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ems{ 4, , ,,,, r , PHILIPS ... Waterloo Fire Rescue Response to Request for Proposal I-eartStart MRx Defibrillator April 2014 0 RIIGft.AL PHILIPS Table of Contents Section 1 Bid Sheets, Pricing Section 2 Executive Summary Section 3 Response to RFP Section 3.1 Exceptions Section 4 Literature n Section 5 Philips Attachments PHILIPS Section 1 Bid Sheets, Pricing PHILIPS PHILIPS Philips Healthcare April24,2014 Waterloo Fire Rescue 425 East Third Street Waterloo,IA 50703 Attn:Barbara McBride,Medical Supervisor Dear Ms.McBride, We wish to thank you for your consideration of Philips Healthcare. As you are likely aware,the HeartStart MRx monitor/defibrillator provides Philips industry-leading patient monitoring technology,with exceptional diagnostic measurements,and evidence-based proven resuscitation therapies in a rugged,reliable,and easy-to-use design. Philips has a proven track record of listening to our customer and investing in technology solutions designed to enhance workflow and patient care in your work environment.To this end,we are currently engaged in a project to incorporate carboxyhemoglobin(SpCO)and methemoglobin(SpMet)monitoring functionality as a configurable option on the HeartStart MRx. Please note that this option is not available for sale in the US at this time,and will only be offered for sale if and when applicable pre-market t'"1 requirements have been met. Because we are currently in the development stage of this technology,pricing is not available at this time. However,as a point of reference only and for budgetary purposes,we can communicate that we intend the cost to be comparable with similar integrated monitoring technologies currently available in the market. In addition,we do not anticipate the cost to exceed$5600 for SpCO monitoring(including the option,patient cable,and adult finger sensor)and$9100 for SpCO&SpMet monitoring(including the option,patient cable,and adult finger sensor). We greatly appreciate the opportunity to provide you with this information,and our commitment regarding SpCO and SpMet monitoring, and look forward to discussing Philips' solutions with you now and in the future. Sincerely, Jeff Heyman Senior Product Manager Emergency Care&Resuscitation Philips Healthcare 3000 Minuteman Road elmN Andover,MA 01810 Revision C QUOTE DATE QUOTE NUMBER PAGE PHILI--, 41„ pH PS 04/25/2014 2300426589 1 7 I LI LAST UPDATED TIME 04/25/2014 17:19:49 EXPIRATION DATE INCOTERMS Philips Healthcare 3000 Minuteman Road,MSO400 06/25/2014 FOB DESTINATION Andover, MA 01810-1099 PAYMENT TERMS Email PO to: Healthcare.Orders(cDphilips.com Net 45 Days or Fax PO to: 1-800-947-3299 Subject to Credit Approval or Mail PO to: FORMAL QUOTE Philips Healthcare Order Processing, MSO400 CUSTOMER: Andover, MA 01810-1099 Attention: 800-934-7372 Waterloo Fire Department 425 E 3rd St WATERLOO IA 50703-3511 UNITED STATES Customer Number: 94462612 SALES REPRESENTATIVE Federal EIN: 13-3429115 Cohn McBain Ph: 651-728-1550 Fax: QUOTE CONTACT Patricia Morabito ITEM PRODUCT DESCRIPTION QUANTITY UNIT OF UNIT AMOUNT TOTAL AMOUNT MEASURE (USD) (USD) SPECIAL COMMENTS M Rx's 10 M3536A HeartStart MRx ALS monitor 5 PCE 10,700.00 53,500.00 861289 A25 Sp02, BP, CO2, Tmp-G 5 10,715.00 53,575.00 B01 Noninvasive Pacing 5 2,350.00 11,750.00 B02 12 Lead ECG acquisition 5 4,000.00 20,000.00 B06 12-LD Trans. Bluetooth 5 2,121.99 10,609.95 B08 Q-CPR 5 2,995.00 14,975.00 B10 MRx Event Sum, Bluetooth 5 2,121.99 10,609.95 B12 Batch LAN Data K-fer 5 515.00 2,575.00 CO1 Water Resistant Paddles 5 710.00 3,550.00 CO3 Data Card 5 98.00 490.00 CO6 AC Power Module 5 425.00 2,125.00 C22 Blk hard case, dot.pouch 5 .00 .00 DO1 Wireless Link-Generic 5 4,995.00 24,975.00 LP1-User Instructions Guide 5 .00 .00 M3508A Standard Pad Cable 5 .00 .00 �''N, W22 2-yr Bench Repair Warranty 5 .00 .00 Agreement Discount -30.00 % -62,620.47 THIS QUOTATION CONTAINS CONFIDENTIAL AND PROPRIETARY INFORMATION OF PHILIPS HEALTHCARE AND IS INTENDED FOR USE ONLY BY THE CUSTOMER WHOSE NAME APPEARS ON THIS QUOTATION.IT MAY NOT BE DISCLOSED TO THIRD PARTIES WITHOUT PRIOR WRITTEN CONSENT OF PHILIPS HEALTHCARE. LipsQUOTE DATE QUOTE NUMBER PAGE nx1uas plim04/25/2014 2300426589 2 /7 ' LAST UPDATED TIME 04/25/2014 17:19:49 Philips Healthcare EXPIRATION DATE INCOTERMS 3000 Minuteman Road,MSO400 Andover, MA 01810-1099 06/25/2014 FOB DESTINATION FORMAL QUOTE UNIT OF UNIT AMOUNT TOTAL AMOUNT ITEM PRODUCT DESCRIPTION QUANTITY MEASURE (USD) (USD) Promotion discount -3,500.00 -17,500.00 Special Discount -10.00 % -20,873.49 Net price 107,740.94 Agreement: MH537 20 M3536A HeartStart MRx ALS monitor 1 PCE 10,700.00 10,700.00 861289 A25 SpO2, BP, CO2, Tmp-G 1 10,715.00 10,715.00 B01 Noninvasive Pacing 1 2,350.00 2,350.00 B02 12 Lead ECG acquisition 1 4,000.00 4,000.00 B06 12-LD Trans. Bluetooth 1 2,121.99 2,121.99 B08 Q-CPR 1 2,995.00 2,995.00 B10 MRx Event Sum, Bluetooth 1 2,121.99 2,121.99 B12 Batch LAN Data X-fer 1 515.00 515.00 CO1 Water Resistant Paddles 1 710.00 710.00 CO3 Data Card 1 98.00 98.00 C06 AC Power Module 1 425.00 425.00 C22 Blk hard case, det.pouch 1 .00 .00 DO1 Wireless Link-Generic 1 4,995.00 4,995.00 LP1-User Instructions Guide 1 .00 .00 M3508A Standard Pad Cable 1 .00 .00 W22 2-yr Bench Repair Warranty 1 .00 .00 Agreement Discount -30.00 % -12,524.09 Promotion discount -1,500.00 -1,500.00 Special Discount -10.00 % -4,174.70 Net price 23,548.19 Agreement: MH537 30 M3536A HeartStart MRx ALS monitor 1 PCE 10,700.00 10,700.00 861289 A25 SpO2, BP, CO2, Tmp-G 1 10,715.00 10,715.00 B01 Noninvasive Pacing 1 2,350.00 2,350.00 B02 12 Lead ECG acquisition 1 4,000.00 4,000.00 B06 12-LD Trans. Bluetooth 1 2,121.99 2,121.99 B08 Q-CPR 1 2,995.00 2,995.00 B10 MRx Event Sum, Bluetooth 1 2,121.99 2,121.99 B12 Batch LAN Data X-fer 1 515.00 515.00 THIS QUOTATION CONTAINS CONFIDENTIAL AND PROPRIETARY INFORMATION OF PHILIPS HEALTHCARE AND IS INTENDED FOR USE ONLY BY THE CUSTOMER WHOSE NAME APPEARS ON THIS QUOTATION.IT MAY NOT BE DISCLOSED TO THIRD PARTIES WITHOUT PRIOR WRITTEN CONSENT OF PHILIPS HEALTHCARE. QUOTE DATE QUOTE NUMBER PAGE PF9 on H I LI ps 04/25/2014 2300426589 3 /7 ler LAST UPDATED TIME 04/25/2014 17:19:49 Ph3000 EXPIRATION DATE INCOTERMS 3000 Minuteman Road,MSO400 Andover, MA 01810-1099 06/25/2014 FOB DESTINATION FORMAL QUOTE UNIT OF UNIT AMOUNT TOTAL AMOUNT ITEM PRODUCT DESCRIPTION QUANTITY MEASURE (USD) (USD) CO1 Water Resistant Paddles 1 710.00 710.00 CO3 Data Card 1 98.00 98.00 C06 AC Power Module 1 425.00 425.00 C22 Blk hard case, det.pouch 1 .00 .00 DO1 Wireless Link-Generic 1 4,995.00 4,995.00 LP1-User Instructions Guide 1 .00 .00 M3508A Standard Pad Cable 1 .00 .00 WO1 1-Year, on-site warranty 1 .00 .00 Agreement Discount -30.00 % -12,524.09 Special Discount -10.00 % -4,174.70 Net price 25,048.19 Agreement: MH537 40 M3538A Lithium Ion Battery Module 21 PCE 415.00 8,715.00 989803129011 Agreement Discount -23.00 % -2,004.45 Special Discount -17.00 % -1,481.55 Net price 5,229.00 Agreement: MH537 50 989803135301 2-Bay Analyzer For HS Li-Ion Batteries 3 PCE 1,385.00 4,155.00 989803135301 Agreement Discount -23.00 % -955.65 Net price 3,199.35 Agreement: MH537 60 989803135331 4-Bay Analyzer For HS Li-Ion Batteries 2 PCE 2,570.00 5,140.00 989803135331 Agreement Discount -23.00 % -1,182.20 Net price 3,957.80 Agreement: MH537 70 40400B Traditional Reusable NIBP Cuff Kit 7 PCE 269.00 1,883.00 989803101161 •-� Agreement Discount -26.72 % -503.16 Special Discount -13.28 % -250.04 THIS QUOTATION CONTAINS CONFIDENTIAL AND PROPRIETARY INFORMATION OF PHILIPS HEALTHCARE AND IS INTENDED FOR USE ONLY BY THE CUSTOMER WHOSE NAME APPEARS ON THIS QUOTATION.IT MAY NOT BE DISCLOSED TO THIRD PARTIES WITHOUT PRIOR WRITTEN CONSENT OF PHILIPS HEALTHCARE. QUOTE DATE QUOTE NUMBER PAGE vrtiuPs 04/25/2014 2300426589 4 ! 7 L'ptilps LAST UPDATED TIME 04/25/2014 17:19:49 Philips Healthcare EXPIRATION DATE INCOTERMS 3000 Minuteman Road,MSO400 Andover, MA 01810-1099 06/25/2014 FOB DESTINATION FORMAL QUOTE UNIT OF UNIT AMOUNT TOTAL AMOUNT ITEM PRODUCT DESCRIPTION QUANTITY MEASURE (USD) (USD) Net price 1,129.80 Agreement: MH537 80 861451 HeartStart Data Messenger 1 PCE 861451 A03-Site Wide License 1 4,100.00 4,100.00 Agreement Discount -30.00 % -1,230.00 Special Discount -10.00 % -410.00 Net price 2,460.00 Agreement: MH537 Total Quotation List Price 316,221.86 Less All Applicable Discounts -143,908.59 Total Quotation Net Price 172,313.27 d Philips Healthcare is pleased to inform you that financing of its products and services is available to qualified applicants. To obtain more information contact Philips Medical Capital @ 866-513-4PMC. Contract information for: Oklahoma Naspo States Contract Prices quoted are subject to and reflect applicable discounts per the terms and conditions of the following contract: Contract#MH537 Expiration:Mar. 31, 2015 The products listed herein are part of a Philips Promotion entitled: Buy More-Trade More-Save More - 11177US To qualify for the special discounts noted herein, all products within the Promotion configuration must be ordered. No changes and/or substitutions will be allowed. All orders for this promotion must be received on or before 12/31/2014 The discount quoted herein is/are a combination of the 30% Purchase Agreement Discount and a Special Negotiated Discount of 10%. The trade-in allowance quoted herein exceeds Philips'estimate of the fair market value of the units by$19,000. This amount may be considered THIS QUOTATION CONTAINS CONFIDENTIAL AND PROPRIETARY INFORMATION OF PHILIPS HEALTHCARE AND IS INTENDED FOR USE ONLY BY THE CUSTOMER WHOSE NAME APPEARS ON THIS QUOTATION.IT MAY NOT BE DISCLOSED TO THIRD PARTIES WITHOUT PRIOR WRITTEN CONSENT OF PHILIPS HEALTHCARE. QUOTE DATE QUOTE NUMBER PAGE PIMPS �� � �� ps 04/25/2014 2300426589 5 /7 LAST UPDATED TIME 04/25/2014 17:19:49 Ph3000 hcare EXPIRATION DATE INCOTERMS 3000 Minuteman Road,MSO400 Andover, MA 01810-1099 06/25/2014 FOB DESTINATION FORMAL QUOTE UNIT OF UNIT AMOUNT TOTAL AMOUNT ITEM PRODUCT DESCRIPTION QUANTITY MEASURE (USD) (USD) a price reduction or discount under 42 USC 1001.952(h). This quotation is issued pursuant to, and any PO for the items herein will be accepted subject to the Terms of Contract#MH537. If no contract is identified in the previous sentence or the products and/or services are not covered by this contract, this quotation is issued pursuant to, and any PO for the items herein will be accepted subject to the Philips Terms and Conditions of Sale posted at http://www.healthcare.philips.com/main/terms_conditions/and the terms herein. MD Buyline--Please be aware that MD Buyline utilizes Philips current list prices as the basis of calculation for discount comparisons. If you are a customer utilizing a GPO contract with fixed pricing, it is likely that the list price on this quotation is based on an older published price list, and may be considerably less than the current list pricing that MD Buyline uses in its analysis. As such, the MD Buyline discount recommendation may be higher than the Philips offering for your particular purchase. If you have a question, please ask your Sales Representative for clarification. Should you have concerns or want additional information relative to how discount comparisons are calculated at MD Buyline, please call your analyst at MD Buyline. All work is scheduled within normal working hours; Monday through Friday, 8 a.m.to 5 p.m. excluding Philips holidays. All pricing is based on travel zones 1-3. For travel zones beyond 1-3, consult your Philips sales rep for alternate pricing. It is the customers responsibility to provide Philips with the access necessary to complete the quoted work in a continuous start to finish manner. Excessive delays and multiple visits will result in additional charges. All prices are based upon'adequate access'to work areas that are free from obstruction. If it is determined, during the implementation that asbestos removal is required; Philips will suspend performance until the Customer remediates the asbestos. Philips will work with the customers staff to reduce the downtime during the system transition. Products are for USA end-use only. Taxes, if applicable, are not .