KEMENTERIAN KESEHATAN RI

DIREKTORAT JENDERAL PELAYANAN KESEHATAN

RUMAH SAKIT UMUM PUSAT PROF. DR. I.G.N.G. NGOERAH
Jalan Diponegoro Denpasar Bali ( 80114 )
Telepon. (0361) 227911-15, 225482,223869, Faximile. (0361) 224206
Email : info@sanglahhospitalbali.com Website : www.sanglahhospitalbali.com
Denpasar, 14 Februari 2021

KAJIAN PENGADAAN ALAT MICROVASCULAR SET (BTKV)

A. LATAR BELAKANG
· Bertambahnya kompleksitas kasus pasien yang membutuhkan Tindakan operatif terutama
pada operasi microsurgery pada divisi Bedah Toraks Kardiovaskular RSUP Prof. I.G.N.G
Ngoerah Denpasar, khususnya yang membutuhkan alat-alat bedah mikrovaskuler yang
bersifat dan mutakhir.
· RSUP Prof. Dr. I.G.N.G. Ngoerah merupakan rumah sakit tipe A pusat rujukan yang
selayaknya memiliki fasilitas Operasi terutama operasi pada tindakan mikrovaskuler yang
lengkap dengan pertimbangan rumah sakit tipe A merupakan rumah sakit rujukan dengan
jenis pelayanan kesehatan pusat.

B. TUJUAN
· Meningkatkan output pasien yang menjalani operasi mikrovaskular dan pelayanan kamar
operasi koroner pada pasien yang menjalani operasi mikrovaskular.
· Melengkapi fasilitas kamar operasi mikrovaskular dalam rangka menunjang pelayanan
Rumah Sakit Umum Pusat Tipe A.

C. KEBUTUHAN
Aesculap Microvascular set

D. SPESIFIKASI DAN PERKIRAAN HARGA

10 BC531R (BC531R)
DIETHRICH-POTTS Vascular Scissors, angled, 25 °, 180 mm (7"), delicate blade, sharp/sharp, non-sterile, reusable

20 BC532R (BC532R)
DIETHRICH-POTTS Vascular Scissors, angled, 45 °, 180 mm (7"), delicate blade, sharp/sharp, non-sterile, reusable

BC533R (BC533R)
DIETHRICH-POTTS Vascular Scissors, angled, 60 °, 180 mm (7"), delicate blade, sharp/sharp, non-sterile, reusable

BC534R (BC534R)
DIETHRICH-POTTS Vascular Scissors, angled, 90 °, 180 mm (7"), delicate blade, sharp/sharp, non-sterile, reusable
E.

BC535R (BC535R)
DIETHRICH-POTTS Vascular Scissors, angled, 125 °, 180 mm (7"), delicate blade, sharp/sharp, non-sterile,
reusable

F.

BC515R (BC515R)
DIETHRICH-POTTS Vascular Scissors, angled, 25 °, 180 mm (7"), ultra delicate blade, sharp/sharp, non-sterile,
reusable

BC516R (BC516R)
DIETHRICH-POTTS Vascular Scissors, angled, 45 °, 180 mm (7"), ultra delicate blade, sharp/sharp, non-sterile,
reusable

BC517R (BC517R)
DIETHRICH-POTTS Vascular Scissors, angled, 60 °, 180 mm (7"), ultra delicate blade, sharp/sharp, non-sterile,
reusable
 BC518R (BC518R)
DIETHRICH-POTTS Vascular Scissors, angled, 90 °, 180 mm (7"), ultra delicate blade, sharp/sharp, non-sterile,
reusable

G.

BC519R (BC519R)
DIETHRICH-POTTS Vascular Scissors, angled, 125 °, 180 mm (7"), ultra delicate blade, sharp/sharp, non-sterile,
reusable

H.

FM565R (FM565R)
DIADUST Micro Needle Holder, straight, 210 mm (8 1/4"), spring type, round handle, with ratchet, diamond dust
coated, suture up to 7/0, non-sterile, reusable

I.

FM563R (FM563R)
DIADUST Micro Needle Holder, straight, 185 mm (7 1/4"), spring type, round handle, with ratchet, diamond dust
coated, suture up to 7/0, non-sterile, reusable

J.

