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The Salt Lake City Veterans Health Care System is in need of replacing a nerve monitoring system. Nerve monitoring systems are designed to help physicians detect, confirm, and monitor nerve function to minimize the risk of nerve damage during head and neck surgery. By using advanced technology, nerve monitoring systems offer complete intraoperative nerve condition data that helps to implement surgical strategy, as well as increase operative efficiency and precision. These systems offers real-time feedback on nerve function during intermittent or continuous monitoring, thereby enabling surgeons to adjust course as required to reduce irreversible nerve harm amid surgical techniques.