—� included unless noted but will be added to the invoice. The Purchase Order must reference the Quote Number and your Purchase Agreement. Please indicate your requested delivery date and your preference, if THIS QUOTATION CONTAINS CONFIDENTIAL AND PROPRIETARY INFORMATION OF PHILIPS HEALTHCARE AND IS INTENDED FOR USE ONLY BY THE CUSTOMER WHOSE NAME APPEARS ON THIS QUOTATION.IT MAY NOT BE DISCLOSED TO THIRD PARTIES WITHOUT PRIOR WRITTEN CONSENT OF PHILIPS HEALTHCARE. QUOTE DATE QUOTE NUMBER PAGE N�uvs 04/25/2014 2300426589 6 /7 o ps H ' LAST UPDATED TIME 04/25/2014 17:19:49 Philips Healthcare EXPIRATION DATE INCOTERMS 3000 Minuteman Road,MSO400 Andover, MA 01810-1099 06/25/2014 FOB DESTINATION FORMAL QUOTE UNIT OF UNIT AMOUNT TOTAL AMOUNT ITEM PRODUCT DESCRIPTION QUANTITY MEASURE (USD) (USD) any, to accept and pay for partial shipments. If this quote includes Value-Added Services, they may be invoiced separately. Additional sold training must be completed within twelve months of delivery/installation. System cabling, if included, is specified at the standard grade unless noted otherwise. This quote specifically excludes Licensing & Permit Fees, Prevailing Wage Compensation and Union Labor. IMPORTANT NOTICE: Health care providers are reminded that if the transactions herein include or involve a loan or a discount(including a rebate or other price reduction), they must fully and accurately report such loan or discount on cost reports or other applicable reports or claims for payment submitted under any federal or state health care program, including but not limited to Medicare and Medicaid, such as may be required by state or federal law, including but not limited to 42 CFR 1001.952(h). THIS QUOTATION CONTAINS CONFIDENTIAL AND PROPRIETARY INFORMATION OF PHILIPS HEALTHCARE AND IS INTENDED FOR USE ONLY BY THE CUSTOMER WHOSE NAME APPEARS ON THIS QUOTATION.IT MAY NOT BE DISCLOSED TO THIRD PARTIES WITHOUT PRIOR WRITTEN CONSENT OF PHILIPS HEALTHCARE. QUOTE DATE QUOTE NUMBER PAGE 4PH ' ' 2T/2014 2300426589 7 17 PHRIPS LAST UPDATED TIME 04/25/2014 17:19:49 Philips Healthcare EXPIRATION DATE INCOTERMS 3000 Minuteman Road,MSO400 Andover, MA 01810-1099 06/25/2014 FOB DESTINATION FORMAL QUOTE This quotation is issued pursuant to, and any PO for the items herein will be accepted subject to the Terms of any current Contract with the customer. If there is no contract in place, this quotation is issued pursuant to, and any PO for the items herein will be accepted subjected to Philips Terms and Conditions of sale posted at http://www.healthcare.philips.com/main/terms_corditions/and the terms herein. This quotation contains confidential and proprieta-y information of Philips Healthcare and is intended for use only by the customer whose name appears on this quotation.lt may not be disclosed to third parties without prior written consent of Philips Healthcare THIS QUOTATION CONTAINS CONFIDENTIAL AND PROPRIETARY INFORMATION OF PHILIPS HEALTHCARE AND IS INTENDED FOR USE ONLY BY THE CUSTOMER WHOSE NAME APPEARS ON THIS QUOTATION.IT MAY NOT BE DISCLOSED TO THIRD PARTIES WITHOUT PRIOR WRITTEN CONSENT OF PHILIPS HEALTHCARE. Section 2 Executive Summary PHILIPS Why Philips Healthcare: One of the world's largest and well known medical companies. Philips Healthcare is a Division of Philips Electronics North America and has long provided the equipment and technologies that are on the cutting-edge of the healthcare market. Founded in 1896 when Philips manufactured the first x-ray tubes for medical applications to 1998 when Philips launched a Healthcare Services group dedicated to the advancement of healthcare technology that meets the specialized needs of clinicians as well as patients, Philips Healthcare is well positioned to transform the healthcare possibilities of tomorrow into the realities of today. On August 1, 2001, Philips acquired Agilent Technologies' Healthcare Solutions Group of Andover, Massachusetts. The purchase of Agilent's former healthcare business transformed Philips into the number two medical equipment provider in the world. Key products include diagnostic cardiology, ultrasound imaging, patient monitoring, automated external defibrillators with over 50 years' experience, point of care diagnostic systems, related supplies, and professional services and support. Philips holds #1 worldwide market share in AED's with over 1,000,000 devices deployed and over 30 billion service hours. Imaging Home Healthcare Patient Care and Services Systems Solutions Clinical Informatics Interventional X-Ray Sleep disordered Patient monitoring Site planning and project DiagnosticX-Ray breathing Clinical informatics management CT Home Respirator/care Cardiac resuscitation Ambient experience MR Home monitoring ECG solutions Education SPECTPCT Ventilation Performance services PET/CT Maintenance Ultrasound Women's health Why Philips Resuscitation Solutions • Philips holds #1 worldwide market share in AED's with over 1,000,000 devices deployed and over 30 billion service hours. • Industry Scope and Market Share Supports Large Scale Field Resources • Provider of Innovative Resuscitation Solutions Since 1960 • Full Line of Resuscitation Equipment to Meet Your Needs PHILIPS PHILIPS - . , Philips HeartStart REDs (1 Worldwide Market Share Science Driven Meaningful Innovation #t market share' t is ha tecl1 +. l=b:phassc AED(1996) to r'ecesve Aria, Over 1,000,000A-EDs= recomnendat i-tI-S-in-f1ghtAED (Standard of Care': "°• save(1998) Over 30 boon service Inter.entrOn of Cho' hours= ' 1-AED for children(2001) . sr.e body of leer` "e sieweit,{ubt.stl 'l d' I AED designed specifically for home(2002) Only Over--the-Counter (OTC)AED(2004) Forbes Magazine Disruptor Innovator(2007) Resuscitation Portfolio Heartstart MRx Heartstart XL+ Crashcart & Transport Crashcart t le [ 0 or, Heartstart FR3 Heartstart FRx: Heartstart Onsite: Advanced AED BLS First Responders Lay Responder :b HeartStart MRx Defibrillator/Monitor. The first advanced scalable defibrillator to provide a single solution for crash cart and transport. Philips HeartStart MRx defibrillator/monitor joins our industry-leading .•...• 45 ,tom, monitoring technologies with superior diagnostic measurements and our � ._•»" patented SMART Biphasic resuscitation waveform in a single,thoughtfully designed,lightweight and emergently intuitive device. The HeartStart MRx Monitor/Defibrillator provides several best-in-class a advantages important to both EMS and hospital care providers: the longest battery-powered operating time,the largest color display,and fastest time to shock of any monitor/defibrillator. Why HeartStart MRx: • Emergent Usability— Designed by clinicians for ease of use during a code • Cost Effective— Competitive capital price and savings continue throughout the years of ownership • Dynamic CPR Support—Visual rate and depth feedback right on the patient's chest at the fingertips of the compressor • Easy and Effective Data Management— Simple transfer from device to proprietary Event Review software loaded on PC(s) • Scalabilitv Now and in the Future— Designed to grow as needed for additional monitoring parameters or future incremental innovations • Quickest Charge Time— Industry leading charge times yields quicker therapy and less hands off CPR time • Industry Leading Support — Philips' scope within the industry allows for large scale field service teams as well as cross pollination of innovation from Philips market share leading Patient Monitoring equipment Emergent Usability The average clinician does not respond to code blues on a regular basis so the MRx's therapy interface is designed for ease of use in the midst of a stressful situation in the following ways: .�+ �' • Bold Color Coding "N"' k 'L...I 1' a .. , ,, . , • Clear Step by Step Call Outs 1. O 1 — Select Energy , �6 o 2 — Charge o 3 - Shock • Therapy Dial vs. Menus or Buttons ,- .4:4CgriliP 00 "pia • ,,, moiuto, �r Emergent Usability — Continued AED Mode Shock — 2nd Place Manual Shock Time — 1st Place — Approximately Twice as Fast! Cardioversion Shock Time — 15t Place Pacing Capture Time — 22nd Place D f brillator Performance for Critical Functions t 44 4,fr,0s4..,:s twt.,*m,..41 t.,,tos el, COMob Sea. t t<"ya" w ,O.,:w P A *, ',K°.*+ „',.,. Comparative Usability of Defibrillator User Interfaces Session Best Original Resuscitation Science Poster Session and Luncheon ReSS - Saturday Number 141 f Saturday, November 3, 2012 at 1130 AM — 1:00 PM i Location:JW Marriott at LA LIVE, Gold Ballroom Category Defibril ation Author(s) Richard L Fidler II, Univ of Cal forma, San Francisco, San Francisco, CA; Meshell Johnson, Veterans Affairs Medical Ctr, San Francisco, CA "n'\ Dynamic CPR Feedback Tea- liraisi Color Display with Feedback Directly on the Patient's Chest at the Ills Compressor's Fingertips Coaches A H A Good compressions Compress deeper Guidelines for the Following: d • Compression Depth • Complete Compression Recoil Re!ease pressure beweer Comp essowe, I compressions f • Compression Rate L.. 1 Dynamic CPR Feedback — cont. Audio and Visual from the Device: • Compression Depth and Recoil • Compression Rate Low or High • Hands Off Time • Ventilation Rate — Proprietary Feedback *Per AHA, Hyperventilation is proven to reduce blood flow �4 r r ili My 431 i 13 t4, 03:23 3 CPR Timing Meter Sei.ctaci Ever y iSO Joules S: d Ventilation Feedback 14, ---.. Compression Rate Compression Depth and Recoil Post Code CPR Analysis with Q-CPR Data Capture: • Identify strengths and opportunities for the code team • Utilize the analysis for future training • Improve future outcomes Q-CPR Report Paid Hlc 4pYSTAFIT Mot%NrrPro4 Ceps Lb. :ir `"h,_,r300 Patient ID. Cow de= t '1007 Brat edive Derive: 4catSart MPi.L6R12115611 Lest emelt Woggle Summary: F r,okit 22e.'nx Lq`3;2t'71.DL.2:PM Tod erphsfq t O0+]"e.1.11 Tpol morn():of acid - devkt 7n Lgy,20G71.DCC59 Phi '1-t device off triTISk'"r. 7:11.13 PM Tod rrrt c.r3e7 h. Q'rarV Lakulauces CO.OD.CO 0 Coheeerise Nett -mai(unix: [anpesxrs I.9) -6 QI arlp t Zier5 or It a6L4rart CktfiCA LE —oCalccriktssIcrs Ft th nsuffke,- o x 1 —cal(Iry scirrs n Eh Harry feezde 0 AreQQt tnmpresdn rare:NMI) [90 IX] L11 Artwit coma etxan Uth;mm' (34 96 A.rC•SX cortlp►eiSion:curs i"t"1 75 Vindletion fort TOW rum, 7f rardIrroc s tD 'otai'me ttec.t rt,tutrr 00.02.1.42 —o121 at ara rn.batbn 00.00.00,0 Ar+.7ape rtritiVSSr ST W.:it nalomet j=Y rn i Art. dam;,yT ants inctadcn1ITIn' 0 Mal wk1 mc,shrt h!Lrtrr'trc :D lie Flow Thew qu«'r,e'3s1 ss Arcaye r fkw noe()titre JPrxi js', 00,0002.1 Aneea ce rk lbw t>e dub sfxk's' 00.00.02 2 M.?km tree 00.00.1G.6 Defailleden Dole: lrnt her,pow:eel ea ft2 shod 00 CZ_29..1 Tatai an ysls and shock&Ntrq tine 00 00.00 0 Areaax wallas and salad sStlhery art 00.00.00.0 111111! :rrrr b+¢-M t+ �;t9 �r1or[G 4+-0$;51 bone::s b4;77174 lS+iTSs td 3'4t 5*-air T Data Management — Event Review Pro Post Code Data Management Software: • Transfer the case file to any licensed PC with a data card • One powerful display linking ECG, CPR, CO2 and Shock data • Easily Review, Annotate, Share and Report on the Data: • Time lines with narrative • Vital Sign Trends (tabular or graphic) • Macro view and multi-waveform • Ability to export cases to e-mail Normal Sinus ROSC Shown EtCO2 Response Rhythm Restored via EtCO2 from Ventilations Complete Shock Data, including vitals Auld do secorvs: _ s:m r " 1I1 ( I Hill I (Ilil 111 r t�[ J r y 9� �-'� *�¢ DkX ,�h1 4�1i' % 0Mk(.A-ftVF*Ti'i w-a'I it.WkH#'C?47�4hF�4C17'it4 1 (s d'it ,.. ,'yry*�; H'+4i'41,U:1.44174 : 1, 9�T'a 1!i 1� '�� '1.. , ;,§ �P.Y y Shock I delivered '� ,P't'`Y'P 1I .M r. S. IpF i R:zl err_:10 4 ]a?1E 3.s: vYu n m� um�a E:apxed tln 8]-5:.26 :5 S'xdt n:rnbe*:1 E ;, 15.5)cola. { PtertPew floe ne 3 :o-ras !` �^' 171 rX+fl 7a f._ 1, I: _ f t 4 trig. }lll I 1II}1 ill 1 Meg�' 1 � l I .. q ua�mm r �— - ! ' + tom i P � ,� ' P.r a nh: a bp-, 11, 1 s.0 Er 0ll!tLs�Bi 4 6D.'SaR4 ,= 61,5 7 .,......»,. a.,,. u �` k 4..war 5. Actual and Elapsed Audio Playback Time Displays Event Markers to (if recorded) Note IV Access etc. r Frequency and Depth of Automatic Highlighting Compressions— Blue shaded of Key Event area indicates ideal depth Quickest Charge Time Industry Leading Charge Time Allows: • Administration of therapy sooner • Reduced CPR Interrupt time during resuscitation �_�. < 5 Seconds iii: 4 itt rm. < 4 Seconds u ....1.0 F5-$4.4,,,,,fok, ci ,,,,,,,,, ,4ie*"4.1VC-b.4Zt,....1 Ott,tt:14,, ., .t litfilk*K11`4 .':..W'A ,,,,',.IiieN v ez$1; itit Manitur 150 Joules 200 Joules Warranty and Service Programs Philips offers a variety of warranties and plans for repairing and maintaining your defibrillator solutions.The customer selects one of the following options. All HeartStart defibrillator warranties can be extended through service contracts. Preventive maintenance service contracts are available for units equipped with non-invasive blood pressure and end-tidal CO2 monitoring. • One Year On-Site:This warranty program provides technical assistance and requests for service through the Philips CustomerCare Center. Technical Specialists diagnose and resolve problems over the phone. Any problem that cannot be resolved by phone is sent to a Philips field service representative who will repair the defibrillator at your location. Five Year Bench Repair with Loaner:This program provides a five-year bench (repair and return) warranty with telephone assistance from the CustomerCare Service Center. If the problem cannot be resolved on the phone,the defibrillator is sent to Philips for diagnosis and repair. Philips provides a loaner until your HeartStart defibrillator is repaired and returned. • Biomedical Warranty:The five-year Biomedical Warranty allows your