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LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS

RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

1. Poliklinik
1.2. Poli Anak
1. Examination Table 1 Unit MAK - Lokal Mak - 34101
Specifications :
- Made of steel sheet
- Stainless steel pipes
- Mattress base : Steel sheet, epoxy powder coating finished
- Mattress : Foam imitation leather
- Construction : Stainless steel pipe
- Back raise : Adjustable by telescopic mechanism
- Dimensions : 1920 x 710 x 800 cm

2. Baby Weighing Scale 1 Unit Yamato - Japan --


Specifications :
- Capacity : 20 kg

3. Medicine Cabinet 1 Unit MAK - Lokal Mak - 32902


Specifications :
- Made of steel sheet
- Transparent glass 3m
- Construction : Steel sheet
- Consist of : Two compartment, top & bottom
- Top : Three shelves, adjustable
- Doors : Two doors with full transparent glass
- Bottom : One shelf with steel doors
- Equipped with : Lock & Key
- Painting : Epoxy powder coating finished

Page 1
LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

4. 1/2 Channel Digital ECG 1 Unit Fukuda ME Kogyo - Japan C 110


Features :
- Automatic / Manual recording
- 1 or 2-ch recording
- 3 sec. to 10 sec. lead recording time
- Digital filter : AC interference, Muscle and Base line drift
- LCD Display : Lead, H.R. (BPM) and Battery low indication
- Alarms : Electrode OFF, R-wave detection error, Paper
error.
- Auto P-wave recording start
- Auto base line positioning

Specifications :
Power requirements & Size
- AC, 110 - 240 V, 50/60 Hz
- DC 9.6 V built-in rechargeable Ni-cut battery
- Batery capacity : One (1) hour continuous recording
- Charging time : 7.5 hours form full charge
- Power consumption : 25 VA
- IEC Classification : Class I, Type CF
- Unit size : 280(W) x 202(D) x 67(H) mm
- Unit weight : 2.0 kg Incl. Ni-Cd battery)

Tehnical characteristics
- Input : Floating curcuit
- Input impedance : Greather than 20 M ohm
- Time constant : More than 3.2 sec.
- Frquency response : 0.05 - 100 Hz within -3dB
- Filter / Digital
* HUM : -20dB at 50/60 Hz
* DRIFT : -3dB at 0.5 Hz
* EMG : 3dB at 20/30/40 Hz

Page 2
LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

General specifications
- Recording : 8dots/mm thermal printer
- Recording mode : Automatic / Manual
- Chart paper : 50 mm x 30 m Roll (or Fold)
- Chart speed : 25, 50 mm/sec.
- Sensitivity : 1/2, 1, 2 cm/mV & AUTO

Accessories :
- Power cord 1
- Patient cable 1
- Cardi-clips 4
- Chest electrodes 6
- ECG cream 1
- 50 mm roll paper 1
- Paper core 1
- Unit cover 1
- Operation manual 1

5. Refrigerator 1 Unit Odic - Francis Hor - 600(+)


Main characteristics :
- Inside and outside made from 18/10 (AISI 304) stainless steel.
- Injected polyurethane foam without CFC-M1 grade fire resistance.
- Enclosure with rounded angles
- Reversible doors or half-doors with removable magnetic gasket and key
operated door locks for 600 and 1200.
- Unit cover made from ABS suitable for food contact.
- Adjustable 150 mm high legs.
- Inside equipment; GN 2/1 storeys, on removable racks.
- Refrigeration unit placed on the top of the cabinet, + 43° ambient temperature.
- Ventilated evaporator, with ABS body and anti-acid treated positive battery.
- Electro mechanical regulation with LCD display.

- Automatic defrosting with reevaporation of defrosted water.


- Refrigerating gas : R404A

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LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

Specifications :
- Stainless steel full door / half
doors : +1°C +3°C
1/4 HP, 370 W
785(D) x 706(W) x 2110(H) mm
3 GN 2/1 stainless steel shelves 650 x 530 mm
- Capacity : 600 Ltr.

6. Suction Pump 1 Unit Sturdy - Taiwan SS - 300

Features :
- User-friendly design to fulfil the quality standard requirement, Ideal for use in
operation theater room or general wards providing an efficient performance
for most procedures os suction environment such as suction biopsy, surgery,
endometrical curettage, obstetric and abortion etc.
- Dial regulate control knob to your desired vacuum flow rate from LOW to HIGH
capable of sustaining sufficient vacuum for most suction environment.
- Built-in a vacuum gauge with a range from 0 to 760 mmHG.
- 4 anti-static wheels with lock convenient for operation and delivery.
- Two autoclavable glass collection bottle each has a 3000 cc.
Capacity graduated by millimeter incorporating over-flow protective device.
- Choise of bacteria-retentive filter to prevent dispersal of bacteria aerosols
into the environment.
- Attentively designed with cabinet on back of body providing a convenient
way for internal storage.
- Comes with safety device for foot switch.

Specifications :
- Pump : Oil Rotary Vane
- Watts : 226
- Cylinder : Non
- Max airflow : 80 LPM
- Max vacuum : 700 mmHg (933 mbar)

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LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

Standard Accessories :
- 3000 CC glass collection bottles 2
- Foot switch 1
- Silicon tubing 1
- Specimen collection tube 1
- Water cup for disinfection 1

7. Nebulizer 1 Unit Devillbiss - USA 56501 I


Specifications :
- Size : 10.1" x 10.5" x 6.5" (26 cm x 27 cm x 17 cm)
- Weight : 7 lbs (3.2 kg)
- Sound level : 5 I dBA
- Electrical requirements : 1.3 amps, 115 V, 60 Hz
- Power consumption : 90 Watts
- Max. compressor pressure : 30 - 45 psig**
- Min. compressor liter flow : 9.4 - 16 Ipm**
- Nebulizer operating pressure: 12 - 18 psig
- Nebulizer liter flow* : 5 - 7 Ipm
- Nebulizer capacity* : 6 ml (cc)
- Nebulization rate* : .15 ml/min or greater
- MMAD* : Less than 5 microns

8. X-Ray Film Viewer 1 Unit Meditec - Lokal MIT - 012D


Specifications :
- Wall model : Light Case Double
- Difusser with film supporting device
- Construction from enamelled sheet steel
- Approx. dim. : 55(H) x 75(L) x 12(D) cm

9. Oxygen Theraphy Set (Cap. 6.000 Ltr) 1 Unit Sharp - Japan --

Page 5
LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

10. Swaddling Table 1 Unit Meditec - Lokal MIT-014 A


Specifications :
- Constructed from painted steel plate and wooden.
- Dressing table cabinets for baby with one shelf and two sliding doors.
- Complete with mattress foam for table top.
- Dimensions : 91(L) x 59(W) x 78(H) cm

11. Basic Diagnostic Kit 1 Set Various --


Consist of :
- Blood Pressure apparatus Mercury 1 pc Rebstock - Germany 02.112.00
- Duplex Stethoscope 1 pc Rebstock - Germany 02.246.00
- Taylor Hammer 1 pc Rebstock - Germany 02.288.20
- Buchwald Tongue Depressor 19cm 1 pc Rebstock - Germany 48.109.19
- Laryng Mirror with Handle fig. 5/20 mm 1 pc Rebstock - Germany 52.272.20
- Thermometer Klinis 1 pc Gea - Denmark --
- Senter Pupil 1 pc Taiwan --

12. Diagnostic Set 1 Set Rebstock - Germany 02.170.00

13. Infusion Stand 1 Unit MAK - Lokal Mak - 36101


Specifications :
- Stainless steel pipes
- Steel pipe
- Upper stand : Stainless steel pipe Adjustable with lock
- Lower stand : Steel pipe
- Painting : Epoxy powder coating finished
- Castors : 2"

14. Tongue Spatel (Plastik) 5 Pcs -- --

15. Kidney Bowl 3 Unit Rebstock - Germany 88.139.27

16. Universal Bandage Scissors, 18 cm 1 Unit Rebstock - Germany 08.950.18

17. Pengukur Tinggi Badan 1 Unit -- --

Page 6
LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

18. Mangkok Alkohol / Betadin, S.S. 3 Unit -- --

19. Tromol 2 Unit Lokal --

20. Korentang 2 Unit Rebstock - Germany 16.110.25

1.4. Poliklinik
Penyakit Dalam 1. Examination Table 1 Unit MAK - Lokal Mak - 34101
Specifications :
- Made of steel sheet
- Stainless steel pipes
- Mattress base : Steel sheet, epoxy powder coating finished
- Mattress : Foam imitation leather
- Construction : Stainless steel pipe
- Back raise : Adjustable by telescopic mechanism
- Dimensions : 1920 x 710 x 800 cm

2. Medicine Cabinet 1 Unit MAK - Lokal Mak - 32902


Specifications :
- Made of steel sheet
- Transparent glass 3m
- Construction : Steel sheet
- Consist of : Two compartment, top & bottom
- Top : Three shelves, adjustable
- Doors : Two doors with full transparent glass
- Bottom : One shelf with steel doors
- Equipped with : Lock & Key
- Painting : Epoxy powder coating finished

Page 7
LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

3. Instrument Trolley 1 Unit MAK - Lokal Mak - 35101


Specifications :
- Made of stainless steel sheet 1, 1.5 mm
- Stainless steel pipe 5/8"
- Construction : Stainless steel sheet
- Upper shelf : Consist of one drawer with list on each side
- Lower shelf : Stainless steel sheet with list on each side
- Handle : Stainless steel pipe
- Castor : 2"

4. Weighing Scale + Ukuran Tinggi Badan 1 Unit RRC --

5. X-Ray Film Viewer 1 Unit Meditec - Lokal MIT - 012D


Specifications :
- Wall model : Light Case Double
- Difusser with film supporting device
- Construction from enamelled sheet steel
- Approx. dim. : 55(H) x 75(L) x 12(D) cm

6. 1/2/3 Multi Channel ECG Analyzer 1 Unit Fukuda ME Kogyo - Japan Alpha 1000
Specifications :
Power requirements & Size
- AC, 100-120 / 200-240 V, 50/60 Hz
- DC 12 V rechargeable battery
- Batery capacity : 1 hour
- Charging time : 8 hours
- Power consumption : 30 VA
- IEC Classification : Class I, Type CF
- Unit size : 280(W) x 212(D) x 73(H) mm
- Unit weight : 3.8 kgs

General specifications
- Recording : Thermal dot printer
- Chart paper : 63 mm x 30 m Z-fold
- Chart speed : 25, 50 mm/sec.

Page 8
LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

- Sensitivity : 1/4, 1/2, 1, 2cm/mv


- ECG lead : Standard 12-lead
- Analytical program : Adult, Child (Boy/Girl : Age 6-11 / 12-14),
Arrythmia.
- ECG measurement : |H.R., R-R, QRS, QRS-axis, PR, QT-time, QTC,
Lewis index.

Tehnical characteristics
- Input : Floating curcuit
- Input impedance : Greather than 20 M ohm
- Frquency response : 0.05 - 100 Hz within -3dB
- Filter / Digital
* HUM (On at all times) : -20dB at 50/60 Hz
* DRIFT(ON at all times) : -3dB at 0.5 Hz
* EMG (ON - OFF) : -3dB at 20/30 Hz
- LCD : 16 letters
- ECG data sampling : 3.3 ms (x 8 over sampling)

Accessories :
- Power cord 1
- Patient cable 1
- Grounding cord 1
- Limb electrode 4
- Limb strap 4
- Chest electrode 6
- Chart paper (fold type) 1
- ECG cream 1
- Power fuse 2
- Electrode case 1
- Dust cover 1
- Carrying bag 1
- Operation manual 1
- FME analysis code book 1

Page 9
LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

7. Infusion Stand 1 Unit MAK - Lokal Mak - 36101


Specifications :
- Stainless steel pipes
- Steel pipe
- Upper stand : Stainless steel pipe Adjustable with lock
- Lower stand : Steel pipe
- Painting : Epoxy powder coating finished
- Castors : 2"

8. Nebulizer 1 Unit Devillbiss - USA 56501 I


Specifications :
- Size : 10.1" x 10.5" x 6.5" (26 cm x 27 cm x 17 cm)
- Weight : 7 lbs (3.2 kg)
- Sound level : 5 I dBA
- Electrical requirements : 1.3 amps, 115 V, 60 Hz
- Power consumption : 90 Watts
- Max. compressor pressure : 30 - 45 psig**
- Min. compressor liter flow : 9.4 - 16 Ipm**
- Nebulizer operating pressure: 12 - 18 psig
- Nebulizer liter flow* : 5 - 7 Ipm
- Nebulizer capacity* : 6 ml (cc)
- Nebulization rate* : .15 ml/min or greater
- MMAD* : Less than 5 microns

9. Oxygen Theraphy Set (Cap. 6.000 Ltr) 1 Unit Sharp - Japan --

10. Basic Diagnostic Kit 1 Set Various --


Consist of :
- Blood Pressure apparatus Mercury 1 pc Rebstock - Germany 02.112.00
- Duplex Stethoscope 1 pc Rebstock - Germany 02.246.00
- Taylor Hammer 1 pc Rebstock - Germany 02.288.20
- Buchwald Tongue Depressor 19cm 1 pc Rebstock - Germany 48.109.19
- Laryng Mirror with Handle fig. 5/20 mm 1 pc Rebstock - Germany 52.272.20
- Thermometer Klinis 1 pc Gea - Denmark --
- Senter Pupil 1 pc Taiwan --

Page 10
LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

11. Diagnostic Set 1 Set Rebstock - Germany 02.170.00

12. Tongue Spatel (Metal) 5 Pcs Rebstock - Germany 48.107.19

13. Kidney Bowl 3 Unit Rebstock - Germany 88.139.27

14. Universal Bandage Scissors, 18 cm 1 Unit Rebstock - Germany 08.950.18

15. Tromol 1 Unit Lokal --

16. Mangkok Alkohol / Betadin, S.S. 3 Unit -- --

17. Korentang 1 Unit Rebstock - Germany 16.110.25

4. Ruang Perawatan
4A.1 R.P. Kelas 1-2 1. Basic Diagnostic Kit 0 Set Various --
Umum (34 T.T). Consist of :
- Blood Pressure apparatus Mercury 1 pc Rebstock - Germany 02.112.00
Kelas 1 = 12 T.T - Duplex Stethoscope 1 pc Rebstock - Germany 02.246.00
- Taylor Hammer 1 pc Rebstock - Germany 02.288.20
Kelas 2 = 20 T.T - Buchwald Tongue Depressor 19cm 1 pc Rebstock - Germany 48.109.19
- Laryng Mirror with Handle fig. 5/20 mm 1 pc Rebstock - Germany 52.272.20
Kelas 3 = 2 T.T - Thermometer Klinis 1 pc Gea - Denmark --
- Senter pupil 1 pc Taiwan --

2. Diagnostic Set 0 Set Rebstock - Germany 02.170.00 3 Set Pindahan dari


Ruang Perawatan
3. Comfort Bed Kelas I + Mattress 12 Unit MAK - Lokal Mak - 31804C Sementara Tahap I
Specifications :
- Head & foot panel : Funished wood
- I.V. stand : Stainless steel adjustable type
- Back raise : Adjustable manually by crank
- Knee raise : Adjustable manually by crank
- Hi - Lo : Adjustable manually by crank
- Safety side guard : Stainless steel with automatic "lock in
position" system

Page 11
LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

4. Comfort Bed Kelas II + Mattress 5 Unit MAK - Lokal Mak - 31802C 15 Unit Pindahan dari
Specifications : Ruang Perawatan
- Head & foot panel : Funished wood Sementara Tahap I
- I.V. stand : Stainless steel adjustable type
- Back raise : Adjustable manually by crank
- Knee raise : None
- Hi - Lo : Adjustable manually by crank
- Safety side guard : Stainless steel with automatic "lock in
position" system

5. Comfort Bed Isolasi + Mattress 2 Unit MAK - Lokal Mak - 31801 C


Specifications :
- Head & foot panel : Funished wood
- I.V. stand : Stainless steel adjustable type
- Back raise : Adjustable manually by crank
- Knee raise : None
- Hi - Lo : None
- Safety side guard : Stainless steel with automatic "lock in
position" system

6. Instrument Trolley 0 Unit MAK - Lokal Mak - 35101 3 Unit Pindahan dari
Specifications : Ruang Perawatan
- Made of stainless steel sheet 1, 1.5 mm Sementara Tahap I
- Stainless steel pipe 5/8"
- Construction : Stainless steel sheet
- Upper shelf : Consist of one drawer with list on each side
- Lower shelf : Stainless steel sheet with list on each side
- Handle : Stainless steel pipe
- Castor : 2"

Page 12
LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

7. Suction Pump 0 Unit Sturdy - Taiwan SS - 300 2 Unit Pindahan dari


Features : Ruang Perawatan
- User-friendly design to fulfil the quality standard requirement, Ideal for use in Sementara Tahap I
operation theater room or general wards providing an efficient performance for
most procedures os suction environment such as suction biopsy, surgery,
endometrical curettage, obstetric and abortion etc.
- Dial regulate control knob to your desired vacuum flow rate from LOW to HIGH
capable of sustaining sufficient vacuum for most suction environment.
- Built-in a vacuum gauge with a range from 0 to 760 mmHG.
- 4 anti-static wheels with lock convenient for operation and delivery.
- Two autoclavable glass collection bottle each has a 3000 cc.
Capacity graduated by millimeter incorporating over-flow protective device.
- Choise of bacteria-retentive filter to prevent dispersal of bacteria aerosols
into the environment.
- Attentively designed with cabinet on back of body providing a convenient
way for internal storage.
- Comes with safety device for foot switch.

Specifications :
- Pump : Oil Rotary Vane
- Watts : 226
- Cylinder : Non
- Max airflow : 80 LPM
- Max vacuum : 700 mmHg (933 mbar)

Standard Accessories :
- 3000 CC glass collection bottles 2
- Foot switch 1
- Silicon tubing 1
- Specimen collection tube 1
- Water cup for disinfection 1

Page 13
LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

8. Bandage Instrument Set 0 Set Rebstock - Germany -- 2 Unit Pindahan dari


Consist of : Ruang Perawatan
- Metzenbaum Scissors Curved, 15 Cm 1 pc 08.281.15 Sementara Tahap I
- Forceps Dressing, 14.5 Cm 1 pc 10.102.14
- Forceps Tissue 1 x 2 Teeth, 14.5 Cm 1 pc 10.120.14
- Crile Hemostatic Forceps, Curved 1 pc 12.251.14
- Probe Buttoned 1 mm 1 pc 20.104.14
- Gross Maier Dressing Forceps, 20 Cm, Straight 1 pc 16.110.20
- Lister Bandage Scissors 1 pc 08.901.14
- Bruns Bandage Scissors Serrated 1 pc 08.937.23
- Compression Apparatus Complete 1 pc 33.101.01
- Combination Diagnostic Set 1 pc 02.170.00
- Mayo Hegar Needle Holder 1 pc 24.180.14
- Ford Bowles Stethoscope 1 pc 02.244.00
- Blood Pressure Apparatus Mercury 1 pc 02.112.00
- Small Container 300x 140 x 70 mm with long term texile filters 1 pc 88.641.11
- Identification palte alum. engrav Bandage Set 1 pc 88.322.02

9. Oxygen Theraphy Set (Cap. 6.000 Ltr.) 1 Unit Sharp - Japan -- 2 Unit Pindahan dari
Ruang Perawatan
10. Steril Tray Wiremesh, 24 x 25 x 7 cm 3 Pcs Rebstock - Germany 88.241.24 4 Unit Pindahan dari
Ruang Perawatan
11. Bed Side Cabinet 19 Unit MAK - Lokal Mak - 31811 15 Unit Pindahan dari
Specifications : Ruang Perawatan
- Made of steel sheet 1.2 mm Sementara Tahap I
- Stainless steel rod
- Plywood : Laminated
- Castor : 2"
- Table top : Furnished laminated plywood with wooden list
- Main cupboard : One shelf
- Side cupboard : None
- Retractable table : Furnished laminated plywood
- Folded side table : None
- Shoe compartment : Lower part
- Towel hanger : Stainless steel rod detachable on left/right
- Painting : side Epoxy powder coating finished
- Dimenions : 470 x 465 x 990 mm

Page 14
LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

12. Infusion Stand 24 Unit MAK - Lokal Mak - 36101 10 Unit Pindahan dari
Specifications : Ruang Perawatan
- Stainless steel pipes Sementara Tahap I
- Steel pipe
- Upper stand : Stainless steel pipe Adjustable with lock
- Lower stand : Steel pipe
- Painting : Epoxy powder coating finished
- Castors : 2"

13. Overbed Table 19 Unit MAK - Lokal Mak - 31812 15 Unit Pindahan dari
Specifications : Ruang Perawatan
- Made of steel sheet 1.8 mm Sementara Tahap I
- Plywood
- Stainless steel pipe
- Lower construction : Steel sheet
: Epoxy powder coating finished
: Equipped with 2" castors
- Height : Adjustable with stainless steel pipe with lock
- Table top : Laminated furnished plywood (heat resistance)

14. X-Ray Film Viewer 0 Unit Meditec - Lokal MIT - 012D 2 Unit Pindahan dari
Specifications : Ruang Perawatan
- Wall model : Light Case Double Sementara Tahap I
- Difusser with film supporting device
- Construction from enamelled sheet steel
- Approx. dim. : 55(H) x 75(L) x 12(D) cm

15. Resuscitation Set 0 Set Spencer - Italy CB-08011 A 2 Set Pindahan dari
Specifications : Ruang Perawatan
- Safety orange-bag with 2 small sidepockets and hardplastic case Sementara Tahap I
(removable). Ideal hard case-substitute, for lighter transport in difficult areas,
with velcro lock and long shoulder strap, includes :
* Aneroid sphygmomanometer 1
* Phonendoscope 1
* Oxygen bottle, 0,5 liter 1

Page 15
LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

* Oxygen reducer with diaphragm fixed calibration 1


* PVC connected tube 1
* Eco-B Life resuscitation bag 1
* Eco-B Life adult mask size 5 1
* Eco-B Life children mask size 3 1
* Res-Q-Vac portable aspirator 1
* Set of Guedel airways sizes 1/2/3 1
* Exell depresse tongue 1
* Magill forceps 1
* Universal scissors 18 cm 1
* Tongue forcep type collin 1
* Plastic pen light 1
* Emergency blanket 1
* Size : 50 x 23 x 23 cm

16. Nebulizer 0 Unit Devillbiss - USA 56501 I 2 Set Pindahan dari


Specifications : Ruang Perawatan
- Size : 10.1" x 10.5" x 6.5" (26 cm x 27 cm x 17 cm) Sementara Tahap I
- Weight : 7 lbs (3.2 kg)
- Sound level : 5 I dBA
- Electrical requirements : 1.3 amps, 115 V, 60 Hz
- Power consumption : 90 Watts
- Max. compressor pressure : 30 - 45 psig**
- Min. compressor liter flow : 9.4 - 16 Ipm**
- Nebulizer operating pressure: 12 - 18 psig
- Nebulizer liter flow* : 5 - 7 Ipm
- Nebulizer capacity* : 6 ml (cc)
- Nebulization rate* : .15 ml/min or greater
- MMAD* : Less than 5 microns

17. 1/2 Channel Digital ECG 0 Unit Fukuda ME Kogyo - Japan C 110 1 Unit Pindahan dari
Features : Ruang Perawatan
- Automatic / Manual recording Sementara Tahap I
- 1 or 2-ch recording
- 3 sec. to 10 sec. lead recording time

Page 16
LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

- Digital filter : AC interference, Muscle and Base line drift


- LCD Display : Lead, H.R. (BPM) and Battery low indication
- Alarms : |Electrode OFF, R-wave detection error, Paper
error.
- Auto P-wave recording start
- Auto base line positioning

Specifications :
Power requirements & Size
- AC, 110 - 240 V, 50/60 Hz
- DC 9.6 V built-in rechargeable Ni-cut battery
- Batery capacity : One (1) hour continuous recording
- Charging time : 7.5 hours form full charge
- Power consumption : 25 VA
- IEC Classification : Class I, Type CF
- Unit size : 280(W) x 202(D) x 67(H) mm
- Unit weight : 2.0 kg Incl. Ni-Cd battery)

Tehnical characteristics
- Input : Floating curcuit
- Input impedance : Greather than 20 M ohm
- Time constant : More than 3.2 sec.
- Frquency response : 0.05 - 100 Hz within -3dB
- Filter / Digital
* HUM : -20dB at 50/60 Hz
* DRIFT : -3dB at 0.5 Hz
* EMG : 3dB at 20/30/40 Hz

General specifications
- Recording : 8dots/mm thermal printer
- Recording mode : Automatic / Manual
- Chart paper : 50 mm x 30 m Roll (or Fold)
- Chart speed : 25, 50 mm/sec.
- Sensitivity : 1/2, 1, 2 cm/mV & AUTO

Page 17
LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

Accessories :
- Power cord 1
- Patient cable 1
- Cardi-clips 4
- Chest electrodes 6
- ECG cream 1
- 50 mm roll paper 1
- Paper core 1
- Unit cover 1
- Operation manual 1

18. UV Room Sterilizer 1 Unit Meditec - Lokal MIT - 91 UV 1 Unit Pindahan dari
Features : Ruang Perawatan
- The most effective and practical method to sterilize a surgery room and Sementara Tahap I
hospital rooms is by means of ultraviolet lamps, Uv radiation will immediately
kill all bacteria, germs and viruses.
- Sterilization with Uv lamps definitely offer more advantages compared with a
medicine sprayer.

Medicine Sprayer
- Foulsmelling and can harm human health. Takes a long time (6-12 hours)
to sterilize. Room can not be used before sterilization process is over.
- Can damage and corrode medical equipments and hospital facilities such
as : surgery lamps AC, etc.
- It will develop bacterial resistance.
- Not all bacteria, only a few, can-be sterilized.

Ultraviolet Lamps
- Free from foul smells and polution of germicides ad chemicals.
- Needs short time, only 1-8 hours, for sterilization process.
- Does not cause corrosion.
- Will not develop resistance of bacteria, germs and viruses to Uv rays.
- All bacteria, germs and viruses can be sterilized.
- Equipped with a timer that regulates the duration of radiation time. It is also
equipped with a Hour Counter that counts total hours use of the Uv lamps.

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LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

Warning
- When using the equipment, avoid face and eyes from exposure to Uv rays.
- This equipment is designed to start working 3 minutes after switch-on, then
everybody has to leave the room to avoid Uv radiation.
- Clean the equipment with dry cloth.
- When the UV lamps are glowing faintly, it means its effectiveness is decreasing
and needs a change a change of new lamps.

Specifications :
- Power supply : AC 220 V, 50 Hz
- Power Consumption : 180 Watt
- Un Lamps : - 4 pcs, of 30 watt
- 1 pcs, of 10 watt
- Lamp Life : 3.000 hours

Dimensions :
- Size : 1.100 mm x1.100 mm x 1.310 mm
- Weight : ± 30 kg

19. Room Divider 19 Unit MAK - Lokal Mak - 36202 15 Unit Pindahan dari
Specifications : Ruang Perawatan
- Made of stainless steel pipes: 1", 3/4", 1/2" Sementara Tahap I
- White linen cloth
- Castor 2"
- Construction : Stainless steel pipes
- Consist of : Two part attached together
Can be folded
- Linen : Linen cloth, detachable for cleaning
- Castor : Equipped with 2" castor
- Dimensions : 880 x 1745 cm

20. Korentang 0 Unit Rebstock - Germany 16.110.25 2 Unit Pindahan dari


Ruang Perawatan
21. Mangkok Alkohol / Betadin S.S. 5 Unit -- -- 10 Unit Pindahan dari
Ruang Perawatan

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LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

22. Tromol 1 Unit Lokal -- 2 Unit Pindahan dari


Ruang Perawatan
23. Wheel Chair 0 Unit MAK - Lokal Mak - 31303 1 Unit Pindahan dari
Specifications : Ruang Perawatan
- Made of stainless steel pipes, imitation leather plastic components, Sementara Tahap I
castor, wheel
- Construction : Stainless steel pipes
- Backrest : Foam & imitation leather
- Seat : Foam & imitation leather
- Armrest and Footrest : Plastic
- Main wheel : Rubber with brake
- Front wheel : Castors 5"
- Chair can be folded :

24. Medicine Cabinet 2 Unit MAK - Lokal Mak - 32902 2 Unit Pindahan dari
Specifications : Ruang Perawatan
- Made of steel sheet Sementara Tahap I
- Transparent glass 3 m
- Construction : Steel sheet
- Consist of : Two compartment, top & bottom
- Top : Three shelves, adjustable
- Doors : Two doors with full transparent glass
- Bottom : One shelf with steel door
- Equipped with : Lock & Key
- Painting : Epoxy powder coating finished

25. Medicine Trolley 1 Unit MAK - Lokal Mak - 36602 2 Unit Pindahan dari
Specifications : Ruang Perawatan
- Made of steel sheet Sementara Tahap I
- Stainless steel pipe
- Acrylic sheet
- Trolley : Made of steel sheet
- Lower part : Two steel drawers and one cupboard
- Acrylic drawers : 50 pcs
- Handle : Stainless steel pipe

Page 20
LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

- Castor : 5" two with brake


- Painting : Epoxy powder coating finished
- Dimensions : 700 x 590 x 1000 mm

26. Urinal & Bed Pan Carriage 4 Unit MAK - Lokal Mak - 36501 1 Unit Pindahan dari
Specifications : Ruang Perawatan
- Made of stainless steel pipes Sementara Tahap I
- Stainless steel rod
- Cpmstruction : Made of stainless steel pipes
- Bracket mounting : Bed pan 10 pcs.
Urinal 10 pcs
- Castor : 5" two with brake
- Dimensions : 450 x 980 x 1200 cm

27. Infusion Pump 1 Unit JMS - Japan OT - 701 1 Unit Pindahan dari
Specifications : Ruang Perawatan
- Pump type : Drip rate peristaltic finger pump Sementara Tahap I
- Set requirement : Standard PVC IV set (15-20 drops/ml) or
micro IV set (60 drops/ml) with 3.4 - 4.5 mm
O.D. tubing.
- Flow rate :
IV Set mL / hr drops/min
15 - 20 drops / ml 1-450 (1-100) ml 1-100 (1-100) drops/min
60 drops / ml 1-100 (1-100) ml 1-100 (1-100) drops/min
- Rate step : 1 ml step
- Flow rate accuracy : ± 10% (with adjusting function)
- Drip rate accuracy : ± 2% (after more than 500 drops have been
|infused).
- Volume infused display : 0 - 9999 ml
- Volume limit : 1 - 9999 ml or no limit
- Purge rate : More than 450 ml / hr
- Alarms : Door Open, Low Battery, Internal Malfunction,
Air in Line, Infusion Complete, Empty
Container, Reminder, Abnormal Drips.

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LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

- KVO (keep Vein Open) : 1 ml / hr


- Occlusion pressure : 60 - 140 kPa (adjustable)
- Air detection method : Ultrasonic
- Drip detection method : Double infrared photoelectric beam
- Finger Cassette : Detachable
- Tube Clamp : With lock lever, detachable
- Nurse Call : Terminal on the bottom
- Communication : Optical communication
- Display : Color LCD with back light
- Battery : Rechargeable Nickle Cadmium
- Battery life : 4 hours at 125 ml/hr when fully
Charged.
- Recharge : 30 hours when fully discharged.
- Operation conditions : Ambient temperature : 15°C to 40°C
Relative humidity : 30% to 85%
(with no condensation)
- Storage conditions : Ambient temperature : -10°C to 45°C
Relative humidity : 20% to 95%
(with no condensation)
- Dimensions : 180 (W) x 148(D) x 210(H) mm
- Weight : 2.3 kg
- Power required : 85 to 264 Vac, 50/60 Hz
- Power consumption : 12 VA
- Electric shock, Protective type
: Class II Type CF

28. Syringe Pump 1 Unit JMS - Japan SP-500 1 Unit Pindahan dari
Specifications : Ruang Perawatan
Syringe used Sementara Tahap I
- JMS 10 ml, 20 ml, 30 ml, 50 ml Setting for major syringe brands or
voluntary setting possible.
- Consult with your local distributor.
Flow rate range
- 0.1 to 200ml/hr. with 10 ml syringe
- 0.1 to 300ml/hr. with 20ml, 30ml or 50ml syringe in 0.1 ml/hr. increments

Page 22
LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

Accuracy
- |Drive accuracy ± 1% with JMS syringe ± 3% (after 1 hour, flow rate 1ml/hr or
higher).

Rapid mode for purge or bolus


- Approx. 200 ml/hr. (10 ml syringe)
- Approx. 350 ml/hr. (20 ml syringe)
- Approx. 450 ml/hr. (30 ml syringe)
- Approx. 800 ml/hr. (50 ml syringe)
Purge
- |This function is used to purge air from extension tube, and to fit syringe plunger
anto the pressure sensor, while not summing up the volume infused.

Bolus
- |This function is used for bolus infusion. The volume infused will be summed up
|and displayed.

Volume infused display


- 0.1 to 999,9 ml in 0.1 ml increments
- With resetting function

Occlusion detection
- Direct sensing of syringe plunger by pressure sensor loadcell. 3 levels are
selectable.
L (low pressure)
0.2 to 0.6 kgf/cm2(150 to 440 mmHg) when sensitive occlusion sensing
is required.
M (medium pressure)
0.5 to 0.9 kgf/cm2 (370 to 660 mmHg)
Normal setting

H (high pressure)
0.8 to 1.4 kgf/cm2 (590 to 1000 mmHg) when high pressure is expected
due to tandem connection with infusion pump or use of viscous solution.

Page 23
LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

Alarms
- Red alarm lamp and auidible alarm
- Near empty (small remains or 5min. Before completion)
- End

- Low battery
- Occlusion
- Syringe disengaged
- Internal malfunction

Reminder Alarms
- 20 seconds after purging or bolus
- 2 minutes after flow rate setting
Power required
- 220 V AC, 50 Hz.
- Power Consumption 15 VA

Battery
- Rechargeable nickel cadmium
- Battery life 4 hours (fully charged new battery)
- Rechargeable time : 17 hours when fully discharged

Accessories
- Power cord (3 meters long)
- Pole clamp
- Operator's manual
- Quick reference sheet
Classification
- Class I type CF
- Drip proof

Standards
- IEC 601-1
- IEC 601-1-2
- Electromagnetic compatibility

Page 24
LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

- IEC 601-2-24, Part 2 (Draft)


- Particular requirements for safety of infusion pump and controllers

Environmental Conditions
- Operation (no condensation) 10 to 40°C, 30 to 85% RH
- Storage (no condensation)
- -10 to 40°C, 30 to 95% RH
- No direct sunlight

Weight and dimensions


- 2.6 kg
- 340(W) x 134(D) x 134(H0 mm

30. Kidney Bowl 2 Unit Rebstock - Germany 88.139.25 10 Unit pindahan dari
Ruang Perawatan
30. Groos Maier Dressing Forceps, 20 cm 0 Unit Rebstock - Germany 16.110.20 2 Unit pindahan dari
Ruang Perawatan
31. Groos Maier Dressing Forceps, 25 cm 0 Unit Rebstock - Germany 16.110.25 2 Unit pindahan dari
Ruang Perawatan
32. Measuring Graduated 18/8, 2.0 L 0 Unit Rebstock - Germany 88.140.20 2 Unit pindahan dari
Ruang Perawatan
33. Instrument Tray 1 Unit Rebstock - Germany 88.146.32 1 Unit pindahan dari
Ruang Perawatan
34. Glass Box with 18/8 Lid 1 Unit Rebstock - Germany 88.124.20 1 Unit pindahan dari
Ruang Perawatan
35. Glass Box with 18/8 Lid Round 1 Unit Rebstock - Germany 88.125.20 10 Unit pindahan dari
Ruang Perawatan
36. Sauerbruch Needle Case Pefor 1 Unit Rebstock - Germany 88.110.21 2 Unit pindahan dari
Ruang Perawatan
37. Bedpan for Female 12 Unit Taiwan - 5 Unit pindahan dari
Ruang Perawatan
38. Bedpan for Male 12 Unit Taiwan - 5 Unit pindahan dari
Ruang Perawatan
39. Urinal for Female 5 Unit Jepang -- 5 Unit pindahan dari
Ruang Perawatan

Page 25
LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

40. Urinal for Male 5 Unit Jepang -- 5 Unit pindahan dari


Ruang Perawatan
41. Water Still 0 Unit GFL - Germany 2012 1 Unit Pindahan dari
Specifications : Ruang Perawatan
- Capacity : 8l/h Sementara Tahap I
- Storage tank capacity : 12 l
- Cooling water required : 72 l/h
380 - 400 V, 3pH; 6.0 kW

42. Oxygen Concentrator 0 Unit SIM - Italy SIM O2:S" Plus 2 Unit Pindahan dari
Specifications : Ruang Perawatan
- Flow Rate : 0 to 5 LPM. Sementara Tahap I
- O2 Concentration +/- 3% : 0 - 4 LPM 95%.
5 LPM 90%.
- O2 Concentration status : Green = Normal.
Indicator (Optional) Orange = Below Normal.
Red = Call technical assistance.
- Maximum System Pressure: 1516 mbar (22 PSI)
- Oxygen Outlet Pressure : 0.3 bar (5.5 PSI)
- Electrical Data : 220 V a.c. ± 10%, 50 Hz.
- Energy consumption : Maximum 440 Watts
- Entrance fuse : 220 V a.c. 5x20 T 4A
- Leakage Current : Maximum 0.72 mA.
- Dimensions (H x W x D) : 370 x 450 x 580mms.
- Weight : 27 kg = 59 lb (pounds).
- Optical Indicators : ON / OFF switch, dust filter |substitution, high
temperature, low battery, therapeutic oxygen
output, O2 output ready.
- Audible Alarms : Power failure, low therapeutic oxygen output,
internal high temperature.
- Pressure Exchange : Calibration : 22 PSI.
- Operating Temperature : 0 - 45°C. 32 - 113 ° F.
- Filters : Dust filter (1), compressor inlet (1),
HEPA (1).
- System Construction : Modular with double insulation.

Page 26
LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

- Movement and Transport : Supplied on 4 wheels, lifting handle.


- Guarantee : 2 years or 10.000 operating hours
(whichever comes first).
- Safety Standards : Constructed to I.E.C. 601 - 1.
- Device Classification : Class II, type BF.

Included :
- Oxygen sensor with light
- Humidifier
- Nasal canula
- Extension tube

4.A.2 Ruang Alat dan


Bahan Kotor 1. Medicine Cabinet 0 Unit MAK - Lokal Mak - 32902 1 Unit Pindahan dari
Specifications : Ruang Perawatan
- Made of steel sheet Sementara Tahap I
- Transparent glass 3 m
- Construction : Steel sheet
- Consist of : Two compartment, top & bottom
- Top : Three shelves, adjustable
- Doors : Two doors with full transparent glass
- Bottom : One shelf with steel door
- Equipped with : Lock & Key
- Painting : Epoxy powder coating finished

2. Instrument Trolley 0 Unit MAK - Lokal Mak - 35101 1 Unit Pindahan dari
Specifications : Ruang Perawatan
- Made of stainless steel sheet 1, 1.5 mm Sementara Tahap I
- Stainless steel pipe 5/8"
- Construction : Stainless steel sheet
- Upper shelf : Consist of one drawer with list on each side
- Lower shelf : Stainless steel sheet with list on each side
- Handle : Stainless steel pipe
- Castor : 2"

Page 27
LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

4.A.3. Ruang Alat &


Bahan Steril 1. Medicine Cabinet 0 Unit MAK - Lokal Mak - 32902 1 Unit Pindahan dari
Specifications : Ruang Perawatan
- Made of steel sheet Sementara Tahap I
- Transparent glass 3 m
- Construction : Steel sheet
- Consist of : Two compartment, top & bottom
- Top : Three shelves, adjustable
- Doors : Two doors with full transparent glass
- Bottom : One shelf with steel door
- Equipped with : Lock & Key
- Painting : Epoxy powder coating finished

2. Instrument Trolley 0 Unit MAK - Lokal Mak - 35101 1 Unit Pindahan dari
Specifications : Ruang Perawatan
- Made of stainless steel sheet 1, 1.5 mm Sementara Tahap I
- Stainless steel pipe 5/8"
- Construction : Stainless steel sheet
- Upper shelf : Consist of one drawer with list on each side
- Lower shelf : Stainless steel sheet with list on each side
- Handle : Stainless steel pipe
- Castor : 2"

4.A.4. Ruang Sterilisasi


1. Steam Sterilizer, Cap. 50 Ltr. 0 Unit Sturdy - Taiwan SA - 300VF 1 Unit Pindahan dari
Specifications : Ruang Perawatan
- Chamber size : Stainless steel #304 300 mm dia. x 700 mm (D). Sementara Tahap I
- Overall : 600(W) x 1000(H) x 450(D) mm
- Power consumption : 220 V / 2.4 KW / 11.2 A
- Using temperture / pressure: Wrapped : 121°C -132°C/ 2.1 Kg/cm2
- Design temp. : 140°C
- Safety devices : Pressure control switch, Door safety catcher,
Over heat protection, Safety Valve, Electronic
circuit safety system, Low water indication and
cut-off, Emergency exhaust switch.

Page 28
LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

Standard accessories :
- Stainless Steel #304
- Sterilization basket 1 pc
- Easy reach clip 1 pc
- Btottle 2000 cc 1 pc
- Exhaust hose 1 pc
- Safety approval : EMC, LVD, by TUV CHAMBER DESIGNED
BY ASME/USA STANDARD
- Auto-dry function : Yes.
- Chamber capacity : Approx. 50 liter

2. Instrument Trolley 0 Unit MAK - Lokal Mak - 35101 1 Unit Pindahan dari
Specifications : Ruang Perawatan
- Made of stainless steel sheet 1, 1.5 mm Sementara Tahap I
- Stainless steel pipe 5/8"
- Construction : Stainless steel sheet
- Upper shelf : Consist of one drawer with list on each side
- Lower shelf : Stainless steel sheet with list on each side
- Handle : Stainless steel pipe
- Castor : 2"

4.B.1 R.P. Kelas 3


Umum (38 T.T) 1. Basic Diagnostic Kit 3 Set Various --
Kelas 3 = 36 T.T Consist of :
- Blood Pressure apparatus Mercury 1 pc Rebstock - Germany 02.112.00
- Duplex Stethoscope 1 pc Rebstock - Germany 02.246.00
- Taylor Hammer 1 pc Rebstock - Germany 02.288.20
- Buchwald Tongue Depressor 19cm 1 pc Rebstock - Germany 48.109.19
- Laryng Mirror with Handle fig. 5/20 mm 1 pc Rebstock - Germany 52.272.20
- Thermometer Klinis 1 pc Gea - Denmark --
- Senter pupil 1 pc Taiwan --

2. Diagnostic Set 2 Set Rebstock - Germany 02.170.00

Page 29
LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

3. Comfort Bed Kelas 3 + Mattress 36 Unit MAK - Lokal Mak - 31801 C


Specifications :
- Head & foot panel : Funished wood
- I.V. stand : Stainless steel adjustable type
- Back raise : Adjustable manually by crank
- Knee raise : None
- Hi - Lo : None
- Safety side guard : Stainless steel with automatic "lock in
position" system

4. Comfort Bed Isolasi + Mattress 2 Unit MAK - Lokal Mak - 31801 C


Specifications :
- Head & foot panel : Funished wood
- I.V. stand : Stainless steel adjustable type
- Back raise : Adjustable manually by crank
- Knee raise : None
- Hi - Lo : None
- Safety side guard : Stainless steel with automatic "lock in
position" system

5. Instrument Trolley 3 Unit MAK - Lokal Mak - 35101


Specifications :
- Made of stainless steel sheet 1, 1.5 mm
- Stainless steel pipe 5/8"
- Construction : Stainless steel sheet
- Upper shelf : Consist of one drawer with list on each side
- Lower shelf : Stainless steel sheet with list on each side
- Handle : Stainless steel pipe
- Castor : 2"

6. Suction Pump 2 Unit Sturdy - Taiwan SS - 300


Features :
- User-friendly design to fulfil the quality standard requirement, Ideal for use in
operation theater room or general wards providing an efficient performance
for most procedures os suction environment such as suction biopsy, surgery,
endometrical curettage, obstetric and abortion etc.

