) FULL years beyond project completion

See Exhibit Six

3. Document how patient charges are derived.

In FY 2021, and beyond, charges are expected to increase approximately 5% annually. It is important to note that reimbursement for patient charges is negotiated with managed care plans; these plans do not take into account expenditures related to equipment or other capital purchases.

4. Document responsiveness to the needs of the medically indigent Historically, CMH has provided a very high rate of uncompensated care. Corporate and individual donations, government programs and support from city and county, as well as other fundraising activities, underwrite CMH’s efforts to offset uncompensated care costs, and enable Children’s to serve those who otherwise could not afford the care provided.

Many of the children who utilize CMH’s services fall into the self-pay category. Often, they do not qualify for any public support, leaving the family responsible for all medical bills. In this circumstance, even short hospital stays can devastate families financially, which is why CMH uses its own financial assistance program, discounting patient bills on a sliding scale based on family income to make care more affordable.

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Exhibit One

9

Exhibit Two

11

Exhibit Three

13

Certificate of Need Program

PROPOSED PROJECT BUDGET

DollarsDescription

COSTS:* (Fill in every line, even if the amount is “$0”.)

1. New Construction Costs ***

2. Renovation Costs ***

3. Subtotal Construction Costs (#1 plus #2)

4. Architectural/Engineering Fees

5. Other Equipment (not in construction contract)

6. Major Medical Equipment

7. Land Acquisition Costs ***

8. Consultants’ Fees/Legal Fees ***

9. Interest During Construction (net of interest earned) ***

10. Other Costs ***

11. Subtotal Non-Construction Costs (sum of #4 through #10

12. Total Project Development Costs (#3 plus #11) **

FINANCING: 13. Unrestricted Funds

14. Bonds

15. Loans

16. Other Methods (specify)

17. Total Project Financing (sum of #13 through #16) **

* Attach additional page(s) detailing how each line item was determined, including all methods and assumptions used. Provide documentation of all major costs.

** These amounts should be the same.

*** Capitalizable items to be recognized as capital expenditures after project completion.

**** Include as Other Costs the following: other costs of financing; the value of existing lands, buildings and equipment not previously used for health care services, such as a renovated house converted to residential care, determined by original cost, fair market value, or appraised value; or the fair market value of any leased equipment or building, or the cost of beds to be purchased.

***** Divide new construction costs by total new construction square footage.

****** Divide renovation costs by total renovation square footage.

18. New Construction Total Square Footage

19. New Construction Costs Per Square Foot *****

20. Renovated Space Total Square Footage

21. Renovated Space Costs Per Square Foot ******

MO 580‐1863 (02/13)

14

Exhibit Four

15

Item A

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QUOTATION/ORDER SUMMARY DATE: 12/17/2020 SID #: 30049468 QUOTE #: 143564-2.1 PRESENTED TO:

CHILDRENS MERCY HOSPITAL 2401 GILLHAM RD KANSAS CITY, MO. 64108

All information contained in this quotation is confidential and may not be disclosed to any third party without Canon Medical Systems’ prior written consent.

2441 Michelle Drive, Tustin, CA 92780 PHONE: 800-421-1968 https://us.medical.canon Page 1 of 39

ALPH/BP/ENCOREPLUS.000 ALPHENIX BIPLANE ENCORE PLUS SPECIAL INFORMATION & TERMS Note: In case of power outage, only a three phase full system UPS will be compatible with Alphenix

system. Please contact Canon sales representative if you want to include a three phase full system UPS to the quote.

This quotation includes a twenty-four (24) month warranty excluding Vital Images products. This warranty does not cover products not manufactured by Canon Medical Systems identified in the Product Warranty and Service Coverage, Warranty Exclusions section of this quote.

This system includes a sixty (60) month non-prorated warranty on the X-ray tube.

This system includes a Performance Pro custom education program as detailed in the Applications

Support portion of this quote.

This price is offered contingent on the receipt of a purchase order and executed quotation by December 31, 2021.

This quotation shall remain valid until December 31, 2021. All prices are F.O.B. destination. Payment terms are: Cash - 0% down payment, 80% upon shipment net 45 days, 20% net 30 days upon Clinical Acceptance, defined as 3 consecutive days without downtime. This quotation/order will be subjected to the Agreement for Vascular equipment products between Vizient Supply, LLC and Canon Medical Systems USA, Inc. Reference contract no. XR0314.

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Please return signed quotation to Canon Medical Systems USA, Inc. by email [email protected] or fax 714-441-9320. ACCEPTED AGREED AND ORDERED: _______________________________________ ________ _______________________________ __________ PURCHASER’S SIGNATURE/TITLE DATE CANON MEDICAL SYSTEMS REP DATE

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EQUIPMENT SUMMARY: ALPH/BP/ENCOREPLUS.000 ALPHENIX BIPLANE ENCORE PLUS PART NUMBER QTY DESCRIPTION

1 PEDIATRIC LAB

1 SYSTEM AND TABLE CONFIGURATION

ALPH-BP-12-880/ENCPLUS.100

1 ALPHENIX BIPLANE 12"X12" FPD SYSTEM WITH CAT-880B HYBRID TABLE ENCORE PLUS UPGRADE PROGRAM

1 ENCORE PLUS: ALPHENIX BIPLANE 12"X12" FPD SYSTEM WITH CAT-880B HYBRID TABLE

1 2" TABLE PAD FOR CAT-880B

1 CABINET SIDE COVER

1 21" COLOR MONITOR KIT

1 MONITOR,LCD COLOR

1 SUPINE POSITION SCOOP ARM SUPPORT

1 ANTI-FATIGUE FLOOR MAT

1 SERVICE INSTALLATION COMPONENTS

1 VASCULAR OPTIONS FOR ALPHENIX DFP-8000C/A2 V9 WINDOWS 10 SERIES

INTV-DASH/BP30/2.100 1 30" CONTROL ROOM MONITOR - BP

2 6 MEGA PIXEL (3280 X 2048), 30 INCH WIDE, COLOR LCD DISPLAY

1 HP USB KEYBOARD/MOUSE/MOUSEPAD KIT

1 19" RACKMOUNT SHELF

LARGELCD/BARCO/2.100 1 BARCO 58" LARGE MONITOR WITH BUILT-IN PROTECTIVE GLASS

2 MNA-120 ENC DVI: MNA-120 DVI ENCODER

1 MNC-180 COMPOSITOR ASSEMBLY: ONE MNC-180 COMPOSITOR, QSFP+ FTL410QE2C WITH FIBER OPTICAL BREAKOUT CABLE

1 SUMMIT X640-48X: 10GE NETWORK SWITCH

1 ONE KIT 36M OPTIC FIBER CABLE TMS (C9826172) IS REQUIRED TO CONNECT BETWEEN MDSC8258MNA AND SUMMIT X640-48X

1 INSTALLATION KIT: INCLUDES 10G SFP+ MODULE FTLX8571D3BCL - 6 PC, KIT 1G SFP+ MODULE - 3PC, AND SYSTEM KIT INSTALLATION MANUAL

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PART NUMBER QTY DESCRIPTION

1 58" MONITOR WITH PROTECTIVE GLASS, 58" LCD COLOR DISPLAY WITH MNA

1 TOUCH PANEL CONSOLE FOR 58" LCD COLOR DISPLAY

1 100FT CAT5E BLUE PATCH CABLE CABL CAT5 SNAGLESS MOLDED M/M RJ45 350MHZ

1 6FT CAT5 CAT5E BLUE PATCH CABLE CABL SNAGLESS MOLDED M/M RJ45 350MHZ

1 CABINET FOR LARGE LCD COLOR DISPLAY MONITOR

1 TRIPP LITE WALL MOUNT CABINET

2 TRIPPLITE 6 OUTLET RACKMOUNT POWER STRIP PERP 1U REAR FACING

1 TRIPPLITE 1U RACK ENCLOSURE FIXED SHELF

2 TRIPPLITEWALL MOUNT RACK ROOF FAN KIT FAN

1 BLACKBOX 10 PORT GIGABIT WEB SMART

2 1M FIBER MMF LC-LC OM3 DX 2MM CABLE CUSTOM

LARGELCD/DVI-INPUT.100 8 DVI INPUT ON BARCO MONITOR


8 30M LC-LC OM3 MM DX 2MM CABLE CUSTOM

LARGELCD/BARCOGUESTPORT.100

4 BARCO GUEST PORT INPUT DISPLAY


4 MNA-120 ENC ANA AUDIO TMS WITH EXTRA SFP+

4 DVI EXTENDER AND RECEIVER CABLE

4 CANON LOGO PLATE


LARGELCD/ANALOG-INPUT.100

4 ANALOG INPUT ON BARCO MONITOR

4 MNA-120 ENC ANA AUDIO TMS WITH EXTRA SFP+


GD60D-W-TSP 1 DUAL ARM MAVIG GD60 LARGE MONITOR SUSPENSION FOR CAS CEILING MOUNTED RAILS

VA-2701-KIT.100 2 MAVIG BACK MONITOR KIT: 19" COLOR MONITOR WITH BRACKET

2 19" COLOR MONITOR

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2 VESA 100 MOUNTING BRACKET WITH INSULATION SUITABLE TO MOUNT BACK UP MONITOR ON GD60 MONITOR FRAME

2 DVI SPLITTER, EXTENDER AND TRANSMITTER WITH SWITCH

2 CAT7 CABLE, 98 FT

XGCP-882AA/B1 1 JOYSTICK CONTROL UNIT WITH STAND (BIPLANE)

XACP-001AA/C1 1 SATELLITE TABLET CONSOLE

UR-4MD.100 1 TEAC MEDICAL IMAGING VIDEO RECORDER

1 TEAC MEDICAL IMAGING VIDEO RECORDER

1 CAT7 CABLE, 98 FT

RC-10M 1 TEAC REMOTE CONTROL UNIT

RC-3F-M 1 TEAC FOOTSWITCH

XIDF-SFL801 1 SPOT FLUORO

XIDF-QCA850/A1.100 1 BASIC KIT FOR CLINICAL ANALYSIS APPLICATION

1 CAAS BASIC KIT FOR CLINICAL ANALYSIS APPLICATION

XIDF-QCA851/A1 1 QUANTITATIVE CORONARY VESSEL ANALYSIS - 9MM OR LESS

XIDF-QCA852/A1 1 QUANTITATIVE VESSEL ANALYSIS - 9MM OR ABOVE

XIDF-QCA856/A1 1 3DQCA KIT: THREE-DIMENSIONAL QUANTITATIVE CORONARY ANALYSIS KIT

XIDF-QCA854/A1.100 1 LEFT VENTRICULAR ANALYSIS (BIPLANE) KIT

1 LEFT VENTRICULAR ANALYSIS (BIPLANE)

1 LEFT VENTRICULAR ANALYSIS (SINGLE PLANE)

3D-ANGIO-SW-KIT/CA2.100 1 BASE 3D ACQUISITION SOFTWARE

APPS-ONSITE-32 1 ADDITIONAL ON-SITE APPLICATIONS TRAINING - 32 HOURS

XIDF-PVG801/A1.100 1 3-D VIEWER KIT

1 3D VIEWER KIT

XIDF-3DP802/C1.100 1 3D ROADMAP WITH NEEDLE GUIDANCE KIT ON AWS

1 3D ROADMAP WITH NEEDLE GUIDANCE KIT ON AWS

XIDF-3DP804 1 MULTI-MODALITY ROADMAP KIT (CT & MR)

XIDF-ROT801 1 ROTATIONAL DSA KIT

XIDF-LCI801 1 LOW CONTRAST IMAGING (REQUIRES AWS)

XBFG-001A/B1 1 MUSHROOM HANDLE FOR CAT-850B/B1, CAT-880B/B1

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XBHG-002A/B1 1 OVER HEAD HANDGRIPS / ARMREST FOR CAT-880B/B1

XBAR110A 1 BI-LATERAL ARM BOARD SET

XBER-001A 1 TABLE SIDE CONTROL EXTENSION RAIL SET (PAIR)

XBET-001A 1 FOOT-END TABLE EXTENSION (REQUIRES XBER-001A)

9445 1 FOOT-END TABLE CONTROL MOUNTING RAIL FOR EXTENDABLE RAIL OPTION

XBAM-001A 1 HEAD-END ACCESSORY RAIL FOR CAT-880B

9412 1 2" TABLE FOOT-END EXTENSION PAD FOR PART # XBET-001A

PX17-36730-2 1 I/V POLE FOR ALPHENIX SERIES

9434 1 TABLE WIDTH EXTENDER FOR CAT-880B

345AFSB 3 ANTI-FATIGUE FLOOR MAT

FOOTSWITCH/W/BP/880.100 1 WIRELESS FOOTSWITCH FOR CAT-880B BIPLANE

TS1006-US 1 MAVIG TRACK 4.0 M LENGTH / 335 MM WIDTH WITH SPOOLER

57CM-COLUMN-TROLLEY.100

1 MAVIG CEILING 360 COLUMN WITH TROLLEY (57 CM) WITH BRAKE STRAP

OT90001-US 1 MAVIG PORTEGRA2 (95/90 CM) EXTENSION SPRING ARM WITH CENTER MOUNTED CONTOUR CUT-OUT SHIELD (61X76 CM)

LE9017100 1 MAVIG PORTEGRA2 (95/90 CM) EXTENSION SPRING ARM WITH YLED-1F LED LAMP

XGPA-1200A 2 MAGNETIC SHIELDING KIT FOR 12" X 12" FPD FOR USE WITH 3D EP MAPPING SYSTEMS

TRNG-PREFPRO-PLUS UPGRADE

1 PERFORMANCE PRO - PLUS

XAGU-HDKIT/B1 2 V8 UPGRADE KIT GRIDS AND CABLES

TFP-1200C/A1 2 12 X 12" HD FLAT PANEL DETECTOR

XIDF-AWK801 1 ROCKET LINK CONNECTION KIT

XIDF-DTS802/C1 1 DOSE TRACKING SYSTEM FOR ALPHENIX

XIDF-AWS801/B3 1 ALPHENIX ANGIO WORKSTATION (AWS) TOTAL QUOTE PRICE $1,458,000.00 Applicable Sales Tax Additional

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FINANCE OPTIONS: Finance options are available through Canon Medical Finance USA, a program of Canon Medical Systems USA, Inc.

CANON MEDICAL FINANCE USA OFFERINGS: Fair Market Value, $1.00 Buy Out (Lease to Own), and Loan structures Finance terms ranging from 12 months to 84 months Financing for 3rd party assets (including, but not limited to leasehold improvements & I.T.)

CANON MEDICAL FINANCE USA BENEFITS: No progress payments. Payments begin after delivery and installation Upgrades to the current technology platform can be financed. Flexible finance structures, such as deferred payments, tiered repayments, and bridge financing, to

meet cash flow needs

Finance options are subject to credit underwriting, approval, and a fully executed contract.