in-house Biomedical Engineers to repair and maintain the defibrillator with Philips providing replacement parts and instructions. The Philips CustomerCare Center provides troubleshooting and technical assistance by phone to help with diagnosis and repair. This warranty is available for qualified facilities only. • One Year Bench Warranty for EMS Customers:This warranty provides EMS customers with a one-year bench (repair and return) program. The Philips CustomerCare Center provides troubleshooting and technical assistance by phone to help with diagnosis and repair. When the technical specialist is unable to resolve a problem by phone,the defibrillator will be sent to Philips for repair. Philips provides a loaner until your HeartStart defibrillator is repaired and returned. • Two-Year Bench Warranty for EMS Customers:This warranty is provides EMS customers with a two-year bench (repair and return) program. The Philips CustomerCare Center provides troubleshooting and technical assistance by phone to help with diagnosis and repair. When the technical specialist is unable to resolve a problem by phone,the defibrillator will be sent to Philips for repair. Philips provides a loaner until your HeartStart defibrillator is repaired and returned. • EMS Biomedical Warranty:This three-year EMS Biomedical Warranty allows in-house Biomedical Engineers to repair and maintain the defibrillator with Philips providing replacement parts and instructions. The Philips CustomerCareCenter provides troubleshooting and technical assistance by phone to help with diagnosis and repair. This warranty is available for qualified facilities only. Resuscitation Solutions: Sustainability in Action Free Battery Recycling Program for the MRx and XL+ Monitor/Defibrillator The Philips MRx and XL+ offer the longest battery- powered operating time of any monitor/defibrillator. Now we can help you do your part to protect and preserve the environment for future generations —at no additional cost. Philips Battery Recycling Program (for the MRx and XL+ Monitor/Defibrillators) is the first of its kind in the industry. When your MRx and XL+ battery needs to be replaced, simply order a new one from Philips. When it arrives, place your old battery in the same packaging and use the pre-paid shipping label to send it to our recycling center. No more storing piles of used batteries in your biomed or repair shop. No risk of your old battery ending up in a landfill. Take advantage of this one-of-a-kind program and join Philips in our quest to make the world a greener, cleaner place. Scalability for the Future Monitoring Options: • ECG — 3,5 or 10 leads • etCO2 0* • Sp02 • NBP • 2 Invasive Pressures • Temp • 1.4 Philips Wireless cor • 12-Lead Acquisition 1. 4 ' *MRx can easily be upgraded to include any of the above after market The MRx was designed to grow with your members so they can leverage their investment in the MRx to take advantage of future Philips' innovations. Section 3 Response to RFP - PHILIPS Section 3 Response [( BID PROPOSAL WATERLOO FIRE RESCUE CITY OF WATERLOO, IOWA Philips is pleased to offer this proposal under Philips Standard Terms and Conditions of Sale which has been included in Section 5 of this proposal response. Preamble The undersigned being a corporation existing under the laws of the State of Iowa: A partnership consisting of the following partners: or an individual doing business as Philips Healthcare a Division of Philips Electronics North America being familiar with the Specifications affecting the cost of this service, hereby offers to furnish said service to Waterloo Fire Rescue,425 East Third Street, Waterloo, Iowa 50703. Submission of Bids Sealed bid proposal will be received by the City of Waterloo, Clerk's office, 715 Mulberry Street, Waterloo, Iowa 50703, until 4:00 p.m. on the 28th day of April 2014. Philips acknowledges. Any bid submitted after the specified time will be rejected. Bid sheets shall be the first pages of your proposal. Philips acknowledges. Please see Section 1 for Bid Sheets/Quotations. PH I LI PS Section 3 Page 1 Waterloo Fire Rescue HeartStart MRx Defibrillator All information contained in this proposal is proprietary and confidential. April 2014 Section 3 Response to RFP Bid Prices (As per notice to bidders) Please list bid prices on the attached Specification Sheets. Philips complies. Please see the attached bid prices/specification sheets in this Section. General Requirements for Submission of Bids All bids must be submitted to the City Clerk's office in a sealed envelope clearly marked as follows: Philips acknowledges. "Bid Proposal for Waterloo Fire Rescue As Per Notice to Bidders" The name of the business submitting the bid must also be clearly marked on the envelope. Philips complies. All bids must meet or exceed minimum Specifications as previously defined. Philips clarifies. Philips has made every effort to match the equipment quoted to the bid specifications put forth by Customer. Philips makes no representations as to the equipment's performance other than as it relates to Philips published specifications included with this bid. Please see our responses to specifications in this section, as well as the provided quotation in Section 1. Bids that do not meet or exceed minimum Specifications, as determined by the City, shall be rejected. Philips acknowledges. All Bid prices, upon submission by bidder are recognized by the City and Vendor to be irrevocable for the minimum of thirty(30) calendar days from the date of the Bid opening. Philips complies.The quotation will remain valid for sixty(60)calendar days unless withdrawn or changed by Philips. Two copies of the bid must be submitted. Philips complies. Section 3 Page 2 PH 1 LI PS �� Waterloo Fire Rescue HeartStart MRx Defibrillator April 2014 All information contained in this proposal is proprietary and confidential Section 3 Response to RFP The bidder shall specify any deviations or exceptions that he proposes from the below Specifications on a separate sheet and in the same sequence as stated in said Specifications. By attachment,the listed deviations become part of this bid. Philips complies. Please see Section 3.1 for a list of exceptions. Standard procedures dictate that the City of Waterloo will accept the lowest responsible bid. However,the bidder understands that the City reserves the right to reject any bid that is either considered not to be responsible or not most advantageous to the City.The City will award the contract to the responsible Bidder whose bid meets or exceeds minimum Specifications. Philips acknowledges. The City of Waterloo, Iowa, reserves the right to reject any and all bids. Furthermore,the City of Waterloo reserves the right to reject any portion(s)or item(s) of any or all bids. Philips clarifies.The Customer has the right to accept or reject this proposal in part,or in its entirety. However,all Philips' responses to this proposal must be negotiable in the final purchase Agreement. Any adjustment to the final purchase Agreement must be made in writing and agreed to by both parties. Upon acceptance of the bid, a copy of this Proposal bearing the City Clerk's signature shall constitute acceptance of the bid and therefore, be a legal binding Agreement. Philips acknowledges If applicable,the bidder guarantees that title conveyed shall be good and goods shall be delivered free from security interest or other lien or encumbrance of which the City at the time of purchase had knowledge. Philips acknowledges. Opening and Acceptance of Bids Sealed bid proposals will be opened and read at the City Council meeting on April28, 2014 at 5:30p.m. in the Council Chambers, City Hall, and all bidders understand that they may be in attendance at the bid opening. Philips acknowledges. Bids will be acted upon at that time, or a later time,which shall then be established. Philips acknowledges. PH I LI PS Section 3 Page 3 Waterloo Fire Rescue HeartStart MRx Defibrillator All information contained in this proposal is proprietary and confidential. April 2014 Section 3 Response to RFP Cancellation The successful bidder understands that the City of Waterloo shall cancel this Agreement,with thirty(30) days' notice, if the City has knowledge that all conditions as stated in this Bid Proposal have not been fulfilled. Philips acknowledges. Payment Notice Lump sum payment shall be made by the City of Waterloo, Fire Department,425 East Third Street, Waterloo, Iowa 50703,within thirty(30)days of receipt of billing from the Vendor and acceptance of commodity by the City. Philips clarifies. One-hundred percent(100%)of the purchase price shall be due thirty(30) calendar days from Philips' invoice date. This bidder, having fully read this document, hereby acknowledges that this Bid Proposal completely reflects the total Bid as contained herein. Name of Company: Philips Healthcare a Division of Philips Electronics North America Donna Aldrich 3000 Minuteman Road,Andover, MA 01810 By j9 Address VP, Commercial Operations, NA 4/25/2014 Title Date Approved: Section 3 Page 4 Waterloo Fire Rescue pH I LI PS HeartStart MRx Defibrillator April 2014 All information contained in this proposal is proprietary and confidential Section 3 Response to RFP Bid Prices The bidder proposes to meet or exceed the Specifications for the below quoted prices. Philips clarifies. Philips has made every effort to match the equipment quoted to the bid specifications put forth by Customer. Philips makes no representations as to the equipment's performance other than as it relates to Philips published specifications included with this bid. Please see our responses to specifications in this section, as well as the provided quotation in Section 1. $ 316.221.86 Base Price- including freight and delivery for (7) 12-lead cardiac monitors and associated accessories to Waterloo Fire Rescue, 425 East Third Street, Waterloo, IA 50703. $ 19,000-Trade in amount $ 172,313.27(Includes Promotional,Trade-In and Special Discount) $236,013.27 Total Bid Price (Includes CO Technology, please see the attached CO letter prefacing the quotation in Section 1. For more information) PH I LI PS Section 3 Page 5 Waterloo Fire Rescue HeartStart MRx Defibrillator All information contained in this proposal is proprietary and confidential. April 2014 Section 3 Response to RFP Specifications for Cardiac Monitors Seven (7) ECG Monitor/Defibrillators with the following 12-lead(capable of detecting leads) Philips complies. I,II,III,AVR,AVF,V 1-V6 Philips complies. Interpretative 12-lead ECG Philips complies. 12-lead one step ECG cable to include 4-lead limb lead cable and removable precordial 6-lead set External Adult/PEDS hard paddles with carrying case Appropriate carry case with pouches Philips complies. AC power adapter and power cord Philips complies. Diagnostic printout with interpretation capabilities Philips complies. EtCO Philips complies. Sidestream monitoring capable Philips complies. In-line monitoring capable Philips complies. Integrated CO oximetry Please see the attached CO letter, addressing this required specification in Section 1. Massimo SET/SpMet Rainbow Reusable Patient cable (connects to single use sensors) Please see the attached CO letter, addressing this required specification in Section 1. Sp02/SpCO/SpMet Rainbow DCI Adult Reusable Sensor with connector Please see the attached CO letter,addressing this required specification in Section 1. Non-invasive automated/programmable blood pressure monitoring Philips complies. Section 3 Page 6 PH!LIPS Waterloo Fire Rescue HeartStart MRx Defibrillator April 2014 All information contained in this proposal is proprietary and confidential Section 3 Response to RFP Temperature Monitoring Philips complies. Dermal Philips complies. Rectal Philips complies. Esophageal Philips complies. NIBP reusable cuff for (PEDS and Adult, Large Adult and Thigh cuff) Philips complies. Provide on screen trends Philips complies. External Transcutaneous demand pacing Philips complies. External Transcutaneous fixed pacing Philips complies. Biphasic waveform defibrillator Philips complies. Synchronized cardioversion capable Philips complies. Must be able to provide integrated CPR feedback(or equivalent) Philips complies. Battery charging system (2-four- bay system) (3-two-bay system) Philips complies. 4 batteries to be including with each monitor Philips complies. WIFI ready Philips complies. Blue Tooth ready Philips complies. PH I LI PS Section 3 Page 7 Waterloo Fire Rescue HeartStart MRx Defibrillator All information contained in this proposal is proprietary and confidential. April 2014 Section 3 Response to RFP USB data transfer cable `.. Must be able to communicate with Panasonic Tough book Computer(wirelessly and via serial) Philips complies. Owners Operator Manual Philips complies. Appropriate in-house training Philips complies. Monitors for trade: 5-Zoll M Series monitors with 12-Iead,ETCO2,5P02,AC, Biphasic,Pace,EL,RCD,SMR,CDMK,ENG Serial Numbers T04K64859 T04K64855 T04163147 T04K65637 T04163155 isol 1-Zoll M Series semi-automatic monitor with Biphasic,AED,AC,PC,EL,RC,SM,CM,ENG Serial number T05A67389 Please see the attached quote in Section 1 for information on Trade In's and assigned values for each device. Section 3 Page 8 PH I LI PS �../Waterloo Fire Rescue HeartStart MRx Defibrillator April 2014 All information contained in this proposal is proprietary and confidential Section 3 . 