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true}, "bidOpening": {"date": "2017-05-30T09:00:00-04:00", "address": {"streetAddress": "SEGUN PBC"}}, "submissionMethodDetails": "Lugar entrega ofertas: SEGUN PBC || Lugar entrega bien: Sistema SBE || Fecha entrega bien: Seg\u00fan documento del llamado", "eligibilityCriteria": "Restricciones: INHABILIDADES PREVISTAS EN EL ARTICULO 40 DE LA LEY 2051/03", "statusDetails": "Adjudicada", "enquiriesAddress": {"streetAddress": "Sistema SBE"}, "clarificationMeetings": [{"address": {"streetAddress": "Sistema SBE"}}], "mainProcurementCategoryDetails": "Bienes - Equipos, Productos e instrumentales M\u00e9dicos y de Laboratorio. Servicios asistenciales de salud", "hasEnquiries": true, "value": {"amount": 777700000, "currency": "PYG"}, "datePublished": "2016-09-02T14:55:33-04:00", "tenderPeriod": {"startDate": "2017-05-23T08:00:00-04:00", "endDate": "2017-05-24T08:00:00-04:00", "durationInDays": 1}, "awardPeriod": {"startDate": "2017-05-30T09:00:00-04:00"}, "contractPeriod": {"durationInDays": 1080}, "enquiryPeriod": {"endDate": "2017-02-10T10:00:00-04:00", "startDate": "2016-09-02T14:55:33-04:00", "durationInDays": 160}, "mainProcurementCategory": "goods", "additionalProcurementCategories": ["services"], "procurementMethod": "open", "procurementMethodDetails": "Licitaci\u00f3n P\u00fablica Nacional", "procuringEntity": {"id": "DNCP-SICP-CODE-157", "name": "Instituto de Previsi\u00f3n Social (IPS)"}, "criteria": [{"id": "1", "title": "Garant\u00eda de Mantenimiento de Ofertas", "description": "Los oferentes, proveedores o contratistas deber\u00e1n garantizar la seriedad de sus ofertas, mediante la garant\u00eda de mantenimiento de la oferta", "source": "tenderer", "requirementGroups": [{"id": "1-1", "description": "La garant\u00eda debe ser de un cierto porcentaje, periodo y tipo", "requirements": [{"id": "1-1-1", "title": "Porcentaje de la garantia", "expectedValue": "3"}, {"id": "1-1-2", "title": "Validez de la garantia en d\u00edas", "expectedValue": "150"}]}]}], "enquiries": [{"id": "30", "date": "2016-09-07T15:26:40-04:00", "title": "Lote 29 Pr\u00f3tesis de rodilla", "description": "En relaci\u00f3n a las pr\u00f3tesis de revisi\u00f3n. \u00bfDe cu\u00e1ntos tama\u00f1os como m\u00ednimo se necesitan?", "author": {"name": "CATETERES Y AFINES S.A.", "id": "PY-RUC-80030030-0"}, "answer": "El oferente deber\u00e1 remitirse a la Adenda N\u00b0 6.", "dateAnswered": "2017-02-08T08:48:02-04:00"}, {"id": "43", "date": "2017-02-09T16:51:18-04:00", "title": "Seccion VII, Anexo 1, Punto F. Cualquier otro documento adicional requerido, punto 7", "description": "Seccion VII, Anexo 1, Punto F. Cualquier otro documento adicional requerido, punto 7, Certificado CE y al menos uno de los sgtes. Certificados: ISO783-13; ISO4957; ISO 7153-1,; DIN 17440; DIN 17442; AST-E353, solicitamos que dicho punto sea eliminado, no corresponde la solicitud de los Certificados ISO que figuran en el PBC para el fabricante de los implantes traumatologicos. Dichos certificados tienen que ver con el cumplimiento de ciertas normas por parte del fabricante de la materia prima (o sea del proveedor del acero quirurgico), ya que dichas certificaciones solicitadas se refieren entro otras cosas a la composicion quimica de la aleacion de los implantes (ya analizado por la autoridad competente local al momento de expedir la certificacion correspondiente), el grado y tipo de acero utilizado en la fabricacion de los instrumentales (que no es solicitado en el PBC), metodos de analisis de la materia prima y ciertas regulaciones alemanas que no corresponden, ya que dichas certificaciones DIN unicamente pueden ser emitidas a empresas fabricantes alemanas. Por todo lo expuesto, es claramente visible que dicho punto es arbitrario ademas de no ser aplicable a los fabricantes de los implantes traumatologicos. Reiteramos nuestra solicitud de eliminacion del punto 7. En la Adenda No6 a este punto respondieron escuetamente remitirse a la Adenda No 6, informamos que dicho punto de la Adenda no ha sufrido cambio alguno por lo que no comprendemos la respuesta, mas aun sin una base tecnica que respalde dicha postura.  Solicitamos la eliminacion de dicho punto por no corresponder dichas certificaciones al fabricante de implantes.  ", "author": {"name": "LUIS ARMANDO ABBATE CORDAZZO", "id": "PY-RUC-297749-4"}, "answer": "El oferente deber\u00e1 remitirse a la Adenda N\u00b0 11.-", "dateAnswered": "2017-03-15T11:36:53-04:00"}, {"id": "25", "date": "2016-09-07T10:33:58-04:00", "title": "Secci\u00f3n VII, Anexo N\u00ba 1 \u0096 Documentos que componen la oferta", "description": "En el punto F, 6, 7 y 8 requieren documentos adicionales, siendo el Certificado de calidad de productos para implantes traumatol\u00f3gicos aceptados por el Ministerio de Salud en su Direcci\u00f3n de Vigilancia Sanitaria el ISO 13485, por lo que los mencionados documentos no corresponden.", "author": {"name": "ORTOPEDIA MINARDI S.R.L.", "id": "PY-RUC-80003385-0"}, "answer": "El oferente deber\u00e1 ajustarse al Pliego de Bases y Condiciones.", "dateAnswered": "2017-02-08T08:47:14-04:00"}, {"id": "26", "date": "2016-09-07T10:46:48-04:00", "title": "Seccion III, Punto 5 Vencimiento ", "description": "Seccion III, Punto 5 Vencimiento, dicho punto establece que el vencimiento minimo debe ser igual o superior a 3 a\u00f1os, solicitamos el cambio de dicho plazo debido a que los implantes esteriles salen con una fecha de vigencia desde fabrica de 3 a\u00f1os, por lo que es imposible que dichos productos lleguen hasta el IPS en el mismo mes de su fabricacion y esterilizacion. Solicitamos que el plazo minimo aceptado sea de 2 a\u00f1os. Favor aclarar.", "author": {"name": "LUIS ARMANDO ABBATE CORDAZZO", "id": "PY-RUC-297749-4"}, "answer": "El oferente deber\u00e1 ajustarse al Pliego de Bases y Condiciones.", "dateAnswered": "2017-02-08T08:47:23-04:00"}, {"id": "23", "date": "2016-09-07T10:32:08-04:00", "title": "Lote 23, \u00cdtem 8 \u0096 Implante Pedicular USS en Titanio o Acero", "description": "En el \u00edtem 8 Rotula transversal m\u00faltiple en acero Quir\u00fargico:\n\u0095\tConsultamos si se refiere al Crosslink Multiaxial.\n\u0095\tAdem\u00e1s si los tornillos son en titanio, este material tambi\u00e9n debe ser en titanio.\n", "author": {"name": "ORTOPEDIA MINARDI S.R.L.", "id": "PY-RUC-80003385-0"}, "answer": "Se aclara que, se refiere al Crosslink Multiaxial, por lo tanto el oferente deber\u00e1 ajustarse al Pliego de Bases y Condiciones.", "dateAnswered": "2017-02-08T08:46:53-04:00"}, {"id": "28", "date": "2016-09-07T11:08:58-04:00", "title": "Seccion VII Anexo 1, punto F15.", "description": "Seccion VII Anexo 1, punto F15. Para las protesis de cadera, rodilla y hombro, para cirugias primarias y de revision la oferta debera estar acompa\u00f1ada de Trabajos Cientificos publicados en revistas reconocidas de ortopedia y traumatologia por servicios de referencia mundial, donde las protesis son utilizadas teniendo un seguimiento clinico de por lo menos 5 a\u00f1os (sic). Solicitamos que dicho trabajo cientifico sea aceptado sin su publicacion en revistas de ortopedia y traumatologia, esto se debe a que muchos fabricantes poseen politicas de privacidad para estos estudios (que no permiten su divulgacion), ademas de que no esta determinado en el PBC cuales son esas revistas reconocidas, con que criterio se eligieron y quienes fueron los responsables de establecer dicho criterios para determinar la importancia de tal o cual revista. Deben tener en cuenta de que muchas de dichas revistas estan abiertamente sponsoreadas por ciertos fabricantes, lo que da pie a ciertas ventajas a uno u otro oferente.  ", "author": {"name": "LUIS ARMANDO ABBATE CORDAZZO", "id": "PY-RUC-297749-4"}, "answer": "El oferente deber\u00e1 ajustarse al Pliego de Bases y Condiciones.", "dateAnswered": "2017-02-08T08:47:44-04:00"}, {"id": "33", "date": "2016-09-07T15:29:26-04:00", "title": "MUESTRAS", "description": "1. Se solicita a la Convocante en el caso de cotizar varios lotes con el mismo tipo de material donde s\u00f3lo var\u00edan las medidas se acepte la presentaci\u00f3n de una muestra con la DDJJ correspondiente que nos comprometemos a la entrega de los productos tal cual lo solicitan las especificaciones t\u00e9cnicas.\n2. Para el lote 35 Pr\u00f3tesis de tobillo, el mismo es un producto cuyo costo es elevado. Se solicita a la Convocante aceptar cat\u00e1logos y folletos descriptivos que demuestren el cumplimiento total de las especificaciones t\u00e9cnicas solicitadas.\n\n", "author": {"name": "CATETERES Y AFINES S.A.", "id": "PY-RUC-80030030-0"}, "answer": " El oferente deber\u00e1 remitirse a la Adenda N\u00b0 6.", "dateAnswered": "2017-02-08T08:48:50-04:00"}, {"id": "34", "date": "2016-09-07T15:30:48-04:00", "title": "Lote 71 \u00cdtem 1 ", "description": "En relaci\u00f3n al sistema de fijaci\u00f3n para ligamento con tornillo. Se refiere a un sistema con loop variable de fijaci\u00f3n cortical o solamente al tornillo transversal? Cu\u00e1l ser\u00eda el sistema de fijaci\u00f3n distal?", "author": {"name": "CATETERES Y AFINES S.A.", "id": "PY-RUC-80030030-0"}, "answer": " El oferente deber\u00e1 remitirse a la Adenda N\u00b0 6.", "dateAnswered": "2017-02-08T08:48:58-04:00"}, {"id": "21", "date": "2016-09-06T08:59:33-04:00", "title": "Seccion VII, Anexo 1, Punto F. Cualquier otro documento adicional requerido, punto 8", "description": "Seccion VII, Anexo 1, Punto F. Cualquier otro documento adicional requerido, punto 8, para los implantes solicitados en titanio puro o aleacion de titanio (TI-6AI-4V) deben ser ofertados con Certificados ISO 5832-3 u otra certificacion de calidad, dicho punto debe ser eliminado, ya que la Certificacion ISO 5832-3 se refiere a la composicion quimica del titanio o aleacion de titanio utilizado en la fabricacion de implantes quirurgicos. Esta certificacion ya es cumplida por el fabricante al momento de obtener la certificacion de la autoridad sanitaria local, ya que dicha certificacion se refiere al metodo de analisis de la aleacion de titanio y los parametros que deben cumplir dicha aleacion para ser utilizada como implante quirurgico. Dichos analisis son realizados por el fabricante de la materia prima y entregados a la autoridad sanitaria competente al momento de revision de los procedimiento de fabricacion del implante. Por lo expuesto mas arriba, reiteramos nuetsra solicitud de eliminacion de dicho punto.", "author": {"name": "LUIS ARMANDO ABBATE CORDAZZO", "id": "PY-RUC-297749-4"}, "answer": "El oferente deber\u00e1 remitirse a la Adenda N\u00b0 6.", "dateAnswered": "2017-02-08T08:46:30-04:00"}, {"id": "48", "date": "2017-02-10T08:49:45-04:00", "title": "En la secci\u00f3n III Cronograma de entregas Punto 5", "description": "Donde Dice: \" El servicio se encuentra recepcionando con el sistema de presentacion de una Carta de compromiso; ademas de la implementacion de un sistema de control de stock el cual ayudaria al control  de los implantes  utilizados. Evitando el sistema de presentacion fisica de los implantes y la devolucion de los mismos, exponiendo al personal del Servicio a inconvenientes que podrian surgir en el manejo de los mismos\"\n\nFavor aclarar que ya no ser\u00e1 necesaria la entrega f\u00edsica de implantes en car\u00e1cter de garant\u00eda y que en car\u00e1cter de garant\u00eda la empresa adjudicada podr\u00e1 entregar una nota compromiso por parte del adjudicado en la que se compromete a entregar todos los materiales necesarios en tiempo y forma establecidos en el PBC. ", "author": {"name": "B.BRAUN MEDICAL PARAGUAY S.A.", "id": "PY-RUC-80012330-1"}, "answer": "El oferente deber\u00e1 remitirse a la Adenda N\u00b0 11.-.", "dateAnswered": "2017-03-15T11:38:29-04:00"}, {"id": "19", "date": "2016-09-06T08:30:10-04:00", "title": "Seccion VII, Anexo 1, Punto F. Cualquier otro documento adicional requerido", "description": "Seccion VII, Anexo 1, Punto F. Cualquier otro documento adicional requerido, punto 6 Certificado de aprobacion y habilitacion para su uso en la practica clinica emitido por un organismo competente para ello, como ser FDA y CE. Este punto es limitativo e ilegal, debido a que el Certificado de aprobacion y habilitacion lo emite la autoridad competente de cada pais donde el fabricante fija domicilio legal, no se puede exigir la habilitacion de un organismo de los EEUU o Comunidad Europea para un fabricante del Mercosur u otro pais. Para eso estan las regulaciones sanitarias internacionales que habilitan a la autoridad competente de cada pais a certificar al fabricante de cada especialidad bajo los parametros internacionales homologados. Solicitamos que se acepten las Certificaciones de las Autoridades Sanitarias Competentes locales de cada fabricante. Ademas les informamos que el propio Ministerio de Salud de nuestro pais a traves de la Direccion Nacional de Vigilancia Sanitaria por ley establece claramente cuales son las documentaciones homologadas regionalmente para la importacion y comercializacion de los implantes traumatologicos, y en ningun punto de dicha ley o reglamento se establece u obliga a poseer el certificado CE o FDA de los Estados Unidos para que dichos implantes puedan ser comercializados libremente.  ", "author": {"name": "LUIS ARMANDO ABBATE CORDAZZO", "id": "PY-RUC-297749-4"}, "answer": "El oferente deber\u00e1 ajustarse al Pliego de Bases y Condiciones.", "dateAnswered": "2017-02-08T08:46:08-04:00"}, {"id": "45", "date": "2017-02-09T16:55:48-04:00", "title": "Seccion VII Anexo 1, punto F15.", "description": "Seccion VII Anexo 1, punto F15. Para las protesis de cadera, rodilla y hombro, para cirugias primarias y de revision la oferta debera estar acompa\u00f1ada de Trabajos Cientificos publicados en revistas reconocidas de ortopedia y traumatologia por servicios de referencia mundial, donde las protesis son utilizadas teniendo un seguimiento clinico de por lo menos 5 a\u00f1os (sic). Solicitamos que dicho trabajo cientifico sea aceptado sin su publicacion en revistas de ortopedia y traumatologia, esto se debe a que muchos fabricantes poseen politicas de privacidad para estos estudios (que no permiten su divulgacion), ademas de que no esta determinado en el PBC cuales son esas revistas reconocidas, con que criterio se eligieron y quienes fueron los responsables de establecer dicho criterios para determinar la importancia de tal o cual revista. Deben tener en cuenta de que muchas de dichas revistas estan abiertamente sponsoreadas por ciertos fabricantes, lo que da pie a ciertas ventajas a uno u otro oferente. Exigimos una respuesta acorde a lo solicitado y no simplemente un ajustarse al PBC como lo hicieron en la adenda No6, es necesario una respuesta tecnica para evitar interpretaciones erroneas del PBC con respecto al direccionamiento del mismo a una empresa en particular.", "author": {"name": "LUIS ARMANDO ABBATE CORDAZZO", "id": "PY-RUC-297749-4"}, "answer": "Se aclara que, los Trabajos Cient\u00edficos publicados en Revistas Internacionales reconocidas de Ortopedia y Traumatolog\u00eda por Sociedades M\u00e9dicas de Ortopedia y Traumatolog\u00eda Americana, Sociedades Europeas, Asociaciones y/o Sociedades del Mercosur y por Servicios de referencia Mundial dan la garant\u00eda de la aprobaci\u00f3n del implante para su uso cl\u00ednico.