The IV Therapy / Vascular Access Team at the Puget Sound VA Medical Center requires high-resolution vascular access ultrasound systems. These systems are needed to safely place PICC lines, midline catheters, and peripheral IV access for Veteran patients receiving chemotherapy, critical care, and extended infusion therapies. The team currently uses legacy BD Site-Rite™ 8 ultrasound units that are discontinued and no longer supported by the manufacturer. The medical center requires three replacement units to maintain uninterrupted patient care and modern clinical standards.