LAMPIRAN SPESIFIKASI TEKNIS PENGADAAN ALKES PONED KIT DAN POSKESDES KIT

No. Nama Barang

1 PONED KID
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Setengah Kocher , SS 14 cm Alas Kaki untuk Perlindungan Infeksi Apron untuk Perlindungan Infeksi Bak Instrument Tertutup 508 Bak Instrument Tertutup 509 B Bak Instrument Tertutup 512 Benang Chromic 2.0 / 3.0 box isi 12 Spuit Disposible E 10 cc Spuit Disposible E 3 cc Endotracheal Tube 2.5 , 3, 4 Fetal Stetoscope Pinard Gunting Episiotomy 14 cm Gunting Kuku Gunting tali Pusat 16 cm Halogen Examination Lamp Features: Perfect Focusing Light Cool Beam Light Desktop Adjustable Flexible Arm Complete with dimmer Specification : Illuminance Bulb Lower Stand Arm 16 Handuk Kecil 17 Hb Sahli Specification : Castor Power Consumption Power

: : : : : : :

44.000 Lux :Halogen 12 Volt / 50 W Stainless steel 70 cm long flexible arm can be stayed in any desired position 5 Castors 2µ mobile stand with tube frame 95 cm high 50 Watt 110~220 V,50Hz/60Hz

Comparator Sahli pipette Sahli tube Rubber suction Stirring rod/Glass stic

18 Infuse set dewasa, box/50 19 Infuse set Pediatric, box/50

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No.

Nama Barang

20 Inkubator dengan Thermostat Sederhana Specifications Dimensi Konstuksi Finishing Heater Accessories

: 65 x 45 x 120 cm : Plat MS, Pipa q, Kaca 5 mms MS Pintu Acrylic 5 mm : Cat Epoxy Powder Coating (MS) : 3 x 40 watt (bulb lamp) : - Thermostat 0-40° : - Thermometer : - Matras lapis vinyl 5 cm : - Roda 2"

21 22 23 24 25 26 27 28 29 30 31 32

IV Catheter No. 18 G untuk Dewasa, box/50 IV Catheter No. 26 G untuk Bayi, box/50 Jam / Timer Jarum Jahit Tajam (9 & 11) / pak 12 Kacamata / Google untuk Perlindungan Infeksi Kain Bersih Dan Kering Kateter Penghisap Lendir 6, 8, 10 Kateter Umbilical 3 & 5 Klem Kasa dan tempat Korentang Klem kelly / Klem Kocher lurus 14 cm Klem Ovum Laringoscope Infant
Spesifikasi : High quality laryngoscope stainless steel with standard or halogen lamp. Available with a selection of handles, spatula design and sizes. Consist of : 1 Handle & 3 Blades No. 0, 1, 2

33 Manekin (Pelfic Model + Boneka Bayi + Placenta ) 34 Masker 3 Ply Ear Loop, box isi 50 35 Meja instrument 2 Rak Specification : Dimensi Konstruksi Finishing Accessories 36 Meja Tindakan Resusitasi Bayi Specification : Dimensi Konstruksi Finishing Accessories 37 Meteran / Met Line 1.5 cm

: : : :

70 x 43 x 80cm Plat S/S, Pipa S/S Polishing Roda 2"

: : : :

(90 - 125) x 50 x 80 cm Plat MS, Pipa q, As MS Cat Epoxy Powder Coating Matras 5cm Lapis Vinyl

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box /50 Pinset Anatomi 14 cm Pinset Chirugis Pita pengukur lengan Plastik untuk Alas Tidur Plester non Woven 5x5 M Pocket Doppler Features: Hi.No.2 W (Built-in Loudspeaker) Audio output for earphone : Auto Shut-off : 5 Minutes Auto Shut-off on signal : 1 Minutes Power : 1. Nama Barang 38 39 40 41 Nald Holder 14 cm Naso gastric tube 6 & 8 Nelaton Catheter No.Waskom Ø 36 cm .5 V Battery x2 (Type:AA) Sensitivity : 10 ~ 12 Weeks Onward PC Interface : Sound card Battery Life : 360 Minutes Page 3 of 13 .Posisi Punggung dapat diatur .Cat Epoxy Powder Coating .Bebe is pocket size doppler for Obsterician.Dapat dipisah menjadi 2 bagian . Midwives. and Pregnant Women.Foot Step 42 43 44 45 46 47 48 49 Penghisap Lendir Dr. Pipa MS.2 Penyangga Kaki .Matras 5 cm lapis Vinyl . As MS : .Polishing : . Compact and Light High-Sensitivity Doppler Probe Ergonomic Design Large-Display & Clean Sound Easy to Use Low Power Consumption Long Time to Continuous Use ( 6 hours) Specification : Display : LCD (Low battery & Signal Quality display) Heart Rate Range : 50 ~ 240 bpm Accuracy : ± 2% Ultrasound Frequency : 2 MHz Ultrasound Intensity : < 10 mW/cm² Speaker Output Power : 1. 14 Partus Bed Specifications Dimensi Konstruksi Finishing Accessories : 200 x 70 x 80 cm : Pipa S/S Ø. Lee Pengikat Tali pusat.