Page 30
LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

- Dial regulate control knob to your desired vacuum flow rate from LOW to HIGH
capable of sustaining sufficient vacuum for most suction environment.
- Built-in a vacuum gauge with a range from 0 to 760 mmHG.
- 4 anti-static wheels with lock convenient for operation and delivery.
- Two autoclavable glass collection bottle each has a 3000 cc.
Capacity graduated by millimeter incorporating over-flow protective device.
- Choise of bacteria-retentive filter to prevent dispersal of bacteria aerosols
into the environment.
- Attentively designed with cabinet on back of body providing a convenient
way for internal storage.
- Comes with safety device for foot switch.

Specifications :
- Pump : Oil Rotary Vane
- Watts : 226
- Cylinder : Non
- Max airflow : 80 LPM
- Max vacuum : 700 mmHg (933 mbar)

Standard Accessories :
- 3000 CC glass collection bottles 2
- Foot switch 1
- Silicon tubing 1
- Specimen collection tube 1
- Water cup for disinfection 1

7. Oxygen Theraphy Set (Cap. 6.000 Ltr.) 3 Unit Sharp - Japan --

8. Steril Tray Wiremesh, 24 x 25 x 7 cm 7 Pcs Rebstock - Germany 88.241.24

9. Bed Side Cabinet 38 Unit MAK - Lokal Mak - 31811


Specifications :
- Made of steel sheet 1.2 mm
- Stainless steel rod
- Plywood : Laminated

Page 31
LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

- Castor : 2"
- Table top : Furnished laminated plywood with wooden list
- Main cupboard : One shelf
- Side cupboard : None
- Retractable table : Furnished laminated plywood
- Folded side table : None
- Shoe compartment : Lower part
- Towel hanger : Stainless steel rod detachable on left/right side
- Painting : Epoxy powder coating finished
- Dimenions : 470 x 465 x 990 mm

10. Infusion Stand 38 Unit MAK - Lokal Mak - 36101


Specifications :
- Stainless steel pipes
- Steel pipe
- Upper stand : Stainless steel pipe Adjustable with lock
- Lower stand : Steel pipe
- Painting : Epoxy powder coating finished
- Castors : 2"

11. Overbed Table 38 Unit MAK - Lokal Mak - 31812


Specifications :
- Made of steel sheet 1.8 mm
- Plywood
- Stainless steel pipe
- Lower construction : Steel sheet
: Epoxy powder coating finished
: Equipped with 2" castors
- Height : Adjustable with stainless steel pipe with lock
- Table top : Laminated furnished plywood (heat resistance)

Page 32
LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

12. X-Ray Film Viewer 2 Unit Meditec - Lokal MIT - 012D


Specifications :
- Wall model : Light Case Double
- Difusser with film supporting device
- Construction from enamelled sheet steel
- Approx. dim. : 55(H) x 75(L) x 12(D) cm

13. Resuscitation Set 2 Unit Spencer - Italy CB-08011 A


Specifications :
- Safety orange-bag with 2 small sidepockets and hardplastic case
(removable). Ideal hard case-substitute, for lighter transport in difficult areas,
with velcro lock and long shoulder strap, includes :
* Aneroid sphygmomanometer 1
* Phonendoscope 1
* Oxygen bottle, 0,5 liter 1
* Oxygen reducer with diaphragm fixed calibration 1
* PVC connected tube 1
* Eco-B Life resuscitation bag 1
* Eco-B Life adult mask size 5 1
* Eco-B Life children mask size 3 1
* Res-Q-Vac portable aspirator 1
* Set of Guedel airways sizes 1/2/3 1
* Exell depresse tongue 1
* Magill forceps 1
* Universal scissors 18 cm 1
* Tongue forcep type collin 1
* Plastic pen light 1
* Emergency blanket 1
* Size : 50 x 23 x 23 cm

14. Nebulizer 2 Unit Devillbiss - USA 56501 I


Specifications :
- Size : 10.1" x 10.5" x 6.5" (26 cm x 27 cm x 17 cm)
- Weight : 7 lbs (3.2 kg)
- Sound level : 5 I dBA

Page 33
LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

- Electrical requirements : 1.3 amps, 115 V, 60 Hz


- Power consumption : 90 Watts
- Max. compressor pressure : 30 - 45 psig**
- Min. compressor liter flow : 9.4 - 16 Ipm**
- Nebulizer operating pressure: 12 - 18 psig
- Nebulizer liter flow* : 5 - 7 Ipm
- Nebulizer capacity* : 6 ml (cc)
- Nebulization rate* : .15 ml/min or greater
- MMAD* : Less than 5 microns

15. 1/2 Channel Digital ECG 1 Unit Fukuda ME Kogyo - Japan C 110
Features :
- Automatic / Manual recording
- 1 or 2-ch recording
- 3 sec. to 10 sec. lead recording time
- Digital filter : AC interference, Muscle and Base line drift
- LCD Display : Lead, H.R. (BPM) and Battery low indication
- Alarms : Electrode OFF, R-wave detection error, Paper
error.
- Auto P-wave recording start
- Auto base line positioning

Specifications :
Power requirements & Size
- AC, 110 - 240 V, 50/60 Hz
- DC 9.6 V built-in rechargeable Ni-cut battery
- Batery capacity : One (1) hour continuous recording
- Charging time : 7.5 hours form full charge
- Power consumption : 25 VA
- IEC Classification : Class I, Type CF
- Unit size : 280(W) x 202(D) x 67(H) mm
- Unit weight : 2.0 kg Incl. Ni-Cd battery)

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RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

Tehnical characteristics
- Input : Floating curcuit
- Input impedance : Greather than 20 M ohm
- Time constant : More than 3.2 sec.
- Frquency response : 0.05 - 100 Hz within -3dB
- Filter / Digital
* HUM : -20dB at 50/60 Hz
* DRIFT : -3dB at 0.5 Hz
* EMG : 3dB at 20/30/40 Hz

General specifications
- Recording : 8dots/mm thermal printer
- Recording mode : Automatic / Manual
- Chart paper : 50 mm x 30 m Roll (or Fold)
- Chart speed : 25, 50 mm/sec.
- Sensitivity : 1/2, 1, 2 cm/mV & AUTO

Accessories :
- Power cord 1
- Patient cable 1
- Cardi-clips 4
- Chest electrodes 6
- ECG cream 1
- 50 mm roll paper 1
- Paper core 1
- Unit cover 1
- Operation manual 1

16. UV Room Sterilizer 1 Unit Meditec - Lokal MIT - 91 UV


Features :
- The most effective and practical method to sterilize a surgery room and
hospital rooms is by means of ultraviolet lamps, Uv radiation will immediately
kill all bacteria, germs and viruses.

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I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

- Sterilization with Uv lamps definitely offer more advantages compared with a


medicine sprayer.

Medicine Sprayer
- Foulsmelling and can harm human health. Takes a long time (6-12 hours) to
sterilize. Room can not be used before sterilization process is over.
- Can damage and corrode medical equipments and hospital facilities such as
: surgery lamps AC, etc.
- It will develop bacterial resistance.
- Not all bacteria, only a few, can-be sterilized.

Ultraviolet Lamps
- Free from foul smells and polution of germicides ad chemicals.
- Needs short time, only 1-8 hours, for sterilization process.
- Does not cause corrosion.
- Will not develop resistance of bacteria, germs and viruses to Uv rays.
- All bacteria, germs and viruses can be sterilized.
- Equipped with a timer that regulates the duration of radiation time. It is also
equipped with a Hour Counter that counts total hours use of the Uv lamps.

Warning
- When using the equipment, avoid face and eyes from exposure to Uv rays.
- This equipment is designed to start working 3 minutes after switch-on, then
everybody has to leave the room to avoid Uv radiation.
- Clean the equipment with dry cloth.
- When the Uv lamps are glowing faintly, it means its effectiveness is
decreasing and needs a change a change of new lamps.

Specifications :
- Power supply : AC 220 V, 50 Hz
- Power Consumption : 180 Watt
- Un Lamps : - 4 pcs, of 30 watt
- 1 pcs, of 10 watt
- Lamp Life : 3.000 hours

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LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

Dimensions :
- Size : 1.100 mm x1.100 mm x 1.310 mm
- Weight : ± 30 kg

17. Room Divider 38 Unit MAK - Lokal Mak - 36202


Specifications :
- Made of stainless steel pipes : 1", 3/4", 1/2"
- White linen cloth
- Castor 2"
- Construction : Stainless steel pipes
- Consist of : Two part attached together Can be folded
- Linen : Linen cloth, detachable for cleaning
- Castor : Equipped with 2" castor
- Dimensions : 880 x 1745 cm
18. Bandage Instrument Set 2 Set Rebstock - Germany --
Consist of :
- Metzenbaum Scissors Curved, 15 Cm 1 pc 08.281.15
- Forceps Dressing, 14.5 Cm 1 pc 10.102.14
- Forceps Tissue 1 x 2 Teeth, 14.5 Cm 1 pc 10.120.14
- Crile Hemostatic Forceps, Curved 1 pc 12.251.14
- Probe Buttoned 1 mm 1 pc 20.104.14
- Gross Maier Dressing Forceps, 20 Cm, Straight 1 pc 16.110.20
- Lister Bandage Scissors 1 pc 08.901.14
- Bruns Bandage Scissors Serrated 1 pc 08.937.23
- Compression Apparatus Complete 1 pc 33.101.01
- Combination Diagnostic Set 1 pc 02.170.00
- Mayo Hegar Needle Holder 1 pc 24.180.14
- Ford Bowles Stethoscope 1 pc 02.244.00
- Blood Pressure Apparatus Mercury 1 pc 02.112.00
- Small Container 300x 140 x 70 mm with long term texile filters 1 pc 88.641.11
- Identification palte alum. engrav Bandage Set 1 pc 88.322.02

19. Korentang 2 Unit Rebstock - Germany 16.110.25

20. Mangkok Alkohol / Betadin S.S. 10 Unit -- --

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LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

21. Tromol 3 Unit Lokal --

22. Wheel Chair 0 Unit MAK - Lokal Mak - 31303


Specifications :
- Made of stainless steel pipes, imitation leather plastic components, castor, wheel
- Construction : Stainless steel pipes
- Backrest : Foam & imitation leather
- Seat : Foam & imitation leather
- Armrest and Footrest : Plastic
- Main wheel : Rubber with brake
- Front wheel : Castors 5"
- Chair can be folded :

23. Medicine Cabinet 2 Unit MAK - Lokal Mak - 32902


Specifications :
- Made of steel sheet
- Transparent glass 3 m
- Construction : Steel sheet
- Consist of : Two compartment, top & bottom
- Top : Three shelves, adjustable
- Doors : Two doors with full transparent glass
- Bottom : One shelf with steel door
- Equipped with : Lock & Key
- Painting : Epoxy powder coating finished

24. Medicine Trolley 2 Unit MAK - Lokal Mak - 36602


Specifications :
- Made of steel sheet
- Stainless steel pipe
- Acrylic sheet
- Trolley : Made of steel sheet
- Lower part : Two steel drawers and one cupboard
- Acrylic drawers : 50 pcs
- Handle : Stainless steel pipe
- Castor : 5" two with brake
- Painting : Epoxy powder coating finished
- Dimensions : 700 x 590 x 1000 mm

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LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

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LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

25. Urinal & Bed Pan Carriage 4 Unit MAK - Lokal Mak - 36501
Specifications :
- Made of stainless steel pipes
- Stainless steel rod
- Cpmstruction : Made of stainless steel pipes
- Bracket mounting : Bed pan 10 pcs.
Urinal 10 pcs
- Castor : 5" two with brake
- Dimensions : 450 x 980 x 1200 cm

26. Infusion Pump 2 Unit JMS - Japan OT - 701


Specifications :
- Pump type : Drip rate peristaltic finger pump
- Set requirement : Standard PVC IV set (15-20 drops/ml) or micro
IV set (60 drops/ml) with 3.4 - 4.5 mm O.D. tubing.
- Flow rate :
IV Set mL / hr drops/min
15 - 20 drops / ml 1-450 (1-100) ml 1-100 (1-100) drops/min
60 drops / ml 1-100 (1-100) ml 1-100 (1-100) drops/min
- Rate step : 1 ml step
- Flow rate accuracy : ± 10% (with adjusting function)
- Drip rate accuracy : ± 2% (after more than 500 drops have been
|infused).
- Volume infused display : 0 - 9999 ml
- Volume limit : 1 - 9999 ml or no limit
- Purge rate : More than 450 ml / hr
- Alarms : Door Open, Low Battery, Internal Malfunction,
Air in Line, Infusion Complete, Empty
Container, Reminder, Abnormal Drips.
- KVO (keep Vein Open) : 1 ml / hr
- Occlusion pressure : 60 - 140 kPa (adjustable)
- Air detection method : Ultrasonic
- Drip detection method : Double infrared photoelectric beam
- Finger Cassette : Detachable
- Tube Clamp : With lock lever, detachable
- Nurse Call : Terminal on the bottom

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LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

- Communication : Optical communication


- Display : Color LCD with back light
- Battery : Rechargeable Nickle Cadmium
- Battery life : 4 hours at 125 ml/hr when fully
Charged.
- Recharge : 30 hours when fully discharged.
- Operation conditions : Ambient temperature : 15°C to 40°C
Relative humidity : 30% to 85%
(with no condensation)
- Storage conditions : Ambient temperature : -10°C to 45°C
Relative humidity : 20% to 95%
(with no condensation)
- Dimensions : 180 (W) x 148(D) x 210(H) mm
- Weight : 2.3 kg
- Power required : 85 to 264 Vac, 50/60 Hz
- Power consumption : 12 VA
- Electric shock, Protective type
: Class II Type CF

27. Syringe Pump 2 Unit JMS - Japan SP-500


Specifications :
Syringe used
- JMS 10 ml, 20 ml, 30 ml, 50 ml Setting for major syringe brands or voluntary
setting possible.
- Consult with your local distributor.

Flow rate range


- 0.1 to 200ml/hr. with 10 ml syringe
- 0.1 to 300ml/hr. with 20ml, 30ml or 50ml syringe in 0.1 ml/hr. increments

Accuracy
- |Drive accuracy ± 1% with JMS syringe ± 3% (after 1 hour, flow rate 1ml/hr or
higher).

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LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

Rapid mode for purge or bolus


- Approx. 200 ml/hr. (10 ml syringe)
- Approx. 350 ml/hr. (20 ml syringe)
- Approx. 450 ml/hr. (30 ml syringe)
- Approx. 800 ml/hr. (50 ml syringe)

Purge
- This function is used to purge air from extension tube, and to fit syringe
plunger anto the pressure sensor, while not summing up the volume infused.

Bolus
- This function is used for bolus infusion. The volume infused will be
summed up and displayed.

Volume infused display


- 0.1 to 999,9 ml in 0.1 ml increments
- With resetting function

Occlusion detection
- Direct sensing of syringe plunger by pressure sensor loadcell. 3 levels are
selectable.
L (low pressure)
0.2 to 0.6 kgf/cm2(150 to 440 mmHg) when sensitive occlusion sensing
is required. M (medium pressure)
0.5 to 0.9 kgf/cm2 (370 to 660 mmHg)
Normal setting

H (high pressure)
0.8 to 1.4 kgf/cm2 (590 to 1000 mmHg) when high pressure is expected
due to tandem connection with infusion pump or use of viscous solution.

Alarms
- Red alarm lamp and auidible alarm
- Near empty (small remains or 5min. Before completion)
- End

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LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

- Low battery
- Occlusion
- Syringe disengaged
- Internal malfunction

Reminder Alarms
- 20 seconds after purging or bolus
- 2 minutes after flow rate setting

Power required
- 220 V AC, 50 Hz.
- Power Consumption 15 VA

Battery
- Rechargeable nickel cadmium
- Battery life 4 hours (fully charged new battery)
- Rechargeable time : 17 hours when fully discharged

Accessories
- Power cord (3 meters long)
- Pole clamp
- Operator's manual
- Quick reference sheet

Classification
- Class I type CF
- Drip proof

Standards
- IEC 601-1
- IEC 601-1-2
- Electromagnetic compatibility
- IEC 601-2-24, Part 2 (Draft)
- Particular requirements for safety of infusion pump and controllers

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LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

Environmental Conditions
- Operation (no condensation) 10 to 40°C, 30 to 85% RH
- Storage (no condensation)
- -10 to 40°C, 30 to 95% RH
- No direct sunlight

Weight and dimensions


- 2.6 kg
- 340(W) x 134(D) x 134(H0 mm

28. Kidney Bowl 10 Unit Rebstock - Germany 88.139.27

29. Groos Maier Dressing Forceps, 20 cm 2 Unit Rebstock - Germany 16.110.20

30. Measuring Graduated 18/8, 2.0 L 2 Unit Rebstock - Germany 88.140.20

31. Instrument Tray 2 Unit Rebstock - Germany 88.146.32

32. Glass Box with 18/8 Lid 1 Unit Rebstock - Germany 88.124.20

33. Glass Box with 18/8 Lid Round 1 Unit Rebstock - Germany 88.125.20

34. Sauerbruch Needle Case Pefor 1 Unit Rebstock - Germany 88.110.21


35. Bedpan for Female 19 Unit Taiwan -

36. Bedpan for Male 19 Unit Taiwan -

37. Urinal for Female 10 Unit Jepang --

38. Urinal for Male 10 Unit Jepang --

39. Oxygen Concentrator 0 Unit SIM - Italy SIM O2:S" Plus


Specifications :
- Flow Rate : 0 to 5 LPM.
- O2 Concentration +/- 3% : 0 - 4 LPM 95%.
5 LPM 90%.

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LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

- O2 Concentration status : Green = Normal.


Indicator (Optional) Orange = Below Normal.
Red = Call technical assistance.
- Maximum System Pressure: 1516 mbar (22 PSI)
- Oxygen Outlet Pressure : 0.3 bar (5.5 PSI)
- Electrical Data : 220 V a.c. ± 10%, 50 Hz.
- Energy consumption : Maximum 440 Watts
- Entrance fuse : 220 V a.c. 5x20 T 4A
- Leakage Current : Maximum 0.72 mA.
- Dimensions (H x W x D) : 370 x 450 x 580mms.
- Weight : 27 kg = 59 lb (pounds).
- Optical Indicators : ON / OFF switch, dust filter |substitution, high
temperature, low battery, therapeutic oxygen
output, O2 output ready.
- Audible Alarms : Power failure, low therapeutic oxygen output,
internal high temperature.
- Pressure Exchange : Calibration : 22 PSI.
- Operating Temperature : 0 - 45°C. 32 - 113 ° F.
- Filters : Dust filter (1), compressor inlet (1),
HEPA (1).
- System Construction : Modular with double insulation.
- Movement and Transport : Supplied on 4 wheels, lifting handle.
- Guarantee : 2 years or 10.000 operating hours
(whichever comes first).
- Safety Standards : Constructed to I.E.C. 601 - 1.
- Device Classification : Class II, type BF.

Included :
- Oxygen sensor with light
- Humidifier
- Nasal canula
- Extension tube

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LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

4.B.2 Ruang Alat dan


Bahan Kotor 1. Medicine Cabinet 1 Unit MAK - Lokal Mak - 32902

Specifications :
- Made of steel sheet
- Transparent glass 3 m
- Construction : Steel sheet
- Consist of : Two compartment, top & bottom
- Top : Three shelves, adjustable
- Doors : Two doors with full transparent glass
- Bottom : One shelf with steel door
- Equipped with : Lock & Key
- Painting : Epoxy powder coating finished

2. Instrument Trolley 1 Unit MAK - Lokal Mak - 35101

Specifications :
- Made of stainless steel sheet 1, 1.5 mm
- Stainless steel pipe 5/8"
- Construction : Stainless steel sheet
- Upper shelf : Consist of one drawer with list on each side
- Lower shelf : Stainless steel sheet with list on each side
- Handle : Stainless steel pipe
- Castor : 2"

4.B.3. Ruang Alat &


Bahan Steril 1. Medicine Cabinet 1 Unit MAK - Lokal Mak - 32902
Specifications :
- Made of steel sheet
- Transparent glass 3 m
- Construction : Steel sheet
- Consist of : Two compartment, top & bottom
- Top : Three shelves, adjustable
- Doors : Two doors with full transparent glass
- Bottom : One shelf with steel door

Page 46
LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

- Equipped with : Lock & Key


- Painting : Epoxy powder coating finished

2. Instrument Trolley 1 Unit MAK - Lokal Mak - 35101


Specifications :
- Made of stainless steel sheet 1, 1.5 mm
- Stainless steel pipe 5/8"
- Construction : Stainless steel sheet
- Upper shelf : Consist of one drawer with list on each side
- Lower shelf : Stainless steel sheet with list on each side
- Handle : Stainless steel pipe
- Castor : 2"

4.B.4. Ruang Sterilisasi


1. Steam Sterilizer, Cap. 50 Ltr. 1 Unit Sturdy - Taiwan SA - 300VF
Specifications :
- Chamber size : Stainless steel #304 300 mm dia. x 700 mm (D).
- Overall : 600(W) x 1000(H) x 450(D) mm
- Power consumption : 220 V / 2.4 KW / 11.2 A
- Using temperture / pressure: Wrapped : 121°C -132°C/ 2.1 Kg/cm2
- Design temp. : 140°C
- Safety devices : Pressure control switch, Door safety catcher,
Over heat protection, Safety Valve, Electronic
circuit safety system, Low water indication and
cut-off, Emergency exhaust switch.

Standard accessories :
- Stainless Steel #304
- Sterilization basket 1 pc
- Easy reach clip 1 pc
- Btottle 2000 cc 1 pc
- Exhaust hose 1 pc

- Safety approval : EMC, LVD, by TUV CHAMBER DESIGNED


BY ASME/USA STANDARD

Page 47
LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

- Auto-dry function : Yes.


- Chamber capacity : Approx. 50 liter

2. Instrument Trolley 1 Unit MAK - Lokal Mak - 35101


Specifications :
- Made of stainless steel sheet 1, 1.5 mm
- Stainless steel pipe 5/8"
- Construction : Stainless steel sheet
- Upper shelf : Consist of one drawer with list on each side
- Lower shelf : Stainless steel sheet with list on each side
- Handle : Stainless steel pipe
- Castor : 2"

6. Radiologi
1. X - Ray Unit W. Fluroscopy, 500mA, 125V - Korea - SMS 1 Unit SMS - Korea 500mA, 125kV
Features :
- 500mA / 125 KVP generator with Micom control system & digital display
- Radiographic mode and 72 preset anatomical mode by simple touch
- Fluoroscopy and spot capturing is available
- Micom controlled tube protection
- No noise during exposure by use of SCR
- Self error checking system

Compositions :
- X-ray generator 500mA
- 90/15 Tilting R/F Table
- Colimator
- HV. Cable
- Floor Mounted Tube Stand
- X - Ray Tube Toshiba
- TV Monitor

Page 48
LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

Specifications :
X-Ray Generator 500 mA
- Type : Console type (Micom control & digital display)
- Power supply : 220 VAC, 50/60 Hz, single phase
- Power consumption : 35 KVA
- Radiographic output maximum ratings
* 500 mA at 100 KVP
300 mA at 125 KVP
- Indication meter : KVP, Time, mA, mAs (LED Lamp full indication)
- Radiographic mode
* mA setting : 50 mA to 500 mA
* KVP setting : 45 KVP to 125 KVP continuity regulation mode
* Time selection : 1/120 to 5 sec. (50 steps)
- Spot radiographic mode
* mA setting : 150 mA to 300 mA
* KVP setting : 45 KVP to 125 KVP continuity regulation mode
* Time selection : 1/120 to 5 sec. (50 steps)
- Fluoroscopic mode
* mA setting : 0.5 mA - 3.0 mA 5 steps regulation mode
* KVP setting : 50 KVP to 120 KVP continuity regulation mode
* Maximum radiation time: 5 min.
- Preset program : 72 anatomical programs
- Self-checking system : OVER LOAD, BACK UP, ERROR MESSAGE
- Dimension : 630(W) x 400(D) x 800(H) mm
- Weight : 70 Kg

High-tension transformer
- Type : Insulating oil-filled unit for two tubes
- Radiographic output
maximum ratings : 500 mA at 100 KVP
300 mA at 120 KVP
- Fluoroscopy output
maximum ratings : 0.5 mA at 120 KVP
3 mA at 100 KVP
- Filament transformer : Small output : 16 V
Large Output : 24 V

Page 49
LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

- High tension silicon rectification


- Maximum output capacity : 35 KVA
- Dimensions : 415 (W) x 485 (D) x 535 H) mm
- Weight : 150 Kg

Rotating anode X-ray tube for radiography


- Model : E7239X (TOSHIBA - Japan)
- Operating tube voltage : 40 to 125 KVP Max.
- Anode heat storage : 140,000 HU
- Tube focal spot
* Small : 1.0 x 1.0 mm (input energy at 0.1 sec : 60 Hz / 21 kW)
* Largel : 2.0 x 2.0 mm (input energy at 0.1 sec : 60 Hz / 43 kW)
- Target angle : 16°
- X-ray coverage : 345 x 345 mm at SID 750 mm
- Construction : Rhenium-Tungsten-faced Molybdenum
- Rotor speed : 2700 rpm at 0 Hz, 3200 at 60 Hz
- Weight : Approx. 16 Kg

Rotating anode X-ray tube for fluoroscopy


- Model : E7132X (TOSHIBA - Japan)
- Maximum voltage : 125 KVP
- Anode heat storage : 140,000 HU
- Tube focal spot : * Small 0.3 x 0.3 mm
* Large 1.5 x 1.5 mm
- Target angle : 16°

X-ray beam collimator


- Type : Manual type
- Power supply : 12 - 24 VAC
- Lamp : Halogen lamp (100 - 150 W)
- Total filter : 1 mm Al equivalent
- Maximum exposure range : 48 cm x 48 cm at SID 100 cm
- Halogen lamp power : 12: 24 VAC, 100 : 150 W
- Lamp timer & LUX : Approx. 25 sec. & 160 Lux at SID 100 cm
- X-ray rotation range : 180
- Leakage current : Not more that 35 mR/h

Page 50
LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

- Dimensions : 183(W) x 188(D) x 178(H) mm


- Weight : 5 Kg

High Voltage Cable


- Length : 5 meter (6 mtr, 15 mtr and 16 mtr are also available)
- Maximum permittable : 150 KVP
voltage
R/F tilting table
- Table Tilting
* Type : Motor driven
* Range : Approx. +90° - 15°
* Speed : Approx. 90° / 20 sec at 60 Hz & approx 90° / 30 sec
at 50 Hz

- Table sliding
* Type : Motor driven
* Range : Approx 80 cm upward & approx 30 cm downward
* Speed : Approx 3.6 cm/sec at 60 Hz & approx at 5 cm/sec
50 Hz
- Table top : Flat 200L x 70W cm
- Table top height : Approx. 84 H cm
- Table top focus distance : approx. 41H cm
- Inherent filtration : Less than 1.0 mm Al equivalent
- Table top to film distance : Approx. 6.5 cm
- Bucky device
* Type : Motor driven reciprocation
* Grid : r-8:1, d-85 lines/inch
* Cassette size : Up to 14" x 17" *35 x 43 cm)
* Travel range approx. 105 cm
- Movement of spot-film device
* Longitudinal travel : Approx. 55 cm
* Transverse travel : Approx. ± 12 cm
* Vertical travel : Approx. 14 : 50 cm
- Fluoroscopy screen : TV System
- Grid : r = 6: 1, d = 95 lines / inch
- Field collimation : Motor driven, manual operation

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LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

- Parking of spot-film device : Electromagnetic lock systems


- Weight : Approx. 650 Kg (Except image intensifier assembly)
- Power requirements : 120 VAC : 220 VAC, 3 KVA, 50/60 Hz, single phase

Tilting Vertical Bucky Stand


- Composition : Stand structure, Bucky device, Grid
- Compatible cassette sizes inch
: 8" x 10" - 14" x 17"
- Grid specifications :
* Size : 17.25 x 18.875
* Lines : 103 lines
* Ratio : 8:1
* F.D : 40 - 72"
- Performance specifications
* Cassette loading : From right to left
- Bucky vertical lock : Electromagnetic lock
- Dimension and weight
* Dimension : 200(L) x 360(W) x 1800(H) mm
* Weight : 150 kg

2. Digital USG 1 Unit GE - USA Logiq 200 Pro


Specifications :
- Probe supported : Linear, convex, microconvex and phased array.
- Beamformer technology : All digital beamformer.
- Beamformer channel
technology : 48 Channel wide aperture all digital
beamformer (40 MHz sampling rate).
- Auto optimization : Automatic tissue optimization (ATO).
- Analysis packages : Comprehensive OB, Urology, and Cardiac
calculation package available.
- Cine memory technology : Cine memory provides 32 frames of storage
and up to 8 seconds for M mode images.
- Image storage : Screen storage in memory : 10 screen
images. Data storage : 500 patients.
- Imaging modes 2D and M mode.
- Zooming : Realtime pincture in picture zooming

Page 52
LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

- Measurements : Distance (8 sets), circumference (8 set-by


elipse, trace or distance method), Area
(8 set-by ellipse, trace or distance method),
volume (3 sets), angle between two lines and
time/slope measurement for M-Mode.
HIP measurement program, which
determines the alpha and beta angle of an
infants hip. Also provides Echo Histogram,
calculation for depth from probe surface
and Stenosis.
Ratio
- M-Mode
* Standard feature
* Memory : 2 screen, maximum I6 seconds
* Gain : Selectable from o to 99 db
* TGC : 8 side pot (± 20 db)
* Zoom : Write and Smart zoom modes
* Sweep speeds :
- Low : 8 seconds / screen
- Medium : 4 seconds / screen
- Hiegh : 2 seconds / screen
* Dynamic range : 30 db to 72 db
- Monitor type : 12" (30 cm), high resolution, non interlaced
monitor. 625 Lines
Anti glare filter
Height adjustable : swivel / tilt/rotate
Standby function
- Multi frequency : Standard feature on all probes, extends
performance and application capabilities for
the user.
- Networking : DICOM gateway available with a variety of 3rd
party solutions.
- Probe ports : Two active probe ports and additional probe
holder to secure 2 more probes available.
- Reporting : Can be upgrade to print out the reporting
resume with cupid SW.

Page 53
LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

Compositions :
- Main Unit
- Convex Probe
- Printer B/W
- Standard Accesories

3. Dental X-Ray (Floor Mobile Type) 1 Unit Belmont - Japan Belray - 096
Specifications :
- Rated peak tube potential : 70 kVp
- Rated tube current : 10 mA
- Focal spot maeasurement : 0.8 x 0.8 mm
- Rated line voltage : 120, 220, 230 or 240 VAC
- Line voltage range : ± 10% of rated line voltage
- Minimum filtration in useful
beam : 2.1 mm Al equivalent
- Exposure time : 0.02 - 3.0 sec.
- SSD with regular cone : 204 mm

7. Gedung
Obsgyn (25. T.T.)
7.1.a Ruang Bersalin
(V.K.)
Fisilogis 1. Partus Set 4 Set Rebstock - Germany --
Consist of :
- Scissors, BL/SH Straight, 14.5 cm 1 pc 08.110.14
- Deaver Scissors Curved BL/BL, 14 cm 1 pc 08.131.14
- Forceps Dressing, 14.5 cm 1 pc 10.102.14
- Forceps tissue 1x2 Teeth, 14.5 cm 1 pc 10.120.14
- Pean Hemostatic Forceps Delicate 1 pc 12.312.14
- Kocher Hemostatic Forceps Delicate 1 pc 12.322.14
- Suture Needle 'G' Triangular, Fig. 8 1 pc 26.423.08
- Needle Case W. Partition Perf. 1 pc 88.114.00
- Mathieu Needle Holder 1 pc 24.370.17
- Needle Case Round 65x15 mm 1 pc 88.112.65

Page 54
LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

- Braun Stadler Episiot. Scissors 1 pc 08.560.14


- Small Container 300 x 140 x 70with long -term textile filters 1 pc 88.641.11
- Identification plate alum. engrav Partus Set 1 pc 88.322.02

2. Minor Basic Instrument Set 1 Set Rebstock - Germany --


Consist of :
- Scalpel Handle No. 3 1 pc 06.103.00
- Scissors, BL/SH Straight, 14.5 cm 1 pc 08.110.14
- Scissors, BL/SH Straight, 14.5 cm 1 pc 08.160.14
- Mayo Scissors Curved, 14.5 cm 1 pc 08.161.14
- Metzenbaum Scissors Curved, 18 cm 1 pc 08.281.18
- Forceps Dressing, 14.5 cm 1 pc 10.102.14
- Forceps USA Dressing, 14.0 cm 1 pc 10.104.14
- Forceps Dressing, 18.0 cm 1 pc 10.102.18
- Forceps Tissue 1x2 Teeth, 14.5 cm 1 pc 10.120.14
- Forceps Tissue 1x2 Teeth, 18.0 cm 1 pc 10.120.18
- Foerster Swab Forceps Smooth 2 pcs 16.173.18
- Backhaus Towel Forceps 4 pcs 14.111.09
- Halsted Mosquito Forceps 4 pcs 12.220.12
- Crile Hemostatic Forceps 2 pcs 12.251.14
- Spencer Wells Hemostatic Forceps 6 pcs 12.330.13
- Kocher Hemostatic Forceps Delicate 2 pcs 12.322.14
- Kocher Hemostatic Forceps Delicate 2 pcs 12.322.16
- Mayo Hegar Needle Holder 1 pc 24.180.14
- Mayo Hegar Needle Holder 1 pc 24.180.20
- Grooved Director Buttoned 1 pc 20.112.14
- Probe Myrtle Leaf 14.5 cm 1 pc 20.108.14
- Senn Retractor Double Sharp 2 pcs 18.160.17
- Farabeuf Retractor Double Pair 1 pc 18.102.12
- Retractor (Trach.) Sharp, 1 Pr. 2 pcs 18.220.01
- Langenbeck Retractor 21 cm, 30x11 mm 2 pcs 18.310.01
- Allis Baby Tissue Forceps 14 cm, 4x5 2 pcs 64.102.14
- Volkmann Bone Curette, Fig. 000 1 pc 32.469.97
- Half - size Container 285 x 280 x 150 mm with long - term textile filters 1 pc 88.621.21
- Indentification plate alum. engrav Minor Basic Set 1 pc 88.322.02

Page 55
LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

3. Obstetric Set 2 Set Rebstock - Germany --


Consist of :
- Scissors, BL/SH Straight, 15.5 cm 1 pc 08.110.15
- Scissors, BL/SH Curved, 15.5 cm 1 pc 08.111.15
- Mayo Scissors Straight, 17.0 cm 1 pc 08.160.17
- Mayo Scissors Curved, 17.0 cm 3 pcs 08.161.17
- Rochester Pean Hemostatic Forceps, 18 cm, Curved 3 pcs 12.311.18
- Rochester Pean Hemostatic Forceps, 18 cm, Straight 3 pcs 12.310.18
- Roch. Ochsner Hemostatic Forceps 1x2 T., 20 cm, Straight 3 pcs 12.320.20
- Roch. Ochsner Hemostatic Forceps 1x2 T., 20 cm, Curved 3 pcs 12.321.20
- Crile Hemostatic Forceps, Straight 6 pcs 12.250.14
- Crile Hemostatic Forceps, Curved 2 pcs 12.251.14
- Forceps Dressing, 16.0 cm 2 pcs 10.102.16
- Forceps Tissue 1x2 T., 16.0 cm 2 pcs 10.120.16
- Forceps Russian Pattern 2 pcs 10.256.20
- Mayo Hegar Needle Holder TC 2 pcs 24.184.18
- Thoms Allis Forceps 6x7 Teeth, 20 cm 1 pc 64.150.20
- Backhaus Towel Forceps, 13 cm 12 pcs 14.111.13
- Mayo Hegar Needle Holder TC 2 pcs 24.184.20
- Foerster Swab Forceps Narrow, 25 cm, Curved 1 pc 16.175.25
- Braun Stadler Episot. Scissors 1 pc 08.560.14
- Sims Speculum Medium Size 1 pc 70.281.02
- Sims Speculum Large Size 1 pc 70.281.03
- Simpson Braun Obstetric Forceps 36 cm 1 pc 72.105.36
- Simpson Obstetric Forceps 30 cm 1 pc 72.102.30
- Container 580 x 280 x 100 with long - term textile filters 1 pc 88.601.01
- Indentification plate alum. engrav Obstetric Set 1 pc 88.322.02

Page 56
LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

4. Gynaecological Examination Set 2 Set Rebstock - Germany --


Consist of :
- Scalpe Handle, No. 3 1 pc 06.103.00
- Scalpe Handle, No. 4 1 pc 06.104.00
- Scalpe Handle, No. 3L 1 pc 06.103.02
- Scalpe Handle, No. 4L 1 pc 06.104.02
- Yankauer Aspiration Tube 1 pc 04.150.27
- Scissors, BL/SH Straight, 14.5 cm 1 pc 08.110.14
- Pratt Hemostatic Forceps 2 pcs 12.360.15
- Rochester Pean Hemostatic Forceps 3 pcs 12.311.20
- Rochester Pean Hemostatic Forceps 3 pcs 12.310.20
- Rochester Ochsner Hemostatic Forceps 3 pcs 12.321.20
- Rochester Ochsner Hemostatic Forceps 3 pcs 12.320.20
- Crile Hemostatic Forceps 6 pcs 12.250.14
- Crile Hemostatic Forceps 6 pcs 12.251.14
- Forceps Dressing, 20.0 cm 1 pc 10.102.20
- Forceps Tissue 1x2 Teeth, 20.0 Cm 2 pcs 10.120.20
- Forceps Russian Pattern 1 pc 10.256.20
- Forceps Russian Pattern 1 pc 10.256.25
- Mayo Hegar Needle Holder 1 pc 24.180.20
- Heaney Needle Holder 2 pcs 24.241.21
- Mayo Hegar Needle Holder 2 pcs 24.180.18
- Mayo Hegar Needle Holder TC 2 pcs 24.184.20
- Scissors, SH/SH Straight, 14.5 Cm 1 pc 08.120.14
- Scissors, BL/BL Straight, 14.5 Cm 1 pc 08.102.14
- Poole Aspiration Tube 23 Fr. 2 pcs 04.140.08
- Allis Tissue Forceps 19 cm, 5x6 Teeth 2 pcs 64.120.19
- Allis Tissue Forceps 24 cm, 5x6 Teeth 2 pcs 64.120.24
- Backhaus Towel Forceps 8 pcs 14.111.13
- Potts Smith Forceps Serrated, 21 Cm 1 pc 10.112.21
- Metzenbaum Scissors Curved, 23 Cm 1 pc 08.281.23
- Metzenbaum Scissors Straight, 23 Cm 1 pc 08.280.23
- Bozemann Swab Forceps S-Shaped 2 pcs 16.231.26
- Foerster Swab Forceps Serrated 2 pcs 16.170.25
- Mayo (Harrington) Scissors, 23 Cm 1 pc 08.160.23

Page 57
LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

- Mayo (Harrington) Scissors, 23 Cm 1 pc 08.161.23


- Heaney Hysterectomy Forceps 2 Teeth 2 pcs 12.593.20
- Heaney Hysterectomy Forceps 1 Tooth 2 pcs 12.591.20
- Phaneuf Peritoneum Forceps 2 pcs 12.554.21
- Mikulicz Peritoneum Forceps 2 pcs 12.551.20
- Sims Specula Set = 3 EA 1 pc 70.291.00
- Auvard Speculum Detach. Weight 1 pc 70.307.00
- Grave Speculum, Fig. 1, 75x20 mm 1 pc 70.110.01
- Grave Speculum, Fig. 2, 95x35 mm 1 pc 70.110.02
- Grave Speculum, Fig. 3, 115x35 mm 1 pc 70.110.03
- Hank Uterine Dilator 6 EA / Pouch 1 pc 70.436.08
- Martin Uterine Sound Grad Malleable 1 pc 70.583.32
- Foester Swab Forceps Serrated 1 pc 16.170.20
- Schroeder Vulsellum Forceps 2x2 Teeth 2 pcs 70.514.24
- Allis Adair Forceps 10x11 Teeth, 15.5 Cm 2 pcs 64.130.15
- Goodell Uterine Dilator 34 Cm 1 pc 70.441.34
- Container 580 x 280 x 100 with long - term textile filters 1 pc 88.601.01
- Indentification plate alum. engrav Gynaecolo Set 1 pc 88.322.02

5. Baby Weighing Scale 1 Unit Yamato - Japan --

Specifications :
- Capacity : 20 kg

6. Weighing Scale + Ukuran Tinggi Badan 1 Unit Ex. RRC --

7. Vacuum Suction Unit + Suction Cup 1 Unit Sturdy - Taiwan SS - 300


Features :
- User-friendly design to fulfil the quality standard requirement, Ideal for use in
operation theater room or general wards providing an efficient performance for
most procedures os suction environment such as suction biopsy, surgery,
endometrical curettage, obstetric and abortion etc.
- Dial regulate control knob to your desired vacuum flow rate from LOW to HIGH
capable of sustaining sufficient vacuum for most suction |environment.
- Built-in a vacuum gauge with a range from 0 to 760 mmHG.

Page 58
LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

- 4 anti-static wheels with lock convenient for operation and delivery.


- Two autoclavable glass collection bottle each has a 3000 cc.
Capacity graduated by millimeter incorporating over-flow protective device.
- Choise of bacteria-retentive filter to prevent dispersal of bacteria aerosols into
the environment.
- Attentively designed with cabinet on back of body providing a convenient way
for internal storage.
- Comes with safety device for foot switch.