For more information, please contact Trish Malone, Dir. Financial Programs at: [email protected] or +1 714 669 1226

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ALPH/BP/ENCOREPLUS.000 ALPHENIX BIPLANE ENCORE PLUS

Welcome to the Canon Medical Systems Encore Plus upgrade program. With Encore Plus, installed-base customers get the benefit of upgrading their aging system to new technology while maintaining many of their existing parts. This gives you access to the latest clinical capabilities and offers training and warranty equal to a completely new system. The new Alphenix family of angiography systems Combines industry-leading dose management technologies, enhanced workflow and a new set of features. Alphenix continues Canon Medical’s commitment to supporting you and your mission to provide patients with safe, accurate and fast imaging. WorkRite: WorkRite technologies help you optimize workflow and provide an unprecedented range of patient access and coverage. The unique flexibility and design of the C-arm, combined with low-profile FPD housing, offers optimal ergonomic orientation enabling “line of sight” over the system and patient to view the display monitors. Our feature-rich workstation enhances productivity and integrates applications to help you plan, analyze and perform interventional procedures. ImagingRite: ImagingRite technologies Offers A full complement of advanced imaging tools that can be customized based on the clinical application. DoseRite: DoseRite technologies provide a comprehensive dose management suite of tools designed to minimize patient X-ray exposure while maintaining optimum image quality, enabling you to prioritize safe operating conditions for patients and clinical staff. A redesigned imaging platform with 8th generation Advanced Image Processing (AIP) and noise reduction technology. Even standard system configurations offer many dose management features to help you provide benefits for everyone, from patients to clinical staff.

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COMPONENT SUMMARY: PART NUMBER QTY DESCRIPTION 1 PEDIATRIC LAB

Optimized for Pediatric facilities, the Canon family of angiography systems Combines industry-leading dose management technologies, enhanced workflow and a new set of features. Canon Medical is commited to supporting you and your mission to provide patients with safe, accurate and fast imaging. WorkRite Technology: WorkRite technologies help you optimize workflow and provide an unprecedented range of patient access and coverage. The unique flexibility and design of the C-arm, combined with low-profile FPD housing, offers optimal ergonomic orientation enabling “line of sight” over the system and patient to view the display monitors. Our feature-rich workstation enhances productivity and integrates applications to help you plan, analyze and perform interventional procedures. ImagingRite: ImagingRite technologies Offers A full complement of advanced imaging tools that can be customized based on the clinical application. DoseRite: DoseRite technologies provide a comprehensive dose management suite of tools designed to minimize patient X-ray exposure while maintaining optimum image quality, enabling you to prioritize safe operating conditions for patients and clinical staff. A redesigned imaging platform with 8th generation Advanced Image Processing (AIP) and noise reduction technologyEven standard system configurations offer many dose management features to help you provide benefits for everyone, from patients to clinical staff.

1 SYSTEM AND TABLE CONFIGURATION ALPH-BP-12-880/ENCPLUS.100

1 ALPHENIX BIPLANE 12"X12" FPD SYSTEM WITH CAT-880B HYBRID TABLE ENCORE PLUS UPGRADE PROGRAM

1 ENCORE PLUS: ALPHENIX BIPLANE 12"X12" FPD SYSTEM WITH CAT-

880B HYBRID TABLE STANDARD SYSTEM COMPONENTS

CAS-820B/B1 C-arm, Ceiling Mounted (Omega-Arm) CAS-880A/B2 Multi-Axis C-arm, Floor Mounted DSRX-T7445GFS High-Capacity X-ray Tube (Qty 2) BLA-900A Automatic Rotating Collimator (Qty 2) TFP-1200A/C1 12”x12” Flat Panel Detector (Qty 2) CAT-880B/B1 Catheterization (Tilting) Table

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XGCP-882BA/B1 Tableside Console HyperHandle XBFS-880B Standard Biplane Footswitch XTP-8100XG High-Frequency X-ray Generator 100 kW

(Qty 2) DFP-8000C/A2 XIDF-MIC802

Multitasking Digital Fluoroscopy Processor Microphone Kit

XIDF-MCC80B Main Console XIDF-FS801B Control Room Footswitch XJDK-002A/V8 Dose Meter Controller XJDC-016A Dose Chambers (Qty 2)

C-ARM, CEILING MOUNTED (OMEGA-ARM) - CAS-820B/B1 The unique, ceiling mounted omega-arm provides clinical angles for fluoroscopy, radiography and digital fluorography. Specifications Variable rotation speeds up to 15 degrees per second for fast C-arm

angulation Stroke of flat panel detector movement (SID): 380 mm, motor-driven Isocenter height: 111 cm (43.7”) Variable Height Imaging Plane Canon Medical Systems’ exclusive feature provides 70 mm of synchronized X-ray tube and flat panel detector vertical travel. Enhancing patient safety and physician comfort, the height of the lateral imaging plane is adjustable to eliminate the need to change table height. C-arm Flip Canon Medical Systems’ exclusive feature enables the lateral C-arm to reverse the side of the X-ray tube and flat panel detector, mid-procedure. As scatter radiation exposures are higher on the X-ray tube side by up to 50%, the Alphenix Biplane provides flexibility for procedures on either side of the patient table while minimizing dose exposure to the operator. Positioning Features to Enhance Workflow The ceiling mounted C-arm is designed to enhance workflow. Features include: C-arm Movement: Flexible positioner that, combined with low-profile

housing of the X-ray tube and flat panel detector (FPD), optimizes imaging angles. Enables variable-speed axial rotations and isocentric fluoroscopy and fluorography with rotations from: o Omega-arm rotation: CRA 45 degrees to CAU 45 degrees (left lateral setting) CRA 45 degrees to CAU 45 degrees (right lateral setting)

o Omega-arm sliding: LAO 120 degrees to LAO 0 degrees (left lateral setting) RAO 120 degrees to RAO 0 degrees (right lateral setting)

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Auto-Positioning/Auto-Set Functions: Allows specific auto-positioning settings sequentially for each study protocol. Enables fast initiation of C-arm positioning and system settings for the desired imaging requirements. Records and reproduces over 64 programs of: angulations and SID, initial field-of-view (FOV), table height, compensation filter position.

Auto-Angle: For acquired images, auto-angle stores the following for one-touch recall (can be customized to site): C-arm angle, SID, compensation filter position, table height, magnification size, FOV, Live Digital Zoom.

MULTI-AXIS C-ARM, FLOOR MOUNTED - CAS-880A/B2 Unique, floor-mounted C-arm provides clinical angles for fluoroscopy, radiography and digital fluorography. It provides all clinical angles for diagnostic and interventional procedures with 6’6” head-to-toe and 6’ fingertip-to-fingertip access for maximum patient coverage. Specifications Variable rotation speeds up to 50 degrees per second for fast C-arm

angulation Stroke of flat panel detector movement (SID): 350 mm, motor-driven Isocenter height: 111 cm (43.7”) Positioning Features to Enhance Workflow The floor-mounted, five-axis C-arm is designed to enhance workflow. Features include: C-arm Movement: Flexible positioner that, combined with low-profile

housing of the X-ray tube and flat panel detector (FPD), optimizes imaging angles. Enables variable-speed axial rotations and isocentric fluoroscopy and fluorography with rotations from: o RAO 120 degrees to LAO 120 degrees o CRA 50 degrees to CAU 90 degrees (head-end position)

Auto-Positioning/Auto-Set Functions: Specify auto-positioning settings sequentially for each study protocol. Quickly initiate C-arm positioning and system settings for the desired imaging requirements. Record and reproduce over 64 programs of: angulations and SID, initial field-of-view (FOV), table height, compensation filter position.

Auto-Angle: For acquired images, auto-angle stores the following for one-touch recall (can be customized to site): C-arm angle, SID, compensation filter position, table height, magnification size, FOV, Live Digital Zoom.

HIGH-CAPACITY X-RAY TUBE WITH LIQUID METAL BEARING - DSRX-T7445GFS (QTY 2) Includes a standard 36-month, non-prorated tube warranty. Triple-focus design provides small-focal-spot redundancy for uninterrupted procedure in the event of fluoro filament failure. Highly efficient, pulsed fluoroscopy with built-in, beam-hardening filters reduces dose. Continuous, high-speed (9000

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rpm) anode rotation provides immediate display of fluoroscopic and fluorographic images. Other features include: Grid switch Maximum kV: 125 kV Focal spot: 0.4/0.6/0.9 mm Maximum ratings: 30/50/100 kW Target angle: 9 degrees Maximum anode heat storage: 3000 kHU Maximum anode cooling rate: 7700HU/s AUTOMATIC ROTATING COLLIMATOR - BLA-900A (QTY 2) Four dose-adjustment filters with industry-standard filtration materials:

aluminum 1.8 mm, copper 0.2 mm, 0.3 mm, 0.5 mm Automatic or manual rotating collimator keeps a heads-up alignment Automatic selection of appropriate filter is possible when registered in

the fluorographic program Additional compensation filters are provided: iron 1.2 mm

o Two left/right filters (heart-shaped or straight filters available) o One center filter (straight)

12”X12” FLAT PANEL DETECTOR - TFP-1200A/C1 (QTY 2) Innovative flat panel detector technology enhances low-dose imaging, offers exceptional image quality, and features Digital Subtracted Angiography (DSA) standard with superior contrast and dynamic resolution. Specifications Multiple fields-of-view: 12”x12”, 10“x10“, 8”x8”, 6”x6” Detector matrix: 1536x1536 with frame rates up to 60 FPS Pixel size: 194 microns x 194 microns with DQE of 77% (0 1p/mm)

(Typical) 16-bit pixel depth for extended dynamic range Removable grid HYBRID CATHETERIZATION TABLE - CAT-880B/B1 Facilitates catheterization of cardiac, cerebral, abdominal and peripheral areas. As a hybrid catheterization table, can also support some open surgical procedures. Micro-processor-controlled longitudinal movement enables table to be used for numerous radiographic techniques. Flat surface eases movement of patient on and off the table. Specifications Sliding movements (manual):

o Longitudinal stroke: 1350 mm (53.1") o Lateral stroke: ±200 mm (±7.9")

Vertical movement (motor-driven): 754 mm to 1054 mm (29.7" to 41.5") (from floor level)

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Tilt: 16 degrees head up and 16 degrees head down (motor drive for longitudinal shift when tilted)

Lateral tilt: 16 degrees left and 16 degrees right (manual lateral panning is possible, even when tilted laterally)

Tabletop rotation range (manual pivot): +90 to -90 degrees Maximum patient weight:

o 551 lbs. (250 kg) at maximum table extension o Can support additional loading of up to 220 lbs. (100 kg) for

cardiopulmonary resuscitation (CPR) TABLESIDE CONSOLE HYPERHANDLE - XGCP-882BA/B1 Adjustable, rail-mounted, tableside control provides functional control of component movement and interface with digital console. Control features a slim profile and ergonomic design with tactile control buttons, enhancing the user experience. STANDARD BIPLANE FOOTSWITCH - XBFS-880B Provides various image acquisition and other programmable functions via foot pedals and buttons, freeing the clinician’s hands and allowing more focus on the patient and image display. HIGH-FREQUENCY X-RAY GENERATOR 100 KW - XTP-8100XG (QTY 2) Uses dual-inverter method for increased reliability with redundant inverter. Operates in normal/standard mode, low-dose mode and high-dose mode fluoroscopy. Includes: control console, control cabinet, power cabinet with high-speed starter, fluoroscopy control cabinet, system power source cabinet. Fluorographic Ratings 125 kV, 800 mA (0.1 s) 100 kV, 1000 mA (0.1 s) Pulsed Fluoroscopy Function Fluoroscopic tube voltage range: 50 kV to 120 kV Fluoroscopic tube current range: 200 mA peak Pulse width: 1.0 ms to 13.3 ms Repetition pulse rate: 30, 20, 15, 10, 7.5, 5, 3, 2, 1 exp/s (can be selected at

the time of installation) Auto brightness control (ABC) function: provides the automatic

adjustment of the tube voltage and tube current to maintain uniform monitor brightness

Digital Subtraction Angiography (DSA) Functions Tube voltage range: 50 kV to 125 kV Tube current range: maximum 1000 mA (may be restricted depending on

the rating of the X-ray tube assembly) Pulse width: 1.0 ms to 100 ms

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Digital Angiography (DA) Functions Tube voltage range: 50 kV to 125 kV Tube current range: maximum 1000 mA (may be restricted depending on

the rating of the X-ray tube assembly) Pulse width: 1.0 ms to 25 ms MULTITASKING DIGITAL FLUOROSCOPY PROCESSOR - DFP-8000C/A2 Canon Medical Systems’ digital processor provides a variety of features to enhance workflow and image processing. Fluoro and Acquisition Modes Fluoro:

o Input image: 10242 matrix, 16 bits o Pulse rate: continuous or 1, 2, 3, 5, 7.5, 10, 15, 20, 30 exp/s

DA Acquisitions (selected at the time of installation):

o Matrix of 10242: 16 bits at 1, 2, 3, 5, 7.5, 10, 15, 30 FPS o Matrix of 5122: 16 bits at 60 FPS (only available for less than 8” input

size) DSA Acquisitions (selected at the time of installation):

o Matrix of 10242: 16 bits at 1/3, 1/2, 1, 2, 3, 6, 10, 15, 30 FPS Common Graphic User Interface The new digital platform comes with a graphic user interface that is common across modalities on all Canon Medical Systems devices for more intuitive operation of all systems. Advanced Image Processing (AIP) Canon Medical Systems’ exclusive imaging technology, AIP is a combination of software, filters and proprietary hardware. AIP enables enhanced visualization of small devices and structures while providing real-time response to optimize the collection of critical imaging information during the most demanding procedures. Advantages Over Conventional Imaging Virtually instant-on fluoroscopy helps to capture critical information at fluoro initiation. Noise and anti-blooming suppression technology is designed to provide a more uniform, high-resolution presentation of the image during fluoroscopy. Virtually zero lag during fluoroscopic imaging helps to further enhance visualization during movement and while manipulating wires. Proprietary Technology AIP proprietary computing technology brings a new dimension to the overall performance of the system, adding specific functions for either targeted or general anatomical imaging to advance treatment planning and intervention. This includes:

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Dynamic Pattern Recognition Filter (DPRF): Enhances visibility with digital recognition of devices to differentiate devices from anatomy.

Dynamic Digital Compensation Filter (DDCF): Improves exam efficiency and decreases dose by reducing the need for acrylic filters.

Super Noise Reduction Filter (SNRF): Allows for better visualization of anatomy and device by reducing noise, even with acute angulations. These enhancements reduce the amount of noise and lag in digital imaging for both digital angiography (DA) and fluoroscopy.