for pump Ditto. 150cm long. Detail of Instrument : Hanger (Acrylic) for bottle & pump Vacuum-gauge with straight connector Connector angled Ditto.5.S Ø 40mm Ditto Ø 50mm Ditto Ø 60mm Traction handle with hook Rubber cup Ø 50mm (yellow) Ditto Ø 60mm (blue) 1 1 1 1 1 2 1 1 1 1 1 1 1 1 1 Pce Pce Pce Pce Pce Pcs Pce Pce Pce Pce Pce Pce Pce Pce Pce 56 Sikat Kuku 57 Speculum SIMS 58 Sphygmomanometer Hg + Manset Anak A Traditional Desk Model Mercurial sphygmomanometer Page 4 of 13 . Nama Barang 50 Resusitator Dewasa Bahan Polysufone Specification : Max. tidal volume of approx 300 ml Patient connector: 22/15 mm (ISO) Weight with patient valve: 190 g Size: (Length x Diameter) 265 x 85 mm Volume oxygen reservoir tube: 100 ml Expiratory connector: 30 mm 52 53 54 55 Sarung tangan DTT/ Steril. tidal volume of approx 1300 ml Patient connector: 22/15 mm (ISO) Weight with patient valve: 415 g Size: (Length x Diameter) 275 x 135 mm Volume O2 Reservoir: approx. Pasang 7.5 Sarung tangan Panjang untuk Manuli Plasenta 6. for vacuum cup & rubber cup Vacuum cup S.No. 7 @ 5psg Sarung tangtan Heavy Duty ps Set Ekstraksi Vakum Spesifikasi : Completed with 3 cup various size baby extrator manual pump & Handoperated vacuum device for suction cups. screw cap for elbow pipe Rubber-plug with 3 holes Vacuum bottle of glass Vacuum pump ERN silicone rubber tubing 75cm long. 1500 ml Expiratory connector: 30 mm 51 Resusitator Neonatus Bahan Polysufone Specification : Max. 7.

size 00 Oxygen reservoir Direction for use Supllied in pouch & carton Page 5 of 13 . The color coordinate non-child ring and diapraghm retaining ring provide excellent patient comfort. Pipa S/S.No. 1 untuk Pemasangan EET 64 Sungkup Resusitator Neonatus Spesifikasi : Neonate Resuscitator. The unit assembled into housing with rugged die cast alloy in oyster white texture baked powder coating for nice presentation. Three years of calibration warranty. plastic connector and standard air release valve. 220 ml Single shutter patient valve Valve with 40 cm H 2O pressure limitation Silicone Face Mask.185) cm (Adjustable) : . As MS . The color coordinate non-child ring and diapraghm retaining ring provide excellent patient comfort. A locking reservoir prevents mercury spillage during transportation. 59 Standard Infus Spesifikasi : - Dimensi Tinggi Konstruksi Finishing Accessories : 60 x (105 . The unit comes in a foam lined box with two extra set of soft sealing eartips and one diapraghm 62 Stetoscope Duplex Dewasa Stainless Steel Stethescope Featuring the Superior accoustic and rugged durability. He chestpiece is precisely machined to exacting tolerance from surgical Stainless Steel for outstanding performance. It comes complete with calibrated nylon cuff. He chestpiece is precisely machined to exacting tolerance from surgical Stainless Steel for outstanding performance. Nama Barang This model features precision and easy reading up to 300 mmHg scale. The unit comes in a foam lined box with two extra set of soft sealing eartips and one diapraghm 63 Stilet No.Pipa MS.Kaki 5 plastik : Cat Epoxy Powder Coating : Roda 2" 60 Tong / Ember dengan Kran 61 Stetoscope Duplex Bayi Stainless Steel Stethescope Featuring the Superior accoustic and rugged durability.

5 cm x 33.Bagian Kepala dapat diatur s/d 70° . CE 123. Regulator oxygen 1 m3 Steel pipes Powder coating For 1 m 3 Steel pipe Powder coating 4" castors : 185 x 65 x 80 cm : Pipa S/S. TUV Departemen Kesehatan : 120 kg / 260 lb : 1000 g (1 kg / 2 lbs) : 25.5 cm x 19 cm Pink.7 x 26.Matras busa 5 cm lapis vinyl . yellow (on request) ISO 9001. blue.Foot Step 68 Three Way Stop Cook 69 Timbangan bayi 20 Kg + Baki Features: Can be used for both baby and infant (about 6 years old) You can use on a flat surface It has a wide view with fine graduation Specification: Capacities Gross weight Net weight Graduation Measurement Color Certificate Registration 70 Timbangan Injak Specifications: Dewasa Capacity Graduation Dimension (L x W x H) : : : : : : : : 20 kg 4 kg 3 kg 50 gram or 2 oz Approx 57.No. As MS : .Polishing : .Cat Epoxy Powder Coating . Pipa MS. Nama Barang 65 Tabung Oxygen 1m3 + Regulator + Troley + Nasal Specification : Complete with Oxygen cylinder Material Finishing Trolley : Features Construction Finishing Castor 66 Thermometer Klinis Hg 67 Tempat tidur Periksa Spesifikasi : Dimensi Konstruksi Finishing Accessories : : : : : : : : Nasal canula.3 x 5 cm 71 Vakum Aspirasi manual untuk Paska Keguguran Specifications: Page 6 of 13 .

