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FORMULARIUM ALAT KESEHATAN

RUMAH SAKIT UMUM MITRA SEHAT YOGYAKARTA


TAHUN 2016

No. Nama Barang Nama Dagang Pabrik


I ALAT KESEHATAN DISPOSABLE UMUM

1 Disposable Syringe 1 cc Insulin Syringe 1 cc Insulin 1. Terumo

2 Disposable Syringe 1 cc Tuberculin Syringe 1 cc Tuberculin 1. Terumo

3 Disposable Syringe 3 cc Syringe 3 cc 1. Terumo


Syringe 3 cc 2. Nipro

4 Disposable Syringe 5 cc Syringe 5 cc 1. Terumo


Syringe 5 cc 2. Nipro

5 Disposable Syringe 10 cc Syringe 10 cc 1. Terumo


Syringe 10 cc 2. Nipro

6 Disposable Syringe 20 cc Syringe 20 cc 1.Terumo

7 Disposable Syringe 50 cc Syringe 50 cc Lubang Pinggir 1. Terumo

8 Disposable Syringe 50 cc Syringe 50 cc Lubang Tengah 1. Terumo

9 Elektroda ECG Elektroda ECG 1. Kendall

10 Endotracheal Intubation Stylet Endo Stylet Tube Size 2.2 mm 1. Pascho

11 Endotracheal Intubation Stylet Endo Stylet Tube Size 3.3 mm 1. Pascho

12 Endotracheal Tube No 3.5 Endotracheal Tube No 3.5 1. Rusch

13 Endotracheal Tube No 4 Endotracheal Tube No 4 1. Rusch

14 Endotracheal Tube No 4.5 Endotracheal Tube No 4.5 1. Rusch

15 Endotracheal Tube No 5 Endotracheal Tube No 5 1. Rusch

16 Endotracheal Tube No 6 Endotracheal Tube No 6 1. Rusch

17 Endotracheal Tube No 7 Endotracheal Tube No 7 1. Rusch

18 Endotracheal Tube No 7.5 Endotracheal Tube No 7.5 1. Rusch

19 Flexible Karman Currete size 10 Flexible Karman Currete size 10 1. Luneau

20 Folley Catheter No 6 Folley Catheter No 6 ULTRASILK 1. Rusch

21 Folley Catheter No 8 Folley Catheter No 8 1. Rusch


22 Folley Catheter No 10 Folley Catheter No 10 1. Rusch

23 Folley Catheter No 12 Folley Catheter No 12 1. Rusch

24 Folley Catheter No 14 Folley Catheter No 14 1. Rusch

25 Folley Catheter No 16 Folley Catheter No 16 1. Rusch


2. One Med

26 Folley Catheter No 18 Folley Catheter No 18 1. Rusch


Folley Catheter 3 way No 18

27 Folley Catheter No 24 Folley Catheter No 24 1. Rusch


Folley Catheter 3 way No 24

28 Gelang Pasien Warna Biru ID BAND for pediatric use BLUE 1. One Med
ID BAND for adult use BLUE

29 Gelang Pasien Warna Pink ID BAND for pediatric use BLUE 1. One Med
ID BAND for adult use PINK

30 Gelang Pasien Warna Kuning ID BAND for adult use YELLOW 1. One Med

31 Gelang Pasien Warna Merah ID BAND for adult use RED 1. One Med

32 Gelang Pasien Warna Putih ID BAND for adult use TRANPARENT 1. One Med

33 Gelang Pasien Warna Ungu ID BAND for adult use PURPLE 1. One Med

34 Guedel Airway No 2 Guedel Airway No 2 1. One Med

35 Guedel Airway No 3 Guedel Airway No 3 1. One Med

36 Guedel Airway No 4 Guedel Airway No 4 1. One Med

37 Guedel Airway No 6 Guedel Airway No 6 1. One Med

38 Handscoen Non Sterile XS Handscoen Non Sterile size XS 1. Sensi Glove


Handscoen Non Sterile size XS 2. Maxter

39 Handscoen Non Sterile S Handscoen Non Sterile size S 1. Sensi Glove


Handscoen Non Sterile size S 2. Maxter

40 Handscoen Non Sterile M Handscoen Non Sterile size M 1. Sensi Glove


Handscoen Non Sterile size M 2. Maxter

41 Handscoen Sterile 6.5 Sterile Surgical Glove MAXTER size 6.5 1. Maxter

42 Handscoen Sterile 7 Sterile Surgical Glove MAXTER size 7 1. Maxter

43 Handscoen Sterile 7.5 Sterile Surgical Glove MAXTER size 7.5 1. Maxter
44 Handscoen Sterile 8 Sterile Surgical Glove MAXTER size 8 1. Maxter

