DATA INVENTARIS ALAT MEDIS

RSM AHMAD DAHLAN KEDIRI

TAHUN 2022

KET. KONDISI
NO RUANG PENERIMA NAMA ALAT Σ SPESIFIKASI / MERK SN. KODE BARANG TAHUN KLBRS GOLONGAN KEL. GRADE KETERANGAN
KLBRS
B R
1 ARAFAH ECG 1 FUKUDA M-E CARDISUNY 902697616 ECG1-AR 2018 √ Diagnostik Menengah M
2 SUCTION PUMP 1 SXT-1A 20903711949 SCP1-AR 2018 √ Life Support Sederhana S
3 SUCTION PUMP 1 GEA 20903711949 SCP2-AR 2018 √ Life Support Sederhana S
3 SYRINGE PUMP 1 TERUMO SS700 1803010072 SPM1-AR 2018 Life Support Menengah M
3 SYRINGE PUMP 1 TERUMO 1803010119 SPM2-AR 2018 √ Life Support Menengah M
5 NEBULIZER 1 OMRON COMP AIR 20171201512UF NEB1-AR 2019 √ Life Support Sederhana S
6 TENSIMETER ANEROID 1 ADC SPECTRUM 455644 TRA1-AR √ Diagnostik Sederhana S
7 MUZDALIFAH SYRINGE PUMP 1 TERUMO 2111010052 SPM1-MZD 2015 √ Life Support Menengah M
8 SYRINGE PUMP 1 NIPRO 08A0650NE SPM2-MZD 2015 √ Life Support Menengah M
9 SYRINGE PUMP 1 TERUMO 1405000088 SPM3-MZD 2015 √ Life Support Menengah M
10 SYRINGE PUMP 1 TERUMO 1304000129 SPM4-MZD 2015 √ Life Support Menengah M
11 SYRINGE PUMP 1 NIPRO 080A658NE SPM5-MZD2 2015 √ Life Support Menengah T
12 INFUS PUMP 1 TERUMO 1401000136 IPP1-MZD 2015 √ Life Support Tinggi T
13 INFUS PUMP 1 B-BRAUN 65477 IPP2-MZD 2015 √ Life Support Tinggi T
14 INFUS PUMP 1 B-BRAUN 65493 IPP3-MZD 2015 √ Life Support Tinggi T
15 PATIENT MONITOR 1 MINDRAY UMEC10 PM1-MZD 2015 √ Diagnostik Tinggi T
16 PATIENT MONITOR 1 MINDRAY UMEC10 AQ-34196974 PM2-MZD 2015 √ Diagnostik Tinggi T
17 PATIENT MONITOR 1 MINDRAY UMEC10 AQ-86113501 PM3-MZD 2015 √ Diagnostik Tinggi T
18 PATIENT MONITOR 1 MINDRAY UMEC10 PM4-MZD 2015 √ Diagnostik Tinggi T
3 NEBULIZER 1 OMRON 20190428556UF NEB1-MZD √ Life Support Sederhana S
4 SUCTION PUMP 1 GEA MEDICAL 0078Z SCP1-MZD 2015 √ Life Support Sederhana S
5 MEKAH 2 NEBULIZER 1 OMRON 20131001352UF NEB1-MK2 2018 √ Life Support Sederhana S
6 PATIENT MONITOR 1 MINDRAY KN-03064208 PM1-MK2 √ Life Support Tinggi S
7 PATIENT MONITOR 1 MINDRAY EX-7B050480 PM2-MK2 √ Life Support Tinggi S
8 PATIENT MONITOR 1 MINDRAY AQ-3A197031 PM3-MK2 √ Life Support Tinggi S
9 SYRINGE PUMP 1 TERUMO 1307000045 SPM1-MK1 2015 √ Life Support Menengah M
26 SYRINGE PUMP 1 TERUMO 1301000174 SPM2-MK2 2015 √ Life Support Menengah M
27 SUCTION PUMP 1 JNACK 12N10.011 SCP1-MK2 2015 √ Life Support Sederhana S
28 ECG 1 FUKUDA CARDISUNY 902698571 ECG1-MK2 √ Diagnostik Menengah S
29 MEKAH 3 NEBULIZER 1 OMRON COMP AIR PRO 20150500437UF NEB1-MK3 2016 √ Life Support Sederhana S
30 NEBULIZER 1 OMRON COMP AIR 20131001351UF NEB2-MK3 2016 √ Life Support Sederhana S
31 NEBULIZER 1 OMRON COMP AIR 20150103744UF NEB3-MK3 2016 √ Life Support Sederhana S
32 SYRINGE PUMP 1 MINDRAY BENEFUSION SK10117442 SPM1-MK3 2022 √ Life Support Menengah M
33 SYRINGE PUMP 1 TERUMO TE-331 8882000748 SPM2-MK3 2022 √ Life Support Menengah M
34 PATIENT MONITOR 1 MINDRAY MEC-1000 AQ-0B145767 PM1-MK3 2022 √ Life Support Tinggi T
35 ECG 1 FUKUDA M-E CARDISUNY 902697616 ECG1-MK3 2019 √ Diagnostik Menengah M
 KONDISI
KET.
NO RUANG PENERIMA NAMA ALAT Σ SPESIFIKASI / MERK SN. KODE BARANG TAHUN KLBRS GOLONGAN KEL. GRADE KETERANGAN
KLBRS
B R
36 SUCTION PUMP 1 GEA MEDICAL YB SXT-1A SCP1-MK3 √ Life Support Sederhana S
37 SPIROLAB 1 MIR A23-OJ00058 SLAB1-MK3 √ Diagnostik Menengah M
38 HFNC 1 GLP HFNC 01-B FC01B0274 HFNC1-MK3 2022 √ Life Support Menengah M
39 HFNC 1 GLP HFNC 01-B FC01B0265 HFNC2-MK3 2022 √ Life Support Menengah M DI IGD
40 MEKAH 4 SUCTION PUMP 1 GEA YB-CXTA SCP1-MK4 2015 √ Life Support Sederhana S
41 SYRINGE PUMP 1 TERUMO 1310000174 SPM1-MK4 2015 √ Diagnostik Sederhana S
42 DOPPLER 1 H10-3 DOP1-MK4 2016 √ Diagnostik Sederhana S
43 LAMPU TINDAKAN 1 - - LT1-MK4 2016 √ Diagnostik Sederhana S
44 MINA NEBULIZER 1 OMRON 20160406104UF NEB1-MIN 2017 √ Life Support Sederhana S
45 NEBULIZER 1 OMRON 20160403413UF NEB2-MIN 2017 √ Life Support Sederhana S
46 NEBULIZER 1 OMRON 20140901548UF NEB3-MIN 2017 √ Life Support Sederhana S
47 NEBULIZER 1 OMRON CX3 21763 NEB4-MIN 2017 √ Life Support Sederhana S
48 NEBULIZER 1 OMRON NEB5-MIN 2017 √ Life Support Sederhana S
49 SYRINGE PUMP 1 TERUMO 1308000537 SPM1-MIN 2015 √ Life Support Menengah M
50 SYRINGE PUMP 1 TERUMO 2108010133 SPM2-MIN 2015 √ Life Support Menengah M
51 SYRINGE PUMP 1 TERUMO 1308000541 SPM3-MIN 2015 √ Life Support Menengah M
15 SYRINGE PUMP 1 TERUMO 2108010135 SPM4-MIN 2015 √ Life Support Menengah M
52 SYRINGE PUMP 1 TERUMO 06110234 SPM5-MIN 2015 √ Life Support Menengah M
53 SYRINGE PUMP 1 B-BRAUN 58670 SPM6-MIN √ Life Support Menengah M
54 SUCTION PUMP 1 SMIC 00788 SCP1-MIN 2015 √ Life Support Sederhana S
55 FETAL DOPPLER 1 HI BEBE BBE80677 DOP1-MIN 2017 √ Diagnostik Sederhana S
56 FETAL DOPPLER 1 BISTOS BHH10207 DOP2-MIN 2017 √ Diagnostik Sederhana S
57 ECG 1 FUKUDA 902697616 ECG1-MIN √ Diagnostik Menengah M
58 PATIENT MONITOR 1 BLT M8000A M012E002081 PM1-MIN 2015 √ Diagnostik Tinggi T
59 PATIENT MONITOR 1 BLT M8000A M012E002078 PM2-MIN 2015 √ Diagnostik Tinggi T
60 PATIENT MONITOR 1 BLT M8000A PM3-MIN 2015 √ Diagnostik Tinggi T
61 PATIENT MONITOR 1 BLT M8000A PM4-MIN 2015 √ Diagnostik Tinggi T
62 PATIENT MONITOR 1 BLT M8000A PM5-MIN 2015 √ Diagnostik Tinggi T
63 PATIENT MONITOR 1 BLT M012E002937 PM6-MIN 2015 √ Diagnostik Tinggi T
64 PATIENT MONITOR 1 MINDRAY AQ-45206902 PM7-MIN 2015 √ Diagnostik Tinggi T
65 PATIENT MONITOR 1 MINDRAY KN-1911930 PM8-MIN √ Diagnostik Tinggi T
66 NICU INFUS PUMP 1 TERUMO TE - 112 1211000747 IPP1-NICU 2018 √ Life Support Menengah M
67 INFUS PUMP 1 TERUMO 2111010022 IPP2-NICU 2018 √ Life Support Menengah M
68 INFUS PUMP 1 TERUMO LF600 1612010607 IPP3-NICU 2018 √ Life Support Menengah M
69 SYRINGE PUMP 1 TERUMO TE-SS700 1909010050 SPM1-NICU 2015 √ Life Support Menengah M
70 SYRINGE PUMP 1 TERUMO TE-LF600 1612010607 SPM2-NICU 2015 Life Support Menengah M
71 SYRINGE PUMP 1 TERUMO TE-3315 1307000215 SPM3-NICU 2015 √ Life Support Menengah M
72 SYRINGE PUMP 1 TERUMO TE-331 1307000043 SPM4-NICU 2015 Life Support Menengah M
73 SYRINGE PUMP 1 TERUMO TE-331 1311000498 SPM5-NICU 2015 √ Life Support Menengah M
74 SYRINGE PUMP 1 TERUMO TE-3315 1307000010 SPM6-NICU 2015 √ Life Support Menengah M
75 SYRINGE PUMP 1 TERUMO SK-500 60104236 SPM7-NICU 2015 √ Life Support Menengah M
76 SUCTION PUMP 1 GEA MEDICAL 60777 SCP1-NICU 2015 √ Life Support Sederhana S
 KONDISI
KET.
NO RUANG PENERIMA NAMA ALAT Σ SPESIFIKASI / MERK SN. KODE BARANG TAHUN KLBRS GOLONGAN KEL. GRADE KETERANGAN
KLBRS
B R
77 SUCTION PUMP 1 GEA MEDICAL SCP2-NICU 2015 √ Life Support Sederhana S
78 INFANT WARMER 1 GEA MEDICAL 140301001 IWR1-NICU 2017 √ Life Support Menengah M
79 INFANT WARMER 1 GEA MEDICAL HKI 43160802015 IWR2-NICU 2017 √ Life Support Menengah M
80 PATIENT MONITOR 1 MINDDRAY MEC-1000 AQ-3A197011 PM1-NICU 2015 √ Life Support Tinggi T
81 PATIENT MONITOR 1 MINDRAY MEC-1000 AQ-3A197014 PM2-NICU 2015 √ Life Support Tinggi T
82 PATIENT MONITOR 1 MINDRAY MEC-1000 AQ-013145765 PM3-NICU 2015 √ Life Support Tinggi T
83 PATIENT MONITOR 1 MINDRAY MEC-1000 AQ-3A196924 PM4-NICU 2015 √ Life Support Tinggi T
84 PATIENT MONITOR 1 MINDRAY AQ-73232755 PM5-NICU 2015 √ Life Support Tinggi T
85 PATIENT MONITOR 1 GEA 42170204018 PM6-NICU 2015 Life Support Tinggi T
86 NEOPUFF 1 FISHER PAYKEL 180903017000 NEO1-NICU √ Life Support Tinggi T
87 CPAP 1 DRAGER ASLJ-0095 CPAP1-NICU √ Life Support Sederhana S
88 CPAP 1 FISHER PAYKEL CPAP2-NICU 2020 √ Life Support Sederhana S
89 CPAP 1 P MEDICO PMH7000 CPAP3-NICU 2020 Life Support Sederhana S
90 CPAP 1 FISHER PAYKEL CPAP4-NICU 2020 √ Life Support Sederhana S
91 BABY INCUBATOR 1 GEA YP-100 01130503030 BIN1-NICU 2015 √ Life Support Sederhana S
92 BABY INCUBATOR 1 GEA 01120303017 BIN2-NICU 2015 √ Life Support Menengah M
93 BABY INCUBATOR 1 GEA YP-100 BIN3-NICU 2015 √ Life Support Menengah M
94 BABY INCUBATOR 1 GEA 011312050515 BIN4-NICU 2015 √ Life Support Menengah M
95 PHOTOTHERAPHY 1 GEA MEDICAL AQ-3A196907 PHO1-NICU 2015 √ Terapi Menengah M
96 PHOTOTHERAPHY 1 GEA MEDICAL 42170204067 PHO2-NICU 2015 √ Terapi Sederhana S
97 PHOTOTHERAPHY 1 GEA XHZ-90 12140307035 PHO3-NICU 2015 √ Terapi Sederhana S
98 KOMPRESSOR 1 EKOM DK50DE A3132-11-2019 KOM1-NICU √
99 KOMPRESSOR 1 EKOM DK50DE A3132-11-2019 KOM2-NICU √
100 LAMPU TINDAKAN 1 LOKAL - LT1-NICU √
101 LAMPU TINDAKAN 1 LOKAL - TBY1-NICU √
102 IGD SYRINGE PUMP 1 MINDRAY SK-500 60104246 SPM1-IGD 2016 √ Life Support Menengah M
103 SYRINGE PUMP 1 MINDRAY SK-500 60103716 SPM2-IGD 2016 √ Life Support Menengah M
104 AED 1 ZOLL PLUS X15C744784 AED1-IGD √ Life Support Menengah M
105 AED 1 ZOLL 3023229 AED2-IGD √ Life Support Menengah M
106 AED 1 ZOLL 21AA14K034349 AED3-IGD √ Life Support Menengah M
107 ACCU CHEK 1 ANATEL 925 92513015554 ACCU1-IGD √ Diagnostik Sederhana S
108 ECG 1 FUKUDA FCP-7101 - ECG1-IGD 2018 √ Diagnostik Tinggi T
109 ECG 1 FUKUDA M-E CARDISUNY - ECG2-IGD 2018 √ Diagnostik Tinggi T
110 TENSI DIGITAL 1 RIESTER 000790 TD1-IGD √ Diagnostik Sederhana S
111 PATIENT MONITOR 1 MINDRAY MEC-1000 AQ-45306906 PM1-IGD 2019 √ Life Support Tinggi T
112 PATIENT MONITOR 1 MINDRAY MEC-1000 AQ-79232812 PM2-IGD 2019 √ Life Support Tinggi T
113 PATIENT MONITOR 1 MINDRAY MEC-1000 AQ-61227777 PM3-IGD 2019 √ Life Support Tinggi T
114 PATIENT MONITOR 1 BLT M8000A MO12E002077 PM4-IGD 2019 √ Life Support Tinggi T
115 PATIENT MONITOR 1 SPACELABS ELZ-78162113 PM5-IGD 2019 √ Life Support Tinggi T
116 NEBULIZER 1 HEALTH CARE 184321 NEB1-IGD 2018 √ Life Support Sederhana S
117 NEBULIZER 1 OMRON NE-C28 20130705534UF NEB2-IGD 2018 √ Life Support Sederhana S RB