It comes complete with calibrated nylon cuff. 1 1 1 1 1 1 1 1 1 5 5 1 1 Bh Bh Bh Bh Bh Bh Bh Bh Bh Bh Bh Bh Bh - Stetoscope Duplex Dual Head Stethocope Featuring fine accoustic reponse and superlight design makes extraordinary comfortable. Nama Barang - Complete vacuum delevery system 1 pc omni cup. Three years of calibration warranty. 17 cm Ø 0.No. 40 cm 6 pcs silicone rubber. The unit comes with an extra set soft sealing eartips and spare diapraghm. plastic connector and standard air release valve. SS Sphygmomanometer A Traditional Desk Model Mercurial sphygmomanometer This model features precision and easy reading up to 300 mmHg scale.5 Handschoen No. A locking reservoir prevents mercury spillage during transportation. 21x13x6. Sponge Foster Straight Scissor Operating Mayo CVD IUD String Retrivver Uterine Sonde Sims Speculum Vagina. Fixing Clamp Tas Bidan 1 Bh - 1 Bh 1 Bh Page 7 of 13 . IUD Removal Alligator Jow Forceps.5 cm 2 pcs o ring for trap cup 2 pcs handlewith indikator 1 pc Brushes.60 cm 2 pcs Ceiling. The adult chestpiece precisely machined to exacting tolerance from lightweight aluminium. The unit assembled into housing with rugged die cast alloy in oyster white texture baked powder coating for nice presentation. Double leaf internal spring binaurals are fixed at a 15° angle for greater comfort. 6. Graves Medium Handschoen No. 7 Utility Tray with Cover. Schroeder Tenaculum Forceps. Graves Large Speculum Vagina. 16 cm 1 pc kawat pengait 1 pc DVD 1 pc Case.5 cm 72 Waskom Stainless Steel 40 cm 73 IUD Kit terdiri dari : Iodine Cup Forceps.

10 cm Pinset Chirugis 10 cm Gunting Operasi Scaper Handle no.5 cm Pinset Anatomi 10 cm Gunting Operasi tajam. 3 Small Needle Holder Kom Kecil 8 cm Curved Mosquito hemostat Iris Forceps Curved Non Iris Forceps Pinset bengkok kecil SET VENA SECTIO Mayo hegar Needle Holder 14 cm Baby Mosquito str 10 cm Baby Mosquito cvd 10 cm Langenback Hak Pinset Chirugis 10 cm Forceps Splinter 11.No. Nama Barang 74 Ari timer Standard Unicef SET UMBILICAL (UNTUK NEONATAL) Kocher Artery Klem str. 3 Pisau Bisturi No. 9 cm str Gunting Operasi tajam. 15 Kom Kecil 8 cm 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 2 POSKESDES KID 1 Bidan Kit Terdiri dari : - Appron Plastic Tebal Alat penghisap lendir Ari sound timer Autoclic device Baby scale 7 kg + celana Bak Instrument 509 Blood lanccete 28G Bowl Metal 12 cm Catgut 2/0 1. 9 cm cvd Knife Handle No.5 m Kateter disposible no 12 Duk kain katun 60 x 60 Funduscope Kayu Gunting Episotomi 14 cm Page 8 of 13 . 10 cm Kocher Artery Klem cvd.

Specially packed in oversized matching nylon carrying case provides room to cary additional item. 6.5 Selimut Bayi Senter Besar Setengah Kocher SS 14 cm Sheet Plastic tebal Sikat tangan Dengan Nylon Tensimeter Aneroid The Professional Sphygmomanometer with Variety Color selection Designed in eight fashion colors cuff that match to your office.14 Needle holder mayo 14 cm Nelaton Chateter No.Volume oxygen reservoir tube: 100 ml . 7 . tidal volume of approx 300 ml . 26 G Jarum Diposible no 23 G box50's Kocher Lurus 16 cm. Nama Barang - Gunting operasi lurus 14 cm ta/tu Gunting tali pusat 16 cm HB Talquist Book Hecting nald GR 12 Hecting nald Gt 12 Infusion set Dewasa Infusion set Pediatric IV.Size: (Length x Diameter) 265 x 85 mm .Expiratory connector: 30 mm Sarung Tangan Bedah No. 7. Ss Meteran / Metline 150 cm Mucous penghisap lendir Nasogatric tube no.12 Neerbiken 20 cm. 18 G IV. 300mmHg no pin stop manometer with black enamel finish and 3 years calibration warranty ±3mmHg.Weight with patient valve: 190 g . Catheter No.Patient connector: 22/15 mm (ISO) .Max.5 .No. SS Pincet anatomy 14 cm SS Pincet Chirugis 14 cm Pincet chirugis 18 cm Ambu Bag Infant Specification : . Spiritus Sumbu Spuit Disposible 1cc Spuit Disposible 3 cc Stetoscope Duplex dewasa Dual Head Stethocope - - Page 9 of 13 . department or uniform. Catheter No.

