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                "Leikkausrobotilla tulee olla ICG-kuvantamisominaisuus. ICG (Firefly) ominaisuutta k\u00e4ytet\u00e4\u00e4n leikkauksen aikana sy\u00f6v\u00e4n levinneisyydentutkimiseen sek\u00e4 kudosten riitt\u00e4v\u00e4n verenkierron varmistamiseen. ICG ominaisuus on eneneviss\u00e4 m\u00e4\u00e4rin k\u00e4yt\u00f6ss\u00e4 kaikessasy\u00f6p\u00e4kirurgiassa. Urologiassa k\u00e4ytt\u00f6 keskittyy riitt\u00e4v\u00e4n verenkierron varmistamiseen munuais- ja virtsatiekirurgiassa, samoin kuinimusolmukemetastaasien etsimisess\u00e4. Suolistosy\u00f6v\u00e4n ICG tarvitaan sy\u00f6v\u00e4n levinneisyyden selvitt\u00e4miseen sek\u00e4 suolen verenkierrontutkimiseen ennen suolisauman tekoa. Riitt\u00e4m\u00e4t\u00f6n verenkierto altistaa saumojen pett\u00e4miselle ja vakaville komplikaatioille. P\u00e4\u00e4n ja kaulanalueen sy\u00f6viss\u00e4 imusolmukemetastaasien leikkauksenaikainen l\u00f6yt\u00e4minen on v\u00e4ltt\u00e4m\u00e4t\u00f6nt\u00e4. Kohdun Endometriumkarsinooman kansainv\u00e4lisen hoitosuosituksen mukaan potilaalle on teht\u00e4v\u00e4 vartijaimusolmuketutkimus, jokatoteutetaan ICG-kuvantamisella. Ilman ICG-kuvantamista korkean riskin kohtusy\u00f6p\u00e4potilaille joudutaan tekem\u00e4\u00e4n lantion- ja paraaortaalitilan lymfadenektomia. T\u00e4m\u00e4 vie leikkausajasta suurimman ajan ja lis\u00e4\u00e4 leikkausriskej\u00e4 ja potilaan sairastuvuutta merkitt\u00e4v\u00e4sti.",
                "",
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                "Suorahankintaperuste on hankintalain 40\u00a7 2 momentin 2 kohdan mukaan \" teknisest\u00e4 tai yksinoikeudensuojaamiseen 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.\"",
                "",
                "Leikkausrobotilla tulee olla ICG-kuvantamisominaisuus. ICG (Firefly) ominaisuutta k\u00e4ytet\u00e4\u00e4n leikkauksen aikana sy\u00f6v\u00e4n levinneisyyden tutkimiseen sek\u00e4 kudosten riitt\u00e4v\u00e4n verenkierron varmistamiseen.ICG ominaisuus on eneneviss\u00e4 m\u00e4\u00e4rin k\u00e4yt\u00f6ss\u00e4 kaikessa sy\u00f6p\u00e4kirurgiassa. Urologiassa k\u00e4ytt\u00f6 keskittyy riitt\u00e4v\u00e4n verenkierron varmistamiseen munuais- ja virtsatiekirurgiassa, samoin kuin imusolmukemetastaasien etsimisess\u00e4. Suolistosy\u00f6v\u00e4n ICG tarvitaan sy\u00f6v\u00e4n levinneisyyden selvitt\u00e4miseen sek\u00e4 suolen verenkierrontutkimiseen ennen suolisauman tekoa. Riitt\u00e4m\u00e4t\u00f6n verenkierto altistaa saumojen pett\u00e4miselle ja vakaville komplikaatioille. P\u00e4\u00e4n ja kaulanalueen sy\u00f6viss\u00e4 imusolmukemetastaasien leikkauksenaikainen l\u00f6yt\u00e4minen on v\u00e4ltt\u00e4m\u00e4t\u00f6nt\u00e4. Kohdun Endometriumkarsinooman kansainv\u00e4lisen hoitosuosituksenmukaan potilaalle on teht\u00e4v\u00e4 vartijaimusolmuketutkimus, joka toteutetaan ICG-kuvantamisella. Ilman ICG-kuvantamista korkean riskin kohtusy\u00f6p\u00e4potilaille joudutaan tekem\u00e4\u00e4n lantion- ja paraaortaalitilanlymfadenektomia. T\u00e4m\u00e4 vie leikkausajasta suurimman ajan ja lis\u00e4\u00e4 leikkausriskej\u00e4 ja potilaan sairastuvuutta merkitt\u00e4v\u00e4sti. ",
                "",
                "Leikkausrobottiin tulee olla sopivat stapelerointi instrumentit sek\u00e4 suonensulku instrumentit mit\u00e4 voidaan t\u00e4ysin kontrolloida kirurgin toimesta, konsolista k\u00e4sin. T\u00e4ysin nivelletyt instrumentit, paremmalle hermoa s\u00e4\u00e4st\u00e4v\u00e4lle dissekoinnille. Mahdollisuus tehd\u00e4 thorax- ja pediatrista kirurgiaa. ",
                "",
                "",
                "Edell\u00e4 mainituista syist\u00e4 Intuitive Surgigal toimittama DaVinci X leikkausrobotin vuokraus on v\u00e4ltt\u00e4m\u00e4t\u00f6n ja ainoa mahdollinen."
            ]
        }
    },
    "isPrivateSmallValueProcurement": false,
    "espdRequestReferences": [],
    "hilmaSubmissionDate": "2023-07-03T04:52:24.6005131",
    "dateCreated": "2023-07-03T04:52:23.7844267",
    "dateModified": "2023-07-07T07:00:11.2739846"
}