configuration

Kelembaban10% or RH ~
High
•90%
deactivation fidelity waveform
12 waveforms of KVO to view
RH
storage
all
rates required
possible parameter
Aksesoris
for
waveforms ECG (up to 12 leads),
•- Unit Operating
Inkubator1 : Ambient Bh
SPO2,
simultaneously
temperature RR, CO2,
: +5
• Tiang Infus1 Bhto 40°
•Pressure,
• Bed
C Alas to BedFlow, and
Monitor1 Bh
Nama Perangkat Daerah : RSUD Bayu Asih Invasive
communication Relative Pressures.
humidity: and 30
• Kabel power1 Bh
KODE Storage
Automatic
to duration
(Noview on alarm
90 % Grounding1
• Kabel Bh
NO NAMA KOMPONEN options
(AVOA) SPESIFIKASI
include
to review24, 48,
remote SATUAN
BARANG condensation)
•Modul Sensor2 Bh
72,
patient 96, 144 hours
monitoring data
(1) (2) (3) •- Sensor Power supply
suhu(4) : 100
(kulit) 1 (5)
CERTIFICATE
•Bh
…… Roving
240 functionality
V AC~ . 50/60
1 1.3.02.07.01.0001 Incubator IEC/EN 60601-1 unit
for
Hz
• Selang ;seamless
input transition
rating
oksigen1 ±Bh
10
ANSI/AAMI
of
VA the monitor ES60601-1
from one
• Tiang photo therapy1
CAN/CSA-C22.2
bedside DC No.
Bh 11-16toVanother
60601-1
within
-• Battery the operating
Phototherapy Unit1 Bh
IEC/EN
CARESCAPE
time 60601-1-2
/ recharge Network±8
• Buku Panduan1 Bh
•IEC/EN
hours InSite™60601-1-6
Remote
IEC/EN
Service 60601-1-8
platform
time Rechargeable for
IEC/EN
remote troubleshooting
battery 60601-2-27
type NiMH
2 1.3.02.07.01.0001 Central Monitor unit
•IEC/EN - National
Nurse-call80601-2-49
Early
: max.
ISO/EN
Warning Score (NEWS)
24V/0.5A/24VA 80601-2-61 ;
IEC/EN
for timely62304
according intervention
to VDE 0834
IEC/EN
Tough 62366-1
for
connector demanding
ISO/EN
duty. 15223-1
Secure
- Classification for :aCF cyber
EN1041
world.
Equipment protection
•IEC/DIS
class Follows 80001-1
FDA draft
II, defibrillation
CE
guidance
proof, marked
IP22 for per
cyber
(drip EU
Type Volumetric
Medical
security protected Device
in medical
for
infusion pump
Regulation
devices
horizontal usage) 2017/745
Dimension 229 x 98 x
3 1.3.02.07.01.0001 Monitor Pasien -•225 An mm ECG(W
Temperature filter delivers
x Hoperating
x D) unit
enhanced
: +5˚C …
Weight signal
2.0+40˚C
kg
performance
- Dimensions
Moisture IP34in:(waternoisy
249(W) x
areas
68(H) x 152(D)
splashing from any mm
•direction)
- With
Weight High : ± Capacity
1.4 kg
battery:
- Accessories
Display >4
Colourhrs1 : active
1 pc
•matrix
Tested2.4"
Rechargeable with TFT,the
BatteryEMCx
240
4th
320: 1 Pc Edition
Powerstandard
pixels, Supply
•262k
: Water resistant
1 Pccolours,
Pole Claim with
viewing/
IP22
Hanger standards
angle: all 80°Pump
4 1.3.02.07.01.0001 Syringe pump - Perfusor
Battery Space, Art.No.
Rechargeable Li- unit
:Ion
: 8713030
battery
- Manufacturer
Operating time: approx.
instruction
8h at 25 ml/h a. Operation
manual
Recharging (English
time:
language3h
approx. & translate in
Indonesia
Basal Rates 0.1 - 1,000
b. SOP in Indonesia
ml/h
language ± 5% over 24 h
Accuracy
Bolus Rates Max. 1,000
5 1.3.02.07.01.0001 Infus pump ml/h unit
- Manual bolus
- Bolus with volume
preselection
- Bolus with preselection
of volume and bolus
duration
Drug Library 3,000
drugs including all
parameters in
up to 30 drug categories
 GP158R ELAN 4 1-
CERTIFICATE
•RING Choice DIAMONDof SpO2 BURR
IEC/EN
D6.0 3 60601-1
technologies: PC GE
ANSI/AAMI
TruSignal™,
GP342R ELAN ES60601-1
Masimo4 2-
CAN/CSA-C22.2
SET®
RING or
CRANIOTOME No.
60601-1
Nellcor™
CUTTER STANDARD OxiMax
KODE IEC/EN
•5 GE PCEtCO2 60601-1-2
sidestream
NO NAMA KOMPONEN IEC/EN
measurement, SPESIFIKASI
60601-1-6 SATUAN
BARANG GB302R CRANIAL
