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"justification": [
"Hankinnasta julkaistiin ennakkoilmoitus 13.10.2022 - 28.10.2022",
"v\u00e4liselle ajalle. Ennakkoilmoituksen tarkoituksena oli selvitt\u00e4\u00e4",
"alalla toimivia yrityksi\u00e4 ja saada tietoa markkinoilla tarjolla olevista",
"tietynlaisista ekstraktiov\u00e4lineist\u00e4.",
"",
"Lain julkisista hankinnoista ja k\u00e4ytt\u00f6oikeussopimuksista,",
"29.12.2016\/1397 (j\u00e4ljemp\u00e4n\u00e4 hankintalaki) 40 \u00a7 2. mom. 2.",
"kohdan mukaan hankintayksikk\u00f6 voi tehd\u00e4 suorahankinnan, jos",
"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.",
"",
"Ekstaktiov\u00e4lineill\u00e4 poistetaan tahdistinjohtoja potilaan syd\u00e4mest\u00e4.",
"Ekstraktiov\u00e4lineet ovat erityisen kriittisi\u00e4 tuotteita, sill\u00e4",
"toimenpiteit\u00e4 suorittaa hyvin pieni joukko asiantuntijoita.",
"Toimenpiteet ovat riskialttiita, haastavia ja pitk\u00e4kestoisia.",
"Tuotteen valinta tapahtuu toimenpiteen kliinisen tarpeen ja",
"potilaan syd\u00e4men anatomian mukaan. Tahdistinjohtojen",
"poistotoimenpiteiss\u00e4 potilaan tarve m\u00e4\u00e4rittelee aina sen, mit\u00e4",
"tuotetta k\u00e4ytet\u00e4\u00e4n.",
"",
"Spectranetics International B.V.n ekstraktioty\u00f6kalussa",
"instrumentin p\u00e4iss\u00e4 olevat hampaat ovat instrumentin sis\u00e4ll\u00e4,",
"jolloin se voi olla joissain tapauksissa turvallisempi, kun edet\u00e4\u00e4n",
"potilaan hauraissa laskimoissa johtoa pitkin pureskellen.",
"Spectranetics International B.V.n lukkokarassa",
"lukkiutumismekanismi laajenee koko matkalta, jolloin sill\u00e4 voi",
"saada joissain tapauksissa paremman otteen johdosta kuin",
"lukkokaralla, jossa laajenee vain lukkokaran k\u00e4rki. Lis\u00e4ksi",
"Spectranetics International B.V.n lukkokara on purettavissa eli",
"sen voi avata ja poistaa johdosta, mik\u00e4li toimenpide sit\u00e4 vaatii.",
"",
"Julkaistun ennakkoilmoituksen perusteella yll\u00e4 mainittuja",
"ominaisuuksia ei ole muissa markkinoilla olevissa tuotteissa.",
"",
"Spectranetics International B.V.n ekstraktiov\u00e4lineet tarvitaan",
"sopimusvalikoimaan, koska asiantuntijoilla tulee olla parhaat",
"mahdolliset vaihtoehdot suorittaa riskialtis ja haastava toimenpide, jossa potilaan henki ja terveys ovat vaarassa.",
"",
"Spectranetics International B.V.n ekstraktiov\u00e4lineet tarvitaan",
"turvaamaan kriittisten toimenpiteiden potilaiden laadukas hoito."
]
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