Specifications :
- Pump : Oil Rotary Vane
- Watts : 226
- Cylinder : Non
- Max airflow : 80 LPM
- Max vacuum : 700 mmHg (933 mbar)

Standard Accessories :
- 3000 CC glass collection bottles 2
- Foot switch 1
- Silicon tubing 1
- Specimen collection tube 1
- Water cup for disinfection 1

Included optional Accessories :


- Suction Cup (dia. 40, 50, 60 mm)

8. Fetal Doppler 1 Unit Sonicaid - England 421


Features :
- Four interchangeable probes :
* 3MHz probe for fetal heart detection during the antenatal period from
as early as 8-10 weeks.
* 2MHz probe for fetal heart detection from 12 weeks and throughout
labour and delivery.
* 5MHz probe for general vascular diagnosis giving good penetration and
sensitivity.
* 8MHz probe for peripheral vascular and superficial vessels.

Page 59
LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

- Powered by built-in rechargeable battery.


- High-fidelity dual speakers ensure excellent sound quality.
- Table top/wall-mounted recharging stand.
- FHR digital display using advanced signal processing to accurately track the
fetal heart.
- Two output jack sockets. One for recording blood flow waveforms on an
external printer (such as an ECG machine), the other for recording fetal
heart sounds.

Specifications :
- Dimensions : 109 x 157 x 224 mm (4.3 x 6.2 x 8.8 inches)
- Weight : 1.22 kg (2 lbs 11 oz)
- Ultrasound : Obstetric probes : 4.5 mw/cm2 or less
- Intensity : Vascular probes : 15.0 mw/cm2 or less
- Batteries : 12V NiCad user replaceable
- FHR measuring range : 60 - 199 bpm
- Audio output : 1 watt
- Speakers : Two 8-ohm
- Outputs : Headset and Doppler waveform
- Power supply : 100-125V, 200-250V, 50-60 Hz.

Included accessories :
- Choice of interchargeable probes
- Unique table top/wall mounted recharging stand
- High fidelity speakers
- FHR / Pulse display
- Doppler waveform output

Supplied with 1 probe and accessories


- 2 MHz probe for Fetal heart detection (230 V English)

9. Obstetric Delivery & Operation Table 1 Unit Sturdy - Taiwan SG - 670


Features :
- Table body is fully covered with Stainless Steel SAE #304.I.E, Table top frame,
Accessories' rall, Cylinder cover, Table base cover, and all of the accessories.

Page 60
LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

- Multifunction for sitting, laying position delivery, operation table.


- A 5.7 cm. wide heavy duty table top design and easily convertable to operation
procedures, if required.
- Fully elec. control hydraulic system, with 24 V control switch. The elec. safety
design is based on European Standard IEC601-1.
- PU (POIYURETHANE) Foam leg crutches, for added safety and comfort.
- Table base design will enable practitioner greater space for movements
accessibility and comfort during operation.

Specifications :
- Table top : 57 cm (W) x 124 cm (L)
57 cm(W) x 185cm(L) - with Auxiliary Table.
- Elevation : 615 mm - 915 mm (Standard Type).
- Trendelenbury : +30° - -10°
- Back section : +75° - -10°
- Elec. power supply : 110 V or 220 V / 240 V, 50/60 Hz.

Standard Accessories :
- Pillow 1 pc
- Leg crutches with clamp 2 pcs
- Waist side handle with clamp 2 pcs
- Hip pad 1 pc
- Arm board with clamp 2 pcs
- Contamination basin 1 pc
- Foot switch 1 set

10. Instrument Trolley 2 Unit MAK - Lokal Mak - 35101


Specifications :
- Made of stainless steel sheet 1, 1.5 mm
- Stainless steel pipe 5/8"
- Construction : Stainless steel sheet
- Upper shelf : Consist of one drawer with list on each side
- Lower shelf : Stainless steel sheet with list on each side
- Handle : Stainless steel pipe
- Castor : 2"

Page 61
LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

11. Steril. Tray Wiremesh 24 x 25 x 7 cm 3 Pcs Rebstock - Germany 88.241.24

12. Adult Resuscitation Set 1 Unit Spencer - Italy CB-08011 A


Specifications :
- Safety orange-bag with 2 small sidepockets and hardplastic case
(removable). Ideal hard case-substitute, for lighter transport in difficult areas,
with velcro lock and long shoulder strap, includes :
* Aneroid sphigmomanometer 1
* Phonendoscope 1
* Oxygen bottle, 0,5 liter 1
* Oxygen reducer with diaphragm fixed calibration 1
* PVC connected tube 1
* Eco-B Life resuscitation bag 1
* Eco-B Life adult mask size 5 1
* Eco-B Life children mask size 3 1
* Res-Q-Vac portable aspirator 1
* Set of Guedel airways sizes 1/2/3 1
* Exell depresse tongue 1
* Magill forceps 1
* Universal scissors 18 cm 1
* Tongue forcep type collin 1
* Plastic pen light 1
* Emergency blanket 1
* Size : 50 x 23 x 23 cm

13. Infant Incubator Cabinet 1 Unit Meditec - Lokal MIT - CMD 91


Feature :
Temperature Control :
- The incubator is equipped with an Electronic Proportional Control Unit System that
maintains temperature consistently at the desired level, with an accuracy of ± 0.5°C.
- The temperature regulator can be gradually adjusted to the exact temperature
between 27°C to 37°C.
- Temperature can be monitored by reading the thermometer installed in the
incubator.

Page 62
LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

Baby's Skin Temperature Control


- The baby's skin temperature can be monitored through the Digital Thermometer.
- The Digital Thermometer is equipped with a regulator knob to set up the desire
maximum and minimum temperatures. As such, the baby's skin temperature
changes can be closely monitored. Whenever it is lower than the minimum or
higher than the maximum temperature, an alarm will automatically signalize.
- The Digital Thermometer is equipped with Ni-Cad batteries with these
advantages, i.e. :
1. The digital Thermometer will keep on functioning, even when there is no
electricity.
2. An power alarm will sound whenever there is no power electricity unless
when power on/off swith, in off position.
Safety Thermostat
- Whenever the temperature in the incubator reaches 38°C, the thermostat
automatically cuts off the heater, puts on the alarm buzzer and lights on the
"High Temp" lamps.
- A temperature control indicator lamp will notify whether the heater is working
or not.

Humidifier Control System


- Humidity in the incubator can be controlled from the outside by opening or
closing a window to allow flow of dry or humid air. Digital Hygrometer
measures the exact humidity in the incubator.

Oxygen Supply
- An Oxygen tank can be securely connected to the inlet hose of the Oxygen
Supply, which is also equipped with a Safety Oxygen Supply Device.

Access Door
- The front door also functions as an emergency access door to allow pulling
out of the mattress and taking out the baby for intensive care.
Elevation of Mattress
- The mattress tray can be adjusted to the Trendelenburg position or the
Fowler position by moving an elevation regulating lever installed in front
of the incubator.

Page 63
LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

Dimensions
- Incubator Module : '85 x 41 x 65 cm3
- Cabinet : 87 x 41 x 72 cm3
- Mattress (outer size) : 65 x 36,5 cm2
- Weight : ± 85 kg

Specifications :
- Power Supply : AC 220 V, 50 Hz
- Power Consumption : 250 Watt
- Temperature Control : Electronic proportional Controller 27°C - 37°C.
- Alarm : 38°C Buzzer and Indicator lamp
- Skin Temperature : |Digital Thermometer with minimum and
maximum alarm.

14. Medicine Cabinet 1 Unit MAK - Lokal Mak - 32902


Specifications :
- Made of steel sheet
- Transparent glass 3 m
- Construction : Steel sheet
- Consist of : Two compartment, top & bottom
- Top : Three shelves, adjustable
- Doors : Two doors with full transparent glass
- Bottom : One shelf with steel door
- Equipped with : Lock & Key
- Painting : Epoxy powder coating finished

15. Basic Diagnostic Kit 3 Set Various --


Consisting Of :
- Blood Pressure apparatus Mercury 1 pc Rebstock - Germany 02.112.00
- Duplex Stethoscope 1 pc Rebstock - Germany 02.246.00
- Taylor Hammer 1 pc Rebstock - Germany 02.288.20
- Buchwald Tongue Depressor 19cm 1 pc Rebstock - Germany 48.109.19
- Laryng Mirror with Handle fig. 5/20 mm 1 pc Rebstock - Germany 52.272.20
- Thermometer Klinis 1 pc Gea - Denmark --
- Senter Pupil 1 pc Taiwan --

Page 64
LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

16. Tromol 3 Unit Lokal --

17. Korentang 2 Unit Rebstock - Germany 16.110.25

18. Mangkok Alkohol (S/S) Besar 10 Unit -- --

19. Infant Resuscitation Set 1 Set Blue Cross - Japan --

20. Ovarium Klem 4 Set Rebstock - Germany 68.402.21

21. Kidney Bowl 3 Set Rebstock - Germany 88.139.27

22. Infusion Stand 1 Set MAK - Lokal Mak - 36101


Specifications :
- Stainless steel pipes
- Steel pipe
- Upper stand : Stainless steel pipe Adjustable with lock
- Lower stand : Steel pipe
- Painting : Epoxy powder coating finished
- Castors : 2"

7.1.b. Ruang Bersalin


(V.K.)
Patologis + 1. Partus Set 3 Set Rebstock - Germany --
Tindakan Consist of :
- Scissors, BL/SH Straight, 14.5 cm 1 pc
- Deaver Scissors Curved BL/BL, 14 cm 1 pc 08.110.14
- Forceps Dressing, 14.5 cm 1 pc 08.131.14
- Forceps tissue 1x2 Teeth, 14.5 cm 1 pc 10.102.14
- Pean Hemostatic Forceps Delicate 1 pc 10.120.14
- Kocher Hemostatic Forceps Delicate 1 pc 12.312.14
- Suture Needle 'G' Triangular, Fig. 8 1 pc 12.322.14
- Needle Case W. Partition Perf. 1 pc 88.114.00
- Mathieu Needle Holder 1 pc 24.370.17
- Needle Case Round 65x15 mm 1 pc 88.112.65

Page 65
LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

- Braun Stadler Episiot. Scissors 1 pc 08.560.14


- Small Container 300 x 140 x 70with long -term textile filters 1 pc 88.641.11
- Identification plate alum. engrav Partus Set 1 pc 88.322.02

2. Dillatation & Curettage Set 1 Set Rebstock - Germany --


Consist of :
- Rampley Swab Forceps, 25 cm 2 pcs 16.180.25
- Backhaus Towel Forceps, 9 cm 4 pcs 14.111.09
- Bozemann Swab Forceps S-Shaped, 26 cm Curved 1 pc 16.231.26
- Forceps Dressing, 25.0 cm 1 pc 10.102.25
- Schroeder Tenaculum Forceps, 25 cm 2 pcs 70.502.25
- Winter Placenta and Ovum Forceps 1 pc 72.245.01
- Sims Uterine Sound Grad Malleable 1 pc 70.581.32
- Auvard Speculum Detach. Weight 1 pc 70.307.00
- Sims Speculum Double end Medium 1 pc 70.291.02
- Sims Speculum Double end Smal 1 pc 70.291.01
- Hegar Dilator Double 3/4 mm 1 pc 70.420.03
- Hegar Dilator Double 5/6 mm 1 pc 70.420.05
- Hegar Dilator Double 7/8 mm 1 pc 70.420.07
- Hegar Dilator Double 9/10 mm 1 pc 70.420.09
- Hegar Dilator Double 11/12 mm 1 pc 70.420.11
- Hegar Dilator Double 13/14 mm 1 pc 70.420.13
- Hegar Dilator Double 15/16 mm 1 pc 70.420.15
- Guyon Mandrel F. Rubber Cathet. 1 pc 66.185.35
- Sims Curette Rig. Sharp, 7 mm/1 1 pc 70.710.07
- Sims Curette Rig. Sharp, 9 mm/3 1 pc 70.710.09
- Sims Curette Rig. Sharp, 12 mm/5 1 pc 70.710.12
- Sims Curette Rig. Blunt, 7 mm/1 1 pc 70.712.07
- Sims Curette Rig. Blunt, 9 mm/3 1 pc 70.712.09
- Sims Curette Rig. Blunt, 12 mm/5 1 pc 70.712.12
- Schroeder Tenaculum Forceps, 25 cm 1 pc 70.502.25
- Martin Uterine Sound Grad. Rigid. 1 pc 70.582.32
- Catheter Metal Female 14 FR. 1 pc 66.213.14
- Cusco Speculum Lat.Screw 85 x 35 mm 1 pc 70.140.02
- Forceps Dressing, 18.0 cm. 1 pc 10.102.18

Page 66
LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

- Forceps Tissue 1 x 2 T., 18 cm 1 pc 10.120.18


- Gross Maier Dressing Forceps, 20 cm, Straight 1 pc 16.110.20
- Container 580 x 280 x 100 with long - term textile filters 1 pc 88.601.01
- Indentification plate alum. engrav Dilatation, Curret Set 1 pc 88.322.02

3. Minor Basic Instrument Set 1 Set Rebstock - Germany --


Consist of :
- Scalpel Handle No. 3 1 pc 06.103.00
- Scissors, BL/SH Straight, 14.5 cm 1 pc 08.110.14
- Scissors, BL/SH Straight, 14.5 cm 1 pc 08.160.14
- Mayo Scissors Curved, 14.5 cm 1 pc 08.161.14
- Metzenbaum Scissors Curved, 18 cm 1 pc 08.281.18
- Forceps Dressing, 14.5 cm 1 pc 10.102.14
- Forceps USA Dressing, 14.0 cm 1 pc 10.104.14
- Forceps Dressing, 18.0 cm 1 pc 10.102.18
- Forceps Tissue 1x2 Teeth, 14.5 cm 1 pc 10.120.14
- Forceps Tissue 1x2 Teeth, 18.0 cm 1 pc 10.120.18
- Foerster Swab Forceps Smooth 2 pcs 16.173.18
- Backhaus Towel Forceps 4 pcs 14.111.09
- Halsted Mosquito Forceps 4 pcs 12.220.12
- Crile Hemostatic Forceps 2 pcs 12.251.14
- Spencer Wells Hemostatic Forceps 6 pcs 12.330.13
- Kocher Hemostatic Forceps Delicate 2 pcs 12.322.14
- Kocher Hemostatic Forceps Delicate 2 pcs 12.322.16
- Mayo Hegar Needle Holder 1 pc 24.180.14
- Mayo Hegar Needle Holder 1 pc 24.180.20
- Grooved Director Buttoned 1 pc 20.112.14
- Probe Myrtle Leaf 14.5 cm 1 pc 20.108.14
- Senn Retractor Double Sharp 2 pcs 18.160.17
- Farabeuf Retractor Double Pair 1 pc 18.102.12
- Retractor (Trach.) Sharp, 1 Pr. 2 pcs 18.220.01
- Langenbeck Retractor 21 cm, 30x11 mm 2 pcs 18.310.01
- Allis Baby Tissue Forceps 14 cm, 4x5 2 pcs 64.102.14
- Volkmann Bone Curette, Fig. 000 1 pc 32.469.97
- Half - size Container 285 x 280 x 150 mm with long - term textile filters 1 pc 88.621.21
- Indentification plate alum. engrav Minor Basic Set 1 pc 88.322.02

Page 67
LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

4. Obstetric Set 1 Set Rebstock - Germany --


Consist of :
- Scissors, BL/SH Straight, 15.5 cm 1 pc 08.110.15
- Scissors, BL/SH Curved, 15.5 cm 1 pc 08.111.15
- Mayo Scissors Straight, 17.0 cm 1 pc 08.160.17
- Mayo Scissors Curved, 17.0 cm 3 pcs 08.161.17
- Rochester Pean Hemostatic Forceps, 18 cm, Curved 3 pcs 12.311.18
- Rochester Pean Hemostatic Forceps, 18 cm, Straight 3 pcs 12.310.18
- Roch. Ochsner Hemostatic Forceps 1x2 T., 20 cm, Straight 3 pcs 12.320.20
- Roch. Ochsner Hemostatic Forceps 1x2 T., 20 cm, Curved 3 pcs 12.321.20
- Crile Hemostatic Forceps, Straight 6 pcs 12.250.14
- Crile Hemostatic Forceps, Curved 2 pcs 12.251.14
- Forceps Dressing, 16.0 cm 2 pcs 10.102.16
- Forceps Tissue 1x2 T., 16.0 cm 2 pcs 10.120.16
- Forceps Russian Pattern 2 pcs 10.256.20
- Mayo Hegar Needle Holder TC 2 pcs 24.184.18
- Thoms Allis Forceps 6x7 Teeth, 20 cm 1 pc 64.150.20
- Backhaus Towel Forceps, 13 cm 12 pcs 14.111.13
- Mayo Hegar Needle Holder TC 2 pcs 24.184.20
- Foerster Swab Forceps Narrow, 25 cm, Curved 1 pc 16.175.25
- Braun Stadler Episot. Scissors 1 pc 08.560.14
- Sims Speculum Medium Size 1 pc 70.281.02
- Sims Speculum Large Size 1 pc 70.281.03
- Simpson Braun Obstetric Forceps 36 cm 1 pc 72.105.36
- Simpson Obstetric Forceps 30 cm 1 pc 72.102.30
- Container 580 x 280 x 100 with long - term textile filters 1 pc 88.601.01
- Indentification plate alum. engrav Obstetric Set 1 pc 88.322.02

5. Gynaecological Examination Set 1 Set Rebstock - Germany --


Consist of :
- Scalpe Handle, No. 3 1 pc 06.103.00
- Scalpe Handle, No. 4 1 pc 06.104.00
- Scalpe Handle, No. 3L 1 pc 06.103.02
- Scalpe Handle, No. 4L 1 pc 06.104.02
- Yankauer Aspiration Tube 1 pc 04.150.27

Page 68
LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

- Scissors, BL/SH Straight, 14.5 cm 1 pc 08.110.14


- Pratt Hemostatic Forceps 2 pcs 12.360.15
- Rochester Pean Hemostatic Forceps 3 pcs 12.311.20
- Rochester Pean Hemostatic Forceps 3 pcs 12.310.20
- Rochester Ochsner Hemostatic Forceps 3 pcs 12.321.20
- Rochester Ochsner Hemostatic Forceps 3 pcs 12.320.20
- Crile Hemostatic Forceps 6 pcs 12.250.14
- Crile Hemostatic Forceps 6 pcs 12.251.14
- Forceps Dressing, 20.0 cm 1 pc 10.102.20
- Forceps Tissue 1x2 Teeth, 20.0 Cm 2 pcs 10.120.20
- Forceps Russian Pattern 1 pc 10.256.20
- Forceps Russian Pattern 1 pc 10.256.25
- Mayo Hegar Needle Holder 1 pc 24.180.20
- Heaney Needle Holder 2 pcs 24.241.21
- Mayo Hegar Needle Holder 2 pcs 24.180.18
- Mayo Hegar Needle Holder TC 2 pcs 24.184.20
- Scissors, SH/SH Straight, 14.5 Cm 1 pc 08.120.14
- Scissors, BL/BL Straight, 14.5 Cm 1 pc 08.102.14
- Poole Aspiration Tube 23 Fr. 2 pcs 04.140.08
- Allis Tissue Forceps 19 cm, 5x6 Teeth 2 pcs 64.120.19
- Allis Tissue Forceps 24 cm, 5x6 Teeth 2 pcs 64.120.24
- Backhaus Towel Forceps 8 pcs 14.111.13
- Potts Smith Forceps Serrated, 21 Cm 1 pc 10.112.21
- Metzenbaum Scissors Curved, 23 Cm 1 pc 08.281.23
- Metzenbaum Scissors Straight, 23 Cm 1 pc 08.280.23
- Bozemann Swab Forceps S-Shaped 2 pcs 16.231.26
- Foerster Swab Forceps Serrated 2 pcs 16.170.25
- Mayo (Harrington) Scissors, 23 Cm 1 pc 08.160.23
- Mayo (Harrington) Scissors, 23 Cm 1 pc 08.161.23
- Heaney Hysterectomy Forceps 2 Teeth 2 pcs 12.593.20
- Heaney Hysterectomy Forceps 1 Tooth 2 pcs 12.591.20
- Phaneuf Peritoneum Forceps 2 pcs 12.554.21
- Mikulicz Peritoneum Forceps 2 pcs 12.551.20
- Sims Specula Set = 3 EA 1 pc 70.291.00
- Auvard Speculum Detach. Weight 1 pc 70.307.00

Page 69
LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

- Grave Speculum, Fig. 1, 75x20 mm 1 pc 70.110.01


- Grave Speculum, Fig. 2, 95x35 mm 1 pc 70.110.02
- Grave Speculum, Fig. 3, 115x35 mm 1 pc 70.110.03
- Hank Uterine Dilator 6 EA / Pouch 1 pc 70.436.08
- Martin Uterine Sound Grad Malleable 1 pc 70.583.32
- Foester Swab Forceps Serrated 1 pc 16.170.20
- Schroeder Vulsellum Forceps 2x2 Teeth 2 pcs 70.514.24
- Allis Adair Forceps 10x11 Teeth, 15.5 Cm 2 pcs 64.130.15
- Goodell Uterine Dilator 34 Cm 1 pc 70.441.34
- Container 580 x 280 x 100 with long - term textile filters 1 pc 88.601.01
- Indentification plate alum. engrav Gynaecolo Set 1 pc 88.322.02

6. Baby Weighing Scale 1 Unit Yamato - Japan --


Specifications :
- Capacity : 20 kg

7. Weighing Scale + Ukuran Tinggi Badan 1 Unit Ex. RRC --

8. Gynaecolog Examination Table 1 Unit MAK - Lokal Mak - 34102


Specifications :
- Made of steel sheet
- Stainless steel pipes
- Foam, imitation leather
- Mattress base : Steel sheet, epoxy powder coating finished
- Mattress : Foam, imitation leather
- Table : Divided into two parts, upper & lower
- Upper table : Back raise adjustable by telescopic mechanism
- Lower table : Equipped with 2" castor, detachable lock with
upper table.
- Leg support : Made of stainless steel with foam & imitation
leather.
- Drawer : Center of the table stainless steel.

Page 70
LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

9. Instrument Trolley 1 Unit MAK - Lokal Mak - 35101


Specifications :
- Made of stainless steel sheet 1, 1.5 mm
- Stainless steel pipe 5/8"
- Construction : Stainless steel sheet
- Upper shelf : Consist of one drawer with list on each side
- Lower shelf : Stainless steel sheet with list on each side
- Handle : Stainless steel pipe
- Castor : 2"

10. Steril. Tray Wiremesh 24 x 25 x 7 cm 2 Pcs Rebstock - Germany 88.241.24

11. Adult Resuscitation Set 1 Unit Spencer - Italy CB-08011 A


Specifications :
- Safety orange-bag with 2 small sidepockets and hardplastic case
(removable). Ideal hard case-substitute, for lighter transport in difficult areas,
with velcro lock and long shoulder strap, includes :
* Aneroid sphigmomanometer 1
* Phonendoscope 1
* Oxygen bottle, 0,5 liter 1
* Oxygen reducer with diaphragm fixed calibration 1
* PVC connected tube 1
* Eco-B Life resuscitation bag 1
* Eco-B Life adult mask size 5 1
* Eco-B Life children mask size 3 1
* Res-Q-Vac portable aspirator 1
* Set of Guedel airways sizes 1/2/3 1
* Exell depresse tongue 1
* Magill forceps 1
* Universal scissors 18 cm 1
* Tongue forcep type collin 1
* Plastic pen light 1
* Emergency blanket 1
* Size : 50 x 23 x 23 cm

Page 71
LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

12. Infant Incubator Cabinet 1 Unit Meditec - Lokal MIT - CMD 91


Feature :
Temperature Control :
- The incubator is equipped with an Electronic Proportional Control Unit System
that maintains temperature consistently at the desired level, with an accuracy
of ± 0.5°C.
- The temperature regulator can be gradually adjusted to the exact temperature
between 27°C to 37°C.
- Temperature can be monitored by reading the thermometer installed in the
incubator.

Baby's Skin Temperature Control


- The baby's skin temperature can be monitored through the Digital Thermometer.
- The Digital Thermometer is equipped with a regulator knob to set up the desire
maximum and minimum temperatures. As such, the baby's skin temperature
changes can be closely monitored. Whenever it is lower than the minimum or
higher than the maximum temperature, an alarm will automatically signalize.
- The Digital Thermometer is equipped with Ni-Cad batteries with these advantages,
i.e. :
1. The digital Thermometer will keep on functioning, even when there is no
electricity.
2. An power alarm will sound whenever there is no power electricity unless
when power on/off swith, in off position.

Safety Thermostat
- Whenever the temperature in the incubator reaches 38°C, the thermostat
automatically cuts off the heater, puts on the alarm buzzer and lights on the
"High Temp" lamps.
- A temperature control indicator lamp will notify whether the heater is working
or not.

Humidifier Control System


- Humidity in the incubator can be controlled from the outside by opening or
closing a window to allow flow of dry or humid air. Digital Hygrometer
measures the exact humidity in the incubator.

Page 72
LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

Oxygen Supply
- An Oxygen tank can be securely connected to the inlet hose of the Oxygen
Supply, which is also equipped with a Safety Oxygen Supply Device.

Access Door
- The front door also functions as an emergency access door to allow pulling
out of the mattress and taking out the baby for intensive care.

Elevation of Mattress
- The mattress tray can be adjusted to the Trendelenburg position or the Fowler
position by moving an elevation regulating lever installed in front of the
incubator.

Dimensions
- Incubator Module : '85 x 41 x 65 cm3
- Cabinet : 87 x 41 x 72 cm3
- Mattress (outer size) : 65 x 36,5 cm2
- Weight : ± 85 kg

Specifications :
- Power Supply : AC 220 V, 50 Hz
- Power Consumption : 250 Watt
- Temperature Control : Electronic proportional Controller 27°C - 37°C.
- Alarm : 38°C Buzzer and Indicator lamp
- Skin Temperature : |Digital Thermometer with minimum and
maximum alarm.

13. Medicine Cabinet 1 Unit MAK - Lokal Mak - 32902


Specifications :
- Made of steel sheet
- Transparent glass 3 m
- Construction : Steel sheet
- Consist of : Two compartment, top & bottom
- Top : Three shelves, adjustable
- Doors : Two doors with full transparent glass

Page 73
LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

- Bottom : One shelf with steel door


- Equipped with : Lock & Key
- Painting : Epoxy powder coating finished

14. Basic Diagnostic Kit 1 Set Various --


Consisting Of :
- Blood Pressure apparatus Mercury 1 pc Rebstock - Germany 02.112.00
- Duplex Stethoscope 1 pc Rebstock - Germany 02.246.00
- Taylor Hammer 1 pc Rebstock - Germany 02.288.20
- Buchwald Tongue Depressor 19cm 1 pc Rebstock - Germany 48.109.19
- Laryng Mirror with Handle fig. 5/20 mm 1 pc Rebstock - Germany 52.272.20
- Thermometer Klinis 1 pc Gea - Denmark --
- Senter Pupil 1 pc Taiwan --

15. Tromol 2 Unit Lokal --

16. Korentang 1 Unit Rebstock - Germany 16.110.25

17. Mangkok Alkohol (S/S) Besar 5 Unit -- --

18. Infant Resuscitation Set 1 Set Blue Cross - Japan --

19. Electro Surgery Set 1 Unit Berthold - Germany Electrotom 630


Specifications :
Main Requirements
- Power supply : 110 - 230 V DC, 100-230V AC, 50-400 Hz
- Power consumption : 450 VA DC 820 VA AC
- Loading relationship : Int. 10s/30s/ (Vtime relation : active / pause)
- Mains fuses : 2 each 6 A (inert) according to rating plate

Current Types
Cut 1 - Monopolar
- Nominal frequency : 312 kHz
- Current form : non-modulated, sinus form
- Crest factor* : 1.43

Page 74
LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

- HV voltage max. : 715 Vs/500 Veff


- Max. HF power : 300 W / 500 M Ohm
- Unit output settings : Up/Down pushbutton and digital display
- Cutting qualities : Minimal tissue charring

Cut 2 - Monopolar
- Nominal frequency : 312 kHz
- Current form : non-modulated, sinus form
- Crest factor* : 1.87
- HV voltage max. : 1945 Vs / 1040 Veff
- Max. HF power : 200 W / 500 M Ohm
- Unit output settings : Up/Down pushbutton and digital display
- Cutting qualities : Medium tissue charring

Cut 3 - Monopolar
- Nominal frequency : 312 kHz
- Current form : modulated, sinus form
- Crest factor* : 2.83
- HV voltage max. : 525 Vs / 185 Veff
- Max. HF power : 100 W / 200 M Ohm
- Unit output settings : Up/Down pushbutton and digital display
- Cutting qualities : Medium tissue charring

Contact coagulation, monopolar


- Nominal frequency : 312 kHz
- Current form : non-modulated, sinus form
- Crest factor* : 1.42
- HV voltage max. : '300 Vs / 212 Veff
- Max. HF power : 120 W / 150 M Ohm
- Unit output settings : Up/Down pushbutton and digital display
- Cutting qualities : Micro light are free coagulation

Page 75
LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

Forced Coagulation, Monopolar


- Nominal frequency : 1000 kHz
- Current form : Impulse modulated, impulse frequency 125 kHz
- Crest factor* : 2.65
- HV voltage max. : 2810 Vs / 1058 Veff
- Max. HF power : 150 W / 500 M Ohm
- Unit output settings : Up/Down pushbutton and digital display
- Cutting qualities : Micro light are free coagulation

Spray Coagulation, Monopolar


- Nominal frequency : 1000 kHz
- Current form : Impulse modulated, impulse frequency 31 kHz
- Crest factor* : 3.98
- HV voltage max. : 4210 Vs / 1058 Veff
- Max. HF power : 100 W / 500 M Ohm
- Unit output settings : Up/Down pushbutton and digital display
- Cutting qualities : Micro light are free coagulation

Bipolar Coagulation
- Nominal frequency : 312 kHz
- Current form : non-modulated, sinus form
- Crest factor* : 1.41
- HV voltage max. : 150 Vs / 106 Veff
- Max. HF power : 95 W / 100 M Ohm
- Unit output settings : Up/Down pushbutton and digital display
- Cutting qualities : Micro light are free coagulation
* The crest factor is the relationship between peak and effective voltage.

Safety Features
- Basic construction : In accordance with EN 60601
- Protection class : I
- Unit type : Cardiac floating (CF)
- Circuit of neutral electrode : Floating output
- Neutral electrode monitoring: * Automatic, electronic recognition of
electrode type.

Page 76
LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

* Continuous electronic control of neutral


electrode cable.
* Continuous electronic control of contact
impedance with patient contact control,
split neutral electrodes.
- Dosage shut-off due to unit
malfunction : Yes
- Anti-malfunction control : Shelf-check on switching on
- Automatic HF, leakage
control : Yes
- Equipotential bonding pin : Yes

Weight and Dimensions


- Dimensions : 405(L) x 395(W) x 145(H) mm
- Weight : 8,5 Kg

Standard accessories for operating with double finger switch consisting of :


- Electrode handle, with double finger switch 1 unit EZ 21403
- Connecting cable, 4.5 M 1 unit EZ 285-45
- Connecting cable for neutral electrode, 4.5 M 1 unit EZ 295-45
- Divided rubber neutral electrode, 15 x 25 CM 1 unit EZ 347-03
- Rubber strap perforated, 50 CM 2 unit EZ 370-50
- Button for rubber strap 2 unit EZ 371-01
- Lancet electrode straight 1 unit EZ 510-04
- Knife elecrode 1 unit EZ 516-04
- Needle electrode 1 unit EZ 520-04
- Ball electrode, Diam. 2 MM 1 unit EZ 560-04
- Ball electrode, Diam. 4 MM 1 unit EZ 562-04
Supplementary accessories for monopolar cutting and coagulation for
operating with double finger switch :
- Support for 16 electrodes in box 1 unit EZ 450-16
- Lancet electrode angled 1 unit EZ 511-04
- Spatula electrode 1 unit EZ 515-04
- Needle electrodes (dozen), 0.8 MM 1 unit EZ 525-04
- Adaptor 4 MM, for electrodes with 0.8 MM diam. 1 unit EZ 532-10

Page 77
LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

- Wire loop electrode, diam. 5 MM 1 unit EZ 540-04


- Wire loop electrode, diam. 10 MM 1 unit EZ 542-04
- Ribbon loop electrode, diam. 10 MM 1 unit EZ 550-04
- Ribbon loop electrode, diam. 16 MM 1 unit EZ 552-04
- Ball electrode, diam. 6 MM 1 unit EZ 564-04
- Plate electrode, 8 x 10 MM 1 unit EZ 570-04
Supplementary accessories for bipolar coagulation :
- Foot switch, OR-Proff, cable 3.5 M 1 unit EZ - 812-20
- Connecting cable, 4.5 M for bipolar forceps 1 unit EZ - 287-45
- Bipolar forceps type A, 17 CM, slim-bit 1 unit EZ - 961-17
- Bipolar forceps type B, 17 CM, slim-bit 1 unit EZ - 971-17

20. Ovarium Klem 4 Set Rebstock - Germany 68.402.21

21. Kidney Bowl 2 Set Rebstock - Germany 88.139.27

22. Infusion Stand 1 Set MAK - Lokal Mak - 36101


Specifications :
- Stainless steel pipes
- Steel pipe
- Upper stand : Stainless steel pipe Adjustable with lock
- Lower stand : Steel pipe
- Painting : Epoxy powder coating finished
- Castors : 2"

7.2. Ruang Bayi


(7 T.T.) 1. Infant Incubator Cabinet 1 Unit Meditec - Lokal MIT - CMD 91
Feature :
Temperature Control :
- The incubator is equipped with an Electronic Proportional Control Unit System
that maintains temperature consistently at the desired level, with an
accuracy of ± 0.5°C.
- The temperature regulator can be gradually adjusted to the exact temperature
between 27°C to 37°C.
- Temperature can be monitored by reading the thermometer installed in the
incubator.

Page 78
LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

Baby's Skin Temperature Control


- The baby's skin temperature can be monitored through the Digital Thermometer.
- The Digital Thermometer is equipped with a regulator knob to set up the desire
maximum and minimum temperatures. As such, the baby's skin temperature
changes can be closely monitored. Whenever it is lower than the minimum or
higher than the maximum temperature, an alarm will automatically signalize.
- The Digital Thermometer is equipped with Ni-Cad batteries with these advantages,
i.e. :
1. The digital Thermometer will keep on functioning, even when there is no
electricity.
2. An power alarm will sound whenever there is no power electricity unless when
power on/off swith, in off position.

Safety Thermostat
- Whenever the temperature in the incubator reaches 38°C, the thermostat
automatically cuts off the heater, puts on the alarm buzzer and lights on the
"High Temp" lamps.
- A temperature control indicator lamp will notify whether the heater is working
or not.

Humidifier Control System


- Humidity in the incubator can be controlled from the outside by opening or
closing a window to allow flow of dry or humid air. Digital Hygrometer
measures the exact humidity in the incubator.

Oxygen Supply
- |An Oxygen tank can be securely connected to the inlet hose of the Oxygen
|Supply, which is also equipped with a Safety Oxygen Supply Device.

Access Door
- The front door also functions as an emergency access door to allow pulling
out of the mattress and taking out the baby for intensive care.

Elevation of Mattress
- The mattress tray can be adjusted to the Trendelenburg position or the
Fowler position by moving an elevation regulating lever installed in front
of the incubator.

Page 79
LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

Dimensions
- Incubator Module : '85 x 41 x 65 cm3
- Cabinet : 87 x 41 x 72 cm3
- Mattress (outer size) : 65 x 36,5 cm2
- Weight : ± 85 kg

Specifications :
- Power Supply : AC 220 V, 50 Hz
- Power Consumption : 250 Watt
- Temperature Control : Electronic proportional Controller 27°C - 37°C.
- Alarm : 38°C Buzzer and Indicator lamp
- Skin Temperature : |Digital Thermometer with minimum and
maximum alarm.

2. Infant Resuscitation Set 0 Unit Blue Cross - Japan -- 1 Set Pindahan dari
IRD
3. Phototherapy Unit 3 Unit Meditec - Lokal MIT - 91 BL 2 Unit Pindahan dari
Features : IRD
- Phototherapy Unit is effective to maintain infant care who suffers from
Hyperbilirubinemia.
- This model designed and completed with hourmeter to determine the
length of radiating process.
- Lamp position can be adjusted with infant position from 100 cm to 155 cm
- Stand constructed from stainless steel tube.

Warning :
- Close the infant's eyes with cloth during the radiating process.

Specifications :
- Power supply : AC 220 V, 50 Hz
- Power consumption : 150 Watt
- Hour meter : 0 to 9999 hours
- 4 Swivel castors in dia. 2"
- Height : 155 cm

Page 80
LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

- Upper dimensions : 68.5(L) x 63.5(W) x 10(H) cm


- Lower dimensions : 68.5(L) x 63.5(W) cm
- Weight : Approx. 35 kg

4. Baby Weighing Scale 0 Unit Yamato - Japan -- 2 Unit Pindahan dari


Specifications : IRD
- Capacity : 20 kg

5. New Born Ward Set 3 Unit Various -- 2 Unit Pindahan dari


Consist of : IRD
- Examination Table for Baby 1 Unit
- Infant Bassinet / Baby Cot Stainless Steel 1 Unit

6. Vena Sectie Instrument Set 0 Set Rebstock - Germany -- 2 Unit Pindahan dari
Consist of : IRD
- Scalpel Handle, No. 3 1 pc 06.103.00
- Iris Scissors 1 pc 08.340.11
- Iris Scissors 1 pc 08.341.11
- Scissors, BL/BL Straight, 14.5 cm 1 pc 08.102.14
- Forceps Dressing, 14.5 cm 1 pc 10.102.14
- Semken Forceps Serrated 1 pc 10.260.12
- Forceps Tissue 1x2 Teeth, 14.5 cm 1 pc 10.120.14
- Semken Foceps 1x2 Teeth 1 pc 10.270.12
- Gross Maier Dressing Forceps 1 pc 16.110.20
- Backhaus Towel Forceps 1 pc 14.111.11
- Halsted Mosquito Forceps 1x2 Teeth 1 pc 12.231.12
- Pean Hemostatic Forceps Delicate 1 pc 12.312.14
- Mixter Hemostatic + Bronchus Forceps 1 pc 12.471.14
- Needle Case Round 65X15 mm 1 pc 88.112.65
- Mathieu Needle Holder Tc 1 pc 24.374.17
- Deschamps Needle Blunt Left 1 pc 26.121.21
- Retractor (Trach.) Sharp 2 Pr. 1 pc 18.220.02
- Cushing Retractor 20 cm, 8 mm 1 pc 18.232.08
- Alm Retractor Sharp 10 cm 1 pc 18.620.10
- Half - size Container 285 x 280 x 100 with long - term textile filters 1 pc 88.621.01
- Identification plate. alum engrav Vena Sectie 1 pc 88.322.02

Page 81
LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

7. Infant Care Unit 1 Unit Meditec - Lokal MIT - 92 IW 2 Unit Pindahan dari
IRD
Features :
- Infra red heater to be flows the hot-temperature radiationally on the mattress,
so that the baby body temperature could be maintained.
- Sensor probe is placed on the baby's body so that the controlling system set
infra red heater to maintain the temperature around.
- The temperature around the baby in a servo system could be set by choosing
the temperature thumb wheel switch between 35° - 37,9°C.
- The temperature in the manual system is determined by turning the manual switch.
- Slope of mattress table could directed up to 20° at TRENDELENBURG OR
REVERSE TRENDELENBURG Position.
- Platform mattress completed by a hole for baby head position.
- Two FLUORECENT LAMP both placed at side of heater element that acts as
lighting.

Specifications :
- Power : AC 220 V; 50 Hz
- Powe consumption : 1500 Watt
- Control temperature : |Servo or manual Electronic control system.
- Heater element (infra red) : 1300 Watt
- Temperature set : 35° - 37,9°C
- Lighting : 6 TL @ 20 Watt
- Cylinder mounting : Complete with 2 racks for Oxygen tubes
- Main unit : 80(L) x 49(W) cm
- Mattress : 75(L) x 49(W) cm
- Alarm : 1° below and 1° above chosen temperature.

