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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": 21647040000, "currency": "PYG"}, "datePublished": "2024-08-02T13:02:18-04:00", "tenderPeriod": {"startDate": "2024-09-20T08:00:00-04:00", "endDate": "2024-09-23T08:00:00-04:00", "durationInDays": 3}, "awardPeriod": {"startDate": "2024-09-24T09:15:00-04:00"}, "contractPeriod": {"durationInDays": 720}, "enquiryPeriod": {"endDate": "2024-08-12T09:00:00-04:00", "startDate": "2024-08-02T13:02:18-04:00", "durationInDays": 9}, "mainProcurementCategory": "goods", "additionalProcurementCategories": ["services"], "procurementMethod": "open", "procurementMethodDetails": "Licitaci\u00f3n P\u00fablica Nacional", "procuringEntity": {"id": "DNCP-SICP-CODE-306", "name": "Ministerio de Salud P\u00fablica y Bienestar Social (MSPBS)"}, "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": "6", "date": "2024-08-08T13:19:36-04:00", "title": "Especificaciones t\u00e9cnicas - \u00cdtem 7", "description": "Para el \u00edtem 7 se solicita a la convocante modificar la columna de especificaciones t\u00e9cnicas y aceptar un rango m\u00e1ximo de Grasas Monoinsaturadas de 5-9g/100g puesto que dicha modificaci\u00f3n no altera la calidad y el uso del producto y a fin de dar mayor participaci\u00f3n a posibles oferentes", "author": {"name": "QUIMFA S.A.", "id": "PY-RUC-80074991-0"}, "answer": "Ajustarse al Pliego de Bases y Condiciones. La raz\u00f3n para esta solicitud es que modificar los rangos de nutrientes propuestos podr\u00eda afectar significativamente las caracter\u00edsticas y calidad nutricional de la f\u00f3rmula, la cual ha sido definida para cumplir con las necesidades espec\u00edficas de los pacientes destinatarios.\nA continuaci\u00f3n, se detalla el impacto de las modificaciones solicitadas:\n1.\tAporte Cal\u00f3rico: El rango actual de 490-520 kcal/100 g asegura que la f\u00f3rmula tenga el aporte energ\u00e9tico adecuado para el tratamiento nutricional. Aumentar el rango podr\u00eda alterar la densidad cal\u00f3rica y la formulaci\u00f3n general del producto.\n2.\tProte\u00ednas: El rango de 14-20 g/100 g, est\u00e1 dise\u00f1ado para cubrir las necesidades nutricionales espec\u00edficas sin comprometer la calidad del producto. Incluir f\u00f3rmulas con 12 g de prote\u00ednas podr\u00eda no ser adecuado, especialmente para pacientes que requieren un alto contenido proteico. Las f\u00f3rmulas extensamente hidrolizadas no suelen ser complementadas con m\u00f3dulos proteicos, y una disminuci\u00f3n significativa en el contenido proteico puede afectar la eficacia del tratamiento.\n3.\tGrasas Totales y Grasas Trans: El rango actual de 25-27 g/100 g para las grasas totales y 0-trazas para las grasas trans est\u00e1 alineado con los requisitos nutricionales y de seguridad. Ampliar estos rangos podr\u00eda llevar a variaciones en la composici\u00f3n de la f\u00f3rmula que no cumplen con los est\u00e1ndares esperados.\n4.\tGrasas Monoinsaturadas: Mantener el rango de 5-8 g/100 g asegura un equilibrio adecuado de grasas saludables. Aumentar este rango podr\u00eda modificar el perfil graso de la f\u00f3rmula de manera que no se ajuste a las necesidades espec\u00edficas de los pacientes.\n5.\tOsmolaridad: Modificar el rango de osmolaridad podr\u00eda afectar la tolerancia gastrointestinal y la efectividad de la f\u00f3rmula para pacientes con necesidades especiales.\n6.\tOmega 6: Mantener el l\u00edmite actual de omega 6 en  3600 mg/100 g es fundamental para preservar el equilibrio adecuado entre \u00e1cidos grasos omega 6 y omega 3. Un aumento a 3900 mg podr\u00eda desequilibrar esta relaci\u00f3n y aumentar el riesgo de efectos inflamatorios en los pacientes, ya que un exceso de omega 6 en comparaci\u00f3n con omega 3 puede contribuir a la inflamaci\u00f3n cr\u00f3nica, lo cual es contraproducente en pacientes que requieren f\u00f3rmulas especializadas y cuidadosas en su composici\u00f3n de grasas.\nAlterar m\u00faltiples rangos simult\u00e1neamente cambiar\u00eda las caracter\u00edsticas fundamentales de la f\u00f3rmula, desvi\u00e1ndose de las especificaciones t\u00e9cnicas originales y comprometiendo la adecuaci\u00f3n del producto para su prop\u00f3sito previsto. Por lo tanto, solicitamos que se mantengan los rangos establecidos en el Pliego para asegurar la calidad y efectividad del producto en cuesti\u00f3n.