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Solicitamos, amablemente, que ademas de Ciudad del Este, se puedan realizar los tratamientos en alguna otra ciudad del Departamento de Alto Paran\u00e1, adem\u00e1s de CDE en caso de ganar.", "answer": "Se aclara que la LPN N\u00b0 126/24 denominada CONTRATACION DE SERVICIO DE HEMODIALISIS     ALTO PARANA - CIUDAD DEL  ESTE, est\u00e1 dirigida a todo el Departamento de Alto Paran\u00e1 y, no se limita solo a Ciudad del Este, por lo que pueden presentarse los potenciales oferentes que cumplan con los requisitos establecidos en el PBC.", "dateAnswered": "2024-11-07T10:03:21-04:00"}, {"id": "22cefaa930d6ededf201ba27d5c6a74d-1", "date": "2024-10-25T08:45:39-04:00", "title": "Suministros Requeridos - Especificaciones T\u00e9cnicas 3 - Unidades de Hemodi\u00e1lisis", "description": "Solicitan que:\n2. Los Monitores de Hemodi\u00e1lisis no tendr\u00e1n una fecha de fabricaci\u00f3n superior a 5 (cinco) a\u00f1os.\nSe Solicita la modificaci\u00f3n del punto ya que las NORMAS B\u00c1SICAS PARA LA HABILITACI\u00d3N DE SERVICIOS DE NEFROLOG\u00cdA PARA CENTROS P\u00daBLICOS Y PRIVADOS - \u201cResoluci\u00f3n S.G. N\u00b0235/2019\u201d en su numeral 6.2 EQUIPAMIENTO expresa cuanto sigue:\na.\tM\u00e1quinas de hemodi\u00e1lisis: La marca debe estar registrada en el Pa\u00eds en las instancias correspondientes y contar con un equipo t\u00e9cnico de mantenimiento y reparaci\u00f3n. No se aceptar\u00e1n m\u00e1quinas de m\u00e1s de 20 a\u00f1os.\nPor lo cual solicitamos se consideren los puntos de las normas y que la antig\u00fcedad aceptada para las m\u00e1quinas no sea superior a 20 a\u00f1os, as\u00ed no dar suspicacias ni dudas de que sea una licitaci\u00f3n dirigida.\nEn caso mantener las especiaciones ir\u00edan en contra de las normas establecidas por el ente rector de la Hemodi\u00e1lisis en el pa\u00eds.", "answer": "Si bien es cierto que en la Resoluci\u00f3n Ministerial SG No 235/2019 est\u00e1 descrito que \"No se aceptar\u00e1n m\u00e1quinas de m\u00e1s de 20 a\u00f1os\", que los  Monitores de Hemodi\u00e1lisis no tendr\u00e1n una fecha de fabricaci\u00f3n superior a 5 (cinco) a\u00f1os establecido en el Pliego de Bases y Condiciones, es un derecho como Instituci\u00f3n de solicitar lo mejor para sus pacientes.\nNormalmente una m\u00e1quina de hemodi\u00e1lisis, como todo equipo electr\u00f3nico e hidr\u00e1ulico, pasado un cierto tiempo comienza a desgastarse y a requerir adem\u00e1s de mantenimiento, repuestos para poder seguir funcionando correctamente.\nLa experiencia en Servicio de Nefrolog\u00eda del Hospital Central, demuestra que dependiendo del uso y cuidados que se le d\u00e9 a la m\u00e1quina, pasados los 5 a\u00f1os, los mismos requieren cambiar partes y la necesidad es a\u00fan mayor en m\u00e1quinas m\u00e1s antiguas\nAdem\u00e1s, se debe tener en cuenta que la tecnolog\u00eda est\u00e1 en avance continuo y las mismas empresas que fabrican este tipo de equipos, sacan varias series de los mismos modelos y luego dejan de fabricarlos y pasados unos 5 a 7 a\u00f1os m\u00e1s, ya no se consiguen repuestos porque las mismas empresas dejan de producirlos.\nCalidad y Seguridad: La seguridad y efectividad del tratamiento son fundamentales, los requerimientos establecidos son para garantizar que el/los potenciales oferentes, tengan experiencia en operar tecnolog\u00edas nuevas, para con ello garantizar que los servicios Vitales para los asegurados sean de calidad en los centros de derivaci\u00f3n. Por tanto el oferente deber\u00e1 ajustarse a lo establecido en el Pliego de Bases y Condiciones.