Dynamic Trace Use of a panning mode while imaging the lower extremities, and for bolus chase examinations, for a more uniform image display and background compression. This provides greater vessel detail even when vessels overlap bone. Guide View Subtracted 2-D Roadmap Fluoro Canon Medical Systems’ proprietary Guide View technology is particularly useful during roadmap imaging. Guide View provides the ability to combine features to better distinguish and visualize guide wires within the vessel. These features include: Fade vessel or background, adjust brightness and contrast in real time,

and reverse blacks and whites Provide boney landmark Create roadmap using Last Image Hold (LIH) or an acquired image:

o Peak Pixel Roadmap: Provides the optimal, live, peak, subtracted fluoroscopic roadmap image.

o Add Subtracted Fluoroscopy: Provides a completely subtracted display to better visualize live contrast injections or embolic materials.

o CO2 DSA: Provides the optimal, live, CO2 (low-density pixel), subtracted fluoroscopic roadmap image without the use of iodinated contrast media

Fluoro Record and Fluoro Store Enables the easy use of fluoro store and playback to further study regions of interest, potentially reducing overall radiation dose. Ideal for pediatric imaging. Tableside, one-button control Maximum: 90 seconds or 1020 frames of prospective recording Maximum: 60 seconds or 900 frames of retrospective recording Live Digital Zoom Live zoom digitally enlarges images in real time during both fluoroscopy and digital acquisition (DA) and offers the capability to provide a dose-savings alternative compared to traditional field-of-view (FOV) magnifications. Virtual Position

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Virtual Position displays an outline of the last image hold with a center point on the Live monitor which may be used as a reference to reposition the patient without the use of fluoroscopy. The outline and the center point moves during panning of the table to indicate the next area of exposure. Virtual Collimation using Last Image Hold Provides an electronic outline to position the collimator and acrylic filter without fluoroscopy, with no additional dose. DA and DSA The user-friendly, icon-driven platform provides intuitive, rapid, tableside control over image processing and data management. Radiographic One-Shot Mode Allows the capture of a single image at radiographic technique level. Image can be used as a mask for functions such as subtracted roadmap fluoroscopy. Simultaneity True multitasking, including: image retrieval, image acquisition, post processing, archiving, printing Prevision Enables retrieval and display of previously acquired Alphenix series images as reference during follow-up procedures. Post-Processing Software Auto-window, pan and zoom, distance measurement and stenosis ratio measurement, spatial filtering (edge enhancement), brightness/contrast control, landmarking percent, peak trace, CO2 trace, shutter control, annotation, image rotation, pixel shift, panoramic view (available with Stepping DSA). Image Recording Unit High-capacity, high-speed disk (RAID Level 3): Maximum recording number: 10242 16 -bits: 206,400; 5122 16 bits: 820,800 Online recording DVD-R and CD-R recording DICOM 3.0, 5122 or 10242 8/10/12-bits, JPEG loss-less compression Up to 4800 frames at 5122x8 bits Recording operation: manual or automatic background recording can be

performed after examination DICOM Conformance and Dose Reporting DICOM Store/Store Commitment, Query/Retrieve DICOM MWM and MPPS DICOM Structured Dose Reporting provides a comprehensive data set of

procedural dose information that is available for output to further analyze and track dose information.

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MICROPHONE KIT - XIDF-MIC802 Includes noise-reduction transformer Remote operator activates microphone/speaker with footswitch In-room microphone/speaker mounts on monitor support MAIN CONSOLE - XIDF-MCC80B Control-room console with similar functions as exam-room console, which enhances workflow due to a more intuitive use of the system. From inside the control room a user can: Operate the ring menu Use pre-programmed functions Control collimator and filters Review and manipulate images CONTROL ROOM FOOTSWITCH - XIDF-FS801B Footswitch enables fluoroscopy to be initiated from inside the control room. DOSE METER CONTROLLER FOR BIPLANE - XJDK-002A/V8 Manages dose when combined with a dose chamber (part XJDC-009A or XJDC-016A) on the front of the beam-limiting device. Sends the following data to the digital fluoroscopy processor: Exposure time Dose area product (DAP) in µGycm² Dose area product rate (DAP) in µGycm²/s Calculated surface dose in mGy and in mGy/s DOSE CHAMBERS - XJDC-016A (QTY 2) For cardiovascular tube. Mounted on top of the collimator to enable dose data for real-time display. IMAGE MAKER EXPRESS Image Maker Express is an online marketing resource that helps Canon Medical Systems customers build demand for imaging service by growing their referring physician and patient relationships. Image Maker Express includes: Easy-to-use marketing resources and tools developed exclusively for

Canon Medical Systems customers to bring together effective marketing strategies and tactics.

A wealth of content to create high-quality brochures, print ads and more to help market the Canon Medical Systems customer’s new imaging capabilities.

Available materials* include: o Product images and logos o Clinical images and videos o PowerPoint presentations and promotional videos o Brochure samples

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o Customizable press releases and media tips o Marketing strategy tutorials

*Offerings may vary per product. APPLICATION TRAINING Each system includes a three-phase education program and the industry exclusive Performance Pro Guarantee. Performance Pro is a unique approach to education utilizing blended learning with the promise of technical proficiency and optimal productivity. If for any reason the customer is not satisfied with any portion of the training, Canon Medical Systems will conduct that portion of the training again, at no charge. Phase I: Two attendance vouchers for a four-day technologist-focused course held at the Canon Medical Systems Institute of Advanced Imaging in Irvine, California. This course provides the fundamentals of operating Canon Medical Systems’ Alphenix interventional XR system, including a variety of XR interventional system exams performed with the latest dose reduction techniques. This course includes in-depth lectures and hands-on training. At the completion of the course, the attendee will be proficient in the following applications and operations: basic to advanced interventional XR system imaging console operation, system menus, system default protocols, post-processing image data, and basic troubleshooting. This course is all-inclusive of the following: tuition, airfare (booked by Canon Medical Systems), lodging, and meals. Accredited for CE credits by the ASRT Education Foundation. Phase II: An initial 32 hours of on-site education will be provided at the customer facility during system go-live. This training is provided for up to four imaging professionals, including the two who attended Phase I training, to focus on maximizing imaging techniques, protocols and system operation. Training is scheduled consecutively, Monday through Friday, with Monday mornings and Friday afternoons scheduled as travel time for the applications specialist. CE credits are earned by participants who attend the Phase II training event in its entirety. Phase III: An additional 16 hours of on-site education will be provided for the same four imaging professionals who participated in Phase II training. Timing is approximately 6-8 weeks following installation, to optimize staff proficiency and system productivity. Note: Canon Medical Systems personnel are not responsible for imaging patients, patient safety, any actual patient contact, or operation of equipment during education sessions. Canon Medical Systems will only demonstrate proper equipment operation.

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The training is offered to the customer at no charge, providing that it is completed no later than one year after the warranty start date. Additional classroom and on-site training is available for purchase. Applications support is available by phone on the toll-free ASSIST line, 1-800-521-1968. CUSTOMER CARE SERVICES Developed with customer input, Canon Medical Systems’ innovative support programs have resulted in increased customer satisfaction. The following support programs are available to customers covered under warranty: InTouch™ Center This centralized service facility provides applications and service support 24 hours a day, seven days a week. InnerVision Plus® Remote system diagnostics are available around the clock to help identify problems and provide potential solutions before care is interrupted. Technical Assistance Customer support specialists are available 24/7 to help resolve technical issues in real time. Local Customer Teams A single call mobilizes a local team of Canon Medical Systems customer engineers. With an average of over 10 years of Canon Medical Systems experience and more than 100 hours of specialized training, they can resolve any performance issue. Parts Support Canon Medical Systems maintains a complete inventory of product parts in 34 parts depot locations throughout the country, for shipment when and where they are needed, any time of day or night. INTOUCH SERVICE MAINTENANCE AGREEMENTS Canon Medical Systems offers a variety of customizable service plans ranging from shared risk to full security maintenance agreements that provide complete system coverage. Note: The Alphenix Biplane is the INFX-8000V/B (BP). The operating system is based on Microsoft Windows 10 IoT Enterprise 2019 LTSC.

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1 2" TABLE PAD FOR CAT-880B Two-inch thick table pad to increase patient comfort during long procedures.

Made with a combination of dense foam and memory foam. Has a black, stretch cover. Fits CAT-880B tabletop.

1 CABINET SIDE COVER

This side cabinet cover is required in select installations due to site limitations in the Equipment Room, such as a floor-to-ceiling support beam causing separation of cabinets. This part provides for both left and right side cover needs. Note: Only for DFP-8000B and later versions.

1 21" COLOR MONITOR KIT 1 MONITOR,LCD COLOR 1 SUPINE POSITION SCOOP ARM SUPPORT

Patient weighted arm boards hold weight of patient’s arm alongside the torso at the Infinix table edge

Set of two 1 ANTI-FATIGUE FLOOR MAT 1 SERVICE INSTALLATION COMPONENTS 1 VASCULAR OPTIONS FOR ALPHENIX DFP-8000C/A2 V9 WINDOWS 10

SERIES INTV-DASH/BP30/2.100

1 30" CONTROL ROOM MONITOR - BP

The Interventional Dashboard brings your important computer based tools to your fingertips. Up to eight (8) different systems can be interfaced into the Interventional Dashboard, providing a single collaborative workstation with one keyboard and one mouse. Easily modify screen inputs and video sizes for optimal customization based on clinical need or preference. One system can be controlled at a time so you can update patient charts while viewing the information you need at the same workstation. Includes: Two Color LCD Displays Interface module Cabling to connect Live and Reference x-ray images

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Cabling to connect four external sources Keyboard and Mouse Note: The monitor / device is not for use for screening or diagnostic mammography

2 6 MEGA PIXEL (3280 X 2048), 30 INCH WIDE, COLOR LCD DISPLAY

Color LCD Display for use with the Interventional Dashboard 30” monitor solution. 6 megapixel (3280 x 2048 ) 30 inch diagonal (76 mm) 1500:1 Contrast Ratio (typical) 500 cd/m2 brightness rating (typical)

Note: Display of mammography images for diagnosis is not supported 1 HP USB KEYBOARD/MOUSE/MOUSEPAD KIT 1 19" RACKMOUNT SHELF LARGELCD/BARCO/2.100

1 BARCO 58" LARGE MONITOR WITH BUILT-IN PROTECTIVE GLASS

The MDSC-8258 MNAG is a slimline, large-screen surgical display with LED backlight, featuring a 58-inch LCD panel (16:9) with 4K UHD resolution. The MDSC-8258 MNAG has been designed for use in hybrid operating rooms, interventional X-ray and cardiovascular suites. The MDSC-8258 delivers accurate DICOM-compliant grayscale and color images with ultra-low latency, consistent colors, and reduced noise, making it the preferred choice for real-time critical imaging. Allowing DP, Dual Link DVI and Single Link DVI interfacing, Barco's MDSC-8258 MNAG offers a host of connectivity options, making it compatible with a large variety of OR and interventional X-ray video systems. The large-size, ultra-high-resolution LCD screen offers a safer and more efficient alternative to multi-monitor configurations deployed in surgical environments. The MDSC-8258 MNAG architecture includes a redundant power supply which ensures stable and reliable operation in the most critical conditions. The failover function allows automatic switchover to back-up video signals to ensure smooth, real-time imaging in the OR and safeguard patient safety at all times. The 58’’ monitor display system:

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Combined with Infinix-i/ Alphenix imaging capabilities and the monitor suspension system, enhances the clinical environment and provides more critical patient information in one display.

Improves the working space by reducing the profile of the monitor assembly and connection cabling.

Provides and displays both patient information and anatomical images in a variety of sizes and patterns.

Can quickly change from one enlarged image to six different displays, or choose from a multitude of display combinations.

Resolution – 8MP (3840x2160) Active screen size (diagonal) – 1473 mm (58.0”) Aspect ratio (H:V) – 16:9 Maximum luminance - 700 cd/m² (typical) Video input signals - DVI Dual link (Full screen image with 2 x DVI

Inputs) DVI Single Link (Full screen image with 4 x DVI inputs or 4 Quadrant Drive from 4 Independent sources) DP 1.2 SST (Full Screen image; 4k native or 2k upscale)

Screen protection – Fully integrated Protective, non-reflective glass cover Components High-resolution 58’’ monitor display

Protective, non-reflective glass cover Programmable touch panel to change and arrange image sizes and

display patterns based on clinical preferences Video scaler and DVI extender for connection of mobile devices at

tableside. Monitor suspension sold separately

2 MNA-120 ENC DVI: MNA-120 DVI ENCODER 1 MNC-180 COMPOSITOR ASSEMBLY: ONE MNC-180 COMPOSITOR,

QSFP+ FTL410QE2C WITH FIBER OPTICAL BREAKOUT CABLE 1 SUMMIT X640-48X: 10GE NETWORK SWITCH 1 ONE KIT 36M OPTIC FIBER CABLE TMS (C9826172) IS REQUIRED TO

CONNECT BETWEEN MDSC8258MNA AND SUMMIT X640-48X 1 INSTALLATION KIT: INCLUDES 10G SFP+ MODULE FTLX8571D3BCL -

6 PC, KIT 1G SFP+ MODULE - 3PC, AND SYSTEM KIT INSTALLATION MANUAL

1 58" MONITOR WITH PROTECTIVE GLASS, 58" LCD COLOR DISPLAY

WITH MNA 1 TOUCH PANEL CONSOLE FOR 58" LCD COLOR DISPLAY

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1 100FT CAT5E BLUE PATCH CABLE CABL CAT5 SNAGLESS MOLDED

M/M RJ45 350MHZ 1 6FT CAT5 CAT5E BLUE PATCH CABLE CABL SNAGLESS MOLDED

M/M RJ45 350MHZ 1 CABINET FOR LARGE LCD COLOR DISPLAY MONITOR

Wall or floor mounted storage unit to house large LCD monitor electronic components.

1 TRIPP LITE WALL MOUNT CABINET 2 TRIPPLITE 6 OUTLET RACKMOUNT POWER STRIP PERP 1U REAR

FACING 1 TRIPPLITE 1U RACK ENCLOSURE FIXED SHELF 2 TRIPPLITEWALL MOUNT RACK ROOF FAN KIT FAN 1 BLACKBOX 10 PORT GIGABIT WEB SMART 2 1M FIBER MMF LC-LC OM3 DX 2MM CABLE CUSTOM LARGELCD/DVI-INPUT.100

8 DVI INPUT ON BARCO MONITOR

8 MNA-120 ENC DVI: MNA-120 DVI ENCODER 8 30M LC-LC OM3 MM DX 2MM CABLE CUSTOM LARGELCD/BARCOGUESTPORT.100

4 BARCO GUEST PORT INPUT DISPLAY

4 MNA-120 ENC DVI: MNA-120 DVI ENCODER 4 MNA-120 ENC ANA AUDIO TMS WITH EXTRA SFP+ 4 DVI EXTENDER AND RECEIVER CABLE 4 CANON LOGO PLATE 8 1M FIBER MMF LC-LC OM3 DX 2MM CABLE CUSTOM LARGELCD/ANALOG-INPUT.100

4 ANALOG INPUT ON BARCO MONITOR

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4 MNA-120 ENC ANA AUDIO TMS WITH EXTRA SFP+ 4 1M FIBER MMF LC-LC OM3 DX 2MM CABLE CUSTOM GD60D-W-TSP 1 DUAL ARM MAVIG GD60 LARGE MONITOR SUSPENSION FOR CAS

CEILING MOUNTED RAILS Suspension System for one large screen monitor up to 58'' display.

Maximum suspension arm reach of 1840mm (72.4”) Internal cabling includes power cables Rotation brakes for positioning Trolley mounted for OEM track integration Spring Arm +12° up/-28° down motion Weight load capacity of up to 100.0kg (220 lbs) *NOTE: Floor mount systems require additional CAS ceiling rails.

VA-2701-KIT.100 2 MAVIG BACK MONITOR KIT: 19" COLOR MONITOR WITH BRACKET 2 19" COLOR MONITOR 2 VESA 100 MOUNTING BRACKET WITH INSULATION SUITABLE TO

MOUNT BACK UP MONITOR ON GD60 MONITOR FRAME 2 DVI SPLITTER, EXTENDER AND TRANSMITTER WITH SWITCH 2 CAT7 CABLE, 98 FT XGCP-882AA/B1 1 JOYSTICK CONTROL UNIT WITH STAND (BIPLANE) XACP-001AA/C1 1 SATELLITE TABLET CONSOLE

This tablet console can be installed on the conventional satellite console. When the tablet console is used in combination, the operator can perform the following procedures in the examination room. Select the desired acquisition program Select the desired auto-positioning number Select the desired function Provide assistance in angiographic workstation operation Play back, stop, and frame advance cine images Switch between a cine image file and a map image file

UR-4MD.100 1 TEAC MEDICAL IMAGING VIDEO RECORDER

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UR-4MD is TEAC’s latest high-definition medical video recorder designed for quick set up and ease of use, yet includes a robust list of features and capabilities. With auto sensing video connections and automatic video resolution detection, set up is quick and easy. The front control panel allows users to intuitively record videos and photos in crystal clear HD. A built in hard drive is included for reliable recording, data back-up and users can also simultaneously record to USB memory and USB hard drives to archive, share and play back on other devices and locations. UR-4MD is also Network capable. Full HD Surgical Video Recorder Full High Definition Medical Imaging Video Recorder Full HD Medical Video Capture Device 1080p Full HD Medical Video Recorder Comes with a one (1) year warranty.