yellow (on request) ISO 9001.Dimension (L x W x H) Ukuran lengan ibu hamil Umbilical Cord klaem Tas Bidan Dari Kulit Tas Partus kit Wing Needle 23 & 25 G : 120 kg / 260 lb : 1000 g (1 kg / 2 lbs) : 25. cocor bebek.You can use on a flat surface . Memory recalls for last reading and auto shut down function. blue.5 cm x 33.Graduation .5 cm x 19 cm Pink.Capacity . The unit comes with an extra set soft sealing eartips and spare diapraghm. sedang Page 10 of 13 . cocor bebek.7 x 26. Measures in 60 seconds and includes the beeper function to indicate peak temperature.No. TUV Departemen Kesehatan - Timbangan Dewasa Specifications: . Double leaf internal spring binaurals are fixed at a 15° angle for greater comfort. One year limited warranty Timbangan Bayi 20 kg Features: . Nama Barang Featuring fine accoustic reponse and superlight design makes extraordinary comfortable. CE 123. besar Speculum vagina.It has a wide view with fine graduation Specification: Capacities Gross weight Net weight Graduation Measurement Color Certificate Registration : : : : : : : : 20 kg 4 kg 3 kg 50 gram or 2 oz Approx 57. kecil Speculum vagina.Can be used for both baby and infant (about 6 years old) . cocor bebek. The adult chestpiece precisely machined to exacting tolerance from lightweight aluminium.3 x 5 cm 2 3 4 5 6 Palu pengukur reflek Pelvimeter Obstetric untuk pengukur panggul Speculum vagina. Thermometer Bayi Rektal Thermometer Digital Features compact size and easy to read display.

30cc Sonde uterus. 25 cm Klem / Penjepit porsio (Schroder).5 . A locking reservoir prevents mercury spillage during transportation. lurus ujung tumpul/tumpul Kateter karet. 11 Termometr Bayi Features compact size and easy to read display. no. penduga Sarung tanga 6.No. Measures in 60 seconds and includes the beeper function to indicate peak temperature. nelaton.5 Bak logam tempat alat steril SS Mangkok untuk larutan Silinder korentang steril 17 cm Page 11 of 13 . The unit assembled into housing with rugged die cast alloy in oyster white texture baked powder coating for nice presentation. 10 (steril) Kateter karet. Memory recalls for last reading and auto shut down function. penjepit alat steril (Cheatle). Double leaf internal spring binaurals are fixed at a 15° angle for greater comfort. The adult chestpiece precisely machined to exacting tolerance from lightweight aluminium. 12 Klem tampon uterus (Bozemen).5 cm Pincet anatomis 18 cm Semprit gliserin ss. no. 7 & 7. no. Three years of calibration warranty. Nama Barang 7 Stethoscope Dual Head Stethocope Featuring fine accoustic reponse and superlight design makes extraordinary comfortable. plastic connector and standard air release valve. 16 cm ss 10 Tensimeter air raksa A Traditional Desk Model Mercurial sphygmomanometer This model features precision and easy reading up to 300 mmHg scale. One year limited warranty 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Alat Pemasang IUD alat Pengait IUD Gunting bedah standard. 23 cm Korentang penjepit spong (Foerster) Pincet anatomis 14. It comes complete with calibrated nylon cuff. 25 cm Korentang lengkung. lurus ujung tajam/tumpul Gunting bedah standard. 8 Stethoscope janin Allumanium 9 Sudip lidah logam. lurus ujung tajam/tajam Gunting bedah standard. nelaton. The unit comes with an extra set soft sealing eartips and spare diapraghm. 14 (steril) Kateter logam untuk wanita.

3 x 5 cm Page 12 of 13 . Midwives. and Pregnant Women.7 x 26.5 cm x 19 cm Pink.It has a wide view with fine graduation Specification: Capacities Gross weight Net weight Graduation Measurement Color Certificate Registration : : : : : : : : 20 kg 4 kg 3 kg 50 gram or 2 oz Approx 57. Nama Barang 32 Torniquete karet 33 Waskom bengkok SS (Nierbeken 12 cm) 34 Doppler Features: Hi. TUV Departemen Kesehatan Dewasa Capacity Graduation Dimension (L x W x H) : 120 kg / 260 lb : 1000 g (1 kg / 2 lbs) : 25. CE 123. blue.No.2 W (Built-in Loudspeaker) Audio output for earphone : Auto Shut-off : 5 Minutes Auto Shut-off on signal : 1 Minutes Power : 1.5 V Battery x2 (Type:AA) Sensitivity : 10 ~ 12 Weeks Onward PC Interface : Sound card Battery Life : 360 Minutes 35 Timbangan Injak Specifications: 36 Timbangan Bayi Features: . yellow (on request) ISO 9001.You can use on a flat surface .Can be used for both baby and infant (about 6 years old) . Compact and Light High-Sensitivity Doppler Probe Ergonomic Design Large-Display & Clean Sound Easy to Use Low Power Consumption Long Time to Continuous Use ( 6 hours) Specification : Display : LCD (Low battery & Signal Quality display) Heart Rate Range : 50 ~ 240 bpm Accuracy : ± 2% Ultrasound Frequency : 2 MHz Ultrasound Intensity : < 10 mW/cm² Speaker Output Power : 1.5 cm x 33.Bebe is pocket size doppler for Obsterician.

B . Ataupah Pembina Tk. I NIP : 196402040996031001 Theresia Ili.No.Sos Penata NIP : 196604041987032« Page 13 of 13 . M . S. Nama Barang Mengetahui : Kepala Dinas Kesehatan Kabupaten Kupang Pejabat Pembuat Komitmen dr.

