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"justification": [
"Hankintalain \u00a7 40 mukaan hankintayksikk\u00f6 voi suorittaa 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.",
"",
"Haavahakaset on kilpailutettu hankinnassa Ligeerausinstrumentit ja -klipsit, hemostaatit, ommeltuet ja ihonsulkuhakaset (Hankintap\u00e4\u00e4t\u00f6s \u00a7 96, 29.3.2021). Kyseisess\u00e4 hankinnassa tarjoukset saatiin leve\u00e4lle ihonsulkuhakaselle viidelt\u00e4 (5) toimittajalta. ",
"Sopimukselle valikoituneet leve\u00e4t ihonsulkuhakaset eiv\u00e4t kuitenkaan sovellu kaikkien kirurgisten haavojen sulkemiseen. HYKS tekonivelkirurgian ja urologian leikkausyksik\u00f6ss\u00e4 on nyt nostettu esiin pakottava tarve saada valikoimiin haavahakanen, jolla voidaan sulkea sek\u00e4 eritt\u00e4in pinnallisia haavoja, ett\u00e4 pitki\u00e4 haavoja, ja ett\u00e4 kyseisen tuotteen asettaja olisi muotoiltu siten ett\u00e4 sill\u00e4 voidaan sulkea haava aseptisesti koskematta haavan reunoja saman aikaisesti hyv\u00e4ll\u00e4 n\u00e4k\u00f6yhteydell\u00e4 haava-alueelle. N\u00e4kyvyys haavalle on olennaista hakasia asennettaessa, jotta ihojen reunat saadaan t\u00e4ydellisesti yhdistetty\u00e4. Haava desifioidaan ennen sulkua, eik\u00e4 siihen tulisi koskea ennen sulkua tai sen yhteydess\u00e4 hakasia asettaessa edes reunoilta. Mik\u00e4li haavan reunoja ei saada suljettua huolellisesti, niit\u00e4 joudutaan poistamaan ja asettamaan uudelleen, jolloin haavasta ei tule tiivist\u00e4, ja se kontaminoituu. T\u00e4ll\u00f6in tulehtumisriski kohoaa huomattavasti. Pinnallisella haavalla tarkoitetaan kirurgista leikkaushaavaa, jossa ihonalaiskudosta on alle 0,5 cm. N\u00e4it\u00e4 toimenpiteit\u00e4 suoritetaan yksik\u00f6ss\u00e4 n. 2700 vuodessa.",
"",
"Hankintayksikk\u00f6 on suorittanut kartoituksen yhdess\u00e4 substanssin asiantuntijan kanssa kaikkien haavahakasia tarjonneiden toimittajien vastaavien tuotteiden soveltuvuudesta. Kartoituksessa k\u00e4ytiin l\u00e4pi tuotteiden koko\/mitat (syvyys 3,9 mm tai alle, leveys 6,9 mm) indikaatiot, mahdolliset kontraindikaatiot ja asettimen muotoilu n\u00e4kyvyyden sallimiseksi.",
"Proximate Wide Ethicon (Ref: PXW35) ihonsulkuhakanen mm on ainoa hyvin mataliin alle 0,5 cm subcutista omaaviin ja pitkiin kirurgisiin haavoihin soveltuva tuote, joten se soveltuu hankinnan kohteeksi suorahankinnan perustein.",
""
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