\n", "dateAnswered": "2024-09-11T17:57:43-04:00"}, {"id": "12", "date": "2024-08-09T15:12:28-04:00", "title": "Item N\u00b0 2 ", "description": "Se solicita que las especificaciones t\u00e9cnicas del item n\u00b0 2 sean ampliadas a Osmolaridad: 240 - 490 mOsm/L., para dar mayor apertura de participaci\u00f3n a potenciales oferentes.", "author": {"name": "PROSALUD FARMA S.A.", "id": "PY-RUC-80033584-8"}, "answer": "Ajustarse al Pliego de Bases y Condiciones, ya que el rango de osmolaridad de 240-400 mOsm/L est\u00e1 establecido para garantizar la adecuada tolerancia y absorci\u00f3n de nutrientes en los pacientes. Mantener este rango es fundamental, ya que una osmolaridad superior podr\u00eda incrementar el riesgo de efectos adversos, como diarrea o malestar gastrointestinal. Este rango espec\u00edfico es para asegurar un equilibrio entre eficacia nutricional y seguridad en su administraci\u00f3n.", "dateAnswered": "2024-09-11T18:03:10-04:00"}, {"id": "18", "date": "2024-08-09T16:22:30-04:00", "title": "PRECIO REFERENCIAL ITEM 4", "description": "Solicitamos a la Convocante evaluar, verificar y aumentar el precio referencial del \u00cdtem 4, ya que el mismo se encuentra muy por debajo del precio del mercado.", "author": {"name": "SCAVONE HERMANOS SA", "id": "PY-RUC-80001916-4"}, "answer": "Ajustarse al Dictamen Complementario de Precios DOC N\u00b0 148/24", "dateAnswered": "2024-09-11T18:07:54-04:00"}, {"id": "20", "date": "2024-08-12T08:40:49-04:00", "title": "VENCIMENTOS DE LAS FORMULAS ", "description": "Solicitamos respetuosamente a la convocante por favor  en los vencimientos de la FORMULAS que por la naturaleza del producto, se fabrican con vencimientos de 15 a 18 meses y los importados llegan al pa\u00eds con 12 a 14 meses de vida \u00fatil, lo que hace imposible que se puedan entregar con 18 meses de vencimiento, ocasionando que todas las entregas tengan que efectuarse con autorizaci\u00f3n y carta de compromiso de canje  Por lo expuesto en el p\u00e1rrafo anterior, solicitamos que el vencimiento con que tengan que entregarse los productos sean establecidos en 12 (doce) meses, contados desde el momento de la entrega y que los productos con vencimientos menores a 12 (doce) meses, ser\u00e1 autorizada por la Direcci\u00f3n de Log\u00edstica de Suministro de Salud (Nota de Autorizaci\u00f3n), la entrega de la Carta de Compromiso de Canje y P\u00f3liza de Seguro por el 100% del monto del producto a ser entregado, con identificaci\u00f3n del numero de Lote. La validez de dicha p\u00f3liza deber\u00e1 ser 3 meses posteriores a la fecha de vencimiento del producto a entregar.\n", "author": {"name": "LA QUIMICA FARMACEUTICA S.A.", "id": "PY-RUC-80002423-0"}, "answer": "Ajustarse al Pliego de Bases y Condiciones, el vencimiento es establecido de acuerdo a las necesidades de los servicios del MSPBS.", "dateAnswered": "2024-09-11T18:09:00-04:00"}, {"id": "13", "date": "2024-08-09T15:21:49-04:00", "title": "ITEM 4", "description": "Se solicita a la convocante ampliar el rango de las EETT del \u00edtem 4 a Osmolaridad: 200- 765 mOsm/L  para otorgar mayor participaci\u00f3n a potenciales oferentes.", "author": {"name": "BIOTENG S.A.", "id": "PY-RUC-80035226-2"}, "answer": "Ajustarse al Pliego de Bases y Condiciones. El rango de osmolaridad solicitado en la modificaci\u00f3n propuesta, de hasta 765 mOsm/L, corresponde a una f\u00f3rmula hipert\u00f3nica, lo cual no es adecuado para los pacientes con falla renal sin di\u00e1lisis. Un aumento excesivo de la osmolaridad podr\u00eda generar complicaciones gastrointestinales y afectar la absorci\u00f3n de nutrientes. Por esta raz\u00f3n, es fundamental mantener el rango especificado para asegurar la seguridad y eficacia de la f\u00f3rmula.", "dateAnswered": "2024-09-11T18:03:51-04:00"}, {"id": "7", "date": "2024-08-08T13:19:53-04:00", "title": "Especificaciones t\u00e9cnicas - \u00cdtem 7", "description": "Para el \u00edtem 7 se solicita a la convocante modificar la columna de especificaciones t\u00e9cnicas y aceptar aporte de w6 ≤3900 mg/100g puesto que dicha modificaci\u00f3n no altera la calidad y el uso del producto y a fin de dar mayor participaci\u00f3n a posibles oferentes", "author": {"name": "QUIMFA S.A.", "id": "PY-RUC-80074991-0"}, "answer": "Ajustarse al Pliego de Bases y Condiciones. La raz\u00f3n para esta solicitud es que modificar los rangos de nutrientes propuestos podr\u00eda afectar significativamente las caracter\u00edsticas y calidad nutricional de la f\u00f3rmula, la cual ha sido definida para cumplir con las necesidades espec\u00edficas de los pacientes destinatarios.\nA continuaci\u00f3n, se detalla el impacto de las modificaciones solicitadas:\n1.\tAporte Cal\u00f3rico: El rango actual de 490-520 kcal/100 g asegura que la f\u00f3rmula tenga el aporte energ\u00e9tico adecuado para el tratamiento nutricional. Aumentar el rango podr\u00eda alterar la densidad cal\u00f3rica y la formulaci\u00f3n general del producto.\n2.\tProte\u00ednas: El rango de 14-20 g/100 g, est\u00e1 dise\u00f1ado para cubrir las necesidades nutricionales espec\u00edficas sin comprometer la calidad del producto. Incluir f\u00f3rmulas con 12 g de prote\u00ednas podr\u00eda no ser adecuado, especialmente para pacientes que requieren un alto contenido proteico. Las f\u00f3rmulas extensamente hidrolizadas no suelen ser complementadas con m\u00f3dulos proteicos, y una disminuci\u00f3n significativa en el contenido proteico puede afectar la eficacia del tratamiento.\n3.