The VA Tucson Healthcare System requires three specific orthopedic screw removal system sets to replace broken units, with an estimated budget of $57,200. The services are for the VA Tucson Healthcare System. The purchase is limited to the Shukla Medical brand because the items must integrate with the existing Trauma-All-In-One System currently in use, and no other compatible brands are available. Market research confirmed the manufacturer is the sole source for these items. This is a single-source justification for a simplified acquisition.