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"",
"Hankinnan kohteena on Ventinova Evone JET-ventilaattori ja sen jalusta sek\u00e4 laitteen k\u00e4ytt\u00f6\u00f6n tarvittavat laitekohtaiset kertak\u00e4ytt\u00f6tarvikkeet (intubaatioputket, hengitysletkustot, hengityskasetit ja ilmatieadapterit). Laitekohtaisia kulutustarvikkeita hankitaan erillisten ostotilausten perusteella niin kauan, kun laite on hankintayksik\u00f6n k\u00e4yt\u00f6ss\u00e4. Takuuaikaiset laite- ja ohjelmistop\u00e4ivitykset sek\u00e4 huollot ja varalaite huollon ajaksi sis\u00e4ltyv\u00e4t hankintahintaan. Takuuajan j\u00e4lkeinen yll\u00e4pitohuolto sis\u00e4ltyy hankintaan optiona.",
"",
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"justification": [
"Hankintayksikk\u00f6 voi valita suorahankinnan muun muassa silloin, kun teknisest\u00e4 syyst\u00e4 vain tietty toimittaja voi toteuttaa hankinnan. Lis\u00e4edellytyksen\u00e4 on, ett\u00e4 hankinnan toteuttamiseen ei ole j\u00e4rkevi\u00e4 vaihtoehtoisia ratkaisuja eik\u00e4 kilpailun puuttuminen johdu hankinnan ehtojen keinotekoisesta kaventamisesta.",
"",
"JET-ventilaattoria k\u00e4ytet\u00e4\u00e4n kurkunp\u00e4\u00e4n laryngoskooppisiin- ja lasertoimenpiteisiin. Kurkunp\u00e4\u00e4n leikkauksissa tarvitaan riitt\u00e4v\u00e4sti n\u00e4kyvyytt\u00e4 ja tilaa leikkauksen suorittamiseen, jolloin tavanomaisen paksuista hengitysputkea ja ventilaattoria ei voida k\u00e4ytt\u00e4\u00e4. Kyseisiin toimenpiteisiin on k\u00e4ytetty JET-ventilaattoria, jonka sis\u00e4lt\u00e4m\u00e4 ohut katetri vied\u00e4\u00e4n henkitorveen ja katetriin johdetaan paineella ilmavirtaus, joka hapettaa ja ventiloi keuhkoja. Uloshengitys tapahtuu passiivisesti katetrin ohi. ",
"",
"Tavanomaisella JET-tekniikalla on rajoituksia. Mik\u00e4li potilas on suurikokoinen tai potilaalla on j\u00e4ykk\u00e4 rintakeh\u00e4 tai keuhkot, ilmavirtauksella ei saada v\u00e4ltt\u00e4m\u00e4tt\u00e4 riitt\u00e4v\u00e4\u00e4 keuhkojen tuulettumista aikaiseksi. Tavanomainen JET-katetri ei sis\u00e4ll\u00e4 cuffia, jolloin ilmatie ei ole varmistettu aspiraation varalta. ",
"",
"Nyt hankittava laite toimii erilaisella tekniikalla, jossa ventilaattori suorittaa paineella sek\u00e4 sis\u00e4\u00e4nhengityksen, ett\u00e4 aktiivisen uloshengityksen (imu). Nyt hankittavalla laitteella voidaan sen ominaisuuksien johdosta hoitaa my\u00f6s suurikokoisia potilaita ja laitteella p\u00e4\u00e4st\u00e4\u00e4n k\u00e4yt\u00e4nn\u00f6ss\u00e4 kaikilla potilailla normaaleihin sis\u00e4\u00e4nhengitystilavuuksiin ja normaaliin keuhkojen ventilaatioon. Laitteen ominaisuudet mahdollistavat ventilaation tekemisen my\u00f6s muissa indikaatioissa (esimerkiksi samassa leikkauksessa suoritettavat muut yl\u00e4hengitystieleikkaukset, vaikka potilaalla olisi verenvuotoa, ahtaat hengitystiet tai muut tilanteet, joissa vapaata passiivista uloshengityst\u00e4 ei voida varmistaa).",
"",
"Hankintayksik\u00f6n k\u00e4sityksen mukaan kyseisell\u00e4 tekniikalla toimivia laitteita on markkinoilla ainoastaan yksi, Ventinova Medical B-V Evone, jota edustaa Suomessa Steripolar Oy. Kyseisell\u00e4 tekniikalla varustettu JET-ventilaattori on hankintayksik\u00f6n toiminnan ja potilaiden hoidon kannalta v\u00e4ltt\u00e4m\u00e4t\u00f6n. Nyt hankittava laite on my\u00f6s hankintahinnaltaan edullinen suhteessa muihin JET-ventilaattoreihin.",
"",
"Kilpailuttamisen edellytysten puuttuessa hankinta toteutetaan suorahankintana."
]
}
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"hilmaSubmissionDate": "2022-09-29T12:32:20.9919979",
"dateCreated": "2022-09-29T12:32:20.9520431",
"dateModified": "2022-09-29T12:32:21.0016005"
}