\tGrasas Totales y Grasas Trans: El rango actual de 25-27 g/100 g para las grasas totales y 0-trazas para las grasas trans est\u00e1 alineado con los requisitos nutricionales y de seguridad. Ampliar estos rangos podr\u00eda llevar a variaciones en la composici\u00f3n de la f\u00f3rmula que no cumplen con los est\u00e1ndares esperados.\n4.\tGrasas Monoinsaturadas: Mantener el rango de 5-8 g/100 g asegura un equilibrio adecuado de grasas saludables. Aumentar este rango podr\u00eda modificar el perfil graso de la f\u00f3rmula de manera que no se ajuste a las necesidades espec\u00edficas de los pacientes.\n5.\tOsmolaridad: Modificar el rango de osmolaridad podr\u00eda afectar la tolerancia gastrointestinal y la efectividad de la f\u00f3rmula para pacientes con necesidades especiales.\n6.\tOmega 6: Mantener el l\u00edmite actual de omega 6 en  3600 mg/100 g es fundamental para preservar el equilibrio adecuado entre \u00e1cidos grasos omega 6 y omega 3. Un aumento a 3900 mg podr\u00eda desequilibrar esta relaci\u00f3n y aumentar el riesgo de efectos inflamatorios en los pacientes, ya que un exceso de omega 6 en comparaci\u00f3n con omega 3 puede contribuir a la inflamaci\u00f3n cr\u00f3nica, lo cual es contraproducente en pacientes que requieren f\u00f3rmulas especializadas y cuidadosas en su composici\u00f3n de grasas.\nAlterar m\u00faltiples rangos simult\u00e1neamente cambiar\u00eda las caracter\u00edsticas fundamentales de la f\u00f3rmula, desvi\u00e1ndose de las especificaciones t\u00e9cnicas originales y comprometiendo la adecuaci\u00f3n del producto para su prop\u00f3sito previsto. Por lo tanto, solicitamos que se mantengan los rangos establecidos en el Pliego para asegurar la calidad y efectividad del producto en cuesti\u00f3n.\n", "dateAnswered": "2024-09-11T17:58:15-04:00"}, {"id": "5", "date": "2024-08-08T13:19:13-04:00", "title": "Especificaciones t\u00e9cnicas - \u00cdtem 7", "description": "Para el \u00edtem 7 se solicita a la convocante modificar la columna de especificaciones t\u00e9cnicas y aceptar un rango m\u00e1ximo de Grasas Trans de 0- 0,2 g/100g puesto que dicha modificaci\u00f3n no altera la calidad y el uso del producto y a fin de dar mayor participaci\u00f3n a posibles oferentes", "author": {"name": "QUIMFA S.A.", "id": "PY-RUC-80074991-0"}, "answer": "Ajustarse al Pliego de Bases y Condiciones. La raz\u00f3n para esta solicitud es que modificar los rangos de nutrientes propuestos podr\u00eda afectar significativamente las caracter\u00edsticas y calidad nutricional de la f\u00f3rmula, la cual ha sido definida para cumplir con las necesidades espec\u00edficas de los pacientes destinatarios.\nA continuaci\u00f3n, se detalla el impacto de las modificaciones solicitadas:\n1.\tAporte Cal\u00f3rico: El rango actual de 490-520 kcal/100 g asegura que la f\u00f3rmula tenga el aporte energ\u00e9tico adecuado para el tratamiento nutricional. Aumentar el rango podr\u00eda alterar la densidad cal\u00f3rica y la formulaci\u00f3n general del producto.\n2.\tProte\u00ednas: El rango de 14-20 g/100 g, est\u00e1 dise\u00f1ado para cubrir las necesidades nutricionales espec\u00edficas sin comprometer la calidad del producto. Incluir f\u00f3rmulas con 12 g de prote\u00ednas podr\u00eda no ser adecuado, especialmente para pacientes que requieren un alto contenido proteico. Las f\u00f3rmulas extensamente hidrolizadas no suelen ser complementadas con m\u00f3dulos proteicos, y una disminuci\u00f3n significativa en el contenido proteico puede afectar la eficacia del tratamiento.\n3.\tGrasas Totales y Grasas Trans: El rango actual de 25-27 g/100 g para las grasas totales y 0-trazas para las grasas trans est\u00e1 alineado con los requisitos nutricionales y de seguridad. Ampliar estos rangos podr\u00eda llevar a variaciones en la composici\u00f3n de la f\u00f3rmula que no cumplen con los est\u00e1ndares esperados.\n4.\tGrasas Monoinsaturadas: Mantener el rango de 5-8 g/100 g asegura un equilibrio adecuado de grasas saludables. Aumentar este rango podr\u00eda modificar el perfil graso de la f\u00f3rmula de manera que no se ajuste a las necesidades espec\u00edficas de los pacientes.\n5.\tOsmolaridad: Modificar el rango de osmolaridad podr\u00eda afectar la tolerancia gastrointestinal y la efectividad de la f\u00f3rmula para pacientes con necesidades especiales.\n6.\tOmega 6: Mantener el l\u00edmite actual de omega 6 en  3600 mg/100 g es fundamental para preservar el equilibrio adecuado entre \u00e1cidos grasos omega 6 y omega 3. Un aumento a 3900 mg podr\u00eda desequilibrar esta relaci\u00f3n y aumentar el riesgo de efectos inflamatorios en los pacientes, ya que un exceso de omega 6 en comparaci\u00f3n con omega 3 puede contribuir a la inflamaci\u00f3n cr\u00f3nica, lo cual es contraproducente en pacientes que requieren f\u00f3rmulas especializadas y cuidadosas en su composici\u00f3n de grasas.