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RENCANA KEBUTUHAN ALK

PERAL
RUM

No Jenis Peralatan Jumlah Kebutuhan No Seri Merek/Tipe

APELAYANAN GAWAT DARURAT


I Triage
1 Lampu Periksa ( mobile ) 2 ACEM Examination ACEM/STARLED 1R EVO
Lamp

2 Patient stretcher 2
3 Stetoskop 4
4 Tensimeter 4
5 Diagnostik Set terdiri dari:
- Penlight 2
- Senter kepala ( head lamp ) 2
- Spatula lidah 2 26-004-16 AS Medizintechnik Mayo Tongue
Depressor, 16/22 mm, 17 cm

- Reflex hammer 2 10-003-20 AS Medizintechnik Taylor Percussion


Hammer, 20 cm
- Spekulum hidung 2 26-528-01 AS Medizintechnik Cottle Nasal
Specula, Fig. 1, 35 mm,with aseptic
joint, 15 cm

26-528-02 AS Medizintechnik Cottle Nasal


Specula, Fig. 2, 55 mm,with aseptic
joint, 15 cm

26-528-03 AS Medizintechnik Cottle Nasal


Specula, Fig. 3, 75 mm,with aseptic
joint, 15 cm

- Otoskop 2
- Ophtalmoskop 2
6 Kursih roda 2
II Resusitasi dan Tindakan
1 Meja Periksa 1
2 Lampu Tindakan ( mobile ) 2 ACEM Examination ACEM/STARLED 1R EVO
Lamp

3 Stetoskop dewasa 2
4 Stetoskop anak 2
5 Stetoskop Neonatus 2
6 Tensimeter Analog Standing 4
7 Tensimeter Analog taple 4
8 Film Viewer 1
9 Termometer Digital 2
10 EKG 1

11 Nebulizer Dewasa 2 MEDBRYT TAJFUN1 MU1


Ultrasonic Inhaler

12 Nebulizer Anak 2 MEDBRYT


Marin MP3
Pneumatic Inhaler

13 Portable Pulse Oximetri 2


14 Long Spine Board 2
15 Syringe Pump 2
16 Tiang infus 5
17 Suction Pump 2
18 Infustion Pump 2

HEYER Patient
19 Monitor Pasien 2 Monitoring with Scalis15
Printer
20 Resucitation Crash Cart (Troli Emergensi) terdiri dari:
- Defibrilator 1
- Nasopharyngeal tube 2
- Oropharyngeal tube 2
- Nasotracheal tube 2
- Orotracheal tube 2
- Laryngoscope set anak 2
- laryngoscope set dewasa 2
- Bag valve Mask dewasa 2
- Bag valve Mask anak 2
- Kanul oksigen 2
- Chest tube 2
21 Minor Surgery Set 1 AS MEDIZINTECHNIK Minor Surgical
Set

22 Tabung Oksigen + Regulator flowmeter + Troli 5


25 Tabung Oksigen kecil + Regulator + Troli 5
26 Autoclave 2
27 Baki logam, SS 3
28 Tromol/Korentang (Dressing Drum) 2
29 Nierbekhen, SS 2
AS Medizintechnik Kidney Bowls,
51-100-25
250 x 140 x 40 mm

30 Waskom antiseptik + tutup 2


31 Waskom kassa + tutup 2
B POLIKLINIK (RUANGAN RAWAT JALAN)
I Poliklinik OBSGYN
1 Tempat tidur periksa 2
2 Tempat tidur Ginekologi 1
3 USG + 2 Probe (Convage dan Vaginal) + Printer 1
4 Film Viewer 1
5 Timbangan dewasa + pengukur tinggi badan 2
6 Lampu Periksa ( mobile ) 2 ACEM Examination ACEM/STARLED 1R EVO
Lamp

7 Stetoskop 3
8 Stetoskop Laenec 2
9 Tensimeter Analog Standing 4
10 Tensimeter Analog taple 4
11 Examination lamp 2 ACEM Examination ACEM/STARLED 1R EVO
Lamp

12 Set Minor Surgery 1 AS MEDIZINTECHNIK Minor


Surgical Set
13 Doppler 2
14 Cardiotocography 1
15 Gynecoloycal Examination set 1 Various AS MEDIZINTECHNIK Examination
Maternal Health Set

Various AS MEDICINTECHNIK Obstetric and


Gynaecology Set
16 Pap Smear Kit 1
17 IUD Kit Sesuai Kebutuhan
18 Implant Kit Sesuai Kebutuhan
19 Forcep Biopsi 2
20 Autoclave 2
21 Nierbekhen 2

AS Medizintechnik Kidney Bowls,


51-100-25
250 x 140 x 40 mm

22 Sonde uterus 2
AS Medizintechnik Sims Uterine
35-121-32 sound, malleable, 32 cm

23 Tampon Tang 2
AS Medizintechnik Bozemann
15-717-26
Forceps, S-sha., 26 cm

24 Tromol/Korentang (Dressing Drum) 2


25 Kursih Dorong 2
Poliklinik
II Umum / Polik Penyakit Dalam
1 Tempat tidur periksa 2
2 Timbangan dewasa + pengukur tinggi badan 2
3 Lampu Periksa ( mobile ) 2 ACEM Examination ACEM/STARLED 1R EVO
Lamp