1 TEAC MEDICAL IMAGING VIDEO RECORDER 1 CAT7 CABLE, 98 FT RC-10M 1 TEAC REMOTE CONTROL UNIT RC-3F-M 1 TEAC FOOTSWITCH XIDF-SFL801 1 SPOT FLUORO

Spot Fluoro software takes collimation to a new level by enabling asymmetric collimation and Last Image Hold (LIH) Overlay. With asymmetric collimation a desired region of interest (ROI) can be specified anywhere in the field of view. This off-center, free spot, collimation capability enhances workflow by allowing the collimator blades to work around the patient so repositioning is eliminated. LIH Overlay merges the collimated live fluoro onto the full field of view LIH, on a single monitor. Reference anatomy or landmarks remain on the same monitor, enabling collimation when traditional methods restricted its use.

XIDF-QCA850/A1.100

1 BASIC KIT FOR CLINICAL ANALYSIS APPLICATION

1 CAAS BASIC KIT FOR CLINICAL ANALYSIS APPLICATION

Application This is platform software for running the clinical analysis applications such as QCA, QVA, LVA, LVA-BP, RVA, QCA3D, and Stent Enhancer. Features

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Table side operation is available. XIDF-QCA851/A1 1 QUANTITATIVE CORONARY VESSEL ANALYSIS - 9MM OR LESS

Application XIDF-QCA850/A1 is required. XIDF-QCA851/A1 is a QCA (quantitative coronary analysis) software package for use in clinical practice and research. This software features automatic contour detection of the coronary artery of interest and analysis of its dimensions. Features Automatic contour detection is supported for QCA. Various calibration methods such as catheter calibration, sphere

calibration, and distance calibration are available. Report files of QCA can be transferred to the PACS server and can be

referred to in the examination room and control room. Table side operation is available.

o XIDF-QCA852/A1 1 QUANTITATIVE VESSEL ANALYSIS - 9MM OR ABOVE

Application XIDF-QCA850 is required. XIDF-QCA852 is a QVA (quantitative vessel analysis) software package for use in clinical practice and research. The QVA software is used for quantitative analysis of blood vessels such as the aorta, iliac arteries, renal arteries, etc. QVA supports automatic contour detection for vessels up to 50 mm in diameter. Features Automatic contour detection is supported for QVA. Various calibration methods such as catheter calibration, sphere

calibration, and distance calibration are available. Report files of QVA can be transferred to the PACS server and can be


XIDF-QCA856/A1 1 3DQCA KIT: THREE-DIMENSIONAL QUANTITATIVE CORONARY

ANALYSIS KIT XIDF-QCA854/A1.100

1 LEFT VENTRICULAR ANALYSIS (BIPLANE) KIT

1 LEFT VENTRICULAR ANALYSIS (BIPLANE)

Application XIDF-QCA850/A1 and XIDF-QCA853/A1 are required. XIDFQCA854/A1 is an LVA-BP (left ventricular analysis, biplane analysis) software package for use in clinical practice and research. LVA-BP can be applied to images acquired during left ventricular diagnosis with biplane

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imaging. This software supports automatic contour detection of the left ventricle, volume calculation, and wall motion analysis. Features Automatic contour detection is performed for LVA using frontal and

lateral images. Various calibration methods such as catheter calibration, sphere

calibration, and distance calibration are available. Report files of LVA-BP can be transferred to the PACS server and can be


1 LEFT VENTRICULAR ANALYSIS (SINGLE PLANE)

Application XIDF-QCA850/A1 is required. XIDF-QCA853/A1 is an LVA (left ventricular analysis) software package for use in clinical practice and research. This software supports automatic contour detection of the left ventricle, volume calculation, and wall motion analysis. LVA can be applied to images acquired during left ventricular diagnosis. Features Automatic contour detection is supported for LVA. Various calibration methods such as catheter calibration, sphere

calibration, and distance calibration are available. Report files of LVA can be transferred to the PACS server and can be


3D-ANGIO-SW-KIT/CA2.100

1 BASE 3D ACQUISITION SOFTWARE

This option for Alphenix systems provides the necessary software for acquisition, reconstruction and display of 3-Dimensional Angiographic image data. From the head-end approach to the patient table, the c-arm can be programmed to acquire a serial acquisition over a 200-degree arc around the target area. A special high-speed reconstruction workstation provides fast transfer and display of the 3-D images on the Vitrea VL 3-D software. This option is integral and a prerequisite for the optional Low Contrast Imaging (CT-like data) and Roadmapping options. Note: Requires XIDF-ROT801 and AWS.

APPS-ONSITE-32 1 ADDITIONAL ON-SITE APPLICATIONS TRAINING - 32 HOURS

Four (4) days, thirty-two (32) hours, of additional onsite applications support. Training is scheduled consecutively, Monday through Friday, with Monday mornings and Friday afternoons scheduled as travel time for the applications specialist.

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Note: Canon Medical Systems personnel are not responsible for scanning patients, patient safety, any actual patient contact, or operation of equipment during education sessions. Canon Medical Systems will only demonstrate proper equipment operation. Education expires two (2) years from the later of purchase date or warranty start date.

XIDF-PVG801/A1.100

1 3-D VIEWER KIT

This kit allows the operator of the XIDF-AWS801 to apply the study list image storage, 3D Viewer, and 3D reconstruction function used at the Vitrea™ workstation. This kit includes Viewer and GPU. Prerequisite: 3D-ANGIO

1 3D VIEWER KIT

This kit allows the operator of the XIDF-AWS801/B3 to apply the study list image storage, 3D Viewer, and 3D reconstruction function used at the Vitrea™ workstation. This kit includes Viewer and GPU. Prerequisite: 3D-ANGIO

XIDF-3DP802/C1.100



Alphenix software option to provide 3-D Angio image super-imposed over live fluoroscopy Superimposed 3-D image is linked to all system mechanical movements

to maintain accurate alignment of 3-D image with fluoroscopy projection as c-arm or table position changes

Device enhance processing improves visualization of fine metallic interventional devices

Simple, convenient user interface for manual adjustment, if desired Multiple display modes, solid or hollow vessel with transparency

adjustment Needle Guidance

o Included as standard with Canon Medical Systems’ Volume Navigation 3-D Roadmap is a Needle Guidance application, which provides pathway planning and real-time guidance for percutaneous interventions

Prerequisite:

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3-D Angio, including XIDF-3DI801,XIDF-ROT801 Rotational DSA Kit, XIDF-PVG801/A1 3D Viewer Kit and XIDF-AWS801/B3 software and hardware.

Modality image which the Needle Guidance application can fuse: o 3D-Angio (3D-DA, 3D-DSA) included as standard o Alpha CT, Requires option XIDF-LCI801 o CT/MR fusion with fluoro requires option XIDF-3DP804

XIDF-3DP804 1 MULTI-MODALITY ROADMAP KIT (CT & MR)

3-D Multi-Modality Fusion Roadmap is a software application that enables overlay of live 2-D fluoro images, with previously acquired 3-D image data sets, to enhance 3-D anatomical reference. The previously acquired 3-D data sets can be rendered from either a CT or MR scanner or the Canon Medical Systems Cardiovascular systems using CT-like imaging or 3-D DSA. 3-D volumes are reconstructed using the Angio Work Station PC, then projected on the exam room monitor where it is overlaid by live 2-D fluoro images. This functionality enables real-time integration of 3-D anatomical information to better aid clinical guidance and procedure planning. Automated c-arm positioning is integrated with the 3-D anatomical reference image for enhanced clinical workflow. Requires DFP-8000B/B2 and XIDF-AWS801/B1 or later, 3D-ANGIOKIT and 3D Roadmap software. LCI software is required when customer desires to perform tableside CT-like imaging for creating a 3D model of the LA for ablations as well as using previously acquired CT datasets.

XIDF-ROT801 1 ROTATIONAL DSA KIT The system has integrated multiple forms of rotation technology to include

high-speed C-arm rotation for 3-D acquisition and 2-D rotational capabilities. High-speed rotation provides acquisition frame rates ideal for high- resolution 3-D reconstructions. Specifications Image size: 1024x1024; 12-bit Image rate (FPS): Up to 25 FPS at 1024x1024 matrix Acquires images throughout and up to a 200-degree C-arm arc X-ray exposure timing: angle trigger method Provides 3-D color image display for enhanced diagnosis, treatment

planning and interventional procedures. Rotational DSA Programmable single-axis rotation (manual or auto) to optimize display

area XIDF-LCI801 1 LOW CONTRAST IMAGING (REQUIRES AWS)

This feature provides for the acquisition and display of "CT-like" imaging.

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Select acquisition of 2-D image data sets of approximately 250, 400 or 600 images/projections. Approximate acquisition times: o LCI acquisition mode 1024 × 1024: Fast acquisition mode - 250 images: 10 seconds Mid acquisition mode - 400 images: 15 seconds High acquisition mode - 600 images: 25 seconds

o LCI acquisition mode 512 × 512*: S-Fast acquisition mode - 220 images: 5 seconds S-Mid acquisition mode - 370 images: 8 seconds S-High acquisition mode - 570 images: 13 seconds

* When TFP-1216A/C1, TFP-1200A/C1, or TFP-1200A/C2 is used The higher the image number, the better the resolution of the resulting 3-

D volume and MPR's (Multi-Planar Reformations). Image display parameters are optimized to low-contrast image densities,

and are particularly useful for soft-tissue diagnosis. LCI images are transferred and displayed on the 3-D workstation

automatically from the DFP-8000 upon completion of acquisition. Prerequisite: 3D-ANGIO

XBFG-001A/B1 1 MUSHROOM HANDLE FOR CAT-850B/B1, CAT-880B/B1 XBHG-002A/B1 1 OVER HEAD HANDGRIPS / ARMREST FOR CAT-880B/B1

This armrest allows the patient’s arms to rest comfortably when they are positioned above the patient’s head. For use with CAT-880B/B1 Table

XBAR110A 1 BI-LATERAL ARM BOARD SET

Table mounted arm rest enables support for both arms. XBER-001A 1 TABLE SIDE CONTROL EXTENSION RAIL SET (PAIR)

Designed for application with the CAT-850B, CAT-860B or CAT-880B tables only

Tableside rail set (2), one for each side Designed to accommodate Infinix table controls and common accessories

(e.g., I.V. pole) XBET-001A 1 FOOT-END TABLE EXTENSION (REQUIRES XBER-001A)

Auxiliary table extension installed at the foot end of the table. Easily folds over on to the foot end of the table when not in use.

9445 1 FOOT-END TABLE CONTROL MOUNTING RAIL FOR EXTENDABLE

RAIL OPTION

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Clamp and rail system attaches to existing side rails at foot end of CAT-850B/CAT-880B, creating a new rail across the foot end of the Infinix table for system controls. Prerequisite: XBER-001, Table Side Rail Set (Pair) for CAT-850B or CAT-880B.

XBAM-001A 1 HEAD-END ACCESSORY RAIL FOR CAT-880B

Clamps to the edge of CAT-880B table: Head-end 14.5" down each side of tabletop An I.V. drip holder can be mounted to this rail.

9412 1 2" TABLE FOOT-END EXTENSION PAD FOR PART # XBET-001A

2" x 27.6" x 29.5" pad for foot end of Infinix table used as a work station. Coordinates with 9409 Table pad, elevates work area to flush level with patient pad area. Black stretch vinyl cover.

PX17-36730-2 1 I/V POLE FOR ALPHENIX SERIES 9434 1 TABLE WIDTH EXTENDER FOR CAT-880B

The 9434 is specifically designed for the 5-axis hybrid catheterization table and its head-to-toe and lateral tilt movement. Dimensions: 22” x 51.33” x .22” ORDERED SEPARATELY: either the 9431, 9415 or 9438 rails depending on procedure.

345AFSB 3 ANTI-FATIGUE FLOOR MAT FOOTSWITCH/W/BP/880.100

1 WIRELESS FOOTSWITCH FOR CAT-880B BIPLANE

The wireless footswitch provides cable-free operation. More flexibility for the customer, and easy maintenance. This kit requires a Table Modification Kit XBFM-880A in accordance with the combined table. Key Product Features: Charging time: 4.5 hours Standby mode time: 48 hours Continuous use: 20 hours Battery needs to be replaced after 500 hours or 1 year 5M max distance from transmitter AC Charger System Cable to direct connect footswitch to table LED indicators for charged, charging, needs charge LED indicators also indicates errors

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Prerequisite – requires software version 6.1 or above

TS1006-US 1 MAVIG TRACK 4.0 M LENGTH / 335 MM WIDTH WITH SPOOLER

The Mavig 4.0 M Ceiling Track with spooler enables up to two devices (maximum of one lamp) to be mounted on a single trolley.

57CM-COLUMN-TROLLEY.100

1 MAVIG CEILING 360 COLUMN WITH TROLLEY (57 CM) WITH BRAKE STRAP

The Mavig 57 cm 360 column with trolley has one electrified pin with 240 degrees of rotation capability and a lower pin with 360 degrees of rotation. Each pin has a load capacity of 18 kgs. Each trolley comes standard with a Brake Handle Strap which makes the system more user friendly.

OT90001-US 1 MAVIG PORTEGRA2 (95/90 CM) EXTENSION SPRING ARM WITH

CENTER MOUNTED CONTOUR CUT-OUT SHIELD (61X76 CM) The MAVIG Center Mounted Contour Cut-Out Shield measures 76 cm by 61

cm and includes a Portegra2 Extension Spring Arm with two arms measuring 95 cm and 90 cm. The transparent acrylic shield contains 0.50 mm Pb and is easily manipulated into position by use of a height adjustable handle.

LE9017100 1 MAVIG PORTEGRA2 (95/90 CM) EXTENSION SPRING ARM WITH

YLED-1F LED LAMP XGPA-1200A 2 MAGNETIC SHIELDING KIT FOR 12" X 12" FPD FOR USE WITH 3D EP

MAPPING SYSTEMS The Magnetic Shielding Kit for 12” x 12” Flat Panel Detector (FPD) available

for the Infinix-i series INFX-8000V, INFX-8000C and INFX-8000H systems, is to be used in conjunction with 3D electro-anatomical mapping systems such as the Biosense Webster Carto ™ system. It is designed to be attached to the front of the Flat Panel Display (FPD), and reduces the effect of the magnetic field exposure to the Flat Panel Display (FPD) thus reducing the image noise caused the magnetic field. The combined kit can reduce patient dosage. The magnet shielding material is 0.1 mm thickness Permalloy, with dimensions 328 mm x 338 mm.