15.1 µA . and 25. defress the red button and rotate the Rheostat.1 to 6 then 8.2 W (Built-in Loudspeaker) 5 Minutes 1 Minutes 1. 10. Xenon : The otoscope head has universal fifting.Bebe is pocket size doppler for Obsterician. 2 Doppler Features: Specification : - Hi. ‡ Laryngeal Stems Various attachments such as mirrors and tongue depressors can be attached to the laryngeal stem ‡ Handles Orion handles contain real working Rheostats. The handles are made to universal fiftings and accept all components in the Orion Diagnostic range. 12. 15. Compact and Light High-Sensitivity Doppler Probe Ergonomic Design Large-Display & Clean Sound Easy to Use Low Power Consumption Long Time to Continuous Use ( 6 hours) Display Heart Rate Range Accuracy Ultrasound Frequency Ultrasound Intensity Speaker Output Power Audio output for earphone Auto Shut-off Auto Shut-off on signal Power Sensitivity PC Interface Battery Life : : : : : : : : : : : : : LCD (Low battery & Signal Quality display) 50 ~ 240 bpm ± 2% 2 MHz < 10 mW/cm² 1. We recommend "Alkaline" batteries for all our Diagnostic system for Optimum performance. Midwives. and Pregnant Women.10. Xenon : Precision ground lenses provide 24 dioptre setting. The May wheel containing the lenses can be rotated in either clockwise or anti clockwise direction.1 to 6 then 8. 20. which allow a myriad of attachments to be used for Aural and Nasal examinations. To turn the power on / off. The Orion handles accept 2 x "C" batteries. 20 and 40 to -ve: 0.5 V Battery x2 (Type:AA) 10 ~ 12 Weeks Onward Sound card 360 Minutes 3 EKG 3 chanel Specifications Lead Input circuit Input Impedance lnput circuit current : : : : Standard 12 leads simultaneous acquisition lsolated input circuit with protection against pacemaker and defibrillator • 50 MŸ ” 0. ‡ Otoscopes. from +ve: 0.LAMPIRAN SPESIFIKASI TEKNIS PENGADAAN ALKES PUSKESMAS RAWAT JALAN I POLIKLINIK SET 1 Diagnostik set lengkap Specifications : ‡ Ophthalmoscope.

Type CF : 185 x 65 x 80 cm : Pipa S/S. single ended input • 100kŸ 1V/mV ±5%. Double leaf internal spring binaurals are fixed at a 15° angle for greater comfort. 5 microtoise 6 stetoskop Dual Head Stethocope Featuring fine accoustic reponse and superlight design makes extraordinary comfortable. > 100dB (AC filter in use) 1ms 12bit Roll:6 3mmx20m (30m) Zip-fold : 63mmx75mm( 20m) Manual/Auto High resolution thermal array recorder Automatice limination of baseline drift Automatic adjustment of baseline position Selectable among standard 12 leads 10mm/v ±5%.Matras busa 5 cm lapis vinyl . 7 Tempat tidur periksa Spesifikasi : Dimensi Konstruksi Finishing Accessories : : : : : : : : : : : : : : : : : : : : : : : : : : : 1mV ± 3% ± 500mV 2. The unit comes with an extra set soft sealing eartips and spare diapraghm.20mm/mv±3% AC : 50Hz ('.2s < 15 µ Vp-p 0. 50/60Hz 40VA DC: Built-in rechargeable Li-ion batterv 360Lx315Wx200H (mm) for 1 set 643Lx370WX410H (mm) for 4 sets 2kg/4./D converter Recording paper Operation mode l Recorder Baseline control Rhythm lead Signal input ECG output Power requiremen Packaging Net/Gross weight Safety level 4 Tensi Meter Manset Anak The Professional Sphygmomanometer with Variety Color selection Designed in eight fashion colors cuff that match to your office. department or uniform.05 . .45Hz >3. Specially packed in oversized matching nylon carrying case provides room to cary additional item.20dB) EMG :3 5-45H2( -3dB) D FT : ” 0.Cat Epoxy Powder Coating .Calibration voltage Polarizing voltage Sensitivity Filter Time constant Noise level Frequency response CMRR Sampling rate A. Pipa MS. The adult chestpiece precisely machined to exacting tolerance from lightweight aluminium.150 Hz > 60dB. 10.5. 300mmHg no pin stop manometer with black enamel finish and 3 years calibration warranty ±3mmHg. As MS : . 5.Polishing : . single ended input • 100kŸ AC: 100-240V.8kg Class l.

