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"author": {"name": "B.BRAUN MEDICAL PARAGUAY S.A.", "id": "PY-RUC-80012330-1"}, "answer": "El oferente deber\u00e1 ajustarse a lo establecido en el Pliego de Bases de Condiciones.", "dateAnswered": "2018-11-29T12:30:22-04:00"}, {"id": "23", "date": "2018-08-13T08:56:29-04:00", "title": "SECCION III. REQUISITOS DE LOS BIENES", "description": "ESPECIFICACIONES T\u00c9CNICAS DE LOS SERVICIOS Y DISPOSITIVOS M\u00c9DICOS SOLICITADOS\n\n\u00cdTEM 1-6: ESTERILIZACI\u00d3N DE INSTRUMENTALES Y MOTORES QUIR\u00daRGICOS EN COMODATO, POR ALTA TEMPERATURA CON TRAZABILIDAD Y CALIDAD DEMOSTRADA\n\nDonde dice: La entrega y recepci\u00f3n de los sets se regir\u00e1 estrictamente por el PROTOCOLO DE COMPOSICION\nY UTILIZACION DE SETS DE INSTRUMENTALES.\n\nSe consulta: aclarar en qu\u00e9 momento la convocante entregar\u00e1 un listado de la composici\u00f3n de las cajas de dicho protocolo para los procedimientos a realizar en los distintos servicios, o debemos entender que la empresa contratista debe realizar  un proceso de definici\u00f3n de cajas con los distintos servicios para establecer la composici\u00f3n de las mismas y cumplir con el protocolo mencionado", "author": {"name": "B.BRAUN MEDICAL PARAGUAY S.A.", "id": "PY-RUC-80012330-1"}, "answer": "El oferente deber\u00e1 ajustarse a lo establecido en el Pliego de Bases y Condiciones, asimismo se aclara que teniendo en cuenta que el presente llamado refiere a la contrataci\u00f3n de prestaci\u00f3n de servicios tercerizados; es la obligaci\u00f3n  del adjudicado la de realizar  un proceso para determinar la composici\u00f3n de todas y cada una de las cajas a utilizar en los procedimientos a llevarse a cabo dentro del Hospital como tambi\u00e9n el plan de contingencia el cual se realizara con el administrador de contrato y las \u00e1reas involucradas, conforme lo consagra el PBC que transcripto dice: \nRESPONSABILIDADES Y OBLIGACIONES DE LA EMPRESA ADJUDICADA Siempre y cuando la convocante disponga de un Stock de Instrumentales, se realizar\u00e1 la entrega de los mismos a la Empresa adjudicada bajo inventario, solicitando la esterilizaci\u00f3n, posterior a la verificaci\u00f3n de la funcionalidad de cada instrumental, seg\u00fan par\u00e1metros internaciones y definido en los protocolos de los set.  Los costos del servicio est\u00e1n expuestos en el cuadro de ofertas\nESPECIFICACIONES TECNICAS DE LOS SERVICIOS Y DISPOSITIVOS MEDICOS\nSOLICITADOS La entrega y recepci\u00f3n de los sets se regir\u00e1 estrictamente por el PROTOCOLO DE COMPOSICION Y UTILIZACION DE SETS DE INSTRUMENTALES\n", "dateAnswered": "2018-11-29T12:28:08-04:00"}, {"id": "15", "date": "2018-08-13T08:39:52-04:00", "title": "En la P\u00e1g. 0022 del pliego pide:...........................", "description": "En la P\u00e1g. 0022 del pliego pide:\n01 esterilizador qu\u00edmico  por plasma de H2O2, con volumen de c\u00e1mara m\u00ednima  230 litros, con 08 canastillas de carga.\nSolicitamos poder expresar cuanto sigue:\n01 esterilizador qu\u00edmico por plasma, de doble puerta con volumen de c\u00e1mara m\u00ednima  230 litros, con 08 canastillas de carga,\n\u00d3 \n02 esterilizadores qu\u00edmicos  por plasma, de doble puerta  con volumen de c\u00e1mara m\u00ednima  120 litros, con 08 canastillas de carga en total y una \u00f3smosis inversa de 60 litros como m\u00ednimo,\nJustificativas:\nSi leemos con atenci\u00f3n lo que expresado en el pliego, en sus p\u00e1ginas 17 al 19, basados en el manual de la OMS, en ella habla \n\u00a8La CEyE (Central de Esterilizaci\u00f3n y Equipos) tiene como funci\u00f3n principal proporcionar a todos los servicios del Establecimiento el material esterilizado en \u00f3ptimas condiciones para ser utilizado. Debe constar de tres \u00e1reas organizadas a trav\u00e9s de un flujo unidireccional (ver gr\u00e1fico) perfectamente definidas, en donde se realizan actividades espec\u00edficas: \u00a8\n\u0095\tAREA ROJA: llamada tambi\u00e9n zona sucia o \u00e1rea contaminada, en esta zona se realizan las actividades de recepci\u00f3n (incluye el trasporte de materiales de los servicios a las \u00e1reas de esterilizaci\u00f3n), clasificaci\u00f3n, descontaminaci\u00f3n y lavado de material. \n\u0095\tAREA AZUL O AMARILLA: llamada tambi\u00e9n \u00e1rea limpia, en esta zona se realizan las actividades de verificaci\u00f3n, control, preparaci\u00f3n, empaque y carga de material para esterilizar. \n\u0095\tAREA VERDE: llamada tambi\u00e9n zona restringida, en ella se realizan actividades como almacenamiento, distribuci\u00f3n y despacho de material esterilizado.\n\n\nCon este enunciado, no tiene sentido solicitar una m\u00e1quina que no tenga doble puerta, lo que nos llevar\u00eda a obtener una contaminaci\u00f3n cruzada.\n  Desde el punto de vista de la operatividad y atendiendo la experiencia de centrales de esterilizaci\u00f3n donde se operan estas m\u00e1quinas, la limitaci\u00f3n de las capacidades de los equipamientos no es un buen par\u00e1metro para la efectividad. Es mucho m\u00e1s pr\u00e1ctico tener m\u00e1s cantidad de equipos que lleguen a los vol\u00famenes requeridos. De esta manera podremos asegurar vol\u00famenes elevados sino tambi\u00e9n atender pedidos de urgencia (endoscopios, tubuladuras, sensores de flujo, etc.) principalmente cuando hablamos de esterilizaci\u00f3n en baja temperatura. \nPlanteado de esta manera podemos configurar, asegurar la efectividad y la econom\u00eda que se ver\u00e1n reflejados en la oferta final en el momento de la apertura del llamado. No es lo mismo activar un equipo de 230 litros (energ\u00eda, agua, consumibles) que activar un equipo de 120 litros, sin embargo activar 2 equipos de 120 litros da el mismo resultado que una de 230 litros. \n\nCon esto tambi\u00e9n se abre la posibilidad que m\u00e1s competidores puedan participar de la oferta cumpliendo a cabalidad con las necesidades del instituto, garantizado la calidad del mismo, dado que sino solo hay un oferente que puedan cumplir con estas caracter\u00edsticas y esto podr\u00eda ser interpretado como que se tiene preferencia hacia una sola marca. \n", "author": {"name": "CASA BOLLER S.A.", "id": "PY-RUC-80001556-8"}, "answer": "El oferente deber\u00e1 ajustarse a lo establecido en el Pliego de Bases y Condiciones, as\u00ed mismo se aclara que deber\u00e1 tomar todos los recaudos necesarios para cumplir en tiempo y forma con lo establecido en el siguiente p\u00e1rrafo:\nRESPONSABILIDAD Y OBLIGACIONES DE LA EMPRESA ADJUDICADA... * Constituye obligaci\u00f3n de la empresa adjudicada dotar a la CEyE del 100% del equipamiento en calidad de comodato-necesario para realizar y cumplir en tiempo y forma con las condiciones del presente contrato, tales como termodesinfectadoras, mobiliarios, equipos y sistemas inform\u00e1ticos y otros, que a su vez deben estar acordes a normas y reglamentaciones sanitarias vigentes\n", "dateAnswered": "2018-11-29T12:26:01-04:00"}, {"id": "21", "date": "2018-08-13T08:52:39-04:00", "title": "En la P\u00e1g. 0019 del pliego, parte de \u0093ESTRUCTURA EDILICIA PARA EL DESARROLLO DEL SERVICIO", "description": "En la P\u00e1g. 0019 del pliego, parte de ESTRUCTURA EDILICIA PARA EL DESARROLLO DEL SERVICIO piden\n\u0095\tEl IPS pondr\u00e1 a disposici\u00f3n de la empresa adjudicada un \u00e1rea de 250 m2, la cual estar\u00e1 ubicada en el Hospital, con pisos y paredes construidos de material no poroso, de superficies lavables, resistente a los productos utilizados en la limpieza y desinfecci\u00f3n frecuentes, por lo menos una vez al d\u00eda.