118 NEBULIZER 1 OMRON NE-C28 20141210258UF NEB3-IGD 2018 √ Life Support Sederhana S RB
 KONDISI
KET.
NO RUANG PENERIMA NAMA ALAT Σ SPESIFIKASI / MERK SN. KODE BARANG TAHUN KLBRS GOLONGAN KEL. GRADE KETERANGAN
KLBRS
B R
119 NEBULIZER 1 SNN-UP 01047 NEB4-IGD 2018 √ Life Support Sederhana S RB
120 NEBULIZER 1 SNN-UP 014885 NEB5-IGD 2018 √ Life Support Sederhana S RB
121 SUCTION PUMP 1 SMIC 00807 SCP1-IGD 2020 √ Life Support Sederhana S
122 SUCTION PUMP 1 JMAF YB-DX23B 16N805Y SCP2-IGD 2020 √ Life Support Sederhana S
123 DEFIBRILLATOR 1 MINDRAY D3 - DEF1-IGD 2016 √ Life Support Tinggi T
124 TIMBANGAN DEWASA 1 HEALTH SCALE ZT-120 SMIC - TDW1-IGD √ Diagnostik Sederhana S
125 TIMBANGAN DEWASA 1 HEALTH SCALE ZT-120 SMIC - TDW2-IGD √ Diagnostik Sederhana S
126 TIMBANGAN BAYI 1 GEA MEDICAL - TBY1-IGD √ Diagnostik Sederhana S
127 TIMBANGAN BAYI 1 ONE MED OD 230 - TBY2-IGD √ Diagnostik Sederhana S
128 FETAL DOPPLER 1 TOITU FD-390 9819534 DOP1-IGD 2015 √ Diagnostik Sederhana S
129 SUCTION PUMP 1 GEA MEDICAL SXT-1A 20903711949 SCP3-IGD 2020 √ Life Support Sederhana S
130 INFANT WARMER 1 GEA MEDICAL HKN-90 140901155 IWR1-IGD 2015 √ Life Support Menengah T
131 LAMPU TINDAKAN 1 DYNA DNA-100R - LT1-IGD √
132 LAMPU TINDAKAN 1 EVER LIGHT TLA-100H - LT2-IGD √
133 LAMPU UV 1 GEA MEDICAL 20903904614 LUV1-IGD √
134 KABER PATIENT MONITOR 1 MINDRAY UMEC10 AQ-61227745 PM1-IGD 2016 √ Life support Tinggi T
135 INFANT WARMER 1 GEA MEDICAL 21150301033 IWR1-KBR 2015 √ Life support menengah M
136 FETAL DOPPLER 1 TOITU FD-390 9621X06 DOP1-KBR 2015 √ Diagnostik menengah M
137 CTG 1 BOISTOS BT-300 AAFC0036 CTG1-KBR 2015 √ Life support menengah M
138 SUCTION PUMP 1 GEA MEDICAL 028 SCP1-KBR 2015 √ Life support menengah M
139 SYRINGE PUMP 1 MINDRAY SK-500 60104237 SYP1-KBR 2016 √ Life support menengah M
140 TIMBANGAN DEWASA 1 SMIC ZT-120 - TDW1-KBR √ Diagnostik sederhana S
141 TIMBANGAN BAYI 1 - - TBY1-KBR √ Diagnostik sederhana S
142 LAMPU TINDAKAN 1 DYNA DNA-100R - LT1-KBR √
143 LAMPU TINDAKAN 1 DYNA DNA-100R - LT2-KBR √
144 LAMPU TINDAKAN 1 LOKAL - LT3-KBR √
145 LAMPU TINDAKAN 1 LOKAL - LT4-KBR √
146 CSSD STERILISATOR 1 MEMMERT/UN 55 B2144049 STE1-CSSD 2015 √ Sterilisasi Tinggi T
147 STERILISATOR 1 MAMMERT/UN55 B2144068 STE2-CSSD 2015 √ Sterilisasi Tinggi T
148 STERILISATOR KERING 1 COREMEDIX\ - STE3-CSSD 2015 √ Sterilisasi Tinggi T
149 AUTOCLAVE 1 GEA R - ACV1-CSSD 2015 √ Sterilisasi Tinggi T
150 LABORATORIUM BLOOD GAS ANALYZER 1 EDAN I45 960360-M20B005200 BGA1-LAB √ LAB KLINIK Tinggi T
151 HEMATOLOGY ANALYZER 1 SYSMEX/XN-350 12819 HGA1-LAB 2020 √ LAB KLINIK Tinggi T
152 LEMARI ES 1 SAMSUNG - LES1-LAB √ LAB KLINIK Sederhana S
153 ANALYZER BLOOD 1 EASYLYTE REF 2124 22083 ABD1-LAB √ LAB KLINIK Sederhana S
154 URINE CELL ANALYZER 1 SYSMEX 12955 UCA1-LAB √ LAB KLINIK Tinggi T
155 CENTRIFUGE 1 K PLC SERIES - CEN1-LAB 2017 √ LAB KLINIK Sederhana S
156 CENTRIFUGE 1 K PLC SERIES - CEN2-LAB 2017 √ LAB KLINIK Sederhana S
157 URINE CHEMISTRY A 1 COMBOSTIK R-300 - UCY1-LAB √ LAB KLINIK Tinggi T
158 MIKROSKOP 1 OLYMPUS CX22 LED 21992 MIK1-LAB 2015 √ LAB KLINIK Sederhana S
159 1 SYSMES A4598 ABC1-LAB √ LAB KLINIK Tinggi T
160 OK/OPERASI PATIENT MONITOR 1 MINDRAY UMEC10 KN-1C125863 PM1-OK 2022 √ Life Support Tinggi T
 KONDISI
KET.
NO RUANG PENERIMA NAMA ALAT Σ SPESIFIKASI / MERK SN. KODE BARANG TAHUN KLBRS GOLONGAN KEL. GRADE KETERANGAN
KLBRS
B R
161 PATIENT MONITOR 1 MINDRAY UMEC10 KN-1C125868 PM2-OK 2022 √ Life Support Tinggi T
162 PATIENT MONITOR 1 MINDRAY UMEC10 KN-1C125821 PM3-OK 2022 √ Life Support Tinggi T
163 PATIENT MONITOR 1 MINDRAY UMEC10 KN-1C1258C3 PM4-OK 2022 √ Life Support Tinggi T
164 PATIENT MONITOR 1 MINDRAY UMEC10 KN-IC125473 PM5-OK 2022 √ Life Support Tinggi T
165 PATIENT MONITOR 1 MINDRAY UMEC10 KN-8C035596 PM6-OK 2022 √ Life Support Tinggi T
166 PATIENT MONITOR 1 BLT M8000A M012E002076 PM7-OK 2022 √ Life Support Tinggi T
167 SYRINGE PUMP 1 TERUMO TE-331 1302000234 SPM1-OK √ Life Support Menengah S
168 SYRINGE PUMP 1 TERUMO TE-331 1112000657 SPM2-OK √ Life Support Menengah T
169 VAPORIZER 1 BE 800 BE700PC1608019 VAP1-OK 2015 √ Life Support Menengah M
170 LAMPU UV 1 GEA SJ SERIES - UV1-OK √ Life Support Sederhana S
171 INFANT WARMER 1 GEA HKN-90 21150301032 IWR1-OK 2015 √ Life Support Sederhana S
172 TIMBANGAN BAYI 1 ONE MED OD 230 - TBY1-OK 2015 √ Diagnostik Sederhana S
173 LAMPU BACA FOTO 1 - - LBF1-OK √ Life Support Sederhana S
174 MESIN ANASTHESI 1 AEOMED 7200 - ANA1-OK 2018 √ ANASTHESI #NAME? #N/A
175 MESIN ANASTHESI 1 KIMURA COMPACT 15 - ANA2-OK 2018 √ ANASTHESI #NAME? #N/A
176 SUCTION PUMP 1 GEA YX9300 21603711951 SCP1-OK 2021 √ Life Support Sederhana S
177 SUCTION PUMP 1 JMAC YB-DX23B 16N8.164 SCP2-OK 2021 √ Life Support Sederhana S
178 SUCTION PUMP 1 GEA MEDICAL YX9300 - SCP3-OK 2021 √ Life Support Sederhana S
179 SUCTION PUMP 1 GEA DY-1A - SCP4-OK 2021 √ Life Support Sederhana S
180 SUCTION PUMP 1 GEA MEDICAL YX9300 21603711951 SCP5-OK 2021 √ Life Support Sederhana S
181 LEMARI ES 1 GLACID - LES1-OK √ Life Support Sederhana S
182 ESU 1 FORCE EZ - ESU1-OK 2015 √ Bedah Tinggi T
183 ESU 1 FORCE EZ - ESU2-OK 2015 √ Bedah Tinggi T
184 LAMPU OPERASI 1 LED-300 17/26774 LO1-OK 2018 √ Bedah Menengah S
185 LAMPU OPERASI 1 LED-300 - LO2-OK 2018 √ Bedah Menengah M
186 LAMPU OPERASI 1 LED-300 - LO3-OK 2018 √ Bedah Menengah M
187 ICU/ICCU DEFIBRILLATOR 1 MINDRAY D3 - DEF1-ICCU 2016 √ Life Support Tinggi S
188 ECG 1 FUKUDA M-E CARDISUNY 827 ECG1-ICCU 2015 √ Diagnostik Menengah M
189 PATIENT MONITOR 1 MINDRAY UMEC10 AQ-0B145761 PM1-ICCU 2015 √ Life Support Tinggi S
190 PATIENT MONITOR 1 MINDRAY UMEC10 AQ-3A196955 PM2-ICCU 2015 √ Life Support Tinggi S
191 PATIENT MONITOR 1 MINDRAY UMEC10 AQ-0B145776 PM3-ICCU 2015 √ Life Support Tinggi S
192 PATIENT MONITOR 1 MINDRAY UMEC10 KN-0C090307 PM4-ICCU 2015 √ Life Support Tinggi S
193 PATIENT MONITOR 1 MINDRAY UMEC10 KN-0C090294 PM5-ICCU 2015 √ Life Support Tinggi S
194 PATIENT MONITOR 1 MINDRAY UMEC10 AQ-22167483 PM6-ICCU 2015 √ Life Support Tinggi S
195 SYRINGE PUMP 1 TERUMO TE-331 1301000171 SYP1-ICCU 2015 √ Life Support Menengah M
196 SYRINGE PUMP 1 TERUMO TE-331 1301000175 SYP2-ICCU 2015 √ Life Support Menengah M
197 SYRINGE PUMP 1 TERUMO TE-331 120400268 SYP3-ICCU 2015 √ Life Support Menengah M
198 SYRINGE PUMP 1 TERUMO TE-331 1312000221 SYP4-ICCU 2015 √ Life Support Menengah M
199 SYRINGE PUMP 1 TERUMO TE-331 1301000178 SYP5-ICCU 2015 √ Life Support Menengah M
200 VENTILATOR 1 CAREFUSION Ix5 iX5-20160803652 VEN1-ICCU 2021 √ Life Support Tinggi T
201 VENTILATOR 1 MEC ICS MU2000UA1D1573 VEN2-ICCU 2021 √ Life Support Tinggi T CIRCUIT TIDAK ADA
202 VENTILATOR 1 INTERMED S - VEN3-ICCU 2021 √ Life Support Tinggi T
 KONDISI
KET.
NO RUANG PENERIMA NAMA ALAT Σ SPESIFIKASI / MERK SN. KODE BARANG TAHUN KLBRS GOLONGAN KEL. GRADE KETERANGAN
KLBRS
B R
203 VENTILATOR 1 MEC ICS - VEN4-ICCU √ Life Support Tinggi T RUSAK BERAT
204 KOMPRESSOR 1 EKOM DK50DS A7975.03.2018 KOM1-ICCU √ Life Support
205 KOMPRESSOR 1 EKOM DK50 DI A9442.04.2022 KOM2-ICCU √ Life Support
206 BUBBLE CPAP 1 FISHER & PAYKEL 160921295790 CPAP1-ICCU √ Life Support
207 BUBBLE CPAP 1 INTERMED INISITY 3 - CPAP2-ICCU √ Life Support Sederhana S RB
208 REHAB MEDIK INFRARED 1 PHILIPS PR3110 19052300012 IR1-RMK 2019 √ Therapi Sederhana S
209 INFRARED 1 PHILIPS PR3110 19071201696 IR2-RMK 2019 √ Therapi Sederhana S
210 INFRARED 1 PHILIPS PR3110 201231 IR3-RMK 2019 √ Therapi Sederhana S LAMPU RUSAK
211 ULTRASOUND 1 INTELECT MOBILE STIM T66SS US1-RMK √ Therapi Menengah M
212 ULTRASOUND 1 INTELECT MOBILE STIM T23295 US2-RMK √ Therapi Menengah M
213 ULTRASOUND 1 CSL1 - US3-RMK √ Therapi Menengah M
214 TENS 1 HWATO SD2-III - TENS1-RMK 2015 √ Therapi Menengah M
215 TRAKSI 1 PAGANI 568 TSI1-RMK 2015 √ Therapi Sederhana S
216 NEBULIZER 1 OMRON NE-C28 20141005469UF NEB1-RMK 2015 √ Life Support Sederhana S
217 SWD 1 INDACHI DT.CD31 - SWD1-RMK √ Therapi Menengah M TIDAK PANAS
218 POLI DENTAL UNIT 1 ZC-S300 3210 DEN1-POLI √ Diagnostik Menengah M
219 USG 4D 1 CHAMMED ESS218060717 USG1-POLI 2016 √ Diagnostik Tinggi T
220 LAMPU BACA FOTO 1 LOKAL - LBF1-POLI
221 LAMPU BACA FOTO 1 LOKAL - LBF1-POLI √ Diagnostik Sederhana S
222 KERATOMETER 1 SCIENTERA RK1407019 KMR1-POLI 2015 √ Diagnostik Tinggi T
223 KERATOMETER 1 TOPCON 2800450 KMR2-POLI 2015 √ Diagnostik Tinggi T
224 NEBULIZER 1 OMRON NE-C28 20100903159UF NEB1-POLI 2017 √ Diagnostik Sederhana S
225 NEBULIZER 1 OMRON NE-C28 20170304774UF NEB2-POLI
226 SUCTION PUMP 1 GEA MEDICAL 12YE6.082 SCP1-POLI
227 TIMBANGAN BAYI 1 GEA MEDICAL - TBY1-POLI 2015 √ Diagnostik Sederhana S
228 AUDIOMETER 1 - - ADM1-POLI 2015 √ Diagnostik Menengah M
229 ENT 1 TRIVENI TAM-25 - ENT1-POLI 2015 √ Diagnostik Sederhana S
230 RADIOLOGI X-RAY MOBILE 1 - - XRAY1-RAD 2022 √ Diagnostik Tinggi T
231 X-RAY STASIONERY 1 ALLENGERS - XRAY2-RAD 2015 √ Diagnostik Tinggi T
232 LAMPU BACA FOTO 1 LOKAL - LBF1-RAD 2017 √ Diagnostik Sederhana S
233 ULTRASOUND RADIOLOGI 1 - - USR1-RAD 2018 √ Diagnostik Tinggi T
234 USG 1 LOGIC P7 LP7001282 USG1-POLI 2016 √ Diagnostik Tinggi T
 KONDISI
KET.
NO RUANG PENERIMA NAMA ALAT Σ SPESIFIKASI / MERK SN. KODE BARANG TAHUN KLBRS GOLONGAN KEL. GRADE KETERANGAN
KLBRS
B R
 KONDISI
KET.
NO RUANG PENERIMA NAMA ALAT Σ SPESIFIKASI / MERK SN. KODE BARANG TAHUN KLBRS GOLONGAN KEL. GRADE KETERANGAN
KLBRS
B R
 KONDISI
KET.
NO RUANG PENERIMA NAMA ALAT Σ SPESIFIKASI / MERK SN. KODE BARANG TAHUN KLBRS GOLONGAN KEL. GRADE KETERANGAN
KLBRS
B R

