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GROUP S.A.", "id": "PY-RUC-80092018-0"}}, {"id": "deb22116d7a93f1ee94cb42a8e278ac97a3dd33a-1", "date": "2026-10-06T10:46:57-04:00", "title": "Especificaciones Tecnicas Lote 2 Items 3,4 y 5", "description": "Especificaciones T\u00e9cnicas Lote 2 \u00cdtems 3, 4 y 5 Sistemas de anclaje roscado, donde dice para cirug\u00eda de hombro artroscopica (pinzas, \u00f3ptica, c\u00e1nula), no solicitan la bomba artroscopica y tampoco el posicionador de hombro, dos materiales costosos que afectar\u00edan de manera importante al costo del implante. Por lo expuesto mas arriba solicitamos aclaracion con respecto a su presentaci\u00f3n o no en cirug\u00eda y por ende en la oferta economica", "author": {"name": "LUIS ARMANDO ABBATE CORDAZZO", "id": "PY-RUC-297749-4"}, "answer": "Se aclara que el oferente deber\u00e1 proveer la bomba artrosc\u00f3pica y el posicionador de hombro para cada procedimiento, ya que ambos equipos son indispensables para realizar la cirug\u00eda artrosc\u00f3pica de hombro. Su costo se considerar\u00e1 incluido en el precio ofertado del implante, sin cargo adicional para la Convocante.", "dateAnswered": "2026-10-07T13:40:22-04:00"}, {"id": "c57ccfa425ccdec84549c024c589535b7cebd360-1", "date": "2026-10-06T10:47:33-04:00", "title": "Detalle de bienes requeridos Lote 2 - Item 6", "description": "Detalle de bienes requeridos Lote 2 - Item 6  Aguja de sutura, solicitamos la eliminaci\u00f3n de este Item del Lote 2 por ser un Item de un \u00fanico oferente, por lo cual todo el Lote estar\u00eda direccionado al mismo. No existe otra competencia con esas especificaciones t\u00e9cnicas en el mercado, esta informaci\u00f3n es f\u00e1cil de verificar en la DNVS y como antecedente en los llamados anteriores realizados de dicho Item por la Convocante. Por lo expuesto mas arriba urge y corresponde que dicho Item sea eliminado del Lote 2", "author": {"name": "LUIS ARMANDO ABBATE CORDAZZO", "id": "PY-RUC-297749-4"}, "answer": "No se acepta la modificaci\u00f3n solicitada y se mantienen las especificaciones t\u00e9cnicas establecidas en el PBC, por responder a una necesidad asistencial concreta y directamente vinculada con las prestaciones realizadas por el Servicio. El Hospital Central de Polic\u00eda \"Rigoberto Caballero\" atiende procedimientos traumatol\u00f3gicos y artrosc\u00f3picos de diversa complejidad, incluyendo lesiones meniscales extensas que requieren m\u00faltiples puntos de fijaci\u00f3n para lograr una reparaci\u00f3n estable e integral. En este contexto, los dispositivos con m\u00faltiples puntos de sutura permiten realizar el procedimiento de manera adecuada y eficiente, evitando la necesidad de utilizar varias unidades de menor capacidad, lo que podr\u00eda incrementar el consumo de insumos, los costos, el tiempo quir\u00fargico y las inserciones artrosc\u00f3picas, con potencial afectaci\u00f3n de estructuras anat\u00f3micas.\nPor tanto, la especificaci\u00f3n cuestionada responde a criterios objetivos de necesidad, funcionalidad, seguridad, eficiencia en el uso de los recursos p\u00fablicos y adecuaci\u00f3n a las pr\u00e1cticas asistenciales del Servicio, y no a una preferencia arbitraria.\nRespecto a la solicitud de eliminar el \u00cdtem 6 por la eventual existencia de un \u00fanico oferente, se aclara que la conformaci\u00f3n del Lote 2 responde a la planificaci\u00f3n integral de las necesidades asistenciales y presupuestarias institucionales. Los bienes requeridos guardan relaci\u00f3n funcional con los procedimientos a realizar, y su incorporaci\u00f3n permite asegurar el abastecimiento oportuno, racionalizar los recursos y evitar contrataciones adicionales que podr\u00edan generar mayores costos administrativos y riesgos de discontinuidad en la disponibilidad de insumos.