\n\u0095\tAsimismo, el IPS pondr\u00e1 a disposici\u00f3n de la empresa adjudicada un \u00e1rea de 800 m2 como m\u00ednimo en un inmueble del Instituto de Previsi\u00f3n Social en las cercan\u00edas del   Hospital de referencia al momento de la firma del contrato\n\u0095\tDeber\u00e1 ser cubierta por la empresa adjudicada todas las adecuaciones y refacciones necesarias, conforme a las normas internacionales, en las \u00e1reas puestas a disposici\u00f3n por el IPS, para el funcionamiento de las CEyEs.\n\u0095\tLa empresa adjudicada recibe las \u00e1reas puestas a disposici\u00f3n por el IPS, a trav\u00e9s de un acta de entrega, debiendo velar por su cuidado con el compromiso a trav\u00e9s de una declaraci\u00f3n jurada presentada junto con su oferta, de hacer entrega de las mismas a la extinci\u00f3n del contrato en las mismas condiciones con las mejoras realizadas.\n\nEn base a lo enunciasdo solicitamos tengan a bien aclarar cuanto sigue:\n1 \u00bfSer\u00e1 obligatorio acceder al terreno ofrecido por la convocante?\n2 \u00bfPodr\u00eda la convocante aclarar en cuanto a las mejoras realizadas en el predio o local cedido si en la misma est\u00e1n incluidas tambi\u00e9n los equipamientos de la central (lavadoras, termodesinfectadoras, autoclaves, software, muebles, cajas e instrumentales?\n\nSer\u00e1 de mucha ayuda a la hora de poder ofertar se puedan tener las precisiones solicitadas y todas las que la convocante considere de utilidad para tal efecto.\n", "author": {"name": "CASA BOLLER S.A.", "id": "PY-RUC-80001556-8"}, "answer": "1.\tEl oferente deber\u00e1 ajustarse a lo establecido en el Pliego de Bases y Condiciones; se aclara que la infraestructura edilicia debe estar acorde a las Normas Internacionales, el rango de superficie necesario destinado a una Central de Esterilizaci\u00f3n es de por lo menos 1,0 m2 por cama (Manual de esterilizaci\u00f3n para centros de salud Washington, D.C.: OPS, \u00a9 2008).; asimismo el IPS pondr\u00e1 a disposici\u00f3n de la empresa adjudicada espacios en el hospital como tambi\u00e9n en un inmueble ubicado en las cercan\u00edas del mismo\n2.\tEl oferente deber\u00e1 ajustarse a lo establecido en el Pliego de Bases y Condiciones; y se aclara que en la Pag. 20 establece las RESPONSABILIDADES Y OBLIGACIONES DE LA EMPRESA ADJUDICADA.\n", "dateAnswered": "2018-11-29T12:27:30-04:00"}, {"id": "9", "date": "2018-08-13T08:24:43-04:00", "title": "DATOS DE LA SUBASTA", "description": "Considerando que para este proceso se ha implementado la herramienta de Subasta a la Baja, podr\u00eda aclarar la convocante cual es el precio que ser\u00e1 objeto de competencia. El precio por evento? La sumatoria del precio unitario de los eventos? Otro valor? En este \u00faltimo caso especificar", "author": {"name": "B.BRAUN MEDICAL PARAGUAY S.A.", "id": "PY-RUC-80012330-1"}, "answer": "El oferente deber\u00e1 ajustarse a lo establecido en las IAO SBE 10ma Versi\u00f3n. Aprobado por Resoluci\u00f3n  DNCP N\u00b0 1510 de fecha 26 de abril de 2018, el mismo se encuentra publicado en el ID 327.153 y debe ser descargado conjunto con el Pliego de Bases y Condiciones para realizar la oferta.", "dateAnswered": "2018-11-29T12:24:27-04:00"}, {"id": "31", "date": "2018-08-13T09:19:02-04:00", "title": "SECCION III. REQUISITOS DE LOS BIENES", "description": "PAG. 53 - DESINFECCION DE ALTO NIVEL\n\nDonde dice: Los desinfectantes utilizados para desinfecci\u00f3n de alto nivel deben contar con la autorizaci\u00f3n de\nla Autoridad Reguladora de Referencia Regional para Medicamentos (ANMAT), seg\u00fan Normas\nb\u00e1sicas para la desinfecci\u00f3n y esterilizaci\u00f3n establecidas por la OPS/OMS(AAMI). Edici\u00f3n 2008 u\notra en vigencia.\n\nSe consulta: Podr\u00edan utilizarse productos para la desinfecci\u00f3n de alto nivel avalados por otras autoridades regulatorias con exigencias similares o superiores a la mencionada?", "author": {"name": "B.BRAUN MEDICAL PARAGUAY S.A.", "id": "PY-RUC-80012330-1"}, "answer": "El oferente deber\u00e1 ajustarse a lo establecido en el Pliego de Bases de Condiciones. Se aclara que los desinfectantes utilizados para desinfecci\u00f3n de alto nivel deben contar con la autorizaci\u00f3n de la Autoridad Reguladora de Referencia Regional para Medicamentos (ANMAT), seg\u00fan Normas b\u00e1sicas para la desinfecci\u00f3n y esterilizaci\u00f3n establecidas por la OPS/OMS(AAMI). Edici\u00f3n 2008. ", "dateAnswered": "2018-11-29T12:29:47-04:00"}, {"id": "13", "date": "2018-08-13T08:35:52-04:00", "title": "VIGENCIA DEL CONTRATO", "description": "Existe una programaci\u00f3n fiscal plurianual consolidada que contemple toda la vigencia del contrato que se pretende en este proceso, conforme lo exige la Ley 5098 del 29 de octubre de 2013?", "author": {"name": "B.BRAUN MEDICAL PARAGUAY S.A.", "id": "PY-RUC-80012330-1"}, "answer": "El oferente deber\u00e1 ajustarse a lo establecido en el Pliego de Bases y Condiciones.", "dateAnswered": "2018-11-29T12:25:32-04:00"}, {"id": "5", "date": "2018-08-13T08:17:08-04:00", "title": "MARGEN DE PREFERENCIAS", "description": "Considerando que el objeto del proceso implica el desarrollo del servicio a partir de una instalaci\u00f3n que solo podr\u00e1 iniciarse/autorizarse y/o validarse a partir de la adjudicaci\u00f3n / instalaci\u00f3n. La aplicaci\u00f3n del margen de preferencia es inviable. En este caso la utilizaci\u00f3n de un Certificado de origen destinado \u00fanicamente al servicio desvirtuar\u00e1 el principio de igualdad en raz\u00f3n a que los valores que conllevan la instalaci\u00f3n de la central y/o costo de productos o Kits que tambi\u00e9n forman parte del proceso, serian alcanzados por un margen que no aplica a ellos, lo que favorecer\u00eda indebidamente a ciertos oferentes.\n\nSe consulta: Atento a la naturaleza de la contrataci\u00f3n solicitamos la exclusi\u00f3n de este requisito.\n", "author": {"name": "B.BRAUN MEDICAL PARAGUAY S.A.", "id": "PY-RUC-80012330-1"}, "answer": "El oferente deber\u00e1 ajustarse a lo establecido en el Pliego de Bases y Condiciones. Por ende, se aclara que teniendo en cuanta que el llamado de referencia es de prestaci\u00f3n de servicio en forma integral el mismo deber\u00e1 ser por servicio de esterilizaci\u00f3n como tambi\u00e9n la provisi\u00f3n de paquetes quir\u00fargicos (SERVICIOS/PROVISON DE BIENES), asimismo se transcribe el alcance  del presente llamado que se encuentra consagrado en la Descripci\u00f3n del Servicio que transcripto dice: El presente Pliego tiene por objeto regular y definir el alcance y condiciones del servicio tercerizados requerido por el Hospital de Especialidades Quir\u00fargicas para cubrir completa, correcta y  oportunamente la demanda de instrumental y motores quir\u00fargicos est\u00e9riles, ropa quir\u00fargica, textiles y otros dispositivos m\u00e9dicos est\u00e9riles descartables para todos los servicios del hospital por consiguiente, para acogerse a los beneficios del margen de preferencia debe demostrase que el oferente posea tanto en servicios como de provisi\u00f3n de bienes.", "dateAnswered": "2018-11-29T12:23:41-04:00"}, {"id": "3", "date": "2018-08-13T07:56:34-04:00", "title": "SECCI\u00d3N VII \u0096 ANEXOS ", "description": "F) Cualquier otro documento adicional requerido:\nPunto 13: Certificaci\u00f3n: Fecha de fabricaci\u00f3n; de los equipos en COMODATO; m\u00e1xima de 1 (uno) a\u00f1o, desde la fecha de presentaci\u00f3n de la oferta.