TRNG-PREFPRO-PLUS UPGRADE

1 PERFORMANCE PRO - PLUS

Performance Pro is a unique approach to education utilizing blended learning with the promise of technical proficiency and optimal productivity for both physicians and technologists. The program includes the following: A specially trained applications specialist will be assigned as ‘owner’ of the education experience for the facility. They will perform the following duties:

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Communicate with the facility prior to the turnover date to ensure everything is on track and all questions or concerns are addressed. Ensure all materials (training manuals and learning aids) are on site at the time of the go live date. The Canon Medical Systems Institute of Advanced Imaging will properly train and prepare the “core trainers” to perform their role with the most advanced education approach in the industry. At the start of the turnover, Canon Medical Systems will begin with a presentation for the staff and referring physicians to highlight system capabilities and generate excitement. Two consecutive, thirty-two (32) hour weeks, of initial on-site education will be provided at the customer facility following system go-live. Unique with Performance Pro, Canon Medical Systems will send two applications specialists for the first week of on-site education. One specialist will provide training for up to four (4) imaging professionals including the two (2) that attended the Phase I training, to focus on maximizing scanning techniques and protocols. The second specialist will work with the physicians to achieve desired image quality. Training is scheduled consecutively, Monday through Friday, with Monday mornings and Friday afternoons scheduled as travel time for the applications specialist. CE credits are earned by participants that attend the Phase II training events in their entirety. Performance Pro Guarantee: If for any reason the customer is not satisfied with any portion of the training, Canon Medical Systems will conduct that portion of the training again, at no charge. Education expires two (2) years from the later of purchase date or warranty start date. Applications support is available by phone on the toll-free ASSIST line, 1-800-521-1968.

XAGU-HDKIT/B1 2 V8 UPGRADE KIT GRIDS AND CABLES TFP-1200C/A1 2 12 X 12" HD FLAT PANEL DETECTOR XIDF-AWK801 1 ROCKET LINK CONNECTION KIT XIDF-DTS802/C1 1 DOSE TRACKING SYSTEM FOR ALPHENIX

DTS provides a virtual patient dose map with real time tracking of estimated peak and accumulated skin dose during an interventional procedure. Color-coded and easy to read 3D spatial visualization of radiation

exposure to the patient and clear indication of radiation distribution. Real time feedback enables the clinician to make procedural adjustments

and thus limit exposure in any area for prolonged periods.

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Estimation of peak skin dose available on cardiovascular/neurovascular procedures.

Please note: Dose Tracking System for Alphenix requires AWS for Alphenix (XIDF-AWS801/B3). Additional monitors for exam room viewing may be required depending on current configuration and are not included.

XIDF-AWS801/B3 1 ALPHENIX ANGIO WORKSTATION (AWS)

Supports Analysis and Planning Software. Supports 3D-DA/DSA applications. Supports 3-D Roadmap and Multi-Modality Roadmap. Supports Parametric Imaging. Parametric Imaging (PI) Functions* Displays an entire image sequence as a single composite DSA image that

is color coded in order to characterize the contrast media dynamics and to allow easier visual evaluation

Color Coded Circulation (CCC) can create movies by shifting color scale gradually so that it is easy to understand vessel flow

*Parametric Imaging Software is not intended for stand-alone use or diagnosis Note: All advance 3D and Analysis software is optional. If it is desired to extend viewing and control of advanced imaging applications into the exam room the extension kit must be selected as an option and possibly other components dependent on current monitor configuration. This AWS is not backwards compatible.

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PRODUCT WARRANTY AND SERVICE COVERAGE SYSTEM WARRANTY TERMS Canon Medical Systems warrants that the Equipment will be free from defects in material and workmanship, for the duration and subject to the terms and conditions stated below. Any part furnished to Customer during the warranty period (stated in the table below) to correct a warranty failure will be warranted to the extent of the unexpired term of the warranty applicable to the Equipment.

The warranty period will commence on the date the installation of the product is complete. Notwithstanding the foregoing, in the event that the installation of the product is delayed for a total of thirty (30) days or more from the date of delivery for any reason or reasons for which Canon Medical Systems is not responsible, the warranty period for such product may, at Canon Medical Systems’ option, commence on the thirtieth (30th) day from the date such product is delivered to Customer.

WARRANTY EXCLUSIONS Warranty coverage does not include any defect which results, in whole or in part, from (1) negligent storage or handling of the product by Customer, its employees, agents, or contractors, (2) failure of Customer to prepare the site or provide power requirements or operating environmental conditions in compliance with any applicable instructions or recommendations of Canon Medical Systems, (3) absence of any product, component, or accessory recommended by Canon Medical Systems but omitted at Customer's direction, (4) any design, specification or instruction furnished by Customer, its employees, agents, or contractors, (5) any alteration of the product by persons other than Canon Medical Systems, (6) combining Canon Medical Systems’ product with any product furnished by others that is not approved by Canon Medical Systems, (7) combining incompatible products of Canon Medical Systems, without Canon Medical Systems’ prior approval, (8) improper use of the product, improper maintenance of the product by a party other than Canon Medical Systems, or failure to comply with any applicable instructions or recommendations of Canon Medical Systems, or (9) acts of God, fires, floods, strikes or other labor disturbances, or other causes beyond the reasonable control of Canon Medical Systems.

Canon Medical Systems does not warrant any products not manufactured by Canon Medical Systems such as, without limitation, monitors, cameras, computer equipment, injectors, and lasers. Such items will be furnished subject only to the manufacturer’s warranty, if any, and without any warranty whatsoever by Canon Medical Systems.

Warranty coverage also excludes consumables, including but not limited batteries, storage media, positioning pads, table pads, cassettes, magazines, printer consumables, and power units.

GLASSWARE WARRANTY X-ray Vascular tubes are covered under a separate warranty. X-ray Vascular tubes included with the purchase of a new system is governed by the glassware warranty, described below, not the system warranty.

Tube Type Time-Based Warranty Liquid Bearing Tubes (DSRX-TXXXX) 36 months, non-prorated

Tubes with Non-Prorated, Time-Based Warranty:

Tubes with a non-prorated warranty will be replaced during the initial warranty period at no charge to the customer. The replacement tube carries the remainder of the original warranty on the system. For example, a tube with a 12-month non-prorated warranty fails at month eleven (11), the tube is replaced at no charge and carries a one (1) month of warranty.

REMEDIES If Canon Medical Systems determines that any product fails to meet the above-mentioned warranty during the applicable warranty period, Canon Medical Systems will correct any such failure by either, at its option, repairing, adjusting, or replacing without charge to Customer any defective or nonconforming parts of the product. Canon Medical Systems will have the option to furnish either new or remanufactured replacement parts or assemblies. However, remanufactured parts will meet the manufacturer's specifications for new components as of the date of completion of installation. All defective parts replaced by Canon Medical Systems will become the property of Canon Medical Systems.

SOFTWARE UPDATES

Canon Medical Systems will furnish to Customer, free of charge for the life of the Equipment, all Canon Medical Systems software or hardware upgrades to the Equipment purchased by Customer, which are intended to correct a safety risk. Software updates offering enhancements to previously purchased software features will be provided during the term of the warranty, if they do not require hardware modifications or additions. Software upgrades providing new features or capabilities not originally purchased, will be made available for purchase by Customer upon request when compatible with the originally purchased hardware. Canon Medical Systems retains the sole right to determine whether a software release is considered an update or an upgrade for which Customer will be charged. The above items will be performed only during the Covered Hours stated in the warranty. Service required outside these hours will be billed at Canon Medical Systems’ differential rates in effect at the time such items are provided to Customer.

WARRANTY SERVICE Warranty service during the applicable warranty period will be performed without charge to Customer during Canon Medical Systems’ normal business hours, Monday through Friday, excluding Canon Medical Systems holidays. Subject to the availability of personnel, after-hours service is available upon request at an additional charge.

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Customer must promptly notify Canon Medical Systems within the applicable warranty period of any defect that is covered by the warranty, and make the Equipment promptly available for repair and maintenance.

DISCLAIMERS AND LIMITATIONS ON LIABILITY Canon Medical Systems’ obligations stated above will be Customer’s sole and exclusive remedy for a breach of the warranty set forth above. SUCH WARRANTY WILL BE IN LIEU OF ALL OTHER WARRANTIES, EXPRESS OR IMPLIED, INCLUDING WITHOUT LIMITATION, THE WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE.

Canon Medical Systems does not warrant that the operation of the Equipment will be uninterrupted.

WARRANTIES BY PRODUCT LINE

ITEM TYPE X-RAY VASCULAR

EQUIPMENT 12 Months

ACCESSORY OPTIONS 6 Months REPLACEMENT & OPTIONAL PARTS* 90 Days

UPGRADE COMPONENTS 6 Months

* The above 90-day period applies only to parts that are not furnished pursuant to a warranty repair for the Equipment. Any part furnished to Customer during the warranty period to correct a warranty failure will be warranted to the extent of the unexpired term of the warranty applicable to the System.

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TERMS AND CONDITIONS OF SALE

1. TITLE AND RISK OF LOSS. Title and risk of loss to the Equipment purchased under this Agreement will pass to Customer: (a) if Canon Medical Systems is to provide installation, upon Canon Medical Systems' completion of installation, or (b) if Canon Medical Systems will not provide installation, upon delivery by Canon Medical Systems to Customer. 2. TERMS OF PAYMENT. Prices stated are F.O.B. Customer’s facility. All taxes which are payable by Canon Medical Systems in connection with the sale, use, or possession of the Equipment (excluding income taxes), will be paid by Customer in addition to the quoted price. Terms of payment will be as stated in the first page of this Quotation. All invoices paid after due date will be assessed a late payment charge of the lesser of 1 1/2% per month or the maximum rate permitted by law. 3. DELAYS. If Customer changes the scheduled delivery date during the period of 120 days preceding the delivery date, Customer will nevertheless pay the installment of the purchase price which would have been payable upon delivery, on the Scheduled Delivery Date as if delivery had been made on such date. In addition, Customer will pay all extra costs incurred by Canon Medical Systems as a result of such delay, including, without limitation, storage and transportation. Storage fees will be charged at commercially comparable rates for storage on Canon Medical Systems’ site. If delivery is delayed by 12 months or more from the Scheduled Delivery Date, except through the fault of Canon Medical Systems, the price set forth in this Agreement may be increased by Canon Medical Systems to a level equal to the prevailing price in effect at the time of the revised delivery date. 4. EQUIPMENT INSTALLATION. Canon Medical Systems will provide, at no additional cost, standard labor and rigging services to unload the Product from the transport vehicle and move to the final position. The shoring of floors, the widening of doorways, and other nonstandard rigging requirements will be negotiated between the Canon Medical Systems and Customer separately if it is determined they are required. Canon Medical Systems will install all Equipment purchased under this Agreement and connect them to existing power and/or plumbing lines at no additional charge to Customer. Customer will be responsible for electrical wiring, plumbing, carpentry, plastering, painting, or all other site preparation required prior to installation and connection of the Equipment by Canon Medical Systems. Customer will provide space at the installation site for the safe storage of Canon Medical Systems’ tools, test equipment and other materials used for installation at no charge to Canon Medical Systems. Customer shall, at its cost, obtain all permits and licenses required by governmental authorities in connection with the installation and operation of the Equipment. Customer acknowledges that the System and Software are designed to operate within certain power, temperature, airborne contamination, and humidity ranges. Customer will be responsible for, without limitation: (i) preparing and maintaining the Customer facility in conformance with the Site Preparation Guide; (ii) maintaining its network infrastructure; (iii) providing Canon Medical Systems, access to a network connection in or near the area of the System being serviced by the equipment service staff; and (iv) supplying computer grade AC power. The Equipment relies upon a stable grounded connection to the main power grid in order to function effectively. Customer acknowledges that AC power supply quality may be a problem in old facilities or in those facilities receiving poor quality utility service and that power conditioning may be necessary in such cases.

5. EQUIPMENT OPERATION. Customer agrees that all Equipment purchased under this Agreement will be operated exclusively by duly qualified technicians and/or medical doctors in a safe and reasonable manner in accordance with Canon Medical Systems’ written instructions, applicable laws and regulations, and for the purposes for which such Equipment was intended. 6. LIMITED WARRANTY AND REMEDY. A. For the warranty period described below by product, Canon Medical Systems, as its only obligation, will replace or repair, without charge to Customer during Canon Medical Systems’ normal working hours (if Customer requests warranty service outside such hours, Customer will pay overtime premium for labor), any component of the Equipment that is defective in materials or workmanship, provided such defect is reported to Canon Medical Systems within the warranty period. Canon Medical Systems’ warranty period is as follows: (a) Systems and Major Components – one year from date of completion of installation; (b) Accessories/Options (except glassware) – six months from date of completion of installation. Components not manufactured by Canon Medical Systems will be furnished subject only to the manufacturer's warranty, if any, and without any warranty whatsoever by Canon Medical Systems. During the warranty period, Canon Medical Systems will furnish free of charge any parts, including software required to correct any defect in the Equipment or as required under applicable laws. B. Canon Medical Systems does not warrant that the operation of the Equipment of the System will be uninterrupted. All defective parts replaced by Canon Medical Systems will become the property of Canon Medical Systems. Replacement parts may be re-manufactured. However, such parts will meet the manufacturer's specifications for new components as of the date of completion of installation. CANON MEDICAL SYSTEMS’ OBLIGATION TO REPAIR OR REPLACE DEFECTIVE PARTS OR SOFTWARE WILL BE CUSTOMER'S SOLE AND EXCLUSIVE REMEDY FOR A BREACH OF THE WARRANTY SET FORTH IN THIS AGREEMENT. SUCH WARRANTY WILL BE IN LIEU OF ALL OTHER WARRANTIES, EXPRESS OR IMPLIED, INCLUDING WITHOUT LIMITATION, THE WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE. The warranty set forth in this Agreement will not apply to, and Canon Medical Systems will not be liable for any defects resulting from misuse, repairs performed by unauthorized third parties, accidents, acts of God, or neglect of anyone other than Canon Medical Systems.

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7. LATEST HARDWARE AND SOFTWARE AT TIME OF DELIVERY. Canon Medical Systems agrees that the Equipment ordered by Customer will, at the time of delivery to Customer, contain, at no additional charge to Customer, the latest hardware and software manufactured by Canon Medical Systems for such Equipment that are commercially available in the United States and which are provided as part of Canon Medical Systems’ standard configuration for such Equipment at the time of delivery. This commitment applies only to components and not an upgrade to the entire system. Furthermore, it is limited to hardware and software that (a) have been ordered by Customer, and not any optional or other items that were not ordered by Customer, and (b) are cleared by the FDA as of the date of delivery of the Equipment. This clause does not apply to Assure, Demonstration or Used Equipment. 8. LIMITATION OF LIABILITY. A. NEITHER CANON MEDICAL SYSTEMS NOR CUSTOMER WILL UNDER ANY CIRCUMSTANCES BE LIABLE FOR CONSEQUENTIAL, SPECIAL, INCIDENTAL, OR EXEMPLARY DAMAGES OR ECONOMIC LOSS ARISING OUT OF OR RELATED TO THE TRANSACTIONS CONTEMPLATED IN THIS AGREEMENT, EVEN IF EITHER PARTY IS APPRISED OF THE LIKELIHOOD OF SUCH DAMAGES OCCURRING. B. IN NO EVENT WILL CANON MEDICAL SYSTEMS’ LIABILITY TO THE CUSTOMER (WHETHER BASED ON AN ACTION OR CLAIM IN CONTRACT, TORT, INCLUDING NEGLIGENCE, STRICT LIABILITY, OR OTHERWISE) ARISING OUT OF OR RELATING TO THE TRANSACTIONS CONTEMPLATED IN THIS AGREEMENT EXCEED THE AGGREGATE AMOUNT ACTUALLY PAID BY CUSTOMER TO CANON MEDICAL SYSTEMS UNDER THIS AGREEMENT. THE LIMITATION OF LIABILITY SET FORTH ABOVE WILL NOT APPLY TO CLAIMS FOR PERSONAL INJURY OR PROPERTY DAMAGE CAUSED BY EQUIPMENT DEFECTS. 9. SECURITY INTEREST. Canon Medical Systems hereby reserves and Customer grants to Canon Medical Systems a security interest pursuant to the Uniform Commercial Code, in and to the Equipment (and all products and proceeds of it) until full payment of the purchase price is received. In the event that Customer finances its acquisition of the Equipment through a lease, conditional sale contract, secured loan agreement or other financing agreement (collectively, “Lease”) with Canon Medical Systems, then the security interest in the Equipment (and all products and proceeds thereof) shall secure all obligations of Customer due and to become due under the Lease. 10. REMOVAL OF EQUIPMENT. Until Canon Medical Systems has received full payment of the purchase price, Customer will not remove all or any part of the Equipment from Customer's premises, nor will Customer sell, lease, transfer or otherwise part with the possession of, or permit any lien or encumbrance to be placed on all or any part of the Equipment. 11. TRADE-IN. If this quotation includes the trade-in of Customer’s existing equipment and the removal date of the trade-in equipment is delayed due to no fault of Canon Medical Systems or if the trade-in equipment is damaged or its condition deteriorates from the date of this quotation through the date of removal, Canon Medical Systems reserves the right to increase the pricing of the new equipment in an amount equal to the reduction in the resale price of the trade-in equipment. Customer must convey free and clear title to the trade-in equipment. If there are any liens or encumbrances on the trade-in equipment, Canon Medical Systems cannot accept the trade-in.

