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"",
"Tilaajan k\u00e4yt\u00f6ss\u00e4 olevan luuntiheysmittauslaitteiston purkamisen ja pois viemisen on sis\u00e4llytt\u00e4v\u00e4 tarjoushintaan. Tarjoukseen tuli liitt\u00e4\u00e4 viiden (5) vuoden m\u00e4\u00e4r\u00e4aikaishuoltosopimustarjous sek\u00e4 t\u00e4ysyll\u00e4pitosopimustarjous, joka on huomioitu hankinnan kokonaisarvossa. ",
"",
"Siun sote - Pohjois-Karjalan sosiaali- ja terveyspalvelujen ky:ss\u00e4 on tehty luuntiheyden mittauksia kaksoisenergiatekniikalla vuodesta 1997 l\u00e4htien ja vuodesta 2010 alkaen laitteena on ollut k\u00e4yt\u00f6ss\u00e4 GE Lunar iDXA. Laitevalmistajat ovat toteuttaneet luuntiheysmittaukset toisistaan poikkeavasti muun muassa k\u00e4ytett\u00e4v\u00e4n energia-alueen, detektoritoteutuksen sek\u00e4 mittausten rajaus- ja laskenta-algoritmien ",
"osalta. Lis\u00e4ksi laitekohtaiset mittausasetelmat vaikuttavat tuloksiin. N\u00e4m\u00e4 muuttujat aiheuttavat eroja eri laitteiden tulosten v\u00e4lille.",
"",
"Koska potilaiden luuntiheytt\u00e4 seurataan luuntiheysmittauksella pitk\u00e4aikaisesti useita vuosia, tulee mittauskertojen mittaukset ja tulokset olla kesken\u00e4\u00e4n vertauskelpoisia. Eri valmistajien laitteiden tulosten v\u00e4lille on pyritty kehitt\u00e4m\u00e4\u00e4n muuntokertoimia, mutta yksil\u00f6tason seurannassa kertoimien k\u00e4yt\u00f6ll\u00e4 saadut tulokset eiv\u00e4t ole riitt\u00e4v\u00e4n tarkkoja. ",
"",
"Hankittavaksi esitetyn laitteen GE Lunar iDXA Pro tekniset ominaisuudet, m\u00e4\u00e4ritys- ja laskenta-algoritmit sek\u00e4 mittausasettelut vastaavat nykyist\u00e4 k\u00e4yt\u00f6ss\u00e4 olevaa laitetta. Tehdyn tietopyynn\u00f6n ja siit\u00e4 saatujen vastausten perusteella (Hilma 2022-094606) GE Lunar iDXA Pro t\u00e4ytt\u00e4\u00e4 t\u00e4ll\u00e4 hetkell\u00e4 ainoana markkinoilla olevana vaatimukset luuntiheyden pitk\u00e4aikaisseurannan vertailtavuudesta.",
"",
"Vanhasta laitteesta GE Lunar idxa on tehty toimialuejohtajan poistop\u00e4\u00e4t\u00f6s 2917\/02.07.01.01\/2022 7 \u00a7, sill\u00e4 Scanex Medical Systems Oy ",
"tarjoaa vanhasta laitteesta hyvityksen uuden laitteen oston yhteydess\u00e4. Suorahankintaperusteen varmistuttua suorahankintatarjous on pyydetty s\u00e4hk\u00f6postitse ja tarjouksesta on neuvoteltu Scanex Medical Systems OY:n kanssa. Tarjous sis\u00e4lt\u00e4\u00e4 vanhan laitteiston hyvityksen 10 000 eur, eli hankittavan laitekokonaisuuden lopulliseksi maksettavaksi hinnaksi j\u00e4\u00e4 116 950 eur.",
"",
"Hankinnan kokonaisarvo yhteens\u00e4 154 950 eur ottamatta huomioon vaihtohyvityst\u00e4 (10 000 eur) ylitt\u00e4\u00e4 kansallisen kynnysarvon. Hankinnan kokonaisarvo on laskettu 48 kk:n ajalle. Toimittaja sitoutuu siihen, ett\u00e4 laitteisto on saapunut Siun sotelle vuoden 2022 loppuun menness\u00e4."
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"",
"Teknisest\u00e4 tai yksinoikeuden suojaamiseen liittyv\u00e4st\u00e4 syyst\u00e4 vain tietty toimittaja voi toteuttaa hankinnan; lis\u00e4edellytyksen\u00e4 on, ett\u00e4 j\u00e4rkevi\u00e4 vaihtoehtoisia tai korvaavia ratkaisuja ei ole eik\u00e4 kilpailun puuttuminen johdu hankinnan ehtojen keinotekoisesta kaventamisesta."
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