h
 KONDISI
KET.
NO RUANG PENERIMA NAMA ALAT Σ SPESIFIKASI / MERK SN. KODE BARANG TAHUN KLBRS GOLONGAN KEL. GRADE KETERANGAN
KLBRS
B R
 KONDISI
KET.
NO RUANG PENERIMA NAMA ALAT Σ SPESIFIKASI / MERK SN. KODE BARANG TAHUN KLBRS GOLONGAN KEL. GRADE KETERANGAN
KLBRS
B R
 KONDISI
KET.
NO RUANG PENERIMA NAMA ALAT Σ SPESIFIKASI / MERK SN. KODE BARANG TAHUN KLBRS GOLONGAN KEL. GRADE KETERANGAN
KLBRS
B R
 KONDISI
KET.
NO RUANG PENERIMA NAMA ALAT Σ SPESIFIKASI / MERK SN. KODE BARANG TAHUN KLBRS GOLONGAN KEL. GRADE KETERANGAN
KLBRS
B R
 KONDISI
KET.
NO RUANG PENERIMA NAMA ALAT Σ SPESIFIKASI / MERK SN. KODE BARANG TAHUN KLBRS GOLONGAN KEL. GRADE KETERANGAN
KLBRS
B R
 KONDISI
KET.
NO RUANG PENERIMA NAMA ALAT Σ SPESIFIKASI / MERK SN. KODE BARANG TAHUN KLBRS GOLONGAN KEL. GRADE KETERANGAN
KLBRS
B R
 KONDISI
KET.
NO RUANG PENERIMA NAMA ALAT Σ SPESIFIKASI / MERK SN. KODE BARANG TAHUN KLBRS GOLONGAN KEL. GRADE KETERANGAN
KLBRS
B R
 KONDISI
KET.
NO RUANG PENERIMA NAMA ALAT Σ SPESIFIKASI / MERK SN. KODE BARANG TAHUN KLBRS GOLONGAN KEL. GRADE KETERANGAN
KLBRS
B R
 KONDISI
KET.
NO RUANG PENERIMA NAMA ALAT Σ SPESIFIKASI / MERK SN. KODE BARANG TAHUN KLBRS GOLONGAN KEL. GRADE KETERANGAN
KLBRS
B R
 KONDISI
KET.
NO RUANG PENERIMA NAMA ALAT Σ SPESIFIKASI / MERK SN. KODE BARANG TAHUN KLBRS GOLONGAN KEL. GRADE KETERANGAN
KLBRS
B R
 KONDISI
KET.
NO RUANG PENERIMA NAMA ALAT Σ SPESIFIKASI / MERK SN. KODE BARANG TAHUN KLBRS GOLONGAN KEL. GRADE KETERANGAN
KLBRS
B R
 KONDISI
KET.
NO RUANG PENERIMA NAMA ALAT Σ SPESIFIKASI / MERK SN. KODE BARANG TAHUN KLBRS GOLONGAN KEL. GRADE KETERANGAN
KLBRS
B R
 KONDISI
KET.
NO RUANG PENERIMA NAMA ALAT Σ SPESIFIKASI / MERK SN. KODE BARANG TAHUN KLBRS GOLONGAN KEL. GRADE KETERANGAN
KLBRS
B R

