To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Purchase Order with Draeger, Inc.
☒Recommendation of the County Administrator ☐ Recommendation of Board Committee
RECOMMENDATIONS:
APPROVE and AUTHORIZE the Purchasing Agent, or designee, to execute on behalf of the Health Services Director, a purchase order with Draeger, Inc. in an amount not to exceed $748,972 and the Sale Agreement for the purchase of anesthesia machines and accessories for Contra Costa Regional Medical Center (CCRMC).
FISCAL IMPACT:
Approval of this action will result in a one-time expenditure of up to $748,972 and will be funded by Hospital Enterprise Fund I revenues.
BACKGROUND:
The Operating Room at CCRMC currently has seven anesthesia machines that are past their product life expectancy and are experiencing frequent breakdowns, almost on a daily basis. Each machine is inspected every morning; however, while some may pass quality control checks, others do not. Additionally, machines that initially pass inspection may sometimes fail during surgery, posing a serious risk of catastrophic outcomes. Therefore, CCRMC is requesting the purchase of new anesthesia equipment to ensure patient safety and maintain reliable surgical operations.
The AtlanXL IACS GWTF R is a specific configuration of the Dräger Atlan A350 XL anesthesia workstation integrated with the Infinity Acute Care System (IACS). It delivers advanced anesthesia capabilities and continuous patient monitoring at the bedside. The Atlan A350 XL features an electronically controlled, electrically driven piston ventilator. This provides precise tidal volume delivery, even at low volumes, supporting lung-protective strategies. The workstation offers customizable screen layouts and decision-support tools to help clinicians make informed decisions. It is designed for flexibility, allowing users to tailor and upgrade the system as needed. Its consistent user interface across devices reduces training time for operating room staff. The Infinity Acute Care System (IACS) enables uninterrupted patient monitoring from admission to discharge. It integrates real-time patient data with networked clinical applications at the bedside. This helps improve clinical decision-making. The IACS also provides system interoperability by displaying respiratory and hemodynamic data together. This offers a more comprehensive view of the patient’s condition.
As part of the Sale Agreement, the Draeger, Inc. Terms and Conditions of Sale require Draeger, Inc. and the County to indemnify the other Party and its affiliates from and against all third-party claims alleging bodily injury, death, or damage to the third-party’s tangible property, but only to the extent caused by negligence or willful misconduct and provide prompt written notice of any third-party claim. Additionally, the limitation of liabililty provision provides that in no event shall any party be liable to the other party or their affiliates, whether in contract, tort (including negligence), strict liability, indemnity, or any other legal theory, for lost profits or lost stored, transmitted, or recorded data, or for any special, consequential, incidental, punitive, or exemplary damages, except as expressly stated in this agreement. Draeger’s maximum liability is equal to the actual purchase price for the product that gives rise to the claim.
Draeger, Inc. is a supplier of the Vizient Group Purchasing Organization (GPO), which means that CCRMC, a Vizient member, is eligible to receive substantial rebates and access lower pricing. This purchase is governed by the Vizient Supplier Agreement entered into between Vizient Supply, LLC and Draeger, Inc. on July 1, 2020 and as amended on April 1, 2024. (Agreement No. CE7151). Utilizing CCRMC's GPO membership for this purchase furthers our shared dedication to delivering high-quality, cost-effective healthcare solutions.
CONSEQUENCE OF NEGATIVE ACTION:
If this action is not approved, CCRMC will not be able to ensure the safe delivery of anesthesia during surgeries, which could jeopardize patient safety, delay surgical procedures, and disrupt overall operating room operations.