Bagian Kepala dapat diatur s/d 70° .. plastic connector and standard air release valve.3 x 5 cm : : : : 70 x 40 x 170 cm Plat MS. Memory recalls for last reading and auto shut down function.7 x 26. One year limited warranty 10 tes buta warna Ishihara 11 Timbangan dewasa Specifications: Capacity Graduation Dimension (L x W x H) 12 Sikat tangan 13 Lampu senter 14 Lemari peralatan Spesifikasi Dimensi Konstruksi Finishing Accessories 15 Meja instrumen Spesifikasi Dimensi Konstruksi Finishing Accessories : 120 kg / 260 lb : 1000 g (1 kg / 2 lbs) : 25. The unit assembled into housing with rugged die cast alloy in oyster white texture baked powder coating for nice presentation. Measures in 60 seconds and includes the beeper function to indicate peak temperature.Foot Step 8 Tensi meter air raksa A Traditional Desk Model Mercurial sphygmomanometer This model features precision and easy reading up to 300 mmHg scale.Roda 2" .Polishing : . Kaca 5 mm Cat Epoxy Powder Coating 3 shelf (Adjustable High) : 60 x 40 x 80 cm : Pipa q : .Cat Epoxy Powder Coating .Kaca 5 mm 16 17 18 19 20 silinder korentang steril torniket karet tromol kasa 25 x 120 cm waskom bengkok waskom cuci . Three years of calibration warranty. 9 Termometer klinik/ digital Features compact size and easy to read display. It comes complete with calibrated nylon cuff. A locking reservoir prevents mercury spillage during transportation.

2 Penyangga Kaki .Posisi Punggung/kepala dapat diatur : Foot Step - Optional 3 Inkubator Specifications Dimensi Konstuksi Finishing Heater Accessories : 65 x 45 x 120 cm : Plat MS.Roda 2" 4 Sterilisator Specifications Model No Body dimension (LxWxH) Packing Dimensions ( LxWxH) Reted Capacity Rated Voltage Rated Frequency Rated Power of heating tube Rack in upper cabinet Rack in lower cabinet Temperature in lower cabinet Ozone chroma Ozone time G. 220 ml Single shutter patient valve Valve with 40 cm H 2O pressure limitation Silicone Face Mask.Polishing : .Waskom Ø 36 cm . size 00 Oxygen reservoir Direction for use Supllied in pouch & carton 6 Tabung Oksigen dewasa Specification : .Matras lapis vinyl 5 cm : . Pipa q.2 Gynbed Dimensi Konstruksi Finishing Accessories : 125 x 65 x 75 cm : Plat MS.15 mg/m3 : 15 Min : 15. Kaca 5 mms MS Pintu Acrylic 5 mm : Cat Epoxy Powder Coating (MS) : 3 x 40 watt (bulb lamp) : . As MS : .5 Kg 5 Alat Resusitasi Specifications Neonate Resuscitator.Matras busa 5 cm lapis Vinyl . Weight : ZTP 80-15 Coated : 435 x 333 x 795 (mm) : 520 x 415 x 865 (mm) : 80 L : 220 V : 50 Hz : 550 W :1 :2 : 120 . Pipa Ø S/S.Cat Epoxy Powder Coating .170 (ºC) : 10 .Thermometer : .

S.- Complete with Oxygen cylinder Material Finishing Trolley : Features Construction Finishing Castor : : : : : : : : Nasal canula. M . B . Ataupah Pembina Tk. Regulator oxygen 6 m3 Steel pipes Powder coating For 6 m 3 Steel pipe & MS Plate Powder coating 5" castors 7 Tabung Oksigen Anak Specification : Complete with Oxygen cylinder Material Finishing Trolley : Features Construction Finishing Castor : : : : : : : : Nasal canula. I NIP : 196402040996031001 Theresia Ili. Regulator oxygen 1 m3 Steel pipes Powder coating For 1 m 3 Steel pipe Powder coating 4" castors Mengetahui : Kepala Dinas Kesehatan Kabupaten Kupang Pejabat Pembuat Komitmen dr.Sos Penata NIP : 196604041987032« .