Accessories :
- Mattress 1 pc
- Sensor Probe 1 pc

Page 82
LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

8. Medicine Cabinet 0 Unit MAK - Lokal Mak - 32902 1 Unit Pindahan dari
Specifications : IRD
- Made of steel sheet
- Transparent glass 3 m
- Construction : Steel sheet
- Consist of : Two compartment, top & bottom
- Top : Three shelves, adjustable
- Doors : Two doors with full transparent glass
- Bottom : One shelf with steel door
- Equipped with : Lock & Key
- Painting : Epoxy powder coating finished

9. Basic Diagnostic Kit 1 Set Various -- 1 Set pindahan dari


Consist of : IRD
- Blood Pressure apparatus Mercury 1 pc Rebstock - Germany 02.112.00
- Duplex Stethoscope 1 pc Rebstock - Germany 02.246.00
- Taylor Hammer 1 pc Rebstock - Germany 02.288.20
- Buchwald Tongue Depressor 19cm 1 pc Rebstock - Germany 48.109.19
- Laryng Mirror with Handle fig. 5/20 mm 1 pc Rebstock - Germany 52.272.20
- Thermometer Klinis 1 pc Gea - Denmark --
- Senter Pupil 1 pc Taiwan --

10. Infusion Stand 5 Unit MAK - Lokal Mak - 36101 2 Unit Pindahan dari
Specifications : IRD
- Stainless steel pipes
- Steel pipe
- Upper stand : Stainless steel pipe Adjustable with lock
- Lower stand : Steel pipe
- Painting : Epoxy powder coating finished
- Castors : 2"

11. Korentang 1 Unit Rebstock - Germany 16.110.25

12. Mangkok Alkohol (S/S). 3 Unit -- --

Page 83
LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

7.3. Ruang Recovery


(4 T.T) 1. Infusion Stand 3 Unit MAK - Lokal Mak - 36101 1 Unit Pindahan dari
Specifications : IRD
- Stainless steel pipes
- Steel pipe
- Upper stand : Stainless steel pipe Adjustable with lock
- Lower stand : Steel pipe
- Painting : Epoxy powder coating finished
- Castors : 2"

2. Patient Bed + Mattress 3 Unit MAK - Lokal Mak - 31801 C 1 Unit Pindahan dari
Specifications : IRD
- Head & foot panel : Funished wood
- I.V. stand : Stainless steel adjustable type
- Back raise : Adjustable manually by crank
- Knee raise : NOne
- Hi - Lo : None
- Safety side guard : Stainless steel with automatic "lock in
position" system

3. Adult Resuscitation Set 0 Unit Spencer - Italy CB-08011 A 1 Unit Pindahan dari
Specifications : IRD
- Safety orange-bag with 2 small sidepockets and hardplastic case
(removable). Ideal hard case-substitute, for lighter transport in difficult areas,
with velcro lock and long shoulder strap, includes :
* Aneroid sphigmomanometer 1
* Phonendoscope 1
* Oxygen bottle, 0,5 liter 1
* Oxygen reducer with diaphragm fixed calibration 1
* PVC connected tube 1
* Eco-B Life resuscitation bag 1
* Eco-B Life adult mask size 5 1
* Eco-B Life children mask size 3 1
* Res-Q-Vac portable aspirator 1
* Set of Guedel airways sizes 1/2/3 1

Page 84
LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

* Exell depresse tongue 1


* Magill forceps 1
* Universal scissors 18 cm 1
* Tongue forcep type collin 1
* Plastic pen light 1
* Emergency blanket 1
* Size : 50 x 23 x 23 cm

4. Basic Diagnostic Kit 0 Set Various -- 1 set Pindahan dari


Consist of : IRD
- Blood Pressure apparatus Mercury 1 pc Rebstock - Germany 02.112.00
- Duplex Stethoscope 1 pc Rebstock - Germany 02.246.00
- Taylor Hammer 1 pc Rebstock - Germany 02.288.20
- Buchwald Tongue Depressor 19cm 1 pc Rebstock - Germany 48.109.19
- Laryng Mirror with Handle fig. 5/20 mm 1 pc Rebstock - Germany 52.272.20
- Thermometer Klinis 1 pc Gea - Denmark --
- Senter Pupil 1 pc Taiwan --

5. Korentang 0 Unit Rebstock - Germany 16.110.25 1 Unit Pindahan dari


IRD
6. Mangkok Alkohol SS, Besar 1 Unit -- -- 3 Unit Pindahan dari
IRD
7. Tromol 0 Unit Lokal -- 1 Unit Pindahan dari
IRD
8. Instrument Trolley 0 Unit MAK - Lokal Mak - 35101 2 Unit Pindahan dari
Specifications : IRD
- Made of stainless steel sheet 1, 1.5 mm
- Stainless steel pipe 5/8"
- Construction : Stainless steel sheet
- Upper shelf : Consist of one drawer with list on each side
- Lower shelf : Stainless steel sheet with list on each side
- Handle : Stainless steel pipe
- Castor : 2"

Page 85
LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

9. Bedside Monitor, Neonatal, Pedia., Adult 4 Unit RGB - Spain A - 31


Parameter :
- Three Leads ECG
- NIBP
- Pulse Oxyimetri
- Temperature
- Respiration

Specifications :
- Dimensions : 232(L) x 208(W) x 242(H) mm
- Weight : 4.8 kg
- Power supply :
* AC input voltage : 85 - 264 V -; 47 - 65 Hz
* AC input power : 15 to 55 VA
* DC input vechicle : 12 V adaptor
- Battery : 1 hour maximum autonomy Built-in charger
- Environmental conditions :
* Operating temperature : 0°C to 40°C; 32°F to 104°F
* Relative humidity : 5% to 90% non-condensing

- Display :
* Electroluminescent dispaly
- Size : 130 x 95 mm
- Diagonal : 161 mm / 6.3 inches

* Resolution : 320 x 240 pixels


* Sweep speed : 12.5 / 25 mm/s
- Safety standard : Complies with IEC 601 standards.
Patient leakage current < 100 uA
- Patient safety : Class I, CF for all channel
- Alarms : |Optical / acoustic user free selectable with
priority levels.
Upper / lower limits for all parameters.
- Standard interface : One RS-232-c serial channel for Central
Station, external recorder or PC link.

Page 86
LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

- Trends : Up to 72 hours for all parameters; graphical


numerical representation. Selectable storage
- Keyboard : rate. Flat touch dedicated keys.
- Use : User-friendly, easy to use menu-driven
operation options.
- Recorder : Optional 2 channel grpahic and numerical
external recorder.
ECG
- Amplifier : Fully isolated, defibrillator protected > 5 kV;
recovery time < 5 s RF noise and monitoring
filters.
- Leads : User selectable (I, II, III).
- Heart rate :
* Range : 20 tp 300 bpm
* Rosolution : 1 bpm

* Accuracy : ± 2%
- CMRR : - > 115 dB in monitor mode
- > 90 dB in diagnostic mode
- Input impedance : > 5 MOhms at 10 Hz
- Signal features
* Bandwidth : - Diagnostic mode : 0.05 to 100 Hz
- Monitor mode : 0.5 to 25 Hz
* Programmable gain : 1 to 8 mV
- Pacemaker detection and
rejection : - Pulse duration : 0.1 to 2 ms
- Pulse amplitude : ±2 to ±700 mV
- Operating modes : Monitor, diagnostic and operating room.

Non-Invasive Blood Pressure


- Measurement procedure : Oscillometric method.
- Cuffs : Optional different sizes.
- Measurement time :
* Typical : 25 to 45 s
* Maximum : 90 s

Page 87
LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

- Neonate
* Range
- Systolic : 30 to 130 mmHg
- Diastolic : 10 to 114 mmHg
- Mean : 20 to 122 mmHg
* Overpressure limit : 150 mmHg

- Pulse rate :
* Range : 40 to 250 bpm
* Resolution : 1 bpm
* Accuracy : ± 3%

Respiration
- Amplifier : Fully isolated, defibrillator protected > 5 kV
- Measurement : - Impedance method
- Range : 0 to 150 bpm
- Resolution : 1 rpm
- Accuracy : ± 2 rpm

- Signal features :
* Maximum impedance : 2 kOhms
* Sensitivity range : 0.2 to 15 Ohms
* Excitation current : < 400 uA
* Frequency : 62.5 kHz
- Sweep speed : 6.25 mm/s
- Apnoea : User selectable from 10 sec to 40 sec.
in 5 sec. steps.

Pulse Oximetry SpO2


- Amplifier : Fully isolated, defibrillator protected > 5 kV
- Saturation measurement : - Range : 40 to 100 %
- Resolution : 1 %
- Accuracy : 85 to 100%; ± 1.5%
70 to 85%; ± 2%
Improved algorithm providing high artifact
rejection against movement or poor signal.

Page 88
LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

- Pulse rate : - Range : 30 to 250 bpm


- Resolution : 1 bpm
- Accuracy : ± 3%
- Display : Graphical peripheral pulse
Temperature
- Amplifier : Fully isolated, defibrillator protected > 5 kV
Automatic rejection against ESIS through real
time signal analysis.
- Temperature measurement
* Range : 15 to 45 °C; 59 to 113 °F
* Resolution : 0.1 °C; 0.2 °F
* Accuracy : ± 0.1 °C
* Use of oesophageal, rectal or skin probes.

Accessories for Adult Cat FT 01


- 3 Lead ECG Cable set
- SPo2 Finger clip sensor with extension cable
- NIBP cuff with extension tube
- User Manual

Accessories for Fediatric Cat FT 02


- 3 Lead ECG Cable set
- SPo2 Finger clip sensor with extension cable
- NIBP cuff with extension tube
- User Manual

Accessories for Neonate Cat FT 03


- ECG main truck cable and 3 set of disposable electrodes
- Reusable SPo2 Finger clip sensor with extension cable
- Box of 10 disposable NIBP cuffs 9 3-6cm) with extension tube
- User Manual

Page 89
LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

10. Syringe Pump 2 Unit JMS - Japan SP-500


Specifications :
Syringe used
- JMS 10 ml, 20 ml, 30 ml, 50 ml Setting for major syringe brands or
voluntary setting possible.
- Consult with your local distributor.

Flow rate range


- 0.1 to 200ml/hr. with 10 ml syringe
- 0.1 to 300ml/hr. with 20ml, 30ml or 50ml syringe in 0.1 ml/hr. increments

Accuracy
- |Drive accuracy ± 1% with JMS syringe ± 3% (after 1 hour, flow rate 1ml/hr or
higher).

Rapid mode for purge or bolus


- Approx. 200 ml/hr. (10 ml syringe)
- Approx. 350 ml/hr. (20 ml syringe)
- Approx. 450 ml/hr. (30 ml syringe)
- Approx. 800 ml/hr. (50 ml syringe)

Purge
- This function is used to purge air from extension tube, and to fit syringe
plunger anto the pressure sensor, while not summing up the volume infused.

Bolus
- This function is used for bolus infusion. The volume infused will be
summed up and displayed.

Volume infused display


- 0.1 to 999,9 ml in 0.1 ml increments
- With resetting function

Page 90
LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

Occlusion detection
- Direct sensing of syringe plunger by pressure sensor loadcell. 3 levels are
selectable.
L (low pressure).
0.2 to 0.6 kgf/cm2(150 to 440 mmHg) when sensitive occlusion sensing
is required. M (medium pressure).
0.5 to 0.9 kgf/cm2 (370 to 660 mmHg).
Normal setting.

|H (high pressure).
0.8 to 1.4 kgf/cm2 (590 to 1000 mmHg) when high pressure is expected
due to tandem connection with infusion pump or use of viscous solution.

Alarms
- Red alarm lamp and auidible alarm
- Near empty (small remains or 5min. Before completion)
- End
- Low battery
- Occlusion
- Syringe disengaged
- Internal malfunction

Reminder Alarms
- 20 seconds after purging or bolus
- 2 minutes after flow rate setting

Power required
- 220 V AC, 50 Hz.
- Power Consumption 15 VA
Battery
- Rechargeable nickel cadmium
- Battery life 4 hours (fully charged new battery)
- Rechargeable time : 17 hours when fully discharged

Page 91
LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

Accessories
- Power cord (3 meters long)
- Pole clamp
- Operator's manual
- Quick reference sheet

Classification
- Class I type CF
- Drip proof

Standards
- IEC 601-1
- IEC 601-1-2
- Electromagnetic compatibility
- IEC 601-2-24, Part 2 (Draft)
- Particular requirements for safety of infusion pump and controllers

Environmental Conditions
- Operation (no condensation) 10 to 40°C, 30 to 85% RH
- Storage (no condensation)
- -10 to 40°C, 30 to 95% RH
- No direct sunlight

Weight and dimensions


- 2.6 kg
- 340(W) x 134(D) x 134(H0 mm

11. Infusion Pump 2 Unit JMS - Japan OT - 701

Specifications :
- Pump type : Drip rate peristaltic finger pump
- Set requirement : Standard PVC IV set (15-20 drops/ml)
or micro IV set (60 drops/ml) with 3.4 -
4.5 mm O.D. tubing.

Page 92
LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

- Flow rate :
IV Set mL / hr drops/min
15 - 20 drops / ml 1-450 (1-100) ml 1-100 (1-100) drops/min
60 drops / ml 1-100 (1-100) ml 1-100 (1-100) drops/min
- Rate step : 1 ml step
- Flow rate accuracy : ± 10% (with adjusting function)
- Drip rate accuracy : |± 2% (after more than 500 drops have been
|infused).
- Volume infused display : 0 - 9999 ml
- Volume limit : 1 - 9999 ml or no limit
- Purge rate : More than 450 ml / hr
- Alarms : Door Open, Low Battery, Internal Malfunction,
Air in Line, Infusion Complete, Empty
Container, Reminder, Abnormal Drips.
- KVO (keep Vein Open) : 1 ml / hr
- Occlusion pressure : 60 - 140 kPa (adjustable)
- Air detection method : Ultrasonic
- Drip detection method : Double infrared photoelectric beam
- Finger Cassette : Detachable
- Tube Clamp : With lock lever, detachable
- Nurse Call : Terminal on the bottom
- Communication : Optical communication
- Display : Color LCD with back light
- Battery : Rechargeable Nickle Cadmium
- Battery life : 4 hours at 125 ml/hr when fully
Charged.
- Recharge : 30 hours when fully discharged.
- Operation conditions : Ambient temperature : 15°C to 40°C
Relative humidity : 30% to 85%
(with no condensation)
- Storage conditions : Ambient temperature : -10°C to 45°C
Relative humidity : 20% to 95%
(with no condensation)
- Dimensions : 180 (W) x 148(D) x 210(H) mm
- Weight : 2.3 kg

Page 93
LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

- Power required : 85 to 264 Vac, 50/60 Hz


- Power consumption : 12 VA
- Electric shock, Protective type
: Class II Type CF

12. Kidney Bowl 2 Unit Rebstock - Germany 88.139.27

7.4 Ruang Isolasi


Obsgyn 1. Gynaecolog Examination Table 2 Unit MAK - Lokal Mak - 34102
(2 T.T.) Specifications :
- Made of steel sheet
- Stainless steel pipes
- Foam, imitation leather
- Mattress base : Steel sheet, epoxy powder coating finished
- Mattress : Foam, imitation leather
- Table : Divided into two parts, upper & lower
- Upper table : Back raise adjustable by telescopic mechanism
- Lower table : Equipped with 2" castor, detachable lock with
upper table.
- Leg support : Made of stainless steel with foam & imitation
leather.
- Drawer : Center of the table stainless steel.

2. Bed Side Cabinet 2 Unit MAK - Lokal Mak - 31811


Specifications :
- Made of steel sheet 1.2 mm
- Stainless steel rod
- Plywood : Laminated
- Castor : 2"
- Table top : Furnished laminated plywood with wooden list
- Main cupboard : One shelf
- Side cupboard : None
- Retractable table : Furnished laminated plywood
- Folded side table : None

Page 94
LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

- Shoe compartment : Lower part


- Towel hanger : Stainless steel rod detachable on left/right side
- Painting : Epoxy powder coating finished
- Dimenions : 470 x 465 x 990 mm

3. Overbed Table 2 Unit MAK - Lokal Mak - 31812


Specifications :
- Made of steel sheet 1.8 mm
- Plywood
- Stainless steel pipe
- Lower construction : Steel sheet
: Epoxy powder coating finished
: Equipped with 2" castors
- Height : Adjustable with stainless steel pipe with lock
- Table top : Laminated furnished plywood
(heat resistance)

4. Room Divider 1 Unit MAK - Lokal Mak - 36202


Specifications :
- Made of stainless steel pipes: 1", 3/4", 1/2"
- White linen cloth
- Castor 2"
- Construction : Stainless steel pipes
- Consist of : Two part attached together Can be folded
- Linen : Linen cloth, detachable for cleaning
- Castor : Equipped with 2" castor
- Dimensions : 880 x 1745 cm

5. Infusion Stand 2 Unit MAK - Lokal Mak - 36101


Specifications :
- Stainless steel pipes
- Steel pipe
- Upper stand : Stainless steel pipe Adjustable with lock
- Lower stand : Steel pipe
- Painting : Epoxy powder coating finished
- Castors : 2"

Page 95
LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

7.5 Ruang Observasi


(1 T.T.) 1. Gynaecolog Examination Table 1 Unit MAK - Lokal Mak - 34102
Specifications :
- Made of steel sheet
- Stainless steel pipes
- Foam, imitation leather
- Mattress base : Steel sheet, epoxy powder coating finished
- Mattress : Foam, imitation leather
- Table : Divided into two parts, upper & lower
- Upper table : Back raise adjustable by telescopic mechanism
- Lower table : Equipped with 2" castor, detachable lock with
upper table.
- Leg support : Made of stainless steel with foam & imitation
leather.
- Drawer : Center of the table stainless steel.

2. Bed Side Cabinet 1 Unit MAK - Lokal Mak - 31811


Specifications :
- Made of steel sheet 1.2 mm
- Stainless steel rod
- Plywood : Laminated
- Castor : 2"
- Table top : Furnished laminated plywood with wooden list
- Main cupboard : One shelf
- Side cupboard : None
- Retractable table : Furnished laminated plywood
- Folded side table : None
- Shoe compartment : Lower part
- Towel hanger : Stainless steel rod detachable on left/right side
- Painting : Epoxy powder coating finished
- Dimenions : 470 x 465 x 990 mm

Page 96
LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

3. Overbed Table 1 Unit MAK - Lokal Mak - 31812


Specifications :
- Made of steel sheet 1.8 mm
- Plywood
- Stainless steel pipe
- Lower construction : Steel sheet
: Epoxy powder coating finished
: Equipped with 2" castors
- Height : Adjustable with stainless steel pipe with lock
- Table top : Laminated furnished plywood (heat resistance)

4. Infusion Stand 1 Unit MAK - Lokal Mak - 36101 2 Unit Pindahan dari
Specifications : IRD
- Stainless steel pipes
- Steel pipe
- Upper stand : Stainless steel pipe Adjustable with lock
- Lower stand : Steel pipe
- Painting : Epoxy powder coating finished
- Castors : 2"

7.6 Ruang Alat &


Bahan Kotor 1. Instrument Trolley 1 Unit MAK - Lokal Mak - 35101
Specifications :
- Made of stainless steel sheet 1, 1.5 mm
- Stainless steel pipe 5/8"
- Construction : Stainless steel sheet
- Upper shelf : Consist of one drawer with list on each side
- Lower shelf : Stainless steel sheet with list on each side
- Handle : Stainless steel pipe
- Castor : 2"

2. Medicine Cabinet 1 Unit MAK - Lokal Mak - 32902


Specifications :
- Made of steel sheet
- Transparent glass 3 m

Page 97
LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

- Construction : Steel sheet


- Consist of : Two compartment, top & bottom
- Top : Three shelves, adjustable
- Doors : Two doors with full transparent glass
- Bottom : One shelf with steel door
- Equipped with : Lock & Key
- Painting : Epoxy powder coating finished

7.7. Ruang Alat &


Bahan Steril 1. Medicine Cabinet 1 Unit MAK - Lokal Mak - 32901
Specifications :
- Made of steel sheet
- Transparent glass 3 m
- Construction : Steel sheet
- Consist of : Two compartment, top & bottom
- Top : Three shelves, adjustable
- Doors : Two doors with full transparent glass
- Bottom : One shelf with steel door
- Equipped with : Lock & Key
- Painting : Epoxy powder coating finished

2. Instrument Trolley 1 Unit MAK - Lokal Mak - 35101


Specifications :
- Made of stainless steel sheet 1, 1.5 mm
- Stainless steel pipe 5/8"
- Construction : Stainless steel sheet
- Upper shelf : Consist of one drawer with list on each side
- Lower shelf : Stainless steel sheet with list on each side
- Handle : Stainless steel pipe
- Castor : 2"

Page 98
LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

7.8. Ruang Sterilisasi


1. Steam Sterilizer, 50 liter 1 Unit Sturdy - Taiwan SA - 300VF
Specifications :
- Chamber size : Stainless steel #304 300 mm dia. x 700 mm (D).
- Overall : 600(W) x 1000(H) x 450(D) mm
- Power consumption : 220 V / 2.4 KW / 11.2 A
- Using temperture / pressure: Wrapped : 121°C -132°C/ 2.1 Kg/cm2
- Design temp. : 140°C
- Safety devices : |Pressure control switch, Door safety catcher,
|Over heat protection, Safety Valve, Electronic
|circuit safety system, Low water indication and
|cut-off, Emergency exhaust switch.

Standard accessories :
- Stainless Steel #304
- Sterilization basket 1 pc
- Easy reach clip 1 pc
- Bottle 2000 cc 1 pc
- Exhaust hose 1 pc

- Safety approval : EMC, LVD, by TUV CHAMBER DESIGNED


BY ASME/USA STANDARD
- Auto-dry function : Yes.
- Chamber capacity : Approx. 50 liter

2. Instrument Trolley 1 Unit MAK - Lokal Mak - 35101

Specifications :
- Made of stainless steel sheet 1, 1.5 mm
- Stainless steel pipe 5/8"
- Construction : Stainless steel sheet
- Upper shelf : Consist of one drawer with list on each side
- Lower shelf : Stainless steel sheet with list on each side
- Handle : Stainless steel pipe
- Castor : 2"

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No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

7.9. Ruang Perawatan


Obsgyn 1. Comfort Bed Kelas I + Mattress 2 Unit MAK - Lokal Mak - 31804C
(10 T.T.) Specifications :
- Head & foot panel : Funished wood
- I.V. stand : Stainless steel adjustable type
- Back raise : Adjustable manually by crank
- Knee raise : Adjustable manually by crank
- Hi - Lo : Adjustable manually by crank
- Safety side guard : Stainless steel with automatic "lock
in position" system

2. Comfort Bed Kelas II + Mattress 2 Unit MAK - Lokal Mak - 31802C


Specifications :
- Head & foot panel : Funished wood
- I.V. stand : Stainless steel adjustable type
- Back raise : Adjustable manually by crank
- Knee raise : None
- Hi - Lo : Adjustable manually by crank
- Safety side guard : Stainless steel with automatic "lock
in position" system

3. Comfort Bed Kelas III + Mattress 6 Unit MAK - Lokal Mak - 31801 C
Specifications :
- Head & foot panel : Funished wood
- I.V. stand : Stainless steel adjustable type
- Back raise : Adjustable manually by crank
- Knee raise : None
- Hi - Lo : None
- Safety side guard : Stainless steel with automatic "lock
in position" system

4. Basic Diagnostic Kit 2 Set Various --


Consist of :
- Blood Pressure apparatus Mercury 1 pc Rebstock - Germany 02.112.00
- Duplex Stethoscope 1 pc Rebstock - Germany 02.246.00

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No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

- Taylor Hammer 1 pc Rebstock - Germany 02.288.20


- Buchwald Tongue Depressor 19cm 1 pc Rebstock - Germany 48.109.19
- Laryng Mirror with Handle fig. 5/20 mm 1 pc Rebstock - Germany 52.272.20
- Thermometer Klinis 1 pc Gea - Denmark --
- Senter pupil 1 pc Taiwan --

5. Diagnostic Set 2 Set Rebstock - Germany 02.170.00

6. Instrument Trolley 2 Unit MAK - Lokal Mak - 35101


Specifications :
- Made of stainless steel sheet 1, 1.5 mm
- Stainless steel pipe 5/8"
- Construction : Stainless steel sheet
- Upper shelf : Consist of one drawer with list on each side
- Lower shelf : Stainless steel sheet with list on each side
- Handle : Stainless steel pipe
- Castor : 2"

7. Suction Pump 1 Unit Sturdy - Taiwan SS - 300


Features :
- User-friendly design to fulfil the quality standard requirement, Ideal for use in
operation theater room or general wards providing an efficient performance
for most procedures os suction environment such as suction biopsy, surgery,
endometrical curettage, obstetric and abortion etc.
- Dial regulate control knob to your desired vacuum flow rate from LOW to HIGH
capable of sustaining sufficient vacuum for most suction environment.
- Built-in a vacuum gauge with a range from 0 to 760 mmHG.
- 4 anti-static wheels with lock convenient for operation and delivery.
- Two autoclavable glass collection bottle each has a 3000 cc.
Capacity graduated by millimeter incorporating over-flow protective device.
- Choise of bacteria-retentive filter to prevent dispersal of bacteria aerosols
into the environment.
- Attentively designed with cabinet on back of body providing a convenient
way for internal storage.
- Comes with safety device for foot switch.

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No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

Specifications :
- Pump : Oil Rotary Vane
- Watts : 226
- Cylinder : Non
- Max airflow : 80 LPM
- Max vacuum : 700 mmHg (933 mbar)

Standard Accessories :
- 3000 CC glass collection bottles 2
- Foot switch 1
- Silicon tubing 1
- Specimen collection tube 1
- Water cup for disinfection 1

8. Bandage Instrument Set 1 Set Rebstock - Germany --


Consist of :
- Metzenbaum Scissors Curved, 15 Cm 1 pc 08.281.15
- Forceps Dressing, 14.5 Cm 1 pc 10.102.14
- Forceps Tissue 1 x 2 Teeth, 14.5 Cm 1 pc 10.120.14
- Crile Hemostatic Forceps, Curved 1 pc 12.251.14
- Probe Buttoned 1 mm 1 pc 20.104.14
- Gross Maier Dressing Forceps, 20 Cm, Straight 1 pc 16.110.20
- Lister Bandage Scissors 1 pc 08.901.14
- Bruns Bandage Scissors Serrated 1 pc 08.937.23
- Compression Apparatus Complete 1 pc 33.101.01
- Combination Diagnostic Set 1 pc 02.170.00
- Mayo Hegar Needle Holder 1 pc 24.180.14
- Ford Bowles Stethoscope 1 pc 02.244.00
- Blood Pressure Apparatus Mercury 1 pc 02.112.00
- Small Container 300x 140 x 70 mm with long term texile filters 1 pc 88.641.11
- Identification palte alum. engrav Bandage Set 1 pc 88.322.02

9. Oxygen Theraphy Set (Cap. 6.000 Ltr.) 2 Unit Sharp - Japan --

10. Steril Tray Wiremesh, 24 x 25 x 7 cm 5 Pcs Rebstock - Germany 88.241.24

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I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

11. Bed Side Cabinet 12 Unit MAK - Lokal Mak - 31811


Specifications :
- Made of steel sheet 1.2 mm
- Stainless steel rod
- Plywood : Laminated
- Castor : 2"
- Table top : Furnished laminated plywood with wooden list
- Main cupboard : One shelf
- Side cupboard : None
- Retractable table : Furnished laminated plywood
- Folded side table : None
- Shoe compartment : Lower part
- Towel hanger : Stainless steel rod detachable on left/right side
- Painting : Epoxy powder coating finished
- Dimenions : 470 x 465 x 990 mm

12. Infusion Stand 12 Unit MAK - Lokal Mak - 36101


Specifications :
- Stainless steel pipes
- Steel pipe
- Upper stand : Stainless steel pipe Adjustable with lock
- Lower stand : Steel pipe
- Painting : Epoxy powder coating finished
- Castors : 2"

13. Overbed Table 12 Unit MAK - Lokal Mak - 31812


Specifications :
- Made of steel sheet 1.8 mm
- Plywood
- Stainless steel pipe
- Lower construction : Steel sheet
: Epoxy powder coating finished
: Equipped with 2" castors

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I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

- Height : Adjustable with stainless steel pipe with lock


- Table top : Laminated furnished plywood (heat resistance)

14. X-Ray Film Viewer 1 Unit Meditec - Lokal MIT - 012D


Specifications :
- Wall model : Light Case Double
- Difusser with film supporting device
- Construction from enamelled sheet steel
- Approx. dim. : 55(H) x 75(L) x 12(D) cm

15. Resuscitation Set 1 Unit Spencer - Italy CB-08011 A


Specifications :
- Safety orange-bag with 2 small sidepockets and hardplastic case
(removable). Ideal hard case-substitute, for lighter transport in difficult areas,
with velcro lock and long shoulder strap, includes :
* Aneroid sphygmomanometer 1
* Phonendoscope 1
* Oxygen bottle, 0,5 liter 1
* Oxygen reducer with diaphragm fixed calibration 1
* PVC connected tube 1
* Eco-B Life resuscitation bag 1
* Eco-B Life adult mask size 5 1
* Eco-B Life children mask size 3 1
* Res-Q-Vac portable aspirator 1
* Set of Guedel airways sizes 1/2/3 1
* Exell depresse tongue 1
* Magill forceps 1
* Universal scissors 18 cm 1
* Tongue forcep type collin 1
* Plastic pen light 1
* Emergency blanket 1
* Size : 50 x 23 x 23 cm

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LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

16. Nebulizer 1 Unit Devillbiss - USA 56501 I


Specifications :
- Size : 10.1" x 10.5" x 6.5" (26 cm x 27 cm x 17 cm)
- Weight : 7 lbs (3.2 kg)
- Sound level : 5 I dBA
- Electrical requirements : 1.3 amps, 115 V, 60 Hz
- Power consumption : 90 Watts
- Max. compressor pressure : 30 - 45 psig**
- Min. compressor liter flow : 9.4 - 16 Ipm**
- Nebulizer operating pressure: 12 - 18 psig
- Nebulizer liter flow* : 5 - 7 Ipm
- Nebulizer capacity* : 6 ml (cc)
- Nebulization rate* : .15 ml/min or greater
- MMAD* : Less than 5 microns

17. 1/2 Channel Digital ECG 1 Unit Fukuda ME Kogyo - Japan C 110
Features :
- Automatic / Manual recording
- 1 or 2-ch recording
- 3 sec. to 10 sec. lead recording time
- Digital filter : AC interference, Muscle and Base line drift
- LCD Display : Lead, H.R. (BPM) and Battery low indication
- Alarms : Electrode OFF, R-wave detection error, Paper error
- Auto P-wave recording start
- Auto base line positioning

Specifications :
Power requirements & Size
- AC, 110 - 240 V, 50/60 Hz
- DC 9.6 V built-in rechargeable Ni-cut battery
- Batery capacity : One (1) hour continuous recording
- Charging time : 7.5 hours form full charge
- Power consumption : 25 VA
- IEC Classification : Class I, Type CF
- Unit size : 280(W) x 202(D) x 67(H) mm
- Unit weight : 2.0 kg Incl. Ni-Cd battery)

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RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

Tehnical characteristics
- Input : Floating curcuit
- Input impedance : Greather than 20 M ohm
- Time constant : More than 3.2 sec.
- Frquency response : 0.05 - 100 Hz within -3dB
- Filter / Digital
* HUM : -20dB at 50/60 Hz
* DRIFT : -3dB at 0.5 Hz
* EMG : 3dB at 20/30/40 Hz

General specifications
- Recording : 8dots/mm thermal printer
- Recording mode : Automatic / Manual
- Chart paper : 50 mm x 30 m Roll (or Fold)
- Chart speed : 25, 50 mm/sec.
- Sensitivity : 1/2, 1, 2 cm/mV & AUTO

Accessories :
- Power cord 1
- Patient cable 1
- Cardi-clips 4
- Chest electrodes 6
- ECG cream 1
- 50 mm roll paper 1
- Paper core 1
- Unit cover 1
- Operation manual 1

18. UV Room Sterilizer 1 Unit Meditec - Lokal MIT - 91 UV


Features :
- The most effective and practical method to sterilize a surgery room and
hospital rooms is by means of ultraviolet lamps, Uv radiation will immediately
kill all bacteria, germs and viruses.
- Sterilization with Uv lamps definitely offer more advantages compared with a
medicine sprayer.

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RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

Medicine Sprayer
- Foulsmelling and can harm human health. Takes a long time (6-12 hours)
to sterilize. Room can not be used before sterilization process is over.
- Can damage and corrode medical equipments and hospital facilities such
as : surgery lamps AC, etc.
- It will develop bacterial resistance.
- Not all bacteria, only a few, can-be sterilized.

Ultraviolet Lamps
- Free from foul smells and polution of germicides ad chemicals.
- Needs short time, only 1-8 hours, for sterilization process.
- Does not cause corrosion.
- Will not develop resistance of bacteria, germs and viruses to Uv rays.
- All bacteria, germs and viruses can be sterilized.
- Equipped with a timer that regulates the duration of radiation time. It is also
equipped with a Hour Counter that counts total hours use of the Uv lamps.

Warning
- When using the equipment, avoid face and eyes from exposure to Uv rays.
- This equipment is designed to start working 3 minutes after switch-on, then
everybody has to leave the room to avoid Uv radiation.
- Clean the equipment with dry cloth.
- When the Uv lamps are glowing faintly, it means its effectiveness is
decreasing and needs a change a change of new lamps.

Specifications :
- Power supply : AC 220 V, 50 Hz
- Power Consumption : 180 Watt
- Un Lamps : - 4 pcs, of 30 watt
- 1 pcs, of 10 watt
- Lamp Life : 3.000 hours
Dimensions :
- Size : 1.100 mm x1.100 mm x 1.310 mm
- Weight : ± 30 kg

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RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

19. Room Divider 12 Unit MAK - Lokal Mak - 36202


Specifications :
- Made of stainless steel pipes: 1", 3/4", 1/2"
- White linen cloth
- Castor 2"
- Construction : Stainless steel pipes
- Consist of : Two part attached together
Can be folded
- Linen : Linen cloth, detachable for cleaning
- Castor : Equipped with 2" castor
- Dimensions : 880 x 1745 cm

20. Korentang 1 Unit Rebstock - Germany 16.110.25

21. Mangkok Alkohol / Betadin S.S. 5 Unit -- --

22. Tromol 2 Unit Lokal --

23. Wheel Chair 1 Unit MAK - Lokal Mak - 31303


Specifications :
- Made of stainless steel pipes, imitation leather plastic components, castor, wheel
- Construction : Stainless steel pipes
- Backrest : Foam & imitation leather
- Seat : Foam & imitation leather
- Armrest and Footrest : Plastic
- Main wheel : Rubber with brake
- Front wheel : Castors 5"
- Chair can be folded :

24. Medicine Cabinet 2 Unit MAK - Lokal Mak - 32902


Specifications :
- Made of steel sheet
- Transparent glass 3 m
- Construction : Steel sheet
- Consist of : Two compartment, top & bottom

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I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

- Top : Three shelves, adjustable


- Doors : Two doors with full transparent glass
- Bottom : One shelf with steel door
- Equipped with : Lock & Key
- Painting : Epoxy powder coating finished

25. Medicine Trolley 2 Unit MAK - Lokal Mak - 36602


Specifications :
- Made of steel sheet
- Stainless steel pipe
- Acrylic sheet
- Trolley : Made of steel sheet
- Lower part : Two steel drawers and one cupboard
- Acrylic drawers : 50 pcs
- Handle : Stainless steel pipe
- Castor : 5" two with brake
- Painting : Epoxy powder coating finished
- Dimensions : 700 x 590 x 1000 mm

26. Urinal & Bed Pan Carriage 2 Unit MAK - Lokal Mak - 36501
Specifications :
- Made of stainless steel pipes
- Stainless steel rod
- Cpmstruction : Made of stainless steel pipes
- Bracket mounting : Bed pan 10 pcs.
Urinal 10 pcs
- Castor : 5" two with brake
- Dimensions : 450 x 980 x 1200 cm

27. Infusion Pump 1 Unit JMS - Japan OT - 701


Specifications :
- Pump type : Drip rate peristaltic finger pump
- Set requirement : Standard PVC IV set (15-20 drops/ml)
or micro IV set (60 drops/ml) with 3.4 -
4.5 mm O.D. tubing.

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RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

- Flow rate :
IV Set mL / hr drops/min
15 - 20 drops / ml 1-450 (1-100) ml 1-100 (1-100) drops/min
60 drops / ml 1-100 (1-100) ml 1-100 (1-100) drops/min

- Rate step : 1 ml step


- Flow rate accuracy : ± 10% (with adjusting function)
- Drip rate accuracy : ± 2% (after more than 500 drops have been
|infused).
- Volume infused display : 0 - 9999 ml
- Volume limit : 1 - 9999 ml or no limit
- Purge rate : More than 450 ml / hr
- Alarms : Door Open, Low Battery, Internal Malfunction,
Air in Line, Infusion Complete, Empty
Container, Reminder, Abnormal Drips.
- KVO (keep Vein Open) : 1 ml / hr
- Occlusion pressure : 60 - 140 kPa (adjustable)
- Air detection method : Ultrasonic
- Drip detection method : Double infrared photoelectric beam
- Finger Cassette : Detachable
- Tube Clamp : With lock lever, detachable
- Nurse Call : Terminal on the bottom
- Communication : Optical communication
- Display : Color LCD with back light
- Battery : Rechargeable Nickle Cadmium
- Battery life : 4 hours at 125 ml/hr when fully
Charged.
- Recharge : 30 hours when fully
discharged.
- Operation conditions : Ambient temperature : 15°C to 40°C
Relative humidity : 30% to 85%
(with no condensation)
- Storage conditions : Ambient temperature : -10°C to 45°C
Relative humidity : 20% to 95%
(with no condensation)

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LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

- Dimensions : 180 (W) x 148(D) x 210(H) mm


- Weight : 2.3 kg
- Power required : 85 to 264 Vac, 50/60 Hz
- Power consumption : 12 VA
- Electric shock, Protective type
: Class II Type CF

28. Syringe Pump 1 Unit JMS - Japan SP-500


Specifications :
Syringe used
- JMS 10 ml, 20 ml, 30 ml, 50 ml Setting for major syringe brands or
voluntary setting possible.
- Consult with your local distributor.

Flow rate range


- 0.1 to 200ml/hr. with 10 ml syringe
- 0.1 to 300ml/hr. with 20ml, 30ml or 50ml syringe in 0.1 ml/hr. increments

Accuracy
- |Drive accuracy ± 1% with JMS syringe ± 3% (after 1 hour, flow rate 1ml/hr or
higher).

Rapid mode for purge or bolus


- Approx. 200 ml/hr. (10 ml syringe)
- Approx. 350 ml/hr. (20 ml syringe)
- Approx. 450 ml/hr. (30 ml syringe)
- Approx. 800 ml/hr. (50 ml syringe)

Purge
- |This function is used to purge air from extension tube, and to fit syringe plunger
anto the pressure sensor, while not summing up the volume infused.

Bolus
- |This function is used for bolus infusion. The volume infused will be summed up
|and displayed.

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I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

Volume infused display


- 0.1 to 999,9 ml in 0.1 ml increments
- With resetting function

Occlusion detection
- |Direct sensing of syringe plunger by pressure sensor loadcell. 3 levels are
selectable.
L (low pressure)
0.2 to 0.6 kgf/cm2(150 to 440 mmHg) when sensitive occlusion sensing
is required.
M (medium pressure)
0.5 to 0.9 kgf/cm2 (370 to 660 mmHg)
Normal setting

H (high pressure)
0.8 to 1.4 kgf/cm2 (590 to 1000 mmHg) when high pressure is expected
due to tandem connection with infusion pump or use of viscous solution.

Alarms
- Red alarm lamp and auidible alarm
- Near empty (small remains or 5min. Before completion)
- End
- Low battery
- Occlusion
- Syringe disengaged
- Internal malfunction

Reminder Alarms
- 20 seconds after purging or bolus
- 2 minutes after flow rate setting

Power required
- 220 V AC, 50 Hz.
- Power Consumption 15 VA

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I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

Battery
- Rechargeable nickel cadmium
- Battery life 4 hours (fully charged new battery)
- Rechargeable time : 17 hours when fully discharged

Accessories
- Power cord (3 meters long)
- Pole clamp
- Operator's manual
- Quick reference sheet

Classification
- Class I type CF
- Drip proof

Standards
- IEC 601-1
- IEC 601-1-2
- Electromagnetic compatibility
- IEC 601-2-24, Part 2 (Draft)
- Particular requirements for safety of infusion pump and controllers

Environmental Conditions
- Operation (no condensation) 10 to 40°C, 30 to 85% RH
- Storage (no condensation)
- -10 to 40°C, 30 to 95% RH
- No direct sunlight

Weight and dimensions


- 2.6 kg
- 340(W) x 134(D) x 134(H0 mm

29. Kidney Bowl 5 Unit Rebstock - Germany 88.139.27

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LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
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I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

30. Groos Maier Dressing Forceps, 20 cm 2 Unit Rebstock - Germany 16.110.20

31. Measuring Graduated 18/8, 2.0 L 2 Unit Rebstock - Germany 88.140.20

32. Instrument Tray 2 Unit Rebstock - Germany 88.146.32

33. Glass Box with 18/8 Lid 1 Unit Rebstock - Germany 88.124.20

34. Glass Box with 18/8 Lid Round 1 Unit Rebstock - Germany 88.125.20

35. Sauerbruch Needle Case Pefor 1 Unit Rebstock - Germany 88.110.21

36. Bedpan for Female 12 Unit Taiwan -

37. Urinal for Female 12 Unit Jepang --

7.9.a Ruang Alat &


Bahan Kotor 1. Medicine Cabinet 1 Unit MAK - Lokal Mak - 32902

Specifications :
- Made of steel sheet
- Transparent glass 3 m
- Construction : Steel sheet
- Consist of : Two compartment, top & bottom
- Top : Three shelves, adjustable
- Doors : Two doors with full transparent glass
- Bottom : One shelf with steel door
- Equipped with : Lock & Key
- Painting : Epoxy powder coating finished

2. Instrument Trolley 1 Unit MAK - Lokal Mak - 35101


Specifications :
- Made of stainless steel sheet 1, 1.5 mm
- Stainless steel pipe 5/8"
- Construction : Stainless steel sheet

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LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
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I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

- Upper shelf : Consist of one drawer with list on each side


- Lower shelf : Stainless steel sheet with list on each side
- Handle : Stainless steel pipe
- Castor : 2"

7.9.b Ruang Alat &


Bahan Steril 1. Instrument Trolley 1 Unit MAK - Lokal Mak - 35101
Specifications :
- Made of stainless steel sheet 1, 1.5 mm
- Stainless steel pipe 5/8"
- Construction : Stainless steel sheet
- Upper shelf : Consist of one drawer with list on each side
- Lower shelf : Stainless steel sheet with list on each side
- Handle : Stainless steel pipe
- Castor : 2"

2. Medicine Cabinet 1 Unit MAK - Lokal Mak - 32902


Specifications :
- Made of steel sheet
- Transparent glass 3 m
- Construction : Steel sheet
- Consist of : Two compartment, top & bottom
- Top : Three shelves, adjustable
- Doors : Two doors with full transparent glass
- Bottom : One shelf with steel door
- Equipped with : Lock & Key
- Painting : Epoxy powder coating finished

7.9.c Ruang Sterilisasi


1. Steam Sterilizer, Cap. 50 Ltr. 1 Unit Sturdy - Taiwan SA - 300VF
Specifications :
- Chamber size : Stainless steel #304 300 mm dia. x 700 mm (D).
- Overall : 600(W) x 1000(H) x 450(D) mm
- Power consumption : 220 V / 2.4 KW / 11.2 A

Page 115
LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
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I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

- Using temperture / pressure: Wrapped : 121°C -132°C/ 2.1 Kg/cm2


- Design temp. : 140°C
- Safety devices : |Pressure control switch, Door safety catcher,
|Over heat protection, Safety Valve, Electronic
|circuit safety system, Low water indication and
|cut-off, Emergency exhaust switch.

Standard accessories :
- Stainless Steel #304
- Sterilization basket 1 pc
- Easy reach clip 1 pc
- Bottle 2000 cc 1 pc
- Exhaust hose 1 pc
- Safety approval : EMC, LVD, by TUV CHAMBER DESIGNED
BY ASME/USA STANDARD
- Auto-dry function : Yes.
- Chamber capacity : Approx. 50 liter

2. Instrument Trolley 1 Unit MAK - Lokal Mak - 35101


Specifications :
- Made of stainless steel sheet 1, 1.5 mm
- Stainless steel pipe 5/8"
- Construction : Stainless steel sheet
- Upper shelf : Consist of one drawer with list on each side
- Lower shelf : Stainless steel sheet with list on each side
- Handle : Stainless steel pipe
- Castor : 2"

8. Gedung O.K Utama


8.1. Kamar Operasi
(2 Kamar) 1. Operating Table (Multi Purpose) 1 Unit Sturdy - Taiwan ST - 08

Features :
SPECIAL DESIGN FOR OPERATION
Special designed for MULTI -PURPOSE operation and HEAD-END control system.

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I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

MULTI-FUNCTION TABLE DESIGN


- Table top elevation are controlled by hydraulic system.
- Table top including 5 sections : Head, Back, Seat, Leg Sections.
- 360° Table top rotation.
- The table base and top frame are covered with stainless steel #304.
- The side rails for accessories stand, is made by stainless steel #304.
- Accessories and clamps are made by stainless steel #304.
- The head-rest can be extended or replaced with U-SHAPED head-rest.
- Table top can be equipped an acrylic sheet plates for X-Ray radiograph.