12. REMEDIES OF CANON MEDICAL SYSTEMS. If Customer fails to make any payment when due under this Agreement, or becomes insolvent or makes an assignment for the benefit of creditors, or if a petition in Bankruptcy is filed by or against Customer, or if the financial responsibility of Customer becomes impaired, or if Customer otherwise breaches any of the terms and conditions of this Agreement, then Canon Medical Systems may, without prior notice or demand, defer shipments, cancel the balance of the order, suspend performance of any obligation (including without limitation, all obligations set forth under Limited Warranty And Remedy above), and/or take immediate possession of the Equipment delivered, until the full purchase price of the Equipment is paid by Customer or, at Canon Medical Systems’ discretion, until security satisfactory to Canon Medical Systems is given by Customer. Any costs incurred by Canon Medical Systems as a result of suspending performance or repossession or collection will be payable by Customer. Canon Medical Systems may sell repossessed Equipment with proceeds to be applied to unpaid balance and expenses incurred in sale, repossession and collection. Customer will pay any remaining deficiency. Canon Medical Systems may exercise any other rights available to it by law. 13. EXCUSED PERFORMANCES. Except for Customer’s payment obligations hereunder, neither party will be liable to the other for non-performance or delay in performance resulting directly or indirectly from any occurrences beyond such party’s control, including without limitation, strikes or other labor troubles, acts of God, war, accidents, fires, floods, other catastrophes, inclement weather, transportation, delays caused by suppliers, or laws, regulations, or acts of any governmental agency. 14. SOFTWARE. All rights and interest in any software that may be furnished under this Agreement, and any updates and enhancements to it, will remain the property of Canon Medical Systems. Such software is being furnished to Customer under a non-exclusive license. Customer will not, or allow others to decompile, modify, copy, reproduce, or transcribe the software nor allow third parties to use the same without Canon Medical Systems’ prior written consent. In the event a third party’s software is furnished to Customer, Customer may be required to execute a software license agreement as requested by such third party as a condition to delivery and/or purchase of the third party’s product. Canon Medical Systems will furnish Customer with a copy of such license agreement for its review and execution. In the event Customer sells the Equipment to a third party, the purchaser thereof will have the same rights and obligations with respect to any Canon Medical Systems software as Customer. Customer will need to make its own determination whether it needs to obtain any consent from a third party for non-Canon Medical Systems software. Any Vital Images products quoted herein are conditioned on and subject to the Software License Agreement located at: http://www.vitalimages.com/documents/Vital-Images-Capital-License-Agreement.pdf which is incorporated herein by reference. 15. CANCELLATION. Customer may not cancel the order subject to this Agreement except with Canon Medical Systems’ prior written consent. In the event of cancellation without Canon Medical Systems’ written consent, Canon Medical Systems will be entitled to recover liquidated damages in an amount equal to twenty percent (20%) of the purchase price of the Equipment

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16. ASSIGNMENT. Neither party may assign any of its obligations under this Agreement without the prior written consent of the other party However, some of the obligations stated in this Agreement, such as the ones relating to installation of items not manufactured by Canon Medical Systems and the warranty thereof may be performed by Canon Medical Systems’ contractors or suppliers. 17. EXPORT REGULATIONS. This Agreement involves products, and/or technical data that may be controlled under the U.S. Export Administration Regulations and may be subject to the approval of the U.S. Department of Commerce prior to export. Any export or re-export by Customer, directly or indirectly, in contravention of such Regulations is prohibited. 18. ATTORNEY'S FEES AND COSTS. In the event of any legal proceeding involving any party to this Agreement against the other relating to the subject matter of this Agreement, the prevailing party in such proceeding will be entitled to recover reasonable attorney's fees, expert fees, and court costs against the non-prevailing party 19. ACCEPTANCE BY CANON MEDICAL SYSTEMS. This Quotation/Order will not be binding on Canon Medical Systems even if signed by a Canon Medical Systems’ employee, until Customer’s order for the Equipment is booked by Canon Medical Systems’ Headquarter office. 20. ENTIRE AGREEMENT. This quotation contains the entire agreement between the parties and supersedes all prior and contemporaneous agreements between the parties, whether oral or written, relating to its subject matter, including, without limitation, all different or additional terms and conditions which may be contained in Customer's bid documents, purchase order or any other documents furnished by Customer. The provisions of this Agreement may not be modified unless in writing and executed by both parties.

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Item B

56

Summary of Proposed Pricing For: Children's Mercy Hospital

JDE#: 77101 UCN#: 3568

Prepared: 2/15/21 Expires 90 days From Prepared Date

Cat No. Description Qty. Proposed Pricing*

Extended Proposed

Pricing

CARTO® 3 SYSTEM OPTIONS 0

C3ADVCMP

CARTO® 3 System. Includes (i) baseline software license, (ii) location pad with foot pedal, (iii) grounding cable, (iv) optic cable, (v) power supply unit, (vi) patient interface unit, (vii) pin box (2), (viii) system cables, (ix) patch unit, (x) Windows Workstation Computer with two 24” high resolution flat screen repeater monitors, (xi) user’s manual, (xii) color inkjet printer, (xiii) and physician and staff training. AND

CARTO SMARTTOUCH™ 3D Module is a combination of our CARTO® 3 CARTO SMARTTOUCH™ Module technology and the VISITAG®

Module. This allows you to select, visualize and manage ablation parameters. Works with THERMOCOOL SMARTTOUCH® Irrigated Ablation Catheters. AND

CARTO® 3 System CONFIDENSE® Mapping Module: This module provides rapid acquisition of mapping points based on physician standards. Included are the capability to continuously acquire MEM points, indicators of tissue proximity for MEM-enabled catheters, advanced electrogram annotation algorithms, and advanced map integrity algorithms. AND

CARTOREPLAY® Module: This module provides detailed electrogram recording and review for the duration of each case, with the ability to add points from any time in the case to a map, review catheter placement for any acquired point and edit maps with data from review tools. AND

Clinical Module Package for CARTO® 3 System Includes:

CARTOMERGE® Image Integration Software Module is a modular software package to be used with the CARTO® 3 System, Serial Number ,that allows for importation of pre-acquired MRI and CT images direct from scanners or from radiology workstations, provides a semi-automated image segmentation package and allows for catheter icon registration to pre-acquired MRI and CT images. On-site training for technicians included. CARTOSOUND® Image Integration Software Module is a modular software package to be used with the CARTO® 3 System, Serial Number that allows for the integration of real time Intracardiac echo in an integrated and a side by side manner on the CARTO® 3 System screen. This CARTOSOUND® software is compatible with the Biosense Webster SOUNDSTAR® 10F and SOUNDSTAR® 8F and GE and Siemens 10F and 8F AcuNav™ Catheters. On-site training for technicians included. • Complex Fractional Atrial Electrograms (CFAE) Software

Module License to be used with the CARTO® 3 System, Serial Number , enables automatic detection of CFAE sites by analyzing individual signals from endocardial locations. The analysis is based on a series of advanced user defined parameters applied to the acquired signals. The analysis output provides a consistent method to quantify and characterize complex fractionated signals. Includes one executable copy of the software and one copy of the

1 $359,000.00 $359,000.00

57


Extended Proposed

Pricing

software user documentation per license, and on-site training for technicians.

AND

CARTO® PASO® Module is a modular software package to be used with the CARTO® 3 System. Software allows user to automate pace mapping for ventricular tachycardia cases and integrates the results into the CARTO ® 3 System maps for streamlined navigation. AND

CARTO® Ripple Mapping: is a module software package to be used with the CARTO® 3 System. This software is designed to help physicians better understand the arrhythmia mechanism through a unique simultaneous dynamic display of voltage and tissue activation. AND

VISITAG® Surpoint™ Module Kit

AND

FAM Dx Expansion Pack (for CARTO® 3 v6 base software)

Enables catheter visualization, point acquisition and Fast Anatomical Mapping (FAM) without first connecting a therapeutic catheter. AND

CARTO PRIME® Module Kit – Includes CARTO PRIME® software, ULS Frame grabber, and DELL T5820 workstation

▪ Individual features included: ▪ CARTOFINDER® SF-5400-222 ▪ Coherent Mapping SF-5400-223 ▪ Parallel Mapping SF-5400-224 ▪ LAT Hybrid SF-5400-225

EM5402010 CARTO® 3 System Cart 1 $11,000.00 $11,000.00

EM5402030 CARTO® 3 Workstation Cart 22U 600VA, 115V 1 $6,900.00 $6,900.00

DS3564 CARTOCONNECT™ Image Sharing App and Device 1 $500.00 $500.00

SOFTWARE OPTIONS 0

KT5400124

CARTOUNIVU® Module is a modular software package to be used with the CARTO® 3 System. Software allows user to visualize CARTO® 3 System Maps and fluoroscopy images in one integrated view. SUBJECT TO AVAILABILITY

THE FOLLOWING CLAUSE WILL BE REMOVED WHEN FORMAL PURCHASE AGREEMENT IS GENERATED

IN THE EVENT OF INCOMPATIBILITY OF THE HOSPITAL’S SYSTEM

WITH THE CARTOUNIVU® MODULE PRIOR TO INSTALLATION, THE PARTIES AGREE THIS QUOTE AND SUBSEQUENT PURCHASE ORDER WILL BE NULL AND VOID.

AFTER INSTALLATION, THE CUSTOMER IS RESPONSIBLE FOR ENSURING THAT CARTOUNIVU® COMPATIBILITY IS MAINTAINED

AT ALL TIMES.

1 $148,500.00 $148,500.00

SMARTABLATE® SYSTEM OPTIONS 0

M490006A

SMARTABLATE® System (SuperKit) includes: • SMARTABLATE® System Irrigation Pump: Peristaltic pump

designed for the delivery of irrigation when used in conjunction with the SMARTABLATE® Irrigation Tubing set and a THERMOCOOL SMARTTOUCH® or THERMOCOOL SMARTTOUCH® SF Catheter.

• SMARTABLATE® System RF Generator: Measurement Current – 2uA, 50kHz, Measurement Range – 0-999 Ohms, Nominal Temp. – up to 85C, resolution 0.1 C, Frequency 500 kHz, RF Output 70 Watts/100 Ohms, Modes – temp control & pwr control, Dimensions – 7’’H x 16’’ W x 14’’ D

1 $50,000.00 $50,000.00

58


Extended Proposed

Pricing

• SMARTABLATE® Remote Control and 3 Disposable Connection Cables [(1) NAV Cable + (2) Non-NAV Cables]

• Mains Cable (3 m) (Qty: 3 in kit) • Grounding Cable (3 m) (Qty: 2 in kit) • Foot Pedal (3 m) • Connection Cable from SMARTABLATE® System RF Generator to

SMARTABLATE® Irrigation Pump (5 m) • Connection Cable from SMARTABLATE® System RF Generator to

SMARTABLATE® Remote Control (25 m) • ECG Connection Cable (3 m) • Serial Data Communication Cable for CARTO® Systems or

Electrophysiology Recording Systems (5 m) • Serial Data Communication Cable for CARTO® Systems or

Electrophysiology Recording Systems (15 m) • Pump Clamp for IV Pole • SMARTABLATE® System Manual

• SMARTABLATE® System RF Generator and Remote Control Release Notes

• CARTO® System Shelf Upgrade Kit

TOTAL $575,900.00

* The information in this Summary of Proposed Pricing is not complete and may be changed. A legally binding obligation between the parties will exist only upon the execution of a definitive agreement. This document is being delivered for discussion purposes only. This is not an offer to sell the products or a solicitation of an offer to buy the products. No party shall have any obligation or liability arising from this document. Either party may cease negotiations regarding the purchase of the products at any time without further obligation or liability. The pricing for the products in this Summary of Proposed Pricing may include discounts. If a definitive agreement is executed by the parties, the document will include additional disclosure related to the discounts. The information in this document is confidential and may not be discussed with any other party without Biosense Webster’s prior written consent. To request an Agreement or for any questions, please contact your Biosense Webster Representative, Matt Dodge, [email protected], 913.940.0503.

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Item C

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Proposal

Tracey Wistrom [email protected] February 13, 2020 Stryker Communications571 Silveron Blvd.Flower Mound, TX 75028Tel: 1 877 789 8106 Fax: 1 408 754 2969

Submitted To: CHILDRENS MERCY HOSPITAL

Berchtold LED F Gen Surgical Lights The Berchtold LED F Generation Surgical Light combines innovative features, inspired by the best technology, to provide superior light quality for your surgical team.And withso many options to customize, configure, and control your light, you can now enhance the OR experience like never before.

PART # DESCRIPTION QTY LIST PRICE EXT LIST PRICE

FS 1000 F628 SURGICAL LIGHT 1 $31,674.73 $31,674.73

Mounting Details

Mounting Plate: Universal

Multiple Suspension Mounting: None

Ceiling Cover: CB 5423004 590x197 TD 125mm

Drop Tube Length: 230

Controls

Wall Control: Wall mounted (surface mount)

Cardanic Control: No

Control Unit Type: Touch

Light Handle Type: Devon screw on

Power Supply

SK Box: Electronics on ceiling tube

Configuration Details

Arm 1: Lighthead

Arm Length: 900

Cardanic Style: Classic

Camera Prep: No


83308 HANDLE, DEVON SCREW-ON (E, WEIGHTED) 1 $494.23 $494.23

CY 2000300 ENDOLITE CENTRAL MOUNTED AT CEILING SUSPENSION FOR E-SERIES, F-GENERATION

1 $1,116.14 $1,116.14

CY 1008104 MULTI COLOR TOUCH WALL CONTROL DISPLAY FOR SINGLE, DUAL OR TRIPLE F-GENERATION LIGHT CONFIGURATION

1 $3,129.34 $3,129.34

Configuration Total: $36,414.44

Berchtold F300 LED Exam Lights Designed to provide bright, shadow-resistant illumination in your most demanding investigative clinical settings, the Berchtold F300 LED Exam Light delivers consistent qualitylight with ease. Discover a new class of exam lighting.