1 Exceptions PHILIPS Section 3. 1 :: c N o Philips is pleased to offer this proposal under Philips Standard Terms and Conditions of Sale which has been included in Section 5 of this proposal response. Philips has listed relevant exceptions below; Specifications: Integrated CO oximetry Please see the attached CO letter,addressing this required specification in Section 1. Philips has listed relevant clarifications below; All bids must meet or exceed minimum Specifications as previously defined. Philips clarifies. Philips has made every effort to match the equipment quoted to the bid specifications put forth by Customer. Philips makes no representations as to the equipment's performance other than as it relates to Philips published specifications included with this bid. Please see our responses to specifications in this section, as well as the provided quotation in Section 1. The City of Waterloo, Iowa, reserves the right to reject any and all bids. Furthermore, the City of Waterloo reserves the right to reject any portion(s) or item(s) of any or all bids. Philips clarifies.The Customer has the right to accept or reject this proposal in part, or in its entirety. However,all Philips' responses to this proposal must be negotiable in the final purchase Agreement. Any adjustment to the final purchase Agreement must be made in writing and agreed to by both parties. Lump sum payment shall be made by the City of Waterloo, Fire Department, 425 East Third Street, Waterloo, Iowa 50703, within thirty (30) days of receipt of billing from the Vendor and acceptance of commodity by the City. Philips clarifies. One-hundred percent(100%)of the purchase price shall be due thirty(30)calendar days from Philips' invoice date. The bidder proposes to meet or exceed the Specifications for the below quoted prices. PH I LI PS Section 3.1 Page 1 Waterloo Fire Rescue Waterloo Fire Rescue,Response to RFP All information contained in this proposal is proprietary and confidential. April,2014 Exceptions Philips clarifies. Philips has made every effort to match the equipment quoted to the bid `.,.• specifications put forth by Customer. Philips makes no representations as to the equipment's performance other than as it relates to Philips published specifications included with this bid. Please see our responses to specifications in this section, as well as the provided quotation in Section 1. Section 3.1 Page 2 V Waterloo Fire Rescue PH 1 LI PS Waterloo Fire Rescue,Response to RFP April,2014 All information contained in this proposal is proprietary and confidential Section 4 Literature PHILIPS £ '"{ r,. fix . 401011111 e..ry a? , e r5 441 E. , �, , r ,0,Py.A041„.., , 1 A A $ * 4 � r �� �r �r��+:111t14-'44 4 % 14 .47'''''" . s�q� 4 y k. 144 NI 'NSF,'' 5� \�. X � r i � ' f.. _;fir '. Delivering meaningful innovations Philips HeartStart MRx Monitor/Defibrillator for emergency care PH I LI PS sense and simplicity Driving t course of More and more, EMS is driving the course of emergency care by enabling clinical decisions that determine where,when, and how your patients are treated in the field and once they reach the hospital. You are leading the way with the adoption of new technologies, such as CPR measurement and feedback tools and clinical decision support tools that help detect STEMI, as well as more sophisticated medical treatment such as hypothermia protocols. Your efforts are resulting in earlier recognition of conditions and trends, earlier use of therapeutic interventions, and earlier reporting and care in the receiving hospitals, all of which 1 04,4:: _4: are revolutionizing patient preparation at the receiving hospital. �.d' a fn A • ''' . R a As your needs evolve, so can your MRx. April 2004 June 2004 January 2005 October 2005 February 2006 October 2006 Q Q. ... ... ._ . . . . . Q Q Q . Q MRx launched •A high-contrast display •Wide printer for EMS •Bluetooth®12-lead •Q-CPR data capture •Invasive pressures •8.4-inch diameter for clearer viewing in •Wired 12-lead transmission •Audio recording •Temperature color screen bright sunlight transmission via the •Q-CPR'measurement •Screen protector monitoring (largest in industry) •Manual therapy internet' and feedback tool •Trending •All 12-leads are password with feedback for viewable on screen' •Enhanced 12-lead compression rate, •4 configurable,color ECG filters depth,recoil,and waveforms ventilation' L/ 2 Philips HeartStart MRx Monitor/Defibrillator care Leading the way with meaningful innovations A SMART investment Philips is leading the way with meaningful innovations in emergency The HeartStart MRx is trusted by EMS agencies around the care that can help you quickly and effectively respond to your world.A key reason is investment protection.The MRx was patients and influence their course of care as never before. built on a scalable platform from the start.As your needs evolve,so can your MRx.Once the MRx becomes part of your Built to be rugged,reliable,and easy-to-use,the Philips system, it can be easily upgraded in the field,giving you the HeartStart MRx Monitor/Defibrillator with our advanced benefits of Philips advancements without increasing the size DXL 12-Lead ECG algorithm seamlessly provides: of your device. • Industry-leading patient monitoring capabilities •Superb diagnostic measurements Philips has a proven track record of listening to our customers • Robust and reliable STEMI clinical decision support tools and investing in innovations that result in valuable solutions •Evidence-based,proven resuscitation therapies designed specifically for your work environment to help •CPR guidance with the Q-CPR'"measurement and feedback tool enhance workflow and patient care. Our open systems approach to data management helps you streamline information so that it flows from your EMS agency to and throughout the hospital for enhanced patient care and operational efficiency. 9, : t^ - � - � ski ` .r `" '" a xa. �s�,.ff September 2007 May 2009 December 2009 May 2010 January 2011 August 2011 March 2012 ..... .... ............Q...... ..,. .......... ............. . ........( ........ ....., ........ }........,. : ....... .. .......... .._..........Q............ ... .. • • •Event Summary •DXL 12-lead ECG =Periodic clinical data •Black carry bag •One-second vitals •Enhanced Q-CPR, •Tactical Grey color transfer via algorithm transmission designed to improve recording AHA and ERC and enhanced user Bluetooth •ECG analysis •Batch LAN data cable management •Static IP address Guidelines 2010 interface •12-lead transmission statements on transfer+ and wear and tear compatible •ECG signal via Rosetta LT' screen for printer •2nd generation •Reinforced collar for •Compliant vs non- enhancement independence Q-CPR therapy cable compliant surface •Various software •ACI-TIPI and TPI capability+ enhancements to •Automatic lead help enhance patient switching+ care and workflow * Industry first. + Industry only. Philips HeartStart MRx Monitor/Defibrillator 3 u �. Ittou an rea .. _n.� PHILIP ' .. , 111) vg 1 t 07:42 t let) ; nrzq / II 1.5 is It; 0 0 2 ......... 124 o" ott t Mttrarart Ali o: ' 411' ',41,,,„,_•-•:4,,,,,,,,,,-,,,,,o4 7, 3 r x 1 . ,, ° ' F$EAFRT,' TART MRt• s wT,.. 4 Philips HeartStart MRx Monitor/Defibrillator ' or action For whatever situation you face in a day,the HeartStart MRx is built to be tough and ready for action. It is designed to meet stringent test requirements including spraying water, military helicopter vibration, mechanical shock, one-meter drop, electro-magnetic compatibility, and extreme environmental conditions (temperature, humidity, and altitude). Rugged and reliable Intuitive and easy to use Active ready-for-use visual indicator flashes to signal the Intuitive design with therapy controls and connections device has power and is in good functioning order to monitor on the right,monitoring on the left. and deliver therapy. Easy-to-use interface with contrasting colors for sync 18 hours of continuous ECG monitoring with two fully button,printer button,and menu and soft keys around the charged batteries. monitor face make it easier to find what you need fast. The tactical grey MRx provides even greater contrast. Automatic lead switching to the next preferred lead when a lead falls off or is cut when in monitor or manual defibrillation Large color display shows 4 waveforms and numerics,or mode,letting you focus on the patient,not the monitor. view all 12 leads at once with the 12-lead acquisition option. Enhanced ECG performance with improved connection Normal or high-contrast view adjustable for light conditions. points,more robust cables,and rugged lead sets.The EMS lead sets also have labels that can be seen in low-light environments. Comprehensive automated hourly,daily,weekly self-test results are available on the display. Choice of color with the tactical grey color designed to show less dirt and wear and tear over time.The original white Flexible Event Summary print options allows MRx is available. configuration of the desired clinical data,including CO2 waveform,in the Event Summary report. Enhanced event markers offer the ability to enter the dose and unit of measure providing greater flexibility in patient care. Tough Enough for the US Army y ,y The same MRx model we ship to all EMS 't 'r°* °' ' i+ customers is tough enough to receive " * , an Airworthiness Certification from v" Jt the United States Army.The MRx was subjected to extensive testing for the most 1 °' rigorous and demanding environments faced by military personnel. Philips HeartStart MRx Monitor/Defibrillator 5 0 . ec � sion su or �- For Philips, clinical decision support means delivering "When I first purchased the MRx monitors I knew actionable clinical intelligence that can have a real impact I was getting a great piece of equipment. What on patient care, workflow, and financial outcomes. Our I didn't know is that Philips Healthcare would smart clinical decision support solutions analyze, interpret, transition from a vendor to a partner in saving lives and present data in meaningful ways that provide valuable everyday. Philips has continually provided support information about changes in a patient's status. and knowledge that put them first in class. Their willingness to work with organizations to accomplish Only Philips has the advanced DXL 12-Lead ECG a task is something I will always appreciate." algorithm,which takes STEMI decision support to a Brian Rogers new level by providing unique data views that enable EMS Training Officer,Henderson Fire Department confident decision-making to help speed triage. Chief Operating Officer/Principle,Community Ambulance •Pinpoints the STEMI-Culprit Artery most likely TRUCK501 09 Jan 2012 11:10 akk, responsible for the acute symptoms,which can assist in directing care in the field and treatment in the Cath Lab. DOE'JANt 04:12 Adult Nun-Paced •Generates Critical Values for four distinct life- liF threatening conditions—acute MI,acute ischemia, w ttv complete heart block,and very fast heart rate— that require immediate clinical attention. •Provides Gender-Specific Diagnostic Criteria to enhance recognition and interpretation of cardiac symptoms in women. We also offer predictive instruments designed to help support confident decision-making. •Acute Cardiac Ischemia—Time Insensitive 01564 09-1as-2012 11:00:40 64 years F[M41C Predictive Instrument(ACI-TIPI)uses the HK 54 AV block,t.m,1ete tthiud dryer) 12-lead ECG to provide a percentage score for PK •+trial hf+«t•xru(1A01 QRSD 101 predicted probability that the patient is experiencing QT 374 acute ischemia. QTt ass —A.i%-. •Thrombolytic Predictive Instrument(TPI)uses p 69 the 12-lead ECG to help predict patient outcome with QRS 52 T 63 -A0NOR.MAI ECG- Uncantirracd diognazis and without thrombolytic therapy. �a MENU Pinpoint the STEMI-Culprit Artery most likely responsible for the patient's acute symptoms,which can assist in directing care in the field and treatment in the Cath Lab. 6 Philips HeartStart MRx Monitor/Defibrillator --, 12-lead ECG strip Event ID ,090113165721a7ba ID I0907113 13 Lin 2012 1659.27 DOt JAME INSTITUTE OF HEALTH 555-123-456/ II I aVR YI 1 V , 1 , aVL V2 V5 , , s. I I i , 1 Page 1 of 7 TRUCK 501 FA-IU 0770 25 smiser Limb;105no/mV (best 10 mai/mV I 0.05 Hz - 40 Hz I Pt11006 P? PHILIPS HEART'START FAH * STEMI decision support data Patient age and chest pain status. I I nt TO !090713165721a7ba ID :1098/ID 131an•7017 165877 DOE TAW 55 years FEMALE Chest Pain Primary --..... HR 72 . Sinus rhythm.