(1) (2) (3) IEC/EN
anesthetic
PERFORATOR 60601-1-8
agents
(4) 9/12MM and (5)
6 1.3.02.07.01.0001 central monitor IEC/ENoutput
cardiac
HUDSON 60601-2-27
SHANK1 PC unit
IEC/EN
•GB304R Entropy™ 80601-2-49
monitoring*
CRANIAL
ISO/EN
for
PERFORATOR 80601-2-61
monitoring the state
IEC/EN
of
12/15MM the brain 62304HUDSON
IEC/EN
•SHANK NMT for 62366-1
1 PC
ISO/EN
JF212R 15223-1
neuromuscular 1/1 SIZE
EN1041
transmission
PERF BASKETblockade
IEC/DIS
and
485X253X56MM reversal 80001-1
monitoring
1 PC
•CE
JF217R 1/1 marked
Connectivity perto EU
SIZEGE
Medical
CARESCAPE™
PERF Device LID
BASKET networks
Regulation
•489X257MM Flexibility2017/745to1share PC
7 1.3.02.07.01.0001 Bor Bedah Saraf parameter
JK442 BOTTOM modules FOR and unit
accessories
1/1 CONTAINER with
CARESCAPE
HEIGHT:135MM monitors
1 PC
Intuitive
JK489 FULL-SIZE design. LID
Uninterrupted
W/RETENTIONworkflow. PLATE
•SILVER 12 waveforms 1 PCto view
all
JK095 required
SINGLE parameter
USE
waveforms
PAPER FILTER WITH
simultaneously
INDICATOR 1 PAC
8 1.3.02.07.01.0001 Bed ICU •Total Bed Length
to Bed 2.220 to unit
communication
2.520 mm and
Automatic
Total Widthview 990on mm alarm
(AVOA)
Total Height 805 to to review remote
patient
1.255 mm monitoring data
•Mattress Roving functionality
Deck Length
for
2.000mm seamless transition
of
Mattress the monitor Deck from Height one
bedside
400-850mm to another
9 1.3.02.07.01.0001 bed side cabinet PF-1100
within the unit
Product
Total Depth Weight 469mm 177 kg
CARESCAPE
Maximum User Network
Weight
Total
•180 Width
InSite™ 454mm
Remote
Total kg
Height 930mm
Service
Safe platform
Working Load for255
Caster
remote Diameter
troubleshooting 40mm
kg
Material (2.500N) Steel, Plastic
•Head/Foot
National Early
Board
Warning
Material HDPE Score (NEWS)
resin
10 1.3.02.07.01.0001 X Ray LED film viewer double for
molding
Model timely intervention
: MFV-01 unit
Tough
Bed Side-rail
Berat for
: 7,65demanding
Material
Kg
duty.
HDPESecure
Komsumsi resinDaya for a: cyber
molding +- 75
world.
Roller Bumper Material
watt
•Tipe
EDPM Follows resin
Lampu FDA draft: LED
molding
Latar
guidance
Back Section
Luminasi for cyber
TinggiBase
security
Material
Suhu Warna in medical
Phenolic : +-resin
devices
Hip/Knee/Leg
14.000 K Section
•Usia
Bases An ECG Material
Pakai filter
LEDHDPEdelivers
:
enhanced
resin molding
100.000 jamsignal
11 1.3.02.07.01.0001 Monitor Pasien performance in noisy unit
Main Frame
Tegangan Material
Kerja
areas
Powder coated
Normal : AC 220 steel
~V
•240
Back With ,High
VRaise50/50 Capacity
AngleHz 0° to
battery:
70°
Keseragaman >4 hrs1
•Luminasi
KneeTestedRaise with the EMC
: Angle
≥90% 0° to
4th
25°
SuitableEdition standard
Film : Normal
•TR/RTR
Water resistant
Simulation Angle X-Ray0° with
to 15°
Film,
IP22
Powerstandards
High SupplyDigital X-
Density
Voltage/Frequency
Ray Film, 100
to 240 VAC, 50/60
Molybdenum TargetHz
Power Consumption
Dimensi : Ukuran Layar
:Back raise : 255VA
33” (720mm (P) x or
less
240mm (L))
Knee
Unitraise
: 835: (P) 190VA x 545 or(L)
less
x 66 (T) mm
Height adjustment :
560VA or less
Manual CPR Function
- Antistatic Caster
- USB Charge
 Voltage : 220 Volt AC
Power output : 540 VA
Frequency : 50/60Hz
Capacity : 5 liters ( 2 X
2.5 liters )
KODE Foot key operation : Yes
NO NAMA KOMPONEN LiquidSPESIFIKASI
level alarm : SATUAN
BARANG
(1) (2) (3) Automatic turn
(4) off (5)
12 1.3.02.07.01.0001 Mobile Suction Features : - Work with a unit
diaphragm
- Oil-Free
- Doesn't need
lubricators
- Eliminate the
possibility of
contamination of the
patient's air