###

SPIROMETE
R

1
 KONDISI
KET.
NO RUANG PENERIMA NAMA ALAT Σ SPESIFIKASI / MERK SN. KODE BARANG TAHUN KLBRS GOLONGAN KEL. GRADE KETERANGAN
KLBRS
B R

KETE
RANG
AN
Sudah
KALI
Kalibra
BRASI
Belum
si =
;
Kalibra
129
si =
586
-
-
 KONDISI
KET.
NO RUANG PENERIMA NAMA ALAT Σ SPESIFIKASI / MERK SN. KODE BARANG TAHUN KLBRS GOLONGAN KEL. GRADE KETERANGAN
KLBRS
B R
KETE
RANG
AN
TABE
A
L
T
AT
S
B
R

Non - Prioritas
BPFK tidak Melayani

: 196
: Annual ( 1 tahun sekali) : 76
: Three- Yearly ( 4 bulan
sekali)
: Anytime (Sewaktu - waktu)
: Semi- Annual ( 6 bulan
sekali )
: Baik
: Rusak
 BTL / 08 073SOB0017
1 SPI2-PPR 2014 2018 √ Diagnostik Menengah S
SPIRO 75

RIESTER/
NOVAPRES 030280010 TRA3-PPR 2018 2018 √ Diagnostik Sederhana T
AMETER
 VALIDASI DATA INVENTARIS ALAT MEDIS
RSM AHMAD DAHLAN
TAHUN 2022

KONDISI PEMELIHARAAN RUTIN

NO RUANG PENERIMA NAMA ALAT Σ SPESIFIKASI / MERK SN. KODE BARANG TAHUN KLBRS GOLONGAN KEL. GRADE KETERANGAN
B S R I II III
Laboratorium
1 LABORATORUIM ELECTROLYTES ANALYZER 1 CORNLEY AFT-500 DJ06B15010009 Tinggi #N/A
√ Klinik
Laboratorium
2 ELECTROLYTES ANALYZER 1 CORNLEY AFT-500 DJ06B12080046 Tinggi #N/A
√ Klinik
INSTRUMEN LABORATORY GEM PRIMER Laboratorium
3 HUMAN BLOOD GAS ANALYZER 1 14104447 Menengah #N/A
3500 √ Klinik
Laboratorium
4 HEMATOLOGY ANALYZER 1 ABBOT CELL-DYN RUBY Tinggi #N/A
√ Klinik
Laboratorium
5 HEMATOLOGY ANALYZER 1 MINDRAY BC-2600 RQ-9A102523 Tinggi #N/A
√ Klinik
Laboratorium
6 URINE ANALYZER 1 VERIFY U500 297B0009ES Tinggi AT
√ Klinik
Laboratorium
7 HEMOGLOBIN ANALYZER 1 ABBOT NYCORD 11 75462 Tinggi #N/A
√ Klinik
Laboratorium
8 AUTO ANALYZER 1 AMS SAT 450 1107090 Menengah S
√ Klinik
AUTOMATED BLOOD Laboratorium
9 1 CA 50 A4211 Tinggi #N/A
COAGULATION SYSTEM √ Klinik
AUTOMATED BLOOD CULTURE Laboratorium
10 1 BD BACTEC 9050 NB 3602 Tinggi #N/A
SYSTEM √ Klinik
Laboratorium
11 TB DIAGNOSTIC 1 CEPHRED GENEXPERT 811957 Tinggi #N/A
√ Klinik
12 HEMODIALISA HEMODIALISA 1 NIPRO/SURDIAL 11T8920 √ #NAME? #NAME? #N/A
13 MESIN HD 1 NIPRO/SURDIAL 07T5530 √ #NAME? #NAME? #N/A
14 MESIN HD 1 NIPRO/SURDIAL 11T8313 √ #NAME? #NAME? #N/A
15 MESIN HD 1 NIPRO/SURDIAL 11T8314 #NAME? #NAME? #N/A
16 MESIN HD 1 NIPRO/SURDIAL 09T5531 √ #NAME? #NAME? #N/A
17 MESIN HD 1 NIPRO/SURDIAL 09T6841 √ #NAME? #NAME? #N/A
18 MESIN HD 1 NIPRO/SURDIAL 11T8979 √ #NAME? #NAME? #N/A
19 MESIN HD 1 NIPRO/SURDIAL 09T7153 √ #NAME? #NAME? #N/A
20 MESIN HD 1 NIPRO/SURDIAL 55 PLUS 09BH0207 √ #NAME? #NAME? #N/A
21 MESIN HD 1 NIPRO/SURDIAL 55 PLUS 09BH0208
22 MESIN HD 1 B-BRAUN/ DIALOG 3070114031
23 MESIN HD 1 NIPRO/07T5531
24 MESIN HD 1 NIPRO
 RSM AHMAD DAHLAN
PEDOMAN PEMELIHARAAN
PERALATAN MEDIS

