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7.6.2025. Hankintayksikkö  keskeytti 9.7.2025 kilpailutuksen ja päätti julkaista välittömästi tämän uuden tarjouspyynnön (samalla ref-numerolla). Uuteen tarjouspyyntöön tehtiin korjaukset aiemman tarjouspyynnön lisätietokysymysvastaus-koosteen mukaisesti. Hankintayksikkö arvioi, että muutoksia ei ole oikeuskäytännön linjausten perusteella mahdollista tehdä pelkällä korjausilmoitusmenettelyllä (Ks. esim KHO 2022:1). \n\nHANKINNAN KOHDE\n\nHUS-Yhtymä (jäljempänä \"HUS\") kilpailuttaa tarjouspyyntöasiakirjojen mukaisesti kudosfuusioinstrumenttien ja laitteiden sekä diatermialaitteiden ja -instrumenttien kokonaisuuden avo- ja laparoskooppiseen kirurgiaan. Valikoima tulee käyttöön laajasti eri käyttäjätarpeisiin ja yksiköille. Kokonaisuus on erittäin merkittävä osa HUS:n leikkaustoimintaa. \n\nTarjoaja voi jättää tarjouksen valitsemiinsa osa-alueisiin. Mikäli tarjoaja tarjoaa samoja tarvikkeita useampaan osa-alueeseen, tulee saman tuotteen hinnan olla kaikissa osa-alueissa sama. Osa-aluekohtaisesti on ilmoitettu osa-alueen sisäisen osatarjouksen (tuoteyhmät) sallittavuus.\n\nSelvyyden vuoksi todetaan, että HUS on kilpailuttanut diatermialaitteistoja ja instrumentteja myös muissa laitekohtaisissa kilpailutuksissa. Tässä kilpailutuksessa ovat mukana kohteet, jotka on edellisen kerran kilpailutettu seuraavien ref-numeroiden alla (HUS 221-2019, HUS 535-2021, HUS 079-2019). Hankinnan kohteen ja osa-aluejaottelun tarkempi kuvaus on esitetty liitteellä 1 Hankinnan rakenne ja kohde.\n\nKyseessä on yhteishankinta, jonka osapuolet on kuvattu tarkemmin jäljempänä tässä tarjouspyynnössä. Mukana olevistaosapuolista käytetään tarjouspyynnössä yhdessä nimitystä \"Tilaaja\".\n\nHANKINTAMENETTELY\n\nHankinta on jaettu seuraaviin osa-alueisiin, joista osa on jaettu edelleen tuoteryhmiin (ks. hankinnan kohteen tarkempi kuvaus, liite 1):\n\nOsa-alueet 1-4: Kudosfuusioinstrumentit, -generaattorit ja -laitteet - Osa-alueet 1-4 on jaettu tuoteryhmiin, ja jokaisessa tarjotaan ”Instrumentit laparoskooppiseen kirurgiaan” ja ”Instrumentit avokirurgiaan”\n- Osa-alueissa 1 ja 4 laitteet hankitaan käyttökorvausperiaatteella, osa-alueissa 2 ja 3 ostolaitteina. \n Osa-alueet 5-15: Diatermialaitteiden ja savukaasulaitteiden yleistarvikkeet\nOsa-alue 16-17: Diatermialaitteet ja niihin sopivat savuimulaitteet - Osa-alueissa 16-17 laitteet hankitaan ostolaitteina. Osa-alueet on edelleen jaettu tuoteryhmiin liitteen 1 mukaisesti (ks. tarkentavat tiedot).\n\nTarjousten vertailu ja hankintapäätös tehdään osa-alueittain/ tuoteryhmittäin (ks. osa-aluekoht. ohjeet osa-alueittain kohdassa \"Hankinnan kohteen kriteerit\"). Kokonaistaloudellisen edullisuuden arviointiperusteet on ilmoitettu osa-alueittain.\n\nSOPIMUSKAUSI\n\nTilaaja valitsee kussakin osa-alueessa erikseen ilmoitetun määrän kokonaistaloudellisesti edullisinta tarjoajaa sopimustoimittajaksi per osa-alue.\n\nHankinnasta tehtävä sopimus on voimassa määräaikaisena kaksi (2) vuotta, minkä jälkeen sopimusta voidaan jatkaa kahdella yhden (1) vuoden pituisella optiokaudella. Optiokaudella sopimus voidaan irtisanoa sopimusluonnoksessa kuvatuin ehdoin.\n\nHankinnan ennakoitu kokonaisarvo on yhteensä n. 25 000 000 eur (alv 0). Hankinnan ennakoitu kokonaisarvo on laskettu neljälle (4) sopimusvuodelle (Alv 0 %). HUSin osuus hankinnan kokonaisarvosta on noin 80 %, muiden mukana olevien hyvinvointialueiden osuus on noin 20 %.