\nEsto teniendo en cuenta que los mismos requieren un proceso de evaluaci\u00f3n a largo plazo (donde dichas pr\u00f3tesis, materiales de osteos\u00edntesis - placas, tornillos y clavos- e insumos quir\u00fargicos, son utilizadas teniendo un seguimiento cl\u00ednico de por lo menos 5 a\u00f1os para definir la efectividad de los mismos), en relaci\u00f3n a duraci\u00f3n y resistencia lo cual en la pr\u00e1ctica m\u00e9dica traumatol\u00f3gica s\u00f3lo se comprueba mediante trabajos cient\u00edficos publicados, ya que no son raras las publicaciones en que se comprobaron que una Pr\u00f3tesis o Material de Osteos\u00edntesis present\u00f3 falla a largo plazo por lo que NO SE ACONSEJA SU USO.\nNo est\u00e1 de m\u00e1s recordar que el derecho del asegurado a recibir una atenci\u00f3n de calidad, no solo tiene un enfoque humanista, sino de componentes t\u00e9cnicos-cient\u00edficos que obligan a la prestadora de atenci\u00f3n en salud  (en este caso el IPS) a velar y avalar el cumplimiento de los mismos; a m\u00e1s de garantizar el ejercicio confiando de sus funciones a los Profesionales de Salud  ante la gran responsabilidad de efectividad del procedimiento a realizar o realizado, por lo tanto el oferente deber\u00e1 remitirse a lo solicitado en la Adenda N\u00b0 11.-\n", "dateAnswered": "2017-03-15T11:37:31-04:00"}, {"id": "11", "date": "2016-09-05T09:38:27-04:00", "title": "Lote No 41, Item No 1 Clavo universal fresado para femur", "description": "Lote 41, Item No 1 Clavo universal fresado para femur en acero quirurgico, en la observacion solicitan dicho clavo con opciones de inicio trocanterico y por fosita femoral, solicitamos que definan la opcion de inicio, ya que por lo general este clavo de femur fresado solicitado por el IPS es de inicio por fosita (centro medular). No conocemos clavo alguno que tenga las dos opciones de inicio, ya que la forma y curvatura del mismo esta dada justamente por esta especificacion tecnica", "author": {"name": "LUIS ARMANDO ABBATE CORDAZZO", "id": "PY-RUC-297749-4"}, "answer": "El oferente deber\u00e1 remitirse a la Adenda N\u00b0 6.", "dateAnswered": "2017-02-08T08:44:14-04:00"}, {"id": "37", "date": "2016-09-08T09:54:09-04:00", "title": "Provision de Servicio.", "description": "Por la presente nos permitimos efectuar la siguiente consulta en relaci\u00f3n al Pliego de Bases y Condiciones, que hacen a la licitaci\u00f3n. Consultamos cuales son los \u00edtems que se refieren a la provisi\u00f3n de materiales \u00fanicamente, es decir donde el trabajo del proveedor culmina con la entrega efectiva de los productos. Las que no requieren de asistencia m\u00e9dica en quir\u00f3fano. Muchas Gracias.\n", "author": {"name": "ORGANIZACION DE CONSULTORES Y ASESORES S.A", "id": "PY-RUC-80076730-6"}, "answer": "Se aclara que, son los \u00cdtems 54(c\u00f3digo 7926), 55 (c\u00f3digo 7927), 56 (c\u00f3digo 7928), 61(c\u00f3digo 2774), 69 (c\u00f3digo 7067), 70(c\u00f3digo 7066), y 82(c\u00f3digo 6868).", "dateAnswered": "2017-02-08T08:49:29-04:00"}, {"id": "10", "date": "2016-09-05T09:35:51-04:00", "title": "Lote 64 y 65 Espaciador de cadera y rodilla", "description": "Lote 64 y 65 Espaciadores de cadera y rodilla correspondientemente, los mismos se solicitan con cemento quirurgico? Que cantidad se precisa y que tipo de cemento (standard o baja viscosidad? Favor aclarar.", "author": {"name": "LUIS ARMANDO ABBATE CORDAZZO", "id": "PY-RUC-297749-4"}, "answer": "El oferente deber\u00e1 remitirse a la Adenda N\u00b0 6.", "dateAnswered": "2017-02-08T08:44:02-04:00"}, {"id": "5", "date": "2016-09-05T09:01:25-04:00", "title": "Lote 20, Item No 1 Placa en T tipo LCP 4.5/5.0mm c/tornillos", "description": "Lote 20 Item No 1 Placa en T tipo LCP de sosten sistema 4.5/5.0mm de 4/5/6 orificios c/tornillos en acero quirurgico, solicitamos que a dicho material le sea agregado los tornillos esponjosos tipo LCP de rosca parcial y total. Es necesario de los tornillos esponjosos bloqueados para las placas tipo LCP de tibia proximal.", "author": {"name": "LUIS ARMANDO ABBATE CORDAZZO", "id": "PY-RUC-297749-4"}, "answer": "Se aclara que, el oferente deber\u00e1  presentar una carta de compromiso de que los diferentes tipos de tornillos estar\u00e1n en la caja de instrumentales en el momento de la cirug\u00eda; por lo tanto el oferente deber\u00e1 ajustarse al Pliego de Bases y Condiciones.", "dateAnswered": "2017-02-08T08:43:18-04:00"}, {"id": "39", "date": "2017-02-09T15:52:34-04:00", "title": "Lote 73 PLACA PARA RADIO DISTAL CON TORNILLO", "description": "Solicitamos a la convocante aclarar si todos los tornillos deben ser de 2,7 mm", "author": {"name": "CATETERES Y AFINES S.A.", "id": "PY-RUC-80030030-0"}, "answer": "Se aclara que, efectivamente, todos los Tornillos deben ser 2.7 mm.-", "dateAnswered": "2017-03-15T11:35:26-04:00"}, {"id": "20", "date": "2016-09-06T08:45:58-04:00", "title": "Seccion VII, Anexo 1, Punto F. Cualquier otro documento adicional requerido, punto 7", "description": "Seccion VII, Anexo 1, Punto F. Cualquier otro documento adicional requerido, punto 7, Certificado CE y al menos uno de los sgtes. Certificados: ISO783-13; ISO4957; ISO 7153-1,; DIN 17440; DIN 17442; AST-E353, solicitamos que dicho punto sea eliminado, no corresponde la solicitud de los Certificados ISO que figuran en el PBC para el fabricante de los implantes traumatologicos. Dichos certificados tienen que ver con el cumplimiento de ciertas normas por parte del fabricante de la materia prima (o sea del proveedor del acero quirurgico), ya que dichas certificaciones solicitadas se refieren entro otras cosas a la composicion quimica de la aleacion de los implantes (ya analizado por la autoridad competente local al momento de expedir la certificacion correspondiente), el grado y tipo de acero utilizado en la fabricacion de los instrumentales (que no es solicitado en el PBC), metodos de analisis de la materia prima y ciertas regulaciones alemanas que no corresponden, ya que dichas certificaciones DIN unicamente pueden ser emitidas a empresas fabricantes alemanas. Por todo lo expuesto, es claramente visible que dicho punto es arbitrario ademas de no ser aplicable a los fabricantes de los implantes traumatologicos. Reiteramos nuestra solicitud de eliminacion del punto 7. Favor confirmar    ", "author": {"name": "LUIS ARMANDO ABBATE CORDAZZO", "id": "PY-RUC-297749-4"}, "answer": " El oferente deber\u00e1 remitirse a la Adenda N\u00b0 