13 1.3.02.07.01.0001 Examination Light/lampu tidakan unit

Onemed Examination
Light led300

Eksterior: 1. Body panel

plat galvanyl 1.0 mm, 2.
Lantai baik original
Mobil Ambulance Puskesmas Keliling chasis. Interior: 1.
14 unit
Toyota Hilux Single Cabin Lantai modifikasi lapis
multiplex + karpet vinyl
anti bakteri, 2. Plafon
model tarik/gantung
1.3.02.02.01.0006
Eksteterior: 1. Std unit
toyota kijang innova, 2.
LED lightbar warna
merah-merah dengan
Mobil Ambulance Standar Toyota Kijang Innova 2.4
15 G M/T Diesel sirine multi voice + mic. unit
Interior 1. 1 buah jok
perawat model box, 2.
Lampu plavon std
1.3.02.02.01.0006 karoseri 1 buah

Eksterior: 1. Body panel

plat galvinyl 1.0 mm, 2.
Mobil Ambulance Jenazah AC Lantai bak original
Kendaraan Bermotor Khusus chasis. Interior: 1.
16 unit
Pelayanan Kesehatan Toyota Hilux Lantai modif lapis
Single Cabin multiplex + karpet vinyl
anti bakteri, 2. Plafon
model tank/ gantung
1.3.02.02.01.0006
 KODE HARGA
SUMBER Nilai TKDN (%)
REKENING
(6) (7) (8) (9)
5.2.02.07.01.0001 240,900,000 https://e-katalog.lkpp.go.id/katalog/produk/detail/1258323?lang=id&type=general
36.85 dak 2

5.2.02.07.01.0001 299,464,072 https://e-katalog.lkpp.go.id/katalog/produk/detail/3369042?lang=id&type=general

Tidak Ada dak 1

5.2.02.07.01.0001 285,933,328 https://e-katalog.lkpp.go.id/katalog/produk/detail/53413344?type=general