Specifications :
- Length of table top : 190 cm
- Width of table top : 50 cm
- Table top elevation : 71 - 100 cm
- Lateral tilt left / right : 25° / 25°
- Trendellenburg / reverse : 20° / 25°
- Back section up / down : +70 / 0°
- Head section up / down : +30 / -90°
- Leg section up / down : +20 / -90°

Standard Accessories :
- Screen frame (TAC-01) 1 set
- Shoulder supporter (TAC-10) 1 pr
- Body support (TAC-11) 1 pr
- Arm rest (TAC-14) 1 pr
- Knee crutches (TAC-13) 1 pr
- Kidney elevator (TAC-30) 1 set

Included Optional Accessories :


- Restaint Strap ( TAC - 02 )
- U - Shape Head Rest ( TAC- 03 )
- Raised Arm Rest with Clamp ( TAC - 04 )
- Hand Grips with Clamp ( TAC -08 )
- Contamination Bucket with Bucket, tube & Railway ( TAC -09 )
- X - Ray - Radiograph Sheet ( TAC - 12 )
- Knee Support With Clamp ( TAC -15 )

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I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

2. Operating Table (Multi Purpose) 1 Unit Berthold - Germany Sigma


Specifications :
- Overall length : 196.3 cm
- Overall width : 52.4 cm
- Height adjustment : 74.0 - 101.5 cm
- Trendelenburg : 25°
- Reverse trendelenburg : 25°
- Lateral tilt : ± 20°
- Back section : +60° / -20°
- Leg section, split : +60° / -105°
- Leg section, One-piece : 0° / -90°
- Head section : +30° / -40°
- Patient wieght limit : 140 Kg

Standard Accessories :
- Arm support with fixing clamp 2 unit 514-120-185 (OZ 1201850)
- Pad, flat shaped 2 unit 514-120-181 (OZ 1201810)
- Anaesthesia screen with radial setting clamp 1 unit 514-100-110 (OZ 1001100)
- Elongation bar for Oz 100-1100 2 unit 514-100-112 (OZ 1001120)
- Restrain strap, padded 1 unit 514-150-265 (OZ 1502650)
- Wristlet 1 unit 514-100-171 (OZ 1001710)

Accessories for Neurosurgery / Head Area, Alternativoly for ENT and


Opthalmology.
- Horse shoe shaped head rest, with ball joint-and height adjustment 1 unit 514-100-135 (OZ 1001350)
- Adapter for head rests 1 unit 514-120-050 (OZ 1200500)
Alternatively for ENT :
- Head rest with inclination / height adjustment via hand cranks 1 unit 514-100-130 (OZ 1001300)

Alternatively for Opthalmology :


- Head ring 1 unit 514-100-133 (OZ 1001330)

Accessories for Gynaecology


- Goepel knee crutches, pair 1 unit 514-100-250 (OZ 1002500)
- Radial setting clamp for OZ 100-2500 2 unit 514-100-104 (OZ 1001040)
- Restraint straps for OZ 100-2500 2 unit 514-100-2520 (OZ 1002520)

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I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

Accessories Required for Kidney Surgery


- SUPPORTING ROLL, vertical with foam pad. stainless steel.
Requires rapid rod clamp 514-100-101 (OZ 1001010) 1 unit 514-100-168 (OZ 1001680)
- LATERAL SUPPORT narrow, with removable pad. Stainless steel.
Requires rapid rod clamp 514-100-101 (OZ 1001010) 1 unit 514-100-160 (OZ 1001600)
- RAPID ROD CLAMP, for accessories with vertical poles of 20 mm diam., clip model. 2 unit 514-100-101 (OZ 1001010)
- DRAIN TRAY for OMEGA, SIGMA AND NORDICA. Stainless Steel 1 unit 514-120-260 (OZ 1202600)
- SUPPORTING SCREEN, for patient in lateral position. Requires 1 pc rod clamp 1 unit 514-100-210 (OZ 1002100)
514-100-104 (OZ 1001040)
- ROTARY ROD CLAMP, for radial settings of accessories with 20 mm diam.
vertical poles, separate locking to side-rail. Stainless. 1 unit 514-100-104 (OZ 1001040)

Accessories Required for Laminectomy


- LAMINECTOMY FRAME, with abdominal cut-out 1 unit 514-100-285 (OZ 1002850)

Accessories Required for Proctology


- PROCTOLOGY ATTACHMENT with adjustable knee supportfor OMEGA,
SIGMA & NORDICA 1 unit 514-120-290 (OZ 1202900)

Accessories for Hand Surgery


- ARM OPERATING TABLE, adjustable in height. Radiolucent. Incl. cushion and
strap 1 unit 514-100-190 (OZ 1001900)

3. Cealing Operating Lamp, 2 Bulbs 2 Unit Berthold - Germany D530 / 530


Specifications :
- Illuminance measured at 1 m
distance & a 4500 deg. Kelvin
: 110,000 Lux
- Infrared absorption by
internal filters : 99 %
- Temperature increase at
heat level : 2° C
- Color rendering index CRI : 94
- Total radiant power : 407 Wm2
- Diameter of polygon
reflector : 455 mm

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LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
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I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

- Diameter of light body : 520 mm


- Depth of illumination : 1200 mm
- Field diamter continuously
adjustable : 15 - 25 cm
- Brightness adjustment : Continuous
- Optical parts : Mineral glass
- Light body : Anodized aluminium
- Xenophot lamps
( 1 + 1 spare each ) : 150 W
- Lifetime of lamps : 1000 hrs
- Automatic lamp switchover
( 0.5 sec ) : Yes
- Lamp fused indicator : Yes
- Simple tool-less lamp change
: Yes

Compositions :
- CHROMOPHARE light combination comprising 1 unit DD-880-53-04
- Transformer 220 / 230 V for mounted on ceiling flange 2 unit CB-502-32-04
- Anchor plate 380 x 380 mm including material for mounting on concrate ceiling 1 unit CD-514-53-04
- Flange tube 125 mm, 3.51 - 4.0 m, ceiling height 1 unit CB-536-20-04
- Ceiling cover 446 x 93 mm for 125 mm flange tubes 1 unit CB-542-20-04
- Sleeve for handle, sterilizable 2 unit CZ-499-06-04

4. Electro Surgery Set 1 Unit Berthold - Germany Electrotom 630


Specifications :
Main Requirements
- Power supply : 110 - 230 V DC, 100-230V AC, 50-400 Hz
- Power consumption : 450 VA DC 820 VA AC
- Loading relationship : Int. 10s/30s/ (Vtime relation : active / pause)
- Mains fuses : 2 each 6 A (inert) according to rating plate

Current Types
Cut 1 - Monopolar
- Nominal frequency : 312 kHz
- Current form : non-modulated, sinus form

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LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

- Crest factor* : 1.43


- HV voltage max. : 715 Vs/500 Veff
- Max. HF power : 300 W / 500 M Ohm
- Unit output settings : Up/Down pushbutton and digital display
- Cutting qualities : Minimal tissue charring

Cut 2 - Monopolar
- Nominal frequency : 312 kHz
- Current form non-modulated, sinus form
- Crest factor* 1.87
- HV voltage max. 1945 Vs / 1040 Veff
- Max. HF power 200 W / 500 M Ohm
- Unit output settings Up/Down pushbutton and digital display
- Cutting qualities Medium tissue charring

Cut 3 - Monopolar
- Nominal frequency : 312 kHz
- Current form : modulated, sinus form
- Crest factor* : 2.83
- HV voltage max. : 525 Vs / 185 Veff
- Max. HF power : 100 W / 200 M Ohm
- Unit output settings : Up/Down pushbutton and digital display
- Cutting qualities : Medium tissue charring

Contact coagulation, monopolar


- Nominal frequency : 312 kHz
- Current form : non-modulated, sinus form
- Crest factor* : 1.42
- HV voltage max. : '300 Vs / 212 Veff
- Max. HF power : 120 W / 150 M Ohm
- Unit output settings : Up/Down pushbutton and digital display
- Cutting qualities : Micro light are free coagulation

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LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

Forced Coagulation, Monopolar


- Nominal frequency : 1000 kHz
- Current form : Impulse modulated, impulse frequency 125 kHz
- Crest factor* : 2.65
- HV voltage max. : 2810 Vs / 1058 Veff
- Max. HF power : 150 W / 500 M Ohm
- Unit output settings : Up/Down pushbutton and digital display
- Cutting qualities : Micro light are free coagulation

Spray Coagulation, Monopolar


- Nominal frequency : 1000 kHz
- Current form : Impulse modulated, impulse frequency 31 kHz
- Crest factor* : 3.98
- HV voltage max. : 4210 Vs / 1058 Veff
- Max. HF power : 100 W / 500 M Ohm
- Unit output settings : Up/Down pushbutton and digital display
- Cutting qualities : Micro light are free coagulation

Bipolar Coagulation
- Nominal frequency : 312 kHz
- Current form : non-modulated, sinus form
- Crest factor* : 1.41
- HV voltage max. : 150 Vs / 106 Veff
- Max. HF power : 95 W / 100 M Ohm
- Unit output settings : Up/Down pushbutton and digital display
- Cutting qualities : Micro light are free coagulation

* The crest factor is the relationship between peak and effective voltage.

Safety Features
- Basic construction : In accordance with EN 60601
- Protection class : I
- Unit type : Cardiac floating (CF)
- Circuit of neutral electrode : Floating output
- Neutral electrode monitoring: * Automatic, electronic recognition of electrode
type.

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LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

* Continuous electronic control of neutral


electrode cable.
* Continuous electronic control of contact
impedance with patient contact control, split
neutral electrodes.

- Dosage shut-off due to unit


malfunction : Yes
- Anti-malfunction control : Shelf-check on switching on
- Automatic HF, leakage
control : Yes
- Equipotential bonding pin : Yes

Weight and Dimensions


- Dimensions : 405(L) x 395(W) x 145(H) mm
- Weight : 8,5 Kg

Standard accessories for operating with double finger switch consisting of :


- Electrode handle, with double finger switch 1 unit EZ 214-03
- Connecting cable, 4.5 M 1 unit EZ 285-45
- Connecting cable for neutral electrode, 4.5 M 1 unit EZ 295-45
- Divided rubber neutral electrode, 15 x 25 CM 1 unit EZ 347-03
- Rubber strap perforated, 50 CM 2 unit EZ 370-50
- Button for rubber strap 2 unit EZ 371-01
- Lancet electrode straight 1 unit EZ 510-04
- Knife elecrode 1 unit EZ 516-04
- Needle electrode 1 unit EZ 520-04
- Ball electrode, Diam. 2 MM 1 unit EZ 560-04
- Ball electrode, Diam. 4 MM 1 unit EZ 562-04

Supplementary accessories for monopolar cutting and coagulation for


operating with double finger switch :
- Support for 16 electrodes in box 1 unit EZ 450-16
- Lancet electrode angled 1 unit EZ 511-04
- Spatula electrode 1 unit EZ 515-04

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LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

- Needle electrodes (dozen), 0.8 MM 1 unit EZ 525-04


- Adaptor 4 MM, for electrodes with 0.8 MM diam. 1 unit EZ 532-10
- Wire loop electrode, diam. 5 MM 1 unit EZ 540-04
- Wire loop electrode, diam. 10 MM 1 unit EZ 542-04
- Ribbon loop electrode, diam. 10 MM 1 unit EZ 550-04
- Ribbon loop electrode, diam. 16 MM 1 unit EZ 552-04
- Ball electrode, diam. 6 MM 1 unit EZ 564-04
- Plate electrode, 8 x 10 MM 1 unit EZ 570-04

Supplementary accessories for bipolar coagulation :


- Foot switch, OR-Proff, cable 3.5 M 1 unit EZ - 812-20
- Connecting cable, 4.5 M for bipolar forceps 1 unit EZ - 287-45
- Bipolar forceps type A, 17 CM, slim-bit 1 unit EZ - 961-17
- Bipolar forceps type B, 17 CM, slim-bit 1 unit EZ - 971-17

5. Minor Basic Instrument Set 2 Set Rebstock - Germany --


Consist of :
- Scalpel Handle No. 3 1 pc 06.103.00
- Scissors, BL/SH Straight, 14.5 cm 1 pc 08.110.14
- Scissors, BL/SH Straight, 14.5 cm 1 pc 08.160.14
- Mayo Scissors Curved, 14.5 cm 1 pc 08.161.14
- Metzenbaum Scissors Curved, 18 cm 1 pc 08.281.18
- Forceps Dressing, 14.5 cm 1 pc 10.102.14
- Forceps USA Dressing, 14.0 cm 1 pc 10.104.14
- Forceps Dressing, 18.0 cm 1 pc 10.102.18
- Forceps Tissue 1x2 Teeth, 14.5 cm 1 pc 10.120.14
- Forceps Tissue 1x2 Teeth, 18.0 cm 1 pc 10.120.18
- Foerster Swab Forceps Smooth 2 pcs 16.173.18
- Backhaus Towel Forceps 4 pcs 14.111.09
- Halsted Mosquito Forceps 4 pcs 12.220.12
- Crile Hemostatic Forceps 2 pcs 12.251.14
- Spencer Wells Hemostatic Forceps 6 pcs 12.330.13
- Kocher Hemostatic Forceps Delicate 2 pcs 12.322.14
- Kocher Hemostatic Forceps Delicate 2 pcs 12.322.16
- Mayo Hegar Needle Holder 1 pc 24.180.14

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LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

- Mayo Hegar Needle Holder 1 pc 24.180.20


- Grooved Director Buttoned 1 pc 20.112.14
- Probe Myrtle Leaf 14.5 cm 1 pc 20.108.14
- Senn Retractor Double Sharp 2 pcs 18.160.17
- Farabeuf Retractor Double Pair 1 pc 18.102.12
- Retractor (Trach.) Sharp, 1 Pr. 2 pcs 18.220.01
- Langenbeck Retractor 21 cm, 30x11 mm 2 pcs 18.310.01
- Allis Baby Tissue Forceps 14 cm, 4x5 2 pcs 64.102.14
- Volkmann Bone Curette, Fig. 000 1 pc 32.469.97
- Half - size Container 285 x 280 x 150 mm with long - term textile filters 1 pc 88.621.21
- Indentification plate alum. engrav Minor Basic Set 1 pc 88.322.02

6. Major Basic Instrument Set 2 Set Rebstock - Germany --


Consist of :
- Scalpel Handle, No. 3 1 pc 06.103.00
- Scalpel Handle, No. 4 2 pcs 06.104.00
- Metzenbaum Scissors, 15 cm TC 1 pc 08.285.15
- Metzenbaum Scissors, 20 cm TC 1 pc 08.285.20
- Metzenbaum Scissors, 23 cm TC 1 pc 08.285.23
- Metzenbaum Scissors, 18 cm TC 1 pc 08.285.18
- Lexer Scissors Curved 16 cm 1 pc 08.191.16
- Metzenbaum Scissors S-Shaped 1 pc 08.291.18
- Scissors, BL/SH Straight, 14.5 cm 1 pc 08.110.14
- Forceps Dressing, 14.5 cm 1 pc 10.102.14
- Forceps Tissue 1x2 Teeth, 14.5 cm 2 pcs 10.120.14
- Forceps Tissue 1x2 Teeth, 18 cm 2 pcs 10.120.18
- Gerald Forceps 1x2 Teeth, Straight 1 pc 10.310.18
- Gross Maier Forceps W. Ratchet 2 pcs 16.110.27
- Gross Maier Dressing Forceps W. Ratchet 2 pcs 16.111.27
- Allis Baby Tissue Forceps 14 cm, 4x5 1 pc 64.102.14
- Bachaus Towel Forceps 6 pcs 14.111.11
- Towel Clamp Ball and Socket 4 pcs 14.123.13
- Halsted Mosquito Forceps 6 pcs 12.221.12
- Halsted Mosquito Forceps 1x2 Teeth 6 pcs 12.231.12
- Halsted Mosquito Forceps 2 pcs 12.220.18

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LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

- Halsted Mosquito Forceps 1x2 Teeth 2 pcs 12.230.18


- Pean Hemostatic Forceps Delicate 6 pcs 12.312.14
- Rochester Ochsner Hemostatic Forceps 6 pcs 12.320.14
- Rochester Ochsner Hemostatic Forceps 2 pcs 12.320.20
- Rochester Ochsner Hemostatic Forceps 2 pcs 12.320.24
- Mixter Baby Hemostatic Forceps 2 pcs 12.475.14
- Overholt Geissendoerfer, Fig. 1 2 pcs 12.421.01
- Overholt Geissendoerfer, Fig. 2 2 pcs 12.421.02
- Overholt Geissendoerfer, Fig. 3 2 pcs 12.421.03
- Mikulicz Peritoneum Forceps 6 pcs 12.551.20
- Needle Case Round 65x15 mm 1 pc 88.112.65
- Needle Case W. Partition Perf. 1 pc 88.114.00
- Crile Needle Holder 2 pcs 24.350.15
- Debakey Needle Holder TC 2 pcs 24.214.18
- Mayo Hegar Needle Holder 2 pcs 24.180.20
- Deschamps Needle Sharp Left 1 pc 26.111.21
- Koenig Ligature Conductor 1 pc 26.285.20
- Groove Director 1 pc 20.110.16
- Probe Buttoned 2 mm 1 pc 20.106.14
- Probe Buttoned 2 mm 1 pc 20.106.20
- Roux Retractor Double Set/3 1 pc 18.120.00
- Retractor (Trach.) Sharp 2 Pr. 2 pcs 18.220.02
- Cushing Retractor 20 cm, 16 mm 2 pcs 18.232.16
- Volkmann Retractor 11.5 cm, Sharp 2 pcs 18.270.04
- Langenbeck Retractor 21 cm, 30x14 mm 2 pcs 18.310.02
- Langenbeck Retractor 21 cm, 40x11 mm 2 pcs 18.310.04
- Kocher Retractor 21 cm, 55x11 mm 2 pcs 18.330.55
- Allis Tissue Forceps 16 cm, Atraumat. 1 pc 64.124.16
- Debakey Atraumat Forceps 2.0/2.5 mm 2 pcs 11.308.16
- Debakey Atraumat Forceps 2.0/2.5 mm 2 pcs 11.308.20
- Volkmann Bone Curette, Fig. 0 1 pc 32.470.00
- Kidney Bowl 18/8 Medium, 25 cm 1 pc 88.139.25
- Round Bowl 18/8 Diam. = 80 mm 1 pc 88.130.08
- Container 580 x 280 x 100 with long - term textile filters 1 pc 88.601.21
- Identification plate alum. engrav Major Basic Set 1 pc 88.322.02

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I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

7. Tracheotomy Set 1 Set Rebstock - Germany -- 1 Set Pindahan dari


Consist of : IRD
- Scalpel Handle, No. 3 1 pc 06.103.00
- Mayo Scissors Curved, 14.5 cm TC 2 pcs 08.165.14
- Metzenbaum Scissors, 15 cm TC 1 pc 08.285.15
- Forceps Dressing, 14.5 cm 4 pcs 10.102.14
- Forceps Narrow, 14.5 cm TC 5 pcs 10.114.14
- Forceps Tissue 1x2 Teeth, 14.5 cm 2 pcs 10.120.14
- Gross Maier Dressing Forceps 2 pcs 16.110.20
- Backhaus Towel Forceps 4 pcs 14.111.11
- Halsted Mosquito Forceps 1x2 Teeth 2 pcs 12.231.12
- Pean Hemostatic Forceps Delicate 1 pc 12.313.14
- Pean Hemostatic Forceps Delicate 2 pcs 12.312.14
- Rochester Ochsner Hemostatic Forceps 6 pcs 12.321.14
- Needle Case Round 65x15 mm 1 pc 88.112.65
- Debakey Needle Holder TC 1 pc 24.214.18
- Deschamps Needle Sharp Left 1 pc 26.111.21
- Koenig Ligature Conductor 1 pc 26.285.20
- Grooved Director 1 pc 20.110.16
- Retractor (Trach.) Sharp 1 Pr. 2 pcs 18.220.01
- Retractor (Trach.) Sharp 3 Pr. 2 pcs 18.220.03
- Langenbeck Retractor 21 cm, 30x14 mm 2 pcs 18.310.02
- Kocher Retractor 19 cm, 21x14 mm 2 pcs 18.332.21
- Weitlaner Retractor Sharp 14 cm 1 pc 18.670.14
- Laborde Tracheal Dilator 1 pc 54.113.14
- Half - size container 285 x 280 x 100 with long - term textile filters 1 pc 88.621.01
- Identification plate alum. engrav Tracheotomy Set 1 pc 88.322.02

8. Large Suture Instrument Set 1 Set Rebstock - Germany -- 1 set Pindahan dari
Consist of : IRD
- Scalpel Handle No. 4L 1 pc 06.104.02
- Scissors, BL/BL Curved, 16.5 Cm 1 pc 08.103.16
- Wertheim Preparation Scissors 1 pc 08.525.22
- Forceps Tissue 1 x 2 T., 16 Cm 2 pcs 10.120.16
- Gross Maier Dressing Forceps, 25 Cm, Curved 2 pcs 16.111.25

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LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
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I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

- Backhaus Towel Forceps, 11 Cm 2 pcs 14.111.11


- Rochester Pean Hemostatic Forceps, 16 Cm, Straight 3 pcs 12.310.16
- Rochester Pean Hemostatic Forceps, 24 Cm, Straight 3 pcs 12.310.24
- Kocher Hemostatic Forceps Delicate 1 x 2 T., 16 Cm, Straight 3 pcs 12.322.16
- Needle Case Round 65 x 15 mm 1 pc 88.112.65
- Interior Box for 88.112.65 1 pc 88.113.65
- Mayo Hegar Needle Holder TC 1 pc 24.184.20
- Mayo Hegar Needle Holder TC 1 pc 24.184.24
- Catheter Metal Female 12 Fr 1 pc 66.213.12
- Sims Specula Set = 3 Ea. 1 pc 70.291.00
- Seanger Placenta And Ovum Forceps 1 pc 72.242.27
- Pestalozza Abortion Curette 1 pc 72.252.30
- Half - size cintainer 285 x 280 x 100 mm with long - term textile filters 1 pc 88.621.01
- Indetification plate. alum engrav Large Suture Set 1 pc 88.322.02

9. Bandage Instrument Set 2 Set Rebstock - Germany --


Consist of :
- Metzenbaum Scissors Curved, 15 Cm 1 pc 08.281.15
- Forceps Dressing, 14.5 Cm 1 pc 10.102.14
- Forceps Tissue 1 x 2 Teeth, 14.5 Cm 1 pc 10.120.14
- Crile Hemostatic Forceps, Curved 1 pc 12.251.14
- Probe Buttoned 1 mm 1 pc 20.104.14
- Gross Maier Dressing Forceps, 20 Cm, Straight 1 pc 16.110.20
- Lister Bandage Scissors 1 pc 08.901.14
- Bruns Bandage Scissors Serrated 1 pc 08.937.23
- Compression Apparatus Complete 1 pc 33.101.01
- Combination Diagnostic Set 1 pc 02.170.00
- Mayo Hegar Needle Holder 1 pc 24.180.14
- Ford Bowles Stethoscope 1 pc 02.244.00
- Blood Pressure Apparatus Mercury 1 pc 02.112.00
- Small Container 300x 140 x 70 mm with long term texile filters 1 pc 88.641.11
- Identification palte alum. engrav Bandage Set 1 pc 88.322.02

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I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

10. Hernia & Appendectomy Set 1 Set Rebstock - Germany -- 1 set Pindahan dari
Consist of : IRD
- Scalpel Handle No. 4 2 pcs 06.104.00
- Metzenbaum Scissors, 15 Cm TC 2 pcs 08.285.15
- Scissors, BL/BL Straight, 14.5 Cm 1 pc 08.102.14
- Lexer Baby Scissors Curved, 10 Cm 1 pc 08.203.10
- Forceps Dressing, 14.5 Cm 1 pc 10.102.14
- Semken Forceps Serrated 1 pc 10.260.15
- Forceps Tissue 1 x 2 Teeth, 14.5 Cm 3 pcs 10.120.14
- Ulrich Swab Forceps, 25 Cm, Straight 2 pcs 16.160.25
- Backhaus Towel Forceps, 11 Cm 4 pcs 14.111.11
- Pean Hemostatic Forceps, 14 Cm 8 pcs 12.368.14
- Kocher Hemostatic Forceps Delicate 1 x 2 T., 14 Cm, Straight 6 pcs 12.322.14
- Rochester Ochsner Hemostatic Forceps 1 x 2 T., 14 Cm, Straight 3 pcs 12.320.14
- Mikulicz Peritoneum Forceps 1 x 2 Teeth, 20 Cm, Curved 4 pcs 12.551.20
- Needle Case Round 65 x 15 mm 1 pc 88.112.65
- Interior Box for 88.112.65 1 pc 88.113.65
- Mayo Hegar Needle Holder TC 1 pc 24.184.20
- Mayo Hegar Needle Holder Delicate TC 1 pc 24.194.20
- Deschamps Needle Blunt Left 1 pc 26.121.21
- Koenig Ligature Conductor 1 pc 26.285.20
- Roux Retractor Double Set / 3 1 pc 18.120.00
- Langenbeck Retractor 21 Cm, 30 x 14 mm 2 pcs 18.310.02
- Kidney Bowl 18/8 Small 20 Cm 1 pc 88.139.17
- Round Bowl 18/8 Diam. = 100 mm 1 pc 88.130.10
- Instrument Tray 220 x 170 x 50 mm 1 pc 88.146.22
- Steril. Tray Wiremesh 24 x 25 x 10 Cm 1 pc 88.242.24
- Half -size container 285 x 280 x 100mm with long term textile filters 1 pc 88.621.01
- Identification plate alum engrav Hernia, Appendectomy 1 pc 88.322.02

11. Laparatomy Set 1 Set Rebstock - Germany -- 2 set Pindahan dari


Consist of : IRD
- Scalpel Handle, No. 7 1 pc 06.107.00
- Scalpel Handle, No. 4 2 pcs 06.104.00
- Metzenbaum Scissors, 15 cm TC 1 pc 08.285.15

Page 129
LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

- Metzenbaum Scissors, 20 cm TC 1 pc 08.285.20


- Metzenbaum Scissors, 23 cm TC 1 pc 08.285.23
- Metzenbaum Scissors, 18 cm TC 1 pc 08.285.18
- Metzenbaum Scissors, 28 cm TC 1 pc 08.285.28
- Metzenbaum Scissors S-Shaped 1 pc 08.291.18
- Scissors, BL/SH Straight, 14.5 cm 1 pc 08.110.14
- Lexer Scissors Straight, 16 cm 1 pc 08.190.16
- Forceps Dressing, 14.5 cm 2 pcs 10.102.14
- Forceps Dressing, 20.0 cm 1 pc 10.102.20
- Forceps Tissue 1x2 Teeth, 14.5 cm 2 pcs 10.120.14
- Gerald Forceps 1x2 Teeth, Straight 1 pc 10.310.18
- Gross Maier Dressing Forceps W. Ratchet 2 pcs 16.111.27
- Ulrich Swab Forceps 2 pcs 16.161.25
- Backhaus Towel Forceps 10 pcs 14.111.11
- Halsted Mosquito Forceps 4 pcs 12.220.12
- Halsted Mosquito Fforceps 4 pcs 12.221.12
- Halsted Mosquito Fforceps, 1x2 teeth 4 pcs 12.230.12
- Halsted Mosquito Fforceps, 1x2 teeth 4 pcs 12.231.12
- Halsted Mosquito Fforceps 2 pcs 12.220.18
- Halsted Mosquito Fforceps, 1x2 teeth 2 pcs 12.230.18
- Pean Hemostatic Forceps Delicate 4 pcs 12.312.14
- Rochester Pean Hemostatic Forceps 1 pc 12.310.20
- Rochester Pean Hemostatic Forceps 1 pc 12.310.24
- Rochester Pean Hemostatic Forceps 4 pcs 12.320.14
- Rochester Ochsner Hemostatic Forceps 2 pcs 12.320.20
- Rochester Ochsner Hemostatic Forceps 2 pcs 12.320.26
- Overholt Geissendoerfe, Fig. 1 2 pcs 12.421.01
- Overholt Geissendoerfe, Fig. 2 2 pcs 12.421.02
- Overholt Geissendoerfe, Fig. 3 2 pcs 12.421.03
- Overholt Geissendoerfe, Fig. 4 2 pcs 12.421.04
- Mikulicz Peritoneum Forceps 6 pcs 12.551.20
- Needle Case Round 65x15 mm 1 pc 88.112.65
- Needle Case W. Partition Perf. 1 pc 88.114.00
- Baumgartner Needle Holder 14 cm 2 pcs 24.150.14
- Debakey Needle Holder TC 1 pc 24.214.20

Page 130
LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

- Wangensteen Needle Holder 1 pc 24.260.27


- Mayo Hegar Needle Holder 2 pcs 24.180.20
- Mayo Hegar Needle Holder TC 1 pc 24.184.20
- Deschamps Needle Sharp Left 1 pc 26.111.21
- Koenig Ligature Conductor 1 pc 26.285.20
- Grooved Director 1 pc 20.110.16
- Probe Myrtle Leaf, 14.5 cm 1 pc 20.108.14
- Probe Buttoned 2 mm 1 pc 20.106.14
- Probe Buttoned 2 mm 1 pc 20.106.20
- Roux Retractor Double Set/3 1 pc 18.120.00
- Retractor (Trach.) Sharp 2 Pr. 2 pcs 18.220.02
- Cushing Retractor 20 cm, 16 mm 2 pcs 18.232.16
- Volkmann Retractor 11.5 Sharp 2 pcs 18.270.06
- Langenbeck Retractor 21 cm, 30x14 mm 2 pcs 18.310.02
- Kocher Retractor 21 cm, 55x11 mm 2 pcs 18.330.55
- Allison Lung Spatula 32 cm 1 pc 56.289.32
- Mikulicz Retractor 120x50 mm 1 pc 18.380.50
- Mikulicz Retractor 150x50 mm 1 pc 18.381.50
- Kelly Retractor 27 cm, 160x38 mm 1 pc 18.385.38
- Fritsch Retractor 24 cm, 45x75 mm 1 pc 18.370.75
- Haberer Retractor Mall. 25/ 30x280 1 pc 18.174.25
- Kirschner Abd. Retractor Oval Comp. 1 pc 18.780.00
- Allis Tissue Forceps 15 cm, 5x6 Teeth 1 pc 64.120.15
- Allis Tissue Forceps 16 cm, Atraumat. 1 pc 64.124.16
- Allis Tissue Forceps 20 cm, Atraumat. 1 pc 64.124.20
- Thoms Allis Forceps 6x7 Teeth, 20 cm 1 pc 64.150.20
- Debakey Atraumat Forceps 2.0/2.5 mm 2 pcs 11.308.16
- Debakey Atraumat Forceps 2.0/2.5 mm 2 pcs 11.308.20
- Debakey Atraumat Forceps 2.0/2.5 mm 1 pc 11.308.24
- Duval Grasping Forceps 25 mm/ 23 cm 1 pc 64.172.23
- Volkmann Bone Curette, Fig. 0 1 pc 32.470.00
- Kidney Bowl 18/8 Medium, 25 cm 1 pc 88.139.25
- Round Bowl 18/8 diam. = 80 mm 1 pc 88.130.08
- Round Bowl 18/8 diam. = 120 mm 1 pc 88.130.12
- Container 580 x 280 x 100 with long - term textle filters 1 pc 88.601.21
- Indenfitication plate alum engrav Laparatomy Set 1 pc 88.322.02

Page 131
LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

12. Vena Sectie Instrument Set 0 Set Rebstock - Germany - 2 Set Pindahan dari
Consist of : IRD
- Scalpel Handle, No. 3 1 pc 06.103.00
- Iris Scissors 1 pc 08.340.11
- Iris Scissors 1 pc 08.341.11
- Scissors, BL/BL Straight, 14.5 cm 1 pc 08.102.14
- Forceps Dressing, 14.5 cm 1 pc 10.102.14
- Semken Forceps Serrated 1 pc 10.260.12
- Forceps Tissue 1x2 Teeth, 14.5 cm 1 pc 10.120.14
- Semken Foceps 1x2 Teeth 1 pc 10.270.12
- Gross Maier Dressing Forceps 1 pc 16.110.20
- Backhaus Towel Forceps 1 pc 14.111.11
- Halsted Mosquito Forceps 1x2 Teeth 1 pc 12.231.12
- Pean Hemostatic Forceps Delicate 1 pc 12.312.14
- Mixter Hemostatic + Bronchus Forceps 1 pc 12.471.14
- Needle Case Round 65X15 mm 1 pc 88.112.65
- Mathieu Needle Holder Tc 1 pc 24.374.17
- Deschamps Needle Blunt Left 1 pc 26.121.21
- Retractor (Trach.) Sharp 2 Pr. 1 pc 18.220.02
- Cushing Retractor 20 cm, 8 mm 1 pc 18.232.08
- Alm Retractor Sharp 10 cm 1 pc 18.620.10
- Half - size container 285 x 280 x 100 mm with long - erm textile filters 1 pc 88.621.01
- Indenfitication plate alum. engrav Vena Sectie 1 pc 88.322.02

13. Basic Orthopaedic Instrument Set 0 Set Rebstock - Germany -- 1 set Pindahan dari
Consist of : IRD
- Ruler MM Graduated Perforated 1 pc 02.344.15
- Scalpel Handle, No. 3 1 pc 06.103.00
- Scalpel Handle, No. 4 1 pc 06.104.00
- Mayo Scissors Straight, 17.0 cm TC 1 pc 08.164.17
- Mayo Scissors Curved, 17.0 cm TC 1 pc 08.165.17
- Metzenbaum Scissors, 18 cm TC 1 pc 08.285.18
- Scissors, BL/SH Straight, 14.5 cm 1 pc 08.110.14
- Forceps USA Dressing, 14.0 cm 2 pcs 10.104.14
- Forceps Dressing, 20.0 cm 1 pc 10.102.20

Page 132
LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

- Adson Forceps 1x2 Teeth 2 pcs 10.180.12


- Forceps Tissue 1x2 Teeth, 14.5 cm 4 pcs 10.120.14
- Foerster Swab Forceps Smooth 6 pcs 16.172.25
- Backhaus Towel Forceps 12 pcs 14.111.13
- Halsted Mosquito Forceps 12 pcs 12.220.12
- Halsted Mosquito Forceps 6 pcs 12.221.12
- Kelly Hemostatic Forceps 12 pcs 12.240.14
- Kelly Hemostatic Forceps 6 pcs 12.241.14
- Rochester Pean Hemostatic Forceps 2 pcs 12.311.16
- Kocher Hemostatic Forceps Delicate 3 pcs 12.322.16
- Mayo Hegar Needle Holder TC 2 pcs 24.184.16
- US Army Retractor Double Pair 1 pcs 18.131.21
- Volkmann Retractor 11.5 cm, Sharp 2 pcs 18.270.04
- Volkmann Retractor 11.5 cm, Blunt 2 pcs 18.271.04
- Israel Retractor 40x40 mm 2 pcs 18.364.40
- Universal Wire Scissors TC 1 pc 08.835.12
- Allis Tissue Forceps 15 cm, 5x6 Teeth 4 pcs 64.120.15
- F.SM.Kerr. Punch 40* 5 mm/ 18 cm 1 pc 40.512.05
- Farabeuf Periosteal 15 cm, Curved 1 pc 32.703.15
- Lambotte Periosteal 21 cm, 15 mm 1 pc 32.705.15
- Williger Hammer 24 cm, 340 G = 12 OZ. 1 pc 32.694.34
- Stille Osteotome 20 cm, 10 mm 1 pc 32.632.10
- Stille Osteotome 20 cm, 15 mm 1 pc 32.632.15
- Stille Osteotome 20 cm, 20 mm 1 pc 32.632.20
- Stille Osteotome 20 cm, 25 mm 1 pc 32.632.25
- Stille Bone Chisel 20 cm, 10 mm 1 pc 32.630.10
- Stille Bone Chisel 20 cm, 15 mm 1 pc 32.630.15
- Stille Bone Chisel 20 cm, 25 mm 1 pc 32.630.25
- Stille Gouge 20 cm, 10 mm 1 pc 32.633.10
- Stille Gouge 20 cm, 15 mm 1 pc 32.633.15
- Stille Gouge 20 cm, 20 mm 1 pc 32.633.20
- Smith Petersen Gouge Straight, 9 mm 1 pc 32.637.09
- Smith Petersen Gouge Straight, 16 mm 1 pc 32.637.16
- Kern Bone Holding Forceps 1 pc 32.378.21
- Lane Bone Holding Forceps W. Ratch. 1 pc 32.384.33

Page 133
LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

- Lowman Bone Holding Clamp 18.5 cm 2 pcs 32.441.18


- Gerster Traction Bar 1 pc 32.444.15
- Zaufal Jansen Rongeur 18 cm 1 pc 32.205.18
- Liston Bone Cutting Forceps 1 pc 32.274.19
- Liston Bone Cutting Forceps 1 pc 32.275.19
- Frazier Asp. Cann. 30* 6Fr. 19 cm 1 pc 40.295.06
- Wire Cutter Double Art. 22 cm, TC 1 pc 33.545.22
- Loute Wire Tightener / Twister 1 pc 33.531.21
- Bone Wire Soft 10 m, 0.3 mm 1 pc 33.530.03
- Bone Wire Soft 10 m, 0.6 mm 1 pc 33.530.06
- Container 580 x 280 x 100mm with long - term textile filters 1 pc 88.601.21
- Idenfitication plate alum. engrav Orthoedic Set 1 pc 88.322.02

14. Basic Set for Screw and Plate 0 Set Orthomedical - Germany -- 1 set Pindahan dari
Consist of : IRD
- Twist Drill for Quick Coupling 3 pcs 95-169.17
- Twist Drill for Quick Coupling 2 pcs 95-169.22
- Countersink, diam. 3.2 mm 1 pc 95-173.02
- Countersink, diam. 6.5 mm 1 pc 95-173.01
- Handle with Quick Coupling 1 pc 95-172.01
- Taps, diam. 4.5 mm 1 pc 95-170.06
- Taps, diam. 4.5 mm 1 pc 95-170.07
- Taps, diam. 6.5 mm 1 pc 95-170.09
- Measuring Gauges, for Large Screws 1 pc 95-174.01
- Sharp Hook 1 pc 95-175.00
- Drill Sleeve for Tension Device 1 pc 95-179.00
- Drill Guide, diam. 3.2 mm, 40 mm 1 pc 95-185.01
- Articulated Tension Device 1 pc 95-181.00
- Insert Drill Sleeve, 58 mm 1 pc 95-185.09
- Insert Drill Sleeve, 58 mm 1 pc 95-185.09
- Tissue Protector-and Tapping Sleeve 1 pc 95-186.01
- Pointed Drill Guide 1 pc 95-188.00
- Screw Driver, for Hexagonal Head 1 pc 95-176.03
- Screw Driver elem., Hex. f. Large Screws 1 pc 95-178.20
- Socked Wrench, a/f 11 mm 1 pc 95-182.00

Page 134
LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

- Combination Wrench, a/f 11 mm 1 pc 95-106.00


- Neutral-and Load Drill Guide, 4.5 mm 1 pc 95-185.04
- Bending Template, 90 mm 1 pc 95-189.01
- Bending Template, 120 mm 1 pc 95-189.02
- Bending Template, 150 mm 1 pc 95-189.03
- Aluminium Container, Perforated 1 pc 95-001.01
- Lower Tray 1 pc 95-168.02
- Upper Tray 1 pc 95-168.03

15. Basic Amputation Set 1 Set Rebstock - Germany --


Consist of :
- Scalpel Handle No. 4 2 pcs 06.104.00
- Metzenbaum Scissors, 18 cm TC 1 pc 08.285.18
- Metzenbaum Scissors, 15 cm TC 1 pc 08.285.15
- Northbent (Spencer) Ligature Scissors 1 pc 08.803.13
- Forceps Dressing, 16.0 cm 2 pcs 10.102.16
- Forceps Tissue 1x2 Teeth, 16.0 cm 2 pcs 10.120.16
- Needle Case Round 65x15 mm 1 pc 88.112.65
- Baumgartner Needle Holder 14 cm TC 1 pc 24.154.14
- Mayo Hegaaar Needle Holder 2 pcs 24.180.18
- Frazier Hooklet (Dura) Sharp 1 pc 18.214.18
- Volkmann Retractor 11.5 Sharp 2 pcs 18.270.06
- Koerte Retractor Blunt 40x30 mm 2 pcs 18.367.08
- Debakey Atraumat Forceps 2.0/2.5 mm 1 pc 11.308.16
- Liston Amputation Knife 1 pc 06.430.20
- Amputation Knife 1 pc 06.420.13
- Percy Retractor For Amputation 1 pc 33.110.00
- Charriere Amputation Saw 30 cm 1 pc 33.116.30
- Satterlee Amputation Saw 31 cm 1 pc 33.118.31
- Olivecrona Wire Saw 40 cm 1 pc 40.092.40
- Gigli Handle For Wire Saw 2 pcs 40.094.00
- Kidney Bowl 18/8 Small 20 cm 1 pc 88.139.17
- Solution Bowl 18/8, 165x60 mm 1 pc 88.133.16
- Instrument Tray 200x150x30 mm 1 pc 88.144.20
- Container 580 x 280 x 100 mm with long - term texile filters 1 pc 88.601.01
- Identification plate. alum engrav Amputasion Set 1 pc 88.322.02

Page 135
LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

16. Pneumatic Torniquet 1 Set Rebstock - Germany 33.101.01

17. Steril. Tray Wiremesh, 24 x 25 x 7 cm 0 Pc Rebstock - Germany 88.241.24 4 unit pindahan dari
IRD
18. Vacuum Suction Unit 1 Unit Sturdy - Taiwan SS - 300 1 unit pindahan dari
Features : IRD
- User-friendly design to fulfil the quality standard requirement, Ideal for use in
operation theater room or general wards providing an efficient performance for
most procedures os suction environment such as suction biopsy, surgery,
endometrical curettage, obstetric and abortion etc.
- Dial regulate control knob to your desired vacuum flow rate from LOW to HIGH
capable of sustaining sufficient vacuum for most suction |environment.
- Built-in a vacuum gauge with a range from 0 to 760 mmHG.
- 4 anti-static wheels with lock convenient for operation and delivery.
- Two autoclavable glass collection bottle each has a 3000 cc.
Capacity graduated by millimeter incorporating over-flow protective device.
- Choise of bacteria-retentive filter to prevent dispersal of bacteria aerosols into
the environment.
- Attentively designed with cabinet on back of body providing a convenient way for
internal storage.
- Comes with safety device for foot switch.

