File #: A 19-296    Name: Meta Dynamic Inc. Amendment No. 3
Type: BoS Agreement Status: Passed - Natividad Medical Center
File created: 7/11/2019 In control: Board of Supervisors
On agenda: 7/23/2019 Final action: 7/23/2019
Title: Authorize the Deputy Purchasing Agent for Natividad Medical Center (NMC) or his designee to execute amendment No. 3 to the agreement (A-13524) with Meta Dynamic, Inc. for rental of neurosurgery equipment plus associated services, adding $95,000 for a revised total agreement amount not to exceed $275,000, with no change to the term of the agreement April 15, 2015 through April 14, 2020.
Attachments: 1. Board Report, 2. META Dynamic Inc Amendment 3.pdf, 3. META Dynamic Inc Renewal and Amendment 2.pdf, 4. META Dynamic Inc Amendment 1.pdf, 5. META Dynamic Inc Agreement.pdf, 6. Item No. 27 Completed Board Order, 7. Fully Executed Agreement Between Intercare Holding Insurance Services Amendment No. 5
Related files: A 22-185
Title
Authorize the Deputy Purchasing Agent for Natividad Medical Center (NMC) or his designee to execute amendment No. 3 to the agreement (A-13524) with Meta Dynamic, Inc. for rental of neurosurgery equipment plus associated services, adding $95,000 for a revised total agreement amount not to exceed $275,000, with no change to the term of the agreement April 15, 2015 through April 14, 2020.
Report
RECOMMENDATION:

It is recommended the Board of Supervisors:

Authorize the Deputy Purchasing Agent for Natividad Medical Center (NMC) or his designee to execute amendment No. 3 to the agreement (A-13524) with Meta Dynamic, Inc. for rental of neurosurgery equipment plus associated services, adding $95,000 for a revised total agreement amount not to exceed $275,000, with no change to the term of the agreement April 15, 2015 through April 14, 2020.

SUMMARY/DISCUSSION:

Intraoperative image guided navigational surgery (IGS) allows the surgeon to operate within a surgical site whose standard anatomical landmarks may be ambiguous because of tumor, infection, fracture or previous surgery. Studies suggest that IGS may result in decreased complications, increased disease removal, decreased length of stay and in some cases decreased operative time.

Meta Dynamic supplies the Brainlab Neuro Navigation system which includes the equipment, hardware and software to perform image guided neurosurgery. Digital patient data is uploaded from the computed tomography (CT) or magnetic resonance imaging (MRI) located at Natividad Medical Center to the Brainlab Neuro Navigation system in the Operating Room (OR) assisting the surgeon in identifying the right surgical approach and more specifically landmarks. Surgeons are guided through procedures with real time data allowing for smaller skull and back (spine surgery) incisions thereby minimizing damage to healthy structures. With the universal instrument holder (VarioGuide(tm)), preplanned trajectories can be targeted systematically wit...

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