\nAlterar m\u00faltiples rangos simult\u00e1neamente cambiar\u00eda las caracter\u00edsticas fundamentales de la f\u00f3rmula, desvi\u00e1ndose de las especificaciones t\u00e9cnicas originales y comprometiendo la adecuaci\u00f3n del producto para su prop\u00f3sito previsto. Por lo tanto, solicitamos que se mantengan los rangos establecidos en el Pliego para asegurar la calidad y efectividad del producto en cuesti\u00f3n.\n", "dateAnswered": "2024-09-11T17:57:19-04:00"}, {"id": "4", "date": "2024-08-08T13:18:54-04:00", "title": "Especificaciones t\u00e9cnicas - \u00cdtem 7", "description": "Para el \u00edtem 7 se solicita a la convocante modificar la columna de especificaciones t\u00e9cnicas y aceptar un rango m\u00e1ximo de Grasas Totales de 25-28g/100g puesto que dicha modificaci\u00f3n no altera la calidad del producto ya que la misma puede ser ajustada a los requerimientos nutricionales del paciente y a fin de dar mayor participaci\u00f3n a posibles oferentes ", "author": {"name": "QUIMFA S.A.", "id": "PY-RUC-80074991-0"}, "answer": "Ajustarse al Pliego de Bases y Condiciones. La raz\u00f3n para esta solicitud es que modificar los rangos de nutrientes propuestos podr\u00eda afectar significativamente las caracter\u00edsticas y calidad nutricional de la f\u00f3rmula, la cual ha sido definida para cumplir con las necesidades espec\u00edficas de los pacientes destinatarios.\nA continuaci\u00f3n, se detalla el impacto de las modificaciones solicitadas:\n1.\tAporte Cal\u00f3rico: El rango actual de 490-520 kcal/100 g asegura que la f\u00f3rmula tenga el aporte energ\u00e9tico adecuado para el tratamiento nutricional. Aumentar el rango podr\u00eda alterar la densidad cal\u00f3rica y la formulaci\u00f3n general del producto.\n2.\tProte\u00ednas: El rango de 14-20 g/100 g, est\u00e1 dise\u00f1ado para cubrir las necesidades nutricionales espec\u00edficas sin comprometer la calidad del producto. Incluir f\u00f3rmulas con 12 g de prote\u00ednas podr\u00eda no ser adecuado, especialmente para pacientes que requieren un alto contenido proteico. Las f\u00f3rmulas extensamente hidrolizadas no suelen ser complementadas con m\u00f3dulos proteicos, y una disminuci\u00f3n significativa en el contenido proteico puede afectar la eficacia del tratamiento.\n3.\tGrasas Totales y Grasas Trans: El rango actual de 25-27 g/100 g para las grasas totales y 0-trazas para las grasas trans est\u00e1 alineado con los requisitos nutricionales y de seguridad. Ampliar estos rangos podr\u00eda llevar a variaciones en la composici\u00f3n de la f\u00f3rmula que no cumplen con los est\u00e1ndares esperados.\n4.\tGrasas Monoinsaturadas: Mantener el rango de 5-8 g/100 g asegura un equilibrio adecuado de grasas saludables. Aumentar este rango podr\u00eda modificar el perfil graso de la f\u00f3rmula de manera que no se ajuste a las necesidades espec\u00edficas de los pacientes.\n5.\tOsmolaridad: Modificar el rango de osmolaridad podr\u00eda afectar la tolerancia gastrointestinal y la efectividad de la f\u00f3rmula para pacientes con necesidades especiales.\n6.\tOmega 6: Mantener el l\u00edmite actual de omega 6 en  3600 mg/100 g es fundamental para preservar el equilibrio adecuado entre \u00e1cidos grasos omega 6 y omega 3. Un aumento a 3900 mg podr\u00eda desequilibrar esta relaci\u00f3n y aumentar el riesgo de efectos inflamatorios en los pacientes, ya que un exceso de omega 6 en comparaci\u00f3n con omega 3 puede contribuir a la inflamaci\u00f3n cr\u00f3nica, lo cual es contraproducente en pacientes que requieren f\u00f3rmulas especializadas y cuidadosas en su composici\u00f3n de grasas.\nAlterar m\u00faltiples rangos simult\u00e1neamente cambiar\u00eda las caracter\u00edsticas fundamentales de la f\u00f3rmula, desvi\u00e1ndose de las especificaciones t\u00e9cnicas originales y comprometiendo la adecuaci\u00f3n del producto para su prop\u00f3sito previsto. Por lo tanto, solicitamos que se mantengan los rangos establecidos en el Pliego para asegurar la calidad y efectividad del producto en cuesti\u00f3n.\n", "dateAnswered": "2024-09-11T17:56:51-04:00"}, {"id": "2", "date": "2024-08-08T13:18:19-04:00", "title": "Especificaciones t\u00e9cnicas - \u00cdtem 7", "description": "Para el \u00edtem 7 se solicita a la convocante modificar la columna de especificaciones t\u00e9cnicas y aceptar un rango m\u00e1ximo de aporte cal\u00f3rico de 490-521 kcal/100g puesto que dicha modificaci\u00f3n no altera la calidad y el uso del producto y a fin de dar mayor participaci\u00f3n a posibles oferentes", "author": {"name": "QUIMFA S.A.", "id": "PY-RUC-80074991-0"}, "answer": "Ajustarse al Pliego de Bases y Condiciones. La raz\u00f3n para esta solicitud es que modificar los rangos de nutrientes propuestos podr\u00eda afectar significativamente las caracter\u00edsticas y calidad nutricional de la f\u00f3rmula, la cual ha sido definida para cumplir con las necesidades espec\u00edficas de los pacientes destinatarios.\nA continuaci\u00f3n, se detalla el impacto de las modificaciones solicitadas:\n1.