Rotary and Pequeno Príncipe Hospital

2018

Curitiba, 27 de março de 2018.

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INDEX

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1. GENERAL INFORMATION

Name: Associação Hospitalar de Proteção à Infância Dr. Raul Carneiro

Address: Rua Desembargador Motta, 1.070 - Água Verde

City/State/Country: Curitiba/Paraná/Brazil

Zip code: 80.250-060

Phone number: +55 41 2108-3884

E-mail: julia.damo@hpp.org.br

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National Registration Number for Medical Establishments (CNES):

0015563

National Register of Legal Entities (CNPJ): 76.591.569/0001-30

Legal Representative: José Álvaro da Silva Carneiro

1.1 THE PEQUENO PRÍNCIPE COMPLEX

The Pequeno Príncipe Complex is a nonprofit philanthropic organization that

comprises the Pequeno Príncipe Hospital, the Pequeno Príncipe College, and

the Pelé Pequeno Príncipe Research Institute. It works in an integrated and

complementary way to promote healthcare, education, scientific research, art,

culture, and social mobilization.

The Hospital:

Complex’s unit of healthcare, the Pequeno Príncipe takes care of Brazilian

boys’ and girls’ health. It is more than just the largest exclusively pediatric

hospital of the country, it is a reference center where its professionals practice

and research the latest forms of diagnosis and treatment of children and

adolescents.

The institution offers 32 medical specialties and it is reference in high- and

medium-complexity procedures. It has 370 beds – 60 of them in ICUs – and

devotes 70% of its capacity to patients of Brazilian public health system. Only in

2016, it totalized 315,000 outpatients, 22,000 admissions, 20,000 surgeries,

783,000 tests, and 199 transplants (organs, bone tissue, and bone marrow).

Cradle of Paraná’s Pediatrics, the Hospital has graduated specialists in different

areas for over four decades. More than 2,000 pediatricians, anesthesiologists,

orthopedists, and pediatric surgeons from all over Brazil, already completed

their professional qualification, their internships and residency years in the

institution.

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The Research Institute

The Pelé Pequeno Príncipe Research Institute seeks through its projects new

methods of early diagnosis and more assertive forms of treatment, besides of

investigate infancy’s complex diseases. Thus, its work contributes for the

reduction of infant-juvenile mortality.

It counts with 15 researchers who develop 91 research projects, distributed in

seven lines of research. With a high qualified team, the Research Institute has

faced the challenge of develop research at the present scenario of health in

Brazil and has offered important contributions to provide more quality of life and

welfare.

The research activities of Pequeno Príncipe collaborate in a decisive way. Thus,

the Pequeno Príncipe can do more and better through high and medium-

complexity medicine. The scientific studies also permit that the institution

increase its activities’ sphere of action in Brazil and the whole world.

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1.1.1 PEQUENO PRÍNCIPE COMPLEX IN NUMBERS

Pequeno Príncipe Complex – 2016

● 63% its capacity to patients of Brazilian public health system.

● 0 - 18 years old

● 2.056 employees

● 300 doctors

● 84 teachers

● 14 scientists

● 98 years of activities

● 1.151 volunteers

Pequeno Príncipe Hospital – 2016

● 32 medical specialties

● 370 beds – 60 of them in ICUs

● 20.000 surgeries

● 315.000 outpatients

● 22.000 admissions

● 199 transplants (organs, bone tissue, and bone marrow)

The Research Institute – 2016

● 15 researchers

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● 91 research projects

● 7 lines of research

Pequeno Príncipe College – 2016

● 5 courses of graduation – Medicine, Psychology, Pharmacy, Biomedicine

and Nursing

● 1.102 students

1.2 NATIONAL AND INTERNATIONAL RECOGNITION

The Pequeno Príncipe Complex is a pioneering institution since its first year.

They have been at the forefront for 99 years, promoting practices that inspire

public policies and guide trends in third sector child protection institutions.

The institution has countless acknowledgments in the national and international

scope in order to contribute with the assistance, teaching and research in the

area of the Children's health. As examples of achievements and impacts follows

a description of some activities and initiatives since the year 2000, according to

the timeline below:

● 2000 - Realization of the Child 2000, the 1st International

Congress of Pediatric Specialties. With the presence of pediatric

health experts from the world's leading centers, the multi-specialty

and humanization event attracts more than 4,000 participating

pediatricians.

● 2001 – Inauguration of the ICU Surgical.

● 2002 - The Pequeno Principe wins a series of awards for its

humanization programs, such as the 2002 child, granted by the

Abrinq Foundation for the rights of the Child and Adolescent.