CE 2863075 EXAMINATION LIGHT F 300, CEILING MOUNT, LED DIMMABLE, DOUBLE-ARM, 24V DC,100-120 V(AC), 220-240 V

1 $9,000.00 $9,000.00

Proposal #: 10083174 v.1 | Proposal Year: 2020 | Effective Through: 5/12/2020 CHILDRENS MERCY HOSPITAL Proposal | Page 1 of 3

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Mounting Details

Configuration Type: Ceiling Mounted

Number of Lightheads: One

Configuration Details

Arm 1 Drop Tube Length: 750mm

Arm 1 Length: 800mm


CB 5392075 SOFFIT FOR D 300 / F 300 446 X 100 MM, FOR TUBE Ø 45 MM 1 $463.80 $463.80

CB 5020904 POWER SWITCHING SUPPLY 1 $433.70 $433.70

CB 5264075 D300 CEILING TUBE, 750 MM LENGTH, 45 MM DIAMETER 1 $911.15 $911.15


S-Series Standard Equipment Management System Introducing a new standard in equipment management. With a completely redesigned user interface and a compact, fully customizable system, it has never been easier tomanage your services and maneuver your equipment.


SFS-5 S-SERIES, STANDARD FIXED, 5 ROW, 2 ARM 1 $30,390.41 $30,390.41

Mounting Details

Mounting Plate: Single Common Plate

Ceiling Cover: Standalone

Brake System: Electric

MFR Configuration

Front MFR Length: 1000mm

Rear MFR Length: 1000mm

MFR Controls: Rear Only

Shelves

Shelves: 4

Shelf Rail Type: Fairfield

Shelf 1: 750mm

Shelf 2: 750mm w/Controls

Shelf 3: 750mm

Shelf 4: 750mm

High Voltage Services

20A/125V Duplex (8 Outlets): 4

Low Voltage Services

Blank Plate: 10

3rd Party Data Plate 1G Plate: 4

Distribution Bd Plate: 1

Additional Cables Gas Services

Gas Manufacturer: Beacon Medaes

Gas Fitting Type: Chemetron

Vac Gas: 2


P36143 ASM, SHELF MOUNT HDW 4 $637.71 $2,550.84

P40084 ASM, HANDLE AND SHELF WITH FAIRFIELD R 1 $2,316.93 $2,316.93

P40238 ASM, SHELF WITH FAIRFIELD RAILS, 750, 3 $2,316.93 $6,950.79


iSuite Installation


RS 0006008 CHROMOPHARE INSTALLATION 1 $2,928.43 $2,928.43

RS 0006009 INSTALLATION, D/F 300 CHROMOPHARE 1 $548.23 $548.23

RS 0006010 TELETOM INSTALLATION 1 $2,793.02 $2,793.02

8888888401 INSTALLATION-IMPLEMENTATION STAGING CHARGE 1 $2,387.03 $2,387.03

8888888900 ICTS ENGINEERING SERVICES 1 $4,520.99 $4,520.99

PRE-INSTALL HARDWARE $2,327.93 $2,327.93

Installation Total: $15,505.63


62

Project Payment Terms Deposit (30%): $17,275.04Upon Delivery (50%): $28,791.75Upon Completion (20%): $11,516.70

Communications List Price: $104,937.69Communications Discount Amount: ($47,354.20)Discounted Communications Total: $57,583.49Price does not include applicable taxes and shipping

Communications Estimated Shipping: Not included

Freight Terms: Prepay & Add


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Item D

64

We Advance Your Interventional Lab

Ms. Leeann Miles Children's Mercy Hospital 2401 Gillham Rd Kansas City, MO 64108 Ms. Miles, Thank you for your interest in Carrot Medical’s State-of-the-Art Audio, Video, Information Management and Professional Services Solutions. Our vendor-neutral solutions are installed and supported by our in-house Carrot Support Team. Our expert service, coupled with an unmatched product portfolio, will extend the useful life of your lab in the most cost-effective manner.

C-View® Platform – Large Display System for Interventional/ Hybrid Labs Clinical Solutions

− C-View Platinum System (The premium performance leader large display system)

− C-View Pro System (The high-end performance leader large display system)

− C-View Lite System (The price performance leader large display system) C-Suite® Platform – Clinical Data Streaming and Archiving System Education Solutions

− C-Suite 2.4 Pro System (Enterprise support of up to 40 Users)

− C-Suite 2.4 System (Developed as a cost-effective solution for 10 - 20 Users) C-Com® Platform – Wireless Headset System for Interventional/ Hybrid Labs Workflow Solutions

− C-Com Pro Elite System (Designed for Labs requiring additional talkers and up to 30 Wireless Headsets)

− C-Com Pro System (Designed for Labs requiring high-performance with up to 15 Wireless Headsets)

− C-Com Lite System (Designed for Labs requiring a high-performance low-cost entry system)

The enclosed proposal contains information that you will find useful in making your decision to purchase a Carrot System or services from our Professional Services Team. For more information on Carrot Medical’s Solutions, please call me at 512-497-2563 or visit us online: www.carrotmedical.com Sincerely,

Michelle (Mikey) Newton Sales Director - Southwest [email protected]

65

http://www.carrotmedical.com/

22122th 20th Ave SE, Ste H166 Bothell, WA 98021 | P 425.318.8089 | F 425.527.6983 | Service 866-492-3533

Contact: Leeann Miles Quotation Date: March 8, 2021

Customer: Children's Mercy Hospital Quotation Number: 5311

Address: 2401 Gillham Rd

Kansas City, MO 64108

Quotation Expiration: 6/6/2021 12:00:00 AM

Phone: (816) 234-3000 Phone: 512-497-2563

Email: [email protected] Email: [email protected]

C-Com Pro Elite Upgrade

Line Qty Item No. Product Description Unit Price Qty Price

1 1 100431 C-Com Pro Elite System

The C-Com Pro Elite System is the premier leader in wireless

communication systems for interventional labs. Compared to conventional

systems that include central microphones and overhead speakers, the C-

Com Pro Elite System dramatically reduces noise and distraction, enhances

patient comfort and synchronizes clinical activities. Physician instructions and

collaborative communication are distributed to all team members with up to

(30) wireless headsets per system including (10) possible active talk paths.

Whisper-sensitive military-spec directional microphones ensure flawless

audio fidelity and precise communication.

The C-Com Pro Elite System includes:

• (8) HD Wireless Headsets and (1) Wired Headset

• (2) Battery chargers and (16) batteries

• Advanced audio I/O capability

• (3) year standard warranty

• Shipping, remote installation and training

The C-Com Pro Elite options include:

• Additional HD Wireless Headsets, up to (30) total

• Additional training (100191)

The C-Com Pro Elite is not intended for diagnostic use.

$22,500.00 $22,500.00

2 1 100417 C-Com Wireless HD Headsets

Additional Wireless HD Headsets for the C-Com Pro Elite System

• Compact balanced design for comfortable fit

• Wideband technology resulting in increase in intelligible speech

• Designed for durability with no moving buttons and wire-free headband

• Built-in battery diagnostics

• Outbound and inbound noise reduction providing clearer communication

$0.00 $0.00

3 2 900400 Carrot C-Com System Credit

Credit for trading an entire C-Com System

Trade-In must include base station and (4) headsets

System must be functional and in working condition

($2,500.00) ($5,000.00)

66

Sales Price $17,500.00

Applicable Sales Tax: TBD

Total Price: $17,500.00

NOTES:

PRICING TYPE:

PAYMENT TERMS: Net 30

FINANCING OPTIONS AVAILABLE

CUSTOMER ACCEPTANCE:

Name: ____________________________ Title: ____________________________

Signature: ____________________________ Date: ____________________________

Return signed quote with P.O. to (425) 527-6983 or [email protected]

67

mailto:[email protected]

TERMS AND CONDITIONS

These Terms and Conditions (the “Terms and Conditions”) govern the agreement between Carrot Medical, LLC (“Seller”), a Delaware limited

liability company having a principal place of business at 22122 20th Ave SE, #H-166, Bothell, WA 98021 and the buyer identified on the quotation

(“Quotation”) to which these Terms and Conditions are attached (“Buyer”). No purchase order, acknowledgment form, or other ordering

document or communication from either party shall vary the terms and conditions in these Terms and Conditions unless both parties expressly

agree in writing. In the event of any conflict between the terms and conditions herein and those of any purchase order, acknowledgment form or

other ordering document or communication, these Terms and Conditions shall prevail.

1. Orders Acceptance. All purchases of products (“Products”) or maintenance and support services (“Service”) by Buyer from Seller

shall be made by means of a purchase order issued to Seller by Buyer (“Order”). Each Order shall set forth, at a minimum, a list of the quantity and

price of Products covered by the Order, the requested delivery date, and the authorized signature of Buyer. Seller shall acknowledge acceptance of

Orders in writing within two (2) business days after receipt. Seller’s acceptance is expressly limited to these Terms and Conditions. In no event

shall any Order be binding on Seller until Seller’s acceptance with respect to the Products ordered, pricing, delivery dates, payment and all other

material terms. Orders will not be processed and scheduled for shipment until receipt of Buyer’s down payment, if applicable. Either party’s

commencement of performance, delivery or acceptance of Products shall not be deemed or construed as acceptance of any additional terms and

conditions contained in an Order.

2. Delivery; Title; Risk of Loss; Installation. Products will be shipped F.O.B. Seller’s facility. Seller will arrange for shipping. Seller shall

not be liable for any damage or penalty for delay in delivery or for failure to give notice of any delay. Seller shall use reasonable efforts to ship the

Products on the shipment date reasonably requested in each Order. Seller shall not be liable for any loss, expense or damage incurred by Buyer if

Seller fails to meet the shipment date requested in any Order. Seller reserves the right to make partial shipments. Installation fees, if included in the

Products’ purchase price, assume installation(s) to occur on business days during regular business hours, unless alternative times are agreed to by

the parties prior to the issuance of the Order. Seller and Buyer shall cooperate reasonably to determine a mutually convenient time for Seller to

perform installation, normally within sixty (60) days from delivery, Buyer acknowledges and agrees that if Buyer requires installation to occur outside

of regular business hours, and if Seller is able to do so, such installation shall incur additional charges.

3. Payment; Taxes. Seller shall invoice Buyer and Buyer shall immediately pay such invoice for Products and/or Service in accordance

with the payment terms set forth in the Quotation. Buyer agrees to pay Seller interest of one and one-half percent (1.5%) per month or the

maximum legal rate in effect, whichever is less, on any undisputed amount remaining unpaid beyond the payment due date(s), along with any

collection costs incurred by Seller, including reasonable attorneys’ fees. In the event that Buyer fails to make any payment when due, Seller may

withhold further shipments until such time as the past-due payment is made and may require that subsequent Orders be paid in full prior to shipment.

Prices are exclusive of all sales, use and other excise taxes. When applicable, Buyer shall pay any such taxes. Orders may not be cancelled or

modified after production has started. Non-defective returns or cancellations will be subject to a 25% restocking fee and must be pre-approved by

Seller prior to shipment. Returned items must be in new, unused and original packaging to receive a refund. Shipping charges are not refundable. In

the case where Buyer holds back a portion of the payment pending installation AND Buyer delays the previously -agreed-to installation date, Seller

shall be entitled to receiving any withheld payments.

4. Software. Software installed on the Products (“Software”) is licensed, not sold. Subject to these Terms and Conditions, Seller grants

to Buyer a non-exclusive, nontransferable license to use the Software, in object code form, (i) only on the specific hardware Product(s) on which

the Software is installed, and (ii) solely for Buyer’s internal business purposes. The license grants Buyer no right to, and Buyer will not, sublicense

such Software, or modify, decompile, disassemble or otherwise attempt to create the source code from the Software, or rent, lease, sell or create

derivative works of the Software. Buyer shall not remove or alter any trademark, logo, copyright or other proprietary notices , legends, symbols or

labels in the Software. Buyer will not, and will not permit any other person to copy, duplicate, modify or prepare derivative works from any portion

of the Software. All Software and its related documentation are and will remain the exclusive property of Seller and its licensors. If Buyer resells to

a third party the Product on which the Software is installed, Buyer may transfer the Software to such third party on a permanent basis, but only if

the Software remains on the Product and the recipient agrees to accept all of the terms and conditions in this Terms and Conditions regarding the

Software.

5. Support. If Buyer wishes to obtain maintenance and support services for the Products after the expiration of the applicable express

warranties set forth herein, Buyer may elect to purchase such maintenance or support services from Seller pursuant to Seller’s then-current Product

Support or Maintenance Agreement.

6. Limited Warranty. Product hardware and media (the “Hardware”) are warranted to be free from defects in material and

workmanship and to conform substantially to Seller’s then-current (as of the date of Product shipment) user documentation and specifications for

a period of up to three (3) years for C-Com systems and one (1) year for all other products from the date of Product shipment (the “Hardware

Warranty Period”), provided, such Hardware is used under those operating conditions described in Seller’s then-current user documentation and

specifications. Seller shall incur no liability under this warranty if Buyer fails to provide Seller with notice of the alleged defect during the applicable

Hardware Warranty Period. In the event the Hardware does not comply with the foregoing express warranty, Buyer will notify Se ller and Seller

will affect the necessary repairs or replacements at the installation site. All exchanged Hardware or parts shall become the property of Seller. Seller

may use either new or remanufactured, reconditioned or refurbished equipment or parts (if in like-new condition), or functionally equivalent

equipment or parts (at equivalent or comparable prices) in the furnishing of repairs or replacements.

Seller warrants for a period of up to three (3) years for C-Com systems and one (1) year for all other products from the date of shipping from

Seller (the “Software Warranty Period”) that the Software materially conforms to its user documentation and any published speci fications. Seller

does not warrant that the Software shall meet Buyer's requirements or shall operate error-free. This warranty does not apply insofar as: (a) a

version of the Software is used that does not include all updates available from Seller; (b) the Software is modified by anyone other than Seller or;

(c) the Software is used on or for equipment other than the Hardware with which the Software was installed or delivered. In the event the Software

does not comply with the foregoing express warranty, Seller shall, at its discretion, promptly replace or make all necessary corrections to the

defective Software, at no charge to Buyer, so that the Software materially conforms to its user documentation and any published specifications.

Seller makes no warranty with respect to defective conditions or non-conformities of the Hardware or Software resulting from the following: (a)

Buyer modifications not authorized by Seller, misuse, neglect (e.g. display burn-in), accident or abuse, improper wiring, repairing, splicing, alteration,

installation, storage or maintenance by Buyer, (b) use in a manner not in accordance with Seller’s published operating specifications or instructions

or (c) failure of Buyer to apply previously applicable Seller suggested updates, modifications or corrections. Seller will void warranty with respect

to defects caused by Buyer’s equipment and software provided or manufactured by third party vendors.

THE EXPRESS WARRANTIES IN THIS SECTION 6 ARE THE ONLY WARRANTIES GRANTED BY SELLER AND THE REMEDIES IN THIS

SECTION 6 ARE THE SOLE AND EXCLUSIVE REMEDIES FOR BREACH OF SUCH WARRANTIES. EXCEPT AS EXPRESSLY PROVIDED IN THIS

SECTION 6, SELLER MAKES NO OTHER WARRANTIES, EXPRESS, IMPLIED OR STATUTORY, AND SELLER EXPRESSLY DISCLAIMS ALL

68

SUCH OTHER WARRANTIES, INCLUDING WITHOUT LIMITATION IMPLIED WARRANTIES OF QUALITY, CONDITION, TITLE,

MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE AND NON-INFRINGEMENT.