Specifications :
- Pump : Oil Rotary Vane
- Watts : 226
- Cylinder : Non
- Max airflow : 80 LPM
- Max vacuum : 700 mmHg (933 mbar)
Standard Accessories :
- 3000 CC glass collection bottles 2
- Foot switch 1
- Silicon tubing 1
- Specimen collection tube 1
- Water cup for disinfection 1
Included optional Accessories :
- Suction Cup (Dia. 40, 50, 60 mm)

Page 136
LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

19. Infusion Pump 1 Unit JMS - Japan OT - 701 1 unit pindahan dari
Specifications : IRD
- Pump type : Drip rate peristaltic finger pump
- Set requirement : |Standard PVC IV set (15-20 drops/ml) or micro
|IV set (60 drops/ml) with 3.4 - 4.5 mm O.D. tubing.
- Flow rate :
IV Set mL / hr drops/min
15 - 20 drops / ml 1-450 (1-100) ml 1-100 (1-100) drops/min
60 drops / ml 1-100 (1-100) ml 1-100 (1-100) drops/min
- Rate step : 1 ml step
- Flow rate accuracy : ± 10% (with adjusting function)
- Drip rate accuracy : |± 2% (after more than 500 drops have been
|infused).
- Volume infused display : 0 - 9999 ml
- Volume limit : 1 - 9999 ml or no limit
- Purge rate : More than 450 ml / hr
- Alarms : Door Open, Low Battery, Internal Malfunction,
Air in Line, Infusion Complete, Empty Container,
Reminder, Abnormal Drips.
- KVO (keep Vein Open) : 1 ml / hr
- Occlusion pressure : 60 - 140 kPa (adjustable)
- Air detection method : Ultrasonic
- Drip detection method : Double infrared photoelectric beam
- Finger Cassette : Detachable
- Tube Clamp : With lock lever, detachable
- Nurse Call : Terminal on the bottom
- Communication : Optical communication
- Display : Color LCD with back light
- Battery : Rechargeable Nickle Cadmium
- Battery life : 4 hours at 125 ml/hr when fully
Charged.
- Recharge : 30 hours when fully discharged.
- Operation conditions : Ambient temperature : 15°C to 40°C
Relative humidity : 30% to 85%
(with no condensation)

Page 137
LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

- Storage conditions : Ambient temperature : -10°C to 45°C


Relative humidity : 20% to 95%
(with no condensation)
- Dimensions : 180 (W) x 148(D) x 210(H) mm
- Weight : 2.3 kg
- Power required : 85 to 264 Vac, 50/60 Hz
- Power consumption : 12 VA
- Electric shock, Protective type
: Class II Type CF

20. Hysterectomy Set 1 Set Rebstock - Germany -- 1 set pindahan dari


Consist of : IRD
- Mayo Hegar Needle Holder 2 pcs 24.180.20
- Debakey Needle Holder TC 1 pc 24.214.23
- Mayo Hegar Needle Holder Delicate TC 1 pc 24.194.20
- Metzenbaum Fino Scissors, 23 Cm 1 pc 08.283.23
- Sims Uterus Scissors 1 pc 08.511.23
- Scissors, BL/SH Straight, 14.5 Cm 1 pc 08.110.14
- Scissors, BL/SH Curved, 14.5 Cm 1 pc 08.111.14
- Debakey Atrau. Forceps 1.5/2.5 mm 1 pc 11.306.24
- Forceps Tissue 1x2 Teeth, 20.0 Cm 2 pcs 10.120.20
- Forceps Dressing, 20.0 cm 2 pcs 10.102.20
- Forceps Tissue 1x2 Teeth, 14.5 Cm 2 pcs 10.120.14
- Forceppps Dressing, 14.5 Cm 2 pcs 10.102.14
- Scalpel Handle No. 4L 1 pc 06.104.02
- Scalpel Handle No. 4 1 pc 06.104.00
- Backhaus Towel Forceps 10 pcs 14.111.11
- Needle Case Rround 65x15 mm 1 pc 88.112.65
- Kidney Bowl 18/8 Medium 25 Cm 1 pc 88.139.25
- Pratt Vulsellum Forceps 28 Cm 1 pc 70.536.28
- Schroeder Vulsellum Forceps 2x2 Teeth 1 pc 70.514.24
- Teale Vulsellum Forceps 23 Cm 2 pcs 70.531.23
- Heywood Smith Pile Forceps 1 pc 68.402.21
- Gross Maier Dressing Forceps W. Ratchet 4 pcs 16.111.27
- Ulrich Swab Forceps 4 pcs 16.161.25
- Wertheim Hysterectomy Forceps 1 pc 12.571.25

Page 138
LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

- Faure Peritoneum Forceps Str. Curved 4 pcs 12.563.20


- Rochester Ochsner Hemostatic Forceps 6 pcs 12.320.20
- Kelly Hemostatic Forceps 4 pcs 12.240.14
- Rochester Ochsner Hemostatic Forceps 10 pcs 12.320.14
- Rochester Pean Hemostatic Forceps 6 pcs 12.310.20
- Kristeller Speculum, Fig. 1, 70x27 mm 2 pcs 70.211.01
- Kristeller Speculum, Fig. 2, 80x30 mm 2 pcs 70.211.02
- Doyen Speculum, Fig. 3, 115x35 mm 2 pcs 70.301.03
- Doyen Speculum, Fig. 1, 55x35 mm 1 pc 70.301.01
- Doyen Speculum, Fig. 1, 55x45 mm 1 pc 70.303.01
- Doyen Speculum, Fig. 2, 85x45 mm 2 pcs 70.303.02
- Doyen Speculum, Fig. 1, 55x60 mm 2 pcs 70.305.01
- Volkmann Retractor 21.5 cm, Sharp 2 pcs 18.280.02
- Sims Uterine Sound Grad Malleable 1 pc 70.581.32
- Doyen Myoma Screw 17 Cm 1 pc 70.641.17
- Container 580 x 280 x 100 mm with long - term textile filters 1 pc 88.601.01
- Identification plate. alum. engrav Hysterectomy Set 1 pc 88.322.02

21. Embriotomy Set 1 Set Rebstock - Germany --


Consist of :
- Smellie Perforator 25 Cm 1 pc 72.306.25
- Beacham Amniotome 26 Cm 1 pc 70.559.26
- Gauss Scalp Flap Forceps 1 pc 72.183.27
- Braun Decapitation Hook 30 Cm 1 pc 72.309.30
- Braun Cranioclast 42 Cm 1 pc 72.302.42
- Naegele Obstetric Forceps 36 Cm 1 pc 72.119.36
- Kielland Obstetric Forceps 41 Cm 1 pc 72.110.41
- Kelly Uterus Polypus Forceps 32 Cm 1 pc 70.542.32

22. Medicine Cabinet 2 Unit MAK - Lokal Mak - 32902


Specifications :
- Made of steel sheet
- Transparent glass 3m
- Construction : Steel sheet
- Consist of : Two compartment, top & bottom

Page 139
LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

- Top : Three shelves, adjustable


- Doors : Two doors with full transparent glass
- Bottom : One shelf with steel doors
- Equipped with : Lock & Key
- Painting : Epoxy powder coating finished

23. Infusion Stand 2 Unit MAK - Lokal Mak - 36101


Specifications :
- Stainless steel pipes
- Steel pipe
- Upper stand : Stainless steel pipe Adjustable with lock
- Lower stand : Steel pipe
- Painting : Epoxy powder coating finished
- Castors : 2"

24. Basic Diagnostic Kit 1 Set Various --


Consist of :
- Blood Pressure apparatus Mercury 1 pc Rebstock - Germany 02.112.00
- Duplex Stethoscope 1 pc Rebstock - Germany 02.246.00
- Taylor Hammer 1 pc Rebstock - Germany 02.288.20
- Buchwald Tongue Depressor 19cm 1 pc Rebstock - Germany 48.109.19
- Laryng Mirror with Handle fig. 5/20 mm 1 pc Rebstock - Germany 52.272.20
- Thermometer Klinis 1 pc Gea - Denmark --
- Senter Pupil 1 pc Taiwan --

25. Anaesthesia Machine With Ventilator - SLW 180ET-H-E - Sharp - Japan 1 Unit Sharp - Japan SLW 180 ET-H-E
Compositions :
- Vaporizer, Etheran, Halothane, Enflurance
Main Specifications and Functions :
- Body dimensions : 51 x 41 x 50 cm
- Body weight : Approx. 14 Kg
- Flowmeter O2 : 0.1 - 10 l/min.
- Flowmeter N2O : 0.5 - 10 l/min
- Canister capacity : 1.000 ml

Page 140
LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

Cut-off Valve (with alarm Whistle) :


- For safety, it will stop the inflow of N2O gas when the pressure through O2 gas
supply line decrease less than 2.2 kg/cm2 with alarm whistle.

Standard Accessories (Body)


- O2 Regulator 1
- N2O Regulator 1
- Pressure tube for O2 and N2O 1 each
- Chimney Piece 1
- Mask (Large, Small) 2
- Head Strap 1
- Corrugated Tube 2
- Reservoir Bag 1
- Air Way (Plastic) 3
- Soda Lime 1 Liter
- Wrench 1
- Trolley Lokal 1

Ventilator
Main Specifications and Functions (SS-1200)
- Ventilation Method : Volume preset, time cycling
- Ventilation Mode : Controller
- Tidal Volume : 100 to 1,200 ml
- Breathing Frequency : 5 to 35bpm
- I/E Ratio : 1 : 2 (fixed)
- Bagmeter : -10 to +90 cm H2O
- Relief Valve : 45 cm H2O (fixed)
- Low Inspiratory Pressure : Below + 5 cm H2O
- Audible Alarm Pause : 2 Minutes by push button
"OFF", auto-return type
- Power Requirement : AC 100 V or AC 220 V (as required) 50/60 Hz
- Power Consumption : 35 VA (at AC 220V)
- Outer Dimensions : 41(W) x 25(H) x 24(D) cm
- Weight : Approx. 15 kg

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No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

Standard Accessories :
- Corrugated hose (reusable) 22 dia., 100 cm 1
- Corrugated hose (reusable), 120 cm 1
- Hose connection adaptor (19 dia. to 22 dia.) 1
- Test lung 1
- Power cord 1

26. Intubation Kit 1 Unit Spencer - Italy DG - 80005 A


Specifications :
- Designed by to organise airway management instruments in a functional easy to
use module. Can be used as an independent kit or as part of a modular system .
* Laryngoscope handle 1
* Disposable blade for fiber optic laryngoscope McIntosh
size 1/2/3 2
* Guedel oral airway size 0/1/2/3/4 5
* Endotracheal tubes size 6/7/8/9 4
* Silk adhesive tap 1.25 cm x 5 mt. 1
* Sryinge 5 ml 1
* Magill adult 1
* Magill pediatric 1
* Exell mouth wedge 1

27. Resuscitation Set 1 Unit Spencer - Italy CB-08011 A


Specifications :
- Safety orange-bag with 2 small sidepockets and hardplastic case (removable).
Ideal hard case-substitute, for lighter transport in difficult areas, with velcro lock
and long shoulder strap, includes :
* Aneroid sphigmomanometer 1
* Phonendoscope 1
* Oxygen bottle, 0,5 liter 1
* Oxygen reducer with diaphragm fixed calibration 1
* PVC connected tube 1
* Eco-B Life resuscitation bag 1
* Eco-B Life adult mask size 5 1
* Eco-B Life children mask size 3 1

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I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

* Res-Q-Vac portable aspirator 1


* Set of Guedel airways sizes 1/2/3 1
* Exell depresse tongue 1
* Magill forceps 1
* Universal scissors 18 cm 1
* Tongue forcep type collin 1
* Plastic pen light 1
* Emergency blanket 1
* Size : 50 x 23 x 23 cm

28. Medicine Trolley 2 Unit MAK - Lokal Mak - 366602


Specifications :
- Made of steel sheet
- Stainless steel pipe
- Acrylic sheet
- Trolley : Made of steel sheet
- Lower part : Two steel drawers and one cupboard
- Acrylic drawers : 50 pcs
- Handle : Stainless steel pipe
- Castor : 5" two with brake
- Painting : Epoxy powder coating finished
- Dimensions : 700 x 590 x 1000 mm

29. Patient Monitor, Neonatal, Pedia., Adult 1 Unit RGB - Spain A - 31


Parameter :
- Three Leads ECG
- NIBP
- Pulse Oxyimetri
- Temperature
- Respiration

Specifications :
- Dimensions : 232(L) x 208(W) x 242(H) mm
- Weight : 4.8 kg

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I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

- Power supply :
* AC input voltage : 85 - 264 V -; 47 - 65 Hz
* AC input power : 15 to 55 VA
* DC input vechicle : 12 V adaptor
- Battery : 1 hour maximum autonomy Built-in charger
- Environmental conditions :
* Operating temperature : 0°C to 40°C; 32°F to 104°F
* Relative humidity : 5% to 90% non-condensing

- Display :
* Electroluminescent dispaly
- Size : 130 x 95 mm
- Diagonal : 161 mm / 6.3 inches

* Resolution : 320 x 240 pixels


* Sweep speed : 12.5 / 25 mm/s
- Safety standard : Complies with IEC 601 standards.
Patient leakage current < 100 uA
- Patient safety : Class I, CF for all channel
- Alarms : |Optical / acoustic user free selectable with
priority levels.
Upper / lower limits for all parameters.
- Standard interface : One RS-232-c serial channel for Central Station,
external recorder or PC link.
- Trends : Up to 72 hours for all parameters; graphical and
numerical representation. Selectable storage rate.
- Keyboard : Flat touch dedicated keys.
- Use : User-friendly, easy to use menu-driven operation
options.
- Recorder : Optional 2 channel grpahic and numerical
external recorder.
ECG
- Amplifier : Fully isolated, defibrillator protected > 5 kV;
recovery time < 5 s RF noise and monitoring
filters.

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LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

- Leads : User selectable (I, II, III).


- Heart rate :
* Range : 20 tp 300 bpm
* Rosolution : 1 bpm

* Accuracy : ± 2%
- CMRR : - > 115 dB in monitor mode
- > 90 dB in diagnostic mode
- Input impedance : > 5 MOhms at 10 Hz
- Signal features
* Bandwidth : - Diagnostic mode : 0.05 to 100 Hz
- Monitor mode : 0.5 to 25 Hz
* Programmable gain : 1 to 8 mV
- Pacemaker detection and
rejection : - Pulse duration : 0.1 to 2 ms
- Pulse amplitude : ±2 to ±700 mV
- Operating modes : Monitor, diagnostic and operating room.

Non-Invasive Blood Pressure


- Measurement procedure : Oscillometric method.
- Cuffs : Optional different sizes.
- Measurement time :
* Typical : 25 to 45 s
* Maximum : 90 s
- Neonate
* Range
- Systolic : 30 to 130 mmHg
- Diastolic : 10 to 114 mmHg
- Mean : 20 to 122 mmHg
* Overpressure limit : 150 mmHg

- Pulse rate :
* Range : 40 to 250 bpm
* Resolution : 1 bpm
* Accuracy : ± 3%

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I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

Respiration
- Amplifier : Fully isolated, defibrillator protected > 5 kV
- Measurement : - Impedance method
- Range : 0 to 150 bpm
- Resolution : 1 rpm
- Accuracy : ± 2 rpm

- Signal features :
* Maximum impedance : 2 kOhms
* Sensitivity range : 0.2 to 15 Ohms
* Excitation current : < 400 uA
* Frequency : 62.5 kHz
- Sweep speed : 6.25 mm/s
- Apnoea : User selectable from 10 sec to 40 sec.
in 5 sec. steps.

Pulse Oximetry SpO2


- Amplifier : Fully isolated, defibrillator protected > 5 kV
- Saturation measurement : - Range : 40 to 100 %
- Resolution : 1 %
- Accuracy : 85 to 100%; ± 1.5%
70 to 85%; ± 2%
|Improved algorithm providing high artifact
|rejection against movement or poor signal.
- Pulse rate : - Range : 30 to 250 bpm
- Resolution : 1 bpm
- Accuracy : ± 3%
- Display : Graphical peripheral pulse

Temperature
- Amplifier : Fully isolated, defibrillator protected > 5 kV
|Automatic rejection against ESIS through real
time signal analysis.

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LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

- Temperature measurement
* Range : 15 to 45 °C; 59 to 113 °F
* Resolution : 0.1 °C; 0.2 °F
* Accuracy : ± 0.1 °C
* Use of oesophageal, rectal or skin probes.

Accessories for Adult Cat FT 01


- 3 Lead ECG Cable set
- SPo2 Finger clip sensor with extension cable
- NIBP cuff with extension tube
- User Manual

Accessories for Fediatric Cat FT 02


- 3 Lead ECG Cable set
- SPo2 Finger clip sensor with extension cable
- NIBP cuff with extension tube
- User Manual

Accessories for Neonate Cat FT 03


- ECG main truck cable and 3 set of disposable electrodes
- Reusable SPo2 Finger clip sensor with extension cable
- Box of 10 disposable NIBP cuffs 9 3-6cm) with extension tube
- User Manual

30. Mayo Stand 4 Unit MAK - Lokal Mak - 35101


Specifications :
- Made of stainless steel sheet & pipes
- Steel sheet
- Stainless steel pipe
- Tray : Made of stainless steel sheet with list on each side
- Stand : Made of steel sheet, epoxy powder coating finished
- Height : Made of stainless steel pipe adjustable with lock
- Castor : 2"

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LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

31. Kick Bucket 0 Unit Lokal -- 4 Unit pindahan dari IRD

32. UV Room Sterilizer 0 Unit Meditec - Lokal MIT - 91 UV 1 unit pindahan dari IRD
Features :
- The most effective and practical method to sterilize a surgery room and hospital
rooms is by means of ultraviolet lamps, Uv radiation will immediately kill all
bacteria, germs and viruses.
- Sterilization with Uv lamps definitely offer more advantages compared with a
medicine sprayer.

Medicine Sprayer
- Foulsmelling and can harm human health. Takes a long time (6-12 hours) to
sterilize. Room can not be used before sterilization process is over.
- Can damage and corrode medical equipments and hospital facilities such as
: surgery lamps AC, etc
- It will develop bacterial resistance.
- Not all bacteria, only a few, can-be sterilized.

Ultraviolet Lamps
- Free from foul smells and polution of germicides ad chemicals.
- Needs short time, only 1-8 hours, for sterilization process.
- Does not cause corrosion.
- Will not develop resistance of bacteria, germs and viruses to Uv rays.
- All bacteria, germs and viruses can be sterilized.
- Equipped with a timer that regulates the duration of radiation time. It is also
equipped with a Hour Counter that counts total hours use of the Uv lamps.

Warning
- When using the equipment, avoid face and eyes from exposure to Uv rays.
- This equipment is designed to start working 3 minutes after switch-on, then
|everybody has to leave the room to avoid Uv radiation.
- Clean the equipment with dry cloth.
- When the Uv lamps are glowing faintly, it means its effectiveness is decreasing
and needs a change a change of new lamps.

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I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

Specifications :
- Power supply : AC 220 V, 50 Hz
- Power Consumption : 180 Watt
- Un Lamps : - 4 pcs, of 30 watt
- 1 pcs, of 10 watt
- Lamp Life : 3.000 hours

Dimensions :
- Size : 1.100 mm x1.100 mm x 1.310 mm
- Weight : ± 30 kg

33. WSD (Water Seal Drainage) 1 Set Rebstock - Germany -- 1 set pindahan dari IRD
Consist of :
- Cushing Forceps Lamin. 2 x 10, 12.5 cm 1 pc 40.420.01
- Scalpel Handle No. 3 1 pc 06.103.00
- Forceps Tissue 1 x 2 T., 11.5 cm 1 pc 10.120.11
- Scissors, Bl/Bl Curved, 16.5 cm 1 pc 08.103.16
- Scissors, Bl/Bl Straight, 14.5 cm 1 pc 08.102.14
- Kelly Hemostatic Forceps, 14 cm, Straight 2 pcs 12.240.14
- Kocher Hemostatic Forceps, Delicate 1 x 2 T., 14 cm, Straight 2 pcs 12.322.14
- Mikulicz Peritoneum Forceps 1 x 2 T., 20 cm, Curved. 1 pc 12.551.20
- Langenbeck Retr. 21 cm, 30 x 11 mm 2 pcs 18.310.01
- Mayo Hegar Needle Holder 1 pc 24.180.18

34. Instrument Trolley 0 Unit MAK - Lokal Mak - 35101


Specifications :
- Made of stainless steel sheet 1, 1.5 mm
- Stainless steel pipe 5/8"
- Construction : Stainless steel sheet
- Upper shelf : Consist of one drawer with list on each side
- Lower shelf : Stainless steel sheet with list on each side
- Handle : Stainless steel pipe
- Castor : 2"

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LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

35. Double Bowl Stand 1 Unit MAK - Lokal Mak - 36302 1 unit pindahan dari IRD
Specifications :
- Made of stainless steel pipes
- Stainless steel washing basin 320 mm diameter
- Castor 2"
- Construction : Made of stainless steel pipes
- Basin : Two pcs, stainless steel
- Handle : On each side also function as towel hanger
- Castor : 2"

36. Tempat Alat Tenun Kotor Beroda 1 Unit MAK - Lokal Mak - 35301 1 unit pindahan dari IRD
Specifications :
- Made of steel sheet
- Steel wire mesh
- Construction : Steel sheet
- Side : Wire mesh on all side
- Castor : 5" two with brake
- Painting : Epoxy powder coating finished
1 unit pindahan dari IRD
37. Tempat Kain Kasa Kotor Beroda 1 Unit Lokal --

38. Obstetric Set 0 Set Rebstock - Germany -- 2 set pindahan dari IRD
Consist of :
- Scissors, BL/SH Straight, 15.5 cm 1 pc 08.110.15
- Scissors, BL/SH Curved, 15.5 cm 1 pc 08.111.15
- Mayo Scissors Straight, 17.0 cm 1 pc 08.160.17
- Mayo Scissors Curved, 17.0 cm 3 pcs 08.161.17
- Rochester Pean Hemostatic Forceps, 18 cm, Curved 3 pcs 12.311.18
- Rochester Pean Hemostatic Forceps, 18 cm, Straight 3 pcs 12.310.18
- Roch. Ochsner Hemostatic Forceps 1x2 T., 20 cm, Straight 3 pcs 12.320.20
- Roch. Ochsner Hemostatic Forceps 1x2 T., 20 cm, Curved 3 pcs 12.321.20
- Crile Hemostatic Forceps, Straight 6 pcs 12.250.14
- Crile Hemostatic Forceps, Curved 2 pcs 12.251.14
- Forceps Dressing, 16.0 cm 2 pcs 10.102.16
- Forceps Tissue 1x2 T., 16.0 cm 2 pcs 10.120.16

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LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

- Forceps Russian Pattern 2 pcs 10.256.20


- Mayo Hegar Needle Holder TC 2 pcs 24.184.18
- Thoms Allis Forceps 6x7 Teeth, 20 cm 1 pc 64.150.20
- Backhaus Towel Forceps, 13 cm 12 pcs 14.111.13
- Mayo Hegar Needle Holder TC 2 pcs 24.184.20
- Foerster Swab Forceps Narrow, 25 cm, Curved 1 pc 16.175.25
- Braun Stadler Episot. Scissors 1 pc 08.560.14
- Sims Speculum Medium Size 1 pc 70.281.02
- Sims Speculum Large Size 1 pc 70.281.03
- Simpson Braun Obstetric Forceps 36 cm 1 pc 72.105.36
- Simpson Obstetric Forceps 30 cm 1 pc 72.102.30
- Container 580 x 280 x 100 mm with long - term textile filters 1 pc 88.601.01
- identification plate. alum engrav Obstetric Set 1 pc 88.322.02

39. Gynaecological Examination Set 1 Set Rebstock - Germany -- 1 set pindahan dari IRD
Consist of :
- Scalpe Handle, No. 3 1 pc 06.103.00
- Scalpe Handle, No. 4 1 pc 06.104.00
- Scalpe Handle, No. 3L 1 pc 06.103.02
- Scalpe Handle, No. 4L 1 pc 06.104.02
- Yankauer Aspiration Tube 1 pc 04.150.27
- Scissors, BL/SH Straight, 14.5 cm 1 pc 08.110.14
- Pratt Hemostatic Forceps 2 pcs 12.360.15
- Rochester Pean Hemostatic Forceps 3 pcs 12.311.20
- Rochester Pean Hemostatic Forceps 3 pcs 12.310.20
- Rochester Ochsner Hemostatic Forceps 3 pcs 12.321.20
- Rochester Ochsner Hemostatic Forceps 3 pcs 12.320.20
- Crile Hemostatic Forceps 6 pcs 12.250.14
- Crile Hemostatic Forceps 6 pcs 12.251.14
- Forceps Dressing, 20.0 cm 1 pc 10.102.20
- Forceps Tissue 1x2 Teeth, 20.0 Cm 2 pcs 10.120.20
- Forceps Russian Pattern 1 pc 10.256.20
- Forceps Russian Pattern 1 pc 10.256.25
- Mayo Hegar Needle Holder 1 pc 24.180.20
- Heaney Needle Holder 2 pcs 24.241.21

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LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

- Mayo Hegar Needle Holder 2 pcs 24.180.18


- Mayo Hegar Needle Holder TC 2 pcs 24.184.20
- Scissors, SH/SH Straight, 14.5 Cm 1 pc 08.120.14
- Scissors, BL/BL Straight, 14.5 Cm 1 pc 08.102.14
- Poole Aspiration Tube 23 Fr. 2 pcs 04.140.08
- Allis Tissue Forceps 19 cm, 5x6 Teeth 2 pcs 64.120.19
- Allis Tissue Forceps 24 cm, 5x6 Teeth 2 pcs 64.120.24
- Backhaus Towel Forceps 8 pcs 14.111.13
- Potts Smith Forceps Serrated, 21 Cm 1 pc 10.112.21
- Metzenbaum Scissors Curved, 23 Cm 1 pc 08.281.23
- Metzenbaum Scissors Straight, 23 Cm 1 pc 08.280.23
- Bozemann Swab Forceps S-Shaped 2 pcs 16.231.26
- Foerster Swab Forceps Serrated 2 pcs 16.170.25
- Mayo (Harrington) Scissors, 23 Cm 1 pc 08.160.23
- Mayo (Harrington) Scissors, 23 Cm 1 pc 08.161.23
- Heaney Hysterectomy Forceps 2 Teeth 2 pcs 12.593.20
- Heaney Hysterectomy Forceps 1 Tooth 2 pcs 12.591.20
- Phaneuf Peritoneum Forceps 2 pcs 12.554.21
- Mikulicz Peritoneum Forceps 2 pcs 12.551.20
- Sims Specula Set = 3 EA 1 pc 70.291.00
- Auvard Speculum Detach. Weight 1 pc 70.307.00
- Grave Speculum, Fig. 1, 75x20 mm 1 pc 70.110.01
- Grave Speculum, Fig. 2, 95x35 mm 1 pc 70.110.02
- Grave Speculum, Fig. 3, 115x35 mm 1 pc 70.110.03
- Hank Uterine Dilator 6 EA / Pouch 1 pc 70.436.08
- Martin Uterine Sound Grad Malleable 1 pc 70.583.32
- Foester Swab Forceps Serrated 1 pc 16.170.20
- Schroeder Vulsellum Forceps 2x2 Teeth 2 pcs 70.514.24
- Allis Adair Forceps 10x11 Teeth, 15.5 Cm 2 pcs 64.130.15
- Goodell Uterine Dilator 34 Cm 1 pc 70.441.34
- Container 580 x 280 x 21 mm with long - term textile filters 1 pc 88.601.21
- Identification plate. alum. engrav Gynaecolo Set 1 pc 88.322.02

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LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

40. Minilaparotomy Instrument Set 1 Set Rebstock - Germany -- 1 set pindahan dari IRD
Consist of :
- Balfour Baby Abdominal retractor 1 pc 18.766.90
- Ribbon Retractor 12 X 200 mm 1 pc 18.168.12
- Deaver Retractor 19 X 180 mm 1 pc 18.180.19
- Senn Retractor Double Sharp 1 pc 18.160.17
- Senn Retractor Double Blunt 1 pc 18.161.17
- Parker Retractor Double Pair, 13 Cm 1 pc 18.110.13
- Rochester Pean Hemostatic Forceps, 14 Cm, Straight 3 pcs 12.310.14
- Rochester Pean Hemostatic Forceps, 14 Cm, Curved 3 pcs 12.311.14
- Rochester Ochsner Hemostatic Forceps, 1 x 2 T., 14 Cm, Straight 3 pcs 12.320.14
- Rochester Ochsner Hemostatic Forceps, 1 x 2 T., 14 Cm, Curved 3 pcs 12.321.14
- Crile Hemostatic Forceps, Straight 4 pcs 12.250.14
- Crile Hemostatic Forceps, Curved 4 pcs 12.251.14
- Halsted Mosquito Forceps, 14 Cm, Straight 6 pcs 12.220.14
- Halsted Mosquito Forceps, 14 Cm, Curved 6 pcs 12.221.14
- Babcock Seizing Forceps, 16 Cm 3 pcs 64.160.16
- Allis Tissue Forceps 15 Cm, 5 x 6 Teeth 3 pcs 64.120.15
- Adson Forceps 1 x 2 Teeth 1 pc 10.180.12
- Adson Forceps Serrated 1 pc 10.170.12
- Semken Forceps 1 x 2 Teeth 1 pc 10.270.15
- Semken Forceps Serrated 1 pc 10.260.15
- Scissors, BL/SH Straight, 14.5 Cm 1 pc 08.110.14
- Metzenbaum Scissors Curved, 18 Cm 1 pc 08.281.18
- Metzenbaum Scissors Curved, 15 Cm 1 pc 08.281.15
- Scalpel Handle No. 3 2 pcs 06.103.00
- Foerster Swab Forceps Serrated, 18 Cm 2 pcs 16.170.18
- Yankauer Aspiration Tube 1 pc 04.150.27
- Half - size Container 285 x 280 x 150 with long - term textile filters 1 pc 88.621.21
- Identification plate alum. engrav Minilaparatomy Set 1 pc 88.322.02

41. Accudrill Complete 0 Set Orthomedical - Germany -- 1 set pindahan dari IRD
Consist of :
- Accudrill Complete incl. 2 Batteries. 95-349.00
- Twist Drill for Jacobs Chuck 95-169.01

Page 153
LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

- Twist Drill for Jacobs Chuck 95-169.02


- Twist Drill for Jacobs Chuck 95-169.03
- Twist Drill for Jacobs Chuck 95-169.04
- Twist Drill for Jacobs Chuck 95-169.05
- Twist Drill for Jacobs Chuck 95-169.06
- Twist Drill for Jacobs Chuck 95-169.07
- Twist Drill for Jacobs Chuck 95-169.08
- Twist Drill for Jacobs Chuck 95-169.09
- Twist Drill for Jacobs Chuck 95-169.10
- Twist Drill for Jacobs Chuck 95-169.11

42. Cannulated Screws and Instrument Set 0 Set Orthomedical - Germany -- 1 set pindahan dari IRD
Consist of :
- Aluminium Container, Perforated 1 pc 95-001.01
- Lower Tray 1 pc 95-110.22
- Upper Tray 1 pc 95-110.23
- Cannul. Screw, diam. 7.0 mm, 30 mm 2 pcs 95-111.030
- Cannul. Screw, diam. 7.0 mm, 35 mm 2 pcs 95-111.035
- Cannul. Screw, diam. 7.0 mm, 40 mm 2 pcs 95-111.040
- Cannul. Screw, diam. 7.0 mm, 45 mm 2 pcs 95-111.045
- Cannul. Screw, diam. 7.0 mm, 50 mm 2 pcs 95-111.050
- Cannul. Screw, diam. 7.0 mm, 55 mm 2 pcs 95-111.055
- Cannul. Screw, diam. 7.0 mm, 60 mm 2 pcs 95-111.060
- Cannul. Screw, diam. 7.0 mm, 65 mm 2 pcs 95-111.065
- Cannul. Screw, diam. 7.0 mm, 70 mm 4 pcs 95-111.070
- Cannul. Screw, diam. 7.0 mm, 75 mm 4 pcs 95-111.075
- Cannul. Screw, diam. 7.0 mm, 80 mm 4 pcs 95-111.080
- Cannul. Screw, diam. 7.0 mm, 85 mm 4 pcs 95-111.085
- Cannul. Screw, diam. 7.0 mm, 90 mm 4 pcs 95-111.090
- Cannul. Screw, diam. 7.0 mm, 95 mm 4 pcs 95-111.095
- Cannul. Screw, diam. 7.0 mm, 100 mm 4 pcs 95-111.100
- Cannul. Screw, diam. 7.0 mm, 105 mm 2 pcs 95-111.105
- Cannul. Screw, diam. 7.0 mm, 110 mm 2 pcs 95-111.110
- Cannul. Screw, diam. 7.0 mm, 115 mm 2 pcs 95-111.115
- Cannul. Screw, diam. 7.0 mm, 120 mm 2 pcs 95-111.120

Page 154
LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

- Cannul. Screw, diam. 7.0 mm, 45 mm 1 pc 95-112.045


- Cannul. Screw, diam. 7.0 mm, 50 mm 1 pc 95-112.050
- Cannul. Screw, diam. 7.0 mm, 55 mm 1 pc 95-112.055
- Cannul. Screw, diam. 7.0 mm, 60 mm 1 pc 95-112.060
- Cannul. Screw, diam. 7.0 mm, 65 mm 1 pc 95-112.065
- Cannul. Screw, diam. 7.0 mm, 70 mm 2 pcs 95-112.070
- Cannul. Screw, diam. 7.0 mm, 75 mm 2 pcs 95-112.075
- Cannul. Screw, diam. 7.0 mm, 80 mm 2 pcs 95-112.080
- Cannul. Screw, diam. 7.0 mm, 85 mm 2 pcs 95-112.085
- Cannul. Screw, diam. 7.0 mm, 90 mm 2 pcs 95-112.090
- Cannul. Screw, diam. 7.0 mm, 95 mm 2 pcs 95-112.095
- Cannul. Screw, diam. 7.0 mm, 100 mm 2 pcs 95-112.100
- Cannul. Screw, diam. 7.0 mm, 105 mm 1 pc 95-112.105
- Cannul. Screw, diam. 7.0 mm, 110 mm 1 pc 95-112.110
- Cannul. Screw, diam. 7.0 mm, 115 mm 1 pc 95-112.115
- Cannul. Screw, diam. 7.0 mm, 120 mm 1 pc 95-112.120
- Washer, Cann. Screw, 7.0 mm 6 pcs 95-120.19
- Drill Bit., diam. 5.0 mm 1 pc 95-115.00
- Cortical Reamer, diam. 7.0 mm 1 pc 95-116.03
- Drill Bit, diam. 5.0 mm 1 pc 95-117.00
- Tap, diam. 7.0 mm 1 pc 95-118.03
- Screw Driver, for 7.0 mm, Cann., Screws 1 pc 95-119.01
- Tissue Protector - and Tapping Sleeve 1 pc 95-120.00
- Guide wire, 230mm, diam. 2.0mm for cann. screws 10 pc 95-234.20Q
- Screw Forcep, Self-Holding 1 pc 95-193.00

43. Basic Diagnostic Kit 0 Set Various -- 2 set pindahan dari IRD
Consist of :
- Blood Pressure apparatus Mercury 1 pc Rebstock - Germany 02.112.00
- Duplex Stethoscope 1 pc Rebstock - Germany 02.246.00
- Taylor Hammer 1 pc Rebstock - Germany 02.288.20
- Buchwald Tongue Depressor 19cm 1 pc Rebstock - Germany 48.109.19
- Laryng Mirror with Handle fig. 5/20 mm 1 pc Rebstock - Germany 52.272.20
- Thermometer Klinis 1 pc Gea - Denmark --
- Senter pupil 1 pc Taiwan --

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No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

8.2. Ruang Anesthesi


1. Patient Stretcher 1 Unit MAK - Lokal Mak - 31208
Specifications :
- Made of stainless steel pipes
- Steel sheet for base mattress
- Construction : Stainless steel pipes
- Mattress : Foam & imitation leather
- Backrest : Adjustable by telescoping mechanism
- Equipped with : I.V. stand
Bracket oxygen
Rack for clothes
Safety side guard
- Castor 5" two with brake

2. Infusion Stand 1 Unit MAK - Lokal Mak - 36101


Specifications :
- Stainless steel pipes
- Steel pipe
- Upper stand : Stainless steel pipe Adjustable with lock
- Lower stand : Steel pipe
- Painting : Epoxy powder coating finished
- Castors : 2"

3. Medicine Cabinet 1 Unit MAK - Lokal Mak - 32902


Specifications :
- Made of steel sheet
- Transparent glass 3m
- Construction : Steel sheet
- Consist of : Two compartment, top & bottom
- Top : Three shelves, adjustable
- Doors : Two doors with full transparent glass
- Bottom : One shelf with steel doors
- Equipped with : Lock & Key
- Painting : Epoxy powder coating finished

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No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

4. Weighing Scale 1 Unit Citizein - Japan --

5. Suction Pump 1 Unit Sturdy - Taiwan SS - 300


Features :
- User-friendly design to fulfil the quality standard requirement, Ideal for use in
operation theater room or general wards providing an efficient performance for
most procedures os suction environment such as suction biopsy, surgery,
endometrical curettage, obstetric and abortion etc.
- Dial regulate control knob to your desired vacuum flow rate from LOW to HIGH
capable of sustaining sufficient vacuum for most suction environment.
- Built-in a vacuum gauge with a range from 0 to 760 mmHG.
- 4 anti-static wheels with lock convenient for operation and delivery.
- Two autoclavable glass collection bottle each has a 3000 cc.
- Capacity graduated by millimeter incorporating over-flow protective device.
- Choise of bacteria-retentive filter to prevent dispersal of bacteria aerosols into
the environment.
- Attentively designed with cabinet on back of body providing a convenient way for
internal storage.
- Comes with safety device for foot switch.

Specifications :
- Pump : Oil Rotary Vane
- Watts : 226
- Cylinder : Non
- Max airflow : 80 LPM
- Max vacuum : 700 mmHg (933 mbar)

Standard Accessories :
- 3000 CC glass collection bottles 2
- Foot switch 1
- Silicon tubing 1
- Specimen collection tube 1
- Water cup for disinfection 1

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No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

6. Sthethoscope 1 Unit ABN - Lokal --

7. Mercurial Sphygmomanometer Stand 1 Unit ABN - Lokal 02-161-011

Specifications :
- Tensimeter air raksa yang dirancang khusus untuk bergerak bebas dan aman.
Roda model spider leg memberikan kestabilan tinggi dan penampilan prima.
Pegas penahan hentakan dipasang di dalam penopang utama untuk mencegah
kerusakan. Inflation system ditempatkan dalam wadah yang terbuat dari serat
fiber.

8. Resuscitation Set 1 Unit Spencer - Italy CB-08011 A


Specifications :
- Safety orange-bag with 2 small sidepockets and hardplastic case (removable).
Ideal hard case-substitute, for lighter transport in difficult areas, with velcro lock
and long shoulder strap, includes :
* Aneroid sphygmomanometer 1
* Phonendoscope 1
* Oxygen bottle, 0,5 liter 1
* Oxygen reducer with diaphragm fixed calibration 1
* PVC connected tube 1
* Eco-B Life resuscitation bag 1
* Eco-B Life adult mask size 5 1
* Eco-B Life children mask size 3 1
* Res-Q-Vac portable aspirator 1
* Set of Guedel airways sizes 1/2/3 1
* Exell depresse tongue 1
* Magill forceps 1
* Universal scissors 18 cm 1
* Tongue forcep type collin 1
* Plastic pen light 1
* Emergency blanket 1
* Size : 50 x 23 x 23 cm

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No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

9. Intubation Kit 1 Unit Spencer - Italy DG - 80005 A


Specifications :
- Designed by to organise airway management instruments in a functional easy to
use module. Can be used as an independent kit or as part of a modular system .
* Laryngoscope handle 1
* Disposable blade for fiber optic laryngoscope McIntosh
size 1/2/3 2
* Guedel oral airway size 0/1/2/3/4 5
* Endotracheal tubes size 6/7/8/9 4
* Silk adhesive tap 1.25 cm x 5 mt. 1
* Sryinge 5 ml 1
* Magill adult 1
* Magill pediatric 1
* Exell mouth wedge 1

10. Instrument Trolley 1 Unit MAK - Lokal Mak - 35101


Specifications :
- Made of stainless steel sheet 1, 1.5 mm
- Stainless steel pipe 5/8"
- Construction : Stainless steel sheet
- Upper shelf : Consist of one drawer with list on each side
- Lower shelf : Stainless steel sheet with list on each side
- Handle : Stainless steel pipe
- Castor : 2"

8.3. Ruang Recovary


(2 T.T.)
1. Patient Bed + Mattress 0 Unit MAK - Lokal Mak - 31801 C 2 Unit pindahan dari IRD
Specifications :
- Head & foot panel : Funished wood
- I.V. stand : Stainless steel adjustable type
- Back raise : Adjustable manually by crank
- Knee raise : NOne

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No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

- Hi - Lo : None
- Safety side guard : Stainless steel with automatic "lock in
position" system

2. Oxygen Theraphy Set (Cap. 6.000 Ltr) 0 Unit Sharp - Japan -- 2 Unit pindahan dari IRD

3. Infusion Stand 2 Unit MAK - Lokal Mak - 36101 2 Unit pindahan dari IRD
Specifications :
- Stainless steel pipes
- Steel pipe
- Upper stand : Stainless steel pipe Adjustable with lock
- Lower stand : Steel pipe
- Painting : Epoxy powder coating finished
- Castors : 2"

4. Infusion Pump 0 Unit JMS - Japan OT - 701 2 Unit pindahan dari IRD
Specifications :
- Pump type : Drip rate peristaltic finger pump
- Set requirement : |Standard PVC IV set (15-20 drops/ml) or micro
|IV set (60 drops/ml) with 3.4 - 4.5 mm O.D. tubing.

- Flow rate :
IV Set mL / hr drops/min
15 - 20 drops / ml 1-450 (1-100) ml 1-100 (1-100) drops/min
60 drops / ml 1-100 (1-100) ml 1-100 (1-100) drops/min

- Rate step : 1 ml step


- Flow rate accuracy : ± 10% (with adjusting function)
- Drip rate accuracy : 2% (after more than 500 drops have been
infused).
- Volume infused display : 0 - 9999 ml.
- Volume limit : 1 - 9999 ml or no limit.
- Purge rate : More than 450 ml / hr.
- Alarms : Door Open, Low Battery, Internal Malfunction,
Air in Line, Infusion Complete, Empty Container,
Reminder, Abnormal Drips.