● 2003 – The Image Center and the Patient Record Service

achieve ISO 9001: 2000 certification (quality management).

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● 2003 - Created the Institute of Higher Education Pequeno

Príncipe, later called Pequeno Príncipe College.

● 2004 – Launch of the World Health Day Project, in line with the

annual theme elected by the World Health Organization.

● 2004 - Top Social Achievement - ADVB - Zilda Arns Social

Responsibility Award.

● 2004 - Implementation of the 100th hepatic transplant and the first

heart transplant.

● 2005 - Announced the partnership with Pelé for the

implementation of the research area in Pequeno Príncipe.

● 2006 - Creation of the Pelé Pequeno Príncipe Research Institute.

● 2007 - Beginning of the Post Graduation stricto sensu of the

Pequeno Príncipe College in partnership with the The Pelé

Pequeno Príncipe Research Institute, with a Masters and

Doctorate Degree in Child and Adolescent Health.

● 2008 - Inauguration of the Expansion of Pequeno Príncipe

Hospital, with four new floors.

● 2009 – Hemodynamic Service reaches the mark of 10 thousand

catheterizations, minimally invasive cardiological examination to

diagnose or correct cardiovascular problems. The service is

implemented in 1988 and becomes one of the largest in Brazil.

● 2010 - Adopts innovative technique in the country of appendix

withdrawal through the navel.

● 2011 – Pequeno Príncipe takes over the presidency of Comtiba

(Municipal Council for the Rights of the Child and Adolescent of

Curitiba), articulating the elaboration of a municipal plan against

the sexual exploitation of children and adolescents.

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● 2012 – Pequeno Prínicpe goes to Paris for the Gastronomic Cup

dinner, whose sponsor is Chef Claude Troisgros, held in

partnership with the Saint - Exupéry Foundation and the most

famous gastronomy school in the world: Le Cordon Bleu.

● 2012 - Conquest of the 1st place of the Jayme Torres Award, of

Pharmacy for research developed at Pequeno Príncipe Hospital.

● 2013 - The Complex wins the 1st place in the Child Health

category with a research on adrenal cortex tumor in the Abril

Health Award.

● 2014 – Starts the course of Medicine at the Pequeno Príncipe

College.

● 2015 - Executive Director of the Pequeno Príncipe receives the

National Order of the Legion of Honor of France.

● 2016 - Hospital wins certification from the National Accreditation

Organization.

● 2016 - Working with rare diseases guarantees honorable mention

of the Legislative Assembly of Paraná.

1.3 INSTITUTIONAL VISIBILITY AND MEDIA

Through the activities carried out in the Pequeno Príncipe Complex and

because it is a reference in high and medium complexity, the institution has high

institutional visibility in Brazil and in the Planet. With new discoveries and

pioneering in the treatment of children and adolescents, the Complex is

regularly presented in the media, being in magazines, newspapers, television

and media and social networks.

Besides the representativeness in the treatment of complex diseases, the

Hospital goes beyond realizing dreams of children and providing the

humanization of its patients. The Education and Culture sector promotes

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actions that go beyond the walls of the Hospital and can be replicated in other

countries, as well as punctual actions of the lives of some small ones that pass

through the Institution.

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In addition to materials, media publications and social networks, the

Pequeno Príncipe Complex receives countless visits from personalities who

support the cause of child and youth health and who in some way mobilize the

community to assist in the continuity of the institution's work.

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2. PARTNERS

The Pequeno Príncipe Complex has a range of partner companies that

are fundamental for the continuity of excellence activities in health care and

scientific research of the Institution.

They are small, medium and large companies that believe in the cause of

children's health and invest in different ways, and can be by direct investment,

punctual, monthly and by means of fiscal resignation.

Below is the list of some investor organizations:

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3. JUSTIFICATION

The Pequeno Príncipe Hospital continuously seeks efficiency and

technical efficiency, coupled with the humanized treatment of each hospitalized

patient. In the last 5 years, the Pequeno Príncipe Complex has modernized and

updated its medical and nursing practices in regard to the care of its patients,

seeking to offer the supplies and equipment that, in addition to being resolutive

in the treatment of diseases, also care for the well being and comfort of those

served.

Reference is made exclusively to children and adolescents. It is also

equipped, with the Public Health System (SUS), for high complexity pediatric

care in 15 areas (cardiac surgeries, oncology, renal transplantation, hepatic,

cardiac, cochlear implant, among others).

More than 45% percent of the patients attended have between one day

of life and four years of age. They are patients who, due to the natural condition

of size and weight, require specific equipment compatible with their physical

and organic structure and the differentiated and more complex administration of

medicines and other medical supplies.