6.", "dateAnswered": "2017-02-08T08:46:19-04:00"}, {"id": "18", "date": "2016-09-06T08:09:20-04:00", "title": "Seccion VII, Anexo 1, Punto F. Cualquier otro documento adicional requerido", "description": "Seccion VII, Anexo 1, Punto F. Cualquier otro documento adicional requerido, punto 1) Copias de Contratos y/o Facturas a traves de las cuales el oferente demuestre haber facturado en la provision de protesis e insumos medicos traumatologicos a instituciones publicas o privadas dentro de los ultimos 5 a\u00f1os por un volumen de negocio en su totalidad sea igual o superior al 50%. Solicitamos que el volumen de negocios a ser presentados con los diversos Contratos y/o Facturas sea igual o superior al 20% de la oferta, teniendo en cuenta que es un rubro muy poco licitado en institucines publicas (solo lo hace la Diben y el IPS lo hace unicamente cada 3 a\u00f1os), por lo que es dificil alcanzar un volumen del 50% por la cantidad amplia de materiales solicitados en el PBC. Tambien seria importante que amplien a 10 a\u00f1os el plazo del tiempo solicitado de dichos Contratos y/o facturas. Favor confirmar.", "author": {"name": "LUIS ARMANDO ABBATE CORDAZZO", "id": "PY-RUC-297749-4"}, "answer": "El oferente deber\u00e1 ajustarse al Pliego de Bases y Condiciones.", "dateAnswered": "2017-02-08T08:45:59-04:00"}, {"id": "49", "date": "2017-02-10T09:03:08-04:00", "title": "En la Adenda 6 donde dice del lote 30 al 82 ", "description": "En la observacion de las Especificaciones T\u00e9cnicas del lote 30 al 82 se menciona: PR\u00d3TESIS DE REVISI\u00d3N DE CADERA NO CEMENTADA, \nsolicitamos aclarar  al respecto de la misma:\n\n1) En que lote esta incluida la revisi\u00f3n de cadera no cementada?\n2) Cu\u00e1l es la cantidad de la misma?\n3) Cuales son las especificaciones t\u00e9cnicas de dicha revisi\u00f3n?", "author": {"name": "B.BRAUN MEDICAL PARAGUAY S.A.", "id": "PY-RUC-80012330-1"}, "answer": "El oferente deber\u00e1 remitirse a la Adenda N\u00b0 11.-.", "dateAnswered": "2017-03-15T11:38:42-04:00"}, {"id": "22", "date": "2016-09-07T10:31:22-04:00", "title": "Lote 23, \u00cdtem 1 al 7 \u0096 Implante Pedicular USS en Titanio o Acero", "description": "Consultamos si se puede ofertar en milimetraje de m\u00e1s o menos 0,5 mm, ya que las medidas 5,0 mm y 6,0 mm corresponden a una marca espec\u00edfica, la mayor\u00eda las fabrican en 4,5 \u0096 5,5 y 6,5 mm.", "author": {"name": "ORTOPEDIA MINARDI S.R.L.", "id": "PY-RUC-80003385-0"}, "answer": "El oferente deber\u00e1 ajustarse al Pliego de Bases y Condiciones.", "dateAnswered": "2017-02-08T08:46:41-04:00"}, {"id": "3", "date": "2016-09-05T08:55:09-04:00", "title": "Lote 14, Item No 1 Clavo no fresado solido para femur en titanio", "description": "Lote 14, Item No 1 Clavo no fresado solido para femur en titanio, en la observacion solicitan dicho clavo con opciones de inicio trocanterico y por fosita femoral, solicitamos que definan la opcion de inicio, ya que por lo general este clavo de femur solido solicitado por el IPS es de inicio por fosita (centro medular). No conocemos clavo alguno que tenga las dos opciones de inicio, ya que la forma y curvatura del mismo esta dada justamente por esta especificacion tecnica. ", "author": {"name": "LUIS ARMANDO ABBATE CORDAZZO", "id": "PY-RUC-297749-4"}, "answer": "El oferente deber\u00e1 remitirse a la Adenda N\u00b0 6.", "dateAnswered": "2017-02-08T08:42:57-04:00"}, {"id": "12", "date": "2016-09-05T09:41:44-04:00", "title": "Lote 74, Item No 1 Placa p/radio distal volar de 2.4mm", "description": "Lote 74, Item No 1 Placa p/radio distal volar de 2.4mm, se podria ofertar en este Item la placa volar combinada tipo LCP de 2.4/3.5mm? Favor aclarar.", "author": {"name": "LUIS ARMANDO ABBATE CORDAZZO", "id": "PY-RUC-297749-4"}, "answer": "El oferente deber\u00e1 ajustarse al Pliego de Bases y Condiciones.", "dateAnswered": "2017-02-08T08:44:25-04:00"}, {"id": "9", "date": "2016-09-05T09:32:45-04:00", "title": "Lote 61, Item No 1 Campos quirurgicos esteriles ", "description": "Lote 61, Item No 1 Campos quirurgicos esteriles, solicitan de 56x45cm., favor agregar rango de +-5cm, debido a que la medida mas utilizada de dicho insumo es de 60x45, ademas de que la medidad solicitada corresponde a una marca en particular. favor aclarar. ", "author": {"name": "LUIS ARMANDO ABBATE CORDAZZO", "id": "PY-RUC-297749-4"}, "answer": "El oferente deber\u00e1 ajustarse al Pliego de Bases y Condiciones.", "dateAnswered": "2017-02-08T08:43:54-04:00"}, {"id": "36", "date": "2016-09-08T09:11:39-04:00", "title": "Cronograma de Entrega", "description": "En el PBC indica: \nCon Orden de entrega a ser expedida por la Direcci\u00f3n M\u00e9dica del Hospital Central a trav\u00e9s del Servicio de Ortopedia y Traumatolog\u00eda, en base a solicitud del Jefe del Servicio.\nTodos los productos ser\u00e1n entregados en el Servicio de Ortopedia y Traumatolog\u00eda del Hospital Central.\n- Cantidades m\u00ednimas:\n\u0095La provisi\u00f3n por paciente se har\u00e1 en el Servicio en un plazo no mayor a 2 d\u00edas h\u00e1biles de lunes  a viernes, a partir de la recepci\u00f3n de la orden de entrega, con \u00f3rdenes de entrega emitidas por la Direcci\u00f3n M\u00e9dica del Hospital Central conforme a los pedidos del Jefe del Servicio.\n\u0095La provisi\u00f3n para stock se har\u00e1 en el Servicio en un plazo no mayor a 8 (ocho) d\u00edas h\u00e1biles de (lunes a viernes), a partir de la recepci\u00f3n de la orden de entrega, con \u00f3rdenes emitidas por la Direcci\u00f3n M\u00e9dica del Hospital Central, a partir de la recepci\u00f3n por el proveedor de la orden de entrega, posterior a la firma del contrato, por la cantidad que requiera el Servicio.\n\nEste sistema de entrega conduce a la convocante y a los oferentes muchos procesos y re procesos que se traducen en costos operativos que afectan a ambas partes y a errores que podr\u00edamos evitar si el proceso de entrega es menos engorroso.\n\nLa entrega real de los materiales se realiza en el momento de la cirug\u00eda, momento en el cual el oferente adjudicado se presenta para la cirug\u00eda, incluso el d\u00eda anterior para hacer entrega de los instrumentales quir\u00fargicos y los implantes quir\u00fargicos cuyos set completo incluye todos los tama\u00f1os que pudieran ser utilizados quedando en el paciente solo el numero de implante correspondiente de acuerdo a lo que el cirujano decide en ese momento. \nLa entrega que se menciona en el pliego cuyo texto se copia arriba de la siguiente manera:\n\nLa provisi\u00f3n por paciente se har\u00e1 en el Servicio en un plazo no mayor a 2 d\u00edas h\u00e1biles\nLa provisi\u00f3n para stock se har\u00e1 en el Servicio en un plazo no mayor a 8 (ocho) d\u00edas h\u00e1biles\n\nEs para los oferentes una doble entrega que se nos devuelve muy posteriormente al d\u00eda en que se lleva acabo la cirug\u00eda, lo cual significa que durante un tiempo el IPS tiene en su poder el doble del producto a entregar y ocasiona al oferente trastornos contables e incluso con el fisco \nEsta doble entrega y los conflictos mencionados podr\u00eda omitirse si en el momento de la entrega de la manera arriba mencionada:\n\nLa provisi\u00f3n por paciente se har\u00e1 en el Servicio en un plazo no mayor a 2 d\u00edas h\u00e1biles\nLa provisi\u00f3n para stock