6515--HTHC Mako 4 Robotic-Arm System

The Department of Veterans Affairs, Veterans Integrated Service Network 21, is procuring a Mako 4 Robotic Surgical Arm system for the VA Sierra Nevada Healthcare System located in Reno, Nevada. This sole-source acquisition targets a firm fixed-price contract with Stryker Orthopaedics, the Original Equipment Manufacturer. The procurement is justified under FAR 12.102 and 41 USC 3304(a)(1) based on the determination that only the Mako system meets the VA's unique operational requirements for multiple orthopedic procedures, including partial knee replacements, total hip arthroplasty, and total knee arthroplasty, with full FDA approval for all procedures without additional equipment. Comprehensive market research across FPDS, SAM.gov, GSA Advantage, SBA, SCMC, and NAC databases identified no viable alternatives or small business distributors capable of meeting these specifications. The solicitation will be posted on SAM.gov on or about February 12, 2026, with interested parties required to submit written capability statements, proposals, or quotations to Contracting Officer Mathew B. Czeshinski at Mathew.Czeshinski@va.gov by 15:00 EST on February 12, 2026, to be considered before the Government makes its final determination on proceeding with the sole-source award.

This procurement carries no set-aside designation and represents a continuation of the VA's relationship with Stryker Orthopaedics, as two prior awards were identified in the market research (contract numbers 36C25024P1240 from May 2024 and 36C24423P0864 from September 2023), neither of which were competitively solicited. The product falls under PSC 6515 (Medical and Surgical Instruments, Equipment, and Supplies) and NAICS Code 339113 (Surgical Appliance and Supplies Manufacturing). The specific dollar value and delivery timeline details are redacted from the justification document; however, the anticipated delivery is approximately 90 days after receipt of order. The pre-solicitation notice provides interested vendors with a final opportunity to present alternative solutions before the VA proceeds with awarding the contract solely to Stryker Orthopaedics based on the demonstrated lack of competitive alternatives meeting the clinical and operational requirements.