\n\nSe consulta: Entendemos que existe un error, y que dicha certificaci\u00f3n hace referencia a 1 a\u00f1o anterior a la fecha de presentaci\u00f3n de oferta, podr\u00eda aclarar el sentido de dicho requisito?", "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. Se aclara que se solicita tal documento a fin de tener un respaldo legal, en el cual certifique que los equipos son nuevos y no remanufacturados, ni mucho menos usados.", "dateAnswered": "2018-11-29T12:23:21-04:00"}, {"id": "28", "date": "2018-08-13T09:08:18-04:00", "title": "SECCION III. REQUISITOS DE LOS BIENES", "description": "PAG. 20 - RESPONSABILIDADES Y OBLIGACIONES DE LA EMPRESA ADJUDICADA\n\nDonde dice: Contar con un software de trazabilidad para todos los sets de instrumentales reprocesados.\nGarantizar todos los medios necesarios para su implementaci\u00f3n desde el inicio de operaciones.\n\nSe consulta: Lo solicitado se refiere a sistemas de trazabilidad con experiencia verificada con certificados del fabricante, n\u00famero de instalaciones a nivel mundial que validen la calidad del sistema.", "author": {"name": "B.BRAUN MEDICAL PARAGUAY S.A.", "id": "PY-RUC-80012330-1"}, "answer": "El oferente deber\u00e1 ajustarse a lo establecido en el Pliego de Bases y Condiciones, asimismo se aclara que el IPS podr\u00e1 realizar supervisi\u00f3n y monitoreo de la CE y E peri\u00f3dica, a fin de constatar la calidad y la trazabilidad de los procesos de esterilizaci\u00f3n y almacenamiento de material est\u00e9ril. Por ende, deber\u00e1 Contar con un software de trazabilidad de acuerdo a los est\u00e1ndares reconocidos internacionalmente y emitido por el fabricante del software desde la puesta de funcionamiento de la CEyE.", "dateAnswered": "2018-11-29T12:29:09-04:00"}, {"id": "6", "date": "2018-08-13T08:17:46-04:00", "title": "MARGEN DE PREFERENCIAS", "description": "Considerando que el objeto del proceso implica el desarrollo del servicio a partir de una instalaci\u00f3n que solo podr\u00e1 iniciarse/autorizarse y/o validarse a partir de la adjudicaci\u00f3n / instalaci\u00f3n, la aplicaci\u00f3n del margen de preferencia es inviable. En este caso la utilizaci\u00f3n de un Certificado de origen destinado \u00fanicamente al servicio desvirtuar\u00e1 el principio de igualdad en raz\u00f3n a que los valores que conllevan la instalaci\u00f3n de la central y/o costo de productos o Kits que tambi\u00e9n forman parte del proceso, serian alcanzados por un margen que no aplica a ellos, lo que favorecer\u00eda indebidamente a ciertos oferentes.\n\nSe consulta: De mantener tal requisito podr\u00eda la convocante definir cual ser\u00e1 el criterio y como aplicar\u00e1 dicho margen sin afectar el principio de igualdad y libre competencia.", "author": {"name": "B.BRAUN MEDICAL PARAGUAY S.A.", "id": "PY-RUC-80012330-1"}, "answer": "El oferente deber\u00e1 ajustarse a lo establecido en el Pliego de Bases y Condiciones. Por ende, se aclara que teniendo en cuanta que el llamado de referencia es de prestaci\u00f3n de servicio en forma integral el mismo deber\u00e1 ser por servicio de esterilizaci\u00f3n como tambi\u00e9n la provisi\u00f3n de paquetes quir\u00fargicos (SERVICIOS/PROVISON DE BIENES), asimismo se transcribe el alcance  del presente llamado que se encuentra consagrado en la Descripci\u00f3n del Servicio que transcripto dice: El presente Pliego tiene por objeto regular y definir el alcance y condiciones del servicio tercerizados requerido por el Hospital de Especialidades Quir\u00fargicas para cubrir completa, correcta y  oportunamente la demanda de instrumental y motores quir\u00fargicos est\u00e9riles, ropa quir\u00fargica, textiles y otros dispositivos m\u00e9dicos est\u00e9riles descartables para todos los servicios del hospital por consiguiente, para acogerse a los beneficios del margen de preferencia debe demostrase que el oferente posea tanto en servicios como de provisi\u00f3n de bienes.", "dateAnswered": "2018-11-29T12:23:50-04:00"}, {"id": "33", "date": "2018-08-13T09:25:17-04:00", "title": "MARGEN DE PREFERENCIA", "description": "Considerando que el objeto del proceso implica el desarrollo del servicio a partir de una instalaci\u00f3n que solo podr\u00e1 iniciarse/autorizarse y/o validarse a partir de la adjudicaci\u00f3n / instalaci\u00f3n. La aplicaci\u00f3n del margen de preferencia es inviable. En este caso la utilizaci\u00f3n de un Certificado de origen destinado \u00fanicamente al servicio desvirtuar\u00e1 el principio de igualdad en raz\u00f3n a que los valores que conllevan la instalaci\u00f3n de la central y/o costo de \nproductos o Kits que tambi\u00e9n forman parte del proceso, serian alcanzados por un margen que no aplica a ellos, lo que favorecer\u00eda indebidamente a ciertos oferentes.\n\nSe consula: Atento a la naturaleza de la contrataci\u00f3n solicitamos la exclusi\u00f3n de este requisito. De mantener tal requisito podr\u00eda la convocante definir cual ser\u00e1 el criterio y como aplicar\u00e1 dicho margen sin afectar el principio de igualdad y libre competencia.\u00a0 ", "author": {"name": "B.BRAUN MEDICAL PARAGUAY S.A.", "id": "PY-RUC-80012330-1"}, "answer": "El oferente deber\u00e1 ajustarse a lo establecido en el Pliego de Bases y Condiciones. Por ende, se aclara que teniendo en cuanta que el llamado de referencia es de prestaci\u00f3n de servicio en forma integral el mismo deber\u00e1 ser por servicio de esterilizaci\u00f3n como tambi\u00e9n la provisi\u00f3n de paquetes quir\u00fargicos (SERVICIOS/PROVISON DE BIENES), asimismo se transcribe el alcance  del presente llamado que se encuentra consagrado en la Descripci\u00f3n del Servicio que transcripto dice: El presente Pliego tiene por objeto regular y definir el alcance y condiciones del servicio tercerizados requerido por el Hospital de Especialidades Quir\u00fargicas para cubrir completa, correcta y  oportunamente la demanda de instrumental y motores quir\u00fargicos est\u00e9riles, ropa quir\u00fargica, textiles y otros dispositivos m\u00e9dicos est\u00e9riles descartables para todos los servicios del hospital por consiguiente, para acogerse a los beneficios del margen de preferencia debe demostrase que el oferente posea tanto en servicios como de provisi\u00f3n de bienes.", "dateAnswered": "2018-11-29T12:30:11-04:00"}, {"id": "8", "date": "2018-08-13T08:24:28-04:00", "title": "DATOS DE LA SUBASTA", "description": "Considerando que para este proceso se ha implementado la herramienta de Subasta a la Baja. Podr\u00eda aclarar la convocante que datos requerir\u00e1 el sistema al momento de cargar la propuesta.", "author": {"name": "B.BRAUN MEDICAL PARAGUAY S.A.", "id": "PY-RUC-80012330-1"}, "answer": "El oferente deber\u00e1 ajustarse a lo establecido en las IAO SBE 10ma Versi\u00f3n. Aprobado por Resoluci\u00f3n  DNCP N\u00b0 1510 de fecha 26 de abril de 2018, el mismo se encuentra publicado en el ID 327.153 y debe ser descargado conjunto con el Pliego de Bases y Condiciones para realizar la oferta.", "dateAnswered": "2018-11-29T12:24:17-04:00"}, {"id": "25", "date": "2018-08-13T08:58:31-04:00", "title": "SECCION III. REQUISITOS DE LOS BIENES", "description": "DESCRIPCI\u00d3N DEL SERVICIO - MARCO CONCEPTUAL\n\nDonde dice: La certificaci\u00f3n de la Gesti\u00f3n de Calidad se realizar\u00e1 dentro de un plazo de 18 MESES contados\ndesde la puesta en marcha del servicio.