Special Notice / Hearing: None__
Vote Required: Majority
To: Honorable Board of Supervisors
From: Colleen Chawla, Chief, San Mateo County Health
Chester J. Kunnappilly, MD, Chief Executive Officer, San Mateo Medical Center
Subject: Agreement with Insurgical, Inc to Provide Surgery Power Equipment and Services
RECOMMENDATION:
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Adopt a resolution authorizing an agreement with Insurgical, Inc to provide surgery power equipment and services, for the term of February 1, 2026 through January 31, 2029, in an amount not to exceed $250,000.
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BACKGROUND:
San Mateo Medical Center (SMMC) has a continued need for surgical power equipment for our operating room. Reliable, high-quality surgical power equipment is essential for a wide range of procedures. In November 2025, SMMC completed a Request for Proposals for power equipment for our operating room.
DISCUSSION:
Insurgical, Inc (Insurgical) was elevated due to several factors, including their ability to offer a unique, single-use recyclable solution for large-bone surgical power tools. This approach supports both operational efficiency and sustainability initiatives. Insurgical will also provide comprehensive training for our surgical staff to ensure proper and effective use of the equipment. Battery chargers, batteries, pin drivers, and Jacobs chucks will be supplied non-sterile, along with instructions for on-site packaging and sterilization as needed.
The County Attorney has reviewed and approved the resolution and agreement as to form.
The resolution contains the County’s standard provisions allowing amendment of the County fiscal obligations by a maximum of $25,000 (in aggregate).
It is anticipated that Insurgical will maintain a minimum operation uptime of 99% for all power equipment to prevent surgical delays due to equipment unavailability.
PERFORMANCE MEASURE:
|
Measure |
FY 2025-26 Estimated |
FY 2026-27 Projected |
|
Percentage of operation uptime Insurgical will maintain for all power equipment to prevent surgical delays due to equipment unavailability |
99% |
99% |
COMMUNITY IMPACT:
Utilization of Insurgical’s power equipment at SMMC, a public safety net hospital, plays a significant role in supporting the health, safety, and well-being of the community. Reliable, high-quality surgical power equipment is essential for a wide range of procedures. Ensuring consistent access to these tools allows our care team to provide timely, effective, and safe treatment for our patients. SMMC’s patients span a wide spectrum of races, ethnicities, gender, and gender-identities. Within the past 18 months, the largest cohorts of specialty care patients at SMMC were female (52%), Hispanic or Latino (63%), and primarily Spanish-speaking (55%).
FISCAL IMPACT:
The term of the agreement is February 1, 2026 through January 31, 2029. The amount of the agreement is not to exceed $250,000 for the three-year term. Funds in the amount of $41,667 are included in the SMMC FY 2025-26 Adopted Budget. Funds in the amount of $83,333 will be included in the SMMC FY 2026-27 Recommended Budget.
Expenses at SMMC are covered by fees for services or third-party payors whenever possible. The portion of expenses for services provided to the medically indigent or to those covered by programs that do not meet the full costs of care is covered by the County’s General Fund contribution to SMMC and is within the existing annual appropriation.
Attachment:
RFP Matrix