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I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

- KVO (keep Vein Open) : 1 ml / hr


- Occlusion pressure : 60 - 140 kPa (adjustable)
- Air detection method : Ultrasonic
- Drip detection method : Double infrared photoelectric beam
- Finger Cassette : Detachable
- Tube Clamp : With lock lever, detachable
- Nurse Call : Terminal on the bottom
- Communication : Optical communication
- Display : Color LCD with back light
- Battery : Rechargeable Nickle Cadmium
- Battery life : 4 hours at 125 ml/hr when fully
Charged.
- Recharge : 30 hours when fully discharged.
- Operation conditions : Ambient temperature : 15°C to 40°C
Relative humidity : 30% to 85%
(with no condensation)
- Storage conditions : Ambient temperature : -10°C to 45°C
Relative humidity : 20% to 95%
(with no condensation)
- Dimensions : 180 (W) x 148(D) x 210(H) mm
- Weight : 2.3 kg
- Power required : 85 to 264 Vac, 50/60 Hz
- Power consumption : 12 VA
- Electric shock, Protective type : Class II Type CF

5. Syringe Pump 0 Unit JMS - Japan SP-500 1 Unit Pindahan dari IRD
Specifications :
Syringe used
- JMS 10 ml, 20 ml, 30 ml, 50 ml Setting for major syringe brands or voluntary
setting possible.
- Consult with your local distributor.

Flow rate range


- 0.1 to 200ml/hr. with 10 ml syringe
- 0.1 to 300ml/hr. with 20ml, 30ml or 50ml syringe in 0.1 ml/hr. increments

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I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

Accuracy
- Drive accuracy ± 1% with JMS syringe ± 3% (after 1 hour, flow rate 1ml/hr or
higher).

Rapid mode for purge or bolus


- Approx. 200 ml/hr. (10 ml syringe)
- Approx. 350 ml/hr. (20 ml syringe)
- Approx. 450 ml/hr. (30 ml syringe)
- Approx. 800 ml/hr. (50 ml syringe)

Purge
- This function is used to purge air from extension tube, and to fit syringe plunger
anto the pressure sensor, while not summing up the volume infused.

Bolus
- This function is used for bolus infusion. The volume infused will be summed up
and displayed.

Volume infused display


- 0.1 to 999,9 ml in 0.1 ml increments
- With resetting function

Occlusion detection
- |Direct sensing of syringe plunger by pressure sensor loadcell. 3 levels are
selectable.
L (low pressure)
0.2 to 0.6 kgf/cm2(150 to 440 mmHg) when sensitive occlusion sensing
is required.
M (medium pressure)
0.5 to 0.9 kgf/cm2 (370 to 660 mmHg)
Normal setting
H (high pressure)
|0.8 to 1.4 kgf/cm2 (590 to 1000 mmHg) when high pressure is expected due to
tandem connection with infusion pump or use of viscous solution.

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No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

Alarms
- Red alarm lamp and auidible alarm
- Near empty (small remains or 5min. Before completion)
- End
- Low battery
- Occlusion
- Syringe disengaged
- Internal malfunction

Reminder Alarms
- 20 seconds after purging or bolus
- 2 minutes after flow rate setting

Power required
- 220 V AC, 50 Hz.
- Power Consumption 15 VA

Battery
- Rechargeable nickel cadmium
- Battery life 4 hours (fully charged new battery)
- Rechargeable time : 17 hours when fully discharged

Accessories
- Power cord (3 meters long)
- Pole clamp
- Operator's manual
- Quick reference sheet

Classification
- Class I type CF
- Drip proof

Standards
- IEC 601-1
- IEC 601-1-2

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RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

- Electromagnetic compatibility
- IEC 601-2-24, Part 2 (Draft)
- Particular requirements for safety of infusion pump and controllers

Environmental Conditions
- Operation (no condensation) 10 to 40°C, 30 to 85% RH
- Storage (no condensation)
- -10 to 40°C, 30 to 95% RH
- No direct sunlight

Weight and dimensions


- 2.6 kg
- 340(W) x 134(D) x 134(H0 mm

6. Medicine Cabinet 1 Unit MAK - Lokal Mak - 36601


Specifications :
- Made of steel sheet
- Stainless steel pipes
- Acrylic sheet
- Trolley : Made of steel sheet
- Lower part : Two steel drawers and one cupboard
- Acrylic drawers : 25 pcs
- Handle : Stainless steel pipe
- Castor : 5" two with brake
- Painting : Epoxy powder coating finished
- Dimensions : 700 x 1000 x 590 cm

7. Suction Pump 0 Unit Sturdy - Taiwan SS - 300 1 unit pindahan dari IRD
Features :
- User-friendly design to fulfil the quality standard requirement, Ideal for use in
operation theater room or general wards providing an efficient performance for
most procedures os suction environment such as suction biopsy, surgery,
endometrical curettage, obstetric and abortion etc.
- Dial regulate control knob to your desired vacuum flow rate from LOW to HIGH
capable of sustaining sufficient vacuum for most suction environment.

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RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

- Built-in a vacuum gauge with a range from 0 to 760 mmHG.


- 4 anti-static wheels with lock convenient for operation and delivery.
- Two autoclavable glass collection bottle each has a 3000 cc.
- Capacity graduated by millimeter incorporating over-flow protective device.
- Choise of bacteria-retentive filter to prevent dispersal of bacteria aerosols into
the environment.
- Attentively designed with cabinet on back of body providing a convenient way for
internal storage.
- Comes with safety device for foot switch.

Specifications :
- Pump : Oil Rotary Vane
- Watts : 226
- Cylinder : Non
- Max airflow : 80 LPM
- Max vacuum : 700 mmHg (933 mbar)

Standard Accessories :
- 3000 CC glass collection bottles 2
- Foot switch 1
- Silicon tubing 1
- Specimen collection tube 1
- Water cup for disinfection 1

8. Instrument Trolley 0 Unit MAK - Lokal Mak - 35101 1 unit pindahan dari IRD
Specifications :
- Made of stainless steel sheet 1, 1.5 mm
- Stainless steel pipe 5/8"
- Construction : Stainless steel sheet
- Upper shelf : Consist of one drawer with list on each side
- Lower shelf : Stainless steel sheet with list on each side
- Handle : Stainless steel pipe
- Castor : 2"

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RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

9. Resuscitation Set 1 Unit Spencer - Italy CB-08011 A


Specifications :
- Safety orange-bag with 2 small sidepockets and hardplastic case (removable).
Ideal hard case-substitute, for lighter transport in difficult areas, with velcro
lock and long shoulder strap, includes :
* Aneroid sphygmomanometer 1
* Phonendoscope 1
* Oxygen bottle, 0,5 liter 1
* Oxygen reducer with diaphragm fixed calibration 1
* PVC connected tube 1
* Eco-B Life resuscitation bag 1
* Eco-B Life adult mask size 5 1
* Eco-B Life children mask size 3 1
* Res-Q-Vac portable aspirator 1
* Set of Guedel airways sizes 1/2/3 1
* Exell depresse tongue 1
* Magill forceps 1
* Universal scissors 18 cm 1
* Tongue forcep type collin 1
* Plastic pen light 1
* Emergency blanket 1
* Size : 50 x 23 x 23 cm

10. Intubation Kit 1 Unit Spencer - Italy DG - 80005 A


Specifications :
- Designed by to organise airway management instruments in a functional easy to
use module. Can be used as an independent kit or as part of a modular system .
* Laryngoscope handle 1
* Disposable blade for fiber optic laryngoscope McIntosh
size 1/2/3 2
* Guedel oral airway size 0/1/2/3/4 5
* Endotracheal tubes size 6/7/8/9 4
* Silk adhesive tap 1.25 cm x 5 mt. 1
* Sryinge 5 ml 1

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I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

* Magill adult 1
* Magill pediatric 1
* Exell mouth wedge 1

11. Kidney Bowl 6 Unit Rebstock - Germany 88.139.25

12. Defibrillator 1 Unit Primedic - Germany ECO - 1


Features :
- ECG monitor tiltable ± 30°
- Large LCD-Display with high contrast
- Clear structure of control panels
- Easy to use
- Slim housing, easy to carry in narrow door-frames and strairwells
- Handy design of housing : protected connectors and paddle cables
- Robust casing of highly shock-resistant synthetic material
- Internal components carried on shock-absorbing foam without screws
- 5 Seconds charging time up to 360 joules
- ECG storage of the last 10 shocks
- Long-life duration due to high battery capacity
- Charging of battery via optional charger
- |Defi charge available with practical locking device, vehicle mounting and further
options
- Excellent price / performance ratio

Specifications :
ECG :
- 3-lead ECG
- Switchable filters : 50/60 Hz
- Amplification of ECG : 0.5 / 1 / 2 cm / mV
- Input impedance : > 50 M Ohm
- CMRR : > 90 dB
- Heartrate alarm adjustable : 30 ... 220 / min
- Heartrate indication in digits : 0 ... 220 / min

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I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

Monitor :
- LCD monitor
- Resolution : 320 x 240 Pixel
- Pixel size : 0.27 x 0.27 mm
- Monitor size : 100 x 80 mm
- Diagonal size : 125 mm / 5"

Printer :
- Thermal printer head
- 1 - Lead printing
- Paper size : 58 mm
- Printing speed : 25 mm / sec.
- Resolution : 8 bits ( = 200 dpi )
Defibrillation :
- Operating modes : Synchronous / asynchronous
- External defibrillation via paddles
- Integrated children paddles
- Energy steps : 10/20/30/50/100/160/200/250/360 joules (50 Ohm)
- Discharges : 60 with 360 joules
- Charging time : 5 sec. up to 360 joules

Power Supply :
- Detachable accu, NiCd : 14.4 V / 1.5 Ah
- Charging of accu via optional charger
- Charging time for 100%
charged accu : <1h

General :
- Size : 42(W( x 42(H) x 12(D) cm
- Weight : 8 Kg
- Power supply of charger : 100 ... 120 V 50/60 Hz or
200 ... 240 V 50/60 Hz or
12 / 24 VDC on vehicles

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I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

Supply with Defi-Monitor ECO 1 :


- PRIMEDIC Accu 1
- EKG - Patient cable, 4-pole with neutral electrode (3+N) 1
- ECG-electrodes Ag/AgC1 dia. 55 mm 30
- Printer paper, 58 mm, 25 m 1
- Electrode gel, 60 g 1
- User manual 1

13. Bedside Monitor, Neonatal, Pedia., Adult 2 Unit RGB - Spain A - 31


Parameter :
- Three Leads ECG
- NIBP
- Pulse Oxyimetri
- Temperature
- Respiration

Specifications :
- Dimensions : 232(L) x 208(W) x 242(H) mm
- Weight : 4.8 kg
- Power supply :
* AC input voltage : 85 - 264 V -; 47 - 65 Hz
* AC input power : 15 to 55 VA
* DC input vechicle : 12 V adaptor
- Battery : 1 hour maximum autonomy Built-in charger
- Environmental conditions :
* Operating temperature : 0°C to 40°C; 32°F to 104°F
* Relative humidity : 5% to 90% non-condensing

- Display :
* Electroluminescent dispaly
- Size : 130 x 95 mm
- Diagonal : 161 mm / 6.3 inches

* Resolution : 320 x 240 pixels


* Sweep speed : 12.5 / 25 mm/s

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No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

- Safety standard : Complies with IEC 601 standards.


Patient leakage current < 100 uA
- Patient safety : Class I, CF for all channel
- Alarms : |Optical / acoustic user free selectable with
priority levels.
Upper / lower limits for all parameters.
- Standard interface : |One RS-232-c serial channel for Central Station,
|external recorder or PC link.
- Trends : |Up to 72 hours for all parameters; graphical and
|numerical representation. Selectable storage rate.
- Keyboard : |Flat touch dedicated keys.
- Use : |User-friendly, easy to use menu-driven operation
|options.
- Recorder : |Optional 2 channel grpahic and numerical
external recorder.
ECG
- Amplifier : |Fully isolated, defibrillator protected > 5 kV;
|recovery time < 5 s RF noise and monitoring
|filters.
- Leads : |User selectable (I, II, III).
- Heart rate :
* Range : 20 tp 300 bpm
* Rosolution : 1 bpm
* Accuracy : ± 2%
- CMRR : - > 115 dB in monitor mode
- > 90 dB in diagnostic mode
- Input impedance : > 5 MOhms at 10 Hz
- Signal features
* Bandwidth : - Diagnostic mode : 0.05 to 100 Hz
- Monitor mode : 0.5 to 25 Hz
* Programmable gain : 1 to 8 mV
- Pacemaker detection and
rejection : - Pulse duration : 0.1 to 2 ms
- Pulse amplitude : ±2 to ±700 mV
- Operating modes : Monitor, diagnostic and operating room.

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I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

Non-Invasive Blood Pressure


- Measurement procedure : Oscillometric method.
- Cuffs : Optional different sizes.
- Measurement time :
* Typical : 25 to 45 s
* Maximum : 90 s

- Neonate
* Range
- Systolic : 30 to 130 mmHg
- Diastolic : 10 to 114 mmHg
- Mean : 20 to 122 mmHg
* Overpressure limit : 150 mmHg

- Pulse rate :
* Range : 40 to 250 bpm
* Resolution : 1 bpm
* Accuracy : ± 3%

Respiration
- Amplifier : Fully isolated, defibrillator protected > 5 kV
- Measurement : - Impedance method
- Range : 0 to 150 bpm
- Resolution : 1 rpm
- Accuracy : ± 2 rpm
- Signal features :
* Maximum impedance : 2 kOhms
* Sensitivity range : 0.2 to 15 Ohms
* Excitation current : < 400 uA
* Frequency : 62.5 kHz
- Sweep speed : 6.25 mm/s
- Apnoea : User selectable from 10 sec to 40 sec. in 5 sec. steps.

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No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

Pulse Oximetry SpO2


- Amplifier : Fully isolated, defibrillator protected > 5 kV
- Saturation measurement : - Range : 40 to 100 %
- Resolution : 1 %
- Accuracy : 85 to 100%; ± 1.5%
70 to 85%; ± 2%
|Improved algorithm providing high artifact
|rejection against movement or poor signal.
- Pulse rate : - Range : 30 to 250 bpm
- Resolution : 1 bpm
- Accuracy : ± 3%
- Display : Graphical peripheral pulse

Temperature
- Amplifier : Fully isolated, defibrillator protected > 5 kV
|Automatic rejection against ESIS through real
time signal analysis.
- Temperature measurement
* Range : 15 to 45 °C; 59 to 113 °F
* Resolution : 0.1 °C; 0.2 °F
* Accuracy : ± 0.1 °C
* Use of oesophageal, rectal or skin probes.

Accessories for Adult Cat FT 01


- 3 Lead ECG Cable set
- SPo2 Finger clip sensor with extension cable
- NIBP cuff with extension tube
- User Manual

Accessories for Fediatric Cat FT 02


- 3 Lead ECG Cable set
- SPo2 Finger clip sensor with extension cable
- NIBP cuff with extension tube
- User Manual

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No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

Accessories for Neonate Cat FT 03


- ECG main truck cable and 3 set of disposable electrodes
- Reusable SPo2 Finger clip sensor with extension cable
- Box of 10 disposable NIBP cuffs 9 3-6cm) with extension tube
- User Manual

14. Basic Diagnostic Kit 0 Set Various -- 1 set pindahan dari IRD
Consist of :
- Blood Pressure apparatus Mercury 1 pc Rebstock - Germany 02.112.00
- Duplex Stethoscope 1 pc Rebstock - Germany 02.246.00
- Taylor Hammer 1 pc Rebstock - Germany 02.288.20
- Buchwald Tongue Depressor 19cm 1 pc Rebstock - Germany 48.109.19
- Laryng Mirror with Handle fig. 5/20 mm 1 pc Rebstock - Germany 52.272.20
- Thermometer Klinis 1 pc Gea - Denmark --
- Senter pupil 1 pc Taiwan --

8.4. R. Plaster
1. Examination Table 1 Unit MAK - Lokal Mak - 34101
Specifications :
- Made of steel sheet
- Stainless steel pipes
- Mattress base : Steel sheet, epoxy powder coating finished
- Mattress : Foam imitation leather
- Construction : Stainless steel pipe
- Back raise : Adjustable by telescopic mechanism
- Dimensions : 1920 x 710 x 800 cm

2. Halogen Examination Lamp 1 Unit Sturdy - Taiwan SLE-01


Features :
- With a 20 cm diameter lamp, 4 casters stand and a concealled built-in transformer
within the base. The model is so compact, light and very smooth to maneuver.
- Conceal wiring system that more comfort when re-positioning / moving requires.
- Power switch are positioned to enable practitioner convenient access.
(Food switch situated on the base and hand switch on head lamp).
- Simple design on the height adjustment / bulb replacements for easy handling.
- An engineering plastic protective head lamp cover (to protect heat filter glass) that

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could withstand heat at maximum rate of 1801 and still transmit a perfect light.

- Reflector (145mm, made of 24 layers special optical coating. And can pass
more than 90% red-ray (heat-ray), and reflect 100% natural light.
- Heat-absorbent filter glass, is made by special optical glass:
* FUNCTION-1 : to absorb 90% red-ray again.
* FUNCTION-2 : to enhance / increase color temperature.
- A Stainless Steel arm, epoxy coating base and lamp cover design for lasting use.

Specifications :
- Bulb : 50 W / 24 V / 50/60 Hz.
- Power Voltage : 220 V
- Lamp Dimensions : Refer to the eclosed illustration
- Light Intensity : 800 mm Distance, approx. 45,000 lux ± 5%
- Color Temperature : 4,000°K ±5%

3. Plaster Cast Trolley 1 Unit Meditec - Lokal MIT - 029 A


Specifications :
- Construction from painted rectangular steel tube.
- Tray made of stainless steel
- Supplied four castors in dia. 2" (50 mm), one drawer and one shelf.
- Dimensions : 60(L) x 40(W) x 80(H) mm

4. Bandage Instrument Set 1 Set Rebstock - Germany --


Consist of :
- Metzenbaum Scissors Curved, 15 Cm 1 pc 08.281.15
- Forceps Dressing, 14.5 Cm 1 pc 10.102.14
- Forceps Tissue 1 x 2 Teeth, 14.5 Cm 1 pc 10.120.14
- Crile Hemostatic Forceps, Curved 1 pc 12.251.14
- Probe Buttoned 1 mm 1 pc 20.104.14
- Gross Maier Dressing Forceps, 20 Cm, Straight 1 pc 16.110.20
- Lister Bandage Scissors 1 pc 08.901.14
- Bruns Bandage Scissors Serrated 1 pc 08.937.23
- Compression Apparatus Complete 1 pc 33.101.01
- Combination Diagnostic Set 1 pc 02.170.00

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- Mayo Hegar Needle Holder 1 pc 24.180.14


- Ford Bowles Stethoscope 1 pc 02.244.00
- Blood Pressure Apparatus Mercury 1 pc 02.112.00
- Small Container 300x 140 x 70 mm with long term texile filters 1 pc 88.641.11
- Identification palte alum. engrav Bandage Set 1 pc 88.322.02

5. Instrument Trolley 1 Unit MAK - Lokal Mak - 35101


Specifications :
- Made of stainless steel sheet 1, 1.5 mm
- Stainless steel pipe 5/8"
- Construction : Stainless steel sheet
- Upper shelf : Consist of one drawer with list on each side
- Lower shelf : Stainless steel sheet with list on each side
- Handle : Stainless steel pipe
- Castor : 2"

6. Double Bowl Stand 1 Unit MAK - Lokal Mak - 36302


Specifications :
- Made of stainless steel pipes
- Stainless steel washing basin 320 mm diameter
- Castor 2"
- Construction : Made of stainless steel pipes
- Basin : Two pcs, stainless steel
- Handle : On each side also function as towel hanger
- Castor : 2"

7. X-Ray Film Viewer 1 Unit Meditec - Lokal MIT - 012D


Specifications :
- Wall model : Light Case Double
- Difusser with film supporting device
- Construction from enamelled sheet steel
- Approx. dim. : 55(H) x 75(L) x 12(D) cm

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8. Instrument Cabinet 1 Unit MAK - Lokal Mak - 32902


Specifications :
- Made of steel sheet
- Transparent glass 3 m
- Construction : Steel sheet
- Consist of : Two compartment, top & bottom
- Top : Three shelves, adjustable
- Doors : Two doors with full transparent glass
- Bottom : One shelf with steel door
- Equipped with : Lock & Key
- Painting : Epoxy powder coating finished
8.5. Ruang Alat &
Bahan Kotor 1. Instrument Cabinet 1 Unit MAK - Lokal Mak - 32902
Specifications :
- Made of steel sheet
- Transparent glass 3 m
- Construction : Steel sheet
- Consist of : Two compartment, top & bottom
- Top : Three shelves, adjustable
- Doors : Two doors with full transparent glass
- Bottom : One shelf with steel door
- Equipped with : Lock & Key
- Painting : Epoxy powder coating finished

2. Instrument Trolley 1 Unit MAK - Lokal Mak - 35101


Specifications :
- Made of stainless steel sheet 1, 1.5 mm
- Stainless steel pipe 5/8"
- Construction : Stainless steel sheet
- Upper shelf : Consist of one drawer with list on each side
- Lower shelf : Stainless steel sheet with list on each side
- Handle : Stainless steel pipe
- Castor : 2"

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8.7. Ruang Sterilisasi


1. Autoclave Table 1 Unit Cutom STPA 15-75DX-11
Specifications :
- S/S Table with Adjustable Punched - Pan Undershelf - Knock Down + 1 Drawer
GN 1/1
- Included :
* GN Pan
- Ukuran : 1500 (P) x 750 (L) x 850 (T) mm

2. Autoclave 1 Unit Sturdy - Taiwan SA - 300VF


Specifications :
- Chamber size : Stainless steel #304 300 mm dia. x 700 mm (D).
- Overall : 600(W) x 1000(H) x 450(D) mm
- Power consumption : 220 V / 2.4 KW / 11.2 A
- Using temperture / pressure: Wrapped : 121°C -132°C/ 2.1 Kg/cm2
- Design temp. : 140°C
- Safety devices : Pressure control switch, Door safety catcher,
Over heat protection, Safety Valve, Electronic
circuit safety system, Low water indication and
cut-off, Emergency exhaust switch.

Standard accessories :
- Stainless Steel #304
- Sterilization basket 1 pc
- Easy reach clip 1 pc
- Bottle 2000 cc 1 pc
- Exhaust hose 1 pc
- Safety approval : EMC, LVD, by TUV CHAMBER DESIGNED
BY ASME/USA STANDARD
- Auto-dry function : Yes.
- Chamber capacity : Approx. 50 liter

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3. Instrument Trolley 1 Unit MAK - Lokal Mak - 35101


Specifications :
- Made of stainless steel sheet 1, 1.5 mm
- Stainless steel pipe 5/8"
- Construction : Stainless steel sheet
- Upper shelf : Consist of one drawer with list on each side
- Lower shelf : Stainless steel sheet with list on each side
- Handle : Stainless steel pipe
- Castor : 2"

8.8. Ruang Alat dan


Bahan Steril 1. Instrument Cabinet 1 Unit MAK - Lokal Mak - 32902
Specifications :
- Made of steel sheet
- Transparent glass 3 m
- Construction : Steel sheet
- Consist of : Two compartment, top & bottom
- Top : Three shelves, adjustable
- Doors : Two doors with full transparent glass
- Bottom : One shelf with steel door
- Equipped with : Lock & Key
- Painting : Epoxy powder coating finished

2. Instrument Trolley 1 Unit MAK - Lokal Mak - 35101


Specifications :
- Made of stainless steel sheet 1, 1.5 mm
- Stainless steel pipe 5/8"
- Construction : Stainless steel sheet
- Upper shelf : Consist of one drawer with list on each side
- Lower shelf : Stainless steel sheet with list on each side
- Handle : Stainless steel pipe
- Castor : 2"

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No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

8.10 Scrub Up
1. Scrub Up 2 Person 1 Unit Meditec - Lokal MIT - 022A
Features :
- The Scrub station designed for washing doctor's hands before surgery.
- Complete with disnfectant dispenser.
- The unit completed by micro filtering system and ultraviolet sterilizing system.
- The shower head can be sterilized by autoclave
- Supplied with fluorecent lamp and mirror.

Applications :
- Washing doctor's hand before surgery.
- Irrigation of bladder, vagina, fistula, or wound.
- Bathing infant.

Specifications :
- Power supply : 220 Volt, 50 Hz
- Power consumption : 550 Watt
- Sterilizing method : Filtering + UV Sterilizer system
- Filter : 1 pc pre-filter 1 micron
1 pc main filter 0.2 micron
- UV. Lamp : 1 pc UV lamp 8 watt
- Tolerance of lamp : 2000 hours
- Water pressure : 1 - 4 kg/cm2
- Volume debit : 25 L/min
- Body : Stainless steel
- Dimensions : 67,5 (L) x 60 (W) x 185 (H) cm

9.3 Ruang Pengepakan


1. Digital Sealing Machine With Printer 1 Unit Gima - Italy D - 500

Features :
- This is a continuous sealing machine for medical pouches according to DIN
rules 58953, P7 with dot matrix printer.
- It allows as 12 mm multi-line seal and features stand-by function and automatic
infeed through photocell.

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No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

- This is equipped with built-in printer to print different data on the bag
(sterilization/expiry dates, statutory symbols) during the sealing process in order
to provide constant control on the sterility of your instruments, especially when
the paper layer of the sterilization bag is less tight, after 30 days, and
consequently losing instruments' sterility.
- Built in epoxy coated stainless steel,.
- This is a sophisticated unit controlled by a microprocessor and equipped with a
device to adjust temperature (displayed by LCD) and printing parameters.
- The sealing pressure is automatically adjusted according to the material
thickness. It also guarantees 30 mm safety distance between seal and product,
according to DIN rules.
- All medical centres wishing to obtain certifications should use this is Sealer.
- Easy to use and maintenance - free, it is the ideal solution for chimics
and hospitals.

Specifications :
- Infeed speed : 6 m/min.
- Temperature control : by digital thermoregulator
- Sealing temperature : 80° : 200"C
- Temperature tolerance : ± 2%
- Seal : Multiline
- Seal width : 12 mm
- Adjustable free edge : 0 : 30
- Power supply : 230 V - 50 Hz single phase
- Absorption : 600 W
- Dimensions : 495 x 220 x 172 mm
- Net weight : 12 Kg.

2. Cutting Device 1 Unit -- --

3. Kaca Pembesar 2 Unit Hongkong --

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No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

4. Working Table (S/S) 2 Unit Custom STPA 15-75DX-11


Specifications :
- S/S Table with Adjustable Punched - Pan Undershelf - Knock Down + 1 Drawer
GN 1/1
- Included :
* GN Pan
- Ukuran : 1500 (P) x 750 (L) x 850 (T) mm

5. S/S 4 Tiers Adjustable Punched - Pan Rack - Knock Down 2 Unit Custom SPRP 15-50 A

6. Packing Table (Panjang) S/S 2 Unit -- --

9.4. Ruang Sterilisasi


Utama 1. Working Table 2 Unit Cutom STPA 15-75DX-11
Specifications :
- S/S Table with Adjustable Punched - Pan Undershelf - Knock Down + 1 Drawer
GN 1/1
- Included :
* GN Pan
- Ukuran : 1500 (P) x 750 (L) x 850 (T) mm

2. Steam Sterilizer (Cap. Approx. 250 Ltr) Boiler Dalam 1 Unit Matachana Series 501E - 1
Features : 500 - Spain
- Control unit by microprocessor, sliding vertical doors, alphanumerical digital
printer and two channel linear chart recorder. Seven standard programmes
with a further three programmes which may be configurated to meet any
special requirements.
* P0 Vacuum Test - verifies the chamber integrity.
* P1 Bowie - Dick - daily test for porous load sterilizers.
* P2 Textile and Instruments at 134°C
* P3 Rubber at 121°C
* P4 "Rapid", at 134°C for instruments and steam - sterilisable
endoscopic devices.
* P5 Containers at 134°C for material placed in hermetic boxes with valve
or filters.
* P6 Prions at 134°C with extended holding time.

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Specifications :
- Chamber dimensions
* Width : 500 mm
* Height : 500 mm
* Depth : 985 mm

- Total dimensions
* Width : 820 mm
* Height : 1970 mm
* Depth : 1292 mm

- Weight : 645 Kg
- Nominal chamber volume : 246 liters
- Capacity : Sterilisation basket

Accessories :
* Basket 9 pcs
* Compressor 1 unit
* Trolley 1 unit

3. Low Temperature Steam Sterilizer W. Formaldehyde 1 Unit Matachana - Spain 130 LF-1
Specifications :
- Chamber useful dimensions
* Height : 320 mm
* Width : 320 mm
* Depth : 880 mm
- Overall dimensions
* Height : 18750 mm
* Width : 750 mm
* Depth : 1100 mm

- Weight : 400 kg
- Gross with Packaging : 500
- Power : 6.5 kW

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No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

- Volume :
* Overall : 130
* Usable space : 92

- Number of programs :
* Work : 2

- External supply to the sterilizer :


Demineralized
* Water pressure : 1.5 to 6 bar / 150 to 600 kPa
* Water hardness : < 0.6 TH / 1° Fr7 < 0.1 nmol/liter

Standard Accessories :
- Linear graphyc recorder : Recorder the chamber pressure and
temperature evolution throughout the sterilization
- 2 Loading baskets : made of S/S, these baskets ease the sterilizer
loading and unloading process
- Sterilizing solution : Included 3 bags of 2.75 liters of 2%
formaldehyde solution

9.5. Ruang Storage


Steril 1. S/S 4 Tiers Adjustable Punched - Pan Rack Knowk Down 2 Unit Custom SPRP 15 - 50A

2. Table Trolley 2 Unit MAK - Lokal Mak - 35101


Specifications :
- Made of stainless steel sheet 1, 1.5 mm
- Stainless steel pipe 5/8"
- Construction : Stainless steel sheet
- Upper shelf : Consist of one drawer with list on each side
- Lower shelf : Stainless steel sheet with list on each side
- Handle : Stainless steel pipe
- Castor : 2"

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No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

3. UV Room Sterilizer 1 Unit Meditec - Lokal MIT - 91 UV


Features :
- The most effective and practical method to sterilize a surgery room and hospital
rooms is by means of ultraviolet lamps, Uv radiation will immediately kill
all bacteria, germs and viruses.
- Sterilization with Uv lamps definitely offer more advantages compared with a
medicine sprayer.

Medicine Sprayer
- Foulsmelling and can harm human health. Takes a long time (6-12 hours) to
sterilize. Room can not be used before sterilization process is over.
- Can damage and corrode medical equipments and hospital facilities such as :
surgery lamps AC, etc.
- It will develop bacterial resistance.
- Not all bacteria, only a few, can-be sterilized.

Ultraviolet Lamps
- Free from foul smells and polution of germicides ad chemicals.
- Needs short time, only 1-8 hours, for sterilization process.
- Does not cause corrosion.
- Will not develop resistance of bacteria, germs and viruses to Uv rays.
- All bacteria, germs and viruses can be sterilized.
- Equipped with a timer that regulates the duration of radiation time. It is also
equipped with a Hour Counter that counts total hours use of the UV lamps.

Warning
- When using the equipment, avoid face and eyes from exposure to Uv rays.
- This equipment is designed to start working 3 minutes after switch-on, then
everybody has to leave the room to avoid Uv radiation.
- Clean the equipment with dry cloth.
- When the Uv lamps are glowing faintly, it means its effectiveness is decreasing
and needs a change a change of new lamps.

Specifications :
- Power supply : AC 220 V, 50 Hz
- Power Consumption : 180 Watt

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No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

- Un Lamps : - 4 pcs, of 30 watt


- 1 pcs, of 10 watt
- Lamp Life : 3.000 hours

Dimensions :
- Size : 1.100 mm x1.100 mm x 1.310 mm
- Weight : ± 30 kg

9.6. Ruang Distribusi


1. Distribution Trolley Besar 2 Unit -- --

11. ICU / ICCU


11.1. Ruang ICU
1. ICU - ICCU Bed + Mattress 5 Unit MAK - Lokal Mak - 31820
Features :
- This bed is specially designed for se in ICU/ICCU room.
Addition coupling mechanism may convert the bed to Trendelenburg or Reverse
trendelenburg position during turn of the crank to high position.
- Detachable head-end panel providing free space to the paramedic in carrying
activities helping patient from the head-end side.
- Any other position as back raise, knee-raise and Hi-Lo are adjustable.
- Mattress platforms are made of galvanised steel sheet to prevent from rust in
case of scretching.

Specifications :
- Back raise
- Knee raise
- Head & Foot panel made of wood
- Hi-Lo (High and Low position)
- Trendelenburg & Reverse trendelenburg
- I.V. stand (Infsion stand)
- Stainless steel side guard
- Castors, two with brake

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No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

2. Bedside Monitor, Neonatal, Pedia., Adult 5 Unit RGB - Spain A - 31

Parameter :
- Three Leads ECG
- NIBP
- Pulse Oxyimetri
- Temperature
- Respiration

Specifications :
- Dimensions : 232(L) x 208(W) x 242(H) mm
- Weight : 4.8 kg
- Power supply :
* AC input voltage : 85 - 264 V -; 47 - 65 Hz
* AC input power : 15 to 55 VA
* DC input vechicle : 12 V adaptor
- Battery : 1 hour maximum autonomy Built-in charger
- Environmental conditions :
* Operating temperature : 0°C to 40°C; 32°F to 104°F
* Relative humidity : 5% to 90% non-condensing

- Display :
* Electroluminescent dispaly
- Size : 130 x 95 mm
- Diagonal : 161 mm / 6.3 inches

* Resolution : 320 x 240 pixels


* Sweep speed : 12.5 / 25 mm/s
- Safety standard : Complies with IEC 601 standards.
Patient leakage current < 100 uA
- Patient safety : Class I, CF for all channel
- Alarms : |Optical / acoustic user free selectable with
priority levels.
Upper / lower limits for all parameters.

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No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

- Standard interface : One RS-232-c serial channel for Central Station,


external recorder or PC link.
- Trends : Up to 72 hours for all parameters; graphical and
numerical representation. Selectable storage rate.
- Keyboard : Flat touch dedicated keys.
- Use : User-friendly, easy to use menu-driven operation
options.
- Recorder : Optional 2 channel grpahic and numerical
external recorder.

ECG
- Amplifier : |Fully isolated, defibrillator protected > 5 kV;
|recovery time < 5 s RF noise and monitoring
|filters.
- Leads : |User selectable (I, II, III).
- Heart rate :
* Range : 20 tp 300 bpm
* Rosolution : 1 bpm

* Accuracy : ± 2%
- CMRR : - > 115 dB in monitor mode
- > 90 dB in diagnostic mode
- Input impedance : > 5 MOhms at 10 Hz
- Signal features
* Bandwidth : - Diagnostic mode : 0.05 to 100 Hz
- Monitor mode : 0.5 to 25 Hz
* Programmable gain : 1 to 8 mV
- Pacemaker detection and
rejection : - Pulse duration : 0.1 to 2 ms
- Pulse amplitude : ±2 to ±700 mV
- Operating modes : Monitor, diagnostic and operating room.

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No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

Non-Invasive Blood Pressure


- Measurement procedure : Oscillometric method.
- Cuffs : Optional different sizes.
- Measurement time :
* Typical : 25 to 45 s
* Maximum : 90 s

- Neonate
* Range
- Systolic : 30 to 130 mmHg
- Diastolic : 10 to 114 mmHg
- Mean : 20 to 122 mmHg
* Overpressure limit : 150 mmHg

- Pulse rate :
* Range : 40 to 250 bpm
* Resolution : 1 bpm
* Accuracy : ± 3%

Respiration
- Amplifier : Fully isolated, defibrillator protected > 5 kV
- Measurement : - Impedance method
- Range : 0 to 150 bpm
- Resolution : 1 rpm
- Accuracy : ± 2 rpm

- Signal features :
* Maximum impedance : 2 kOhms
* Sensitivity range : 0.2 to 15 Ohms
* Excitation current : < 400 uA
* Frequency : 62.5 kHz
- Sweep speed : 6.25 mm/s
- Apnoea : User selectable from 10 sec to 40 sec. in 5 sec. steps.

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No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

Pulse Oximetry SpO2


- Amplifier : Fully isolated, defibrillator protected > 5 kV
- Saturation measurement : - Range : 40 to 100 %
- Resolution : 1 %
- Accuracy : 85 to 100%; ± 1.5%
70 to 85%; ± 2%
Improved algorithm providing high artifact
rejection against movement or poor signal.
- Pulse rate : - Range : 30 to 250 bpm
- Resolution : 1 bpm
- Accuracy : ± 3%
- Display : Graphical peripheral pulse

Temperature
- Amplifier : Fully isolated, defibrillator protected > 5 kV
Automatic rejection against ESIS through real
time signal analysis.
- Temperature measurement
* Range : 15 to 45 °C; 59 to 113 °F
* Resolution : 0.1 °C; 0.2 °F
* Accuracy : ± 0.1 °C
* Use of oesophageal, rectal or skin probes.

Accessories for Adult Cat FT 01


- 3 Lead ECG Cable set
- SPo2 Finger clip sensor with extension cable
- NIBP cuff with extension tube
- User Manual

Accessories for Fediatric Cat FT 02


- 3 Lead ECG Cable set
- SPo2 Finger clip sensor with extension cable
- NIBP cuff with extension tube
- User Manual

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No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

Accessories for Neonate Cat FT 03


- ECG main truck cable and 3 set of disposable electrodes
- Reusable SPo2 Finger clip sensor with extension cable
- Box of 10 disposable NIBP cuffs 9 3-6cm) with extension tube
- User Manual

3. Central Monitor for up 8 Monitor 1 Unit RGB - Spain Omicrom Sentinel 9000
Features :
- The central station, is a modern concept of clinical information and patient data
management system. Up to eight beds can be displayed in one screen iwht full
information data and waveforms as they appear on each bedside monitor.
- Its plug and play concept allows an easy and fast installation as well as
full flexibility to remove or connect monitors to network without any change
on the confiration.
- Bi-directional communication with each bedside allows user to change remotely
ECG lead, SpO2 averaging or gains and scales of the monitor improving
monitoring for each particular patient conditons.
This feature saves time on nursery tasks improving care quality.
- Free annotation capability for well documented clinical database and pirnt-out
reports. Notes are automatically archived on patient history and can be
reviewed just by sliding the cursor along the trend traces.
- Notes will appear on display delivering information about time and physiological
values asociated with physician observations. Quick event reviewer ease notes
and events findings.
Up to 30 secs. of frozen ECG for measurement and evaluation just by clicking
over the trace.

Technical Specifications :
Host Processor
- Intel pentium processor
- Keyboard for annotations
- Mouse driven operations
- Dimensions : 190 x 440 x 470 mm
- Weight : 5 kg / 11 lbs

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LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

Display
- 21" CRT Colour 0.28 Dot pitch
- High resolution : 1024 x 1280
- Dimensions : 508 x 505 x 550 mm
- Weight : 34 kg / 76 lbs

Memory
- Patient data memory up to 1 year full information.
- User will archive and retrieve any patient data just searching by name or clinical
history

Printer
- Laser printer 4 ppm; 300 ppp
- 1 Mb memory
- DIN A-4 paper

Power Supply
- 100 - 240 VAC; 50 - 60 Hz
- Input power 160 W

Compositions :
- Hub main system
- Software
- 17" high resolution TFT colour screen
- Laser printer
- Keyboard and mouse
- Cabling
- HUB communication board
- Complete software
- Connecting cables.

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RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

4. Anti Decubitus Mattres 2 Unit Hirtz - Germany Hico-Decubimat 367


Specifications :
- Voltage : 230 Volt AC/50-60 Hz
- Nominal consumption : 8W
- Dimensions of the unit : 160 x 300 x 120 mm
- Weight : Approx. 2.5 kg
- Size of mat : 1800 x 800 mm (in operating condition)

5. Ventilator Emergency 1 Unit Spencer - Italy EV - 2118 A


Features :
- Versatile, simple and economical, 118 is a ventilator with pneumatic logics control.
- Its intrinsic properties and its small dimensions make it suitable for emergency
situations :
* First Aid
* Ambulances
* Patient tranport
- 118 is a time cycled-constant volume ventilator, with :
* Infinitely adjustable respiratory frequency (from 10 to 40 breathes per minutes).
* Infinitely adjustable minute volume (from 3 to 24 L/min.)
* Oxygen concentration selectable by means of single action switch between
100% and 55% without change of minute volume.
* Low gas consumption
Airway pressure gauge
No electrical supply, the operation is ensured.
- With only one fluid source.
- The non-rebreathing valve is equipped with a special pressure reducing device
that makes it adjustable for both adults and children.
- Small dimensions, sturdy, every light-weight, ideal for rescue everywhere and in
every circumstances.
- Kompak version available.