4 Examination lamp 2 ACEM Examination ACEM/STARLED 1R EVO


Lamp

5 Diagnostik Set terdiri dari:


- Penlight 2
- Senter kepala ( head lamp ) 2
- Spatula lidah 1 26-004-16 AS Medizintechnik Mayo Tongue
Depressor, 16/22 mm, 17 cm

- Reflex hammer 1 10-003-20 AS Medizintechnik Taylor Percussion


Hammer, 20 cm

- Otoskop 1
- Ophtalmoskop 1
6 Stetoskop 2
7 Tensimeter Analog Standing 4
8 Tensimerer Analog Table 4
9 EKG 1
10 Film Viewer 1
11 Termometer 2
12 Defibrilator 1
13 Set Minor Surgery 1 AS MEDIZINTECHNIK Minor
Surgical Set

14 Spirometri 1
15 Suction Pump 2
16 Utility trolley 2
17 Tromol Kasa 2
18 Tampon Tang 2
AS Medizintechnik Bozemann
15-717-26
Forceps, S-sha., 26 cm

19 Bak instrument 2
20 Tromol / Korentang (Dressing Drum) 2
III Poliklinik Kesehatan Anak
1 Tempat tidur periksa 2
2 Stetoskop Anak 2
3 Stetoskop Neonatus 2
4 Tensimeter dengan manset untuk bayi dan anak 2
5 Examination lamp 1 ACEM Examination ACEM/STARLED 1R EVO
Lamp

6 Infant dan baby weighting scale 1


7 Termometer rectal 1
8 Termometer axial 1
9 Reflex Hammer 1 10-003-20 AS Medizintechnik Taylor Percussion
Hammer, 20 cm

10 Tongue spatel (Stainless steel) 1 26-004-16 AS Medizintechnik Mayo Tongue


Depressor, 16/22 mm, 17 cm

11 EKG 1

12 Nebulizer 1 MEDBRYT
Pneumatic Inhaler Marin MP3

13 Infant dan baby pediatric resusitation 1


14 Vena section set :
- Gunting lurus 1 11-440-11 AS Medizintechnik Iris Scissors (M),
square, str., 11 cm

- Gunting bengkok 1 11-438-11 AS Medizintechnik Iris Scissors (M),


angled on side, 11 cm

11-201-14 AS Medizintechnik Metzenbaum


Scissors, Fig 1, cvd., 14 cm

- Hak 2 bh 2 16-124-12 AS Medizintechnik Trachea Hook,


sharp, 2-prongs, short
16-127-14 AS Medizintechnik Desmarres Vein
Retractor, 14 mm, 13 cm

- Klem lurus 2 bh 2 15-060-12 AS Medizintechnik Halsted-


Mosquito Forceps,straight,12,5cm

- Klem bengkok 2 bh 2 15-061-12 AS Medizintechnik Halsted-


Mosquito Forceps, cvd., 12,5 cm

- Pinset anatomi 1 bh 2 13-054-12 AS Medizintechnik Semken Dressing


Forceps, str., 12 cm

- Pinset chirurgi 1 bh 2 13-154-12 AS Medizintechnik Semken Diss.


Forceps 1:2, str., 12 cm
- Pinset bengkok 2 bh 2
- Bisturi 1 buah Sesuai Kebutuhan
- Gagang bisturi 1 bh 1
AS Medizintechnik Scalpel handle,
10-103-01
Standard, No. 3, 12 cm

- Needle holder (pemegang jarum jahit) 1 bh 1

17-002-14 AS Medizintechnik Mayo-Hegar Needle


Holder, 14 cm

- Kom stainless steel wadah 60 cc 1 bh 1

AS Medizintechnik Round Bowls, Ø


51-103-08
85 mm, H 40 mm, 0,16 l

- Bak stainless steel wadah dengan tutup 1 bh 1


- Kom stainless steel wadah 60 cc 1 bh 1

AS Medizintechnik Round Bowls, Ø


51-103-08
85 mm, H 40 mm, 0,16 l

- Bak stainless steel wadah dengan tutup 1 bh 1


15 Baby Suction pump 1
16 Oxygen set dan flow meter 2
17 Tromol / Korentang (Dressing Drum) 1
18 Refrigerator Medical Grade 1
IV Poliklinik Bedah
1 Tempat tidur perksa 2
2 Stetoskop 2
3 Examination lamp 1 ACEM Examination ACEM/STARLED 1R EVO
Lamp

4 Reflex Hammer 1 10-003-20 AS Medizintechnik Taylor Percussion


Hammer, 20 cm

5 Termometer 2
6 Film Viewer 1
7 Set Minor Surgery 1 Various AS MEDIZINTECHNIK Minor
Surgical Set
8 Hecting set Sesuai Kebutuhan Various AS MEDIZINTECHNIK Hecting Set 2

9 Alat pembuka gips (manual dan elektrik) 1 Various AS MEDIZINTECHNIK Manual


Plaster Saw Set
10 Lokal Anastesi Set Sesuai Kebutuhan
11 Circumsisit set Sesuai Kebutuhan Various AS MEDIZINTECHNIK Circumcision
Set 2
12 Suction Pump 1
13 Autoclave 2
14 Nierbeken 2

