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"title": "Kirurgiset instrumentit ",
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"HANKINTAMENETTELY",
"",
"HUSin kirurgisten instrumenttien hankinta toteutetaan julkisista hankinnoista ja k\u00e4ytt\u00f6oikeussopimuksista annetun lain 36 \u00a7:n mukaisena kilpailullisena neuvottelumenettelyn\u00e4. Kilpailullisessa neuvottelumenettelyss\u00e4 hankintayksikk\u00f6 neuvottelee menettelyyn hyv\u00e4ksyttyjen ehdokkaiden kanssa kartoittaakseen ja m\u00e4\u00e4ritell\u00e4kseen keinot, joilla sen tarpeet voidaan parhaiten t\u00e4ytt\u00e4\u00e4. Kilpailullisen neuvottelumenettelyn tarkoituksena on neuvotteluvaiheeseen valittujen toimittajien kanssa neuvotella kirurgisten instrumenttien v\u00e4himm\u00e4isvaatimuksista sek\u00e4 hankinta- ja tilausmallista. ",
"",
"Hankintayksikk\u00f6 on valinnut hankintamenettelyksi kilpailullisen neuvottelumenettelyn, sill\u00e4 hankinnan monimutkaisuuteen liittyvist\u00e4 erityisist\u00e4 syist\u00e4 ja niihin liittyvien riskien vuoksi hankintasopimusta ei voida tehd\u00e4 ilman edelt\u00e4vi\u00e4 neuvotteluita. ",
"",
"Kilpailullisen neuvottelumenettelyn luonteeseen kuuluu, ett\u00e4 hankintayksik\u00f6n ei tarvitse etuk\u00e4teen m\u00e4\u00e4ritell\u00e4 pakollisia v\u00e4himm\u00e4isvaatimuksia, joista ei saisi lopullisessa tarjouspyynn\u00f6ss\u00e4 poiketa. HUS on kuitenkin asettanut hankinnan",
"kohteelle seuraavat viitteelliset reunaehdot, jotta ehdokas voi arvioida kyvykkyytt\u00e4\u00e4n ja kiinnostustaan osallistua tarjouskilpailuun. Viitteellisist\u00e4 reunaehdoista voidaan",
"perustelluista syist\u00e4 poiketa neuvotteluissa, kuitenkin siten ett\u00e4 hankinnan tarkoitus ja tavoitteet eiv\u00e4t muutu. HUS edellytt\u00e4\u00e4, ett\u00e4:",
"",
"- Tarjoaja tiedostaa tilaajan toiminnan perustuvan yhteisty\u00f6h\u00f6n eri kumppaneiden kanssa. Tarjoaja sitoutuu yhteisty\u00f6h\u00f6n muiden toimittajien kanssa esimerkiksi tuotteiden vastaavuuden, instrumenttien yhteensopivuuden, v\u00e4linehuollon prosessien ja kliinisten erityistarpeiden huomioimisessa. Tarjoaja sitoutuu avustamaan mahdollisissa auditoinneissa, tuotekorien optimoinneissa, valikoiman kehitt\u00e4misess\u00e4, huoltoprosessien kehitt\u00e4misess\u00e4 ja muissa vastaavissa kehitt\u00e4mistoimenpiteiss\u00e4",
"- Instrumentit ovat Euroopan unionin suoraan velvoittavien s\u00e4\u00e4d\u00f6sten, Suomen lakien ja asetusten sek\u00e4 viranomaisten antamien m\u00e4\u00e4r\u00e4ysten mukaisia.",
"- Instrumentit ovat moni-\/kestok\u00e4ytt\u00f6isi\u00e4 sek\u00e4 toimitettaessa k\u00e4ytt\u00e4m\u00e4tt\u00f6mi\u00e4.",
"- Instrumentit soveltuvat vaativaan sairaanhoidon k\u00e4ytt\u00f6\u00f6n.",
"- Instrumenteilla on CE-merkint\u00e4, joka ilmenee instrumentin pakkauksesta sek\u00e4 itse instrumentista",
"- Instrumenttien tulee kest\u00e4\u00e4 pesu- ja desinfektioaineita (pH 7-11 v\u00e4lill\u00e4), konepesu, l\u00e4mp\u00f6desinfektio (5 min 90 \u00b0C ja kuivaus n. 100 \u00b0C) ja sterilointi (18 min 134 \u00b0C).",
"- Tarjoajalla on oltava mahdollisuus huoltaa tarjoamiaan instrumentteja.",