se har\u00e1 en el Servicio en un plazo no mayor a 8 (ocho) d\u00edas h\u00e1biles\n\nLa provisi\u00f3n podr\u00eda formalizarse  a trav\u00e9s de una carta compromiso por parte del adjudicado en la que se compromete a entregar todos los materiales necesarios en tiempo y forma establecidos en el PBC, es decir en el momento de la cirug\u00eda y se establecen disposiciones punitivas para las empresas  no cumplan como debe esta establecido\n\n", "author": {"name": "B.BRAUN MEDICAL PARAGUAY S.A.", "id": "PY-RUC-80012330-1"}, "answer": "El oferente deber\u00e1 remitirse a la Adenda N\u00b0 6.", "dateAnswered": "2017-02-08T08:49:19-04:00"}, {"id": "16", "date": "2016-09-05T09:53:57-04:00", "title": "Requisitos", "description": "La experiencia es una limitante a la libre concurrencia, la compulsa es \u00fanicamente para quienes tengan tal calidad, o en su caso al ser el oferente representante de una f\u00e1brica internacional y efect\u00faan provisi\u00f3n de pr\u00f3tesis, se consulta si la experiencia puede ser de la fabricante y si la facturaci\u00f3n puede ser la producida en el extranjero.", "author": {"name": "ORGANIZACION DE CONSULTORES Y ASESORES S.A", "id": "PY-RUC-80076730-6"}, "answer": "Se aclara que lo solicitado es respecto a la experiencia en Hospitales del Mercosur, con reconocida trayectoria  en la Especialidad de Traumatolog\u00eda.", "dateAnswered": "2017-02-08T08:45:34-04:00"}, {"id": "24", "date": "2016-09-07T10:33:00-04:00", "title": "Lote 57, \u00cdtem 1 \u0096 Tornillo de Interferencia tipo kurozaka en titanio", "description": "Esta cirug\u00eda requiere 1 par de tornillos. Consultamos si se debe ofertar por par o por unida.", "author": {"name": "ORTOPEDIA MINARDI S.R.L.", "id": "PY-RUC-80003385-0"}, "answer": "Se aclara que, se debe ofertar  por unidad, por lo tanto el oferente deber\u00e1 ajustarse al Pliego de Bases y Condiciones.", "dateAnswered": "2017-02-08T08:47:04-04:00"}, {"id": "46", "date": "2017-02-09T17:02:25-04:00", "title": "Seccion VII Anexo 1, punto F14.", "description": "Las empresas adjudicadas deberan ofrecer cursos de entrenamiento teprico-practico al personal medico y paramedico del Servicio, como metodo de capacitacion permanente de tecnicas quirurgicas. Los cursos de adiestramiento deberan ser coordinados con la Jefatura del Servicio en su agendamiento. El lugar de adiestramiento estara relacionado con el pais de procedencia dle material de osteosintesis o protesis o insumos quirrugicos. Se solicita un minimo de 4 (cuatro) a un maximo de 8 (ocho) medicos por a\u00f1o,para su capacitacion en los lugares respectivos. Solicitamos que dicha capacitacion sea exigible unicamente a las empresas adjudicadas en Protesis, no asi en materiales de osteosintesis o insumos quirurgicos, debido al bajo costo de dichos materiales y algunas cantidades infimas solicitadas que no dan margenes para dichas capacitaciones. Tener en cuenta de que existen materiales de osteosintesis de costo muy bajo por lo que no corresponden dicha capacitacion. Favor confirmar que la capacitacion sera exigible unicamente a las empresas adjudicadas en Protesis (ya sea de cadera o rodilla).", "author": {"name": "LUIS ARMANDO ABBATE CORDAZZO", "id": "PY-RUC-297749-4"}, "answer": "Se aclara que, la capacitaci\u00f3n ser\u00e1 exigible \u00fanicamente a las empresas adjudicadas en Pr\u00f3tesis, y Clavos Endomedulares, independientemente de su zona anat\u00f3mica (H\u00famero, Cadera, F\u00e9mur, Rodilla, Tibia, etc.), pudiendo excluirse a empresas que sean adjudicadas con otros materiales de osteos\u00edntesis e insumos quir\u00fargicos, por lo tanto el oferente deber\u00e1 remitirse a lo solicitado en la Adenda N\u00b0 11.-", "dateAnswered": "2017-03-15T11:37:53-04:00"}, {"id": "47", "date": "2017-02-10T08:42:20-04:00", "title": "Seccion VII - Inciso F - Punto 12", "description": "Donde dice: El oferente debera disponer de un personal (instrumentador) para el dia de la cirugia, el que sera responsable del contenido de las cajas de instrumentales. CUATRO CAJAS DISPONIBLES COMO MINIMO.\n\nFavor aclarar: Este requerimiento corresponde a todos los lotes e \u00edtems solicitados?", "author": {"name": "B.BRAUN MEDICAL PARAGUAY S.A.", "id": "PY-RUC-80012330-1"}, "answer": "Se aclara que, si corresponde a todos los \u00edtems solicitados tanto lo de la presencia del profesional instrumentador como la cantidad de las cajas solicitadas; este \u00faltimo debido al aumento actual del n\u00famero de cirug\u00edas y a la proyecci\u00f3n del Servicio de contar con 7 a 8 quir\u00f3fanos a fines del 2017, lo cual aumentar\u00eda a\u00fan m\u00e1s la cantidad de casos haciendo necesario el soporte con las cajas de instrumentales solicitados, por lo tanto el oferente deber\u00e1 ajustarse al a lo establecido en el Pliego de Bases y Condiciones y sus Adendas.-", "dateAnswered": "2017-03-15T11:38:14-04:00"}, {"id": "27", "date": "2016-09-07T10:52:25-04:00", "title": "Esterilizacion de Cajas de Cirugia", "description": "Esterilizacion de Cajas de Cirugia, solicitamos la aclaracion sobre si las cajas de instrumentales correspondientes a las cirugias de los implantes adjudicados en la presente Licitacion seran esterilizados por el hospital central, teniendo en cuenta que esto representa un costo importante que debemos considerar en caso de que el IPS no se haga cargo de la esterilizacion. Como referencia hasta la fecha se viene realizando la esterilizacion en el Hospital Central de los instrumentales correspondientes a los implantes adjudicados en licitaciones anteriores. ", "author": {"name": "LUIS ARMANDO ABBATE CORDAZZO", "id": "PY-RUC-297749-4"}, "answer": "El oferente deber\u00e1 remitirse a la Adenda N\u00b0 6.", "dateAnswered": "2017-02-08T08:47:33-04:00"}, {"id": "40", "date": "2017-02-09T16:33:05-04:00", "title": "Seccion III Punto 5 Vencimiento", "description": "Seccion III, Punto 5 Vencimiento, dicho punto establece que el vencimiento minimo debe ser igual o superior a 3 a\u00f1os, solicitamos el cambio de dicho plazo debido a que los implantes esteriles salen con una fecha de vigencia desde fabrica de 3 a\u00f1os, por lo que es imposible que dichos productos lleguen hasta el IPS en el mismo mes de su fabricacion y esterilizacion. Solicitamos que el plazo minimo aceptado sea de 2 a\u00f1os. Tener en cuenta las normativas internacionales de calidad (que se exigen en el presente PBC) que establecen claramente que dichos implantes esteriles deben tener una caducidad maxima de 3 a\u00f1os desde su fecha de esterilizacion. Favor confirmar.", "author": {"name": "LUIS ARMANDO ABBATE CORDAZZO", "id": "PY-RUC-297749-4"}, "answer": "El oferente deber\u00e1 remitirse a la adenda N\u00b011.-", "dateAnswered": "2017-03-15T11:35:51-04:00"}, {"id": "1", "date": "2016-09-05T08:33:27-04:00", "title": "Muestras", "description": "Presentacion de Muestras, se podria obviar la presentacion de las muestras correspondientes a los Items No 27, 33 y 34 Endoprotesis, cuyas cantidades minimas son 1 y maxima 2 unidades, el motivo principal es el alto costo de dichos implantes ademas de que los mismos son solicitados a la fabrica de acuerdo a cada caso. Solicitamos que para dichos items sean validas la presentacion de catalogos en sustitucion de las muestras.", "author": {"name": "LUIS ARMANDO ABBATE CORDAZZO", "id": "PY-RUC-297749-4"}, "answer": "El oferente deber\u00e1 remitirse a la Adenda N\u00b0 6.", "dateAnswered": "2017-02-08T08:42:45-04:00"}, {"id": "2", "date": "2016-09-05T08:37:03-04:00", "title": "Lote 13  Fijador externo tipo AO, Item 3 Rotula tubo-tutor AO en acero quirurgico ", "description": "Lote 13  Fijador externo tipo AO, Item 3 Rotula tubo-tutor AO en acero quirurgico, este Item se refiere a la rotula tubo-tubo? Favor aclarar.  ", "author": {"name": "LUIS ARMANDO ABBATE CORDAZZO", "id": "PY-RUC-297749-4"}, "answer": "El oferente deber\u00e1 remitirse a la Adenda N\u00b0 6.", "dateAnswered": "2017-02-08T08:42:52-04:00"}, {"id": "14", "date": "2016-09-05T09:48:21-04:00", "title": "Lote 80 y 81 Hilos con anclaje", "description": "Lote 80 y 81 Sistema de anclaje diametro 1.4mm y 2.9mm correspondientemente, solicitamos la apertura de un rango de +- 2mm en dichas medidas, porque las medidas solicitadas corresponden unicamente a una marca en particular. Favor aclarar.", "author": {"name": "LUIS ARMANDO ABBATE CORDAZZO", "id": "PY-RUC-297749-4"}, "answer": "El oferente deber\u00e1 ajustarse al Pliego de Bases y Condiciones.", "dateAnswered": "2017-02-08T08:45:06-04:00"}, {"id": "42", "date": "2017-02-09T16:44:55-04:00", "title": "Seccion VII, Anexo 1, Punto F. Cualquier otro documento adicional requerido", "description": "Seccion VII, Anexo 1, Punto F. Cualquier otro documento adicional requerido, punto 6 Certificado de aprobacion y habilitacion para su uso en la practica clinica emitido por un organismo competente para ello, como ser FDA y CE. Este punto es limitativo e ilegal, debido a que el Certificado de aprobacion y habilitacion lo emite la autoridad competente de cada pais donde el fabricante fija domicilio legal, no se puede exigir la habilitacion de un organismo de los EEUU o Comunidad Europea para un fabricante del Mercosur u otro pais. Para eso estan las regulaciones sanitarias internacionales que habilitan a la autoridad competente de cada pais a certificar al fabricante de cada especialidad bajo los parametros internacionales homologados. Solicitamos que se acepten las Certificaciones de las Autoridades Sanitarias Competentes locales de cada fabricante. Ademas les informamos que el propio Ministerio de Salud de nuestro pais a traves de la Direccion Nacional de Vigilancia Sanitaria por ley establece claramente cuales son las documentaciones homologadas regionalmente para la importacion y comercializacion de los implantes traumatologicos, y en ningun punto de dicha ley o reglamento se establece u obliga a poseer el certificado CE o FDA de los Estados Unidos para que dichos implantes puedan ser comercializados libremente. Es inaceptable que hayan demorado mas de 4 meses para emitir una escueta respuesta de adecuarse al PBC en este punto. Exigimos una respuesta con base tecnica y legal que respalde la posicion de la Convocante. Les comunicamos ademas que la presente exigencia del IPS se contrapone con la Resolucion No 669 del Ministerio de Salud Publica y Bienestar Social donde se determina claramente las documentaciones exigidas por dicha Institucion para la comercializacion e importacion de dispositivos medico-hospitalarios.  ", "author": {"name": "LUIS ARMANDO ABBATE CORDAZZO", "id": "PY-RUC-297749-4"}, "answer": "El oferente deber\u00e1 remitirse a la Adenda N\u00b0 11.-", "dateAnswered": "2017-03-15T11:36:37-04:00"}, {"id": "38", "date": "2017-02-09T08:28:19-04:00", "title": "Contratos anteriores", "description": "Solicitamos a la convocante aclarar si contratos anteriores de insumos m\u00e9dicos como guantes (utilizados en cirug\u00edas traumatologicas) ser\u00edan considerados como v\u00e1lidos para la evaluaci\u00f3n. De \u00e9ste modo podr\u00edamos ofertar mayor cantidad de lotes considerando el alto porcentaje que solicitan y la escasa cantidad de licitaciones de \u00e9ste tipo de productos en el pa\u00eds.", "author": {"name": "CATETERES Y AFINES S.A.", "id": "PY-RUC-80030030-0"}, "answer": "Se aclara que, no corresponde lo consultado, teniendo en cuenta la especificidad de los productos a adquirir y bien aclarados en el Pliego de Bases y Condiciones que solicita documentaciones de provisi\u00f3n de pr\u00f3tesis e insumos m\u00e9dicos Traumatol\u00f3gicos a Instituciones P\u00fablicas o Privadas, por lo tanto el oferente deber\u00e1 ajustarse a lo establecido en el Pliego de Bases y Condiciones y sus Adendas.-", "dateAnswered": "2017-03-15T11:35:03-04:00"}, {"id": "13", "date": "2016-09-05T09:45:08-04:00", "title": "Lote 77, Item No 1 Placa tipo LCP para femur distal ", "description": "Lote 77, Item No 1 Placa tipo LCP para femur distal de 7 a 13 orificios c/tornillos correspondientes, solicitamos agregar a los tornillos corticales y bloqueados los tornillos esponjosos bloqueados de rosca parcial y total, dichos tornillos son de uso necesario con el material solicitado. Favor aclarar.", "author": {"name": "LUIS ARMANDO ABBATE CORDAZZO", "id": "PY-RUC-297749-4"}, "answer": "El oferente deber\u00e1 remitirse a la Adenda N\u00b0 6.", "dateAnswered": "2017-02-08T08:44:37-04:00"}, {"id": "41", "date": "2017-02-09T16:38:48-04:00", "title": "Seccion VII, Anexo 1, Punto F. Cualquier otro documento adicional requerido", "description": "Seccion VII, Anexo 1, Punto F. Cualquier otro documento adicional requerido, punto 1) Copias de Contratos y/o Facturas a traves de las cuales el oferente demuestre haber facturado en la provision de protesis e insumos medicos traumatologicos a instituciones publicas o privadas dentro de los ultimos 5 a\u00f1os por un volumen de negocio en su totalidad sea igual o superior al 50%. Solicitamos que el volumen de negocios a ser presentados con los diversos Contratos y/o Facturas sea igual o superior al 20% de la oferta, teniendo en cuenta que es un rubro muy poco licitado en instituciones publicas (solo lo hace la Diben y el IPS lo hace unicamente cada 3 a\u00f1os), por lo que es dificil alcanzar un volumen del 50% por la cantidad amplia de materiales solicitados en el PBC. Aclarar tambien en este punto la posibilidad de presentar Contratos por insumos hospitalarios ya que lo publicado y solicitado en la Adenda No6 no es comprensible en lo que se refiere especificamente a insumos medicos para traumatologia.", "author": {"name": "LUIS ARMANDO ABBATE CORDAZZO", "id": "PY-RUC-297749-4"}, "answer": "El oferente deber\u00e1 ajustarse a lo establecido en el Pliego de Bases y Condiciones y sus Adendas.-", "dateAnswered": "2017-03-15T11:36:12-04:00"}, {"id": "32", "date": "2016-09-07T15:28:45-04:00", "title": "Documentos solicitados", "description": "1. Punto 6 Para las pr\u00f3tesis y materiales de osteos\u00edntesis ofertadas: Certificado de Aprobaci\u00f3n y Habilitaci\u00f3n para su uso en la pr\u00e1ctica cl\u00ednica emitido por un Organismo competente para ello: como ser la FDA (Food and Drug Administration) de los EEUU, CE (Comunidad Europea). Se solicita a la convocante aclarar si, \u00bfson necesarios ambos certificados o cualquiera de los certificados mencionados?