AS Medizintechnik Kidney Bowls,


51-100-25
250 x 140 x 40 mm
V Klinik Gigi
A Dental Unit terdiri dari :
1 kursi Gigi 1
- Up Down Movement Sesuai Kebutuhan
- Reclining Sesuai Kebutuhan
- Head Rest Sesuai Kebutuhan
- Lampu Halogen Tanpa Bayangan Sesuai Kebutuhan
2 Cuspidor Unit Sesuai Kebutuhan
- Spitton Bowl + Bowl Flush Sesuai Kebutuhan
- Water Cup Filler Sesuai Kebutuhan
- Saliva Ejector Sesuai Kebutuhan
- Tranparent Water Tank (1000 cc) Sesuai Kebutuhan
3 Meja Instrumen Sesuai Kebutuhan
- Air Turbin Hand Piece 400.000 rpm Sesuai Kebutuhan
- Air Motor 20.000 rpm dengan Straigth dan Contra Angel hand Sesuai Kebutuhan
- Triple Syringe Sesuai Kebutuhan
4 Foot Controller untuk Hand Piece Sesuai Kebutuhan
5 Kompresor Oilless 1 PK Sesuai Kebutuhan
B Dental Instrument Set
1 Atraumatic Restorative Treatment (ART)
1.1. Enamel Acceess Cutter Sesuai Kebutuhan
1.2. Eksavator Berbentuk Sendok Ukuran Kecil (Spoon Excavator Small) Sesuai Kebutuhan
1.3. Eksavator Berbentuk Sendok Ukuran Sedang (Spoon Excavator Sesuai Kebutuhan
Medium)
1.4. Eksavator Berbentuk Sendok Ukuran Besar (Spoon Excavator Large) Sesuai Kebutuhan
1.5. Double Ended Applier and Carver Sesuai Kebutuhan
1.6. Spatula Plastik Sesuai Kebutuhan
1.7. Hatchet Sesuai Kebutuhan
1.8. Batu Asah 1
2 Bein Lurus Besar Sesuai Kebutuhan
3 Bein Lurus Kecil Sesuai Kebutuhan
4 Bor Intan (Diamond Bur Assortted) untuk ait Jet Hand piece (Kecepatan Sesuai Kebutuhan
Tinggi) (round, inverted dan fissure)
5 Bor Intan kontra angel Hand Piece Conventional (kecepatan Rendah) Sesuai Kebutuhan
(round, inverted dan fissure)
6 Polishing Bur Sesuai Kebutuhan
7 Ekskavator Berujung Dua (Besar) Sesuai Kebutuhan
8 Ekskavator Berujung Dua (Kecil) Sesuai Kebutuhan
9 Gunting Operasi Gusi (Wagner) (12 cm) Sesuai Kebutuhan 12-245-12 AS Medizintechnik TC Killner
Scissors, fine, curved, 12 cm

12-437-11 AS Medizintechnik TC Iris Scissors,


curved, 11,5 cm

10 Handpiece Contra Angle Sesuai Kebutuhan


11 Handpiece Straight Sesuai Kebutuhan
12 Kaca Mulut Datar No. 4 Tanpa Tengkai Sesuai Kebutuhan
13 Tangkai Untuk Kaca Mulut 1
14 Klem / Pemegang Jarum Jahit (Mathieu Standar) 1 AS Medizintechnik Mayo-Hegar
Needle Holder, 18 cm

17-002-18

15 Korentang, Penjepit Sponge (Foerster) 1 15-703-25 AS Medizintechnik Gross-Maier


Sponge Forceps, cvd., 25 cm

16 Light Curing 1
17 Micromotor dengan Straight dan Contra Angle Hand Piece Sesuai Kebutuhan
(Low Speed Micro Motor portable)
18 Pelindung jari Sesuai Kebutuhan
19 Pemegang Matriks (Matrix Holder) 1
20 Penahan Lidah 1
21 Pengungkit Akar Gigi Kanan Mesial (Cryer Distal) Sesuai Kebutuhan
22 Pengungkit Akar Gigi Kanan Mesial (Cryer Mesial) Sesuai Kebutuhan
23 Penumpat Plastis Sesuai Kebutuhan
24 Periodontal Probe Sesuai Kebutuhan
25 Penumpat Semen Berujung Dua Sesuai Kebutuhan
26 Pinset Gigi Sesuai Kebutuhan
27 Skeler Standar, Bentuk Cangkul Kiri (Type Chisel/Mesial) Sesuai Kebutuhan
28 Skeler Standar, Bentuk Cangkul Kanan (Type Chisel/Mesial) Sesuai Kebutuhan
29 Skeler Standar, Bentuk Tombak (Type Hook) Sesuai Kebutuhan
30 Skeler Standar, Black Kiri dan Kanan (Type Chisel/Mesial) Sesuai Kebutuhan
31 Skeler Standar, Black Kiri dan Kiri (Type Chisel/Mesial) Sesuai Kebutuhan
32 Skeler Ultrasonic 1
33 Sonde Lengkung 2
34 Sonde Lurus 2
35 Spatulah Pengaduk Semen 2 26-004-16 AS Medizintechnik Mayo Tongue
Depressor, 16/22 mm, 17 cm