\nEn consecuencia, la estructura del lote no tiene por finalidad favorecer o limitar a determinado proveedor, sino satisfacer necesidades reales del Servicio conforme a la programaci\u00f3n presupuestaria institucional. La eventual existencia de un n\u00famero limitado de oferentes no constituye, por s\u00ed sola, fundamento suficiente para excluir un bien t\u00e9cnicamente necesario, siempre que su especificaci\u00f3n se encuentre objetiva y debidamente vinculada con el objeto de la contrataci\u00f3n.\nPor lo expuesto, se mantiene el \u00cdtem 6 del Lote 2 y las especificaciones t\u00e9cnicas establecidas en el PBC, no acept\u00e1ndose la modificaci\u00f3n solicitada.\n\n", "dateAnswered": "2026-10-07T13:40:52-04:00"}, {"id": "7e365098546ff01a3ecd6acc2f7a6bcef59e1a8f-1", "date": "2026-09-29T15:27:09-04:00", "title": "Lote 1: PROTESIS DE CADERA ITEM 8", "description": "En relaci\u00f3n con la especificaci\u00f3n correspondiente a \u201cPr\u00f3tesis Total de Cadera de Revisi\u00f3n No Cementada Modular en Titanio\u201d, donde se establece que el componente proximal deber\u00e1 contar con fijaci\u00f3n press-fit, solicitamos considerar la posibilidad de que se permita, como alternativa, la fijaci\u00f3n proximal, acept\u00e1ndose cualquiera de las dos modalidades: press-fit o fijaci\u00f3n proximal.\n\nAsimismo, respecto a la exigencia de \u201cAnillo de refuerzo modelo M\u00fcller\u201d, solicitamos que dicho componente pueda ser considerado opcional, de acuerdo con las caracter\u00edsticas del sistema y la necesidad de la reconstrucci\u00f3n.\n\nCabe se\u00f1alar que ambas condiciones se encontraban contempladas en las especificaciones t\u00e9cnicas del llamado correspondiente al a\u00f1o pasado. Por tal motivo, solicitamos respetuosamente que se considere mantener el mismo criterio en el presente llamado, a fin de permitir la participaci\u00f3n de sistemas que cumplan con los requerimientos t\u00e9cnicos y funcionales solicitados.\n\nPor lo expuesto, solicitamos se considere:\n\nFijaci\u00f3n del componente proximal: aceptar press-fit o fijaci\u00f3n proximal, como alternativas.\n\nAnillo de refuerzo modelo M\u00fcller: considerar opcional, al igual que en las especificaciones del llamado del a\u00f1o pasado."}, {"id": "dd8c58aaad161fb3b2538d59fbb764177452b713-1", "date": "2026-10-06T10:46:05-04:00", "title": "Muestras", "description": "Solicitamos la eliminaci\u00f3n de las Muestras en lo que refiere a los Lotes 1, 2, 6 y 7 por ser implantes de costos muy elevados que vienen en una presentaci\u00f3n est\u00e9ril con un envase sellado que hace que sea imposible su verificaci\u00f3n f\u00edsica. Son materiales con certificaciones CE/FDA que est\u00e1n regulados justamente en su presentaci\u00f3n y la misma es de origen. Dichos implantes deben ser evaluados con cat\u00e1logos o fichas t\u00e9cnicas de los mismos y por su uso en el mercado. Favor confirmar", "author": {"name": "LUIS ARMANDO ABBATE CORDAZZO", "id": "PY-RUC-297749-4"}, "answer": "Se solicita al potencial Oferente ajustarse a lo establecido en el PBC, las muestras son solicitadas para verificar el cumplimiento efectivo de las EETT.", "dateAnswered": "2026-10-07T13:40:02-04:00"}, {"id": "6a9f27f9ec54233bdfa2714983d2a7cc020a268e-1", "date": "2026-10-06T10:48:16-04:00", "title": "Especificaciones Tecnicas Lote 1 Item 1 Protesis total de rodilla", "description": "Especificaciones T\u00e9cnicas Lote 1 Item 1 Pr\u00f3tesis total de rodilla, donde dice el componente femoral deber\u00e1 contar con 20 medidas y el componente tibial con 13 medidas, solicitamos una re evaluaci\u00f3n de la cantidad solicitada, ya que el mismo no corresponde ni tiene sentido alguno. Por lo general no son mas de 4 o 5 las medidas utilizadas en cirug\u00eda, ademas deben tener en cuenta que para el Item 2 del mismo Lote se requiere una pr\u00f3tesis de revisi\u00f3n de rodilla (implante mucho mas complejo y con mas componentes que la primaria) y unicamente solicitan 6 medidas para el componente femoral y 5 medidas para el componente tibial. Por lo expuesto mas arriba solicitamos que se equiparen dichas medidas (a lo solicitado en la revisi\u00f3n) ya que el \u00fanico sentido y explicaci\u00f3n de la adjudicaci\u00f3n por Lote en