—,—.,,.. ... ... .. , normal P axis, V,rate 50- 99 PR 153 . Extensive anterior infarct. acute (LAD)..„. .—...,„......—.5T >0,20,4V. V1-V6 Q1150 96 I QT 385 STEMI- C/Tc 422 Culprit Artery Axis-- P 66 identification ORS 55 (Left Anterior T -1 • ABNORMAL ECG - Unconfirmed diagnosis Descending). Page 3 of 7 >-.›- Acute MI «< I PH1008 P7 PHILIPS HEACTSIART trif4 x- Acute cardiac ischemia predictive probability data Predicted probability of acute ischernra. Event ID 7090713165721a7ba II) .11)987ID 13-Ian-2017 16,58 27 DOE JANE 55 years FEMALE chn I Pain Primary KR 72 Philips ACT-TIPT PREDICTED PROBABILIIY OF ACUTE CARDIAC ISCHEMIA . 94%, based an' PR 153 , —Patient is male, age greater than 50 I OR5D 96 , ..Patient has chief complaint of chest pain/discomfort or left arm pain 0 Explanation 1 385 , —Anterior significant c waves In two or more of lead% VI V4 Oft 422 . „Anterior ST elevation of 0.2 mV or more in two or more of leads VT VI of clinical ..Axis.• . „Interior T waves flat or slightly inverted in two or more of II.III,aVF P factors behind ACI-TIPI PROBABILITY HAY ASSIST PHYSICIAN TRIAGE JUDGEMENT (1.0111 5-1112 9.0050) ORS 55 the predicted T .1 probability. Page 4 of 7 >>> Acute MI <4-4 I F'HIOTO P7 PHILIPS HEARTSTART PAR Philips HeartStart MR x Monitor/Defibrillator 7 resuscitatior n ancer Philips continues to be a leader in developing meaningful innovations in resuscitation therapy, including the first biphasic waveform for an external defibrillator. Our evidence-based, proven resuscitation therapies are designed to work together to help you give sudden cardiac arrest (SCA) patients the best chance of surviving and returning to active living. •SMART Biphasic therapy has been rigorously i ''''''.f." ' ':12% '"`, studied and is supported by substantial peer-reviewed, "° published data.It has been clinically proven to deliver high first shock efficacy for long-downtime SCA � � -, patients,as well as to effectively defibrillate across the ik full spectrum of patients,including those considered s "difficult-to-treat."'-5 " s •Q-CPR measurement and feedback tool is supported by more published data than any other CPR quality 111. - improvement tool.It has been demonstrated to 1" , improve CPR delivery and patient outcomes. •Quick Shock enables fast time to shock.Delivering a ' ... '`'• shock quickly after chest compressions is critical as the 41► - y benefits of CPR—oxygenated blood delivered to the ,, �tr ° vital organs—dissipate in seconds.7.8 ` •Core temperature monitoring and trending t • to support cooling protocols. ° 0. •Noninvasive Pacing using either demand or fixed w- mode.Supports protocols for demand mode only or, ; ' i. G• i if configured,switches to fixed mode in the event a ` , �� lead is lost to ensure the patient is continuously paced. , ` ,. It Y Q-CPR has been an important , : part of our success in improving s t survival from cardiac arrest in the City of Pittsburgh." ,, p '4 ,r " Ronald V.Romano ,` Division Chief Is:� City of Pittsburgh Emergency Medical Services 4 8 Philips HeartStart MRx Monitor/Defibrillator therapies Q-CPR: CPR quality improvement tool Philips Q-CPR is supported by more published research iimitlyew c"•% ..a'v")'f r,c 1 E than any other CPR quality improvement tool and is available ' awns OM as a fully integrated option with the HeartStart MRx. The Q-CPR meter delivers instant audiovisual feedback to help ensure that every compression meets depth and rate, complete chest recoil, hands-off time, and ventilation rate to help improve the patient's chance Shacks: of survival and increase the opportunity for a complete CPR timer and 5tlrch.dCnergv ISoEroultz neurological recovery. compression counter. Ventilation uidance.- y Q-CPR supports AHA/ERC 2010 CPR Guidelines. g - The HeartStart MRx can be configured to display either � �' �� �� the AHA or ERC protocol for depth and rate. Real-time feedback - directly on monitor. Q-CPR at a glance . `"'. Ventilation rate Yes Delivering accurate 1 Ventilation feedback from bag valve Philips exclusive compression depth on - _- mask(BVM)or intubation a compliant surface. SINK `tt®o, Ia0e4z at+ MtraI NW PR Displays 2-minute progress bar Philips exclusive Chest compression depth—too shallow Yes Q-CPR offers protocol Turn voice prompts ON Chest compression rate high Philips exclusive management and enhanced or OFF depending on Chest compression rate low Yes visual feedback in code your system's protocol. Complete chest recoil Yes view or AED mode. "Hands-off"time—provides audio Yes feedback after 15 seconds if no compression activity Compliant vs.non-compliant Philips exclusive surface capability • `p ,,. I _t- .. - - i,. d . Good compressions Release pressure Compress deeper Compress slower f. ,' between compressions Philips HeartStart MRx Monitor/Defibrillator 9 Data management Our goal is operational efficiency, enabling you to focus more on patient care and less on moving data during treatment and transport. We do this through our open data management approach, which means timely transmission of data, interoperability with virtually any ePCR software to streamline information flow, and quality debriefing to help you and your medics continuously improve your emergency response services. With Philips,you have many options to help enhance Collaborate with hospital care teams by your operation: providing critical patient data en route using •Whatever your workflow...print,display,fax,email, Periodic Clinical Data Transmission Bluetooth,or Ethernet...we can accommodate it. •Communicate/collaborate on critical care patients— •Flexible,fast,and reliable solutions ensure data gets stroke,trauma,respiratory,pediatric,cardiac—to help to the intended recipients. hospital care teams better prepare for arrival. •Reliable and trackable automated download and •Press"start data transmit"to automatically document delivery solutions mean no files or data are left behind critical events and vitals en route. and medic involvement in administrative tasks is •Data is seamlessly transmitted without any further reduced so you can focus on more important activities. user interaction so you can focus on your patients. •Move data at LAN speed,which enables rapid •Uses same low-cost infrastructure as downloads and faster device return-to-service times. 12-lead transmission. •Automatic time setting when all events are transferred ensures the HeartStart MRx is in sync with the system of record from"911 call"to"device on." 401 Download event data from the MRx at f LAN speed to Event Review Pro and your ePCR for enhanced workflow. . •: . v 7 �R . w lj, 5 od 1**wed Xed toes.C15:),t2..;'$.# ,i: HeartStart Event Review Pro captures and stores ' ` .‘14.60 .OiX,gam g,< edic,1 the entire code, includingQ-CPR data,forpost-event spa �szsy € xs2 s�v Arcot'"tense:12.:*wrd, review to help your team reach its full potential. This rat i oeekoa-sn I t 1 breakthrough application provides a robust, insightful as •t�_a.,�� 1 Ill'I lli 1JE 1,� 1; :�co* view of a resuscitation event, along with built-in, $soa g `� mix es . easy-to-use navigation to pinpoint areas in a specific Ilfll i 11l>1 If �1� ai patient's code event to reinforce effective techniques and motivate change where needed. 10 Philips HeartStart MRx Monitor/Defibrillator MRx basic specifications and optional features Dimensions Without external paddles: 12.4" (VV)x 8.3-(D) Type 6.0 Ah, 14.8 V,rechargeable lithium ion x 11.7-(H) (313 mm x 210 mm x 295 mm).With external paddles: 13.4""(W)x 8.3-(D) Dimensions 6.5"'(H)x 3.8"" (W)x 1.6""(D) (165 mm x 95 mm x x 13.6-(H) (340 mm x 210 mm x 345 mm). 42 mm) Weight 13.2 lbs.(6 kg):base unit with 1 battery,pads,and Weight 1.6 lb.(0.73 kg) pads cable.Carrying case adds 4.1 lbs. (1.86 kg). Charge Time Approximately 3 hours to 100%,2 hours to 80% Paddle tray and external standard paddles add less than 2.5 lbs. (1.1 kg) Capacity •Shocks:At least 50 200J charge/shocks or disarm /7 Caro cycles' • Monitoring only:9 hours of continuous ECG Water Meets IEC 60601-2-4 monitoring Resistance • Monitoring and Shocks:At least 5 hours of monitoring ECG,SpO2,CO2,temperature,and Solids Solids/Water Resistance—IP24 2 invasive pressures monitored continuously, Resistance NBP measured every 15 minutes,and 20 200J Temperature Operating: 32°-113°F(0°-45°C) discharges' Storage:-4°- 158° F(-20°-70°C) •Monitoring and Pacing:At lease 3.5 hours while pacing at 180 ppm at 160mA and monitoring as Humidity Operating:0%to 95%relative described above Safety Meets EN 60601-1, UL 2601-1,CSA C22.2 Battery Battery gauge on battery,capacity indicator on No.601 1 M90 CSA,EN 60601 2 4 Indicators display;flashing RFU indicator,chirp,and 'Low Battery' message appears on display for low battery condition,when 10 minutes of monitoring time and Dimensions 8.4"diagonal(128 mm x 171 mm) 6 maximum energy discharges remain(with a new Type TFT color LCD battery at room temperature, 25°C) Resolution 640 x 480 pixels (VGA) Wave Viewing 5 seconds(ECG) Internal 12 hours of continuous ECG waveforms and events, Time maximum capacity of 55 event summaries i,i, ��� � " °° F�� z�a�" Data Card 60 event summary reports or 240 megabytes of patient data Model HeartStart MRx(M3536A) Waveform Biphasic Truncated Exponential.Waveform Input Up to 4 ECG waves displayed and up to 2 ECG parameters adjusted as a function of patient waves print simultaneously. impedance. Lead I,II,or III obtained through 3-lead ECG cable Output Energy Manual(selected): 1-10, 15,20, 30, 50, 70, 100, and separate monitoring electrodes.With 5-lead 120, 150, 170, 200 Joules maximum energy,limited cable,obtain leads aVR,aVL,aVF,or V.Pads ECG to 50 Joules for internal defibrillation. obtained through 2 multifunction defibrillation AED Mode(single energy output): '150 Joules into electrode pads. a 50 ohm load. Lead& Automatically switches to a valid ECG source in Charge Time Less than 5 seconds to 200 Joules with a new,fully Pads Fault wave sector 1 if existing signal becomes unavailable charged lithium ion battery at 25°C; in Monitor or Manual Defibrillation Mode for Shock Delivery Via multifunction defib electrode pads or paddles software versions R.02 or above. Quick Shock Less than 10 seconds from cessatio:1 of CPR to Heart Rate Digital readout on display 15 to 300 bpm,accuracy shock delivery Display ±10% Patient Minimum: 15 ohm (internal defibrillation); Heart Rate/ HR,Asystole,VFIB/VTACH,VTACH,extreme Impedance 25 ohm (external defibrillation) Arrhythmia tachycardia,extreme bradycardia,PVC rate, Pacer Range Maximum: 180 ohm Alarms not capture, Pacer not pacing AED Mode Shock advisory sensitivity and specificity meet AAMI ECG Size 2.5, 5, 10, 20,40 mm/mV,autogain DF-39 guidelines Noninvasive pacing SpO2 pulse oximetry Printer Standard:50 mm (paper width)thermal array Noninvasive blood pressure CO2 monitoring printer Invasive blood pressure(2 lines) Continuous temperature monitoring Optional:75 mm (paper width)thermal array printer 12-lead acquisition 12-lead transmission Continuous Prints primary ECG lead with event annotations Q-CPR measurement and Audio recording ECG Strip and measurements in real-time or with 10-second feedback delay ACI-TIPI&TPI predictive Periodic clinical data transmission Auto Printing Printer can be configured to print marked events, instruments charge,shock,and alarms Batch LAN data transfer HeartStart MRx is available in Reports Event Summary, 12-lead,Vital Signs Trending, Tactical Grey or White ---..\ Operational Check,Configuration,Status Log, and Device Information *With a new fully-charged battery at room temperature,25°C. Paper Size 1.97"(W)x 100 ft.(L) (50 mm x 30 m) For detailed specifications see the HeartStart MRx product description document.Application 2.95""(W)x 100 ft.(L) (75 mm x 30 m) notes are also available to describe the advanced features of the HeartStart MRx. Philips HeartStart MRx Monitor/Defibrillator 11 asimpleiwitch,cona Philips Healthcare is part of Philips HeartStart Battery Recycling Program' Royal Philips Electronics Help protect and preserve the environment for future generations—at no cost to you—with the Philips HeartStart Battery Recycling Program.When a HeartStart How to reach us MRx battery needs to be replaced,simply order a new one from Philips.When it www.philips.com/healthcare arrives,place the old battery in the same packaging and use the pre-paid shipping healthcare@philips.com label to send it to a recycling center.No more storing piles of used batteries.And no risk of your old battery ending up in a landfill.Join Philips in making the world a Asia greener,cleaner place. +49 7031 463 2254 Europe,Middle East,Africa +49 7031 463 2254 Latin America +55 11 2125 0744 References: 1 Schneider T,Martens PR,Paschen H,et al.Multicenter,randomized,controlled trial of 150-)biphasic shocks compared with 200-to 360-J monophasic shocks in the resuscitation of out-of-hospital cardiac arrest victims.Circulation.2000;102:1780-1787. North America 2 Santomauro M,Borrelli A,Ottaviano L,et al.Transthoracic cardioversion in patients with atrial fibrillation: comparison of three different waveforms.Ital Heart J.Suppl.2004 Jan;5(1 Suppl):36-43. +1 425 487 7000 3 White RD,Blackwell TH,Russell)K,et al.Body weight does not affect defibrillation,resuscitation or survival in patients with out-of-hospital biphasic waveform defibrillator.Critical Care Medicine.2004;32(9)Supplement:S387-5392. 