36 Spatulah Pengaduk Semen Ionomer 2 26-004-16 AS Medizintechnik Mayo Tongue


Depressor, 16/22 mm, 17 cm

37 Set Tiang Pencabut Dewasa


37. 1. Tang gigi anterior rahang atas dewasa Sesuai Kebutuhan
37. 2. Tang gigi premolar rahang atas Sesuai Kebutuhan
37. 3. Tang gigi molar kanan rahang atas Sesuai Kebutuhan
37. 4. Tang gigi molar kiri rahang atas Sesuai Kebutuhan
37. 5. Tang molar 3 rahang atas Sesuai Kebutuhan
37. 6. Tang sisa akar gigi anterior rahang atas Sesuai Kebutuhan
37. 7. Tang sisa akar gigi posterior rahang atas Sesuai Kebutuhan
37. 8. Tang gigi anterior dan premolar rahang bawah Sesuai Kebutuhan
37. 9. Tang gigi molar rahang bawah kanan/kiri Sesuai Kebutuhan
37.10.Tang gigi molar 3 rahang bawah Sesuai Kebutuhan
37.11.Tang sisa akar rahang bawah Sesuai Kebutuhan
38 Set tang pencabut anak
38. 1. Tang gigi anterior rahang atas Sesuai Kebutuhan
38. 2. Tang molar rahang atas Sesuai Kebutuhan
38. 3. Tang molar susu rahang atas Sesuai Kebutuhan
38. 4. Tang sisa akar rahang atas Sesuai Kebutuhan
38. 5. Tang gigi anterior rahang bawah Sesuai Kebutuhan
38. 6. Tang molar rahang bawah Sesuai Kebutuhan
38. 7. Tang sisa akar rahang bawah Sesuai Kebutuhan
39 Skalpel, Mata Pisau Bedah (Besar) Sesuai Kebutuhan
40 Skalpel, Mata Pisau Bedah (Kecil)) Sesuai Kebutuhan
41 Skalpel, Tangkai Pisau Operasi Sesuai Kebutuhan 10-103-01 AS Medizintechnik Scalpel handle,
Standard, No. 3, 12 cm

10-104-01 AS Medizintechnik Scalpel handle,


Standard, No. 4, 13,5cm

42 Slinder Korentang Steril Sesuai Kebutuhan


43 Tempat Alkohol (Dappen Glas) 2
44 Toples Kapas Logam dengan Pegas dan Tutup (50 × 70 mm) 2
45 Toples Pembuangan Kapas (50 × 75 mm) 2
46 Baki logam Tempat Alat Steril 2
47 Lempeng Kaca Pengaduk Semen 2
C RUANG TINDAKAN
Ruang
I persiapan (Sebelum tindakan)

HEYER Patient
1 Monitor Pasien 1 Monitoring with Scalis15
Printer

2 Tensimeter 2
3 Stethoscope 2
4 Suction Pump 1
5 Film Viewer 1
6 Saturasi Oksigen 2
II Kamar Bedah
1 Meja Operasi (gynecologi) 1 INSPITAL Operating Table

2 Meja Operasi 1 INSPITAL Operating Table

3 Lampu Operasi Sesuai Kebutuhan

4 Mesin Anastesi 1 HEYER Pasithec


Pasithec
(with vaporizer)

5 Film Viewer 1

HEYER Patient
6 Monitor Pasien 1 Monitoring with Scalis15
Printer

7 EKG 1
8 Defibrilator 1
HEYER iTERNIS ADV
9 Ventilator 1 Ventilator (with iTERNIS ADV
humidifier)

10 Oxygen Set (tabung oksigen + Flow meter) Sesuai Kebutuhan


11 Electrosurgical unit 1 INSPITAL Electrosurgical Unit

12 UV Lamp for room sterilization 1 INSPITAL Operating Table

13 Vacum pump 1
14 Infustion Pump 2
15 Suction Pump 2
16 Syringe Pump 2
17 ETT, LMA, Nasotracheal, dewasa dan pediatric Sesuai Kebutuhan
18 Laringoscope set (dewasa) Sesuai Kebutuhan
19 Mayo table stand mobile Sesuai Kebutuhan
20 Sectio caesarian set Sesuai Kebutuhan Various AS MEDIZINTECHNIK Sectio
Caesarean Set 3
21 Laparatomy set Sesuai Kebutuhan Various AS MEDIZINTECHNIK Laparatomy
Set for Adult
Various
AS MEDIZINTECHNIK Laparatomy
Pediatric Instrument Set
22 Histerectomy set Sesuai Kebutuhan Various AS MEDIZINTECHNIK
Hysterectomy/Myomectomy
23 Histeroscopy set Sesuai Kebutuhan Various AS MEDIZINTECHNIK Partus Set 3

24 Embriotomi set Sesuai Kebutuhan


25 Inkubator bayi 2
26 Micro Surgery set Sesuai Kebutuhan AS MEDIZINTECHNIK Minor
Surgical Set
27 Patient stretcher 2
28 Utility troly 2
29 Ultrasonic cleaner 1
30 Ambubag 2
31 Ring aplikator set Sesuai Kebutuhan
32 kocher Sesuai Kebutuhan

AS Medizintechnik Ochsner-Kocher
15-100-14
Forceps 1:2, str., 14 cm

33 Chirurgical pinset Sesuai Kebutuhan


AS Medizintechnik Diss. Forceps
13-102-14
1:2, narrow, str., 14,5 cm
34 Gunting lurus Sesuai Kebutuhan 11-200-14 AS Medizintechnik Metzenbaum
Scissors, Fig 1, str., 14 cm