\n2. Punto 12 Declaraci\u00f3n Jurada comprometi\u00e9ndose en caso de ser adjudicado a proveer en calidad de pr\u00e9stamo, el set de instrumentales para el d\u00eda de la cirug\u00eda. El oferente deber\u00e1 disponer de un personal (Instrumentador) para el d\u00eda de la cirug\u00eda, el que ser\u00e1 responsable del contenido de la caja de instrumentales. Cuatro cajas disponibles como m\u00ednimo. \u00bfSe necesitan \u00e9sa cantidad de cajas disponibles para todos los tipos de cirug\u00eda que solicitan en \u00e9sta licitaci\u00f3n? Considerando que por ejemplo las cirug\u00edas de cadera, rodilla, hombro, tobillo son de larga duraci\u00f3n y en un d\u00eda podr\u00eda realizarse como m\u00e1ximo dos cirug\u00edas.\n3. Punto 16 En el caso de retiro o extracci\u00f3n de las pr\u00f3tesis y/o materiales de osteos\u00edntesis, el oferente deber\u00e1 proveer las cajas completas para el retiro o extracci\u00f3n de los mismos (Motores, perforadores, instrumentales de extracci\u00f3n y el personal para el procedimiento), sin costo para el IPS. Solicitamos a la Convocante aclarar, \u00bfhasta cu\u00e1nto tiempo despu\u00e9s de la colocaci\u00f3n del material estamos comprometidos a cumplir con \u00e9ste requisito?\n", "author": {"name": "CATETERES Y AFINES S.A.", "id": "PY-RUC-80030030-0"}, "answer": "1) Punto 6: El oferente deber\u00e1 remitirse a la Adenda N\u00b0 6.\n2) Punto 12: Es menester del Servicio de Traumatolog\u00eda, la planificaci\u00f3n de cirug\u00edas, actualmente el Servicio consta de 5 cinco salas de cirug\u00edas, las cuales podr\u00edan ser utilizadas para cualquier tipo de cirug\u00edas, en promedio se planifican entre 25 a 30 cirug\u00edas en promedio. Eventualmente, seg\u00fan la referencia de cirug\u00edas de pr\u00f3tesis de cadera, rodilla, hombro, tobillo; el Servicio podr\u00eda organizar 2 cirug\u00edas de pr\u00f3tesis en 3 salas de cirug\u00edas, lo cual significa que eventualmente necesitar\u00edan 6 cajas de las cirug\u00edas para cubrir la demanda del d\u00eda. En otro punto, la disponibilidad de ese n\u00famero de cajas, representa una problem\u00e1tica limitante actualmente, algunas casas comerciales no llevan el numero de cajas necesarias alegando no tener disponible el n\u00famero de las mismas; o bien, preparan varias cajas donde algunas est\u00e1n incompletas, lo cual al final significa la cancelaci\u00f3n de cirug\u00edas. Consideramos que en general disponer de 4 cuatro cajas COMPLETAS para cada cirug\u00eda planificada. En referencia a la presencia del Instrumentador, ser\u00e1 el representante de la casa comercial y responsable del manejo quir\u00fargico y control post quir\u00fargico de los instrumentales e implantes (pr\u00f3tesis, materiales de osteos\u00edntesis e insumos), eximiendo al personal de Quir\u00f3fano del IPS, M\u00e9dicos, Licenciados, etc., de todo lo que podr\u00eda significar de la utilizaci\u00f3n y transporte de las cajas de instrumentales. \nEn ocasiones anteriores, un limitante para el servicio es la disponibilidad de cajas de instrumentales, lo cual afecta significativamente el n\u00famero de cirug\u00edas que se podr\u00edan realizar en el servicio. \n3) Punto 16: El oferente deber\u00e1 remitirse a la Adenda N\u00b0 6.\n", "dateAnswered": "2017-02-08T08:48:39-04:00"}, {"id": "35", "date": "2016-09-07T17:11:40-04:00", "title": "LOTE N\u00b030/ ITEM N\u00b01: PR\u00d3TESIS TOTAL CADERA NO CEMENTADA", "description": "Se solicita:\nCANTIDAD M\u00cdNIMA: 200\nCANTIDAD M\u00c1XIMA: 400\n\nEn las Especificaciones T\u00e9cnicas\nObservaciones, Se indica cuanto sigue:\n\n...Las pr\u00f3tesis totales de Cadera No Cementadas y las Protesis de Revision de Cadera No Cementadas deben ser ofertadas por la misma empresa, asegurando la compatibilidad y la intercambiabilidad...\n\n\nCONSULTA:\nQue cantidad de Pr\u00f3tesis de Revisi\u00f3n de Cadera No Cementadas  son las solicitadas?\n", "author": {"name": "B.BRAUN MEDICAL PARAGUAY S.A.", "id": "PY-RUC-80012330-1"}, "answer": "El oferente deber\u00e1 ajustarse al Pliego de Bases y Condiciones.", "dateAnswered": "2017-02-08T08:49:09-04:00"}, {"id": "17", "date": "2016-09-05T09:59:28-04:00", "title": "Lote 35, Item No 1 Protesis total de tobillo", "description": "Lote 35, Item No 1 Protesis total de tobillo, se podria obviar la presentacion de la muestra de este item, debido a que es un item muy complejo y de alto costo, con muy poco movimiento en el mercado. Solicitamos que sea valido para este Item la presentacion de su catalogo correspondiente.", "author": {"name": "LUIS ARMANDO ABBATE CORDAZZO", "id": "PY-RUC-297749-4"}, "answer": "El oferente deber\u00e1 remitirse a la Adenda N\u00b0 6.", "dateAnswered": "2017-02-08T08:45:47-04:00"}, {"id": "4", "date": "2016-09-05T09:00:12-04:00", "title": "Lote 19 Item No 1 Placa en L tipo LCP c/tornillos", "description": "Lote 19 Item No 1 Placa en L tipo LCP de sosten sistema 4.5/5.0mm de 4 orificios c/tornillos en acero quirurgico, solicitamos que a dicho material le sea agregado (solicitar) los tornillos esponjosos tipo LCP de rosca parcial y total. Es necesario de los tornillos esponjosos bloqueados para las placas tipo LCP de tibia proximal.", "author": {"name": "LUIS ARMANDO ABBATE CORDAZZO", "id": "PY-RUC-297749-4"}, "answer": "Se aclara que, el oferente deber\u00e1  presentar una carta de compromiso de que los diferentes tipos de tornillos estar\u00e1n en la caja de instrumentales en el momento de la cirug\u00eda; por lo tanto el oferente deber\u00e1 ajustarse al Pliego de Bases y Condiciones.", "dateAnswered": "2017-02-08T08:43:08-04:00"}, {"id": "29", "date": "2016-09-07T15:26:03-04:00", "title": "Lote 26 \u00cdtem 2 Pr\u00f3tesis total de cadera de revisi\u00f3n", "description": "\u00bfDeber ser solamente tipo MULLER o podr\u00eda cotizarse de otros modelos? Como, pr\u00f3tesis pulida para revisi\u00f3n de cadera?", "author": {"name": "CATETERES Y AFINES S.A.", "id": "PY-RUC-80030030-0"}, "answer": "El oferente deber\u00e1 remitirse a la Adenda N\u00b0 6.", "dateAnswered": "2017-02-08T08:47:54-04:00"}, {"id": "6", "date": "2016-09-05T09:04:47-04:00", "title": "Lote 25, Items No 1 y 2 Protesis de Thompson Std. y Cuello largo", "description": "Lote 25, Items No 1 y 2 Protesis de Thompson Std. y Cuello largo, los cementos solicitados para dichas protesis deben ser los estandard o los de baja viscosidad (aplicable con pistola de presurizacion) Favor aclarar.", "author": {"name": "LUIS ARMANDO ABBATE CORDAZZO", "id": "PY-RUC-297749-4"}, "answer": "El oferente deber\u00e1 remitirse a la Adenda N\u00b0 6.", "dateAnswered": "2017-02-08T08:43:28-04:00"}, {"id": "15", "date": "2016-09-05T09:51:55-04:00", "title": "Cronograma de Entregas", "description": "Cronograma de Entregas, solicitamos que para las cantidades maximas el plazo de entrega sea como minimo de 60 dias, debido a que las cantidades en muchos casos son importantes, ademas de que dichas Ordenes de Entregas no tienen estipuladas las fechas de emision ni las cantidades a ser solicitadas. Es imposible mantener un stock de dichas cantidades maximas sin tener la certeza de la emision de dichas ordenes correspondientes. Favor aclarar", "author": {"name": "LUIS ARMANDO ABBATE CORDAZZO", "id": "PY-RUC-297749-4"}, "answer": "El oferente deber\u00e1 remitirse a la Adenda N\u00b0 6.", "dateAnswered": "2017-02-08T08:45:21-04:00"}, {"id": "44", "date": "2017-02-09T16:52:47-04:00", "title": "Seccion VII, Anexo 1, Punto F. Cualquier otro documento