45 Infus set paediatrik Infus set OI-30 1. Otsuka


Terufusion Solution Administration Set 2. Terumo

46 Infus set dewasa Infuset OI-24/ Infus set Y 1. Otsuka


Terufusion Solution Administration Set 2. Terumo
3. JMS

47 IV Cannula (IV Catheter) No.18 IV Cannula (IV Catheter) No.18 1. Heuer

48 IV Cannula (IV Catheter) No.20 IV Cannula (IV Catheter) No.20 1. Heuer

49 IV Cannula (IV Catheter) No.22 IV Cannula (IV Catheter) No.22 1. Heuer

50 IV Cannula (IV Catheter) No.24 IV Cannula (IV Catheter) No.24 1. Heuer

51 IV Cannula (IV Catheter) no.26 IV Cannula (IV Catheter) No.26 1. Heuer

52 Jarum Jahit SE-ME No.21 Jarum hecting MANI SE-ME No.21 1. MANI

53 Jarum Jahit SE-ME No.24 Jarum hecting MANI SE-ME No.24 1. MANI

54 Jarum Jahit SE-ME No.28 Jarum hecting MANI SE-ME No.28 1. MANI

55 Jarum Jahit SE-ME No.34 Jarum hecting MANI SE-ME No.34 1. MANI

56 Jarum Jahit SE-ME No.36 Jarum hecting MANI SE-ME No.36 1. MANI

57 Jarum Jahit SE-TE No.21 Jarum hecting MANI SE-TE No.21 1. MANI

58 Jarum Jahit SE-TE No.24 Jarum hecting MANI SE-TE No.24 1. MANI

59 Jarum Jahit SE-TE No.28 Jarum hecting MANI SE-TE No.28 1. MANI

60 Jarum Jahit SE-TE No.34 Jarum hecting MANI SE-TE No.34 1. MANI

61 Jarum Jahit SE-TE No.36 Jarum hecting MANI SE-TE No.36 1. MANI

62 Jarum Spinal 25 G SPINOCAN 25 G 1. BBRAUND

63 Jarum Spinal 26 G SPINOCAN 26 G 1. BBRAUND

64 Jarum Spinal 27 G SPINOCAN 27 G 1. BBRAUND

65 Jarum suntik No. 22 G Needle No. 22 G 1. Terumo

66 Jarum suntik No. 23 G Needle No. 23 G 1. Terumo

67 Jarum suntik No. 24 G Needle No. 24 G 1. Terumo


68 Jarum suntik No. 25 G Needle No. 25 G 1. Terumo

69 Jarum suntik No. 26 G Needle No. 26 G 1. Terumo

70 Jarum Insulin Flexpen Novo Twist 1. Novo Nordisk

71 Kantong Sterilisasi 135x283mm Self-Sealing Sterilization Pouch 135x28 1. Sigma

72 Kantong Sterilisasi 190x330mm Self-Sealing Sterilization Pouch 190x33 1. Sigma

73 Kantong Sterilisasi 300x380mm Self-Sealing Sterilization Pouch 300x38 1. Sigma

74 Kertas EKG Kertas EKG 63mmx30m 1. FUKUDA

75 Kertas USG Kertas USG UPP-110HG 1. Corporation

76 Klem Tali Pusat Umbilical Cord Clamps 1. COSA

77 Masker Oksigen Non Rebreathing anak (NRM) Oxygen Mask (Paediatric) 1. Salter Labs

78 Masker Oksigen Non Rebreathing dewasa (NRM) Oxygen Mask (Adult) 1. Salter Labs

79 Masker Nebulizer Anak Nebulizer (Paediatric) with aerosol mask 1. Salter Labs

80 Masker Nebulizer Dewasa Nebulizer (Adult) with aerosol mask 1. Salter Labs

81 Nasogastric Tube No. 3,5 NGT/ Stomach Tube No. 3,5 1. Terumo

82 Nasogastric Tube No. 5 NGT/ Stomach Tube No. 5 1. Terumo

83 Nasogastric Tube No. 12 NGT/ Stomach Tube No. 12 1. Terumo

84 Nasogastric Tube No. 14 NGT/ Stomach Tube No. 14 1. Terumo

85 Nasogastric Tube No. 16 NGT/ Stomach Tube No. 16 1. Terumo

86 Nasogastric Tube No. 18 NGT/ Stomach Tube No. 18 1. Terumo

87 Oxygen Nasal Cannula Anak Oxyflow Anak 1. Besmed

88 Oxygen Nasal Cannula Dewasa Oxyflow Dewasa 1. Besmed

89 Perfusor Original Perfusor Leitung Typ: MR 1. Bbraund

90 Ransel Clavicula Anak Ransel Clavicula Anak N/A

91 Ransel Clavicula Dewasa Ransel Clavicula Dewasa N/A

92 Scalp Vein Set No.23 Winged Needle No.23 1. Terumo

93 Scalp Vein Set No.25 Winged Needle No.25 1. Terumo


94 Scalp Vein Set No.27 Winged Needle No.27 1.Terumo

95 Spatula Wooden Tongue Depressor 1. General Care