800 285 5585 (toll free,US only) 4 White RD,Blackwell TH,Russell JK,et al.Transthoracic impedance does not affect defibrillation,resuscitation or survival in patients with out-of-hospital cardiac arrest treated with a non-escalating biphasic waveform defibrillator.Resuscitation.2005;64(1):63-69. ,`ow, 5 Hess EP,Russell JK,Liu PY,et al.A high peak current 150-J fixed-energy defibrillation protocol treats recurrent ventricular fibrillation(VF)as effectively as initial VF.Resuscitation.2008;79(1):28-33. 6 Edelson DP,Litzinger B,Arora V,et al.Improving in-hospital cardiac arrest process and outcomes with performance debriefing.Archives of Internal Medicine.2008;168(10):1063-1069. 7 Yu T,Weil MH,Tang W,et al.Adverse outcomes of interrupted precordial compression during automated defibrillation.Circulation.2002;106:368-372. 8 Eftestol T,Sunde K,Steen PA.Effects of interrupting precordial compressions on the calculated probability of defibrillation success during out-of-hospital cardiac arrest.Circulation.2002;105:2270-2273. *This program is valid only in the U.S.A. The Bluetooth word mark and logos are registered trademarks owned by the Bluetooth SIG,Inc.and any use of such marks by Philips Medical Systems is under license.Koninkilke Philips Electronics,N.V.,is an Associate Member of the Bluetooth SIG. Please visit www.philips.com/mrx-ems ©2012 Koninklijke Philips Electronics N.V. PH I LI PS All rights are reserved. .41111k Philips Healthcare reserves the right to make changes in specifications and/or to discontinue any product at any time without notice or obligation and will not be liable for any consequences resulting from the use of this publication. 1115191 Printed in The Netherlands. 4522 962 83001*FEB 2012 Section 5 Philips Attachments PHILIPS PHILIPS Philips Standard Terms and Conditions of Sale The products and services listed in the quotation are offered by Philips Healthcare,a division of Philips Electronics North America Corporation("Philips")only under the terms and conditions described below. 1. Price;Taxes. The purchase price stated in the quotation does not include applicable sales,excise,use,or other taxes in effect or later levied.Customer shall provide Philips with an appropriate exemption certificate reasonably in advance of the date the product is available for delivery otherwise,Philips shall invoice Customer for those taxes,and Customer shall pay those taxes in accordance with the terms of the invoice. 2. Cancellation. Philips'cancellation policies are set forth in the applicable schedule attached to these Terms and Conditions of Sale. 3. Payment Terms. 3.1 Unless otherwise specified in the quotation,Philips will invoice Customer,and Customer will immediately pay such invoice on receipt for each product in accordance with the payment terms set forth in the applicable schedule attached to these Terms and Conditions of Sale. 3.2 Orders are subject to Philips'on-going credit review and approval. 3.3 Customer shall pay interest on any amount not paid when due at the maximum rate permitted by applicable law.If Customer fails to pay any amount when due,in addition to any other rights or remedies available to Philips at law or in equity,Philips may discontinue the performance of services,discontinue the delivery of the product,or deduct the unpaid amount from any amounts otherwise owed to Customer by Philips under any agreement with Customer.In any action initiated to enforce the terms of the quotation following a Customer default or product cancellation under an order arising from the quotation,Philips shall be entitled to recover as part of its damages all costs and expenses,including reasonable attorneys'fees,in connection with such action. 3.4 Credit Card. Philips,at its discretion,will accept a credit card for payment on orders with a net value of$50,000 or less. 4. Trade-In. If Customer will be trading-in any equipment("Trade-In"),then: 4.1 Customer represents and warrants that Customer has good and marketable title to such Trade-In; 4.2 Title to the Trade-In shall pass from Customer to Philips upon Philips making the new equipment available for first patient use. Removal of the Trade-In from Customer's site shall occur no later than the date Philips makes the new product available for first patient use,unless otherwise agreed in writing between Philips and the Customer;and 4.3 Notwithstanding anything to the contrary in any Business Associate Addendum("BAA"),Customer represents and warrants that Customer has removed or de-identified all Protected Health Information("PHI")from the Trade-In equipment as of the date the equipment is removed.To the extent Customer has not done so,Customer agrees to reimburse Philips for any out-of-pocket costs Philips incurs to remove or de-identify PHI from the Trade-In. 4.4 If(a)the condition of the Trade-In is not substantially the same when Philips removes the Trade-In(ordinary wear and tear excepted)as it was when Philips quoted the Trade-In value;or,(b)Customer delays the removal of the Trade-In, then Philips may reduce the price quoted for such Trade-In or cancel the Trade-In and Customer will pay the adjustment amount within thirty(30)days of receipt of invoice. 4.5 If Philips does not receive possession of the Trade-In,Philips will charge Customer,and Customer will pay within thirty(30)days of receipt of invoice,the amount of the Trade-In allowance. 4.6 Evidence that Customer intends to trade in an asset as part of the purchase or lease of any product(s)shall be in the form of,but not limited to: (a)receiving a trade in quote and/or authorization from Philips on the value of the asset to be traded in;(b)providing Philips with serial numbers of assets to be traded in;and/or,(c)providing Philips with a de- installation date to remove an existing asset in order to install Philips quoted equipment. 5. Leases. If Customer desires to convert the purchase of any product to a lease,Customer will arrange for the lease agreement and all other related documentation to be reviewed and approved by Philips not later than ninety(90)days prior to the date of the availability for delivery of major components of the product.The Customer is responsible for converting the transaction to a lease,and is required to secure the leasing company's approval of all of these Terms and Conditions of Sale.No product will be delivered to the Customer until Philips has received copies of the fully executed lease documents and has approved the same. 6. Security Interest. Customer hereby grants to Philips a purchase money security interest in the products until all payments have been made. Customer shall sign any financing statements or other documents necessary to perfect Philips'security interests in the products.Where permitted by applicable law,Customer's signature on the quotation or on a purchase order issued as a result of the quotation gives Philips the right to sign on Customer's behalf and file any financing statement or other documents to perfect Philips'security interest in the product. 7. Shipment and Risk of Loss. 7.1 The applicable schedule attached to these Terms and Conditions of Sale shall apply for delivery. .—. 7.2 Title to any product(excluding software),and the risk of loss or damage to any product shall pass to the Customer F.O.B.destination.Customer shall obtain and pay for insurance covering such risks at destination. Philips Std Terms and Conditions of Sale Rev.1 Page 1 of8 2012 07 16 8. Installation,Site Preparation,Remote Services. 8.1 Installation. Customer shall provide Philips full and free access to the installation site and suitable and safe space ... for the storage of the products before installation.Customer shall advise Philips of conditions at or near the site,including any hazardous materials,that could adversely affect the installation or pose a health or safety risk to Philips'personnel, and shall ensure that those conditions are corrected and hazardous materials removed,and that the site is fully prepared and available to Philips before installation work begins.Customer shall ensure,at no charge to Philips,that there are no obstacles preventing Philips from moving the product from the entrance of the Customer's premises to the installation site. Customer shall be responsible,at its expense,for rigging,the removal of partitions or other obstacles,and restoration work. The products will be installed during normal working hours.Philips will unpack the product,construct applicable pads(if required for certain products),connect the product to a safety switch or breaker to be installed by the Customer, and calibrate and test the product. If local labor conditions,including but not limited to a requirement to utilize union labor, require the use of non-Philips employees to participate in the installation of the product,then such participation of non- Philips employees shall be at Customer's expense. In such case,Philips will provide engineering supervision during the installation. 8.2 Site Preparation. Except where Philips has agreed in writing to provide construction services for a fee pursuant to a construction agreement and scope of work signed by Customer,Customer shall be responsible,at its expense,for the preparation of the installation site where the product will be installed including any required structural alterations. Customer shall provide any and all plumbing,carpentry work,conduit,wiring including communications and/or computer wiring,network equipment,power supply,surge suppression and power conditioning(except to the extent they are expressly included in the quotation),fire protection and environmental controls,ground fault and isolation system,and other fixtures and utilities required to properly attach,install,and use the product. Site preparation shall be in compliance with all safety,electrical,and building codes relevant to the product and its installation and use.The sufficiency of any installation site plans shall be the responsibility of Customer.Customer,at its expense,shall obtain all permits and licenses required by federal,state,or local authorities in connection with the installation and operation of the product, including any certificate of need and zoning variances.PHILIPS MAKES NO WARRANTY AND ASSUMES NO LIABILITY FOR THE FITNESS OR ADEQUACY OF THE SITE IN WHICH THE PRODUCT IS TO BE INSTALLED OR USED. CUSTOMER INDEMNIFIES PHILIPS AGAINST ANY CLAIMS,INCLUDING SUBROGATION CLAIMS,ARISING FROM CUSTOMER'S SITE PREPARATION RESPONSIBILITIES. 8.3 Remote Services Network("RSN").Customer will(a)provide Philips with a secure location at Customer's premises to store one Philips remote services network router(or a Customer-owned router acceptable to Philips at Customer's option)for connection to the equipment and to Customer's network;and, (b)at all times during the warranty period provide Philips with full and free access to the router and a dedicated broadband Internet access node,including but not limited to public and private interface access,suitable to establish a successful connection to the products through the Philips RSN and Customer's network for Philips'use in remote servicing of the product,remote assistance to personnel that operate the products,updating the products software,transmitting automated status notifications from the product and regular uploading of products data files(such as but not limited to error logs and utilization data for improvement of Philips products and services and aggregation into services).Customer's failure to provide such access at the scheduled time will constitute Customer's waiver of the scheduled planned maintenance service and will void support or warranty coverage of product malfunctions until such time as planned maintenance service is completed or RSN access is provided. Customer agrees to pay Philips at the prevailing demand service rates for all time spent by Philips service personnel waiting for access to the products. 9. Product Warranty. 9.1 (a)If a separate product warranty prints as part of this quotation,that product warranty applies to your purchase and is incorporated herein;otherwise Section 9.2-9.7 shall apply unless the product is identified under 9.1 (b). (b)For Patient Monitoring,Cardiac Resuscitation and InnerCool products,the product warranty document can be found at: www.healthcare.ohilips.com/main/terms conditions/,or can be provided upon request. 