RIWAYA
RESIKO PEMELIHARAA EQUIPMENT FREQUENSI
NO. NAMA ALAT FUNGSI T PENGGUNAAN
KLINIS N MANAJEMEN INSPEKSI
INSIDEN
1 AED 0 AT
2 A/B Scan 6 2 3 0 4 15 S
3 After Loading 0 AT
4 Amnioscope 6 3 2 0 3 14 A
5 Analytical Balance 0 AT
6 Analyzers 5 3 3 0 5 16 S
7 Anasthesi 10 5 5 0 2 22 T
8 Anasthesi Vaporizer 0 AT
9 Aquadestillator App 0 AT
10 Arritnya Monitor 0 AT
11 Audiometri 6 3 2 0 4 15 S
12 Autoclave 2 2 3 0 5 12 A
13 Auto Analyzer 5 2 3 0 5 15 S
14 Automed Hematology 5 2 3 0 5 15 S
15 Automatic Processing Film 0 AT
16 Automated Urinalys 5 2 3 0 5 15 S
17 Baby Incubator 10 5 4 0 4 23 T
18 Basic X-Ray Unit 7 3 4 0 4 18 S
19 Bath Wirl Pool 0 AT
20 Baths, Freezing 0 AT
21 Baths, Tissue Floating 0 AT
22 BERA (Brainstem Evoked Response 0 AT
Audiometri)
23 Bilirubinometers 0 AT
24 Biometri & Pachimeter 0 AT
25 Biosafety Cabinet 4 2 4 0 2 12 A
26 Birilubin Meter Non Invasive 0 AT
27 Blood & Infusion Warmer 2 2 3 0 3 10 AT
28 Blood Bank Refigerator 0 AT
29 Blood Cell Processors 0 AT
30 Blood Gas Analyzer 0 AT
31 Blood Incubator 0 AT
32 Blood Pressure Monitor 7 3 4 0 4 18 S
33 Bone Densitometer 0 AT
34 Bor Gigi 0 AT
35 Bor Mastoid 0 AT
36 Bor Tulang 0 AT
37 Brain Mapping 0 AT
38 Breast Pump 4 2 2 0 3 11 AT
39 Bronchoscopy 0 AT
40 Bubble CPAP 10 5 5 0 4 24 T
41 Calibrators, Radiosotope 0 AT
42 Carbon Dioxide Monitors 0 AT
43 Cardiac Resusitator 10 5 3 0 1 19 S
44 C-Arm Mobile 7 4 4 0 2 17 S
45 C-Arm X-Ray 7 4 4 0 2 17 S
46 CATHLAB 0 AT
47 Ceilling Column 0 AT
48 Central Monitor 7 3 4 0 4 18 S
49 Centrifuge 5 2 3 0 5 15 S
50 Chamber Accoustic Test 6 2 2 0 1 11 AT
51 Chambers, Anaerobic 0 AT
52 Chromathography System 0 AT
53 Clippers 0 AT
54 Cold Light Source 0 AT
55 Cold Plate 0 AT
56 Colon Meter 0 AT
57 Colposcope 0 AT
58 Compresor 0 AT
59 Compression Therapy 0 AT
60 Computerize Ophtalmoscope 0 AT
61 Computerize Tonometry 0 AT
62 Concentrators, Specimen 0 AT
63 Condenser Discharge X-Ray Diagnostic 0 AT
64 Contat Theraphy 2 4 4 0 2 12 A
65 Contrast Injector 5 3 3 0 2 13 A
66 Counters Colony 0 AT
67 Counters Scintillation 0 AT
68 CR 7 3 4 0 3 17 S
CR Reader 1 1 1 0 5 8 AT
69 CRRT 0 AT
70 Cryo Surgery 6 2 2 0 1 11 AT
71 CT - Scan 7 3 4 0 3 17 S
72 CT Simulator 0 AT
73 CTG 6 2 3 0 4 15 S
74 Cytometer 0 AT
75 Defibrillator 10 5 3 0 1 19 S
76 Densitometres, Laboratory 0 AT
Dental Intraoral X-Ray 10 4 4 0 1 19 S
77 Dental Panoramic 7 3 4 0 3 17 S
78 Dental Unit 7 2 3 0 4 16 S
79 Dental X-Ray 7 3 4 0 3 17 S
80 Digital Incubator Gel 0 AT
81 Diluters 0 AT
82 Dispenser, Parafin 0 AT
83 Dissectors 0 AT
84 Distilling Unit 0 AT
85 DNA Squencing System 0 AT
86 Doppler 6 2 3 0 4 15 S
 87 DR 7 4 4 0 2 17 S
88 Dryers 0 AT
89 Dryers, Slide 0 AT
90 Ebike 8 4 3 0 3 18 S
91 ECG 7 3 4 0 5 19 S
92 ECG Spiro 7 3 4 0 3 17 S
93 Echo Cardiograph 0 AT
94 Echotometer 0 AT
95 Ecocardiograph 6 3 4 0 3 16 S
96 ECT 0 AT
97 EEG 0 AT
98 Electro Nystagmograph 0 AT
99 Electronic N-CPAP 0 AT
100 Electrophoresis System 0 AT
101 Elektroteraphy 6 2 3 0 3 14 A
102 EMG 0 AT
103 Endoscopy 9 3 3 0 2 17 S
104 ENDOSCOPY tht 9 3 3 0 2 17 S
Endoscopy Urologi 9 3 3 0 2 17 S
105 ENT Treatment 0 AT
106 ESU 9 4 3 0 5 21 T
107 ESWL 0 AT
108 Evaporators 0 AT
109 Exercise Bycicle 0 AT
110 Extractors, Plasma 0 AT
111 Fetal Detector 6 2 3 0 3 14 A
112 Film Dryer 0 AT
113 Fluoroscopy 7 4 4 0 2 17 S
114 Fluoroscent Microscope 0 AT
115 Freezing Microtome 0 AT
116 Fully Automated Short 5 3 3 0 4 15 S
117 Fume Hood 0 AT
118 Gamma Camera / Telegama Cobalt 60 0 AT
119 Gas Sterilizer 10 3 4 0 2 19 S
120 General Diagnostic X-Ray 7 3 4 0 3 17 S
121 General X-ray 7 3 4 0 3 17 S
122 Gergaji Gips 2 2 2 0 2 8 AT
123 Glucometer 0 AT
124 Gynecological Table Electric 0 AT
125 Harmonic Scalpel 0 AT
126 Heart Lung Machine 0 AT
127 Heart Rate Monitor 10 5 5 0 5 25 T
128 Hemodialisa 7 3 4 0 5 19 S
129 Holter Monitor 7 3 4 0 5 19 S
130 Homogenizes, Tissue 0 AT
131 Hot Plate 0 AT
132 Hot Plate Stirrer 0 AT
133 Hot Embending Plate 4 2 2 0 4 12 A
134 Humidifier 6 2 3 0 2 13 A
135 Hydro therapy 6 2 3 0 2 13 A
136 Hydrotubator 0 AT
137 Hyperbaric Chamber 0 AT
138 Hypo Hyperteminal Blanket 0 AT
139 IABP 0 AT
140 IABP (Intra Aortic Ballon Pump) 0 AT
141 Incinerators, Pathology 0 AT
142 Incubator Transport 10 5 4 0 4 23 T
143 Infant Warmer 10 5 4 0 4 23 T
144 Infrared Lamp 8 3 5 0 3 19 S
145 INFUS PUMP 8 4 4 0 4 20 T
146 Injectors 0 AT
147 Instrument Washing Machine 2 2 3 0 5 12 A
148 Insufflators 0 AT
149 Iontophoresis, Sweat Test 0 AT
150 Keratometer 6 2 3 0 4 15 S
151 Kursi Endoscopy 0 AT
152 Laboratory Auto Analyzer 0 AT
153 Laboratorium Incubator 5 3 3 0 4 15 S
154 Laboratory Refrigerator 4 3 3 0 5 15 S
155 Lab Rotator 5 2 3 0 5 15 S
156 Laminary Air Flow 0 AT
157 Lampu Baca Foto 2 1 1 0 5 9 AT
158 Lampu Operasi 9 3 3 0 3 18 S
159 Lampu Operasi Manual 9 3 3 0 3 18 S
160 Lampu Operasi Mobile 9 3 3 0 3 18 S
161 Lampu Tindakan 2 1 1 0 5 9 AT
162 Laparoscopy 9 3 3 0 2 17 S
163 Laringoscope 0 AT
164 Laser Coagulator 0 AT
165 Laser Imagers 0 AT
166 Lens Meter 0 AT
167 LINAC 0 AT
168 Linear Accelators 0 AT
169 Lithotripter 0 AT
170 Loupes 0 AT
171 Magnetic Stirer 0 AT
172 Mammography X-Ray 7 4 4 0 2 17 S
173 Matras Decubitus 4 1 2 0 2 9 AT
174 Meja Gynec 2 2 2 0 5 11 AT
175 Meja Operasi 2 2 2 0 5 11 AT
176 Mesin diagnosis M TBC 5 2 3 0 3 13 A
177 Microscope Binoculer 4 2 3 0 3 12 A
178 Microscope Electron 0 AT
179 Microscope Operasi Mata 6 2 3 0 4 15 S
180 Microtitration 0 AT
181 Microspeed 3 2 2 0 3 10 AT
182 Microtomes 0 AT
183 Microwaves Diathermy 6 2 3 0 3 14 A
184 Mikropipet 4 2 2 0 4 12 A
185 Mini Vidas 5 3 3 0 3 14 A
Minimal Invasive Surgery 9 2 3 0 4 18 S
186 Mixers, Blood Tube 0 AT
187 Mixers, Clinical Laboratory 0 AT
188 Mobile X-Ray 7 4 4 0 1 16 S
189 Monitor Treadmill 0 AT
190 Mortuary Refrigerator 0 AT
191 MRI 7 4 4 0 1 16 S
192 Nebulizer 8 3 3 0 3 17 S
193 Neopuff 10 5 5 0 4 24 T
194 Nephelometers 0 AT
195 NIBP Monitor 0 AT
196 OAE (Oto Acoustic Emission) 0 AT
197 Operating Microscope 0 AT
198 Ophtalmoscope 6 2 3 0 4 15 S
199 Opthalmoscope 0 AT
200 Osmometres 0 AT
201 Otoscope 0 AT
202 Oxygen Monitor 0 AT
203 Pacemaker 10 5 3 0 1 19 S
204 Panoramic Dental X-Ray 10 4 4 0 1 19 S
205 Parafin Bath 0 AT
206 Patient Monitor 7 3 4 0 4 18 S
207 Pendant 2 2 5 0 2 11 AT
208 Perimeter 6 2 2 0 3 13 A
209 PET-Scan 0 AT
210 pH Meter 0 AT
211 Phaco Emulsification 0 AT
212 Phono Cardiograph 0 AT
213 Photo Fundus 0 AT
214 Phototheraphy 8 4 3 0 4 19 S
215 Plasma Extractor 0 AT
216 PLASMA STERILIZER 5 2 4 0 2 13 A
217 Plasma Sterilizer 0 AT
218 Platelet 0 AT
219 PO2 Trancutaneus Monitor 0 AT
220 Precison Balance 0 AT
221 Printer X-Ray 1 1 1 0 5 8 AT
222 Programmable Sterilizer 0 AT
223 Projection Perimeter 0 AT
224 Prostaton 0 AT
225 Protombin Meter 0 AT
226 Pulse Oxymeter 7 3 3 0 3 16 S
227 Pumps, Laboratory 0 AT
228 Radiation Monitors 0 AT
229 Radiation Survey Metres 0 AT
230 Radiographic / Flouroscopy System 0 AT
231 Reader CR 1 1 1 0 5 8 AT
232 Refractometer 7 3 3 0 2 15 S
233 Refrigerated Centrifuge 0 AT
234 Respiration Monitor 0 AT
235 Rotators 0 AT
236 Scale, clinical, Laboratory 0 AT
237 Scanner, Ultrasound 0 AT
238 Sensitometres 0 AT
239 Separators 0 AT
240 Serological Rotator 5 2 3 0 2 12 A
241 Shaker, Laboratory 0 AT
242 Sharpeners, Microtome Knife 0 AT
243 Sphygmograph 7 3 4 0 5 19 S
244 Shockwave therapy 0 AT
245 Shortwave Diathermy 0 AT
246 Slide Stainers 0 AT
247 SliT lamp 5 3 1 0 2 11 AT
248 Snellen Chart 5 3 1 0 2 11 AT
249 Specimen Cutters 0 AT
250 Spectrofluorometers 0 AT
251 Spectrometers 0 AT
252 Spectrophotometer 5 2 3 0 2 12 A
253 Spirometer 7 3 3 0 2 15 S
254 SPO2 7 3 3 0 4 17 S
255 Sterilisator 2 2 3 0 5 12 A
256 Sterilisator Basah 0 AT
257 Sternum Saw 0 AT
258 Stirres 0 AT
259 Suction Pump 9 2 3 0 4 18 S
260 Suction Thorax 9 2 3 0 3 17 S
261 Surgical X-Ray Unit 0 AT
262 Synoptophores 0 AT
263 Synthesizer, DNA / RNA 0 AT
264 Syringe Pump 8 3 4 0 5 20 T
265 Table Top Steam Sterilizer 0 AT
266 Tanometer 0 AT
267 Tensimeter Anak 8 3 4 0 5 20 T
268 Tensimeter Digital 8 3 4 0 5 20 T
269 Tensimeter Jarum 8 3 4 0 5 20 T
270 Tensimeter Raksa 8 3 4 0 5 20 T
271 Test Stress Cardiopulmonary 0 AT
272 Test Stress Cardiopulmonary 0 AT
273 Thiroid Up Take 0 AT
274 Timbangan Badan 6 2 2 0 4 14 A
275 Timbangan Bayi 6 2 2 0 4 14 A
276 Timbangan Digital 6 2 2 0 4 14 A
277 Timers, Coagulation 0 AT
278 Tissue Embedding Equipment 0 AT
279 Tissue Processor 0 AT
280 Tissue Tek 5 3 4 0 12 A
281 Titrators 0 AT
282 Tomography Unit 0 AT
283 Tourniqet System 0 AT
284 Traksi 0 AT
285 Transport Monitor 0 AT
286 Treadmill 8 4 3 0 3 18 S
287 Tube Sealer 0 AT
288 Ultrasonic B Scanner 0 AT
289 Ultrasonic Cleaner 0 AT
290 Ultrasonic Cleaner 0 AT
291 Ultrasonic Cleaner 0 AT
292 Ultrasound Surgery 0 AT
293 Ultrasound Therapy 8 2 2 0 3 15 S
294 Ureterotomes 0 AT
295 Urine Analyzer 0 AT
296 Urodinamik 0 AT
297 Uroflowmeter 0 AT
298 Urology X-Ray Unit 0 AT
299 USCOM 0 AT
300 USG 6 3 4 0 4 17 S
301 UV Sterilisator 2 2 3 0 5 12 A
302 Vaccum Extractor 0 AT
303 Vector Cardiograph 0 AT
304 Vein Viewer 2 1 1 0 5 9 AT
305 Ventilator 10 5 5 0 2 22 T
306 Ventilator Transport 10 5 5 0 2 22 T
307 Viscosimetres Plasma 0 AT
308 Vital Sign 0 AT
309 Vitrectomy 0 AT
310 Warmer & Colling Machine 2 2 3 0 3 10 AT
311 Warming Cabinet 0 AT
312 Washer 0 AT
313 Water Bath Circulators 0 AT
314 Water Destillator 0 AT
315 Water Purification System 0 AT
316 Waterbath Laboratory 0 AT
317 X-Ray Ceiling 2 2 2 0 3 9 AT
318 X-Ray Film Duplicators 0 AT
319 X-Ray Film Processors 0 AT
320 X-Ray Mobile Unit 0 AT
321 X-Ray QA Test Cassette 0 AT
322 X-Ray Simulator 0 AT
 RSM AHMAD DAHLAN
KEPUTUSAN KETUA UMUM IKATEMI
NOMOR 1 TAHUN 2018