35 Jarum lumbal Sesuai Kebutuhan


36 Needle holder Sesuai Kebutuhan AS Medizintechnik Mayo-Hegar
Needle Holder, 18 cm

17-002-18

37 Tromol kasa 2
38 Pean lurus Sesuai Kebutuhan

AS Medizintechnik Pean Forceps,


15-000-14 straight, 14 cm

39 Spekulum cocor beck Sesuai Kebutuhan


AS Medizintechnik Grave Vaginal
35-013-01
Specula, Fig. 1,75 x 20 mm

AS Medizintechnik Grave Vaginal


35-013-02
Specula, Fig. 2,95 x 35 mm

AS Medizintechnik Grave Vaginal


35-013-03
Specula, Fig. 3,115 x 35 mm
40 Hak langen beck Sesuai Kebutuhan 16-018-01 AS Medizintechnik Langenbeck
Retractor, 30x11 mm

41 Spekulum shim Sesuai Kebutuhan


AS Medizintechnik Sims Vaginal
35-019-01 Specula, Fig. 1, 65 x 25 mm / 70 x 30
mm

AS Medizintechnik Sims Vaginal


35-019-02 Specula, Fig. 2, 70 x 30 mm / 70 x 35
mm

AS Medizintechnik Sims Vaginal


35-019-03 Specula, Fig. 3,85 x 35 mm / 90 x 40
mm
42 Aligator Sesuai Kebutuhan 36-080-19 AS Medizintechnik Mathieu Foreign
body forceps, WL 19 cm

43 Mini Laparotomy Set Sesuai Kebutuhan AS MEDIZINTECHNIK Mini


Laparotomy Set

44 Folding Endurance Tester Sesuai Kebutuhan


45 Fenster Klem Sesuai Kebutuhan 15-736-25 AS Medizintechnik Forster-Ballenger
Sponge Forceps, str.,serrated jaw,
25 cm

46 Bak bengkok Sesuai Kebutuhan


47 Standar Infus 4
48 Autoclave Sesuai Kebutuhan
III Recovery Room

HEYER Patient
1 Monitor Pasien 1 Monitoring with Scalis15
Printer

2 Patient stretcher 1
3 Defibrilator 1
4 Emergency trolley Sesuai Kebutuhan
5 Infustion Pump 1
6 Suction Pump 1
D RAWAT INAP
I Rawat Umum
1 Tempat Tidur dewasa Sesuai Kebutuhan
2 Tempat Tidur Anak Sesuai Kebutuhan
3 Termometer rectal 2
4 Termometer axial 2
5 Examination lamp 2
6 Stetoskop dewasa 2
7 Stetoskop bayi dan anak 2
8 Tensimeter anaroid with stand 4
9 Tensimeter dengan manset untuk bayi dan anak 4
10 Timbangan Bayi 2
11 Timbangan Dewasa 2
12 Doppler 2
13 Reflex Hammer 1 10-003-20 AS Medizintechnik Taylor Percussion
Hammer, 20 cm

14 Film Viewer 1
15 Pen light 1
16 Defibrilator 1
17 EKG 1
18 Suction Pump 2

HEYER Patient
19 Monitor Pasien 2 Monitoring with Scalis15
Printer

20 Infusion set 2
21 Infusion Pump 2
22 Oxygen Set + Flow meter Sesuai Kebutuhan
23 Recusitation Set Sesuai Kebutuhan
24 Minor Surgery instrument set Sesuai Kebutuhan AS MEDIZINTECHNIK Minor
Surgical Set
25 Emergency set Sesuai Kebutuhan

26 Nebulyzer 2 MEDBRYT
Pneumatic Inhaler Marin MP3

27 Vena section set Sesuai Kebutuhan Various AS MEDIZINTECHNIK Vena


Section Set

Various AS MEDIZINTECHNIK Vena Sectio


Set 2
28 Lumbal needle Punction Sesuai Kebutuhan
- Lumbal Needle Sesuai Kebutuhan
- Kom stainless steel wadah 60 cc 1 bh Sesuai Kebutuhan
- Bak stainless steel wadah dengan tutup 1 bh Sesuai Kebutuhan
- Kom stainless steel wadah 60 cc 1 bh Sesuai Kebutuhan
- Bak stainless steel wadah dengan tutup 1 bh Sesuai Kebutuhan
- Duk Steril Bolong Sesuai Kebutuhan
29 Pulse Oxymetry 2
30 UV Lamp 1
31 Branchard 2
32 Anatomische pinset Sesuai Kebutuhan
33 Trokar Sesuai Kebutuhan
34 Glukometer 2
35 Chirurgical pinset Sesuai Kebutuhan
36 Transfusion set Sesuai Kebutuhan
37 Vena section set Sesuai Kebutuhan Various AS MEDIZINTECHNIK Vena
Section Set

Various AS MEDIZINTECHNIK Vena Sectio


Set 2

38 Buli-buli panas Sesuai Kebutuhan


39 Gilyserine Spuit Sesuai Kebutuhan
40 Irigator Sesuai Kebutuhan
41 Korentang Sesuai Kebutuhan 15-702-27 AS Medizintechnik Gross-Maier
Sponge Forceps, str., 27 cm
42 Nierbeken Sesuai Kebutuhan