9.2 Hardware/Systems. Philips warrants to Customer that the Philips equipment(including its operating software)will perform in substantial compliance with its performance specifications,in the documentation accompanying the products, for a period of 12 months beginning upon availability for first patient use. 9.3 Stand-alone Licensed Software. For a period of ninety(90)days from the date Philips makes Stand-alone Licensed Software available for first patient use,such Stand-alone Licensed Software shall substantially conform to the technical user manual that ships with the Stand-alone Licensed Software."Stand-alone Licensed Software"means sales of Licensed Software without a contemporaneous purchase of a server for the Licensed Software. If Philips is not the installer of the Stand-alone Licensed Software,the foregoing warranty period shall commence upon shipment. 9.4 If the start of the installation is delayed for any reason beyond the control of Philips for more than thirty(30)days following the date that Philips notifies Customer that the major components of the product are available for delivery,the warranty period begins on the thirty-first(31')day following that date. 9.5 Philips'sole obligations and Customer's exclusive remedy under any product warranty are limited,at Philips'option, to the repair or the replacement of the product or a portion thereof within thirty(30)days after receipt of written notice of such material breach from Customer("Product Warranty Cure Period")or,upon expiration of the Product Warranty Cure Period,to a refund of a portion of the purchase price paid by the Customer,upon Customer's request. Any refund will be paid,to the Customer when the product is returned to Philips.Warranty service outside of normal working hours(i.e.8:00 A.M.to 5:00 P.M.,Monday through Friday,excluding Philips'observed holidays),will be subject to payment by Customer at Philips'standard service rates. 9.6 This warranty is subject to the following conditions:the product:(a)is to be installed by authorized Philips representatives(or is to be installed in accordance with all Philips installation instructions by personnel trained by Philips); (b)is to be operated exclusively by duly qualified personnel in a safe and reasonable manner in accordance with Philips' written instructions and for the purpose for which the products were intended;and,(c)is to be maintained and in strict compliance with all recommended and scheduled maintenance instructions provided with the product and Customer is to Philips Std Terms and Conditions of Sale Rev.1 Page 2 of 8 �•/ 2012 07 16 notify Philips immediately if the product at any time fails to meet its printed performance specifications. Philips'obligations under any product warranty do not apply to any product defects resulting from improper or inadequate maintenance or calibration by the Customer or its agents;Customer or third party supplied interfaces,supplies,or software including without limitation loading of operating system patches to the Licensed Software and/or upgrades to anti-virus software (except DAT file changes)running in connection with the Licensed Software without prior validation approval by Philips; use or operation of the product other than in accordance with Philips'applicable product specifications and written instructions;abuse,negligence,accident, loss,or damage in transit;improper site preparation;unauthorized maintenance or modifications to the product;or viruses or similar software interference resulting from connection of the product to a network.Philips does not provide a warranty for any third party products furnished to Customer by Philips under the quotation;however,Philips shall use reasonable efforts to extend to Customer the third party warranty for the product. The obligations of Philips described herein and in the applicable product-specific warranty document are Philips'only obligations and Customer's sole and exclusive remedy for a breach of a product warranty. 9.7 THE WARRANTIES SET FORTH HEREIN AND IN PHILIPS'WARRANTY DOCUMENT WITH RESPECT TO A PRODUCT(INCLUDING THE SOFTWARE PROVIDED WITH THE PRODUCT)ARE THE ONLY WARRANTIES MADE BY PHILIPS IN CONNECTION WITH THE PRODUCT,THE SOFTWARE,AND THE TRANSACTIONS CONTEMPLATED BY THE QUOTATION,AND ARE EXPRESSLY IN LIEU OF ANY OTHER WARRANTIES,WHETHER WRITTEN,ORAL,STATUTORY,EXPRESS OR IMPLIED, INCLUDING,WITHOUT LIMITATION,ANY WARRANTY OF NON-INFRINGEMENT,MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE. Philips may use refurbished parts in the manufacture of the products,which are subject to the same quality control procedures and warranties as for new products. 10. Philips Proprietary Service Materials. Any Philips maintenance or service software and documentation provided with the product and/or located at Customer's premises is intended solely to assist Philips and its authorized agents to install and to test the products or to assist Philips and its authorized agents to maintain and to service the products under warranty or a separate support agreement with Customer.Customer agrees to restrict access to such software and documentation to Philips'employees and those of Philips'authorized agents only and to permit Philips to remove its Proprietary Service Materials upon request. 11. Patent Infringement Claims. 11.1 Philips shall indemnify,defend,and hold harmless Customer against any new claim that a Philips Product provided in the quotation infringes,misappropriates,or violates any third party intellectual property right,whether patent,copyright, trademark,or trade secret,provided that Customer:(a)provides Philips prompt written notice of the claim;(b)grants Philips full and complete information and assistance necessary for Philips to defend,settle,or avoid the claim;and(c) gives Philips sole control of the defense or settlement of the claim. 11.2 The provisions of this section shall not apply if the product is sold or transferred. 11.3 If(a)a Philips Product is found or believed by Philips to infringe such a claim;or,(b)Customer has been enjoined from using the Philips Product pursuant to an injunction issued by a court of competent jurisdiction,Philips may,at its option:(i)procure the right for Customer to use the product;(ii)replace or modify the product to avoid infringement;or(iii) refund to Customer a portion of the product purchase price upon the return of the original product.Philips shall have no obligation for any claim of infringement arising from: Philips'compliance with Customer's designs,specifications,or instructions;Philips'use of technical information or technology supplied by Customer;modifications to the product by Customer or its agents;use of the product other than in accordance with the product specifications or applicable written product instructions;use of the product with any other product;if infringement would have been avoided by the use of a current unaltered release of the products;or use of the Philips Product after Philips has advised Customer,in writing,to stop use of the Philips Product in view of the claimed infringement.Philips will not be liable for any claim where the damages sought are based directly or indirectly upon the quantity or value of products manufactured by means of the products purchased under this quotation,or based upon the amount of use of the product regardless of whether such claim alleges the product or its use infringes or contributes to the infringement of such claim. The terms in this section state Philips'entire obligation and liability for claims of infringement,and Customer's sole remedy in the event of a claim of infringement. 12. Limitation of Liability. THE TOTAL LIABILITY, IF ANY,OF PHILIPS AND ITS AFFILIATES FOR ALL DAMAGES AND BASED ON ALL CLAIMS,WHETHER ARISING FROM BREACH OF CONTRACT,BREACH OF WARRANTY,NEGLIGENCE, INDEMNITY,STRICT LIABILITY OR OTHER TORT,OR OTHERWISE,ARISING FROM A PRODUCT,LICENSED SOFTWARE,AND/OR SERVICE IS LIMITED TO THE PRICE PAID HEREUNDER FOR THE PRODUCT,LICENSED SOFTWARE,OR SERVICE. THIS LIMITATION SHALL NOT APPLY TO: (a) THIRD PARTY CLAIMS FOR BODILY INJURY OR DEATH CAUSED BY PHILIPS'NEGLIGENCE OR PROVEN PRODUCT DEFECT.; (b) CLAIMS OF TANGIBLE PROPERTY DAMAGE REPRESENTING THE ACTUAL COST TO REPAIR OR REPLACE PHYSICAL PROPERTY DAMAGE; (c) OUT OF POCKET COSTS INCURRED BY CUSTOMER TO PROVIDE PATIENT NOTIFICATIONS,REQUIRED BY LAW,TO THE EXENT SUCH NOTICES ARE CAUSED BY PHILIPS UNAUTHORIZED DISCLOSURE OF PHI; and, (d) FINES/PENALTIES LEVIED AGAINST CUSTOMER BY GOVERNMENT AGENCIES CITING PHILIPS UNATHORIZED DISCLOSURE OF PHI AS THE BASIS OF THE FINE/PENALTY,ANY SUCH FINES OR PENALTIES SHALL CONSTITUTE DIRECT DAMAGES. Philips Std Terms and Conditions of Sale Rev.1 Page 3 of 8 2012 07 16 13. DISCLAIMER. IN NO EVENT SHALL PHILIPS OR ITS AFFILIATES BE LIABLE FOR ANY INDIRECT,PUNITIVE,INCIDENTAL, �... CONSEQUENTIAL,OR SPECIAL DAMAGES, INCLUDING WITHOUT LIMITATION,LOST REVENUES OR PROFITS, BUSINESS INTERRUPTION,LOSS OF DATA,OR THE COST OF SUBSTITUTE PRODUCTS OR SERVICES WHETHER ARISING FROM BREACH OF CONTRACT,BREACH OF WARRANTY, NEGLIGENCE,INDEMNITY, STRICT LIABILITY OR OTHER TORT. 14. Confidentiality. Each party shall maintain as confidential any information furnished or disclosed to one party by the other party,whether disclosed in writing or disclosed orally,relating to the business of the disclosing party,its customers and/or its patients, and the quotation and its terms,including the pricing terms under which Customer has agreed to purchase the products. Each party shall use the same degree of care to protect the confidentiality of the disclosed information as that party uses to protect the confidentiality of its own information,but in no event less than a reasonable amount of care.Each party shall disclose such confidential information only to its employees having a need to know such information to perform the transactions contemplated by the quotation.The obligation to maintain the confidentiality of such information shall not extend to information that(a)is or becomes generally available to the public without violation of this Agreement or any other obligation of confidentiality or(b)is lawfully obtained by the receiving Party from a third party without any breach of confidentiality or violation of law. 15. Compliance with Laws&Privacy. 15.1 Each party shall comply with all laws,rules,and regulations applicable to the party in connection with the performance of its obligations in connection with the transactions contemplated by the quotation,including,but not limited to,those relating to affirmative action,fair employment practices,FDA,Medicare fraud and abuse,and the Health Insurance Portability and Accountability Act of 1996("HIPAA").Health care providers are reminded that if the purchase includes a discount or loan,they must fully and accurately report such discount or loan on cost reports or other applicable claims for payment submitted under any federal or state health care program,including but not limited to Medicare and Medicaid,as required by federal law(see 42 CFR 1001.952[h]). 15.2 In the course of providing project implementation related services and/or warranty services to Customer, hereunder, it may be necessary for Philips to have access to,view and/or download computer files from the products that might contain Personal Data."Personal Data"means information relating to an individual,from which that individual can be directly or indirectly identified.Personal Data can include both personal health information(i.e.images,heart monitor data,and medical record number)and non-health information(i.e.,date of birth,gender). Philips will process Personal Data only to the extent necessary to perform and/or fulfill its project implementation related service,warranty service and/or warranty obligations hereunder. 15.3 It is Customer's responsibility to notify Philips if any portion of the order is funded under the American Reinvestment and Recovery Act("ARRA"). To ensure compliance with the ARRA regulation,Customer shall include a clause stating that the order is funded under ARRA on its purchase order or other document issued by Customer. 16.Excluded Provider. Philips represents and warrants that Philips,its employees and subcontractors,are not debarred,excluded,suspended or otherwise ineligible to participate in a federal health care program,nor have they been convicted of any health care related crime for the products and services provided under this Agreement(an"Excluded Provider"). Philips shall promptly notify Customer when it becomes aware that Philips or any of its employees or subcontractors providing services hereunder have become an Excluded Provider,whereupon Customer may terminate this order by express written notice for products and services not yet shipped or rendered. 