SOLE SOURCE JUSTIFICATION.pdf

Surgical Cases for MOR

Sole Source Justification

9/1/2022

Section 1: Requesting Department complete the following: The Main Operating Room at NMRTC

Pendleton

The service or material listed on quote is sole source, and competition is precluded for the reasons indicated below on this justification for other than full and open competition. There are no substitutes available for this material.

Restricted to the following source:

Provide original manufacturer's name (if a sole source manufacturer distributes via dealers, include dealer information as well).

Manufacturer Details:

Name: Inspire Medical Systems

POC: Mark Michalak Phone Number: 858-900-1254

Manufacturer's Dealer/Rep Details (if applicable):

Name:

POC: Phone Number:

Description of the item/service required, estimated cost, and required delivery date:

Implantable consumables for the treatment of moderate to severe sleep apnea are being requested for four active duty members. The cases are scheduled for the month of October with the first two cases on October 10, 2022. Delivery date required to be October 3, 2022 to avoid any shipping issues.

Specific Characteristics of the material or service that limit the availability to a sole source (unique features, function of the item, etc.) Describe in detail why only this suggested source can furnish the requirements to the exclusion of other sources and the proposed contractor's unique qualifications.

Revised: 06/15 Page 1 of 4