SOW v4.pdf

BACKGROUND:

The Corporal Michael J. Crescenz VAMC has been a consistent regional and national leader in performing stereotactic Deep Brain Stimulation (DBS) surgeries for movement disorders both inside and outside the VA system. Over the years the indications for stereotactic procedures in general have grown beyond movement disorders, and the number of patients we can help with them has increased. For example, the field of epilepsy surgery has exploded in the last 5-10 years due to the availability of laser technology and implantable devices requiring stereotactic surgery. As an Epilepsy Center of Excellence, the neurosurgery service at the CMCVAMC is actively working to build the surgical epilepsy program to bring our Veterans the best care available.

Further, our ability to treat cognitive and psychiatric disorders with DBS is rapidly becoming a reality---an area our own department under Dr. Robert Krouse, Dr. Isaac Chen and Dr. Casey Halpern is actively pursuing.

In part due to the increased demand for stereotactic surgery, the technology for performing these procedures has also significantly advanced. There are numerous tools available in the operating room for precise placement of electrodes, laser fibers, or other implantable devices. Depending on the type of procedure needed and the specific needs of the patient, we may require different types of stereotactic targeting tools. A key technology required for any stereotactic procedure is sophisticated software that allows the surgeon to plan the surgery ahead of time, combining numerous imaging modalities and target selection to generate safe trajectories through the patient’s brain to achieve the surgical goal.

Currently the facility is using the BrainLab hardware/software system to expand our functional and stereotactic neurosurgical program at the CMC VAMC.

Period of Performance: This is a base + 4-year service contract. This contract will provide the software updates, application support, and maintenance for the BrainLab currently owned by the Corporal Michael J. Crescenz VA Medical Center.

PERFORMANCE:

VA anticipates award of a firm-fixed price from this solicitation.

The Medical Center is looking to extend the software maintenance license for a base + 4 years. Software is provided on a subscription basis, thus ensuring the latest updates and features, essential for a field that is rapidly changing and improving.

SALIENT CHARACTERISTICS:

This agreement shall include all updates, applications support, and maintenance for the continued operation of the BrainLab Elements program, including the following:

ELEMENTS SUBSCRIPTION Qty Months

1 ELEMENTS FIBERTRACKING SUBSCRIPTION 1 12

2 ELEMENTS VIEWER 3D SUBSCRIPTION 1 12

3 ORIGIN DATA MANAGEMENT SUBSCRIPTION 3 12

ELEMENTS VIEWER SMART LAYOUT FUNCTIONAL

SUBSCRIPTION 1 12

5 ELEMENTS OBJECT MANAGEMENT SUBSCRIPTION 1 12

6 ELEMENTS SMARTBRUSH SUBSCRIPTION 1 12

7 ELEMENTS SEGMENTATION CRANIAL SUBSCRIPTION 1 12

8 ELEMENTS IMAGE FUSION SUBSCRIPTION 1 12

ELEMENTS DISTORTION CORRECTION CRANIAL

SUBSCRIPTION 1 12

ELEMENTS TRAJECTORY PLANNING CRANIAL

SUBSCRIPTION 1 12

ELEMENTS SEGMENTATION BASAL GANGLIA

SUBSCRIPTION 1 12

12 ELEMENTS LEAD LOCALIZATION SUBSCRIPTION 1 12

13 ELEMENTS STEREOTAXY SUBSCRIPTION 1 12

14 ELEMENTS IMPORT / EXPORT SUBSCRIPTION 1 12

ONE-TIME SERVICES SURGERY

CLINICAL CONSULTATION IMAGE GUIDED SURGERY (1

CASE) 1

Automatic patient specific segmentation, 3D modeling, image fusion, and proprietary distortion correction software provide the most accurate patient mapping and visualization tools available from any software vendor. As the types of pre-operative images used for planning become more advanced and varied, it is essential that the software used to integrate and fuse them for surgical planning does so accurately.

Further, the patient specific segmentation capabilities have been a long-stranding strength of this company not matched by other commercially available products.

Appreciation of the white matter pathways as they relate to stereotactic targets is becoming more and more important in DBS and other neuromodulation procedures.

The automatic DTI processing and fiber tractography visualization capabilities of this software are outstanding and impossible to find in any other commercial platform that is as comprehensive and flexible as this one.

The combination of the above-mentioned features+ is unique to the BrainLab Elements software platform currently in use at the Corporal Michael J. Crescenz VA Medical Center.