\tAporte Cal\u00f3rico: El rango actual de 490-520 kcal/100 g asegura que la f\u00f3rmula tenga el aporte energ\u00e9tico adecuado para el tratamiento nutricional. Aumentar el rango podr\u00eda alterar la densidad cal\u00f3rica y la formulaci\u00f3n general del producto.\n2.\tProte\u00ednas: El rango de 14-20 g/100 g, est\u00e1 dise\u00f1ado para cubrir las necesidades nutricionales espec\u00edficas sin comprometer la calidad del producto. Incluir f\u00f3rmulas con 12 g de prote\u00ednas podr\u00eda no ser adecuado, especialmente para pacientes que requieren un alto contenido proteico. Las f\u00f3rmulas extensamente hidrolizadas no suelen ser complementadas con m\u00f3dulos proteicos, y una disminuci\u00f3n significativa en el contenido proteico puede afectar la eficacia del tratamiento.\n3.\tGrasas Totales y Grasas Trans: El rango actual de 25-27 g/100 g para las grasas totales y 0-trazas para las grasas trans est\u00e1 alineado con los requisitos nutricionales y de seguridad. Ampliar estos rangos podr\u00eda llevar a variaciones en la composici\u00f3n de la f\u00f3rmula que no cumplen con los est\u00e1ndares esperados.\n4.\tGrasas Monoinsaturadas: Mantener el rango de 5-8 g/100 g asegura un equilibrio adecuado de grasas saludables. Aumentar este rango podr\u00eda modificar el perfil graso de la f\u00f3rmula de manera que no se ajuste a las necesidades espec\u00edficas de los pacientes.\n5.\tOsmolaridad: Modificar el rango de osmolaridad podr\u00eda afectar la tolerancia gastrointestinal y la efectividad de la f\u00f3rmula para pacientes con necesidades especiales.\n6.\tOmega 6: Mantener el l\u00edmite actual de omega 6 en  3600 mg/100 g es fundamental para preservar el equilibrio adecuado entre \u00e1cidos grasos omega 6 y omega 3. Un aumento a 3900 mg podr\u00eda desequilibrar esta relaci\u00f3n y aumentar el riesgo de efectos inflamatorios en los pacientes, ya que un exceso de omega 6 en comparaci\u00f3n con omega 3 puede contribuir a la inflamaci\u00f3n cr\u00f3nica, lo cual es contraproducente en pacientes que requieren f\u00f3rmulas especializadas y cuidadosas en su composici\u00f3n de grasas.\nAlterar m\u00faltiples rangos simult\u00e1neamente cambiar\u00eda las caracter\u00edsticas fundamentales de la f\u00f3rmula, desvi\u00e1ndose de las especificaciones t\u00e9cnicas originales y comprometiendo la adecuaci\u00f3n del producto para su prop\u00f3sito previsto. Por lo tanto, solicitamos que se mantengan los rangos establecidos en el Pliego para asegurar la calidad y efectividad del producto en cuesti\u00f3n.\n", "dateAnswered": "2024-09-11T17:56:07-04:00"}, {"id": "8", "date": "2024-08-08T13:20:13-04:00", "title": "Especificaciones t\u00e9cnicas - \u00cdtem 7", "description": "Para el \u00edtem 7 se solicita a la convocante modificar la columna de especificaciones t\u00e9cnicas y considerar prote\u00edna de suero parcialmente hidrolizada y/o extensamente hidrolizada puesto que dicha modificaci\u00f3n no altera la calidad y el uso del producto y a fin de dar mayor participaci\u00f3n a posibles oferentes", "author": {"name": "QUIMFA S.A.", "id": "PY-RUC-80074991-0"}, "answer": "Ajustarse al Pliego de Bases y Condiciones. La f\u00f3rmula debe contener exclusivamente prote\u00ednas de suero extensamente hidrolizadas, ya que est\u00e1 destinada al tratamiento de la alergia a la prote\u00edna de la leche de vaca (APLV). Las prote\u00ednas parcialmente hidrolizadas no son adecuadas para este tratamiento, ya que no cumplen con los requisitos espec\u00edficos para evitar reacciones al\u00e9rgicas en estos pacientes. Solo las f\u00f3rmulas con prote\u00ednas extensamente hidrolizadas garantizan la fragmentaci\u00f3n suficiente de las prote\u00ednas para reducir su potencial alerg\u00e9nico, asegurando as\u00ed la seguridad y eficacia necesarias en el manejo de esta patolog\u00eda.", "dateAnswered": "2024-09-11T17:59:50-04:00"}, {"id": "19", "date": "2024-08-12T08:33:38-04:00", "title": "Vencimiento de los productos", "description": "Se solicita a la Convocante considerar que las f\u00f3rmulas nutricionales requeridas en su mayor\u00eda cuentan con un plazo de vencimiento de entre 15 a 18 meses desde el momento de su elaboraci\u00f3n. Y en el mercado solo existe una marca de producci\u00f3n nacional. Por lo que para los productos importados que deben realizar el pedido en fabrica, gestionar la importaci\u00f3n del producto que considerando el peso de estos debe ser realizado v\u00eda mar\u00edtimo debido a los altos costos de traer el mismo via a\u00e9reo, y mantener un stock constante del producto durante la ejecuci\u00f3n contractual es de imposible cumplimiento el vencimiento m\u00ednimo de 18 meses al momento de la entrega. Por lo que solicitamos disminuir el vencimiento m\u00ednimo a 12 (doce) meses. Y en caso de productos con vencimiento menor requerir carta de compromiso de canje y para aquellos con vencimiento menor a 9 (nueve) meses, requerir adem\u00e1s de la carta de compromiso una p\u00f3liza de seguro conforme se establece en el PBC. Esto