\n\nSe consulta:  aclarar si la certificaci\u00f3n solicitada en este punto del PBC se refiere a la  expedida por compa\u00f1\u00edas certificadoras internacionales como SGS, Veritas u otras similares.", "author": {"name": "B.BRAUN MEDICAL PARAGUAY S.A.", "id": "PY-RUC-80012330-1"}, "answer": "El oferente deber\u00e1 ajustarse a lo establecido en el Pliego de Bases y Condiciones. ", "dateAnswered": "2018-11-29T12:28:36-04:00"}, {"id": "10", "date": "2018-08-13T08:29:14-04:00", "title": "CONDICIONES ESPECIALES DEL CONTRATO", "description": "As\u00ed como a la contratante le asiste el derecho de revisi\u00f3n en los t\u00e9rminos del Art. 59 de la Ley 2051/03, al proveedor o contratista, en caso de mora superior a sesenta d\u00edas en el pago de las facturas por bienes entregados, le asiste el derecho de suspender temporalmente la ejecuci\u00f3n del contrato. Determine la forma en que se llevar\u00e1 a cabo este procedimiento y desde cu\u00e1ndo el contrato se considerar\u00e1 suspendido.", "author": {"name": "B.BRAUN MEDICAL PARAGUAY S.A.", "id": "PY-RUC-80012330-1"}, "answer": "El oferente deber\u00e1 ajustarse a lo establecido en el Pliego de Bases y Condiciones; asimismo se aclara que, en la Secci\u00f3n V, estipula las CAUSALES Y PROCEDIMIENTO PARA SUSPENDER TEMPORALMENTE, DAR POR TERMINADO ANTICIPADAMENTE O RESCINDIR EL CONTRATO.", "dateAnswered": "2018-11-29T12:24:35-04:00"}, {"id": "27", "date": "2018-08-13T09:03:02-04:00", "title": "En la P\u00e1g. 0052 del pliego, parte \u0093ITEM 19-24: ESTERILIZACION DE INSTRUMENTALES Y MOTORES...........", "description": "En la P\u00e1g. 0052 del pliego, parte ITEM 19-24: ESTERILIZACION DE INSTRUMENTALES Y MOTORES QUIRURGICOS DEL IPS O DE TERCEROS, POR BAJA TEMPERATURA, CON TRAZABILIDAD Y CALIDAD DEMOSTRADA piden:\n\n\u0095\tLa CEyE deber\u00e1 disponer de uno o varios sistemas adecuados para la esterilizaci\u00f3n de los productos termol\u00e1biles en baja temperatura.\n\nSolicitamos que sea alterado o modificado por la siguiente recomendaci\u00f3n:\n\u0095\tLa CEyE deber\u00e1 disponer de uno o varias t\u00e9cnicas adecuadas para la esterilizaci\u00f3n de los productos termol\u00e1biles en baja temperatura. Ser\u00e1n aceptadas solamente las siguientes: \n-\tPor Vapor de Formaldehido, \n-\tPor Plasma de Per\u00f3xido de Hidr\u00f3geno, y\n-\tPor Irradiaci\u00f3n de Rayos Gamma. \n\u0095\tNo ser\u00e1 permitida el uso del \u00d3xido de Etileno*.\n\nJustificativas:\n*Al solicitar que sea permitida el Uso del \u00d3xido de Etileno, incurrimos en un problema de seguridad ambiental exponiendo a los pacientes, a las enfermeras y por ultimo a los m\u00e9dicos a la exposici\u00f3n de part\u00edculas de Etileno, que seg\u00fan la OSHA, (Occupational Safety and Health Administration- Administraci\u00f3n de Seguridad y Salud Ocupacional, una agencia del Departamento del trabajo en USA), publicado en 31/01/2007, en su apartado 3.2 Peligros para la salud informa cuanto sigue:\n3.2.1 Personal expuesto \nEl personal sanitario que tiene m\u00e1s riesgo de exposici\u00f3n al O.E. es el que trabaja en las centrales de esterilizaci\u00f3n donde est\u00e1n localizados los autoclaves y los almacenes de material esterilizado, quedando tambi\u00e9n incluidos en este colectivo el personal de limpieza y de mantenimiento que realizan operaciones cotidianas o espor\u00e1dicas en estas instalaciones. Tambi\u00e9n pueden verse afectados de manera indirecta por la exposici\u00f3n al O.E., el resto del personal sanitario y pacientes, como consecuencia de utilizaci\u00f3n de material que por su capacidad de absorci\u00f3n (cauchos y pl\u00e1sticos principalmente), pueda contener restos de O.E. a pesar de haber sido sometido al correspondiente proceso de aireaci\u00f3n. \n3.2.2 Principales efectos sobre la salud \nEl O.E. es un irritante cut\u00e1neo y de las mucosas, el contacto directo con \u00e9l puede producir quemaduras qu\u00edmicas y reacciones al\u00e9rgicas. La intoxicaci\u00f3n aguda por el O.E. puede producir, seg\u00fan la intensidad de la exposici\u00f3n, irritaci\u00f3n en los ojos, nariz, garganta y sequedad de boca, problemas gastrointestinales (n\u00e1useas, v\u00f3mitos), neuralgias y cefaleas. Los s\u00edntomas aparecen despu\u00e9s de un per\u00edodo de latencia de algunas horas, no habiendo se\u00f1ales de alarma durante la exposici\u00f3n. Adem\u00e1s, el nivel olfativo es de alrededor de 700 ppm, lo que no permite utilizar este sentido como mecanismo de alerta. Sin embargo, empleando los sistemas de presi\u00f3n negativa es poco probable una exposici\u00f3n de esta magnitud, a\u00fan en caso de fuga. Encefalopat\u00edas, polineuritis y otros trastornos neurol\u00f3gicos tambi\u00e9n han sido descritos como producto de intoxicaciones cr\u00f3nicas con el O.E. La confrontaci\u00f3n entre los estudios hechos con animales y los datos epidemiol\u00f3gicos disponibles han determinado la consideraci\u00f3n del O.E. como una sustancia que puede causar c\u00e1ncer y alteraciones gen\u00e9ticas hereditarias, aunque muchas veces, sus efectos pueden estar enmascarados por la presencia en el ambiente de otros contaminantes gen t\u00f3xicos\nY en su apartado 3.1 informa tambi\u00e9n lo siguiente:\n3.1 Inflamabilidad y reactividad \nEl O.E. es un gas altamente inflamable y reactivo. \nEl O.E. puede formar mezclas explosivas con el aire entre los l\u00edmites de 3 a 100% en volumen\n", "author": {"name": "CASA BOLLER S.A.", "id": "PY-RUC-80001556-8"}, "answer": "El oferente deber\u00e1 ajustarse a lo establecido en el Pliego de Bases y Condiciones. As\u00ed mismo se aclara que la Esterilizaci\u00f3n a baja temperatura por Plasma de Per\u00f3xido de Hidr\u00f3geno. La esterilizaci\u00f3n por plasma de per\u00f3xido de hidr\u00f3geno es un proceso a baja temperatura que se basa en la acci\u00f3n de per\u00f3xido de hidr\u00f3geno en fase plasma (habitualmente denominado \"4\u00b0 estado de la materia\"), que ejerce la acci\u00f3n bactericida. Siendo un proceso a baja temperatura, por debajo de los 40\u00b0C, y baja humedad, es una alternativa a la esterilizaci\u00f3n por \u00d3xido de Etileno (de alta toxicidad) para esterilizar materiales termol\u00e1biles en plazos m\u00e1ximos de 24 hs.", "dateAnswered": "2018-11-29T12:28:57-04:00"}, {"id": "14", "date": "2018-08-13T08:36:46-04:00", "title": "En la P\u00e1g. 0022 del pliego se solicita: 03 autoclaves .............", "description": "En la P\u00e1g. 0022 del pliego se solicita:\n03 autoclaves a vapor de doble puerta, de m\u00ednimo de 540 litros, con 18 canastillas de carga y una \u00f3smosis inversa de 60 litros  como m\u00ednimo por c/ equipo.