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"justification": [
"Kyseess\u00e4 on suorahankinta.",
"",
"Suorahankintaperuste on HL 40\u00a7 2 mom. 2 kohdan mukaan \"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\".",
"",
"Oulun yliopistollisen sairaalan keskusleikkausosastolla on p\u00e4ivitt\u00e4isess\u00e4 k\u00e4yt\u00f6ss\u00e4 nelj\u00e4 leikkausnavigaattoria, joista kolme vanhinta laitetta ovat Medtronicin S7-laitteistoja (v.2009 ja 2 kpl 2012) ja 1 kpl v.2020 hankittu Brainlabin Curve. Kuvantaohjattu kirurgia nojaa n\u00e4iden kahden laitemallin j\u00e4rjestelm\u00e4kohtaisiin mahdollistamiin erityisominaisuuksiin. Lis\u00e4ksi kummankin laitemallin k\u00e4ytt\u00f6\u00e4 rajoittavat tietyiss\u00e4 tilanteissa esille nousevat rajoitteet. Kumpikaan malli ei yksin\u00e4\u00e4n kykene t\u00e4ytt\u00e4m\u00e4\u00e4n kaikkia yksik\u00f6n tarpeita.",
"",
"S7-laitteistojen oletettu k\u00e4ytt\u00f6ik\u00e4 on p\u00e4\u00e4t\u00f6ksess\u00e4\u00e4n, eik\u00e4 niiden huoltosopimuksia ole uusittu en\u00e4\u00e4 vuodesta 2019\/2020 l\u00e4htien. Vastaavia laitteistoja ei en\u00e4\u00e4 valmisteta, eik\u00e4 niihin saa en\u00e4\u00e4 kaikkia varaosia. Kyseess\u00e4 on siis vaillinaisesti toimivan Medtronic S7-neuronavigointilaitteiden toimintavajautta korjaava ja kiirehditt\u00e4v\u00e4 hankinta. Koska S7-neuronavigaattoreita ei en\u00e4\u00e4 valmisteta eik\u00e4 myyd\u00e4, hankinta suuntautuu nykyisen laitetoimittajan l\u00e4hinn\u00e4 vastaavaan laitekokonaisuuteen (S8).",
"",
"Hankinnalla halutaan varmistaa Oulun yliopistollisen sairaalan keskusleikkausosaston neuronavigaattorilaitteistojen riitt\u00e4v\u00e4 saatavuus sek\u00e4 potilasturvallisuuden turvaaminen p\u00e4ivitt\u00e4isen kirurgisen navigoinnin tarpeisiin."
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