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The Pequeno Príncipe allocates 70% of its capacity to patients coming

from the Public Health System and its revenue is mostly based on the transfer

of the Government. However, according to a study developed by the Federation

of Holy Houses of Mercy and Beneficent Hospitals of the State of Paraná,

Public Health System transfers only 60% of the amount that was effectively

invested in a treatment. That is, if a treatment costs R$ 100,00, their transfers

to the institution only R$ 60.00, leaving a value of R$ 40.00 on behalf of the

institution.

This scenario promotes the greatest challenge of the Pequeno Príncipe

Complex. Its existence. In order to continue the work of providing

comprehensive care to its patients with the highest quality of care, clinical staff,

drugs and equipment, the Complex has an area that fosters the collection of

resources through direct and indirect incentives, continuous or punctual

investments. This funding represents today the driving force responsible for

covering the failure to pass on the SUS and developing the institution in all

aspects.

However, the area can only expand if there are physical and legal

persons engaged in the cause of child-juvenile health. It is from these initiatives

that the Pequeno Príncipe seeks more and more, to consolidate partnerships,

mobilizing society to offer the best care to the children in need.

4. TECHNICAL SPECIFICATION OF MEDICAL EQUIPMENT

Neurosurgery Equipment:

Set for Trepanation, Craniotomy and Electric Drill composed of; A central

command unit, variable speed of at least 70,000rpm, with delay, with quick-

disconnect terminal for macro and micro cables, 100-120V / 200-240V, 50-60

Hz; waterproof Speed control pedal with 5m cable.

Flexible cable for connection of the handpiece with the control unit,

Autoclavable, quick hitch, 230cm; auto-torque Handpiece for trepanation,

Autoclavable, quick hitch, 20:1 speed, Hudson Mandrel in stainless steel,

Autoclavable, quick hitch, cranial cutter (punch), Hudson connection,

Autoclavable, fully removable for cleaning, quick hitch;

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Handpiece, Craniotomy Drill, with Dura guard Autoclavable, quick hitch, cutter

exchange without keys, with milling cutter for craniotomy drill;

Handpiece (Drill) straight, approximate size of 81mm, Autoclavable, exchange

of the milling cutter without the use of keys, the system must be quick.

Microline parts connection engine, maximum speed of 20,000rpm, maximum

power up to 180W and Max torque of approximately 10 Ncm, quick hitch

(cable/motor and motor/handpiece), dimensions 23x123mm, weight of 150g

liable for mechanical or Manual cleaning and sterilizable into steam-autoclave.

Angled surgical handpiece Drill, pen like model, with integrated engine, top

speed 80.000rpm, out power 140W and maximum torque 2,2Ncm, rotation to

right or left, with and effective drill length of 70mm, milling cutter exchange

without tools, for delicate surgeries, assembled quickly, dimensions 16x177mm,

weight 83g, mechanical and manual cleaning as well as sterilizable by steam

autoclave;

Equipment must possess Registry with the Health Ministry and Good

Manufacturing Practices;

Components / Accessories:

In the set, there must be all the necessary parts so the equipment is fully

functional.

01 (one) Case / container to accommodate and outsource the accessories.

01 (one) Trigger pedal

01 (one) Transmission cable for autoclavable handpiece.

10 (twenty) Milling cutters of different sizes for cranial perforation.

20 (twenty) Diamond milling cutters for drilling, with multiple diameters (0,6 / 0,8

/ 1,0 / 1,4 / 1,8 / 2,3 / 2,7 / 3,0 / 3,5 / 4,0 / 4,5 / 5,0 / 6,0mm).

20 (twenty) Spiral milling cutters for drilling, with multiple diameters 1,5 / 2,0mm.

05 (five) Opening Drill of different sizes.

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WARRANTY:

The provider must offer at least a two year warranty from the installation date.

REGISTRY:

The equipment must have an updated register at the National Health

Surveillance Agency (ANVISA) and about the safety rules.

TECHNICAL ASSISTANCE:

The provider must supply technical assistance and/or parts for the equipment in

Curitiba or surrounding areas.

USER GUIDE:

The provider must provide a manual or user guide in portuguese according to

the register at ANVISA, and all the system must comply with these

specifications.

USER TRAINING:

The provider must perform training to the user for, at least, two hours.

EQUIPMENT PRICE:

R$ 200.000,000 (two hundred thousand reais).

5. ACKNOWLEDGMENTS

Having this support is very important for the Pequeno Príncipe Complex to

increase the service of excellence in the treatment of patients who arrive daily

at the Hospital. It is a pleasure to have you as partners.

We are available to make it work!