\nSolicitamos:\nPermitan adicionar a lo enunciado: lo siguiente \n03 autoclaves a vapor de doble puerta, de m\u00ednimo de 530 litros, con 18 canastillas de carga y una \u00fanica1 osmosis inversa de 180 litros en total como m\u00ednimo o tres de 60 litros como m\u00ednimo, significando una por cada equipo. \nJustificativas:\n1   Si estamos hablando de una planta de 180 litros para 3 m\u00e1quinas es lo mismo que 3 plantas de 60 litros cada una.\n", "author": {"name": "CASA BOLLER S.A.", "id": "PY-RUC-80001556-8"}, "answer": "El oferente deber\u00e1 ajustarse a lo establecido en el Pliego de Bases y Condiciones, as\u00ed mismo se aclara que deber\u00e1 tomar todos los recaudos necesarios para cumplir en tiempo y forma con lo establecido en el siguiente p\u00e1rrafo:\nRESPONSABILIDAD Y OBLIGACIONES DE LA EMPRESA ADJUDICADA... * Constituye obligaci\u00f3n de la empresa adjudicada dotar a la CEyE del 100% del equipamiento en calidad de comodato-necesario para realizar y cumplir en tiempo y forma con las condiciones del presente contrato, tales como termodesinfectadoras, mobiliarios, equipos y sistemas inform\u00e1ticos y otros, que a su vez deben estar acordes a normas y reglamentaciones sanitarias vigentes\n", "dateAnswered": "2018-11-29T12:25:43-04:00"}, {"id": "32", "date": "2018-08-13T09:23:39-04:00", "title": "Secci\u00f3n VII - Anexos", "description": "Donde dice: Punto 12. Certificaci\u00f3n de que los bienes son nuevos, sin uso y no remanufacturados.\n\nSe consulta: Tomando en cuenta que el alto nivel de calidad exigido en el PBC para la presentaci\u00f3n de los servicios solicitados, es de alta importancia la exigencia de la instalaci\u00f3n de equipos nuevos con certificaci\u00f3n internacional y no equipos re manufacturados.", "author": {"name": "B.BRAUN MEDICAL PARAGUAY S.A.", "id": "PY-RUC-80012330-1"}, "answer": "El oferente deber\u00e1 ajustarse a lo establecido en el Pliego de Bases y Condiciones, asimismo se aclara que se solicita Certificaci\u00f3n: Fecha de fabricaci\u00f3n; de los equipos en COMODATO; m\u00e1xima de 1 (uno) a\u00f1o anterior, desde la fecha de presentaci\u00f3n de la oferta, de manera a tener un respaldo legal, en el cual certifique que los equipos son nuevos y no remanufacturados, ni mucho menos usados.", "dateAnswered": "2018-11-29T12:29:59-04:00"}, {"id": "38", "date": "2018-08-13T09:58:38-04:00", "title": "PLAZO DE INICIO DE ACTIVIDADES", "description": "SOLICITAMOS UN PLAZO DE 240 D\u00cdAS PARA EL INICIO DE LAS ACTIVIDADES DE ESTERILIZACI\u00d3N.", "author": {"name": "DYSA HEALTHCARE S.A.", "id": "PY-RUC-80013820-1"}, "answer": "El oferente deber\u00e1 ajustarse a lo establecido en el Pliego de Bases de Condiciones.", "dateAnswered": "2018-11-29T12:31:06-04:00"}, {"id": "4", "date": "2018-08-13T07:59:34-04:00", "title": "SECCION III - RESPONSABILIDADES Y OBLIGACIONES DE LA EMPRESA ADJUDICADA", "description": "Donde dice: La Empresa adjudicada deber\u00e1 disponer de todos aquellos permisos, licencias, homologaciones y\nrevisiones peri\u00f3dicas que en cada momento marque la legislaci\u00f3n vigente.\n\nSe consulta:  En los casos en que por  causas ajenas al proveedor , las autoridades respectivas emitan estos permisos, licencias / homologaciones fuera del plazo de plan de entrega y/o inicio de funcionamiento de la Central; el plazo de ejecuci\u00f3n de contrato se considerara suspendido hasta sea expedidos dichos permisos, licencias / homologaciones?", "author": {"name": "B.BRAUN MEDICAL PARAGUAY S.A.", "id": "PY-RUC-80012330-1"}, "answer": "El oferente deber\u00e1 ajustarse a lo establecido en el Pliego de Bases y Condiciones; y se aclara que el mismo deber\u00e1 ajustarse al plan de contingencias a fin de dar cumplimiento irrestricto a lo consagrado en REFERENCIAS GENERALES 2. INICIO DE EJECUCION DE CONTRATO: El Servicio deber\u00e1 ser iniciado 180 d\u00edas corridos posterior a la firma del contrato, para el efecto el administrador de contrato emitir\u00e1 una orden de trabajo una vez autorizada la Habilitaci\u00f3n del Complejo Hospitalario por la Alta Gerencia hace menci\u00f3n que el servicio deber\u00e1 iniciarse indefectiblemente a los 180 d\u00edas posteriores a la firma del contrato, el cual en caso excepcional deber\u00e1 aplicar el plan de contingencia previsto en la P\u00e1g., 21 del PBC que consagra La Empresa adjudicada deber\u00e1 presentar junto con su oferta, planes de contingencia para todos los casos.", "dateAnswered": "2018-11-29T12:23:32-04:00"}, {"id": "7", "date": "2018-08-13T08:21:16-04:00", "title": "SECCI\u00d3N IV - CONDICIONES ESPECIALES DEL CONTRATO", "description": "Donde dice: El valor de la Garant\u00eda de Fiel cumplimiento de contrato, es del 10% del valor total del contrato.\n\nSe Consulta: Solicitamos que en virtud del Art. 39 de la Ley 2051/03 el valor de dicha garant\u00eda se establezca en el 5%, todo ello en raz\u00f3n al alto valor del monto m\u00e1ximo de la contrataci\u00f3n frente a la vigencia del contrato", "author": {"name": "B.BRAUN MEDICAL PARAGUAY S.A.", "id": "PY-RUC-80012330-1"}, "answer": "El oferente deber\u00e1 ajustarse a lo establecido en el PBC", "dateAnswered": "2018-11-29T12:23:58-04:00"}, {"id": "37", "date": "2018-08-13T09:48:56-04:00", "title": "PREDIO OFRECIDO POR EL IPS", "description": "CON RELACION AL PREDIO ADICIONAL OFRECIDO POR EL IPS, PODRIAN INDICAR LA DIRECCI\u00d3N DEL LUGAR Y LA POSIBILIDAD DE REALIZAR TAMBIEN UNA VISITA TECNICA AL PREDIO.", "author": {"name": "DYSA HEALTHCARE S.A.", "id": "PY-RUC-80013820-1"}, "answer": "El oferente deber\u00e1 ajustarse a lo establecido en el Pliego de Bases de Condiciones.", "dateAnswered": "2018-11-29T12:30:57-04:00"}, {"id": "36", "date": "2018-08-13T09:44:38-04:00", "title": "VISITA TECNICA", "description": "SOLICITAMOS UNA AMPLIACI\u00d3N DE LA FECHA DE VISITA TECNICA PARA REALIZARLO CON LA CERELIDAD Y RESPONSABLIDAD QUE CORRESPONDE.", "author": {"name": "DYSA HEALTHCARE S.A.", "id": "PY-RUC-80013820-1"}, "answer": "El oferente deber\u00e1 ajustarse a lo establecido en el Pliego de Bases de Condiciones.", "dateAnswered": "2018-11-29T12:30:49-04:00"}, {"id": "1", "date": "2018-08-13T07:45:23-04:00", "title": "VIGENCIA DEL CONTRATO Y MONTO POR PERIODO", "description": "Donde dice: El contrato resultante de este procedimiento tendr\u00e1 una vigencia de 120 (ciento veinte) meses con los\nsiguientes montos m\u00e1ximos anuales\n\nSe consulta: Favor individualizar los montos m\u00e1ximos anuales, ya que los mismos no fueron consignados.", "author": {"name": "B.BRAUN MEDICAL PARAGUAY S.A.", "id": "PY-RUC-80012330-1"}, "answer": "El oferente deber\u00e1 ajustarse al monto m\u00ednimo y monto m\u00e1ximo establecido en el Pliego de Bases y Condiciones. Adem\u00e1s deber\u00e1 remitirse a la Adenda N\u00b0 11.", "dateAnswered": "2018-11-29T12:23:00-04:00"}, {"id": "35", "date": "2018-08-13T09:43:28-04:00", "title": "ANTICIPO FINANCIERO", "description": "Considerando el alto grado de inversi\u00f3n para la provision de los equipos en comodato, y dem\u00e1s gastos de pre-instalaci\u00f3n y puesta en