AS Medizintechnik Kidney Bowls,


51-100-25
250 x 140 x 40 mm

43 Standar Infus 4
44 Sputum bak 1
45 Set Perawatan luka Sesuai Kebutuhan Various AS MEDIZINTECHNIK Wound
Treatment Set

Various AS MEDIZINTECHNIK Bandage Set

Various AS MEDIZINTECHNIK Bandage Set 2

46 Emergency trolley Sesuai Kebutuhan


47 Oxygen trolley Sesuai Kebutuhan
48 Syringe Pump 2
49 Matras Dekubitus Sesuai Kebutuhan
50 Pisfot dewasa Sesuai Kebutuhan
51 Bak instrument Sesuai Kebutuhan
52 Bak Catheter Sesuai Kebutuhan
53 Kursi Roda 2
Ruangan
II Bayi (gabung rawat inap)
1 Tempat tidur bayi Sesuai Kebutuhan
2 Stetoskop Bayi 2
3 Tensimeter dengan manset untuk bayi 2
4 Termometer rectal 2
SHVABE Intensive
5 Infant Incubator 2 Care Infant IDN-03 UOMZ
Incubator

SHVABE Neonatal
Table with
6 Infant Warmer 1 Automatic Heating SNO UOMZ
Temperature
Control
7 Incubator Transpor 1
8 Vena section set Sesuai Kebutuhan Various AS MEDIZINTECHNIK Vena
Section Set

Various AS MEDIZINTECHNIK Vena Sectio


Set 2

9 Baby Resusitasion Set Sesuai Kebutuhan


10 Baby Suction pump 1
11 Lumbal needle Punction Sesuai Kebutuhan
E RADIOLOGI
1 Mobile X-Ray Unit 100mA 1
2 Vertical Bucky Stand Sesuai Kebutuhan
3 Peralatan protektif radiasi terdiri dari :
4 - Leand apron , tebal 0.25 ˙0,5mm Pb, Sesuai Kebutuhan
- Sarung tanagan, 0.25 -0,5 mm Pb, Sesuai Kebutuhan
- Kaca mata Pb, 1 mm Pb Sesuai Kebutuhan
- Pelindung tiroid Pb, 1 mm Pb Sesuai Kebutuhan
- Pelindung gonal Pb, 0.25 -0.5 mm Pb Sesuai Kebutuhan
- Tabir mobile minimal 200 Mm (t}×100 cm Sesuai Kebutuhan
5 Perlengkapan proteksi radiasi terdiri :
- Survei meter Sesuai Kebutuhan
- Digital Pocket Dosimeter Sesuai Kebutuhan
- Film badge/TLD Sesuai Kebutuhan
6 FIlm Viewer (doule film) Sesuai Kebutuhan
7 Cassette X-ray (Stand) Sesuai Kebutuhan
8 Film X-ray semua ukuran Sesuai Kebutuhan
-18 x 24 cm Sesuai Kebutuhan
-24 x 30 cm Sesuai Kebutuhan
-30 x 40 cm Sesuai Kebutuhan
-35 x 35 cm Sesuai Kebutuhan
9 X-Ray Automatic Processing Film Sesuai Kebutuhan
10 Film marker Sesuai Kebutuhan
11 Film dryer Sesuai Kebutuhan
12 X-Ray Processing Screen with Lead Glass (untuk operator) Sesuai Kebutuhan
F RUANGAN LABORATORIUM
1 Mikroskop Binokuler 2
2 Waterbath 2
3 Sentrifus hematocrit 2
4 Microsentrifus 2
5 Fotometer / Spektrofotometer 1
6 Peralatan Laju Endap Darah (LED) 1
7 Hematologi Analyzer (Three Parts differential) 1
8 Urine analyzer 1
9 Reagensia Sesuai Kebutuhan
10 Rapit Test : Gula Darah, Kolesterol Sesuai Kebutuhan
11 Set pemeriksaan faeces Sesuai Kebutuhan
12 Mikropipet Sesuai Kebutuhan
13 Perlengkapan dan pengambilan Sample set Sesuai Kebutuhan
14 Peralatan Gelas Sesuai Kebutuhan
15 Medical Refrigerator Sesuai Kebutuhan
16 Rak Tabung Reaksi Sesuai Kebutuhan
17 Rak untuk pewarnaan Sesuai Kebutuhan
18 Sink Laboratorium Sesuai Kebutuhan
G ISTALASI FARMASI
1 Cawan + Mortir Obat Sesuai Kebutuhan
2 Timbangan gram dan miligram Sesuai Kebutuhan
3 Refrigerator Medical Grade Sesuai Kebutuhan
4 Meja perakitan obat (Work Table for Medicine) Sesuai Kebutuhan
H RUANGAN GIZI/PANTRY
1 Kitchen Set Sesuai Kebutuhan
2 Kulkas 2
3 Kompor Gas 2
4 Tabung Gas 2
5 Timbangan Sesuai Kebutuhan
6 Perlengkapan Masak Set Sesuai Kebutuhan
7 Perlengkapan Makan Set Sesuai Kebutuhan
8 Pantry Trolley Sesuai Kebutuhan
9 Food model Sesuai Kebutuhan
RUANGAN
I STERILISASI dan LOUNDRY
1 Autoclave Sesuai Kebutuhan
2 Washing Machine Sesuai Kebutuhan
3 Instrument Cabinet Sesuai Kebutuhan
4 Laundry Trolley,SS Sesuai Kebutuhan
5 Meja setrika + Setrika Sesuai Kebutuhan
6 Instrument Tray + tutup Sesuai Kebutuhan
J RUANGAN REKAM MEDIK
1 Filling Cabinet Sesuai Kebutuhan
2 Writing Desk Sesuai Kebutuhan
3 Chair Sesuai Kebutuhan
4 Komputer + Printer + UPS + Table Sesuai Kebutuhan
5 Lemari Arsip Sesuai Kebutuhan
K RUANAGAN ADM / KANTOR
1 Filling Cabinet Sesuai Kebutuhan
2 Writing Desk Sesuai Kebutuhan
3 Chair Sesuai Kebutuhan
4 Komputer Desk Set Sesuai Kebutuhan
5 Lemari Arsip Sesuai Kebutuhan
HOSPITAL FURNITURE
1 Lemari Instrument Sesuai Kebutuhan
2 Lemari obat kaca Sesuai Kebutuhan
3 Lemari Steril Sesuai Kebutuhan
4 Penyekat ruangan Sesuai Kebutuhan
5 Meja obat Sesuai Kebutuhan
6 Meja Suntik Beroda Sesuai Kebutuhan
7 Food Troly Sesuai Kebutuhan
8 Instrument trolley Sesuai Kebutuhan
9 Meja laboratorium Sesuai Kebutuhan
10 Tempat Sampah ( Tutup) Sesuai Kebutuhan
11 Lemari penyimpanaan narkotika Sesuai Kebutuhan
12 Lemari penyimpanaan psikotropika Sesuai Kebutuhan
13 Meja Tulis Sesuai Kebutuhan
14 Kursi Sesuai Kebutuhan
15 Waskom mandi Sesuai Kebutuhan
RENCANA KEBUTUHAN ALKES DINAS KESEHATAN KABUPATEN SIKKA T.A 2022
PERALATAN MEDIS DAN NON MEDIS
RUMAH SAKIT KELAS D PRATAMA

