Sole Source: Precice Nail System and Anthem Tibia Plate System

Background
The Defense Health Agency Contracting Activity (DHACA), Healthcare Contracting Division – West (HCD-W), intends to award a firm fixed price supply purchase order for the Precice Nail System and Anthem Tibia Plate System for use in the Naval Medical Center San Diego (NMCSD) Orthopedics Department.

The objective of this sole source award is to procure these systems from Globus Medical North America Inc., which is the sole source capable of meeting the minimum requirements for these critical supplies. The systems are vital for maintaining continuity and safety of care for patients undergoing complex orthopedic limb-lengthening procedures.

Work Details
The contract includes the procurement of the following proprietary medical supplies:
- Precice Nail System
- Anthem Tibia Plate System

These systems utilize proprietary internal nails and plates that allow for remote, non-invasive adjustments of bone length, essential for patient treatment plans. As of January 2025, all distribution activities for Precice technologies were transferred from NuVasive to Globus Medical North America, Inc., making them the exclusive manufacturer and distributor. Introducing an alternative system mid-treatment would require invasive surgery to remove existing implants, posing unacceptable clinical risks.

Period of Performance
No later than August 12, 2026

Place of Performance
Naval Medical Center San Diego, 34800 Bob Wilson Drive, San Diego, CA 92134

Bidder Requirements
Globus Medical North America, Inc. must be the supplier as they are the exclusive manufacturer and distributor of the Precice Nail System and Anthem Tibia Plate System. No other bidders can meet the specific medical requirements necessary for patient safety and clinical success.

Incumbent Analysis (see Incumbents section for more detail)
This opportunity appears to have a confirmed incumbent and/or closely related prior contract, with Globus Medical identified under prior award HT940625P0043 (PRECICE 2 NAIL / VARIOUS) valued at $32,065 for the period 05/12/25–05/12/25. The current sole source request is for the Precice Nail System and Anthem Tibia Plate System, which are part of the same proprietary Precice technology family and are likely intended to support continued orthopedic limb-lengthening treatment using compatible internal nails and plates.