marcha, solicitamos la provisi\u00f3n de un anticipo del 20% del valor anual del contrato, el cual podr\u00eda ser descontado proporcionalmente en un 20% en cada servicio de esterilizaci\u00f3n que se vaya realizando hasta cumplir con el descuento total del anticipo percibido.", "author": {"name": "DYSA HEALTHCARE S.A.", "id": "PY-RUC-80013820-1"}, "answer": "El oferente deber\u00e1 ajustarse a lo establecido en el Pliego de Bases de Condiciones.", "dateAnswered": "2018-11-29T12:30:36-04:00"}, {"id": "12", "date": "2018-08-13T08:33:12-04:00", "title": "CONDICIONES ESPECIALES DEL CONTRATO", "description": "Cu\u00e1l ser\u00e1 la consecuencia de falta de certificaci\u00f3n de disponibilidad financiera de la Convocante para los ejercicios posteriores al de la firma del contrato considerando que no se podr\u00e1 contraer obligaciones sin la contrapartida que garantice su pago?", "author": {"name": "B.BRAUN MEDICAL PARAGUAY S.A.", "id": "PY-RUC-80012330-1"}, "answer": "El oferente deber\u00e1 ajustarse a lo establecido en el Pliego de Bases y Condiciones; asimismo se aclara que, en la Secci\u00f3n V, estipula las CAUSALES Y PROCEDIMIENTO PARA SUSPENDER TEMPORALMENTE, DAR POR TERMINADO ANTICIPADAMENTE O RESCINDIR EL CONTRATO; al mismo tiempo se recuerda que el IPS es un ente aut\u00e1rquico y sus recursos son de F30. ", "dateAnswered": "2018-11-29T12:25:16-04:00"}, {"id": "18", "date": "2018-08-13T08:48:46-04:00", "title": "SECCION III. REQUISITOS DE LOS BIENES", "description": "PAG. 50: PREVISI\u00d3N ANUAL DE MATERIAL A ESTERILIZAR\n\nDonde dice: \n- El volumen de material a esterilizar tendr\u00e1 relaci\u00f3n directa con las prestaciones que ofrecer\u00e1 el Hospital\n(intervenciones quir\u00fargicas, exploraciones de diagn\u00f3stico y terap\u00e9uticas, quir\u00f3fanos, UTI Adultos,\nUrgencias, Hospital d\u00eda, Internaciones, entre otras.).\n\n- Deber\u00e1 contemplar las necesidades de esterilizaci\u00f3n de las \u00e1reas de Internaci\u00f3n, Urgencias y Consultas\nAmbulatorios.\n\nSe Consulta: aclarar  cu\u00e1les ser\u00e1n las especialidades quir\u00fargicas que se realizar\u00e1n en el Hospital INGAVI, por ejemplo: Ginecolog\u00eda, Cirug\u00eda General, Pediatr\u00eda, etc., ya que estos datos son necesarios para estimar los tipos de sets que debe disponer la central y poder determinar los costos de   inversi\u00f3n y posteriormente los precios de oferta.", "author": {"name": "B.BRAUN MEDICAL PARAGUAY S.A.", "id": "PY-RUC-80012330-1"}, "answer": "El oferente deber\u00e1 ajustarse a lo establecido en el Pliego de Bases y Condiciones; asimismo se aclara que en SECCION III. REQUISITOS DE LOS BIENES establece las EE.TT.; asimismo se aclara que los Servicios de Traumatolog\u00eda, Cirug\u00eda General, Urolog\u00eda; Neurocirug\u00eda y Coloproctolog\u00eda entre otros servicios relacionados a las especialidades.", "dateAnswered": "2018-11-29T12:26:41-04:00"}, {"id": "17", "date": "2018-08-13T08:44:57-04:00", "title": "Validez de la Garant\u00eda de Mantenimiento de Ofertas", "description": "Donde dice: El periodo de validez de la garant\u00eda de mantenimiento de ofertas ser\u00e1 de 180 (ciento ochenta) contados a partir de la fecha y hora de apertura de la etapa competitiva, debiendo ajustarse a lo establecido en la legislaci\u00f3n vigente.\n\nSe consulta: podr\u00edan insertar la palabra d\u00edas en raz\u00f3n a que por un error material parecer\u00eda haberse omitido. En caso de no corresponder dicho termina s\u00edrvase aclarar el alcance", "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": "2018-11-29T12:26:28-04:00"}, {"id": "24", "date": "2018-08-13T08:56:29-04:00", "title": "En la P\u00e1g. 0022 del pliego, en la parte \u0093PLANILLA DE EQUIPAMIENTO APORTA..........", "description": "En la P\u00e1g. 0022 del pliego, en la parte PLANILLA DE EQUIPAMIENTO APORTADO POR LA EMPRESA ADJUDICADA  en la tabla donde piden:\nITEMS\tMAQUINAS Y EQUIPO INDUSTRIAL\tCANTIDADES\tDESCRIPCION\n(MARCA, MODELO, ESTADO5)\tIMAGENES\nSolicitamos que sea alterada a:\nITEMS\tMAQUINAS Y EQUIPO INDUSTRIAL\tCANTIDADES\tDESCRIPCION\n(MARCA, MODELO)\tIMAGENES\n\nJustificativas:\n5  Al solicitar que se informe el ESTADO, nos da a entender o suponer que la empresa que sea adjudicada podr\u00e1 usar o disponer de equipos usados y al informar el estado del equipo se podr\u00e1 responder como: EN BUEN ESTADO, FUNCIONANDO, OPERATIVO. \nPara contar con igualdad de condiciones solicitamos que todos los productos sean NUEVOS y que se presente la Proforma Invoice o factura aduanera como registro de ingreso al pa\u00eds de los equipos u otro documento que acredite que los equipos sean nuevos y sin uso - de f\u00e1brica.\n", "author": {"name": "CASA BOLLER S.A.", "id": "PY-RUC-80001556-8"}, "answer": "El oferente deber\u00e1 ajustarse a lo establecido en el Pliego de Bases y Condiciones, as\u00ed mismo se aclara que deber\u00e1 tomar todos los recaudos necesarios para cumplir en tiempo y forma con lo establecido en el siguiente p\u00e1rrafo:\nRESPONSABILIDAD Y OBLIGACIONES DE LA EMPRESA ADJUDICADA... * Constituye obligaci\u00f3n de la empresa adjudicada dotar a la CEyE del 100% del equipamiento en calidad de comodato-necesario para realizar y cumplir en tiempo y forma con las condiciones del presente contrato, tales como termodesinfectadoras, mobiliarios, equipos y sistemas inform\u00e1ticos y otros, que a su vez deben estar acordes a normas y reglamentaciones sanitarias vigentes\n", "dateAnswered": "2018-11-29T12:28:24-04:00"}, {"id": "20", "date": "2018-08-13T08:51:54-04:00", "title": "SECCION III. REQUISITOS DE LOS BIENES", "description": "PAG. 22 LISTADO DE INSTRUMENTALES M\u00cdNIMOS REQUERIDOS EN COMODATO A LA EMPRESA ADJUDICADA\n\nSe consulta: En el listado de la p\u00e1gina 20, referente al instrumental en la tercera columna se menciona \"Especificaciones T\u00e9cnicas\", entendemos que la convocante tomar\u00e1 en cuenta \u00fanicamente las especificaciones t\u00e9cnicas descritas en la p\u00e1gina 50, ya que las mismas est\u00e1n completas y contemplan est\u00e1ndares internacionales de calidad.", "author": {"name": "B.BRAUN MEDICAL PARAGUAY S.A.", "id": "PY-RUC-80012330-1"}, "answer": "El oferente deber\u00e1 ajustarse a lo establecido en el Pliego de Bases y Condiciones, as\u00ed mismo se aclara que la empresa adjudicada deber\u00e1 tener como m\u00ednimo la descripci\u00f3n de los art\u00edculos y con las cantidades necesarias, no limitando a la oferente o convocante disponer de otros art\u00edculos de nueva generaci\u00f3n que mejoren la calidad de servicio, asimismo el esp\u00edritu del presente llamado se encuentra consagrada en las ESPECIFICACIONES TECNICAS DE LOS SERVICIOS Y DISPOSITIVOS MEDICOS SOLICITADOS", "dateAnswered": "2018-11-29T12:27:08-04:00"}, {"id": "11", "date": "2018-08-13T08:30:06-04:00", "title": "CONDICIONES ESPECIALES DEL CONTRATO", "description": "Determine la Convocante la forma y los plazos en que se llevar\u00e1 a cabo el procedimiento de terminaci\u00f3n del contrato por causa imputable a la Contratante,  en caso de mora superior a sesenta d\u00edas en el pago de las facturas por bienes entregados, conforme al Art. 60 de la Ley 2051/03.", "author": {"name": "B.BRAUN MEDICAL PARAGUAY S.A.", "id": "PY-RUC-80012330-1"}, "answer": "El oferente deber\u00e1 ajustarse a lo establecido en el Pliego de Bases y Condiciones; asimismo se aclara que, en la Secci\u00f3n V, estipula las CAUSALES Y PROCEDIMIENTO PARA SUSPENDER TEMPORALMENTE, DAR POR TERMINADO ANTICIPADAMENTE O RESCINDIR EL CONTRATO.; como tambi\u00e9n INTERESES A PAGAR A LA CONTRATISTA [CGC 14.6].", "dateAnswered": "2018-11-29T12:24:50-04:00"}, {"id": "30", "date": "2018-08-13T09:14:38-04:00", "title": "SECCION III. REQUISITOS DE LOS BIENES", "description": "PAG. 50 - ESPECIFICACIONES TECNICAS DE LOS SERVICIOS Y DISPOSITIVOS MEDICOS SOLICITADOS\n\nDonde dice: Si se produjera extrav\u00edo, sustracci\u00f3n, perdida o mal uso de los instrumentales, la empresa informara\nformalmente inmediatamente (24 hs como m\u00e1ximo) a las autoridades del Hospital a fin de tomar las\nmedidas correctivas y preventivas correspondientes.