ACEM/Italy Rp 24,134,200 Belum termasuk ongkir

AS Medizintechnik/Germany 679,400 Belum termasuk ongkir

AS Medizintechnik/Germany 230,200 Belum termasuk ongkir


AS Medizintechnik/Germany 6,609,800 Belum termasuk ongkir

AS Medizintechnik/Germany 6,609,800 Belum termasuk ongkir

AS Medizintechnik/Germany 7,261,300 Belum termasuk ongkir

ACEM/Italy Rp 24,134,200 Belum termasuk ongkir


Poland Rp 50,504,400

Poland Rp 56,115,800

Germany Rp 77,810,600
AS Medizintechnik/Germany Terlampir 50,648,900 Belum termasuk ongkir

AS Medizintechnik/Germany Belum termasuk ongkir

Rp 336,800
ACEM/Italy Rp 24,134,200 Belum termasuk ongkir

ACEM/Italy Rp 24,134,200 Belum termasuk ongkir

AS Medizintechnik/Germany Rp 50,648,900 Belum termasuk ongkir

AS Medizintechnik/Germany Various Terlampir 36,005,500 Belum termasuk ongkir

AS Medizintechnik/Germany Various Terlampir 52,971,900 Belum termasuk ongkir


AS Medizintechnik/Germany Belum termasuk ongkir

Rp 336,800

AS Medizintechnik/Germany Belum termasuk ongkir


Rp 549,900

AS Medizintechnik/Germany Belum termasuk ongkir

Rp 1,044,100

ACEM/Italy Rp 24,134,200 Belum termasuk ongkir

ACEM/Italy Rp 24,134,200 Belum termasuk ongkir


AS Medizintechnik/Germany 679,400 Belum termasuk ongkir

AS Medizintechnik/Germany 230,200 Belum termasuk ongkir

AS Medizintechnik/Germany Rp 50,648,900 Belum termasuk ongkir

AS Medizintechnik/Germany Belum termasuk ongkir


Rp 1,044,100
ACEM/Italy Rp 24,134,200 Belum termasuk ongkir

AS Medizintechnik/Germany 230,200 Belum termasuk ongkir

AS Medizintechnik/Germany 679,400 Belum termasuk ongkir

Poland Rp 56,115,800
AS Medizintechnik/Germany 458,100 Belum termasuk ongkir

AS Medizintechnik/Germany 601,400 Belum termasuk ongkir

AS Medizintechnik/Germany 540,100 Belum termasuk ongkir

AS Medizintechnik/Germany 474,800 Belum termasuk ongkir


AS Medizintechnik/Germany 531,800 Belum termasuk ongkir

AS Medizintechnik/Germany 414,800 Belum termasuk ongkir

AS Medizintechnik/Germany 428,700 Belum termasuk ongkir

AS Medizintechnik/Germany 286,000 Belum termasuk ongkir

AS Medizintechnik/Germany 291,500 Belum termasuk ongkir


AS Medizintechnik/Germany Belum termasuk ongkir
Rp 222,700

AS Medizintechnik/Germany Belum termasuk ongkir

Rp 629,300
ACEM/Italy Rp 24,134,200 Belum termasuk ongkir

AS Medizintechnik/Germany 230,200 Belum termasuk ongkir

AS Medizintechnik/Germany Various Terlampir Rp 50,648,900 Belum termasuk ongkir

AS Medizintechnik/Germany Various Terlampir Rp 17,802,300 Belum termasuk ongkir

AS Medizintechnik/Germany Various Terlampir Rp 27,241,200 Belum termasuk ongkir

AS Medizintechnik/Germany Various Terlampir Rp 19,486,500 Belum termasuk ongkir

AS Medizintechnik/Germany Belum termasuk ongkir

Rp 336,800
AS Medizintechnik/Germany 3,817,400 Belum termasuk ongkir

AS Medizintechnik/Germany 1,712,600 Belum termasuk ongkir


AS Medizintechnik/Germany 737,700 Belum termasuk ongkir

AS Medizintechnik/Germany Belum termasuk ongkir

1,171,900
AS Medizintechnik/Germany 679,400 Belum termasuk ongkir

AS Medizintechnik/Germany 679,400 Belum termasuk ongkir


AS Medizintechnik/Germany 222,700 Belum termasuk ongkir

AS Medizintechnik/Germany 222,700 Belum termasuk ongkir

Germany Rp 77,810,600
INSPITAL/Turkey-Europe Electro-Mechanic, Rp 595,976,800 Belum termasuk ongkir
OT80.25

INSPITAL/Turkey-Europe Electro-Mechanic, Rp 595,976,800 Belum termasuk ongkir


OT80.25

Germany Rp 645,609,900

Germany Rp 77,810,600
Germany Rp 892,105,700

INSPITAL/Turkey-Europe NS04.00 Rp 195,643,600 Belum termasuk ongkir