FM566R (FM566R)
DIADUST Micro Needle Holder, straight, 210 mm (8 1/4"), spring type, round handle, with ratchet, diamond dust
coated, suture up to 5/0, non-sterile, reusable

K.

FM521R (FM521R)
DIADUST Micro Needle Holder, straight, 160 mm (6 1/4"), spring type, round handle, with ratchet, diamond dust
coated, suture up to 7/0, non-sterile, reusable

L.

BM003R (BM003R)
DUROGRIP TC Micro Needle Holder, straight, 180 mm (7"), with
0.4 mm pitch of serration, spring type, round handle, with ratchet, suture 4/0 - 6/0, non-sterile, reusable
FM598R (FM598R)
DIADUST Micro Ring Forceps, straight, 210 mm (8 1/4"), diam. 1 mm, ring tip, round handle, diamond dust
coated, non-sterile, reusable

170 FM597R (FM597R)

DIADUST Micro Ring Forceps, straight, 185 mm (7 1/4"), diam. 1 mm, ring tip, round handle, diamond dust
coated, non-sterile, reusable

180 FM586R (FM586R)

DIADUST Micro Forceps, straight, 185 mm (7 1/4"), with plateau / platform tip, round handle, diamond dust coated,
non-sterile, reusable

190 FM588R (FM588R)

DIADUST Micro Forceps, straight, 210 mm (8 1/4"), with plateau / platform tip, round handle, diamond dust coated,
non-sterile, reusable

200 FB160R (FB160R)

DE BAKEY Vascular Dilator, 190 mm (7 1/2"), diam. 0,50 mm, malleable, non-sterile, reusable

210 FB161R (FB161R)

DE BAKEY Vascular Dilator, 190 mm (7 1/2"), diam. 1 mm, malleable, non-sterile, reusable

220 FB162R (FB162R)

DE BAKEY Vascular Dilator, 190 mm (7 1/2"), diam. 1,50 mm, malleable, non-sterile, reusable

230 FB163R (FB163R)

DE BAKEY Vascular Dilator, 190 mm (7 1/2"), diam. 2 mm, malleable, non-sterile, reusable

240 FB164R (FB164R)

DE BAKEY Vascular Dilator, 190 mm (7 1/2"), diam. 2,50 mm, malleable, non-sterile, reusable
 250 BH032R (BH032R)
DIETHRICH Bulldog Clamp, angled, 48 mm (1 7/8"), jaw length: 10 mm (3/8"), micro, non-sterile,
reusable

260 JG739 (JG739)

Seal, package of 1000 pieces

M.

270 JF113R (JF113R)

Perforated basket, Standard 1/2, 243 x 253 x 76 mm, with feet

N.

280 JF938 (JF938)

Silicone mat (mesh), Standard 1/2, 240 x 250 mm, slip-free storage of instruments, good drying
characteristics, gentle storage durin

O.

290 JK344 (JK344)

Bottom, without base perforation, Standard 1/2, outer length: 300 mm, outer width: 274 mm, outer
heigth: 187 mm, inner length: 254 mm, inner width: 258 mm, inner heigth: 172 mm

P.

300 JP125 (JP125)

PRIMELINE PRO Lid (Outer), Standard 1/2, aluminium anodized, silver, outer length: 303 mm,
outer width: 294 mm, outer heigth: 37 mm

Alat ada di e-katalog LKPP.

https://e-katalog.lkpp.go.id/katalog/produk/detail/2952724?lang=id&type=general 9.
Harga e-katalog : Rp 423.205.000,00
Kepala Instalasi Layanan Kanker terpadu Kepala KSM Bedah Onkologi

Dr. dr. I Wayan Sudarsa, Sp.B, Subsp. Onk (K) dr. Putu Anda Tusta Adiputra, Sp.B, Subsp. Onk (K)
NIP. 195810151985101001 NIP. 197506212003121002

Mengetahui,
Direktur Pelayanan Medis, Keperawatan, dan Penunjang

Dr. dr. Ni Ketut Ariawati,Sp.A(K)

NIP.196806131999032001