estos Items (protesis total de rodilla) es justamente su compatibilidad.", "author": {"name": "LUIS ARMANDO ABBATE CORDAZZO", "id": "PY-RUC-297749-4"}, "answer": "Se solicita amablemente a los potenciales oferentes considerar los t\u00e9rminos y condiciones inicialmente establecidos por la Convocante, teniendo en cuenta que las especificaciones t\u00e9cnicas fueron elaboradas conforme a las necesidades y requerimientos del servicio objeto de la presente contrataci\u00f3n.", "dateAnswered": "2026-10-07T13:41:17-04:00"}, {"id": "2eade8e8f3f0fb26172d9d0b0bfe9b39df794308-1", "date": "2026-09-30T16:45:38-04:00", "title": "LOTE 2 ITEM 1 \u2013 Tornillo de Interferencia", "description": "Donde dice: Tornillo de Interferencia de Titanio, con Filo y Romo para LCA. Di\u00e1metros de 7mm a 10mm y Longitud de 20mm Hasta 35mm (* en Pares).\n\nSe sugiere a la convocante modificar a \u201cTornillo de Interferencia de Titanio, con Filo y Romo para LCA. Di\u00e1metros de 7mm a 10mm y Longitud de 20mm Hasta 35mm (\u00b15mm en Pares)\u201d. \u2013 La longitud est\u00e1ndar en los tornillos para fijaci\u00f3n de LCA oscilan entre 20mm hasta 30mm, adem\u00e1s la inclusi\u00f3n de tolerancia de \u00b15mm no altera el objeto contractual ni la eficacia del servicio prestado.", "author": {"name": "A.S. GROUP S.A.", "id": "PY-RUC-80092018-0"}}, {"id": "245997221bdcc27be65fc1c3ef222899045015d7-1", "date": "2026-10-06T10:48:46-04:00", "title": "Detalle de bienes requeridos Lote 6 - Item 1", "description": "Detalle de bienes requeridos Lote 6 - Item 1, donde dice v\u00e1stagos no cementados en di\u00e1metros 8,10,12,14 y 16mm y vastagos cementados 6-8-10 y 12mmsolicitamos que en dicho punto unicamente exijan una cantidad m\u00ednima de medidas de v\u00e1stagos, as\u00ed como lo vienen haciendo en los dem\u00e1s Lotes 1 y 7 correspondientes  a las pr\u00f3tesis. De esta manera estar\u00edan teniendo el mismo criterio y no se dar\u00eda ventaja al oferente de cuyo catalogo se obtuvieron dichos especificaciones tecnicas", "author": {"name": "LUIS ARMANDO ABBATE CORDAZZO", "id": "PY-RUC-297749-4"}, "answer": "Se solicita amablemente a los potenciales oferentes considerar los t\u00e9rminos y condiciones inicialmente establecidos por la Convocante, teniendo en cuenta que las especificaciones t\u00e9cnicas fueron elaboradas conforme a las necesidades y requerimientos del servicio objeto de la presente contrataci\u00f3n.\n\n", "dateAnswered": "2026-10-07T13:41:36-04:00"}, {"id": "a60c9ac660abb6279fd2b53b8ff3929912574435-1", "date": "2026-10-06T10:49:33-04:00", "title": "Detalle de bienes requeridos Lote 6 - Item 2", "description": "Detalle de bienes requeridos Lote 6 - Item 2, donde dice v\u00e1stagos no cementados en di\u00e1metros 8,10,12,14 y 16mm y vastagos cementados 6-8-10 y 12mmsolicitamos que en dicho punto unicamente exijan una cantidad m\u00ednima de medidas de v\u00e1stagos, as\u00ed como lo vienen haciendo en los dem\u00e1s Lotes 1 y 7 correspondientes  a las pr\u00f3tesis. De esta manera estar\u00edan teniendo el mismo criterio y no se dar\u00eda ventaja al oferente de cuyo catalogo se obtuvieron dichas especificaciones tecnicas", "author": {"name": "LUIS ARMANDO ABBATE CORDAZZO", "id": "PY-RUC-297749-4"}, "answer": "Se solicita amablemente a los potenciales oferentes considerar los t\u00e9rminos y condiciones inicialmente establecidos por la Convocante, teniendo en cuenta que las especificaciones t\u00e9cnicas fueron elaboradas conforme a las necesidades y requerimientos del servicio objeto de la presente contrataci\u00f3n.", "dateAnswered": "2026-10-07T13:41:55-04:00"}, {"id": "f3121b2ae10c9542eb0fc8e9b5cb79c6735caf16-1", "date": "2026-09-30T16:47:23-04:00", "title": "LOTE 2 ITEM 6 \u2013 Aguja Para Sutura", "description": "Donde dice: Aguja para Sutura todo adentro para fijaci\u00f3n en la zona\nperif\u00e9rica del menisco de 7 puntos.