STATEMENT OF NEED INTRODUCTION: The Corporal Michael J. Crescenz VA Medical Center requires additional components for the Leksell stereotactic system specifically to enhance the capabilities for performing Deep Brain Stimulation (DBS) procedures at our facility. BACKGROUND: Deep Brain Stimulation (DBS) is a recognized treatment for various neurological conditions, including Parkinson s disease, essential tremor, and dystonia. The procedure involves implanting electrodes within certain areas of the brain to produce electrical impulses that regulate abnormal impulses or affect certain cells and chemicals within the brain. CMC VAMC uses the Leksell stereotactic system for precise navigation and targeting during these intricate procedures. While the existing system provides a solid foundation, certain components must always have back-ups to maintain the highest standards of care, improve outcome accuracy, and expand the procedural capabilities in line with modern advancements in DBS. The procurement and integration of these additional back-up components will have a profound impact on our service- delivery. OBJECTIVES: The primary objective of this procurement is to procure additional components necessary to have more than one item on hand for the existing Leksell system. All procedures should have more than one of each item which ensures that the surgical procedures can proceed without interruption in case of equipment failure or reprocessing issues. This is critical to maintain patient safety and integrity. BRAND NAME REQUIREMENT Sterilization and cleaning after each use is time-consuming. Having multiple units allows for continuous operations while ensuring that clean and sterile equipment is always ready. Providing the OR with more than one of the necessary pieces of equipment is a vital practice to ensure preparedness, reliability and efficiency in delivering high-quality surgical care. It addresses the needs for redundancy, specialized requirements, and educational purposes while enhancing patient safety and overall operational effectiveness. Reducing the risk of equipment related delays or failures directly impacts patient safety and quality of care. Ensuring that there are backup units and enough equipment to handle just one case is paramount for maintaining high standards. DELIVERY: Delivery days are Monday through Friday during normal business hours which are defined at 7:30am to 3:00pm. National Holidays are excluded. Any delivery service performed for emergency orders may be delivered other than normal- business working hours and must be approved ahead of scheduled delivery. The Contractor is not required to provide delivery services on the following National Holidays, nor shall the Contractor be paid for these Holidays and any other declared national holiday by the President. HOLIDAY MONTH New Year s Day January Martin Luther King s Birthday January President s Day February Memorial Day May Juneteenth June Independence Day July Labor Day …