\n", "dateAnswered": "2024-11-07T10:04:34-04:00"}, {"id": "5513d41d2b94cda509df338ec8ba6a25-1", "date": "2024-10-17T16:39:25-04:00", "title": "Especificaciones T\u00e9cnicas, 3. Unidades de Hemodialisis, Punto 2", "description": "establece que los Monitores de Hemodi\u00e1lisis no tendr\u00e1n una fecha de fabricaci\u00f3n superior a 5 (cinco) a\u00f1os, solicitamos que se incluya una constancia del fabricante o del distribuidor local que garantice el correcto funcionamiento de los equipos, como as\u00ed tambi\u00e9n una constancia de la fecha de fabricaci\u00f3n.", "answer": "Se aclara que los Monitores de Hemodi\u00e1lisis no tendr\u00e1n una fecha de fabricaci\u00f3n superior a 5 (cinco) a\u00f1os. El Centro de Hemodi\u00e1lisis Tercerizado adjudicado deber\u00e1 presentar un informe de verificaci\u00f3n t\u00e9cnica trimestral que certifique su buen funcionamiento para ser utilizados con pacientes...\".  Por lo tanto el oferente deber\u00e1 ajustarse a lo establecido en el Pliego de Bases y Condiciones.", "dateAnswered": "2024-11-07T10:03:36-04:00"}, {"id": "694eaef839d39bf1dd012065ae980cec-1", "date": "2024-10-18T05:11:38-04:00", "title": "Capacidad T\u00e9cnica", "description": "Capacidad T\u00e9cnica - Solicitamos a la convocante la constituci\u00f3n f\u00edsica en cada Centro de Hemodi\u00e1lisis, quienes presenten oferta en esta licitaci\u00f3n, para la verificaci\u00f3n de la cantidad de m\u00e1quinas de di\u00e1lisis instaladas y realmente activas, y su concordancia con la cantidad de m\u00e1quinas habilitadas conforme a los documentos de habilitaci\u00f3n por parte del Direcci\u00f3n General de Establecimientos de Salud y el Instituto Nacional de Nefrolog\u00eda", "answer": "Se aclara que el llamado mencionado se refiere a contrataci\u00f3n de servicios de hemodi\u00e1lisis y establece los Requisitos documentales, Capacidad T\u00e9cnica - Financiera y Experiencia Requerida, a fin de ser evaluados por el Comit\u00e9 Evaluador para la adjudicaci\u00f3n. El PBC establece, adem\u00e1s, en el PUNTO N\u00b0 7 - Inspecciones y Pruebas. Las inspecciones y pruebas ser\u00e1n como se indica a continuaci\u00f3n:\nSe realizar\u00e1n auditorias con fiscalizadores m\u00e9dicos designados por la DIRECCION DE HOSPITALES AREA INTERIOR en coordinaci\u00f3n con la DIRECCION DE GESTION MEDICA del IPS, cuando el Instituto considere necesario.  El sistema de verificaci\u00f3n estar\u00e1 a cargo de fiscalizadores m\u00e9dicos conjuntamente con la DIRECCION DE HOSPITALES AREA INTERIOR DEL IPS los cuales controlaran peri\u00f3dicamente el establecimiento de salud adjudicado, conforme a sus necesidades a fin de verificar el cumplimiento de estas Especificaciones T\u00e9cnicas, tales como:\n \n\n1.\tQue el plantel del servicio Recursos Humanos del establecimiento de salud, cumpla con las disposiciones establecidas en las presentes Especificaciones T\u00e9cnicas.\n2.\tQue los equipamientos del establecimiento de salud, cumpla con las disposiciones establecidas en las presentes Especificaciones T\u00e9cnicas.\n3.\tQue la calidad del agua del establecimiento de salud, cumpla con las disposiciones establecidas en la presentes Especificaciones T\u00e9cnicas.\n4.\tQue la infraestructura del establecimiento de salud, cumpla con las disposiciones establecidas en las presentes Especificaciones T\u00e9cnicas.\nPor lo expuesto, el oferente 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