\n\nSe sugiere a la convocante modificar a \u201cAguja para Sutura todo adentro para fijaci\u00f3n en la zona perif\u00e9rica del menisco que entregue un (1) punto por dispositivo individualizado\u201d \u2013 Garantizar el suministro justo de puntos requeridos, la mayor\u00eda de las t\u00e9cnicas quir\u00fargicas actuales no utilizan m\u00e1s de 2 o 3 puntos de sutura por rodilla. Exigir un dispositivo cerrado de 7 puntos genera un sobrecosto excesivo e innecesario, ya que las 4 o 5 suturas restantes se desechan obligatoriamente porque pierden su esterilidad y es imposible reutilizarlos. Adicionalmente el dispositivo de un solo punto posee una aguja mucho m\u00e1s delgada y ligera que permite al m\u00e9dico acceder f\u00e1cilmente a zonas estrechas sin da\u00f1ar el cart\u00edlago sano.", "author": {"name": "A.S. GROUP S.A.", "id": "PY-RUC-80092018-0"}, "answer": "No se acepta la modificaci\u00f3n sugerida y se mantiene la especificaci\u00f3n del PBC, ya que el Servicio se aboca principalmente al tratamiento de lesiones meniscales extensas y complejas que requieren m\u00faltiples puntos de fijaci\u00f3n distribuidos a lo largo de toda la lesi\u00f3n para lograr una reparaci\u00f3n estable. En este tipo de casos, la totalidad de los puntos del dispositivo se utiliza efectivamente, por lo que no existe el desperdicio se\u00f1alado. Por el contrario, el uso de dispositivos de un solo punto obligar\u00eda a abrir varias unidades por cirug\u00eda, con mayor costo por procedimiento, m\u00e1s tiempo quir\u00fargico y repetidas inserciones a trav\u00e9s del portal artrosc\u00f3pico, lo que incrementa el riesgo acumulado de lesi\u00f3n del cart\u00edlago sano. Por lo tanto, la especificaci\u00f3n responde a las necesidades reales y justificadas del Servicio y se mantiene sin cambios.", "dateAnswered": "2026-10-07T13:39:41-04:00"}], "lots": [{"id": "1f1ad342-5e26-6a86-a322-7545cdd36f01", "title": "6 - 1 - PROTESIS DE HOMBRO", "status": "active", "statusDetails": "activo", "value": {"amount": 400000000, "currency": "PYG"}, "openContractType": "monto", "minValue": {"amount": 200000000, "currency": "PYG"}, "simultaneousSupply": false, "attributes": [{"name": "Orden", "value": "1", "id": "6"}]}, {"id": "1f1ad25b-d090-68c0-b82d-a72a9a33c479", "title": "2 - 1 - MEDICINA DEPORTIVA", "status": "active", "statusDetails": "activo", "value": {"amount": 1300000000, "currency": "PYG"}, "openContractType": "monto", "minValue": {"amount": 650000000, "currency": "PYG"}, "simultaneousSupply": false, "attributes": [{"name": "Orden", "value": "1", "id": "2"}]}, {"id": "1f1ad27f-9454-6d9c-a871-0bac35260a23", "title": "3 - 1 - MATERIALES PARA PARA CIRUGIA COMPLEJA DE COLUMNA CERVICAL, SACRO Y DORSO LUMBAR", "status": "active", "statusDetails": "activo", "value": {"amount": 1000000000, "currency": "PYG"}, "openContractType": "monto", "minValue": {"amount": 500000000, "currency": "PYG"}, "simultaneousSupply": false, "attributes": [{"name": "Orden", "value": "1", "id": "3"}]}, {"id": "1f1ad330-9403-64ea-8472-e7ce3b41ca73", "title": "4 - 1 - OSTEOTOMIA", "status": "active", "statusDetails": "activo", "value": {"amount": 300000000, "currency": "PYG"}, "openContractType": "monto", "minValue": {"amount": 150000000, "currency": "PYG"}, "simultaneousSupply": false, "attributes": [{"name": "Orden", "value": "1", "id": "4"}]}, {"id": "1f1ad34c-e7d1-6c68-a8d4-0fba5d29afed", "title": "7 - 1 - PROTESIS DE RODILLA", "status": "active", "statusDetails": "activo", "value": {"amount": 400000000, "currency": "PYG"}, "openContractType": "monto", "minValue": {"amount": 200000000, "currency": "PYG"}, "simultaneousSupply": false, "attributes": [{"name": "Orden", "value": "1", "id": "7"}]}, {"id": "1f1ad33a-fbf3-644c-92d1-594692f0c78f", "title": "5 - 1 - TUTORES EXTERNOS", "status": "active", "statusDetails": "activo", "value": {"amount": 90000000, "currency": "PYG"}, "openContractType": "monto", "minValue": {"amount": 35000000, "currency": "PYG"}, "simultaneousSupply": false, "attributes": [{"name": "Orden", "value": "1", "id": "5"}]}, {"id": "1f1ad23f-0e66-657c-9ca3-3d2689edbf9b", "title": "1 - 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