Wooden Ayre Spatullas

96 Suction Catheter No.6 Suction Catheter No.6 1. Rusch

97 Suction Catheter No.8 Suction Catheter No.8 1. Rusch

98 Suction Catheter No.10 Suction Catheter No.10 1. Rusch

99 Suction Catheter No.12 Suction Catheter No.12 1. Rusch

100 Surgical Blade No.10 Sterile Surgical Blades No.10 1. BBraund

101 Surgical Blade No.11 Sterile Surgical Blades No.11 1. BBraund

102 Surgical Blade No.15 Sterile Surgical Blades No.15 1. BBraund

103 Surgical Blade No.20 Sterile Surgical Blades No.20 1. BBraund

104 Surgical Blade No.28 Sterile Surgical Blades No.28 1. BBraund

105 Thermometer Digital Thermometer Digital 1. Magic Star

106 Three Way Stopcock Three Way Stopcock 1. Onemed

107 Tranfusion Set Blood Tranfusion Set OB-1 1. Otsuka


Terufusion Blood Administration Set Tipe2. Terumo

108 Urinal Pria Urinal Pria N/A

109 Urinal Wanita Urinal Wanita N/A

110 Urine Bag Urine Bag 2000 1. Romed


II BENANG BEDAH

1 Chromic 0 Catgut Chromic 0 1. Atramat


2. BBraund
3. Peters

2 Chromic 0 Catgut Chromic 0 (roll) 1. Bbraund

3 Chromic 1 Catgut Chromic 1 1. Atramat


2. BBraund

4 Chromic 1 Catgut Chromic 1 (roll) 1. Bbraund

5 Chromic 2 Catgut Chromic 2 1. Atramat


2. BBraund

6 Chromic 2/0 Catgut Chromic 2/0 1. Atramat


2. BBraund

7 Chromic 3/0 Catgut Chromic 3/0 1. Atramat


2. BBraund

8 Dafion 1 Dafilon 1 1. Bbraund

9 Dafilon 2/0 Dafilon 2/0 1. Bbraund

10 Nylon 4-0 Nylon 4-0 1. Atramat

11 Nylon 5-0 Nylon 4-0 1. Atramat

12 Optime 1 Optime 1 1. Peters

13 Optime 2/0 Optime 2/0 1. Peters

14 Optime 3/0 Optime 3/0 1. Peters

15 Optime 4/0 Optime 4/0 1. Peters

16 PGA 4-0 PGA 4-0 1. Atramat


17 Paket benang (T-vio 3/0, 1) Triton BP2 1. Triton

18 Paket benang (chromic 3/0, 2/0,2) Triton BP3 1. Triton

19 Plain 0 Catgut Plain 0 1. Atramat


2. BBraund

20 Plain 2/0 Catgut Plain 2/0 1. Bbraund


Catgut Plain 2/0 (roll) 1. Bbraund

21 Plain 3/0 Catgut Plain 3/0 1. Bbraund


Catgut Plain 3/0 (roll) 1. Bbraund

22 Silk 1 Silk 1 1. Bbraund


Silk 1 (roll) 1. Bbraund

23 Silk 2 Silk 2 (roll) 1. Bbraund

24 Silk 2-0 Silk 2-0 1. Atramat


Silk 2-0 (roll) 1. Bbraund

25 Silk 3-0 Silk 3-0 1. Atramat


Silk 3-0 (roll) 1. Bbraund

26 Vicryl

III KAPAS. VERBAND DAN PLESTER

1 Cohesive elastic fixation bandage Elastomull haft 10 cm x 4 m 1. BSN

2 Elastis Verband 3 Inch FM CREPE 3" 1. BSN


MEDICREPE 3" 2. One Med

3 Elastis Verband 4 Inch FM CREPE 4" 1. BSN


MEDICREPE 4" 2. One Med

4 Elastis Verband 6 Inch FM CREPE 6" 1. BSN


MEDICREPE 6" 2. One Med
5 IV dressing PRO IV Non-Woven 1. Pro Device

6 Jelly MY Lubricating Jelly 1. Jayamas Medica

7 Kapas Kapas 500 g 1. Bunga Biru

8 Kassa Steril 16 x 16 Kassa Steril 16 x 16 1. Dwipa

9 Kassa gulung Kassa Gulung 1. Bunga Biru

10 Plester 1.25cm x 4.5m Leukoplast 1.25cm x 4.5m 1. BSN

11 Plester 7.5cm x 4.5m Leukoplast 7.5cm x 4.5m 1. BSN

12 Pembalut Gyps 3" Poligyps 3" 1. SNA medika

13 Pembalut Gyps 4" Poligyps 4" 1. SNA medika

14 Pembalut Gyps 6" Poligyps 6" 1. SNA medika

15 Softban 3" Poliban 3" 1. SNA medika

16 Softban 4" Poliban 4" 1. SNA medika

17 Softban 6" Poliban 6" 1. SNA medika

18 Wide area dressing 5cm x 1m Hypafix 5cm x 1m 1. BSN

19 Wide area dressing 5cm x 5m Hypafix 5cm x 5m 1. BSN

20 Wound Dressing 25 x 10 cm Opsite POST-OP 25 X 10 cm 1. Smith&nephew


Semilas POST-OP 25 x 10 cm 2. Semilas