NO. SEDERHANA MENENGAH TINGGI

1 Amnioscope AED After Loading
2 Analytical Balance Analyzers A/B Scan
3 Baby Puff Arritnya Monitor Analyzers
4 Bath Wirl Pool Audiometri Anasthesi
5 Baths, Freezing Auto Analyzer Anasthesi Vaporizer
6 Baths, Tissue Floating Automed Hematology Aquadestillator App
7 Baths, Water Automatic Processing Film Autoclave
8 Bilirubinometers Baby Incubator Automated Blood Coagulation System
9 Blood Cell Processors Basic X-Ray Unit Automated Blood Culture System
10 Blood Solution Warmer BERA (Brainstem Evoked Response AudiometAutomated Urinalys
11 Bor Gigi Biometri & Pachimeter Biosafety Cabinet
12 Bor Tulang Birilubin Meter Non Invasive Blood Bank Refigerator
13 Breast Pump Blood & Infusion Warmer Blood Gas Analyzer
14 Bubble CPAP Bor Mastoid Blood Incubator
15 Carbon Dioxide Monitors Cardiac Resusitator Blood Pressure Monitor
16 Ceilling Column Cold Light Source Bone Densitometer
17 Centrifuge Colon Meter Brain Mapping
18 Chamber Accoustic Test Colposcope Bronchoscopy
19 Chambers, Anaerobic Compression Therapy Calibrators, Radiosotope
20 Clippers COMPRESSOR
21 Cold Plate CR Reader C-Arm Mobile
22 Concentrators, Specimen Cryo Surgery C-Arm X-Ray
23 Contrast Injector CTG CATHLAB
24 Densitometres, Laboratory Defibrillator Central Monitor
25 Dental X-Ray Dental Unit Chromathography System
26 Diluters ECG Computerize Ophtalmoscope
27 Dispenser, Parafin ECG Spiro Computerize Tonometry
28 Dissectors Electronic N-CPAP Condenser Discharge X-Ray Diagnostic
29 Distilling Unit Elektroteraphy Contat Theraphy
30 Doppler Endoscopy / Fiberscope Counters Colony
31 Dryers ENDOSCOPY Urologi Counters Scintillation
32 Dryers, Slide Fetal Detector CR
33 Echotometer Fluoroscent Microscope CRRT
34 ENT Treatment Gynecological Table Electric CT - Scan
35 Evaporators Heart Rate Monitor CT Simulator
36 Examination Lamp Holter Monitor Cytometer
37 Exercise Bycicle Homogenizes, Tissue Dental Intraoral X-Ray
38 Extractors, Plasma HUMIDIFIER Dental Panoramic
39 Film Dryer Human Blood Gas Analyzer Digital Incubator Gel
40 Film Viewer Hydrotubator DNA Squencing System
41 Fume Hood Hypo Hyperteminal Blanket DR
42 Gergaji Gips Incubator Transport Ebike
43 Glucometer Infant Warmer Echo Cardiograph
44 Hot Plate Infus Pump Ecocardiograph
45 Hot Plate Stirrer Laboratorium Incubator ECT
46 Hot Embending Plate Laboratory Refrigerator EEG
47 Hydro therapy Lampu Operasi Electro Nystagmograph
48 IABP (Intra Aortic Ballon Pump) Laser Imagers Electrolytes Analyzer
49 Incinerators, Pathology Lithotripter Electrophoresis System
50 Incubators, Laboratory Meja Operasi Elektrik EMG
51 Infrared Lamp Microtitration Endoscopy
52 Insufflators Microtome ESU
53 Kursi Endoscopy Microtomes ESWL
54 Laboratory Incubator Microwaves Diathermy Freezing Microtome
55 Lab Rotator Minimal Invasive Surgery Fully Automated Short
56 Laminary Air Flow Mortuary Refrigerator Fluoroscopy
57 Lampu Baca Foto NIBP Monitor Gamma Camera / Telegama Cobalt 60
58 Lampu Tindakan Osmometres Gas Sterilizer
59 Laringoscope Oxymeter General Diagnostic X-Ray
60 Lens Meter Pacemaker General X-ray
61 Loupes Panoramic Dental X-Ray Harmonic Scalpel
62 Magnetic Stirer Photo Fundus Heart Lung Machine
63 Matras Decubitus PO2 Trancutaneus Monitor Hematology Analyzer
64 Meja Operasi Precison Balance Hemodialisa
65 Meja Gynec Printer X-Ray Hemoglobin Analyzer
66 Microspeed Projection Perimeter Hyperbaric Chamber
67 Microscope Pulse Oxymeter IABP
68 Microscope Binoculer Radiation Survey Metres Injectors
69 Mixers, Blood Tube Reader CR Instrument Washing Machine
70 Mixers, Clinical Laboratory Refractometer Iontophoresis, Sweat Test
71 Nebulizer Refrigerated Centrifuge Keratometer
72 OAE (Oto Acoustic Emission) Respiration Monitor Laboratory Auto Analyzer
73 Operating Lamp Mobile Scanner, Ultrasound Laparoscopy
74 Ophtalmoscope Shockwave therapy Laser Coagulator
75 Opthalmoscope Shortwave Diathermy LINAC
76 Otoscope SliT lamp Linear Accelators
77 Oxygen Monitor Spectrophotometer Mammography X-Ray
78 Parafin Bath Sphygmograph MESIN DIAGNOSIS M TBC
79 Pendant Spirometer Microscope Electron
80 pH Meter Sternum Saw Microscope Operasi Mata
81 Phototheraphy Syringe Pump Mini Vidas
82 Pipetters Table Top Steam Sterilizer Mobile X-Ray
83 Protombin Meter Test Stress Cardiopulmonary Monitor Treadmill
84 Pumps, Laboratory Timbangan Duduk Digital MRI
85 Radiation Monitors Tissue Embedding Equipment Nephelometers
86 Rotators Titrators Neopuff
87 Scale, clinical, Laboratory Ultrasonic Cleaner Operating Microscope
88 Sedimentation Rate Units Ultrasound Therapy Patient Monitor
89 Sensitometres Urodinamik Perimeter
90 Serological Rotator Warmer & Colling Machine PET-Scan
91 Shaker, Laboratory Waterbath Laboratory Phaco Emulsification
92 Sharpeners, Microtome Knife X-Ray Ceiling Phono Cardiograph
93 Slide Stainers X-Ray Mobile Unit Plasma Extractor
94 Snellen Chart Plasma Sterilizer
95 Specimen Cutters Platelet
96 Stirres Programmable Sterilizer
97 Infrared Lamp Prostaton
98 Suction Thorax Radiographic / Flouroscopy System
99 Synoptophores Separators
100 Tanometer Spectrofluorometers
101 Tensimeter Anak Spectrometers
102 Tensimeter Digital SPO2
103 Tensimeter Jarum Sterilisator
104 Tensimeter Raksa Sterilisator Basah
105 Timbangan Badan Surgical X-Ray Unit
106 Timbangan Bayi Synthesizer, DNA / RNA
107 Timbangan Dewasa TB Diagnostic
108 Timbangan Digital Test Stress Cardiopulmonary
109 Timers, Coagulation Thiroid Up Take
110 Tourniqet System Tissue Processor
111 Traksi Tissue Tek
112 Ultrasonic Cleaner Tomography Unit
113 Ultraviolet Lamp Transport Monitor
114 Ureterotomes Treadmill
115 Uroflowmeter Tube Sealer
116 Vaccum Extractor Ultrasonic B Scanner
117 VEIN FINDER Ultrasonic Cleaner
118 Vein Viewer Ultrasound Surgery
119 Warming Cabinet Urine Analyzer
120 Washer Urology X-Ray Unit
121 Water Bath Circulators USCOM
122 Water Destillator Keratometer
123 Water Purification System, Ultraviolet UV Sterilisator
124 X-Ray Film Duplicators Vector Cardiograph
125 X-Ray Film Processors Ventilator
126 X-Ray QA Test Cassette Ventilator Transport
127 Viscosimetres Plasma
128 Vital Sign
129 Vitrectomy
130 X-Ray Simulator
131
 RSM AHMAD DAHLAN
KEPUTUSAN KETUA UMUM IKATEMI
NOMOR 1 TAHUN 2018