se requiere a fin de no limitar la participaci\u00f3n de potenciales oferentes, en particular de los importados que cuentan con plazos de importacion y llegada al pa\u00eds de los productos que hacen correr el vencimiento de los productos. Y de esta manera garantizar tambi\u00e9n mejores ofertas debido a la disminuci\u00f3n de costos financieros y de traslado del producto. ", "author": {"name": "QUIMFA S.A.", "id": "PY-RUC-80074991-0"}, "answer": "Ajustarse al Pliego de Bases y Condiciones, el vencimiento es establecido de acuerdo a las necesidades de los servicios del MSPBS. ", "dateAnswered": "2024-09-11T18:08:26-04:00"}, {"id": "14", "date": "2024-08-09T15:25:41-04:00", "title": "Item 8", "description": "Se solicita ampliar las EETT del Item 8 a\nOsmolaridad 370 a 510 mOsm/L,\nProteina 12-25\nHidratos de Carbono 27-50\nGrasas 30 -48\nPara dar mayor participaci\u00f3n a potenciales oferentes", "author": {"name": "BIOTENG S.A.", "id": "PY-RUC-80035226-2"}, "answer": "Ajustarse al Pliego de Bases y Condiciones. \nSi no se respetan los rangos establecidos en las Especificaciones T\u00e9cnicas, especialmente en cuanto a los macronutrientes, la f\u00f3rmula propuesta no cumplir\u00eda con las caracter\u00edsticas nutricionales requeridas para pacientes con falla renal en di\u00e1lisis. Los rangos actuales de prote\u00ednas (12-20%), hidratos de carbono (35-50%) y grasas (30-46%) est\u00e1n dise\u00f1ados para cubrir las necesidades espec\u00edficas de estos pacientes, garantizando un equilibrio adecuado entre los macronutrientes y evitando complicaciones metab\u00f3licas. Modificar estos rangos afectar\u00eda la eficacia del tratamiento y comprometer\u00eda la estabilidad cl\u00ednica del paciente. Por lo tanto, es esencial mantener los valores solicitados en el pliego para asegurar la calidad y seguridad del producto.\n", "dateAnswered": "2024-09-11T18:04:37-04:00"}, {"id": "15", "date": "2024-08-09T16:06:51-04:00", "title": "PORCENTAJE DE MULTA", "description": "Solicitamos a la Convocante unificar el porcentaje de multa, al porcentaje de inter\u00e9s por Mora por parte de la Contratante a 0.001%, a fin de establecer requisitos en igualdades de condiciones entre oferente y Convocante.", "author": {"name": "SCAVONE HERMANOS SA", "id": "PY-RUC-80001916-4"}, "answer": "Ajustarse al Pliego de Bases y Condiciones ", "dateAnswered": "2024-09-11T18:05:20-04:00"}, {"id": "3", "date": "2024-08-08T13:18:36-04:00", "title": "Especificaciones t\u00e9cnicas - \u00cdtem 7", "description": "Para el \u00edtem 7 se solicita a la convocante modificar la columna de especificaciones t\u00e9cnicas y aceptar un rango m\u00ednimo de Prote\u00ednas de 12-20 g/100g puesto que dicha modificaci\u00f3n no altera la calidad del producto ya que la misma puede ser ajustada a los requerimientos nutricionales del paciente y a fin de dar mayor participaci\u00f3n a posibles oferentes ", "author": {"name": "QUIMFA S.A.", "id": "PY-RUC-80074991-0"}, "answer": "Ajustarse al Pliego de Bases y Condiciones. La raz\u00f3n para esta solicitud es que modificar los rangos de nutrientes propuestos podr\u00eda afectar significativamente las caracter\u00edsticas y calidad nutricional de la f\u00f3rmula, la cual ha sido definida para cumplir con las necesidades espec\u00edficas de los pacientes destinatarios.\nA continuaci\u00f3n, se detalla el impacto de las modificaciones solicitadas:\n1.\tAporte Cal\u00f3rico: El rango actual de 490-520 kcal/100 g asegura que la f\u00f3rmula tenga el aporte energ\u00e9tico adecuado para el tratamiento nutricional. Aumentar el rango podr\u00eda alterar la densidad cal\u00f3rica y la formulaci\u00f3n general del producto.\n2.\tProte\u00ednas: El rango de 14-20 g/100 g, est\u00e1 dise\u00f1ado para cubrir las necesidades nutricionales espec\u00edficas sin comprometer la calidad del producto. Incluir f\u00f3rmulas con 12 g de prote\u00ednas podr\u00eda no ser adecuado, especialmente para pacientes que requieren un alto contenido proteico. Las f\u00f3rmulas extensamente hidrolizadas no suelen ser complementadas con m\u00f3dulos proteicos, y una disminuci\u00f3n significativa en el contenido proteico puede afectar la eficacia del tratamiento.\n3.\tGrasas Totales y Grasas Trans: El rango actual de 25-27 g/100 g para las grasas totales y 0-trazas para las grasas trans est\u00e1 alineado con los requisitos nutricionales y de seguridad. Ampliar estos rangos podr\u00eda llevar a variaciones en la composici\u00f3n de la f\u00f3rmula que no cumplen con los est\u00e1ndares esperados.\n4.\tGrasas Monoinsaturadas: Mantener el rango de 5-8 g/100 g asegura un equilibrio adecuado de grasas saludables. Aumentar este rango podr\u00eda modificar el perfil graso de la f\u00f3rmula de manera que no se ajuste a las necesidades espec\u00edficas de los pacientes.\n5.\tOsmolaridad: Modificar el rango de osmolaridad podr\u00eda afectar la tolerancia gastrointestinal y la efectividad de la f\u00f3rmula para pacientes con necesidades especiales.