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Cardiac pacemakers generate impulses outside the body and deliver them to the heart through electrodes, either externally through the chest wall or invasively (e.g., through intravenous or transesophageal electrodes). External cardiac pacemakers are used for temporary pacing of the heart. The Contractor must demonstrate the ability to meet all requirements for the solicitation. The objective is to provide Pacemakers: Cardiac External to be used by clinicians throughout the VA medical centers and facilities. The period of performance is for a base of 12-months with four 12-month option periods. 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