7. SS 14 cm Alas Kaki untuk Perlindungan Infeksi Apron untuk Perlindungan Infeksi Bak Instrument Tertutup 508 Bak Instrument Tertutup 509 B Bak Instrument Tertutup 512 Benang Chromic 2. box/50 Jam / Timer Jarum Jahit Tajam (9 & 11) / pak 12 Kacamata / Google untuk Perlindungan Infeksi Kain Bersih Dan Kering Kateter Penghisap Lendir 6. 26 G untuk Bayi. 1 PONED KID 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 Setengah Kocher . box isi 50 Meja instrument 2 Rak Meja Tindakan Resusitasi Bayi Meteran / Met Line 1. box /50 Pinset Anatomi 14 cm Pinset Chirugis Pita pengukur lengan Plastik untuk Alas Tidur Plester non Woven 5x5 M Pocket Doppler Resusitator Dewasa Bahan Polysufone Resusitator Neonatus Bahan Polysufone Sarung tangan DTT/ Steril. 1 untuk Pemasangan EET Sungkup Resusitator Neonatus Tabung Oxygen 1m3 + Regulator + Troley + Nasal Thermometer Klinis Hg Tempat tidur Periksa 1 2 2 1 1 1 1 10 1 3 1 1 1 1 1 3 1 1 1 1 1 1 1 1 2 5 3 2 1 4 3 1 1 1 1 1 1 1 1 1 2 1 1 1 1 1 1 1 1 1 1 50 10 2 1 1 1 1 1 2 1 1 2 1 1 1 1 bh bh bh bh bh bh bh bh box bh bh bh bh bh Unit bh set box box Unit box box bh box bh bh bh bh bh bh bh bh bh box Unit Unit bh bh bh bh Unit bh box bh bh bh bh bh Unit set set psg psg psg set bh set bh Unit bh bh bh bh set set bh bh 5 SET 5 10 10 5 5 5 5 50 5 15 5 5 5 5 5 15 5 5 5 5 5 5 5 5 10 25 15 10 5 20 15 5 5 5 5 5 5 5 5 5 10 5 5 5 5 5 5 5 5 5 5 250 59 10 5 5 5 5 5 10 5 5 10 5 5 5 5 .5 cm Nald Holder 14 cm Naso gastric tube 6 & 8 Nelaton Catheter No.0 / 3. 4 Fetal Stetoscope Pinard Gunting Episiotomy 14 cm Gunting Kuku Gunting tali Pusat 16 cm Halogen Examination Lamp Handuk Kecil Hb Sahli Infuse set dewasa.5 Sarung tangan Panjang untuk Manuli Plasenta Sarung tangtan Heavy Duty ps Set Ekstraksi Vakum Sikat Kuku Speculum SIMS Sphygmomanometer Hg + Manset Anak Standard Infus Tong / Ember dengan Kran Stetoscope Duplex Bayi Stetoscope Duplex Dewasa Stilet No.5 . box/50 Infuse set Pediatric. 8. Pasang 7. Nama Barang Qty TOTAL KEBUTUHAN Jumlah Harga Rp. 14 Partus Bed Penghisap Lendir Dr. 18 G untuk Dewasa.0 box isi 12 Spuit Disposible E 10 cc Spuit Disposible E 3 cc Endotracheal Tube 2. box/50 Inkubator dengan Thermostat Sederhana IV Catheter No. Lee Pengikat Tali pusat.DAFTAR LAMPIRAN KEBUTUHAN TEKNIS No. 10 Kateter Umbilical 3 & 5 Klem Kasa dan tempat Korentang Klem kelly / Klem Kocher lurus 14 cm Klem Ovum Laringoscope Infant Manekin (Pelfic Model + Boneka Bayi + Placenta ) Masker 3 Ply Ear Loop. 3. box/50 IV Catheter No.

6.Handschoen No.Gunting tali pusat 16 cm . 9 cm cvd Knife Handle No.Hecting nald Gt 12 .Speculum Vagina.Blood lanccete 28G . 7 5 Bh . 3 Pisau Bisturi No. 9 cm str Gunting Operasi tajam.Sphygmomanometer 1 Bh .Infusion set Pediatric 1 Set 1 2 1 1 1 1 1 2 1 10 2 1 1 1 1 1 1 1 5 5 bh bh bh bh bh bh bh bh Box bh bh bh bh bh bh bh bh bh bh bh 8 SET 8 8 16 8 8 8 8 8 16 8 80 16 8 8 8 8 8 8 8 40 40 . Schroeder Tenaculum 1 Bh .Catgut 2/0 1.Forceps.5 cm Pinset Anatomi 10 cm Gunting Operasi tajam.Forceps. IUD Removal Alligator Jow 1 Bh .68 69 70 71 72 73 Three Way Stop Cook Timbangan bayi 20 Kg + Baki Timbangan Injak Dewasa Vakum Aspirasi manual untuk Paska Keguguran Waskom Stainless Steel 40 cm IUD Kit terdiri dari : .Duk kain katun 60 x 60 .Scissor Operating Mayo CVD 1 Bh .Gunting Episotomi 14 cm .Tas Bidan 1 Bh 2 1 1 1 2 2 bh bh bh bh bh Set 10 5 5 5 10 10 74 Ari timer Standard Unicef SET UMBILICAL (UNTUK NEONATAL) Kocher Artery Klem str. Sponge Foster Straight 1 Bh .Baby scale 7 kg + celana . 15 Kom Kecil 8 cm 1 bh 5 75 76 77 78 79 80 81 82 83 84 85 2 2 2 2 1 1 1 1 1 1 1 bh bh bh bh bh bh bh bh bh bh bh 10 10 10 10 5 5 5 5 5 5 5 - 86 87 88 89 90 91 92 93 94 95 96 97 1 1 1 1 1 1 1 1 1 1 10 1 bh bh bh bh bh bh lbr lbr psg psg bh bh 5 5 5 5 5 5 5 5 5 5 50 5 2 POSKESDES KID 1 Bidan Kit Terdiri dari : . 3 Small Needle Holder Kom Kecil 8 cm Curved Mosquito hemostat Iris Forceps Curved Non Iris Forceps Pinset bengkok kecil SET VENA SECTIO Mayo hegar Needle Holder 14 cm Baby Mosquito str 10 cm Baby Mosquito cvd 10 cm Langenback Hak Pinset Chirugis 10 cm Forceps Splinter 11.HB Talquist Book .Stetoscope Duplex 1 Bh .Appron Plastic Tebal .Ari sound timer .Utility Tray with Cover.Fixing Clamp 1 Bh .5 m .Forceps.Autoclic device .Speculum Vagina.Infusion set Dewasa . SS 1 Bh . 10 cm Kocher Artery Klem cvd.Bak Instrument 509 .Handschoen No. Graves Medium 1 Bh .Uterine Sonde Sims 1 Bh .5 5 Bh .IUD String Retrivver 1 Bh .Gunting operasi lurus 14 cm ta/tu .Alat penghisap lendir .Hecting nald GR 12 .Iodine Cup 1 Bh .Funduscope Kayu .Kateter disposible no 12 . Graves Large 1 Bh .Bowl Metal 12 cm . 10 cm Pinset Chirugis 10 cm Gunting Operasi Scaper Handle no.

