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USULAN ALAT - ALAT INSTRUMEN KEBUTUHAN KAMAR OPERASI SESUAI

STANDAR AKREDITAS
PENAWARAN HARGA SET INSTRUMENT BEDAH UMUM DAN SECTIO CESAREA

NO KODE DESCRIPTION HARGA SATUAN QTY JUMLAH


SET INSTRUMENT BEDAH UMUM
1 16-2301-06 BOZEMANN swab forceps-S-Shaped Rp. 1.388.333 1 Rp. 1.388.333
2 12-3100-14 ROCHESTER PEAN hemost.forceps Rp. 674.333 10 Rp. 6.743.333
3 10-1002-18 Forceps dressing 18,0 cm Rp. 364.933 1 Rp. 364.933
10-1700-12 ADSON forceps serrated Rp. 388.733 1 Rp. 388.733
4 10-1200-18 Forceps tissue 1x2t 18,0 cm Rp. 372.867 1 Rp. 372.867
10-1800-12 ADSON forceps 1x2 teeth Rp. 408.567 1 Rp. 408.567
5 06-1003-00 Scalpel handle no.3 Rp. 182.467 1 Rp. 182.467
06-1004-00 Scalpel handle no.4 Rp. 182.467 1 Rp. 182.467
6 14-1101-13 BACKHALIS towel forceps Rp. 642.600 5 Rp. 3.213.000
7 18-3102-04 LANGENBACK retr.21cm 40x11mm Rp. 1.451.800 2 Rp. 2.903.600
8 18-2407-20 LANGENBACK mini retractor Rp. 1.554.933 2 Rp. 3.109.867
9 18-2800-04 VOLKMANN retrac. 21,5cm sharp Rp. 1.368.500 2 Rp. 2.737.000
10 16-1700-25 FOERSTER swab forceps serrated Rp. 1.368.500 3 Rp. 4.105.500
11 24-1800-18 MAYO HEGAR needleholder Rp. 1.055.133 2 Rp. 2.110.267
12 08-2801-18 METZENBAUM scissors cvd.18cm Rp. 1.078.933 1 Rp. 1.078.933
13 08-1600-17 MAYO scissors straight 17,0 cm Rp. 662.433 1 Rp. 662.433
14 64-1200-15 ALLIS tissue forceps 15cm 5x6 teeth Rp. 995.633 3 Rp. 2.986.900
15 32-4700-01 VOLKMANN bone currete fig.1 Rp. 1.285.200 1 Rp. 1.285.200
16 04-1500-27 YANKAUER aspiration tube 27 cm Rp. 1.015.467 1 Rp. 1.015.467
17 12-3202-14 KOCHER hemost forceps delic Rp. 932.167 4 Rp. 3.728.667
Rp. 38.968.533

SET INSTRUMENT SECTIO CESAREA


1 16-2301-26 BOZEMANN swab forceps-S-Shaped Rp. 1.388.333 1 Rp. 1.388.333
2 12-3100-14 ROCHESTER PEAN hemost.forceps Rp. 674.333 4 Rp .2.697.333
3 10-1002-20 Forceps dressing 20,0 cm Rp. 420.467 1 Rp. 420.467
4 10-1200-20 Forceps tissue 1x2 t. 20,0 cm Rp. 428.600 1 Rp. 428.600
10-1200-14 Forceps tissue 1x2 t. 14,5 cm Rp. 265.767 1 Rp. 265.767
5 06-1004-00 Scalpel handle no.4 Rp. 182.467 1 Rp. 182.467
6 14-1101-13 BACKHAUS towel forceps Rp. 642.600 4 Rp. 2.570.400
7 18-3102-04 LANGENBECK retr.21 cm 40x11 Rp. 1. 451.800 1 Rp. 1. 451.800
8 18-1400-00 RICHARDSON EASTMAN retractor Rp. 3.482.733 1 Rp. 3.482.733
9 12-3100-20 ROCHESTER PEAN hemost forceps Rp. 995.633 2 Rp. 1.991.267
10 16-1700-25 FOERSTER swab forceps serrated Rp. 1.368.500 4 Rp. 3.062.267
11 24-1800-20 MAYO HEGAR needleholder Rp. 1.162.233 2 Rp. 2.324.467
12 08-2801-20 METZENBAUM scissors cvd.20 cm Rp. 1.138.433 1 Rp. 1.138.433
13 08-1600-17 MAYO scissors straight 17.0 cm Rp. 662.433 1 Rp. 662.433
14 12-3100-18 ROCHESTER PEAN hemost forceps Rp. 848.867 2 Rp. 1.697.733
15 12-3200-16 ROCH. OCHSNER hemostat forceps Rp. 765.567 4 Rp. 3.062.267
16 04-1500-27 YANKAUER aspiration tube 27 cm Rp. 1.015.467 1 Rp. 1.015.467
17 26-4403-10 Sut needle ‘E’ round fig.0 Rp. 333.200 4 Rp. 1.332.800
26-4203-13 Sut needle ‘G’ triang fig.13 Rp. 353.033 2 Rp. 706.067
18 - Kassa Kecil - 1 -
Rp. 32.292.633

Mengetahui; Dompu, 2017


Kepala Bidan Pelayanan
a.n. Kasi Pelayanan dan Penunjang Medis Kepala Ruangan Kamar Operasi

(MASRIANI) (NURJANAH, A.Md.Kep)


NIP.19641231 198511 2 066 NIP.19830323 201101 2 014

ATAS PERSETUJUAN SEMUA OPERATOR

1. DR. I MADE SUMARYANA, Sp.B 1. ..................................................

2. DR.SANOKO TJANDRA, SpOG 2. ..................................................

3. DR.YOHANES PUTU ARIANTA, SpOG 3. ..................................................

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