\n\nSe consulta: Especifique la Convocante cu\u00e1les ser\u00e1n  las medidas correctivas y preventivas  que tomar\u00e1 la instituci\u00f3n en estos casos.", "author": {"name": "B.BRAUN MEDICAL PARAGUAY S.A.", "id": "PY-RUC-80012330-1"}, "answer": "El oferente deber\u00e1 ajustarse a lo establecido en el Pliego de Bases y Condiciones; por ende, se aclara que, conforme a los hechos suscitados, el adjudicado deber\u00e1 elevar al Administrador de contrato las medidas correctivas y preventivas y en caso que correspondiera a la convocante establecer las medidas correctivas y preventivas se ajustara a las reglamentaciones vigentes en el IPS conforme al tipo de hecho.", "dateAnswered": "2018-11-29T12:29:33-04:00"}, {"id": "29", "date": "2018-08-13T09:10:45-04:00", "title": "SECCION III. REQUISITOS DE LOS BIENES", "description": "PAG. 49 - VALIDACION DE LOS EQUIPOS, INSTALACIONES Y PROCESOS\n\nDonde dice: \n- Las empresas oferentes adjudicada gestionar\u00e1 la Licencia de Funcionamiento de la Instalaci\u00f3n (CEyE)\nexpedida por la Autoridad Sanitaria correspondiente.\n- En cumplimiento de las normas internacionales como la OMS u otro organismo reconocido, las\nempresas oferentes deber\u00e1n presentar documentos que garanticen los siguientes aspectos:\na) Los trabajos de validaci\u00f3n f\u00edsica y microbiol\u00f3gica requeridos por los equipos.\nb) Todos los equipos, as\u00ed como su instalaci\u00f3n cumplir\u00e1n, en aquellos casos en que resulte aplicable, con\nlas exigencias relativas a los aparatos a presi\u00f3n\nc) As\u00ed mismo se exige un compromiso expreso con el mantenimiento preventivo y monitoreo\npermanente del buen funcionamiento del equipo a trav\u00e9s de fichas de registro de dichos controles.\n- El IPS podr\u00e1 realizar supervisi\u00f3n y monitoreo de la CEyE peri\u00f3dica, a fin de constatar la calidad y la\ntrazabilidad de los procesos de esterilizaci\u00f3n y almacenamiento de material est\u00e9ril\n\nSe consulta:  Entendemos que estas validaciones deber\u00e1n ser realizadas a partir de la puesta en funcionamiento de la Central, es correcta esta apreciaci\u00f3n?", "author": {"name": "B.BRAUN MEDICAL PARAGUAY S.A.", "id": "PY-RUC-80012330-1"}, "answer": "El oferente deber\u00e1 ajustarse a lo establecido en el Pliego de Bases y Condiciones, por ende se aclara que la validaciones correspondientes se realizaran al inicio de funcionamiento de las CEyE.", "dateAnswered": "2018-11-29T12:29:20-04:00"}, {"id": "26", "date": "2018-08-13T09:00:13-04:00", "title": "En la P\u00e1g. 0019 del pliego, parte \u0093FINALIDAD DEL SERVICIO A CONTRATAR\u0094 piden:", "description": "En la P\u00e1g. 0019 del pliego, parte FINALIDAD DEL SERVICIO A CONTRATAR piden:\n\u0095\tLa Empresa oferente se har\u00e1 responsable de ejecutar todos los reglamentos y ordenamientos dictadas por las autoridades competentes en materia de seguridad, uso de la v\u00eda p\u00fablica, protecci\u00f3n ecol\u00f3gica y de medio ambiente que rijan en el \u00e1mbito nacional en relaci\u00f3n a los servicios a prestar.\n\nEn la P\u00e1g. 0021 del pliego, parte RESPONSABILIDADES Y OBLIGACIONES DE LA EMPRESA ADJUDICADA piden:\n\u0095\tLa Empresa adjudicada deber\u00e1 disponer de todos aquellos permisos, licencias, homologaciones y revisiones peri\u00f3dicas que en cada momento marque la legislaci\u00f3n vigente. \n\nSolicitamos que sea informada como m\u00ednimo cuales son las documentaciones necesarias para su habilitaci\u00f3n y si la misma deber\u00e1 ser presentada al IPS y dentro de que plazo. Es decir, pedimos o mejor sugerimos que esta frase sea alterada a:\n\u0095\tLa Empresa oferente se har\u00e1 responsable de presentar los documentos que aparecen en la tabla abajo, las cuales atienden y se ajustan a los reglamentos y ordenamientos dictadas por las autoridades competentes en materia de seguridad, uso de la v\u00eda p\u00fablica, protecci\u00f3n ecol\u00f3gica y de medio ambiente que rijan en el \u00e1mbito nacional en relaci\u00f3n a los servicios a prestar. (favor ver cuadro de ejemplos adjuntados).-\n\n\u0095\tEl incumplimiento de esta solicitud dar\u00e1 poderes a la convocante de aplicar sanciones a la oferente seleccionada seg\u00fan el contrato, claramente detallado en el campo denominado : DE LAS  INFRACCIONES Y SUS PENALIDADES \n", "author": {"name": "CASA BOLLER S.A.", "id": "PY-RUC-80001556-8"}, "answer": "El oferente deber\u00e1 ajustarse a lo establecido en el Pliego de Bases y Condiciones.", "dateAnswered": "2018-11-29T12:28:46-04:00"}, {"id": "2", "date": "2018-08-13T07:51:52-04:00", "title": "INICIO DE EJECUCION DE CONTRATO:", "description": "En la p\u00e1gina 54 del PBC menciona que El servicio deber\u00e1 ser iniciado 180 d\u00edas corridos posterior a la firma del contrato. El plan de instalaci\u00f3n establecido en la p\u00e1gina 20 del PBC, menciona que los equipamientos deben estar instalados en un plazo no mayor a 180 d\u00edas posterior a la emisi\u00f3n de la orden.\n\nSe consulta: Existiendo una contradicci\u00f3n, podr\u00eda definir la Convocante cu\u00e1l de los plazos prevalecer\u00e1?", "author": {"name": "B.BRAUN MEDICAL PARAGUAY S.A.", "id": "PY-RUC-80012330-1"}, "answer": "El oferente deber\u00e1 ajustarse a lo establecido en el Pliego de Bases y Condiciones, as\u00ed mismo se aclara que en relaci\u00f3n a RESPONSABILIDADES Y OBLIGACIONES DE LA EMPRESA ADJUDICADA Dichos equipamientos deben estar instalados y funcionando en un plazo no mayor a 180 d\u00edas corridos posterior a la emisi\u00f3n de orden de trabajo; as\u00ed mismo en caso fortuito o de fuerza mayor la Empresa adjudicada deber\u00e1 articular un plan de contingencia para la provisi\u00f3n del servicio objeto de este llamado. Los costos operativos correr\u00e1n por la Empresa adjudicada, hacen menci\u00f3n de los equipos operativos necesarios para el servicio, as\u00ed mismo consagra una excepci\u00f3n de caso fortuito o de fuerza mayor; mientras que en las REFERENCIAS GENERALES 2. INICIO DE EJECUCION DE CONTRATO: El Servicio deber\u00e1 ser iniciado 180 d\u00edas corridos posterior a la firma del contrato, para el efecto el administrador de contrato emitir\u00e1 una orden de trabajo una vez autorizada la Habilitaci\u00f3n del Complejo Hospitalario por la Alta Gerencia hace menci\u00f3n que el servicio deber\u00e1 iniciarse indefectiblemente a los 180 d\u00edas posteriores a la firma del contrato, el cual en caso excepcional deber\u00e1 aplicar el plan de contingencia previsto en la P\u00e1g., 21 del PBC que consagra La Empresa adjudicada deber\u00e1 presentar junto con su oferta, planes de contingencia para todos los casos.", "dateAnswered": "2018-11-29T12:23:13-04:00"}, {"id": "22", "date": "2018-08-13T08:54:49-04:00", "title": "En la P\u00e1g. 0053 del pliego, en el apartado de \u0093ITEM 25-30 - DESINFECCI\u00d3N DE ALTO NIVEL", "description": "En la P\u00e1g. 0053 del pliego, en el apartado de ITEM 25-30 - DESINFECCION DE ALTO NIVEL se solicita que..