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"justification": [
"MAGNETOM Avanto fit magneettikuvauslaitteen NumX-p\u00e4ivitys hankitaan Etel\u00e4-Pohjanmaan hyvinvointialueen Sein\u00e4joen keskussairaalan Radiologian yksikk\u00f6\u00f6n. ",
"",
"Hankitaan suorahankintana Siemens Healthcare Oy:lt\u00e4 tarjouksen \"Tarjous ' 22.11.2023 ' Siemens MAGNETOM Avanto fit Numaris X-p\u00e4ivitys\" mukaisesti NumX p\u00e4ivitys kokoonpano hintaan 189 200,00 \u20ac ALV 0% ja lis\u00e4ksi tarjotulla optiolla Pos 11 tuotenumero 14475314 myExam Abdomen Assist hintaan 24 200,00 \u20ac (ALV 0 %). Hankinta yhteens\u00e4 213 400,00 \u20ac alv 0 %. ",
"",
"MAGNETOM Avanto fit - NumX p\u00e4ivitys p\u00e4ivitt\u00e4\u00e4 nykyisen Avantofit magneettikuvauslaitteen ohjausty\u00f6aseman, kuvanlaskentaominaisuudet ja k\u00e4ytt\u00f6liittym\u00e4n vastaamaan radiologian kahden muun Siemens magneettikuvauslaitteen k\u00e4ytt\u00f6liittym\u00e4\u00e4 ja k\u00e4ytt\u00f6ominaisuuksia. P\u00e4ivitys lis\u00e4\u00e4 magneettikuvauslaitteen kuvauskapasiteettia (lyhent\u00e4\u00e4 merkitt\u00e4v\u00e4sti yleisesti tarvittavien tse-kuvaussekvenssien pituutta teko\u00e4lypohjaisen rekonstruktioon pohjautuen), nopeuttaa ty\u00f6nkulkua ja jatkaa alunperin vuonna 2008 hankitun magneettikuvauslaitteen elinkaarta. ",
"",
"Muilla toimittajilla ei ole mahdollisuutta toimittaa p\u00e4ivityksi\u00e4 Siemensin toimittamaan laitteistoon. Siemens Oy on ainoa mahdollinen toimittaja. Olemassa olevan laitteiston p\u00e4ivityksi\u00e4 ei ole mahdollista toteuttaa toisen toimijan toimesta.",
"",
"Kyseess\u00e4 on kansallisen kynnysarvon ylitt\u00e4v\u00e4 suorahankinta, johon sovelletaan hankintalakia. Hankintalain 40\u00a7 mukaan hankintayksikk\u00f6 voi tehd\u00e4 suorahankinnan, jos teknisest\u00e4 syyst\u00e4 vain tietty toimittaja voi toteuttaa hankinnan, eik\u00e4 j\u00e4rkevi\u00e4 vaihtoehtoisia tai korvaavia ratkaisuja ei ole. Hankintalain 40 \u00a7:n 1 momentin 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. Etel\u00e4-Pohjanmaan hyvinvointialueen hallituksen vahvistamien hankintaohjeiden mukaan suorahankinta on mahdollinen, kun kilpailuttaminen on ep\u00e4tarkoituksenmukaista tai jos tarjouskilpailussa mahdollisesti saavutettavat paremmat hinta- tai muut ehdot eiv\u00e4t ilmeisesti ylit\u00e4 kilpailun j\u00e4rjest\u00e4misest\u00e4 aiheutuvia kustannuksia eli ns. transaktiokustannuksia. Suorahankinta on mahdollista my\u00f6s silloin, kun tavaran tai palvelun laatu ja hintataso ovat tiedossa tai kun hankittavaa tavaraa ei ole muualta saatavissa tai kysymyksess\u00e4 on poikkeuksellisen kiireinen hankinta.",
""
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