Public procurement notice: Voluntary Ex Ante Transparency Notice
Published: 2022-07-01
Buyer: Health Service Executive (HSE)
Country: IE
Contract type: Supplies
Procedure: Negotiated without a prior call for competition
CPV classification: 33000000 | 33157400 | 33170000: Anaesthesia and resuscitation
Estimated value: 758356 EUR
EU fund: ESF

Technical requirements: Lääketieteelliset laitteet, farmaseuttiset valmisteet ja henkilökohtaiseen hygieniaan liittyvät tuotteet
This is a VEAT notice to indicate that the HSE intends utilize EU public procurement directive Art 32.3(b) negotiated procedure without prior publication in the following case to purchase 22 x Ventilators for St. James Hospital. The negotiated procedure without prior publication may be used for public supply contracts: for additional deliveries by the original supplier which are:
intended either as a partial replacement of supplies or installations or as the extension of existing supplies or installations where a change of supplier would oblige the contracting authority to acquire supplies having different technical characteristics which would result in incompatibility or disproportionate technical difficulties in operation and maintenance; the duration of such contracts as well as that of recurrent contracts shall not, as a general rule, exceed three years;
This is a VEAT notice to indicate that the HSE intends utilize EU public procurement directive Art 32.3(b) negotiated procedure without prior publication in the following case to purchase 22 x Ventilators for St. James Hospital.
intended either as a partial replacement of supplies or installations or as the extension of existing supplies or installations where a change of supplier would oblige the contracting authority to acquire supplies having different technical characteristics which would result in incompatibility or disproportionate technical difficulties in operation and maintenance; the duration of such contracts as well as that of recurrent contracts shall not, as a general rule, exceed three years;
The use of this article is for the provision of 22 x Servo U ventilators for St. James Hospital. It is intended to award the contract for the provision of this device to Getinge Ireland.
St James’s Hospital is Irelands largest acute academic teaching hospital. It houses a 35 bed criticalcare environment, caring for a complex mix of critically ill patients requiring highly specialised and1:1 intensive care management. The work of the critical care team is supported by a significantamount of medical device technology, at the core of which is the critical care ventilator. SJH/MPBEDepartment maintain an inventory of ventilators across the Hospital site to include the Burns Unit,ED, HDU, Cardiac ICU, and CCU. It is not uncommon for ventilators to move with a patient from oneintensive area to another where appropriate, and a single make of ventilator across the site ensuresfamiliarity with an incoming ventilator.
In early 2020, SJH in conjunction with Covid escalation planning, acquired a total of 20 Maquet ServoU ventilators which were seamlessly integrated into the environment alongside the existing Servo Iventilators, at a time of significant pressure and uncertainty. These ventilators now form the coreeveryday ventilator in the environment.
SJH have used its predecessor – theServo i – for many years across St James’s, ensuring a high level of institutional and departmentalfamiliarity with the Servo products.The critical care environment is supported by a significant number of specialist trained staff.Continued training and in depth familiarisation with medical device technology is challenging in this
complex environment, and catering for more than one make of ventilator adds to these challengessignificantly. Furthermore, staff changeover during the pandemic has been high. Numerous juniornursing and medical staff have joined SJH large ICU team in the last year, and are training in criticalcare medicine. An important support for this training (and in turn for quality of care and for patientsafety) is the harmonisation of equipment and pathways of care in the ICU. Mechanical ventilatorsare arguably the most important piece of clinical equipment in the ICU, hence SJH request tocontinue with Servo devices.The impact of different ventilators on training and patient care is an important consideration.
Different brands of ventilator use varied procedures, calibration checks, and stand by modes. It isnot uncommon for ventilator manufacturers to have proprietary names for ventilator modes, withthe potential to cause confusion and uncertainty among more junior staff. ICU staff have frequentlyto respond rapidly to changes in a patient’s status, and an innate understanding of the ventilatorsettings and response to change is vital, whereby more than one ventilator type in the environmentconfounds this and may present a patient safety issue.
Servo-I/U   due to their compact design and versatility are very suitable for transport patients for various types of scans (MRI, CT). In particular, due to restrictions that will not allow all devices to go in to the MRI suite, the ventilator needs to be switched during the scan.  Our MRI suites are equipped with an MRI compatible Servo-I ventilator which provide a safer and more convenient workflow when transferring over critical care patients without any changes in consumables and ventilation modes.SJH ICU operates a paperless integrated environment with ventilator settings transferring seamlesslyto ICCA. The Servo/ICCA interface has been developed and refined over the years to provide areliable and timely transfer of data to ICCA.
VEAT notice to indicate that the HSE intends utilize EU public procurement directive Art 32.3(b) negotiated procedure without prior publication to purchase 22 x Ventilators for St. James Hospital.
Continuation from the explanation:The management of more than one make of ventilator inthe context of ICCA is problematic and potentially unworkable.Consumable management is logistically more efficient, cost effective and more reliable whencatering for one make of ventilator. The management of several different types of componentsthrough the HSSD cycle becomes more complex and potentially raises Infection Control risks, as each make of ventilator manages filter and fluid contamination in a different way.MPBE Clinical Engineers are trained on the workings and maintenance of the Servo ventilators.Consequently, all Servo ventilators are maintained in house in a timely and cost effective manner,which could probably not be equally extended to maintaining a second model type.


Winner: Getinge Ireland Ltd
Award value: 758356