\n\nTilaajalla ei ole määräostovelvoitetta (ts. arvio sopimuskauden hankintamääristä ei sido Tilaajaa). Tilausmäärät voivat vaihdella vuosittain. Yksittäiset tilausmäärät saattavat vaihdella yksittäisen instrumentin tilaamisesta kymmenien instrumenttien tilaamiseen. Sopimuksen alkamisajankohta on vuodenvaihde 2025-2026. \n\nVALINTAPERUSTEET\n\nHUS valitsee sopimustoimittajat osa-aluekohtaisesti ilmoitetuilla kokonaistaloudellisen edullisuuden vertailuperusteilla. \n\nVertailuperusteet on kuvattu tarkemmin kohdassa \"Hankinnan kohteen kriteerit\". Valintaperusteet on ilmoitettu osa-aluekohtaisesti.\n\nTILAUKSET JA ETUSIJAJÄRJESTYS\n\nEtusijajärjestys sopimustoimittajien välillä sopimuskaudella määräytyy kunkin osa-alueen tuotteiden osalta siten, että tuotteet tilataan ensisijaisesti kokonaistaloudellisesti edullisimman tarjouksen antaneelta toimittajalta. Sopimustoimittajien edellä määritellyistä etusijajärjestyksistä voidaan kuitenkin yksittäistapauksessa poiketa, Ks. kohta \"Tilaaminen ja Etusijajärjestys\", mukaisin perustein.\n\nLISÄHANKINTAMAHDOLLISUUDET\n\nHankinnan kohteeseen voi kuulua vähäisessä määrin myös muita sopimuksen kohteena oleviin tuoteryhmiin kuuluvia tuotteita,joita ei ole tässä tarjouspyynnössä erikseen mainittu ja jotka tarjoaja on eritellyt tarjouslomakkeen \"lisätuotteet\"-välilehdellä, ja joita tilataan muuhun hankinnan kohteena olevaan valikoimaan nähden satunnaisesti. Näitä viralliselta tarjouspyynnöltä puuttuvia ja tarjoajan \"lisätuotteet\"-välilehdellä eriteltyjä tuotteita voidaan hankkia sopimuskaudella tarvittavien määrien mukaisesti kuitenkin siten, että niiden osuus ko. tarjoajalta tilattavista tuotteista voi olla enintään 10 %.\n\nSelvyyden vuoksi todetaan, että hankintayksiköllä on lisäksi oikeus käyttää hankintalain 41 § mukaista lisähankintamahdollisuutta.\n\nTarjoaja voi tarjota hankinnan kohteeseen liittyviä lisäarvopalveluita osa-aluekohtaisesti valinnaisena optiona.\n\nHUOLTO-OPTIOT\n\nHankintayksikkö varaa optiona oikeuden huoltaa laitteita/instrumentteja toimittajan erillisen huoltohinnaston mukaisesti. Tarjoaja ei voi vaatia instrumenttien/laitteiden  huollon yksinoikeutta ja HUSilla on mahdollisuus huollattaa instrumentin myös kolmannella taholla. HUS päättää huolto-option käytöstä tapauskohtaisesti erikseen. Määräaikaishuoltojen toteuttamisvastuu on laitteiden osalta ilmoitettu tuoteryhmittäin kunkin osa-alueen kriteereissä."}],"additionalCommodityClassification":[{"itemClassificationCode":{"listName":"cpv","value":"33162000"}},{"itemClassificationCode":{"listName":"cpv","value":"33169000"}}],"mainCommodityClassification":[{"itemClassificationCode":{"listName":"cpv","value":"33000000"}}],"requestedTenderTotal":{"estimatedOverallContractAmount":{"currencyID":"EUR","value":25000000.0},"ublExtensions":[{"extensionContent":{"eformsExtension":{"frameworkMaximumAmount":{"currencyID":"EUR","value":25000000.0}}}}]},"note":[{"languageID":"FIN","value":"Hankinnassa ovat mukana seuraavat Tilaajatahot:\n\n-HUS-Yhtymä\n-Etelä-Karjalan hyvinvointialue (n. 8 % hankinnan kokonaisarvosta)\n-Kymenlaakson hyvinvointialue \n-Itä-Uudenmaan hyvinvointialue\n-Päijät-Hämeen hyvinvointialue (n. 12 % hankinnan 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