P03 SS JA _Redacted.pdf

This is a Justification for Single Source Award document for a Department of Veterans Affairs (VA) procurement under IAW RFO 12.102(a) for purchases exceeding the micro-purchase threshold but not exceeding the simplified acquisition threshold.

The contracting activity is Corporal Michael J. Crescenz VA Medical Center in Philadelphia, PA, with VISN 4 and line item 2237: 642-26-3-110-0167. The procurement is for additional MAKO Leg Positioner Kits and tray components required for use with the Stryker MAKO robotic surgical system currently installed and actively utilized at the facility. The required items include 16 distinct components such as boot assembly, case leg positioner tray kit, bent Hohmann retractor, leg positioner kit laminate, patella protector, retractors, rail clamp assembly, bar extension, rake retractor, sled assembly, camera antler, smiley retractor, and lids/leg positioner tray kits (various quantities totaling 20 individual units of measure). The justification asserts that only original Stryker/Howmedica components are compatible with the MAKO system due to proprietary design features and technological integrations; use of alternative or aftermarket products poses risks to patient safety, system integrity, regulatory compliance, maintenance warranties, and software interoperability. The document concludes that Howmedica Osteonics Corporation (dba Stryker Orthopaedics) is the sole source, with no other authorized vendors capable of providing compatible kits. The Contracting Officer Amanda Saunders certified the justification on August 3, 2026. The estimated dollar value is redacted in the document.