19.08 dak 2

5.2.02.07.01.0001 17,182,240 https://e-katalog.lkpp.go.id/katalog/produk/detail/1381886?type=general

Tidak Ada dak

5.2.02.07.01.0001 28,979,036 https://e-katalog.lkpp.go.id/katalog/produk/detail/66811019?lang=id&type=general

Tidak Ada dak

2
 KODE HARGA
SUMBER Nilai TKDN (%)
REKENING
(6) (7) (8) (9)
5.2.02.07.01.0001 302,970,228 https://e-katalog.lkpp.go.id/katalog/produk/detail/3369042?lang=id&type=general
Tidak Ada

dbhcht 1

5.2.02.07.01.0001 794,783,164 https://e-katalog.lkpp.go.id/katalog/produk/detail/1377478?type=general

Tidak Ada

dbhcht 1

5.2.02.07.01.0001 118,104,000 https://e-katalog.lkpp.go.id/katalog/produk/detail/1264791?lang=id&type=general

28.54

dbhcht 2

5.2.02.07.01.0001 4,683,000 https://e-katalog.lkpp.go.id/katalog/produk/detail/2240626?lang=id&type=general

32.17

dbhcht 2

5.2.02.07.01.0001 11,059,280 https://e-katalog.lkpp.go.id/katalog/produk/detail/1265499?lang=id&type=general

41.1

dbhcht 1

5.2.02.07.01.0001 288,933,328 https://e-katalog.lkpp.go.id/katalog/produk/detail/53413344?type=general

19.08

dbhcht 2
 KODE HARGA
SUMBER Nilai TKDN (%)
REKENING
(6) (7) (8) (9)
5.2.02.07.01.0001 28,948,000 https://e-katalog.lkpp.go.id/katalog/produk/detail/1472228?lang=id&type=general
Tidak Ada

dbhcht 2

5.2.02.07.01.0001 4,925,336 https://e-katalog.lkpp.go.id/katalog/produk/detail/1255555?lang=id&type=general

48.4
dbhcht 2

5.2.02.02.01.0006 594,200,000 42.66

https://e-katalog.lkpp.go.id/katalog/produk/detail/74068397?type=regency&location_id=199
apbd

5.2.02.02.01.0006 561,480,000 42.66

https://e-katalog.lkpp.go.id/katalog/produk/detail/62354700?type=regency&location_id=199
apbd

5.2.02.02.01.0006 684,300,000 42.66

https://e-katalog.lkpp.go.id/katalog/produk/detail/47684207?type=regency&location_id=199
apbd

Plt. Direktur RSUD Bayu Asih

Kabupaten Purwakarta

dr. Tri Muhammad Hani, MARS

Pembina Utama Muda/IV.c
Nip. 19770619 200312 1 009
 harga ongkir harga +ongkir

481,800,000 237,500,000 2,993,267 240,493,267

299,464,072 292,352,598 297,277,538

4,924,940

571,866,656 288,933,328

275,174,598 13,758,730

85,911,200 16,681,786 500,454 17,182,240

57,958,072 28,134,986 844,050 28,979,036

 harga ongkir harga +ongkir

297,277,538

302,970,228 292,352,598 4,924,940

800,475,854

794,783,164 779,410,718 21,065,136

118,104,000

236,208,000 118,104,000

4,683,000

9,366,000 4,683,000

11,059,280

11,059,280 9,680,000 1,379,280

288,933,328

577,866,656 275,174,598 13,758,730

 harga ongkir harga +ongkir

25,948,000 28,948,000

57,896,000 3,000,000

4,925,336
9,850,672 4,781,880 143,456
Jumlah PAGU
DAK
480,986,534 1,500,000,000

297,277,538

577,866,656

85,911,200

57,958,072
Jumlah PAGU
DAK
297,277,538

2,000,000,000

800,475,854

236,208,000

9,366,000

11,059,280

577,866,656
Jumlah PAGU
DAK
57,896,000

9,850,672