Technical Data :
- Dimensions : 80(H) x 240(W) x 198(D) mm
- Weight : 2.2 kg
- Box : Technopolimer

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RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

- Control : Frequeny minute volume air mix / no air mix


- Medical gas supply : 3.5 ± 0.3 bar
- Ventilation mode : Controlled
- I/E : 1/1.5
- Oxygen concentration : 55% : 100%
- Frequency : 5 : 38 breathes / min
- Minute volume : 2 : 18 l/min.
- Maximum working pressure : 60 bar
- Airways pressure - gauge
range : -20 : 70 bar
- Pressure - gauge accuracy : - From -20 to +10 mbar --> 2 mbar
From -10 to +70 mbar --> 5 mbar

6. Defibrillator 1 Unit Primedic - Germany ECO - 1


Features :
- ECG monitor tiltable ± 30°
- Large LCD-Display with high contrast
- Clear structure of control panels
- Easy to use
- Slim housing, easy to carry in narrow door-frames and strairwells
- Handy design of housing : protected connectors and paddle cables
- Robust casing of highly shock-resistant synthetic material
- Internal components carried on shock-absorbing foam without screws
- 5 Seconds charging time up to 360 joules
- ECG storage of the last 10 shocks
- Long-life duration due to high battery capacity
- Charging of battery via optional charger
- Defi charge available with practical locking device, vehicle mounting and further
options
- Excellent price / performance ratio

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LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

Specifications :
ECG :
- 3-lead ECG
- Switchable filters : 50/60 Hz
- Amplification of ECG : 0.5 / 1 / 2 cm / mV
- Input impedance : > 50 M Ohm
- CMRR : > 90 dB
- Heartrate alarm adjustable : 30 ... 220 / min
- Heartrate indication in digits : 0 ... 220 / min

Monitor :
- LCD monitor
- Resolution : 320 x 240 Pixel
- Pixel size : 0.27 x 0.27 mm
- Monitor size : 100 x 80 mm
- Diagonal size : 125 mm / 5"

Printer :
- Thermal printer head
- 1 - Lead printing
- Paper size : 58 mm
- Printing speed : 25 mm / sec.
- Resolution : 8 bits ( = 200 dpi )
Defibrillation :
- Operating modes : Synchronous / asynchronous
- External defibrillation via paddles
- Integrated children paddles
- Energy steps : 10/20/30/50/100/160/200/250/360 joules (50 Ohm)
- Discharges : 60 with 360 joules
- Charging time : 5 sec. up to 360 joules

Power Supply :
- Detachable accu, NiCd : 14.4 V / 1.5 Ah
- Charging of accu via optional charger
- Charging time for 100%
charged accu : <1h

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LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

General :
- Size : 42(W( x 42(H) x 12(D) cm
- Weight : 8 Kg
- Power supply of charger : 100 ... 120 V 50/60 Hz or
200 ... 240 V 50/60 Hz or
12 / 24 VDC on vehicles
Supply with Defi-Monitor ECO 1 :
- PRIMEDIC Accu 1
- EKG - Patient cable, 4-pole with neutral electrode (3+N) 1
- ECG-electrodes Ag/AgC1 dia. 55 mm 30
- Printer paper, 58 mm, 25 m 1
- Electrode gel, 60 g 1
- User manual 1

7. Resuscitation Set 2 Unit Spencer - Italy CB-08011 A


Specifications :
- Safety orange-bag with 2 small sidepockets and hardplastic case (removable).
Ideal hard case-substitute, for lighter transport in difficult areas, with velcro
lock and long shoulder strap, includes :
* Aneroid sphygmomanometer 1
* Phonendoscope 1
* Oxygen bottle, 0,5 liter 1
* Oxygen reducer with diaphragm fixed calibration 1
* PVC connected tube 1
* Eco-B Life resuscitation bag 1
* Eco-B Life adult mask size 5 1
* Eco-B Life children mask size 3 1
* Res-Q-Vac portable aspirator 1
* Set of Guedel airways sizes 1/2/3 1
* Exell depresse tongue 1
* Magill forceps 1
* Universal scissors 18 cm 1
* Tongue forcep type collin 1
* Plastic pen light 1
* Emergency blanket 1
* Size : 50 x 23 x 23 cm

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LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

8. Infusion Pump 2 Unit JMS - Japan OT - 701


Specifications :
- Pump type : Drip rate peristaltic finger pump
- Set requirement : Standard PVC IV set (15-20 drops/ml) or micro
IV set (60 drops/ml) with 3.4 - 4.5 mm O.D. tubing.
- Flow rate :
IV Set mL / hr drops/min
15 - 20 drops / ml 1-450 (1-100) ml 1-100 (1-100) drops/min
60 drops / ml 1-100 (1-100) ml 1-100 (1-100) drops/min
- Rate step : 1 ml step
- Flow rate accuracy : ± 10% (with adjusting function)
- Drip rate accuracy : |± 2% (after more than 500 drops have been
|infused).
- Volume infused display : 0 - 9999 ml
- Volume limit : 1 - 9999 ml or no limit
- Purge rate : More than 450 ml / hr
- Alarms : |Door Open, Low Battery, Internal Malfunction,
|Air in Line, Infusion Complete, Empty Container,
|Reminder, Abnormal Drips.
- KVO (keep Vein Open) : 1 ml / hr
- Occlusion pressure : 60 - 140 kPa (adjustable)
- Air detection method : Ultrasonic
- Drip detection method : Double infrared photoelectric beam
- Finger Cassette : Detachable
- Tube Clamp : With lock lever, detachable
- Nurse Call : Terminal on the bottom
- Communication : Optical communication
- Display : Color LCD with back light
- Battery : Rechargeable Nickle Cadmium
- |Battery life : 4 hours at 125 ml/hr when fully
|Charged.
- |Recharge : 30 hours when fully discharged.
- Operation conditions : Ambient temperature : 15°C to 40°C
Relative humidity : 30% to 85%
(with no condensation)

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RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

- Storage conditions : Ambient temperature : -10°C to 45°C


Relative humidity : 20% to 95%
(with no condensation)
- Dimensions : 180 (W) x 148(D) x 210(H) mm
- Weight : 2.3 kg
- Power required : 85 to 264 Vac, 50/60 Hz
- Power consumption : 12 VA
- Electric shock, Protective type
: Class II Type CF

9. Minor Surgery Set 1 Set Rebstock - Germany --


Consist of :
- Scalpel Handle No. 3 1 pc 06.103.00
- Scissors, BL/SH Straight, 14.5 cm 1 pc 08.110.14
- Scissors, BL/SH Straight, 14.5 cm 1 pc 08.160.14
- Mayo Scissors Curved, 14.5 cm 1 pc 08.161.14
- Metzenbaum Scissors Curved, 18 cm 1 pc 08.281.18
- Forceps Dressing, 14.5 cm 1 pc 10.102.14
- Forceps USA Dressing, 14.0 cm 1 pc 10.104.14
- Forceps Dressing, 18.0 cm 1 pc 10.102.18
- Forceps Tissue 1x2 Teeth, 14.5 cm 1 pc 10.120.14
- Forceps Tissue 1x2 Teeth, 18.0 cm 1 pc 10.120.18
- Foerster Swab Forceps Smooth 2 pcs 16.173.18
- Backhaus Towel Forceps 4 pcs 14.111.09
- Halsted Mosquito Forceps 4 pcs 12.220.12
- Crile Hemostatic Forceps 2 pcs 12.251.14
- Spencer Wells Hemostatic Forceps 6 pcs 12.330.13
- Kocher Hemostatic Forceps Delicate 2 pcs 12.322.14
- Kocher Hemostatic Forceps Delicate 2 pcs 12.322.16
- Mayo Hegar Needle Holder 1 pc 24.180.14
- Mayo Hegar Needle Holder 1 pc 24.180.20
- Grooved Director Buttoned 1 pc 20.112.14
- Probe Myrtle Leaf 14.5 cm 1 pc 20.108.14
- Senn Retractor Double Sharp 2 pcs 18.160.17
- Farabeuf Retractor Double Pair 1 pc 18.102.12
- Retractor (Trach.) Sharp, 1 Pr. 2 pcs 18.220.01

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RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

- Langenbeck Retractor 21 cm, 30x11 mm 2 pcs 18.310.01


- Allis Baby Tissue Forceps 14 cm, 4x5 2 pcs 64.102.14
- Volkmann Bone Curette, Fig. 000 1 pc 32.469.97
- Half - size Container 285 x 280 x 150 mm with long - term textile filters 1 pc 88.621.21
- Indentification plate alum. engrav Minor Basic Set 1 pc 88.322.02

10. Tracheotomy Set 1 Set Rebstock - Germany --


Consist of :
- Scalpel Handle, No. 3 1 pc 06.103.00
- Mayo Scissors Curved, 14.5 cm TC 2 pcs 08.165.14
- Metzenbaum Scissors, 15 cm TC 1 pc 08.285.15
- Forceps Dressing, 14.5 cm 4 pcs 10.102.14
- Forceps Narrow, 14.5 cm TC 5 pcs 10.114.14
- Forceps Tissue 1x2 Teeth, 14.5 cm 2 pcs 10.120.14
- Gross Maier Dressing Forceps 2 pcs 16.110.20
- Backhaus Towel Forceps 4 pcs 14.111.11
- Halsted Mosquito Forceps 1x2 Teeth 2 pcs 12.231.12
- Pean Hemostatic Forceps Delicate 1 pc 12.313.14
- Pean Hemostatic Forceps Delicate 2 pcs 12.312.14
- Rochester Ochsner Hemostatic Forceps 6 pcs 12.321.14
- Needle Case Round 65x15 mm 1 pc 88.112.65
- Debakey Needle Holder TC 1 pc 24.214.18
- Deschamps Needle Sharp Left 1 pc 26.111.21
- Koenig Ligature Conductor 1 pc 26.285.20
- Grooved Director 1 pc 20.110.16
- Retractor (Trach.) Sharp 1 Pr. 2 pcs 18.220.01
- Retractor (Trach.) Sharp 3 Pr. 2 pcs 18.220.03
- Langenbeck Retractor 21 cm, 30x14 mm 2 pcs 18.310.02
- Kocher Retractor 19 cm, 21x14 mm 2 pcs 18.332.21
- Weitlaner Retractor Sharp 14 cm 1 pc 18.670.14
- Laborde Tracheal Dilator 1 pc 54.113.14
- Half - size container 285 x 280 100 mm with long - term textile filters 1 pc 88.621.01

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RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

11. Basic Diagnostic Kit 2 Set Various --


Consist of :
- Blood Pressure apparatus Mercury 1 pc Rebstock - Germany 02.112.00
- Duplex Stethoscope 1 pc Rebstock - Germany 02.246.00
- Taylor Hammer 1 pc Rebstock - Germany 02.288.20
- Buchwald Tongue Depressor 19cm 1 pc Rebstock - Germany 48.109.19
- Laryng Mirror with Handle fig. 5/20 mm 1 pc Rebstock - Germany 52.272.20
- Thermometer Klinis 1 pc Gea - Denmark --
- Senter pupil 1 pc Taiwan --

12. Intubation Kit 2 Unit Spencer - Italy DG - 80005 A

Specifications :
- Designed by to organise airway management instruments in a functional easy to
use module. Can be used as an independent kit or as part of a modular system .
* Laryngoscope handle 1
* Disposable blade for fiber optic laryngoscope McIntosh
size 1/2/3 2
* Guedel oral airway size 0/1/2/3/4 5
* Endotracheal tubes size 6/7/8/9 4
* Silk adhesive tap 1.25 cm x 5 mt. 1
* Sryinge 5 ml 1
* Magill adult 1
* Magill pediatric 1
* Exell mouth wedge 1

13. 1/2 Channel Digital ECG 1 Unit Fukuda ME Kogyo - Japan C 110

Features :
- Automatic / Manual recording
- 1 or 2-ch recording
- 3 sec. to 10 sec. lead recording time
- Digital filter : AC interference, Muscle and Base line drift
- LCD Display : Lead, H.R. (BPM) and Battery low indication
- Alarms : |Electrode OFF, R-wave detection error, Paper
error

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I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

- Auto P-wave recording start


- Auto base line positioning

Specifications :
Power requirements & Size
- AC, 110 - 240 V, 50/60 Hz
- DC 9.6 V built-in rechargeable Ni-cut battery
- Batery capacity : One (1) hour continuous recording
- Charging time : 7.5 hours form full charge
- Power consumption : 25 VA
- IEC Classification : Class I, Type CF
- Unit size : 280(W) x 202(D) x 67(H) mm
- Unit weight : 2.0 kg Incl. Ni-Cd battery)

Tehnical characteristics
- Input : Floating curcuit
- Input impedance : Greather than 20 M ohm
- Time constant : More than 3.2 sec.
- Frquency response : 0.05 - 100 Hz within -3dB
- Filter / Digital
* HUM : -20dB at 50/60 Hz
* DRIFT : -3dB at 0.5 Hz
* EMG : 3dB at 20/30/40 Hz

General specifications
- Recording : 8dots/mm thermal printer
- Recording mode : Automatic / Manual
- Chart paper : 50 mm x 30 m Roll (or Fold)
- Chart speed : 25, 50 mm/sec.
- Sensitivity : 1/2, 1, 2 cm/mV & AUTO

Accessories :
- Power cord 1
- Patient cable 1

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RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

- Cardi-clips 4
- Chest electrodes 6
- ECG cream 1
- 50 mm roll paper 1
- Paper core 1
- Unit cover 1
- Operation manual 1

14. Hipo-Hipertermia Unit 2 Unit Hitrz - Germany Hico-Variotherm 550


Cat. 540001
On the basis of many years of experence in the cooling and heating of pationts
the hypo/hyperthermia unit HICO VARIOTHERM 550 combines the
advantages of various hypo-/hyperthermia system and sets new standards.
- Optimum heat transtor or discharge by water
- Compatible with all HICO-water mats
- Temperature range 15 - 39°C
- Very prociso temperature control
- New safety system
- Compact and robust construction
- Simple handling
- Low noise
- Accessories

Description and mode of operation


HICO-VARIOTHERM 550 was constructed according to the latest trends in the field
of hypo-and hyperthermia used for patients. The cooling and heating of patients
is effected by surface contact. The heat is conducted to the patient by means of
water circuit between aggregate and water mat. Due to its good heat conductivity
and heat capacity, water is an ideal medium for non-electric, save and effective
heat transport. Owning to its compact construction the new device can be used as
table top model or mobile footed unit. In order to provide multiple use of the unit,
we offer various types of mats, according to the patient's needs.

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RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

Product featreus Fig. 1


- Handling of HICO-VARIOTHERM 550 is very simple and safe.
- The temperature of the water mat can be adjusted by push-button from 15°-39°C.
- According to the range of application HICO-water mats of different shape and
size can be connected.
- The automatic function and easy readable displays inform the user about regular
functioning of the unit at any time.

Guarantee
The HICO-VARIOTHERM 550 is conform to the MDD93/42/EEC directive and beam
the CE-mark. The unit is manufactured and controlled according to ISO 9001
and IEC 601-1.

Specifications :
- Article-No: (REF) : 540001
- Operating voltage : 220-240 VAC, 50/60 Hz
- Power conumpstion : 320 W
- Setting range for water
temperature : 35° - 39°C
- Water content : abt. 0.5/1.01 (min/max).
- Pumping level : Max. 11 l/minute, max. 0.15 bar
- Cooling time (20-15°C) : abt. 5 - 10 min.
- Warming-up time (20-37°C) abt. 5 - 10 min.
- Safety cut off : 41.5°C
- System of protection : I, BF
- Class of risk (93/42/EEC) : II b
- Weight : abt. 17 kg
- Noise rate : abt. 50 dB(A)
- Alarm level : > 65 dB(A)
- Dimensions : abt. 200(W) x 290(H) x 440(L) mm
- Testing basis : MDD93/42/EEC, IEC 601-1
IEC 601-1-2, IEC 601-2-35

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LAMPIRAN SERAH TERIMA PENGADAAN PERALATAN MEDIS DAN NON MEDIS
RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

Accessories :
- Warning / Cooling Blanket 56 x 70 (Cat. 550037) 2 pcs
- Warning / Cooling Blanket 120 x 70 (Cat. 550038) 2 pcs
- Mat - OP, 170 x 50 (Cat. 550030) 1 pc
- Hose extension with quickcoupling for Hico-Mat (Cat. 550022) 1 pc
- Five foot rack with bar, included supporting plate (Cat. 530002)1 pc

15. Infusion Stand 5 Unit MAK - Lokal Mak - 36101


Specifications :
- Stainless steel pipes
- Steel pipe
- Upper stand : Stainless steel pipe Adjustable with lock
- Lower stand : Steel pipe
- Painting : Epoxy powder coating finished
- Castors : 2"

17. Nebulizer 1 Unit Devillbiss - USA 56501 I


Specifications :
- Size : 10.1" x 10.5" x 6.5" (26 cm x 27 cm x 17 cm)
- Weight : 7 lbs (3.2 kg)
- Sound level : 5 I dBA
- Electrical requirements : 1.3 amps, 115 V, 60 Hz
- Power consumption : 90 Watts
- Max. compressor pressure : 30 - 45 psig**
- Min. compressor liter flow : 9.4 - 16 Ipm**
- Nebulizer operating pressure: 12 - 18 psig
- Nebulizer liter flow* : 5 - 7 Ipm
- Nebulizer capacity* : 6 ml (cc)
- Nebulization rate* : .15 ml/min or greater
- MMAD* : Less than 5 microns

17. Continuous Suction Pump 2 Unit Hirtz - Germany Hico-Thermovac 760


Features :
- Permanent drainage pump at a moderate suction rate.
- Two vacuum settings of approx. - 100 and - 150 mbar.

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No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

- Probelm - free bottle change due to instant plug-in coupling disconnection


of the pump by capacite sensor.
- 2 secretion bottles a 3 I
- All parts, that come into contact with secretion, can be autoclaved at 134°C.
- Unproblematic handling.
- High operating safety.

Specifications :
- Voltage : 230 / 50 Hz
- Nominal consumption : 150 W
- Vacuum range : - 100 mbar and - 150 mbar
- Dimensions : 480 x 480 x 900 mm
- Weight : - 25 kg

18. Oxygen Theraphy Set (Cap. 6.000 Ltr.) 3 Unit Sharp - Japan --

19. Suction Pump 2 Unit Sturdy - Taiwan SS - 300


Features :
- User-friendly design to fulfil the quality standard requirement, Ideal for use in
operation theater room or general wards providing an efficient performance for
most procedures os suction environment such as suction biopsy, surgery,
endometrical curettage, obstetric and abortion etc.
- Dial regulate control knob to your desired vacuum flow rate from LOW to HIGH
capable of sustaining sufficient vacuum for most suction environment.
- Built-in a vacuum gauge with a range from 0 to 760 mmHG.
- 4 anti-static wheels with lock convenient for operation and delivery.
- Two autoclavable glass collection bottle each has a 3000 cc.
Capacity graduated by millimeter incorporating over-flow protective device.
- Choise of bacteria-retentive filter to prevent dispersal of bacteria aerosols into
the environment.
- Attentively designed with cabinet on back of body providing a convenient way for
internal storage.
- Comes with safety device for foot switch.

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RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

Specifications :
- Pump : Oil Rotary Vane
- Watts : 226
- Cylinder : Non
- Max airflow : 80 LPM
- Max vacuum : 700 mmHg (933 mbar)

Standard Accessories :
- 3000 CC glass collection bottles 2
- Foot switch 1
- Silicon tubing 1

- Specimen collection tube 1


- Water cup for disinfection 1

Included optional Accessories :


- Canula tube set ( 3 pcs set )

20. Syringe Pump 2 Unit JMS - Japan SP-500


Specifications :
Syringe used
- JMS 10 ml, 20 ml, 30 ml, 50 ml Setting for major syringe brands
or voluntary setting possible.
- Consult with your local distributor.

Flow rate range


- 0.1 to 200ml/hr. with 10 ml syringe
- 0.1 to 300ml/hr. with 20ml, 30ml or 50ml syringe in 0.1 ml/hr. increments

Accuracy
- Drive accuracy ± 1% with JMS syringe ± 3% (after 1 hour, flow rate 1ml/hr or
higher).

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RSU SENDAWAR TAHAP II TAHUN ANGGARAN 2004

I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

Rapid mode for purge or bolus


- Approx. 200 ml/hr. (10 ml syringe)
- Approx. 350 ml/hr. (20 ml syringe)
- Approx. 450 ml/hr. (30 ml syringe)
- Approx. 800 ml/hr. (50 ml syringe)

Purge
- This function is used to purge air from extension tube, and to fit syringe plunger
anto the pressure sensor, while not summing up the volume infused.

Bolus
- |This function is used for bolus infusion. The volume infused will be summed up
and displayed.

Volume infused display


- 0.1 to 999,9 ml in 0.1 ml increments
- With resetting function

Occlusion detection
- |Direct sensing of syringe plunger by pressure sensor loadcell. 3 levels are
selectable.
L (low pressure)
0.2 to 0.6 kgf/cm2(150 to 440 mmHg) when sensitive occlusion sensing
is required.
M (medium pressure)
0.5 to 0.9 kgf/cm2 (370 to 660 mmHg)
Normal setting
H (high pressure)
|0.8 to 1.4 kgf/cm2 (590 to 1000 mmHg) when high pressure is expected due to
tandem connection with infusion pump or use of viscous solution.

Alarms
- Red alarm lamp and auidible alarm
- Near empty (small remains or 5min. Before completion)
- End

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I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

- Low battery
- Occlusion
- Syringe disengaged
- Internal malfunction

Reminder Alarms
- 20 seconds after purging or bolus
- 2 minutes after flow rate setting

Power required
- 220 V AC, 50 Hz.
- Power Consumption 15 VA

Battery
- Rechargeable nickel cadmium
- Battery life 4 hours (fully charged new battery)
- Rechargeable time : 17 hours when fully discharged
Accessories
- Power cord (3 meters long)
- Pole clamp
- Operator's manual
- Quick reference sheet
Classification
- Class I type CF
- Drip proof
Standards
- IEC 601-1
- IEC 601-1-2
- Electromagnetic compatibility
- IEC 601-2-24, Part 2 (Draft)
- Particular requirements for safety of infusion pump and controllers
Environmental Conditions
- Operation (no condensation) 10 to 40°C, 30 to 85% RH
- Storage (no condensation)
- -10 to 40°C, 30 to 95% RH
- No direct sunlight

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No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

Weight and dimensions


- 2.6 kg
- 340(W) x 134(D) x 134(H0 mm
14. Kamar Jenazah
1. Autopsy Table 1 Unit Matachana - Spain MAR
Specifications :
- Large working surface. Washing tray with taps and drain valve for attaching grinder.
- Slidable support which avoid the body coming into contact with the table surface;
a curtain of water circulates from the dispersers to a small central tray with a
grating-filter.
- Turret with Venturi suction tube. Hydromixer hot and cold water, telephone
shower button operated.
- Electric connection for saws, aspirators and other elements by means of
air-sealed sockets.
- Dimensions : 2.600 x 800 x 900 mm
- Weight : 220 kg

2. Post Mortem Set 1 Set Rebstock - Germany 32.684.00

3. Binocular Microscope 1 Unit Olympus - Japan CH-20


Specifications :
Microscope Frame
- Stage movement (vertical) by coaxial coarse/lien roller guide
(rack and pinion type)
- Corse movement stroke : 20 mm
- Tension adjustment on the right, fine cosuing knob graduated in increments
of 2.5 um.
- Quadruple revolving nosepiece (fixed)
- Abbe condenser N.A. 1.25 (oil immersion), with aperture iris diaphragm
Vertical adjustment range : 10 mm
- Blue filter
- Built-in 6V, 20 W illuminator base
- 8 cc imersion oil
- Dust cover
- Binocular observation tube (inclination 45°, interpupillary distance adjustment on the left
- With mechanical stage right hand.

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No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

Power Cord
- Lamp : 6 V, 20 W halogen lamp
- Objectives NE Achromat 4 x M (anti-fungus)
NE Achromat 10 x M (anti-fungus)
NE Achromat 40 x M (anti-fungus) spring
NE Achromat 100 x M (anti-fungus) spring, oil
- Eyepiece : NCWHK10 x (LB eyepiece 10x), F.N. 18 mm, (anti
fungus) (x2)

4. Ruller Metal 1 pc Rebstock - Germany 02.340.50

5. Polaroid Camera 1 Unit Fuji - Japan --

6. Lampu Light 1 Unit Lokal --

7. Mortuary Refrigerator 2 Body 1 Unit Matachana - Spain 1 - ME/2

Specifications :
- Prepared for immediate installation and operation.
- Front in AISI-304 stainless steel (18/8). Automatic temperature control
by thermostat.
- Front with built-in digital thermometer.
- Doors with lock and card slot for identification.
- Interior lighting triggered by luminous switch.
- Interior stretchers and telescopic guides in AISI-304 (18/8) stainless stell.
These have nylon bearings and are slidable.
- Forced draught evaporator with programmed automatic defreezing.
- Airtight freezing equipment protected with safety device against extreme
temperature.
- Other dimensions upon request.

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No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

19. Gedung VIP (6 T.T)


19.1 Ruang Perawatan 1. Supramak Bed Kelas VIP + Mattress 6 Unit MAK - Lokal Mak - 730
VIP Specifications :
- Mattress : Made of electro galvanized steel sheet,
Perforated and equipped with mattress Stopper
at all sides.
- Head and foot panel : Made of ABS plastics, detachable.
- Safety side guard : Made of aluminium pipes and nylon with "lock in
position system".
- I.V. Stand : Adjustable height stainless steel pipes with lock
screw.
- Castors : 5" castors swivel 360 degrees, two with brakes
and swivel lock.
- Back raise : Operated by electrical motor
- Knee raise : Operated by electrical motor
- Hi - Lo : Operated by electrical motor
- Motor : 24 V DC motor
- Power consumption : 220 Volt AC/50 Hz, 100 Watt
- Overall dimensions : 2190 x 990 x min. 690 - max. 990 mm

2. Basic Diagnostic Kit 2 Set Various --


Consist of :
- Blood Pressure apparatus Mercury 1 pc Rebstock - Germany 02.112.00
- Duplex Stethoscope 1 pc Rebstock - Germany 02.246.00
- Taylor Hammer 1 pc Rebstock - Germany 02.288.20
- Buchwald Tongue Depressor 19cm 1 pc Rebstock - Germany 48.109.19
- Laryng Mirror with Handle fig. 5/20 mm 1 pc Rebstock - Germany 52.272.20
- Thermometer Klinis 1 pc Gea - Denmark --
- Senter pupil 1 pc Taiwan --

3. Diagnostic Set 1 Set Rebstock - Germany 02.170.00

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No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

4. Instrument Trolley 1 Unit MAK - Lokal Mak - 35101


Specifications :
- Made of stainless steel sheet 1, 1.5 mm
- Stainless steel pipe 5/8"
- Construction : Stainless steel sheet
- Upper shelf : Consist of one drawer with list on each side
- Lower shelf : Stainless steel sheet with list on each side
- Handle : Stainless steel pipe
- Castor : 2"

5. Suction Pump 1 Unit Sturdy - Taiwan SS - 300


Features :
- User-friendly design to fulfil the quality standard requirement, Ideal for use in
operation theater room or general wards providing an efficient performance for
most procedures os suction environment such as suction biopsy, surgery,
endometrical curettage, obstetric and abortion etc.
- Dial regulate control knob to your desired vacuum flow rate from LOW to HIGH
capable of sustaining sufficient vacuum for most suction |environment.
- Built-in a vacuum gauge with a range from 0 to 760 mmHG.
- 4 anti-static wheels with lock convenient for operation and delivery.
- Two autoclavable glass collection bottle each has a 3000 cc.
Capacity graduated by millimeter incorporating over-flow protective device.
- Choise of bacteria-retentive filter to prevent dispersal of bacteria aerosols into
the environment.
- Attentively designed with cabinet on back of body providing a convenient way for
internal storage.
- Comes with safety device for foot switch.

Specifications :
- Pump : Oil Rotary Vane
- Watts : 226
- Cylinder : Non
- Max airflow : 80 LPM
- Max vacuum : 700 mmHg (933 mbar)

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No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

Standard Accessories :
- 3000 CC glass collection bottles 2
- Foot switch 1
- Silicon tubing 1
- Specimen collection tube 1
- Water cup for disinfection 1

Included optional Accessories :


- Canula tube set ( 3 pcs set )

6. Bandage Instrument Set 1 Set Rebstock - Germany --


Consist of :
- Metzenbaum Scissors Curved, 15 Cm 1 pc 08.281.15
- Forceps Dressing, 14.5 Cm 1 pc 10.102.14
- Forceps Tissue 1 x 2 Teeth, 14.5 Cm 1 pc 10.120.14
- Crile Hemostatic Forceps, Curved 1 pc 12.251.14
- Probe Buttoned 1 mm 1 pc 20.104.14
- Gross Maier Dressing Forceps, 20 Cm, Straight 1 pc 16.110.20
- Lister Bandage Scissors 1 pc 08.901.14
- Bruns Bandage Scissors Serrated 1 pc 08.937.23
- Compression Apparatus Complete 1 pc 33.101.01
- Combination Diagnostic Set 1 pc 02.170.00
- Mayo Hegar Needle Holder 1 pc 24.180.14
- Ford Bowles Stethoscope 1 pc 02.244.00
- Blood Pressure Apparatus Mercury 1 pc 02.112.00
- Case Steel 200 x 100 x 60 mm 1 pc 88.120.20

7. Oxygen Theraphy Set (Cap. 6.000 Ltr.) 2 Unit Sharp - Japan --

8. Steril Tray Wiremesh, 24 x 25 x 7 cm 3 Pcs Rebstock - Germany 88.241.24

9. Bed Side Cabinet 6 Unit MAK - Lokal Mak - 31811

Specifications :
- Made of steel sheet 1.2 mm
- Stainless steel rod

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No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

- Plywood : Laminated
- Castor : 2"
- Table top : Furnished laminated plywood with wooden list
- Main cupboard : One shelf
- Side cupboard : None
- Retractable table : Furnished laminated plywood
- Folded side table : None
- Shoe compartment : Lower part
- Towel hanger : Stainless steel rod detachable on left/right side
- Painting : Epoxy powder coating finished
- Dimenions : 470 x 465 x 990 mm

10. Infusion Stand 6 Unit MAK - Lokal Mak - 36101


Specifications :
- Stainless steel pipes
- Steel pipe
- Upper stand : Stainless steel pipe Adjustable with lock
- Lower stand : Steel pipe
- Painting : Epoxy powder coating finished
- Castors : 2"

11. Overbed Table 6 Unit MAK - Lokal Mak - 31812


Specifications :
- Made of steel sheet 1.8 mm
- Plywood
- Stainless steel pipe
- Lower construction : Steel sheet
: Epoxy powder coating finished
: Equipped with 2" castors
- Height : Adjustable with stainless steel pipe with lock
- Table top : Laminated furnished plywood (heat resistance)

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I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

12. X-Ray Film Viewer 1 Unit Meditec - Lokal MIT - 012D


Specifications :
- Wall model : Light Case Double
- Difusser with film supporting device
- Construction from enamelled sheet steel
- Approx. dim. : 55(H) x 75(L) x 12(D) cm

13. Resuscitation Set 1 Set Spencer - Italy CB-08011 A

Specifications :
- |Safety orange-bag with 2 small sidepockets and hardplastic case (removable). Ideal
|hard case-substitute, for lighter transport in difficult areas, with velcro lock and long
|shoulder strap, includes :
* Aneroid sphygmomanometer 1
* Phonendoscope 1
* Oxygen bottle, 0,5 liter 1
* Oxygen reducer with diaphragm fixed calibration 1
* PVC connected tube 1
* Eco-B Life resuscitation bag 1
* Eco-B Life adult mask size 5 1
* Eco-B Life children mask size 3 1
* Res-Q-Vac portable aspirator 1
* Set of Guedel airways sizes 1/2/3 1
* Exell depresse tongue 1
* Magill forceps 1
* Universal scissors 18 cm 1
* Tongue forcep type collin 1
* Plastic pen light 1
* Emergency blanket 1
* Size : 50 x 23 x 23 cm

14. Defibrillator 1 Unit Primedic - Germany ECO - 1

Features :
- ECG monitor tiltable ± 30°
- Large LCD-Display with high contrast

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No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

- Clear structure of control panels


- Easy to use
- Slim housing, easy to carry in narrow door-frames and strairwells
- Handy design of housing : protected connectors and paddle cables
- Robust casing of highly shock-resistant synthetic material
- Internal components carried on shock-absorbing foam without screws
- 5 Seconds charging time up to 360 joules
- ECG storage of the last 10 shocks
- Long-life duration due to high battery capacity
- Charging of battery via optional charger
- |Defi charge available with practical locking device, vehicle mounting and further
options
- Excellent price / performance ratio

Specifications :
ECG :
- 3-lead ECG
- Switchable filters : 50/60 Hz
- Amplification of ECG : 0.5 / 1 / 2 cm / mV
- Input impedance : > 50 M Ohm
- CMRR : > 90 dB
- Heartrate alarm adjustable : 30 ... 220 / min
- Heartrate indication in digits : 0 ... 220 / min

Monitor :
- LCD monitor
- Resolution : 320 x 240 Pixel
- Pixel size : 0.27 x 0.27 mm
- Monitor size : 100 x 80 mm
- Diagonal size : 125 mm / 5"

Printer :
- Thermal printer head
- 1 - Lead printing
- Paper size : 58 mm

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I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

- Printing speed : 25 mm / sec.


- Resolution : 8 bits ( = 200 dpi )

Defibrillation :
- Operating modes : Synchronous / asynchronous
- External defibrillation via paddles
- Integrated children paddles
- Energy steps : 10/20/30/50/100/160/200/250/360 joules (50 Ohm)
- Discharges : 60 with 360 joules
- Charging time : 5 sec. up to 360 joules

Power Supply :
- Detachable accu, NiCd : 14.4 V / 1.5 Ah
- Charging of accu via optional charger
- Charging time for 100%
charged accu : <1h

General :
- Size : 42(W( x 42(H) x 12(D) cm
- Weight : 8 Kg
- Power supply of charger : 100 ... 120 V 50/60 Hz or
200 ... 240 V 50/60 Hz or
12 / 24 VDC on vehicles
Supply with Defi-Monitor ECO 1 :
- PRIMEDIC Accu 1
- EKG - Patient cable, 4-pole with neutral electrode (3+N) 1
- ECG-electrodes Ag/AgC1 dia. 55 mm 30
- Printer paper, 58 mm, 25 m 1
- Electrode gel, 60 g 1
- User manual 1
15. Nebulizer 1 Unit Devillbiss - USA 56501 I

Specifications :
- Size : 10.1" x 10.5" x 6.5" (26 cm x 27 cm x 17 cm)
- Weight : 7 lbs (3.2 kg)
- Sound level : 5 I dBA

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No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

- Electrical requirements : 1.3 amps, 115 V, 60 Hz


- Power consumption : 90 Watts
- Max. compressor pressure : 30 - 45 psig**
- Min. compressor liter flow : 9.4 - 16 Ipm**
- Nebulizer operating pressure: 12 - 18 psig
- Nebulizer liter flow* : 5 - 7 Ipm
- Nebulizer capacity* : 6 ml (cc)
- Nebulization rate* : .15 ml/min or greater
- MMAD* : Less than 5 microns

16. 1/2 Channel Digital ECG 1 Unit Fukuda ME Kogyo - Japan C 110

Features :
- Automatic / Manual recording
- 1 or 2-ch recording
- 3 sec. to 10 sec. lead recording time
- Digital filter : AC interference, Muscle and Base line drift
- LCD Display : Lead, H.R. (BPM) and Battery low indication
- Alarms : |Electrode OFF, R-wave detection error, Paper
error.
- Auto P-wave recording start
- Auto base line positioning

Specifications :
Power requirements & Size
- AC, 110 - 240 V, 50/60 Hz
- DC 9.6 V built-in rechargeable Ni-cut battery
- Batery capacity : One (1) hour continuous recording
- Charging time : 7.5 hours form full charge
- Power consumption : 25 VA
- IEC Classification : Class I, Type CF
- Unit size : 280(W) x 202(D) x 67(H) mm
- Unit weight : 2.0 kg Incl. Ni-Cd battery)

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No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

Tehnical characteristics
- Input : Floating curcuit
- Input impedance : Greather than 20 M ohm
- Time constant : More than 3.2 sec.
- Frquency response : 0.05 - 100 Hz within -3dB
- Filter / Digital
* HUM : -20dB at 50/60 Hz
* DRIFT : -3dB at 0.5 Hz
* EMG : 3dB at 20/30/40 Hz

General specifications
- Recording : 8dots/mm thermal printer
- Recording mode : Automatic / Manual
- Chart paper : 50 mm x 30 m Roll (or Fold)
- Chart speed : 25, 50 mm/sec.
- Sensitivity : 1/2, 1, 2 cm/mV & AUTO

Accessories :
- Power cord 1
- Patient cable 1
- Cardi-clips 4
- Chest electrodes 6
- ECG cream 1
- 50 mm roll paper 1
- Paper core 1
- Unit cover 1
- Operation manual 1

17. UV Room Sterilizer 1 Unit Meditec - Lokal MIT - 91 UV

Features :
- The most effective and practical method to sterilize a surgery room and hospital
rooms is by means of ultraviolet lamps, Uv radiation will immediately kill all bacteria,
germs and viruses.
- Sterilization with Uv lamps definitely offer more advantages compared with a
medicine sprayer.

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I. PENGADAAN PERALATAN MEDIK - TAHAP II

No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

Medicine Sprayer
- Foulsmelling and can harm human health. Takes a long time (6-12 hours)
to sterilize. Room can not be used before sterilization process is over.
- Can damage and corrode medical equipments and hospital facilities such as
: surgery lamps AC, etc.
- It will develop bacterial resistance.
- Not all bacteria, only a few, can-be sterilized.

Ultraviolet Lamps
- Free from foul smells and polution of germicides ad chemicals.
- Needs short time, only 1-8 hours, for sterilization process.
- Does not cause corrosion.
- Will not develop resistance of bacteria, germs and viruses to Uv rays.
- All bacteria, germs and viruses can be sterilized.
- Equipped with a timer that regulates the duration of radiation time. It is also
equipped with a Hour Counter that counts total hours use of the Uv lamps.

Warning
- When using the equipment, avoid face and eyes from exposure to Uv rays.
- This equipment is designed to start working 3 minutes after switch-on, then
everybody has to leave the room to avoid Uv radiation.
- Clean the equipment with dry cloth.
- When the UV lamps are glowing faintly, it means its effectiveness is
decreasing and needs a change a change of new lamps.

Specifications :
- Power supply : AC 220 V, 50 Hz
- Power Consumption : 180 Watt
- Un Lamps : - 4 pcs, of 30 watt
- 1 pcs, of 10 watt
- Lamp Life : 3.000 hours

Dimensions :
- Size : 1.100 mm x1.100 mm x 1.310 mm
- Weight : ± 30 kg

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No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

18. Room Divider 6 Unit MAK - Lokal Mak - 36202


Specifications :
- Made of stainless steel pipes: 1", 3/4", 1/2"
- White linen cloth
- Castor 2"
- Construction : Stainless steel pipes
- Consist of : Two part attached together
Can be folded
- Linen : Linen cloth, detachable for cleaning
- Castor : Equipped with 2" castor
- Dimensions : 880 x 1745 cm

19. Korentang 1 Unit Rebstock - Germany 16.110.25

20. Mangkok Alkohol / Betadin S/S. 5 Unit -- --

21. Tromol 2 Unit Lokal --

22. Wheel Chair 1 Unit MAK - Lokal Mak - 31303


Specifications :
- Made of stainless steel pipes, imitation leather plastic components, castor, wheel
- Construction : Stainless steel pipes
- Backrest : Foam & imitation leather
- Seat : Foam & imitation leather
- Armrest and Footrest : Plastic
- Main wheel : Rubber with brake
- Front wheel : Castors 5"
- Chair can be folded :

23. Medicine Cabinet 2 Unit MAK - Lokal Mak - 32902

Specifications :
- Made of steel sheet
- Transparent glass 3 m
- Construction : Steel sheet
- Consist of : Two compartment, top & bottom

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No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

- Top : Three shelves, adjustable


- Doors : Two doors with full transparent glass
- Bottom : One shelf with steel door
- Equipped with : Lock & Key
- Painting : Epoxy powder coating finished

24. Medicine Trolley 1 Unit MAK - Lokal Mak - 36602


Specifications :
- Made of steel sheet
- Stainless steel pipe
- Acrylic sheet
- Trolley : Made of steel sheet
- Lower part : Two steel drawers and one cupboard
- Acrylic drawers : 50 pcs
- Handle : Stainless steel pipe
- Castor : 5" two with brake
- Painting : Epoxy powder coating finished
- Dimensions : 700 x 590 x 1000 mm

25. Urinal & Bed Pan Carriage 2 Unit MAK - Lokal Mak - 36501

Specifications :
- Made of stainless steel pipes
- Stainless steel rod
- Cpmstruction : Made of stainless steel pipes
- Bracket mounting : Bed pan 10 pcs.
Urinal 10 pcs
- Castor : 5" two with brake
- Dimensions : 450 x 980 x 1200 cm

26. Infusion Pump 1 Unit JMS - Japan OT - 701

Specifications :
- Pump type : Drip rate peristaltic finger pump
- Set requirement : |Standard PVC IV set (15-20 drops/ml) or micro
|IV set (60 drops/ml) with 3.4 - 4.5 mm O.D. tubing.

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No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

- Flow rate :
IV Set mL / hr drops/min
15 - 20 drops / ml 1-450 (1-100) ml 1-100 (1-100) drops/min
60 drops / ml 1-100 (1-100) ml 1-100 (1-100) drops/min

- Rate step : 1 ml step


- Flow rate accuracy : ± 10% (with adjusting function)
- Drip rate accuracy : |± 2% (after more than 500 drops have been
|infused).
- Volume infused display : 0 - 9999 ml
- Volume limit : 1 - 9999 ml or no limit
- Purge rate : More than 450 ml / hr
- Alarms : Door Open, Low Battery, Internal Malfunction,
Air in Line, Infusion Complete, Empty Container,
Reminder, Abnormal Drips.
- KVO (keep Vein Open) : 1 ml / hr
- Occlusion pressure : 60 - 140 kPa (adjustable)
- Air detection method : Ultrasonic
- Drip detection method : Double infrared photoelectric beam
- Finger Cassette : Detachable
- Tube Clamp : With lock lever, detachable
- Nurse Call : Terminal on the bottom
- Communication : Optical communication
- Display : Color LCD with back light
- Battery : Rechargeable Nickle Cadmium
- Battery life : 4 hours at 125 ml/hr when fully
Charged.
- Recharge : 30 hours when fully discharged.
- Operation conditions : Ambient temperature : 15°C to 40°C
Relative humidity : 30% to 85%
(with no condensation)
- Storage conditions : Ambient temperature : -10°C to 45°C
Relative humidity : 20% to 95%
(with no condensation)
- Dimensions : 180 (W) x 148(D) x 210(H) mm

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No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

- Weight : 2.3 kg
- Power required : 85 to 264 Vac, 50/60 Hz
- Power consumption : 12 VA
- Electric shock, Protective type : Class II Type CF

27. Syringe Pump 1 Unit JMS - Japan SP-500

Specifications :
Syringe used
- JMS 10 ml, 20 ml, 30 ml, 50 ml Setting for major syringe brands or voluntary
setting possible.
- Consult with your local distributor.

Flow rate range


- 0.1 to 200ml/hr. with 10 ml syringe
- 0.1 to 300ml/hr. with 20ml, 30ml or 50ml syringe in 0.1 ml/hr. increments
Accuracy
- Drive accuracy ± 1% with JMS syringe ± 3% (after 1 hour, flow rate 1ml/hr or
higher).

Rapid mode for purge or bolus


- Approx. 200 ml/hr. (10 ml syringe)
- Approx. 350 ml/hr. (20 ml syringe)
- Approx. 450 ml/hr. (30 ml syringe)
- Approx. 800 ml/hr. (50 ml syringe)

Purge
- This function is used to purge air from extension tube, and to fit syringe plunger
anto the pressure sensor, while not summing up the volume infused.

Bolus
- This function is used for bolus infusion. The volume infused will be summed up
and displayed.

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No. Bagian Nama Alat Quantity Country of Origin Merk / Type Keterangan

Volume infused display


- 0.1 to 999,9 ml in 0.1 ml increments
- With resetting function

Occlusion detection
- Direct sensing of syringe plunger by pressure sensor loadcell. 3 levels are
selectable.
L (low pressure)
0.2 to 0.6 kgf/cm2(150 to 440 mmHg) when sensitive occlusion sensing
is required.
M (medium pressure)
0.5 to 0.9 kgf/cm2 (370 to 660 mmHg)
Normal setting

H (high pressure)
0.8 to 1.4 kgf/cm2 (590 to 1000 mmHg) when high pressure is expected due to
tandem connection with infusion pump or use of viscous solution.

Alarms
- Red alarm lamp and auidible alarm
- Near empty (small remains or 5min. Before completion)
- End
- Low battery
- Occlusion
- Syringe disengaged
- Internal malfunction

Reminder Alarms
- 20 seconds after purging or bolus
- 2 minutes after flow rate setting
Power required
- 220 V AC, 50 Hz.
- Power Consumption 15 VA

Page 225