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"justification": [
"KNF-osastolla on k\u00e4yt\u00f6ss\u00e4 kaksi rTMS-laitetta, joista vain Nexstim NBS4-laitteisto soveltuu preoperatiiviseen liikeaivokuoren kartoitukseen ennen neurokirurgista toimenpidett\u00e4.",
"",
"rTMS-hoitoa k\u00e4ytet\u00e4\u00e4n masennuksen, hermovauriokivun, Parkinsonin taudin ja muiden liikeh\u00e4iri\u00f6iden, vaikeahoitoisen tinnituksen, skitsofrenian negatiivisten oireiden, kuuloharhojen, pakko-oireisen h\u00e4iri\u00f6n, hoitoresistentin kortikaalisen epilepsian hoidossa sek\u00e4 aivohalvauskuntoutuksessa. Liikeaivokuoren ja puhealueiden kartoitusta k\u00e4ytet\u00e4\u00e4n neurokirurgisten operaatioiden suunnittelussa, kun aivokasvain tai epileptinen fokus sijaitsee l\u00e4hell\u00e4 liikeaivokuorta tai puhealueita.",
"",
"K\u00e4yt\u00f6ss\u00e4 oleva Nexstimin NBS System 4.3 laitteisto on hankittu vuonna 2014 ja laite on ylitt\u00e4nyt teknisen k\u00e4ytt\u00f6ik\u00e4ns\u00e4 vuoden 2021 lopussa. Vanhalle laitteelle ei ole tarjolla en\u00e4\u00e4 huoltosopimusta tai k\u00e4ytt\u00f6tukea, mutta PO Medica AB on tarjonnut KNF-osastolle mahdollisuutta p\u00e4ivitt\u00e4\u00e4 nykyinen laitteisto. Laitteiston p\u00e4ivityksen my\u00f6t\u00e4 laitteiston k\u00e4ytt\u00f6\u00e4 voidaan jatkaa ja teknist\u00e4 k\u00e4ytt\u00f6ik\u00e4\u00e4 pident\u00e4\u00e4. Laitteen turvallisen k\u00e4yt\u00f6n ja rTMS-hoidon sek\u00e4 preoperatiivisten liikeaivokuoren kartoitusten saatavuuden takaamiseksi laite on p\u00e4ivitett\u00e4v\u00e4.",
"",
"PO Medica AB on markkinoiden ainoa toimija, joka pystyy tarjoamaan p\u00e4ivityst\u00e4 NBS System 4.3 laitteelle. Vanhalla j\u00e4rjestelm\u00e4ll\u00e4 tehdyt hoitotiedostot ovat yhteensopivia uuden p\u00e4ivitetyn j\u00e4rjestelm\u00e4n kanssa. PO Medica AB:n tarjoama p\u00e4ivitetty laitteisto on my\u00f6s markkinoiden ainoa laitteisto, joka soveltuu liikeaivokuoren kartoitusten tekemiseen.",
"",
"Suorahankinnan perusteena ovat markkinoiden ainoa laitteisto, joka soveltuu yll\u00e4 mainittuun k\u00e4ytt\u00f6tarkoitukseen sek\u00e4 jo olemassa olevan laitteiston p\u00e4ivitys\/laajentaminen (Laki julkisista hankinnoista ja k\u00e4ytt\u00f6oikeussopimuksista 2016\/1397, 40 \u00a7 2mom ja 41 \u00a7)."
]
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