17. General Terms. The following additional terms shall be applicable to the purchase of a product: 17.1 Force Majeure. Each party shall be excused from performing its obligations(except for payment obligations) arising from any delay or default caused by events beyond its reasonable control including,but not limited to,acts of God, acts of third parties,acts of any civil or military authority,fire,floods,war,embargoes,labor disputes,acts of sabotage, riots,accidents,delays of carriers,subcontractors or suppliers,voluntary or mandatory compliance with any government act,regulation or request,shortage of labor,materials or manufacturing facilities. 17.2 Bankruptcy. If Customer becomes insolvent,is unable to pay its debts when due,files for bankruptcy,is the subject of involuntary bankruptcy,has a receiver appointed,or has its assets assigned, Philips may cancel any unfulfilled obligations,or suspend performance;however,Customer's financial obligations to Philips shall remain in effect. 17.3 Assignment. Customer may not assign any rights or obligations in connection with the transactions contemplated by the quotation without the prior written consent of Philips,which consent shall not be unreasonably withheld,and any attempted assignment without such consent shall be of no force or effect. 17.4 Export. Customer shall assume sole responsibility for obtaining any required export authorizations in connection with Customer's export of the products from the country of delivery. 17.5 Governing Law. All transactions contemplated by the quotation shall be governed by the laws of the state where the equipment will be installed,without regard to that state's choice of law principles,and expressly excluding application of the Uniform Computer Information Transactions Act("UCITA"),in any form. EACH PARTY,KNOWINGLY AND AFTER CONSULTATION WITH COUNSEL,FOR ITSELF, ITS SUCCESSSORS'AND ASSIGNS,WAIVES ALL RIGHT TO TRIAL BY JURY OF ANY CLAIM ARISING WITH RESPECT TO THIS AGREEMENT OR ANY MATTER RELATED IN ANY WAY THERETO. 17.6 Entire Agreement.These Terms and Conditions of Sale,the terms and conditions set forth in the quotation and the applicable Philips'product-specific warranty constitute the entire understanding and agreement by and between the parties with respect to the transactions contemplated by the quotation,and supersede any previous understandings or agreements between the parties,whether written or oral,regarding the transactions contemplated by the quotation.The Philips Std Terms and Conditions of Sale_Rev.I Page 4 of 8 2012 07 16 pricing in the quotation is based upon the terms and conditions in the quotation.No additional terms,conditions,consents, waivers,alterations,or modifications shall be binding unless in writing and signed by the parties.Customer's additional or different terms and conditions,whether stated in a purchase order or other document issued by Customer,are specifically rejected and shall not apply to the transactions contemplated by the quotation. 17.7 Headings. The headings in the quotation are intended for convenience only and shall not be used to interpret the quotation. 17.8 Severability. If any provision of the quotation is deemed to be illegal,unenforceable,or invalid,in whole or in part, the validity and enforceability of the remaining provisions shall not be affected or impaired,and shall continue in full force and effect. 17.9 Notices. Notices or other communications shall be in writing,and shall be deemed served if delivered personally, or if sent by facsimile transmission,by overnight mail or courier,or by certified mail,return receipt requested and addressed to the party at the address set forth in the quotation. 17.10 Performance. The failure of Customer or of Philips at any time to require the performance of any obligation will not affect the right to require such performance at any time thereafter.Course of dealing,course of performance,course of conduct,prior dealings,usage of trade,community standards,industry standards,and customary standards and customary practice or interpretation in matters involving the sale,delivery,installation,use,or service of similar or dissimilar products or services shall not serve as references in interpreting the terms and conditions of the quotation. 17.11 Obligations. Customer's obligations are independent of any other obligations the Customer may have under any other agreement,contract,or account with Philips.Customer will not exercise any right of offset in connection with the terms and conditions in the quotation or in connection with any other agreement,contract,or account with Philips. 17.12 Additional Terms. The Product specific schedules listed below are incorporated herein as they apply to the equipment listed on the quotation and their additional terms shall apply solely to Customer's purchase of the products specified therein. If any terms set forth in a schedule conflict with terms set forth in these Terms and Conditions of Sale,the terms set forth in the schedule shall govern. (a) Schedule 1: Interventional X-Ray(iXR),Diagnostic X-Ray(DXR),Computed Tomography(CT), Magnetic Resonance(MR),and Positron Emission Tomography(PET),Nuclear Medicine(NM),and Radiation Oncology (PROS),Women's Healthcare(WHC),and Ultrasound Products(including Image Guided Intervention and Therapy (IGIT)products). (b) Schedule 2: Xcelera,Xper IM,Cardiovascular Information System(CVIS)and TraceMasterVue EKG Storage System(TMV)Products. (c) Schedule 3: Patient Monitoring Systems,Diagnostic Electro Cardiology(DECG),Respironics Children Medical Ventures(ChMV), Respironics Hospital Respiratory Care(HRC)and Enterprise Informatics(El)Products(OB TraceVue, IntelliVue Clinical Information Portfolio(ICIP), CompuRecord,TraceMasterVue System(TMV), IntelliSpace Event Management System). (d) Schedule 4: Philips Cardiac Resuscitation and Innercool Products. (e) Schedule 5: Medical Consumables and Sensors(MCS)and Respironics Children Medical Ventures(ChMV),and Respironics Hospital Respiratory Care(HRC). (f) Schedule 6: iSite Products. (g) Schedule 7: Invivo Corporation("Invivo")Patient Monitoring and Magnetic Resonance Imaging(MRI)Coils ("Products"). LICENSED SOFTWARE 1. License Grant. 1.1 Subject to any usage limitations for the Licensed Software set forth on the product description of the quotation, Philips grants to Customer a nonexclusive and non-transferable right and license to use the computer software package ("Licensed Software")in accordance with the terms of the quotation.The License shall continue for as long as Customer continues to own the product,except that Philips may terminate the License if Customer is in breach or default.Customer shall return the Licensed Software and any authorized copies thereof to Philips immediately upon expiration or termination of this License. 1.2 The License does not include any right to use the Licensed Software for purposes other than the operation of the product.Customer may make one copy of the Licensed Software in machine-readable form solely for backup purposes. Philips reserves the right to charge for backup copies created by Philips. Except as otherwise provided under section 1.6, Customer may not copy,reproduce,sell,assign,transfer,or sublicense the Licensed Software for any purpose without the prior written consent of Philips.Customer shall reproduce Philips'copyright notice or other identifying legends on such copies or reproductions.Customer will not(and will not allow any third party to)decompile,disassemble,or otherwise reverse engineer or attempt to reconstruct or discover the product or Licensed Software by any means whatsoever. 1.3 The License shall not affect the exclusive ownership by Philips of the Licensed Software or of any trademarks, copyrights,patents,trade secrets,or other intellectual property rights of Philips(or any of Philips'suppliers)relating to the Licensed Software. 1.4 Customer agrees that only authorized officers,employees,and agents of Customer will use the Licensed Software or have access to the Licensed Software(or to any part thereof),and that none of Customer's officers,employees,or agents will disclose the Licensed Software,or any portion thereof,or permit the Licensed Software,or any portion thereof, to be used by any person or entity other than those entities identified on the quotation.Customer acknowledges that certain of Philips'rights may be derived from license agreements with third parties,and Customer agrees to preserve the confidentiality of information provided by Philips under such third party license agreements. 1.5 The Licensed Software shall be used only on the product(s)referenced in the quotation. Philips Std Terms and Conditions of Sale Rev.I Page 5 of 8 2012 07 16 1.6 Customer may transfer the Licensed Software in connection with sale of the product to a healthcare provider who accepts all of the terms and conditions of this License;provided that Customer is not in breach or default of this License, the Terms and Conditions of Sale,or any payment obligation to Philips. 2. Modifications. 2.1 If Customer modifies the Licensed Software in any manner,all warranties associated with the Licensed Software and the products shall become null and void. If Customer or any of its officers,employees,or agents should devise any revisions,enhancements,additions,modifications,or improvements in the Licensed Software,Customer shall disclose them to Philips,and Philips shall have a non-exclusive royalty-free license to use and to sub-license them. 2.2 The Licensed Software is licensed to Customer on the basis that(a)Customer shall maintain the configuration of the products as they were originally designed and manufactured;and,(a)the product includes only those subsystems and components certified by Philips.The Licensed Software may not perform as intended on systems modified by other than Philips or its authorized agents,or on systems which include subsystems or components not certified by Philips.Philips does not assume any responsibility or liability with respect to unauthorized modification or substitution of subsystems or components. Philips Std Terms and Conditions of Sale Rev.[ Page 6 of 8 2012 07 16 Schedule 4 Cardiac Resuscitation and InnerCool 1. Prices. Unless stated otherwise on the face of the quotation,the quotation will remain valid for sixty(60)days unless withdrawn or changed prior to shipment by Philips. 2. Cancellation. Customer may cancel an order prior to delivery at no cost. 3. Payment Terms. Unless otherwise specified in the quotation,Philips will invoice Customer,and Customer will pay such invoice on receipt as follows: 100%of the purchase price shall be due thirty(30)days from Philips'invoice date. 4. Delivery. Philips will make reasonable efforts to meet Customer's delivery requirements. If Philips is unable to meet Customer's delivery requirements,alternative arrangements may be agreed. In the absence of such agreement,Customer's sole remedy is to cancel the order. If the Customer requests a major delay in the date of delivery of the product,Philips may attempt to arrange re-delivery within a reasonable time or may terminate the order. 5. Installation. Acceptance by Customer occurs upon delivery.Deployment and installation are Customer's responsibility. 6. Operating Software License. Purchase of a hardware product includes a license to use the software contained therein,which may not be reverse engineered,decompiled,altered or transferred.Customer agrees that it will not attempt to defeat any copy protection mechanism. License to use the software-only products such as Event Review Pro is set forth in a separate license agreement and also at www.healthcare.philips.com/main/terms_conditions/. Philips Std Terms and Conditions of Sale Rev.1 Page 7of 8 2012 07 16 Schedule 5 Medical Consumables and Sensors(MCS) and Respironics Children's Medical Ventures(ChMV)and Respironics Hospital Respiratory Care Supplies(HRC) 1. Prices. Unless stated otherwise on the face of the quotation,the quotation will remain valid for sixty(60)days unless withdrawn or changed prior to shipment by Philips. 2. Payment Terms. 100%of the purchase price shall be due thirty(30)days from Philips'invoice date. 3. Orders. Notwithstanding Section 7 of the Philips Terms and Conditions of Sale in this Agreement, Philips reserves the right to charge a shipping fee for Medical Consumables and Sensors. 4. Return Policy. If there is a problem with an order,Philips wants to correct it as soon as possible. Please note the following instructions before returning merchandise to Philips. 4.1 The Customer Services Department of Philips Healthcare Supplies Center in Andover, MA must authorize all returns of medical supplies. Please call 1-800-225-0230 for a return authorization number. Customer shall pay all shipping charges for returns. 4.2 Returns after sixty(60)days of shipment shall be subject to a restocking charge. 4.3 Philips does not accept returns of Consumables Products that have been opened,are expired or damaged. Please contact Philips Healthcare at 800-228-0230 for guidance on any returns. Philips Std Terms and Conditions of Sale Rev.I Page 8 of 8 2012 07 16