INSPITAL/Turkey-Europe Electro-Mechanic, Rp 595,976,800 Belum termasuk ongkir


OT80.25

AS Medizintechnik/Germany Various Terlampir Rp 66,783,800 Belum termasuk ongkir


AS Medizintechnik/Germany Various Terlampir
Rp 118,427,700 Belum termasuk ongkir

AS Medizintechnik/Germany Various Terlampir


Rp 124,425,700 Belum termasuk ongkir

AS Medizintechnik/Germany Various Terlampir Rp 109,247,400 Belum termasuk ongkir

AS Medizintechnik/Germany Various Terlampir Rp 35,017,300 Belum termasuk ongkir

AS Medizintechnik/Germany Rp 50,648,900 Belum termasuk ongkir

AS Medizintechnik/Germany Belum termasuk ongkir

Rp 478,900

AS Medizintechnik/Germany Belum termasuk ongkir


Rp 107,100
AS Medizintechnik/Germany 528,900 Belum termasuk ongkir

AS Medizintechnik/Germany 737,700 Belum termasuk ongkir

AS Medizintechnik/Germany Belum termasuk ongkir

Rp 462,100

AS Medizintechnik/Germany Belum termasuk ongkir

Rp 906,200

AS Medizintechnik/Germany Belum termasuk ongkir


Rp 906,200

AS Medizintechnik/Germany Belum termasuk ongkir


Rp 906,200
AS Medizintechnik/Germany 1,804,100 Belum termasuk ongkir

AS Medizintechnik/Germany Belum termasuk ongkir


Rp 817,300

AS Medizintechnik/Germany Belum termasuk ongkir

Rp 817,300

AS Medizintechnik/Germany Belum termasuk ongkir


Rp 815,500

AS Medizintechnik/Germany 7,191,000 Belum termasuk ongkir

AS Medizintechnik/Germany Terlampir 61,132,000 Belum termasuk ongkir


AS Medizintechnik/Germany 918,800 Belum termasuk ongkir

Germany Rp 77,810,600
AS Medizintechnik/Germany 230,200 Belum termasuk ongkir

Germany Rp 77,810,600

AS Medizintechnik/Germany Rp 50,648,900 Belum termasuk ongkir

Poland Rp 56,115,800

AS Medizintechnik/Germany Various Terlampir 50,916,900 Belum termasuk ongkir

AS Medizintechnik/Germany Various Terlampir 27,888,000 Belum termasuk ongkir


AS Medizintechnik/Germany Various Terlampir 50,916,900 Belum termasuk ongkir

AS Medizintechnik/Germany Various Terlampir 27,888,000 Belum termasuk ongkir

AS Medizintechnik/Germany 1,243,600 Belum termasuk ongkir


AS Medizintechnik/Germany Belum termasuk ongkir

Rp 336,800

AS Medizintechnik/Germany Various Terlampir 40,597,400 Belum termasuk ongkir

AS Medizintechnik/Germany Various Terlampir 13,430,300 Belum termasuk ongkir

AS Medizintechnik/Germany Various Terlampir 15,494,500 Belum termasuk ongkir


Switzerland Rp 414,065,300

Switzerland Rp 165,741,600

AS Medizintechnik/Germany Various Terlampir 50,916,900 Belum termasuk ongkir

AS Medizintechnik/Germany Various Terlampir 27,888,000 Belum termasuk ongkir


Tahun Harga Pendanaan Distributor
Pengadaan

https://e-katalog.lkpp.go.id/katalog/produk/detail/1370435?type=general PT MEGAH ALKESINDO

https://e-katalog.lkpp.go.id/katalog/produk/detail/1407534?type=general PT MEGAH ALKESINDO

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PT MEGAH ALKESINDO

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PT MEGAH ALKESINDO

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PT MEGAH ALKESINDO

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PT MEGAH ALKESINDO

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PT MEGAH ALKESINDO

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PT MEGAH ALKESINDO
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PT MEGAH ALKESINDO
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PT MEGAH ALKESINDO

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https://e-katalog.lkpp.go.id/katalog/produk/detail/1385185?type=general PT MEGAH ALKESINDO


AKL/AKD Ket

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