adicional requerido, punto 8", "description": "Seccion VII, Anexo 1, Punto F. Cualquier otro documento adicional requerido, punto 8, para los implantes solicitados en titanio puro o aleacion de titanio (TI-6AI-4V) deben ser ofertados con Certificados ISO 5832-3 u otra certificacion de calidad, dicho punto debe ser eliminado, ya que la Certificacion ISO 5832-3 se refiere a la composicion quimica del titanio o aleacion de titanio utilizado en la fabricacion de implantes quirurgicos. Esta certificacion ya es cumplida por el fabricante al momento de obtener la certificacion de la autoridad sanitaria local, ya que dicha certificacion se refiere al metodo de analisis de la aleacion de titanio y los parametros que deben cumplir dicha aleacion para ser utilizada como implante quirurgico. Dichos analisis son realizados por el fabricante de la materia prima y entregados a la autoridad sanitaria competente al momento de revision de los procedimiento de fabricacion del implante. Por lo expuesto mas arriba, reiteramos nuestra solicitud de eliminacion de dicho punto.", "author": {"name": "LUIS ARMANDO ABBATE CORDAZZO", "id": "PY-RUC-297749-4"}, "answer": "El oferente deber\u00e1 remitirse a la Adenda N\u00b0 11.-", "dateAnswered": "2017-03-15T11:37:11-04:00"}, {"id": "8", "date": "2016-09-05T09:24:58-04:00", "title": "Lote No 32, 33 y 34 Protesis", "description": "Lote No 32, 33 y 34 Protesis de Hombro y Endoprotesis correspondientemente, para dichas protesis solicitan cemento standard o de baja viscosidad?. Favor aclarar.", "author": {"name": "LUIS ARMANDO ABBATE CORDAZZO", "id": "PY-RUC-297749-4"}, "answer": "El oferente deber\u00e1 remitirse a la Adenda N\u00b0 6.", "dateAnswered": "2017-02-08T08:43:47-04:00"}, {"id": "31", "date": "2016-09-07T15:27:14-04:00", "title": "Lotes 57, 62, 63, 71, 80, 81", "description": "Hemos tenido la experiencia que para \u00e9ste tipo de cirug\u00edas se env\u00edan todos los materiales necesarios y finalmente el m\u00e9dico decide no colocar los implantes, sin embargo, se utilizan los materiales para la artroscopia del paciente y los implantes no son utilizados y se asignan a otro paciente que nuevamente solicita todos los materiales, significando esto para la empresa un costo extra. Se solicita a la Convocante aclare que los implantes que no se utilicen si se volviesen a asignar a otro paciente, el paciente corra con los gastos extras para la cirug\u00eda.", "author": {"name": "CATETERES Y AFINES S.A.", "id": "PY-RUC-80030030-0"}, "answer": "El oferente deber\u00e1 remitirse a la Adenda N\u00b0 6.", "dateAnswered": "2017-02-08T08:48:14-04:00"}, {"id": "7", "date": "2016-09-05T09:23:13-04:00", "title": "Lote 31, Item No 1  Protesis total de cadera cementada hibrida", "description": "Lote 31, Item No 1 Protesis total de cadera cementada hibrida, la misma solicitan con cemento standard o de baja viscosidad? favor aclarar.", "author": {"name": "LUIS ARMANDO ABBATE CORDAZZO", "id": "PY-RUC-297749-4"}, "answer": "El oferente deber\u00e1 remitirse a la Adenda N\u00b0 6.", "dateAnswered": "2017-02-08T08:43:38-04:00"}], "lots": [{"id": "anRRFMgxsTY=", "title": "23 - IMPLANTE PEDICULAR USS EN TITANIO O ACERO", "status": "active", "statusDetails": "Activo", "value": {"amount": 1033000000, "currency": "PYG"}, "openContractType": " Por cantidad", "simultaneousSupply": false, "attributes": [{"name": "Orden", "value": "23", "id": "1"}]}, {"id": "5Y8ODXYcQac=", "title": "17 - PLACA Y TORNILLOS TIPO LCP SISTEMA 4,5 - 5,0 EN ACERO QUIR\u00daRGICO", "status": "active", "statusDetails": "Activo", "value": {"amount": 440000000, "currency": "PYG"}, "openContractType": " Por cantidad", "simultaneousSupply": false, "attributes": [{"name": "Orden", "value": "17", "id": "1"}]}, {"id": "1gYZMj5VkPk=", "title": "83 - VARIOS", "status": "active", "statusDetails": "Activo", "value": {"amount": 1680000000, "currency": "PYG"}, "openContractType": " Por cantidad", "simultaneousSupply": false, "attributes": [{"name": "Orden", "value": "83", "id": "1"}]}, {"id": "qz+G9affPRQ=", "title": "80 - VARIOS", "status": "active", "statusDetails": "Activo", "value": {"amount": 354000000, "currency": "PYG"}, "openContractType": " Por cantidad", "simultaneousSupply": false, "attributes": [{"name": "Orden", "value": "80", "id": "1"}]}, {"id": "Z44UAH2H9Vk=", "title": "48 - VARIOS", "status": "active", "statusDetails": "Activo", "value": {"amount": 45750000, "currency": "PYG"}, "openContractType": " Por cantidad", "simultaneousSupply": false, "attributes": [{"name": "Orden", "value": "48", "id": "1"}]}, {"id": "EbpdM7FjFZw=", "title": "16 - PLACA DE RECONSTRUCCI\u00d3N RECTA SISTEMA 3,5 MM EN ACERO QUIR\u00daRGICO", "status": "active", "statusDetails": "Activo", "value": {"amount": 72160000, "currency": "PYG"}, "openContractType": " Por cantidad", "simultaneousSupply": false, "attributes": [{"name": "Orden", "value": "16", "id": "1"}]}, {"id": "5hBP96PNiFw=", "title": "7 - PLACAS Y TORNILLOS SISTEMA 1,5 MM EN TITANIO", "status": "active", "statusDetails": "Activo", "value": {"amount": 89100000, "currency": "PYG"}, "openContractType": " Por cantidad", "simultaneousSupply": false, "attributes": [{"name": "Orden", "value": "7", "id": "1"}]}, {"id": "9cjkri+Rlsw=", "title": "31 - PR\u00d3TESIS VARIAS", "status": "active", "statusDetails": "Activo", "value": {"amount": 726000000, "currency": "PYG"}, "openContractType": " Por cantidad", "simultaneousSupply": false, "attributes": [{"name": "Orden", "value": "31", "id": "1"}]}, {"id": "LmG8LAOaBqk=", "title": "45 - VARIOS", "status": "unsuccessful", "statusDetails": "Desierto", "value": {"amount": 1830000, "currency": "PYG"}, "openContractType": " Por cantidad", "simultaneousSupply": false, "attributes": [{"name": "Orden", "value": "45", "id": "1"}]}, {"id": "0PtDtPuX/Pk=", "title": "11 - PLACAS TORNILLOS DESLIZANTE DE 135\u00ba  SISTEMA 4,5 C/TORNILLOS EN ACERO QUIR\u00daRGICO", "status": "active", "statusDetails": "Activo", "value": {"amount": 313500000, "currency": "PYG"}, "openContractType": " Por cantidad", "simultaneousSupply": false, "attributes": [{"name": "Orden", "value": "11", "id": "1"}]}, {"id": "sr8iA9c0dP4=", "title": "74 - VARIOS", "status": "active", "statusDetails": "Activo", "value": {"amount": 440000000, "currency": "PYG"}, "openContractType": " Por cantidad", "simultaneousSupply": false, "attributes": [{"name": "Orden", "value": "74", "id": "1"}]}, {"id": "4/EgV8ijGV8=", "title": "46 - VARIOS", "status": "unsuccessful", "statusDetails": "Desierto", "value": {"amount": 1830000, "currency": "PYG"}, "openContractType": " Por cantidad", "simultaneousSupply": false, "attributes": [{"name": "Orden", "value": "46", "id": "1"}]}, {"id": "pSh50ydSWEs=", "title": "64 - VARIOS", "status": "active", "statusDetails": "Activo", "value": {"amount": 176000000, "currency": "PYG"}, "openContractType": " Por cantidad", "simultaneousSupply": false, "attributes": [{"name": "Orden", "value": "64", "id": "1"}]}, {"id": "UkqFs/NqGgs=", "title": "28 - PLACA TIPO PUDU EN TITANIO CON SUS TORNILLOS RESPECTIVOS", "status": "active", "statusDetails": "Activo", "value": {"amount": 77000000, "currency": "PYG"}, "openContractType": " Por cantidad", "simultaneousSupply": false, 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