\n\n\u0095\tLos desinfectantes utilizados para desinfecci\u00f3n de alto nivel deben contar con la autorizaci\u00f3n de la Autoridad Reguladora de Referencia Regional para Medicamentos (ANMAT), seg\u00fan Normas b\u00e1sicas para la desinfecci\u00f3n y esterilizaci\u00f3n establecidas por la OPS/OMS (AAMI). Edici\u00f3n 2008 u otra en vigencia.\n\nSolicitamos a la convocante que lo solicitado pueda ser modificado por el que sigue agregando:\n\u0095\tLos desinfectantes utilizados para desinfecci\u00f3n de alto nivel deben contar con aprobaciones de la ANMAT, ANVISA, CE , FDA o la AORN establecidas por los organismos internacionales  OPS/OMS (AAMI). Edici\u00f3n 2008 u otra en vigencia.\n\nJustificativas:\n\u0095\tConsideramos que lo m\u00e1s importante es el cumplimiento de la norma ISO15883, que es la que normaliza el uso de los desinfectantes de Alto Nivel (DAN) con el uso de termo desinfectadoras, independiente del organismo que lo regule.\n\u0095\tPorque as\u00ed como esta expresado en el pliego limita la cantidad de oferentes que puedan participar del pliego. La ANMAT es una regulacion a nivel regional, expresado como menciona el pliego es evidente, estar\u00edan limitando a posibles oferentes que cuenten con certificaciones como por ejmplo CE, FDA etc.\n\u0095\tAdem\u00e1s la convocante podr\u00e1 tener mayor participacion de oferentes y por ende m\u00e1s posibilidades de ofertas incluso mejores.\n", "author": {"name": "CASA BOLLER S.A.", "id": "PY-RUC-80001556-8"}, "answer": "El oferente deber\u00e1 ajustarse a lo establecido en el Pliego de Bases y Condiciones, asimismo se aclara que teniendo en cuenta que el presente llamado refiere a la contrataci\u00f3n de prestaci\u00f3n de servicios tercerizados; es la obligaci\u00f3n  del adjudicado la de realizar  un proceso para determinar la composici\u00f3n de todas y cada una de las cajas a utilizar en los procedimientos a llevarse a cabo dentro del Hospital como tambi\u00e9n el plan de contingencia el cual se realizara con el administrador de contrato y las \u00e1reas involucradas, conforme lo consagra el PBC que transcripto dice: \nRESPONSABILIDADES Y OBLIGACIONES DE LA EMPRESA ADJUDICADA Siempre y cuando la convocante disponga de un Stock de Instrumentales, se realizar\u00e1 la entrega de los mismos a la Empresa adjudicada bajo inventario, solicitando la esterilizaci\u00f3n, posterior a la verificaci\u00f3n de la funcionalidad de cada instrumental, seg\u00fan par\u00e1metros internaciones y definido en los protocolos de los set.  Los costos del servicio est\u00e1n expuestos en el cuadro de ofertas\nESPECIFICACIONES TECNICAS DE LOS SERVICIOS Y DISPOSITIVOS MEDICOS\nSOLICITADOS La entrega y recepci\u00f3n de los sets se regir\u00e1 estrictamente por el PROTOCOLO DE COMPOSICION Y UTILIZACION DE SETS DE INSTRUMENTALES\n", "dateAnswered": "2018-11-29T12:27:51-04:00"}, {"id": "16", "date": "2018-08-13T08:42:40-04:00", "title": "VIGENCIA DEL CONTRATO Y MONTO POR PERIODO", "description": "VIGENCIA Y GARANT\u00cdA DE CUMPLIMIENTO DE CONTRATO\n\nSe consulta: Solicitamos a la convocante establezca una alternativa las condiciones requeridas para la garant\u00eda de cumplimiento de contrato ante la imposibilidad de las Aseguradoras y/o Bancos de plaza de otorgar dichas cauciones con la vigencia y sobre el monto que requiere el pliego.", "author": {"name": "B.BRAUN MEDICAL PARAGUAY S.A.", "id": "PY-RUC-80012330-1"}, "answer": "El oferente deber\u00e1 ajustarse a lo establecido en el Pliego de Bases y Condiciones", "dateAnswered": "2018-11-29T12:26:16-04:00"}, {"id": "19", "date": "2018-08-13T08:50:53-04:00", "title": "En la P\u00e1g. 0022 del pliego pide:.......................", "description": "En la P\u00e1g. 0022 del pliego pide:\n01 autoclave a vapor y formaldehido, de m\u00ednimo 540 litros, con 18 canastillas de carga y una \u00f3smosis inversa de 60 litros como m\u00ednimo.\n\nSolicitamos que diga cuanto sigue:\n01 autoclave a vapor y formaldehido, de m\u00ednimo 540 litros, con 18 canastillas de carga y una \u00f3smosis inversa de 60 litros como m\u00ednimo.\nO\n01 autoclave a vapor, de m\u00ednimo de 500 litros, de doble puerta, con 12 canastillas de carga en total y una osmosis inversa de 60 litros como m\u00ednimo, \nY\n01 esterilizadores qu\u00edmicos  a vapor de formaldehido, de doble puerta, con volumen de c\u00e1mara m\u00ednima de 120 litros, con 08 canastillas y una \u00f3smosis inversa de 60 litros como m\u00ednimo\nJustificativas:\n La raz\u00f3n por la cual solicitamos permitir que exista la posibilidad de participar con dos sistemas  independientes contra un sistema combinado, lo explicamos en la tabla abajo:\n\n(favor ver archivo adjunto)\n\nCon lo solicitado tambi\u00e9n se abre la posibilidad que m\u00e1s competidores puedan participar del concurso, cumpliendo a cabalidad con las necesidades del instituto y garantizado la calidad del mismo, dado que sino el \u00fanico oferente que puede cumplir con estas caracter\u00edsticas es la fabricante Baummer (del cual se pueden apreciar las caracteristicas enunciadas en el pliego) y esto podr\u00eda ser interpretado como que se tiene preferencia hacia una sola marca. \nAdem\u00e1s en muchos otras CEyEs de diferentes partes de Europa, EEUU, Chile etc., ya se han descartado ese tipo de equipamientos o no se usan por los costos de operaci\u00f3n y lo ya mencionado en las justificativas que explica acabada y t\u00e9cnicamente lo solicitado.\n", "author": {"name": "CASA BOLLER S.A.", "id": "PY-RUC-80001556-8"}, "answer": "El oferente deber\u00e1 ajustarse a lo establecido en el Pliego de Bases y Condiciones, as\u00ed mismo se aclara que deber\u00e1 tomar todos los recaudos necesarios para cumplir en tiempo y forma con lo establecido en el siguiente p\u00e1rrafo:\nRESPONSABILIDAD Y OBLIGACIONES DE LA EMPRESA ADJUDICADA... * Constituye obligaci\u00f3n de la empresa adjudicada dotar a la CEyE del 100% del equipamiento en calidad de comodato-necesario para realizar y cumplir en tiempo y forma con las condiciones del presente contrato, tales como termodesinfectadoras, mobiliarios, equipos y sistemas inform\u00e1ticos y otros, que a su vez deben estar acordes a normas y reglamentaciones sanitarias vigentes\n", "dateAnswered": "2018-11-29T12:26:58-04:00"}], "lots": [{"id": "3ynjIB7J0qI=", "title": "1 - CONTRATACION DE SERVICIOS TERCERIZADOS DE ESTERILIZACI\u00d3N PARA EL HOSPITAL DE ESPECIALIDADES QUIRURGICAS INGAVI DEL IPS ", "status": "active", "statusDetails": "Activo", 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