5 cm 1 Pincet anatomis 18 cm 1 Semprit gliserin ss. cocor bebek. Catheter No. no. penduga 1 Sarung tanga 6.14 Needle holder mayo 14 cm Nelaton Chateter No.5 30 Bak logam tempat alat steril SS 1 Mangkok untuk larutan 1 Silinder korentang steril 17 cm 1 Torniquete karet 1 Waskom bengkok SS (Nierbeken 12 cm) 1 Doppler 1 Timbangan Injak Dewasa 1 Timbangan Bayi 1 Mengetahui : Kepala Dinas Kesehatan Kabupaten Kupang Pejabat Pembuat Komitmen . 25 cm 1 Korentang lengkung. 26 G Jarum Diposible no 23 G box50's Kocher Lurus 16 cm. SS Pincet anatomy 14 cm SS Pincet Chirugis 14 cm Pincet chirugis 18 cm Ambu Bag Infant Sarung Tangan Bedah No. 14 (steril) 2 Kateter logam untuk wanita. 18 G IV. 7 .12 Neerbiken 20 cm. 6. no. 12 2 Klem tampon uterus (Bozemen). 16 cm ss 1 Tensimeter air raksa 1 Termometr Bayi 1 Alat Pemasang IUD 1 alat Pengait IUD 1 Gunting bedah standard. sedang 1 Stethoscope 1 Stethoscope janin Allumanium 1 Sudip lidah logam. Catheter No. besar 1 Speculum vagina. lurus ujung tumpul/tumpul 1 Kateter karet. 25 cm 1 Klem / Penjepit porsio (Schroder). cocor bebek. kecil 1 Speculum vagina.2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 IV. cocor bebek. no. 30cc 1 Sonde uterus.5 . Ss Meteran / Metline 150 cm Mucous penghisap lendir Nasogatric tube no. 10 (steril) 2 Kateter karet. nelaton. 7 & 7.5 . penjepit alat steril (Cheatle). 7. lurus ujung tajam/tumpul 1 Gunting bedah standard.5 Selimut Bayi Senter Besar Setengah Kocher SS 14 cm Sheet Plastic tebal Sikat tangan Dengan Nylon Tensimeter Aneroid Spiritus Sumbu Spuit Disposible 1cc Spuit Disposible 3 cc Stetoscope Duplex dewasa Thermometer Bayi Rektal Thermometer Digital Timbangan Bayi 20 kg Timbangan Dewasa Ukuran lengan ibu hamil Umbilical Cord klaem Tas Bidan Dari Kulit Tas Partus kit Wing Needle 23 & 25 G 5 5 1 2 1 1 2 2 5 2 1 1 1 1 30 2 1 1 2 1 1 1 1 1 1 1 1 1 1 1 10 1 1 10 bh bh box bh bh Box bh bh bh bh bh bh bh bh bh bh bh bh bh bh bh bh box box bh bh bh bh bh bh bh bh bh Bh bh set set set set set bh bh set bh set set bh bh bh bh bh bh bh bh bh bh bh bh bh bh psg bh bh bh bh bh bh bh bh 40 40 8 16 8 8 16 16 40 16 8 8 8 8 240 16 8 8 16 8 8 8 8 8 8 8 8 8 8 8 80 8 8 80 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 16 16 16 8 8 8 8 8 8 8 8 240 8 8 8 8 8 8 8 8 - Palu pengukur reflek 1 Pelvimeter Obstetric untuk pengukur panggul 1 Speculum vagina. 23 1 Korentang penjepit spong (Foerster) 1 Pincet anatomis 14. nelaton. lurus ujung tajam/tajam 1 Gunting bedah standard.

M . B . I NIP : 196402040996031001 Theresia Ili.Sos Penata NIP : 196604041987032« . S.dr. Ataupah Pembina Tk.

S. Ataupah Pembina Tk.DAFTAR LAMPIRAN KEBUTUHAN TEKNIS No.Sos Penata NIP : 196604041987032« . M . 1 POLIKLINIK SET 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 Diagnostik set lengkap Doppler EKG 3 chanel Tensi Meter Manset Anak microtoise stetoskop Tempat tidur periksa Tensi meter air raksa Termometer klinik/ digital tes buta warna Ishihara Timbangan dewasa Sikat tangan Lampu senter Lemari peralatan Meja instrumen silinder korentang steril torniket karet tromol kasa 25 x 120 cm waskom bengkok waskom cuci Nama Barang Qty 1 SET 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 13 Unit 13 Unit 13 Unit 13 Unit 13 Unit 13 Unit 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 2 Gynbed 3 Inkubator 4 Sterilisator 5 Alat Resusitasi 6 Tabung Oksigen dewasa 7 Tabung Oksigen Anak 13 13 13 13 13 13 TOTAL KEBUTUHAN Jumlah Harga Rp. I NIP : 196402040996031001 Theresia Ili. B . Mengetahui : Kepala Dinas Kesehatan Kabupaten Kupang Pejabat Pembuat Komitmen dr.

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