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"title": "Kansallisten hankintojen suorahankintailmoitus - Suorahankinta HL5423 - VIVA Combo RFA -laitteisto toimenpidekohtaisella hinnoittelulla ajalle 1.6.2022 - 31.05.2025 - Mediq Suomi Oy ",
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"",
"Pohjois-Karjalan keskussairaalassa on p\u00e4\u00e4tetty aloittaa vatsaelinkirurgien toimesta maksakirurgia. Sill\u00e4 on tarkoitus v\u00e4hent\u00e4\u00e4 ulkoisia palvelunostoja muista sairaaloista, l\u00e4hinn\u00e4 Jyv\u00e4skyl\u00e4st\u00e4, jonne l\u00e4hinn\u00e4 sy\u00f6pien et\u00e4pes\u00e4kekirurgiaa vaativia potilaita on l\u00e4hetetty leikattavaksi. ",
"",
"Vatsakeskukseen on syntynyt tarve hankkia laitteisto, jolla pystyt\u00e4\u00e4n",
"hoitamaan endoskooppisena, eli t\u00e4hystystoimenpiteen\u00e4, k\u00e4ytt\u00e4en endoskooppista ultra\u00e4\u00e4nij\u00e4rjestelm\u00e4\u00e4 (EUS) tai sappi- ja haimateiden",
"t\u00e4hystyst\u00e4 (ERCP) RFA-laitteisto. Sill\u00e4 pystyt\u00e4\u00e4n t\u00e4hystimen kautta viet\u00e4v\u00e4ll\u00e4 katetrilla antamaan radiofrekeventtist\u00e4 ablaatiohoitoa (RFA) eri ruoansulatuskanavan elimien kasvaimiin ja et\u00e4pes\u00e4kkeisiin, jolla voidaan tuhota esim. maksan ja haiman sy\u00f6p\u00e4pes\u00e4kkeit\u00e4 ja et\u00e4pes\u00e4kkeit\u00e4. Sill\u00e4 voidaan my\u00f6s hoitaa sappiteiden sy\u00f6pi\u00e4, jotka helposti tukkivat sappiteit\u00e4 ja vaativat usein hyvin kalliita toistuvia stenttihoitoja. Laskelmiemme",
"mukaan jo 1\u20132 toimenpidett\u00e4 vuodessa s\u00e4\u00e4st\u00e4\u00e4 sen kustannuksen, joka tulisi maksettavaksi ulkoisen palvelun ostona muusta sairaalasta. Kaikki muu tarvittava laitteisto ja henkil\u00f6kunta on t\u00e4m\u00e4n toimenpiteen osalta olemassa Vatsakeskuksessa. ",
"",
"Mill\u00e4\u00e4n muulla valmistajalla ei ole RFA-laitteistoa tai neulaa, joka soveltuu endoultra\u00e4\u00e4ni-ohjattuun RFA-hoitoon.",
"",
"Tarjous on pyydetty s\u00e4hk\u00f6postitse ja tarjouksesta on neuvoteltu Mediq",
"Suomi Oy:n kanssa.",
"",
"Hankinnan ennakoitu kokonaisarvo 81 800 eur (alv 0 %) ylitt\u00e4\u00e4 kansallisen",
"kynnysarvon. Ennakoitu kokonaisarvo on laskettu 48 kk:n ajalle."
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"Hankintayksik\u00f6ll\u00e4 on oikeus tehd\u00e4 suorahankinta seuraavin perustein:",
"",
"Laki julkisista hankinnoista ja k\u00e4ytt\u00f6oikeussopimuksista (1397\/2016) 5 luku 40 \u00a7 Suorahankinta",
"",
"2) 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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