NO. BEDAH ANASTESI DIAGNOSTIK LABORATORIUM KLINIK LIFE SUPPORT RADIOLOGI TERAPI STERILISASI
1 AnasthesI Amnioscope Analytical Balance AED Basic X-Ray Unit After Loading Autoclave
2 Anasthesi Vaporizer A/B Scan Analyzers Automatic Processing Film Calibrators, Radiosotope Bath Wirl Pool Instrument Washing Machine
3 Bor Gigi Arritnya Monitor Auto Analyzer Baby Incubator C-Arm Mobile Blue Light Plasma Sterilizer
4 Bor Mastoid Audiometri Automated Blood Coagulation System Baby Puff C-Arm X-Ray CATHLAB Programmable Sterilizer
5 Bor Tulang Autoref Keratometer Automated Blood Culture System Blood & Infusion Warmer Condenser Discharge X-Ray Diagnostic Compression Theraphy Sterilisator
6 Bronchoscopy Patient Monitor Automated Urinalys Bubble CPAP Contrast Injector Contat Theraphy Sterilisator Basah
7 Ceilling Column BERA (Brainstem Evoked Response AudiomeAutomed Hematology Carbon Dioxide Monitors CR ECT Ultrasonic Cleaner
8 Cold Light Source Birilubin Meter Non Invasive Aquadestillator App Cardiac Resusitator CR Reader Elektroteraphy UV Sterilisator
9 Colposcope Blood Pressure Monitor Baths, Freezing Cardiac Resusitator CT - Scan ENT Treatment
10 Cryo Surgery Bone Densitometer Baths, Tissue Floating Centrifuge CT Simulator Exercise Bycicle
11 Endoscopy Brain Mapping Baths, Water Chambers, Anaerobic Dental Intraoral X-Ray Gamma Camera / Telegama Cobalt 60
12 Endoscopy Urologi Chamber Accoustic Test Bilirubinometers Clippers Dental Panoramic Gas Sterilizer
COMPRESSOR
13 Endoscopy / Fiberscope Central Monitor Biosafety Cabinet Concentrators, Specimen Dental X-Ray Hydrotubator
14 ESU Colon Meter Blood Bank Refigerator Defibrillator DR Hyperbaric Chamber
15 Gergaji Gips Computerize Ophtalmoscope Blood Gas Analyzer Electronic N-CPAP ESWL Infrared Lamp
16 Gynecological Table Electric Computerize Tonometry Blood Incubator Hemodialisa Film Dryer Microwaves Diathermy
HUMIDIFIER
17 Gynecological Table Electric CTG Blood Solution Warmer IABP Film Viewer Parafin Bath
18 Harmonic Scalpel Dental Unit Breast Pump Incubator Transport Fluoroscopy Phototheraphy
19 Heart Lung Machine Doppler Centrifuge Infant Warmer General Diagnostic X-Ray Prostaton
20 Hypo Hyperteminal Blanket VEIN FINDER Chromathography System Infus Pump General X-Ray Shockwave Therapy
21 IABP (Intra Aortic Ballon Pump) ECG Cold Plate Laboratory Incubator Hydro therapy Shortwave Diathermy
22 Lampu Baca Foto ECG Spiro Counters Colony Matras Decubitus Injectors Traksi
23 Lampu Operasi Echo Cardiograph Counters Scintillation Nebulizer Laser Imagers Ultrasound Therapy
24 Lampu Tindakan Echotometer Cytometer Neopuff LINAC
25 Laparoscopy Ecocardiograph Densitometres, Laboratory Pacemaker Linear Accelators
26 Laser Coagulator EEG Digital Incubator Gel Sensitometres Mammography X-Ray
27 Lithotripter Electro Nystagmograph Diluters Suction Pump Mobile X-Ray
28 Meja Gynec EMG Dispenser, Parafin Suction Thorax MRI
29 Meja Operasi Elektrik Examination Lamp Dissectors Syringe Pump Panoramic Dental X-Ray
30 Microspeed Fetal Detector Distilling Unit Ventilator PET-Scan
31 Microscope Operasi Mata Glucometer DNA Squencing System Ventilator Transport Printer X-Ray
32 Minimal Invasive Surgery Heart Rate Monitor Dryers X-Ray Film Duplicators Radiation Monitors
33 Operating Lamp Mobile Holter Monitor Dryers, Slide X-Ray Film Processors Radiation Survey Metres
34 Operating Microscope Keratometer Electrolytes Analyzer X-Ray QA Test Cassette Radiographic / Flouroscopy System
35 Meja Operasi Laringoscope Electrophoresis System Reader CR
36 Pendant Lens Meter Evaporators Scanner, Ultrasound
37 Phaco Emulsification Transport Monitor Extractors, Plasma Surgical X-Ray Unit
38 Sternum Saw Monitor Treadmill Fluorometer Thiroid Up Take
39 Tourniqet System Vital Sign Fluoroscent Microscope Tomography Unit
40 Ultrasound Surgery OAE (Oto Acoustic Emission) Freezing Microtome Traction
41 Vaccum Extractor Opthalmoscope Fully Automated Short Transport Monitor
42 Vitrectomy Otoscope Fume Hood Ultraviolet Lamp
43 Warming Cabinet Perimeter Hematology Analyzer Urology X-Ray Unit
44 pH Meter Hemoglobin Analyzer X-Ray Ceiling
45 Phono Cardiograph Human Blood Gas Analyzer X-Ray Simulator
46 Photo Fundus Homogenizes, Tissue
47 PO2 Trancutaneus Monitor Hot Embending Plate
48 Projection Perimeter Hot Plate Stirrer
49 Protombin Meter Hot Plates
50 Pulse Oxymeter Incinerators, Pathology
51 Refractometer Incubators, Laboratory
52 Respiration Monitor Insufflators
53 Slit Lamp Iontophoresis, Sweat Test
54 Snellen Chart Lab Rotator
55 Sphygmograph Laboratory Auto Analyzer
56 Spirometer Laboratorium Incubator
57 SPO2 Laboratory Refrigerator
58 Tanometer Laminary Air Flow
59 Tensimeter Anak Loupes
60 Tensimeter Digital Mesin diagnosis M TBC
61 Tensimeter Jarum Microscope
62 Tensimeter Raksa Microscope Binoculer
63 Test Stress Cardiopulmonary Microscope Electron
64 Timbangan Badan Microtitration
65 Timbangan Bayi Microtome
66 Timbangan Dewasa Microtomes
67 Timbangan Digital Mini Vidas
68 Timbangan Duduk Digital Mixers, Blood Tube
69 Treadmill Mixers, Clinical Laboratory
70 Ebike Mortuary Refrigerator
71 Urodinamik Nephelometers
72 Uroflowmeter Osmometres
73 USCOM Oxygen Monitor
74 USG Oxymeter
75 Ultrasonic B Scanner Pipetters
76 Vector Cardiograph Plasma Extractor
77 Vein Viewer Platelet
78 Water Destillator Precison Balance
79 Kursi Endoscopy Pumps, Laboratory
80 Endoscopy THT Refrigerated Centrifuge
81 Biometri & Pachimeter Rotators
82 Ophtalmoscope Scale, clinical, Laboratory
83 Sedimentation Rate Units
84 Separators
85 Serological Rotator
86 Shaker, Laboratory
87 Sharpeners, Microtome Knife
88 Slide Stainers
89 Specimen Cutters
90 Spectrofluorometers
91 Spectrometers
92 Spectrophotometer
93 Stirres
94 Synoptophores
95 Synthesizer, DNA / RNA
96 Table Top Steam Sterilizer
97 TB Diagnostic
Timers, Coagulation
Tissue Embedding Equipment
Tissue Processor
Tissue Tek
Titrators
Tube Sealer
Ultrasonic Cleaner
Ultrasonic Cleaner
Ureterotomes
Urine Analyzer
Viscosimetres Plasma
Washer
Warmer & Colling Machine
Water Bath Circulators
Water Purification System, Ultraviolet
Waterbath Laboratory
 JADWAL PEMELIHARAAN RUTIN ALAT MEDIS
INSTALASI PEMELIHARAAN SARANA - ELEKTROMEDIS
RSM AHMAD DAHLAN
TAHUN 2022

BULAN
BLOK JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC
I II III IV I II III IV I II III IV I II III IV I II III IV I II III IV I II III IV I II III IV I II III IV I II III IV I II III IV I II III IV
A

LAPORAN SEMESTER II
LAPORAN SEMESTER I
B
C
D INVENTARISASI

E
F
G

KETERANGAN :
A :
B :
C :
D :
E :
F :
G : RADIOLOGI, OK
: AT ( PENGECEKAN FISIK PEMELIHARAAN RUTIN ALAT GRADE "ANYTIME" )
: T ( PEMELIHARAAN RUTIN ALAT MEDIS 4 BULAN SEKALI )
: S ( PEMELIHARAAN RUTIN ALAT MEDIS 6 BULAN SEKALI )
: A ( PEMELIHARAAN RUTIN ALAT MEDIS 1 TAHUN SEKALI )
: MONITORING HARIAN
 DATA INVENTARIS ALAT ME
RSM AHMAD DAHLAN KEDI
TAHUN 2022

SPESIFIKASI /
NO NAMA ALAT RUANG PENERIMA Σ SN.
MERK
FUKUDA M-E
1 ECG ARAFAH 1 902697616
CARDISUNY
2 BABY INCUBATOR ARAFAH 1 SXT-1A 20903711949
3 BABY INCUBATOR ARAFAH 1 GEA 20903711949
3 BABY INCUBATOR ARAFAH 1 TERUMO SS700 1803010072
3 BABY INCUBATOR ARAFAH 1 TERUMO 1803010119
5 CPAP ARAFAH 1 OMRON COMP AIR 20171201512UF
6 CPAP ARAFAH 1 ADC SPECTRUM 455644
7 CPAP MUZDALIFAH 1 TERUMO 2111010052
8 CPAP MUZDALIFAH 1 NIPRO 08A0650NE
9 DOPPLER MUZDALIFAH 1 TERUMO 1405000088
10 ECG MUZDALIFAH 1 TERUMO 1304000129
11 ECG MUZDALIFAH 1 NIPRO 080A658NE
12 ECG MUZDALIFAH 1 TERUMO 1401000136
13 FETAL DOPPLER MUZDALIFAH 1 B-BRAUN 65477
14 FETAL DOPPLER MUZDALIFAH 1 B-BRAUN 65493
15 HFNC MUZDALIFAH 1 MINDRAY UMEC10
16 HFNC MUZDALIFAH 1 MINDRAY UMEC10 AQ-34196974
1 INFANT WARMER MUZDALIFAH 1 MINDRAY UMEC10 AQ-86113501
2 INFANT WARMER MUZDALIFAH 1 MINDRAY UMEC10
3 INFUS PUMP MUZDALIFAH 1 OMRON 20190428556UF
4 INFUS PUMP MUZDALIFAH 1 GEA MEDICAL 0078Z
5 INFUS PUMP MEKAH 2 1 OMRON 20131001352UF
6 INFUS PUMP MEKAH 2 1 MINDRAY KN-03064208
7 INFUS PUMP MEKAH 2 1 MINDRAY EX-7B050480
8 INFUS PUMP MEKAH 2 1 MINDRAY AQ-3A197031
9 KOMPRESSOR MEKAH 2 1 TERUMO 1307000045
26 KOMPRESSOR MEKAH 2 1 TERUMO 1301000174
27 LAMPU TINDAKAN MEKAH 2 1 JNACK 12N10.011
FUKUDA
28 LAMPU TINDAKAN MEKAH 2 1 902698571
CARDISUNY

OMRON COMP AIR

29 LAMPU TINDAKAN MEKAH 3 1 20150500437UF
PRO
NEBULIZER MEKAH 3 1 OMRON COMP AIR 20131001351UF
NEBULIZER MEKAH 3 1 OMRON COMP AIR 20150103744UF
 MINDRAY
NEBULIZER MEKAH 3 1 SK10117442
BENEFUSION
NEBULIZER MEKAH 3 1 TERUMO TE-331 8882000748

30 NEBULIZER MEKAH 3 1 MINDRAY MEC-1000 AQ-0B145767

FUKUDA M-E
31 NEBULIZER MEKAH 3 1 902697616
CARDISUNY

GEA MEDICAL YB
32 NEBULIZER MEKAH 3 1
SXT-1A
33 NEBULIZER MEKAH 3 1 MIR A23-OJ00058
34 NEBULIZER MEKAH 3 1 GLP HFNC 01-B FC01B0274
35 NEBULIZER MEKAH 3 1 GLP HFNC 01-B
36 NEBULIZER MEKAH 4 1 GEA YB-CXTA
37 NEOPUFF MEKAH 4 1 TERUMO 1310000174