7. Intellectual Property Rights. Except as expressly described in these Terms and Conditions, Seller does not grant and Buyer shall

have no right, license or other interest in any of the patents, copyrights, trademarks, or trade secrets owned, used or claimed by Seller and/or its

licensors or embodied in the Products (including rights in Software installed on the Products) (“Intellectual Property Rights”), or any other

Confidential Information of Seller. All applicable rights to such Intellectual Property Rights and Confidential Information are and will remain the

exclusive property of Seller and/or its licensors subject to the limited rights expressly granted to Buyer by these Terms and Conditions. Title to and

ownership of the Intellectual Property Rights and Seller’s Confidential Information shall remain Seller’s property or that of its licensors.

8. Intellectual Property Indemnification. In the event of any claim by a third party against Buyer alleging an infringement of any US

intellectual property rights by reason of the purchase, license or use, in accordance with these Terms and Conditions and Sel ler’s specifications, of

any Product, Seller, at its expense, will defend, indemnify and hold harmless Buyer, subject to the conditions and exceptions stated below, from

such claims. Seller’s obligation to indemnify Buyer pursuant to this Section is contingent upon: (i) Buyer giving Seller prompt written notice of all

such claims, alleging infringement; (ii) Seller having authority to assume the sole defense thereof; and (iii) Buyer furnishing to Seller all relevant

information and cooperating with Seller to facilitate the defense and/or settlement of any such claim. No undertaking of Seller under this Section

will extend to any such alleged infringement to the extent that it: (a) arises from adherence to design modifications, specifications or written

instructions which Seller is directed by Buyer to follow; (b) relates to uses of a Product provided by Seller in combinations with other products or

software obtained by Buyer from vendors other than Seller; or (c) arises from Buyer’s failure to install a Product update, previously provided, where

the update would have avoided the infringement claim. If Buyer’s use of the Products is enjoined or in Seller’s opinion is likely to be enjoined, Seller

will, at its expense and at its option, either (i) replace the enjoined Product(s) furnished pursuant to these Terms and Conditions with a suitable

substitute(s) free of any infringement, (ii) modify the enjoined Product(s) so that it will be free of the infringement, provided such modification does

not result in a material degradation in performance or functionality, or (iii) procure for Buyer a license or other right to use the enjoined Product(s).

If none of the foregoing options is available to Seller on a commercially reasonable basis, Seller may, at its option, remove the enjoined Product(s),

and refund to Buyer any amounts paid to Seller therefor less reasonable depreciation use based on a five-year straight-line depreciation schedule.

THIS SECTION 8 STATES SELLER’S ENTIRE LIABILITY TO BUYER AND BUYER’S SOLE REMEDY FOR ANY INFRINGEMENT OF ANY PATENT

RIGHTS, COPYRIGHTS, TRADE SECRETS OR OTHER INTELLECTUAL PROPERTY RIGHTS.

9. Limitation of Liability. TO THE FULLEST EXTENT PERMITTED BY APPLICABLE LAW, IN NO EVENT SHALL SELLER BE LIABLE

FOR INDIRECT, INCIDENTAL, SPECIAL, CONSEQUENTIAL, EXEMPLARY, MULTIPLE, PUNITIVE DAMAGES OR LOST PROFITS, WHETHER

FORESEEABLE OR UNFORESEEABLE, OF ANY KIND WHATSOEVER (INCLUDING, WITHOUT LIMITATION, LOST PROFITS, LOSS OF

GOODWILL, LOSS OR DAMAGED DATA, LOSS OF SOFTWARE, LOSS OF USE OF THE PRODUCTS, DOWNTIME OR COSTS OF

SUBSTITUTE PRODUCTS OR EQUIPMENT) ARISING FROM THE SALE, LICENSE AND/OR DELIVERY OF THE PRODUCTS OR ANY OTHER

ACT OF SELLER IN CONNECTION WITH THESE TERMS AND CONDITIONS, EVEN IF SELLER HAS BEEN ADVISED OF THE POSSIBILITY

OF SUCH DAMAGES. SOME STATES DO NOT ALLOW THE EXCLUSION OR LIMITATION OF INCIDENTAL OR CONSEQUENTIAL

DAMAGES AND THE ABOVE EXCLUSION OR LIMITATION MAY NOT APPLY. IN NO EVENT WILL SELLER BE LIABLE FOR DAMAGES

HEREUNDER IN EXCESS OF AGGREGATE AMOUNTS ACTUALLY RECEIVED BY SELLER FOR THE PRODUCT THAT GIVES RISE TO THE

CLAIM. THIS PARAGRAPH WILL SURVIVE FAILURE OF AN EXCLUSIVE OR LIMITED REMEDY.

10. Confidentiality. “Confidential Information” shall mean all Seller information (a) identified in writing by Seller as confidential, trade

secret or proprietary information, or (b) which Buyer has reason to know is confidential, trade secret or proprietary information of Seller, but

excluding any information: (i) legally and publicly available without breach of these Terms and Conditions, (ii) rightfully in Buyer’s possession without

any obligation of confidentiality prior to receiving it, (iii) rightfully obtained by Buyer from a source other than Seller without any obligation of

confidentiality, or (iv) developed by or for Buyer independently and without reference to any Confidential Information of Sel ler. Buyer shall treat

and protect from disclosure the Seller’s Confidential Information in the same manner as it treats its own confidential information, but in no event

with less than reasonable care. Buyer shall not use Seller’s Confidential Information for any purpose other than performance under these Terms

and Conditions and operation of the Products for Buyer’s internal business use. In the event of a breach of any of the forego ing provisions, Buyer

agrees that the harm suffered by Seller would not be compensable by monetary damages alone and, accordingly, that Seller shall, in addition to other

available legal or equitable remedies, be entitled to an injunction against such breach without the need for posting a bond or proving actual damages.

11. General. These Terms and Conditions supersede all prior and contemporaneous agreements, representations and warranties and

contain the entire agreement between the parties. No amendment, modification, termination, or waiver of any provision of these Terms and

Conditions shall be effective unless it is in writing and signed by a duly authorized representative of each party. No failure or delay on the part of

either party in exercising any right or remedy under these Terms and Conditions shall operate as a waiver of such right or remedy.

These Terms and Conditions shall be binding upon and inure to the benefit of the parties and their respective successors and assigns.

These Terms and Conditions shall be governed in accordance with the laws of the Commonwealth of Delaware (without regard to its conflicts of

laws principles). The United Nations Convention on Contracts for the International Sale of Goods and the Uniform Computer Information

Transactions Act are specifically excluded from application to these Terms and Conditions.

The provisions of these Terms and Conditions are severable. In the event that any provision contained in these Terms and Condit ions are held

unenforceable or invalid, the remaining provisions shall be given full effect. Headings in these Terms and Conditions are included for reference only

and shall not constitute a part of these Terms and Conditions for any other purpose.

Except with regard to obligations to pay sums due hereunder, neither party shall be held responsible for any delays or failure in performance caused

in whole or in part by fires, strikes, floods, embargoes, labor disputes, delays or failures of subcontractors, acts of sabotage, riots, accidents, delays

of carriers, voluntary or mandatory compliance with any governmental act, regulation or request, acts of God or by public enemy, or any other

causes beyond the party’s reasonable control. If such contingency shall occur, the defaulting party may elect to either: (i) suspend these Terms and

Conditions for the duration of the delaying cause; or (ii) extend the duration of these Terms and Conditions by the length of time the contingency

endured, or the non-defaulting party may terminate these Terms and Conditions in the event the Force Majeure endures for a period of greater

than ninety (90) days.

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Item E

70

All Pricing is in U.S. Currency. Page 1 of 6

Quotation Sales Support

tel (800) 633-7231

fax (412) 406-0952

radiologysolutions.bayer.com

Bayer HealthCare LLC

1 Bayer Drive

Indianola, PA 15051 Quote No. Q-00043329

Quotation Overview VIZIENT RADIOLOGY - NEW Pricing Applied

Bayer’s diagnostic imaging products, software, and equipment service help healthcare teams in radiology address their critical

performance, quality, uptime, and scheduling requirements.

Please note: If pricing and terms of this [order/quote] are based upon your current Group Purchasing Organization (GPO) affiliation, any

change to your current affiliation may require a new quote or updated terms and pricing.

>See Products and Services Details in this quote, or refer to your invoice, for an itemized breakdown of quoted products.

Imaging Products and Services

Product Name Total List Price Total Discounts YOUR PRICE

Status Arterion

List

Price

Arterion

Discount/

Trade-In

Arterion

Net

Price

Arterion - Medrad® Mark 7 Arterion®

Injection System

$43,830.00 $(12,800.00) $31,030.00

TOTAL(Local taxes, shipping and/or handling to be

invoiced when applicable)

$43,830.00 $(12,800.00) $31,030.00

Additional Comments Vizient contract number (# XR0571)

This quotation has been prepared for: CHILDRENS MERCY HOSPITAL

Issued on 1/7/2021 Valid until 7/12/2021 Trade-in required Yes

Your Bayer Sales Team:

Lisa Hepner-KC, , [email protected]

71

Quotation continued Quotation prepared for: CHILDRENS MERCY HOSPITAL Issued on 1/7/2021 Valid until 7/12/2021

Products and Services Details

Arterion - Medrad® Mark 7 Arterion® Injection System and Related Products/Services

Item(s) Catalog No. Qty Unit List Price Contracted Price

Trade-In Amount

Multi-Unit Discount

Additional Discounts

YOUR PRICE

Medrad® Mark 7 Arterion® Table Mount System ART700 TABL 1 $36,000.00 $25,200.00 $500.00 Provis

107085

$0.00 $24,700.00

Medrad® Mark 7 Arterion® dual display - wall mount

A-DD-WALL 1 $6,000.00 $0.00 $0.00

$0.00 25% $4,500.00

Installation - Medrad® Mark 7 Arterion® - Table Mount

INS ART 700-R 1 $1,830.00 $0.00 $0.00

$0.00 $1,830.00

Status Stellant Net Price Subtotal $31,030.00

TOTAL $31,030.00

GRAND TOTAL (Local taxes, shipping and/or handling to be invoiced when applicable) $31,030.00

If your organization is tax exempt, please notify Sales Support at 1-800-633-7231.

72


73


74


This quotation has been prepared for: CHILDRENS MERCY HOSPITAL

Issued on 1/7/2021 Valid until 7/12/2021 Trade-in required Yes

Your Bayer Sales Team:

Lisa Hepner-KC, , [email protected]

If you are using this quote as a purchase order, please complete the Acceptance and Billing information below:

Acceptance and Billing

Your signature below indicates your acceptance of this Agreement, including the terms and conditions included as part of this

document. Please complete the information below, along with your Purchase Order referencing Quote # Q-00043329, and email this form to

Sales Support at [email protected] AND your Senior Radiology Portfolio Manager, Lisa Hepner-KC, at [email protected].

If pricing and terms of this order are based on your current Group Purchasing Organization (GPO) affiliation, any change to your current

affiliation may require a new quote or updated terms and pricing.

Payment terms Terms of Delivery

30 days due net KANSAS CITY

Customer contact Address Billing Information

2401 Gillham Rd


2401 Gillham Rd


Customer Number Phone

90471

Additional Customer Comments

PO# PO Amount

Write PO number Write PO amount

Customer Approver Customer Approver Title Billing Email Address (if applicable)

Write customer name Write customer title Write email address

Customer Approver Signature Date

X

Please print and sign

MM/DD/YYYY

BAYER, the Bayer Cross, Certegra, P3T, Medrad, Stellant, XDS, Veris, Spectris Solaris, Spectris, DirectCARE, PartnerCARE, VirtualCare, SelectCARE, Mark 7 Arterion, and Mark V ProVis are

registered trademarks of the Bayer group of companies. Radimetrics, MRXperion, Avanta, Twist & Go, and VFlow are trademarks of the Bayer group of companies.

© 2016 Bayer HealthCare LLC. All rights reserved.

75

mailto:[email protected]?subject=Acceptance%20of%20agreement


Bayer Product Terms and Conditions

Please click on the relevant product name below to review terms and conditions

DEVICES

Bayer Product Terms and Conditions

76

https://www.radiologysolutions.bayer.com/sites/g/files/kmftyc641/files/Bayer_Product_Terms_and_Conditions_Final_docx.pdf

https://www.radiologysolutions.bayer.com/sites/g/files/kmftyc641/files/Bayer_Product_Terms_and_Conditions_Final_docx.pdf

Item F

77

Exhibit Five

79

Exhibit Six

119

*Utilization will be measured in “patient days” for licensed beds, “procedures” for equipment,or other appropriate units of measure specific to the service affected.

**Indicate how the average charge/procedure was calculated.

***Only on long term debt, not construction.

****Indicate how overhead was calculated.

MO 580-1865 (08/06)

SERVICE-SPECIFIC REVENUES AND EXPENSESCertificate of Need Program

Historical Financial Data for Latest Three Full Years plus Projections Through Three Full Years Beyond Project Completion

_______ _______ _______ Use an individual form for each affected service with a sufficient number of copies of this form to cover entire period, and fill in the years in the appropriate blanks.

Year

Amount of Utilization:*

Revenue:Average Charge**

Gross RevenueRevenue Deductions

Operating Revenue Other Revenue

TOTAL REVENUE

Expenses: Direct Expenses

Salaries Fees Supplies Other

TOTAL DIRECT

Indirect Expenses Depreciation Interest*** Rent/Lease Overhead****

TOTAL INDIRECT

TOTAL EXPENSES

NET INCOME (LOSS):

Project Title: Project #:

TOTAL INDIRECT

120

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*Utilization will be measured in “patient days” for licensed beds, “procedures” for equipment,or other appropriate units of measure specific to the service affected.

**Indicate how the average charge/procedure was calculated.

***Only on long term debt, not construction.

****Indicate how overhead was calculated.

MO 580-1865 (08/06)

SERVICE-SPECIFIC REVENUES AND EXPENSESCertificate of Need Program

Historical Financial Data for Latest Three Full Years plus Projections Through Three Full Years Beyond Project Completion

_______ _______ _______ Use an individual form for each affected service with a sufficient number of copies of this form to cover entire period, and fill in the years in the appropriate blanks.

Year

Amount of Utilization:*

Revenue:Average Charge**

Gross RevenueRevenue Deductions

Operating Revenue Other Revenue

TOTAL REVENUE

Expenses: Direct Expenses

Salaries Fees Supplies Other

TOTAL DIRECT

Indirect Expenses Depreciation Interest*** Rent/Lease Overhead****

TOTAL INDIRECT

TOTAL EXPENSES

NET INCOME (LOSS):

Project Title: Project #:

TOTAL INDIRECT

121

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*Utilization will be measured in “patient days” for licensed beds, “procedures” for equipment, or other appropriate units of measure specific to the service affected. The utilization is the number of patient encounters for the years FY2019‐2025, based on a 12% growth in EP Lab minutes in Q1 FY22 annualized. **Indicate how the average charge/procedure was calculated. Average revenue per patient encounter actuals FY2019‐FY2021 and held constant for FY2023‐FY2025. Note projected increase in utilization above. Charges and costs are patient experience including only EP Lab charges and costs.. ***Only on long term debt, not construction. No long term debt for this EDL ****Indicate how overhead was calculated. ‐Overhead is already predetermined in revenue.

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equipment replacement application

Documents