\n6.\tOmega 6: Mantener el l\u00edmite actual de omega 6 en  3600 mg/100 g es fundamental para preservar el equilibrio adecuado entre \u00e1cidos grasos omega 6 y omega 3. Un aumento a 3900 mg podr\u00eda desequilibrar esta relaci\u00f3n y aumentar el riesgo de efectos inflamatorios en los pacientes, ya que un exceso de omega 6 en comparaci\u00f3n con omega 3 puede contribuir a la inflamaci\u00f3n cr\u00f3nica, lo cual es contraproducente en pacientes que requieren f\u00f3rmulas especializadas y cuidadosas en su composici\u00f3n de grasas.\nAlterar m\u00faltiples rangos simult\u00e1neamente cambiar\u00eda las caracter\u00edsticas fundamentales de la f\u00f3rmula, desvi\u00e1ndose de las especificaciones t\u00e9cnicas originales y comprometiendo la adecuaci\u00f3n del producto para su prop\u00f3sito previsto. Por lo tanto, solicitamos que se mantengan los rangos establecidos en el Pliego para asegurar la calidad y efectividad del producto en cuesti\u00f3n.\n", "dateAnswered": "2024-09-11T17:56:31-04:00"}, {"id": "21", "date": "2024-08-12T08:47:18-04:00", "title": "ITEM 7", "description": "Solicitamos respetuosamente a la convocante que nombre generico tendremos en cuenta para la cotizaci\u00f3n final ya que en la planilla de precios dice: Formula semielemental pediatrica y el PBC dice: Formula extensamente hidrolizada.", "author": {"name": "LA QUIMICA FARMACEUTICA S.A.", "id": "PY-RUC-80002423-0"}, "answer": "Ajustarse al Pliego de bases y Condiciones. La planilla de oferta es un documento sustancial por lo que no puede ser modificado. Se aclara que el t\u00e9rmino \"f\u00f3rmula semielemental pedi\u00e1trica\" en la planilla de precios es exclusiva para la planilla de ofertas, mientras que el t\u00e9rmino \"f\u00f3rmula extensamente hidrolizada\" se refiere a las especificaciones t\u00e9cnicas del producto que se pretende adquirir.", "dateAnswered": "2024-09-11T18:10:36-04:00"}, {"id": "1", "date": "2024-08-08T13:17:48-04:00", "title": "Especificaciones t\u00e9cnicas - \u00cdtem 2", "description": "Para el \u00edtem 2 se solicita a la convocante modificar la columna de especificaciones t\u00e9cnicas y considerar como fuente proteica prote\u00ednas de origen animal y/o prote\u00ednas de origen vegetal a fin de dar mayor participaci\u00f3n a posibles oferentes ", "author": {"name": "QUIMFA S.A.", "id": "PY-RUC-80074991-0"}, "answer": "Ajustarse al Pliego de Bases y Condiciones, a fin de asegurar un aporte \u00f3ptimo y equilibrado de nutrientes para los pacientes. Las prote\u00ednas de origen vegetal no son equivalentes a las de origen animal debido a diferencias significativas en su perfil de amino\u00e1cidos. Las prote\u00ednas de origen animal son consideradas de mayor valor biol\u00f3gico, ya que contienen todos los amino\u00e1cidos esenciales en las proporciones adecuadas para cubrir las necesidades nutricionales del organismo. En cambio, las prote\u00ednas vegetales, son deficientes en uno o m\u00e1s amino\u00e1cidos esenciales, lo que impacta en la calidad nutricional de la f\u00f3rmula polim\u00e9rica. ", "dateAnswered": "2024-09-11T17:54:51-04:00"}, {"id": "10", "date": "2024-08-09T10:30:17-04:00", "title": "ITEM 4 . F\u00f3rmula para pacientes con falla renal sin di\u00e1lisis - ESPECIFICACIONES TECNICAS", "description": "El PBC solicita Prote\u00ednas, l\u00edpidos, Hidratos de carbono, vitaminas y minerales. Osmolaridad: 200-500 mOsm/L, Densidad cal\u00f3rica:1,7- 2 kcal/mL, P: 5-12%, HC: 40-60%, G: 30- 47%. Libre de gluten. Libre de lactosa. Polvo. Envase de 20 g como m\u00ednimo.\n\nSe solicita respetuosamente a la Convocante admitir una f\u00f3rmula polim\u00e9rica seg\u00fan lo solicitado, pero cuya Densidad cal\u00f3rica sea 2,05 Kcal/ml, es decir con un diferencial por exceso en aporte energ\u00e9tico de 0,05 Kcal /ml  o bien de 5 Kcal/100 ml; es decir un 2,5% sobre el extremo superior del intervalo, considerando que para 100 ml dichas 5 Kcal adicionales equivalen al aporte que dar\u00edan 1,25 g Prote\u00ednas; 1,25 g CH \u00f3 bien 0,55 g l\u00edpidos. A fin de brindar mayor oportunidad de participaci\u00f3n a los oferentes, evitando el direccionamiento hacia una marca especifica.", "author": {"name": "SCAVONE HERMANOS SA", "id": "PY-RUC-80001916-4"}, "answer": "Ajustarse al Pliego de Bases y Condiciones. Al superar el rango cal\u00f3rico establecido en las especificaciones t\u00e9cnicas, la f\u00f3rmula con una densidad de 2,05 kcal/mL no cumplir\u00eda con los criterios del \u00edtem solicitado. El rango de 1,7 a 2 kcal/mL est\u00e1 dise\u00f1ado para garantizar un equilibrio adecuado de nutrientes para pacientes con falla renal sin di\u00e1lisis. Un aporte energ\u00e9tico superior podr\u00eda alterar la proporci\u00f3n de macronutrientes, lo que afectar\u00eda negativamente el control metab\u00f3lico y el manejo adecuado de la enfermedad. Por esta raz\u00f3n, es fundamental mantener el rango cal\u00f3rico especificado para