38 PATIENT MONITOR MEKAH 4 1 H10-3

39 PATIENT MONITOR MEKAH 4 1 - -

40 PATIENT MONITOR MINA 1 OMRON 20160406104UF

41 PATIENT MONITOR MINA 1 OMRON 20160403413UF

42 PATIENT MONITOR MINA 1 OMRON 20140901548UF

10 PATIENT MONITOR MINA 1 OMRON CX3 21763

11 PATIENT MONITOR MINA 1 OMRON

12 PATIENT MONITOR MINA 1 TERUMO 1308000537

13 PATIENT MONITOR MINA 1 TERUMO 2108010133

14 PATIENT MONITOR MINA 1 TERUMO 1308000541

15 PATIENT MONITOR MINA 1 TERUMO 2108010135

16 PATIENT MONITOR MINA 1 TERUMO 06110234

50 PATIENT MONITOR MINA 1 B-BRAUN 58670

51 PATIENT MONITOR MINA 1 SMIC 00788

PATIENT MONITOR MINA 1 HI BEBE BBE80677

PATIENT MONITOR MINA 1 BISTOS BHH10207

52 PATIENT MONITOR MINA 1 FUKUDA 902697616

53 PATIENT MONITOR MINA 1 BLT M8000A M012E002081

54 PATIENT MONITOR MINA 1 BLT M8000A M012E002078

PATIENT MONITOR MINA 1 BLT M8000A

55 PATIENT MONITOR MINA 1 BLT M8000A

56 PATIENT MONITOR MINA 1 BLT M8000A

57 PHOTOTHERAPHY MINA 1 BLT M012E002937

58 PHOTOTHERAPHY MINA 1 MINDRAY AQ-45206902
59 PHOTOTHERAPHY MINA 1 MINDRAY KN-1911930
60 SPIROLAB NICU 1 TERUMO TE - 112 1211000747
61 SUCTION PUMP NICU 1 TERUMO 2111010022
62 SUCTION PUMP NICU 1 TERUMO LF600 1612010607
63 SUCTION PUMP NICU 1 TERUMO TE-SS700 1909010050
64 SUCTION PUMP NICU 1 TERUMO TE-LF600 1612010607
65 SUCTION PUMP NICU 1 TERUMO TE-3315 1307000215

66 SUCTION PUMP NICU 1 TERUMO TE-331 1307000043

67 SUCTION PUMP NICU 1 TERUMO TE-331 1311000498

68 SUCTION PUMP NICU 1 TERUMO TE-3315 1307000010
69 SUCTION PUMP NICU 1 TERUMO SK-500 60104236
70 SYRINGE PUMP NICU 1 GEA MEDICAL 60777
71 SYRINGE PUMP NICU 1 GEA MEDICAL
72 SYRINGE PUMP NICU 1 GEA MEDICAL 140301001

73 SYRINGE PUMP NICU 1 GEA MEDICAL HKI 43160802015

MINDDRAY MEC-
74 SYRINGE PUMP NICU 1 AQ-3A197011
1000

75 SYRINGE PUMP NICU 1 MINDRAY MEC-1000 AQ-3A197014

76 SYRINGE PUMP NICU 1 MINDRAY MEC-1000 AQ-013145765

77 SYRINGE PUMP NICU 1 MINDRAY MEC-1000 AQ-3A196924

78 SYRINGE PUMP NICU 1 MINDRAY AQ-73232755

79 SYRINGE PUMP NICU 1 GEA 42170204018
80 SYRINGE PUMP NICU 1 FISHER PAYKEL 180903017000
SYRINGE PUMP NICU 1 DRAGER ASLJ-0095
81 SYRINGE PUMP NICU 1 FISHER PAYKEL

82 SYRINGE PUMP NICU 1 P MEDICO PMH7000

83 SYRINGE PUMP NICU 1 FISHER PAYKEL

84 SYRINGE PUMP NICU 1 GEA YP-100 01130503030
85 SYRINGE PUMP NICU 1 GEA 01120303017
86 SYRINGE PUMP NICU 1 GEA YP-100
87 SYRINGE PUMP NICU 1 GEA 011312050515
88 SYRINGE PUMP NICU 1 GEA MEDICAL AQ-3A196907
89 SYRINGE PUMP NICU 1 GEA MEDICAL 42170204067
90 SYRINGE PUMP NICU 1 GEA XHZ-90 12140307035
91 SYRINGE PUMP NICU 1 EKOM DK50DE A3132-11-2019
SYRINGE PUMP NICU 1 EKOM DK50DE A3132-11-2019
92 SYRINGE PUMP NICU 1 LOKAL -
TENSIMETER
93 NICU 1 LOKAL -
ANEROID
94 TIMBANGAN BAYI NICU 1 LAICA
A INVENTARIS ALAT MEDIS
M AHMAD DAHLAN KEDIRI
TAHUN 2022

KODE KET. KONDISI GOLONGA KETERAN

TAHUN KLBRS KEL. GRADE
BARANG KLBRS B R N GAN

ECG1-AR 2018 #NAME? #NAME? Err:504

√
SCP1-AR 2018 √ #NAME? #NAME? Err:504
SCP2-AR 2018 √ #NAME? #NAME? Err:504
SPM1-AR 2018
SPM2-AR 2018 √ #NAME? #NAME? Err:504
NEB1-AR 2019 √ #NAME? #NAME? Err:504
TRA1-AR √ #NAME? #NAME? Err:504
SPM1-MZD 2015 √ #NAME? #NAME? Err:504
SPM2-MZD 2015 √ #NAME? #NAME? Err:504
SPM3-MZD 2015 √ #NAME? #NAME? Err:504
SPM4-MZD 2015 √ #NAME? #NAME? Err:504
SPM5-MZD2 2015 √ #NAME? #NAME? Err:504
IPP1-MZD 2015 √ #NAME? #NAME? Err:504
IPP2-MZD 2015 √ #NAME? #NAME? Err:504
IPP3-MZD 2015 √ #NAME? #NAME? Err:504
PM1-MZD 2015 √ #NAME? #NAME? Err:504
PM2-MZD 2015 √ #NAME? #NAME? Err:504
PM3-MZD 2015 √ #NAME? #NAME? Err:504
PM4-MZD 2015 √ #NAME? #NAME? Err:504
NEB1-MZD √ #NAME? #NAME? Err:504
SCP1-MZD 2015 √ #NAME? #NAME? Err:504
NEB1-MK2 2018 √ #NAME? #NAME? Err:504
PM1-MK2 √ #NAME? #NAME? Err:504
PM2-MK2 √ #NAME? #NAME? Err:504
PM2-MK2 √ #NAME? #NAME? Err:504
SPM1-MK2 2015 √ #NAME? #NAME? Err:504
SPM2-MK2 2015 √ #NAME? #NAME? Err:504
SCP1-MK2 2015 √ #NAME? #NAME? Err:504

ECG1-MK2 #NAME? #NAME? Err:504

√

NEB1-MK3 2016 #NAME? #NAME? Err:504

√
NEB2-MK3 2016 √ #NAME? #NAME? Err:504
NEB3-MK3 2016 √ #NAME? #NAME? Err:504
SPM1-MK3 2022 #NAME? #NAME? Err:504
√
SPM2-MK3 2022 √ #NAME? #NAME? Err:504

PM1-MK3 2022 #NAME? #NAME? Err:504

√

ECG1-MK3 2019 #NAME? #NAME? Err:504

√

SCP1-MK3 #NAME? #NAME? Err:504

√
SLAB1-MK3 √ #NAME? #NAME? Err:504
HFNC1-MK3 2022 √ #NAME? #NAME? Err:504
HFNC2-MK3 2022 √ #NAME? #NAME? Err:504
SCP1-MK4 2015 √ #NAME? #NAME? Err:504
SPM1-MK4 2015 √ Diagnostik Sederhana A

DOP1-MK4 2016 #NAME? #NAME? Err:504

√

LT1-MK4 2016 #NAME? #NAME? Err:504

√

NEB1-MIN 2017 #NAME? #NAME? Err:504

√

NEB2-MIN 2017 #NAME? #NAME? Err:504

√

NEB3-MIN 2017 #NAME? #NAME? Err:504

√

NEB4-MIN 2017 #NAME? #NAME? Err:504

√

NEB5-MIN 2017 #NAME? #NAME? Err:504

√

SPM1-MIN 2015 #NAME? #NAME? Err:504 RB

√

SPM2-MIN 2015 #NAME? #NAME? Err:504 RB

√

SPM3-MIN 2015 #NAME? #NAME? Err:504 RB

√

SPM4-MIN 2015 #NAME? #NAME? Err:504 RB

√

SPM5-MIN 2015 #NAME? #NAME? Err:504

√

SPM6-MIN #NAME? #NAME? Err:504

√

SCP1-MIN 2015 #NAME? #NAME? Err:504

√

DOP1-MIN 2017 #NAME? #NAME? Err:504

√

DOP2-MIN 2017 #NAME? #NAME? Err:504

√

ECG1-MIN #NAME? #NAME? Err:504

√
 Kabel ECG
PM1-MIN 2015 #NAME? #NAME? Err:504
√ tidak baik

PM2-MIN 2015 #NAME? #NAME? Err:504

√

PM3-MIN 2015 #NAME? #NAME? Err:504

√

PM4-MIN 2015 #NAME? #NAME? Err:504

√

PM5-MIN 2015 #NAME? #NAME? Err:504

√
PM6-MIN 2015 √ #NAME? #NAME? Err:504
PM7-MIN 2015 √ #NAME? #NAME? Err:504
PM8-MIN √ #NAME? #NAME? Err:504
IPP1-NICU 2018 √ #NAME? #NAME? Err:504
IPP2-NICU 2018 √ #NAME? #NAME? Err:504
IPP3-NICU 2018 √ #NAME? #NAME? Err:504
SPM1-NICU 2015 √ #NAME? #NAME? Err:504
SPM2-NICU 2015
SPM3-NICU 2015 √ #NAME? #NAME? Err:504 RB

SPM4-NICU 2015 #NAME? #NAME? Err:504 Tutup hilang

√
SPM5-NICU 2015 √ #NAME? #NAME? Err:504
SPM6-NICU 2015 √ #NAME? #NAME? Err:504
SPM7-NICU 2015 √ #NAME? #NAME? Err:504
SCP1-NICU 2015 √ #NAME? #NAME? Err:504
SCP2-NICU 2015 √ #NAME? #NAME? Err:504
IWR1-NICU 2017 √ #NAME? #NAME? Err:504

IWR2-NICU 2017 #NAME? #NAME? Err:504

√

PM1-NICU 2015 #NAME? #NAME? Err:504

√

PM2-NICU 2015 #NAME? #NAME? Err:504

√

PM3-NICU 2015 #NAME? #NAME? Err:504

√
TIDAK
PM4-NICU 2015 #NAME? #NAME? Err:504
√ NYALA
PM5-NICU 2015 √ Bedah Sederhana AT
PM6-NICU 2015
NEO1-NICU √ #NAME? #NAME? Err:504
CPAP1-NICU √ #NAME? #NAME? Err:504
CPAP2-NICU √ #NAME? #NAME? Err:504

CPAP3-NICU

CPAP4-NICU √ #NAME? #NAME? Err:504

BIN1-NICU √ #NAME? #NAME? Err:504
BIN2-NICU √ #NAME? #NAME? Err:504
BIN3-NICU √ #NAME? #NAME? Err:504
BIN4-NICU √ #NAME? #NAME? Err:504
PHO1-NICU 2015 √ #NAME? #NAME? Err:504
PHO2-NICU 2015 √ #NAME? #NAME? Err:504
PHO3-NICU 2015 √ #NAME? #NAME? Err:504
KOM1-NICU √ #NAME? #NAME? Err:504
KOM2-NICU √ #NAME? #NAME? Err:504
LT1-NICU √ #NAME? #NAME? Err:504

TBY1-NICU #NAME? #NAME? Err:504

√
IPP1-BGV √ #NAME? #NAME? Err:504