"- Tarjoaja antaa instrumenteille takuun, joka on voimassa v\u00e4hint\u00e4\u00e4n kaksikymment\u00e4nelj\u00e4 (24) kuukautta instrumentin vastaanotosta.",
"- Tarjoajan instrumentit on valmistettu ruostumattomasta ter\u00e4ksest\u00e4 tai vastaavasta materiaalista",
"",
"siten kuin lopullisessa tarjouspyynn\u00f6ss\u00e4 tullaan yksityiskohtaisesti tarkemmin m\u00e4\u00e4rittelem\u00e4\u00e4n. ",
"",
"ALUSTAVA HANKINTAMALLI",
"",
"HUS on alustavasti arvioinut, ett\u00e4 tarkoituksenmukaisin hankintamalli kirurgisten instrumenttien hankinnalle on seuraava:",
"",
"- Hankinta tullaan jakamaan useampaan osa-alueeseen esimerkiksi instrumentti- tai erikoisalakohtaisesti",
"- Kustakin osa-alueesta perustetaan useamman toimittajan puitej\u00e4rjestely (todenn\u00e4k\u00f6isesti noin 2-3 toimittajaa \/ osa-alue) laajan tuotevalikoiman varmistamiseksi.",
"",
"Cloudian rakenteesta johtuen osallistumispyynn\u00f6ss\u00e4 on ilmoitettu, ett\u00e4 hankintaa ei ole jaettu osiin. Edell\u00e4 todetun mukaisesti on mahdollista, ett\u00e4 hankinta tullaan lopullisessa tarjouspyynn\u00f6ss\u00e4 jakamaan useampaan osa-alueeseen. ",
"",
"EHDOKKAIDEN VALINTA KILPAILULLISEEN NEUVOTTELUMENETTELYYN",
"",
"Neuvottelumenettelyyn valitaan enint\u00e4\u00e4n kaksitoista (12) ehdokasta. ",
"",
"Mik\u00e4li soveltuvuusvaatimukset t\u00e4ytt\u00e4vi\u00e4 ehdokkaita on enemm\u00e4n kuin kaksitoista (12), valitsee hankintayksikk\u00f6 ehdokkkaat neuvottelumenettelyyn siten kuin osallistumispyynn\u00f6n liitteess\u00e4 1 on kuvattu. "
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""
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"HANKINNAN KOHDE JA TAVOITTEET",
"",
"Helsingin ja Uudenmaan sairaanhoitopiiri (HUS) j\u00e4rjest\u00e4\u00e4 kirurgisten instrumenttien hankinnasta tarjouskilpailun. HUSin erikoisalat k\u00e4ytt\u00e4v\u00e4t p\u00e4ivitt\u00e4isess\u00e4 toiminnassaan tuhansia erilaisia monik\u00e4ytt\u00f6isi\u00e4 kirurgisia instrumentteja lis\u00e4osineen ja tarvikkeineen. Ty\u00f6n luonteen, laajan k\u00e4ytt\u00e4j\u00e4kunnan sek\u00e4 erilaisten tarpeiden johdosta k\u00e4ytett\u00e4viss\u00e4 olevan instrumenttivalikoiman tulee olla laaja. Nyt k\u00e4ynnistyv\u00e4ll\u00e4 hankinnalla on tarkoitus kattaa HUSin monik\u00e4ytt\u00f6isten kirurgisten instrumenttien hankintatarpeet seuraavia poikkeuksia lukuun ottamatta:",
"",
"- Siltasairaalan instrumentit: Alkuvuonna 2023 toimintansa aloittavan Siltasairaalan instrumentit on kilpailutettu erikseen",
"- KNK-instrumentit: Korva-, nen\u00e4- ja kurkkutautien erikoisalan instrumentit on kilpailutettu erikseen ",
"- Dynaaminen hankintaj\u00e4rjestelm\u00e4: HUS on vuonna 2021 perustanut kirurgisia instrumentteja koskevan dynaamisen hankintaj\u00e4rjestelm\u00e4n. HUS tulee dynaamista hankintaj\u00e4rjestelm\u00e4\u00e4 hy\u00f6dynt\u00e4m\u00e4ll\u00e4 kilpailuttamaan sellaisia yksitt\u00e4isi\u00e4 erikoisinstrumentteja, joita ei l\u00f6ydy t\u00e4m\u00e4n hankinnan perusteella valituilta sopimustoimittajilta. ",
"",
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"",
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