REVISI PERMINTAAN ALAT BEDAH JANTUNG PEDIATRIC

SMF BEDAH TORAKS KADRIAK DAN VASKULAR

RSUD ABDUL WAHAB SJAHRASNIE SAMARINDA

NO NAMA ALAT MERK KODE JUMLAH

1 TUBBING CLAMP AESCULAP AN 912 R 5

2 TUBBING CLAMP AESCULAP AN 913 R 5

3 SCALPEL HANDLE NO 3 AESCULAP BB 073 R 2

4 SCALPEL HANDLE NO 3 AESCULAP BB 075 C 1

5 SCALPEL HANDLE NO 3 AESCULAP BB 077 R 2

6 MAYO AESCULAP BC 252 R 1

7 METZENBAUM AESCULAP BC 265 R 2

8 METZENBAUM AESCULAP BC 267 B 1

9 MAYO LEXER AESCULAP BC 284 B 1

10 MAYO LEXER AESCULAP BC 284 R 1

11 NELSON METZENBAUM AESCULAP BC 279 B 1

12 ULTRA DELICATE BLADE 8 MM AESCULAP BC 517 R 1

13 STANDART BLADE SIZA 12 MM AESCULAP BC 523 R 1

14 STANDART BLADE SIZA 12 MM AESCULAP BC 524 R 1

15 STANDART BLADE SIZA 12 MM AESCULAP BC 525 R 1

16 DELICATE BLADE, 10 MM AESCULAP BC 532 R 1

17 DELICATE BLADE, 10 MM AESCULAP BC 534 R 1

18 LISTER AESCULAP BC 979 R 1

19 TOWEL CLAMPS BACKHAUS AESCULAP BF 431 R 4

20 TOWEL CLAMPS ROEDER AESCULAP BF 448 R 4

21 TOWEL CLAMPS AESCULAP BF 460 R 5

22 HALSTED-MOSQUITO AESCULAP BH 110 R 5

23 HALSTED-MOSQUITO AESCULAP BH 111 R 5

24 FRASER KELLY AESCULAP BH 183 R 2

25 ROCHESTER PEAN AESCULAP BH 442 R 3

26 ROCHESTER PEAN AESCULAP BH 443 R 3

27 KOCHER AESCULAP BH 630 R 3

28 KOCHER AESCULAP BH 631 R 3

29 DISSECTING AND LIGATURE FORCEPS (GEMINI) AESCULAP BJ 100 R 1

30 DISSECTING AND LIGATURE FORCEPS (GEMINI) AESCULAP BJ 101 R 1

31 DISSECTING AND LIGATURE FORCEPS (GEMINI) AESCULAP BJ 102 R 1

32 DISSECTING AND LIGATURE FORCEPS (GEMINI) AESCULAP BJ 103 R 1

33 DISSECTING AND LIGATURE FORCEPS (GEMINI) AESCULAP BJ 104 R 1

34 DISSECTING AND LIGATURE FORCEPS (GEMINI) AESCULAP BJ 106 R 1

35 NEEDLE HOLDER AESCULAP BM 015 R 1

36 NEEDLE HOLDER AESCULAP BM 016 R 2

37 NEEDLE HOLDER AESCULAP BM 063 R 2

38 NEEDLE HOLDER AESCULAP BM 064 R 2

39 NEEDLE HOLDER AESCULAP BM 113R 1

40 RETRACTORS AESCULAP BT 004 R 2

41 NERVE HOOKS AESCULAP BT 080 R 2

42 RETRACTORS AESCULAP BT 171 R 2

43 VASCULAR BROM VEIN HOOK AESCULAP BT 075 R 2

44 RETRACTORS AESCULAP BT 253 R 2

45 RETRACTORS AESCULAP BT 340 R 2

46 BLOOD SCOOPS AESCULAP BT 780 C 2

47 RETRACTORS AESCULAP BT 560 R 1

48 RETRACTORS AESCULAP BT 561 R 1

49 UTERIN DILATOR AESCULAP EM 231 R 1

50 UTERIN DILATOR AESCULAP EM 232 R 1

51 UTERIN DILATOR AESCULAP EM 233 R 1

52 UTERIN DILATOR AESCULAP EM 234 R 1

53 UTERIN DILATOR AESCULAP EM 235 R 1

54 UTERIN DILATOR AESCULAP EM 236 R 1

55 UTERIN DILATOR AESCULAP EM 237 R 1

56 UTERIN DILATOR AESCULAP EM 238 R 1

57 UTERIN DILATOR AESCULAP EM 239 R 1

58 DE BAKEY AESCULAP FB 395 R 4

59 DE BAKEY AESCULAP FB 402 R 4

60 DE BAKEY AESCULAP FB 412 R 4

61 CASTANEDA AESCULAP FB 581 R 2

62 CASTANEDA AESCULAP FB 582 R 2

63 CASTANEDA AESCULAP FB 590 R 2

64 CASTANEDA AESCULAP FB 591 R 2

65 CASTANEDA AESCULAP FB 592 R 2

66 CASTANEDA AESCULAP FB 593 R 2

67 DE BAKEY AESCULAP FB 482 R 1

68 DE BAKEY AESCULAP FB 481 R 1

69 RETRACTORS SELLOR AESCULAP FB 840 R 1

70 RETRACTORS MORSE AESCULAP FB 845 R 1

71 RETRACTORS MORSE AESCULAP FB 846 R 1

72 VEIN DISSECTOR AESCULAP FC 093 R 1

73 VEIN DISSECTOR AESCULAP FC 094 R 1

74 SCALPEL WEDGE BLADE AESCULAP FD 115 D 1

75 MICRO INSTRUMENT AESCULAP FM 236 R 1

76 MICRO INSTRUMENT AESCULAP FM 276 R 1

77 MICRO INSTRUMENT AESCULAP FM 047 R 1

78 MICRO INSTRUMENT AESCULAP FM 572 R 1

79 SUCTION FERGRUSSON AESCULAP GF 933 R 1

80 NERVE HOOKS AESCULAP OF 288 R 2

81 RETRACTORS AESCULAP OL 212 R 2

82 SUCTION YANKAUER AESCULAP OM 671 R 1

Samarinda, 15 September 2016

Ketua SMF Bedah Toraks Kardik dan Vaskular

dr. Ivan Joalsen Mangara Tua, Sp.BTKV

NIP. 1980320 201412 1001