asegurar que el producto cumpla con las necesidades nutricionales espec\u00edficas de estos pacientes. ", "dateAnswered": "2024-09-11T18:01:53-04:00"}, {"id": "16", "date": "2024-08-09T16:11:28-04:00", "title": "MUESTRAS SOLICITADAS", "description": "Solicitamos respetuosamente a la Convocante aclarar a qu\u00e9 se refiere el siguiente requerimiento Sera necesaria la presentaci\u00f3n de una Declaraci\u00f3n Jurada en la que el oferente indique que deber\u00e1 entregar el producto conforme a las especificaciones t\u00e9cnicas requeridas en el \u00edtem correspondiente de igual marca, calidad, origen y procedencia que la muestra presentada.", "author": {"name": "SCAVONE HERMANOS SA", "id": "PY-RUC-80001916-4"}, "answer": "Ajustarse a la Adenda y al Pliego de Bases y Condiciones \u00faltima versi\u00f3n ", "dateAnswered": "2024-09-11T18:06:12-04:00"}, {"id": "17", "date": "2024-08-09T16:20:55-04:00", "title": "PRECIO REFERENCIAL ITEM 3", "description": "Solicitamos a la Convocante verificar, evaluar y aumentar el precio referencial del Item 3, ya que el mismo se encuentra muy por debajo del precio del mercado", "author": {"name": "SCAVONE HERMANOS SA", "id": "PY-RUC-80001916-4"}, "answer": "Ajustarse al Dictamen Complementario DOC N\u00b0 148/24", "dateAnswered": "2024-09-11T18:07:23-04:00"}, {"id": "11", "date": "2024-08-09T14:49:35-04:00", "title": "EETT \u0096 ITEM 2", "description": "Se solicita a la convocante modificar las especificaciones t\u00e9cnicas del ITEM 2 a Osmolaridad ≥ 240mOsm/L como m\u00ednimo, para dar mayor apertura a potenciales oferentes", "author": {"name": "PROSALUD FARMA S.A.", "id": "PY-RUC-80033584-8"}, "answer": "Ajustarse al Pliego de Bases y Condiciones, ya que el rango de osmolaridad de 240-400 mOsm/L est\u00e1 establecido para garantizar la adecuada tolerancia y absorci\u00f3n de nutrientes en los pacientes. Mantener este rango es fundamental, ya que una osmolaridad superior podr\u00eda incrementar el riesgo de efectos adversos, como diarrea o malestar gastrointestinal. Este rango espec\u00edfico es para asegurar un equilibrio entre eficacia nutricional y seguridad en su administraci\u00f3n.", "dateAnswered": "2024-09-11T18:02:34-04:00"}, {"id": "9", "date": "2024-08-09T10:28:23-04:00", "title": "ITEM 2 . F\u00f3rmula Polim\u00e9rica St\u00e1ndar - ESPECIFICACIONES TECNICAS", "description": "EL PBC solicita Prote\u00ednas, l\u00edpidos Hidratos de carbono, vitaminas y minerales. Osmolaridad: 240-400 mOsm/L, Densidad cal\u00f3rica: 1 kcal/mL, P:10- 18%, HC: 50-60%, G:20- 33%.\nLibre de gluten. Libre de lactosa. Con prote\u00ednas de origen animal. Polvo. Envase de 400 g a 1000 g.\n\nSe solicita respetuosamente a la Convocante admitir una f\u00f3rmula polim\u00e9rica seg\u00fan lo solicitado, pero cuya Densidad cal\u00f3rica sea 0,98 Kcal/ml, es decir con un diferencial por defecto en aporte energ\u00e9tico de 0,02 Kcal /ml  o bien de 2 Kcal/100 ml; es decir un 2% por debajo de lo establecido considerando que para 100 ml dichas 2 Kcal faltantes equivalen al aporte que dar\u00edan 0,50 g Prote\u00ednas; a 0,50 g CH \u00f3 bien 0,22 g l\u00edpidos. A fin de brindar mayor oportunidad de participaci\u00f3n a los oferentes, evitando el direccionamiento hacia una marca especifica.\n", "author": {"name": "SCAVONE HERMANOS SA", "id": "PY-RUC-80001916-4"}, "answer": "Ajustarse al Pliego de Bases y Condiciones. El criterio establecido para una f\u00f3rmula polim\u00e9rica est\u00e1ndar requiere una densidad cal\u00f3rica de 1 kcal/mL. Esto asegura un aporte adecuado y balanceado de macro y micronutrientes, como prote\u00ednas, hidratos de carbono y l\u00edpidos, que son esenciales en este tipo de f\u00f3rmulas. Una densidad cal\u00f3rica inferior a la solicitada podr\u00eda comprometer el valor nutricional global del producto, afectando su capacidad para satisfacer las necesidades nutricionales espec\u00edficas de los pacientes. Por este motivo, se considera esencial mantener el criterio de 1 kcal/mL para garantizar la calidad y efectividad del tratamiento nutricional.", "dateAnswered": "2024-09-11T18:00:54-04:00"}], "lots": [{"id": "YblmX3QrxWA=", "title": "2 - Formula Polimerica Estandar P/ Nutricion Enteral Polvo", "status": "active", "statusDetails": "Activo", "value": {"amount": 5922000000, "currency": "PYG"}, "openContractType": " Por cantidad", "simultaneousSupply": true, "attributes": [{"name": "Orden", "value": "2", "id": "1"}]}, {"id": "v/wE/a3ZlBo=", "title": "7 - Formula semielemental pediatrica", "status": "active", "statusDetails": "Activo", "value": {"amount": 1193280000, "currency": "PYG"}, "openContractType": " Por cantidad", "simultaneousSupply": true, "attributes": [{"name": "Orden", "value": "7", "id": "1"}]}, {"id": "RaeG4/QJDf0=", "title": "3 - Formula p/ Diabeticos p/ Nutricion Enteral Polvo", "status": "active", "statusDetails": "Activo", "value": {"amount": 3585600000, "currency": 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