BERITA ACARA NEGOSIASI ALKES PELAYANAN

1. AUDIOMETRI
VENDOR NAMA ALAT NEGO-1 NEGO-2 NEGO-3 SPESIFIKASI
Hearing Vision R27a Rp. 77.201.000 - - Tone test: HCL, UCL, Aided (FF)
Diagnostic Autothreshold
Audiometer Bone Conduction
Speech Test: SRT, Aided (FF)
Free Field Output
ABLB
R37a Rp. 115.803.000 - - Tone Test: HL, UCL, Aided (FF)
Clinical Audiometer Autothreshold
Bone Conduction
Speech Test: SRT, Aided (FF)
Free Field Output
High Frequency: Option
Stenger
DLI
SISI
Bekesy
Tone decoy
ABLB
MLB
Multifrequency
Master Hearing Aid
Medquest KUDU WAVE Pro Rp. 158.730.000 - - Audiometri Without Chamber
and portable
PT. Setia Andalan Audiometri Maico Rp. 108.900.000 Rp. 76. 375.000 - compact and portable with built
Sukses MA-28 handle
customizable air & bone
 conduction test setup
AC test frequencies from 125 to
8000 Hz
BC test frequencies from 250 to
8000 Hz
Hearing level range
'- AC: -10 to 110 dB
'- BC:-10 to 80 dB
Automated Hughson-Westlake
included
Internal database stores 500
pastients
Optional MAICO Session PC
Software connectable for easy
data management
ENDO Piano plus VRA Rp. 176.000.000 - -
Harp plus Rp. 95.150.000 - -
Bell plus Rp. 68.200.000 - -

AUDIOBOOTH/CHAMBER
VENDOR NAMA ALAT NEGO-1 NEGO-2 NEGO-3 SPESIFIKASI
Hearing Vision AudioBooth Hearing Rp. 72.600.000 Rp. 50.820.000 - Sis. Pemasangan:
Vision 110x110x200 (35%) Permanen/Knock Down
cm Uk: 110 cm x 110 cm x 200 cm
Rangka: Kayu
Bahan: Glass Wool (Dalam) Kayu
Dilapisi Acoustic (luar)
Penutup: Dalam/Luar Ruang:
kayu lapis 9mm + HPL
Finishing Luar (2 alternatif): Vinyl
 motif kayu atau Vinyl warna solid
gloss/doft
Kaca kontrol: 2 lapis
Kelengkapan:
'- 4 atau 5 set jack
'- Meja instrument
'- Lampu neon kecil (T-5)
'- Gantungan kabel di dalam
chamber
Roda: 2 hidup dengan kunci, 2
hidup tanpa kunci
Reduksi suara: 35 dB
PT. Setia Andalan Chamber Rp. 25.000.000 - -
Sukses Audioproof

2. SPIROMETRI
 VENDOR NAMA ALAT NEGO-1 NEGO-2 NEGO-3 SPESIFIKASI
PT. Setia Andalan Vitalograph ALPHA Rp. 117.500.000 Rp. 76.375.000 - Storage capacity for 10.000
Sukses Touch 65611 (Disc. 35%) subjects in the device
Automatic two-way
synchronisation of patient data
and test session between
ALPHA Touch and Spirotrac
F/V & V/T curves viewable in
real time
Over 50 selectable test
parameters
Pre-post bronchodilator
comparison
single or multi breath testing
% predicted or standard
deviation scores (SDS scores)
comparison
Customisable reports including
interpretation option, BMI and
lung age information
Hours of battery life for a full
day of off site testing
Choice of child incentives with
sounds effects
Robust carriying case
GLOMEDIA Spirostik Complete Rp. 154.400.000 Rp. 93.240.000 - terdiri dari:
10 inch 1 Main Unit with Thermal
Printer
100 Pcs 10.401 Spiraflow and
Softclip Set
 1Pcs 10.801 Calibration
Syringe
1 Pcs Caryying Case
1 Pcs Deskjet Printer
Spirostik USB Rp. 106.964.000 Rp. 64.178.500 terdiri dari:
1 Pcs Spirostik Handle
1 Pcs Laptop Set
100 Pcs Spiraflow and Softclip
Set
1 Pcs Calibration Syringe
1 Pcs Deskjet Printer
ENDO Spirolab new with Rp. 67.409.370
PC software
Spirobank II Rp. 33.704.685
Advanced new with
PC software

3. HOLTER MONITORING
 VENDOR NAMA ALAT NEGO-1 NEGO-2 NEGO-3 SPESIFIKASI
CUSTO.MED Holter recorder
custo flash 510
GLOMEDIA Holter recorder H3+ Rp. 309.791.000 Rp. 185.875.000 Terdiri dari:
(welch allyn) H+3 Holter recorder
Carry case, hook up
kit
User manual, SFIC
Holter software
(Hscribe)
Holter recorder Rp. 332.495.500 Rp. 199.498.000 Terdiri dari:
digitrak XT holter DigiTrak XT holter
(Philips) recorder
Philips holter
software
A01 1810 serie
holter software
A03 96 hours digital
recorder
DigiTrak XT belt clip
DigiTrak XT Pouch
Dual Docking station
DigiTrak XT Patient
Cbl-Medium
5 Lead set grabber
IEC cable

4. UROFLOWMETRI
 VENDOR NAMA ALAT NEGO-1 NEGO-2 NEGO-3 SPESIFIKASI
MMT Dan Flow 1000/1100 Rp. 142.500.000 Uroflowmeter stand
(belum termasuk Reusable funnel
PPN 11%) (resterilized)
Disposable
container – plastic
(transparent with
measuring scale and
handle)
Thermo paper roll
(58/50 mm)

5. EEG
 VENDOR NAMA ALAT NEGO-1 NEGO-2 NEGO-3 SPESIFIKASI
PT. Setia Andalan EEG 32 Channel – Rp. 730.000.000
Sukses Nicolet (Natus)
PT. Glomeda BWIII EEG System 36 545.500.000 327.300.000 Include:
Channel – PV2006E 1 pcs BWII Plus
(Neurovirtual) Amplifier
1 pcs Flash
Stimulator
1 pcs Power Module
1 pcs Complete
EEG/PSG
Accessories kit
2 pcs EEG/PSG
Software Recording
License

6. EMG
 VENDOR NAMA ALAT NEGO-1 NEGO-2 NEGO-3 SPESIFIKASI

7. CGM
 VENDOR NAMA ALAT NEGO-1 NEGO-2 NEGO-3 SPESIFIKASI

8. VITAL SIGN OTOMATIS

 VENDOR NAMA ALAT NEGO-1 NEGO-2 NEGO-3 SPESIFIKASI
GLOMEDIA Vscan extend R2 Rp. 232.091.000 Rp. 139.254.600
dual probe dicom
(GE)
BERCA EarlyVue VS30 Vital Rp. 122.500.000 Rp. 110.250.000
sign monitor
(Philips)

9. PORTABLE X-RAY
 VENDOR NAMA ALAT NEGO-1 NEGO-2 NEGO-3 SPESIFIKASI
PT. Azka Mulia Fujifilm Rp. 999.000.000
International FDR_Portable X-Ray

10. EKG
 VENDOR NAMA ALAT NEGO-1 NEGO-2 NEGO-3 SPESIFIKASI
PT. GLOMEDA EKG – TC10 (Philis) Rp. 145.310.000 Rp. 87.186.000 Terdiri dari:
PageWriter TC10
A02 Cardiograph W/
color Touch
D06 Archive & Inter
Query
D03 DXL 12-Lead
ECG Algoritm
E04 Welsh Bulbs
H23 Long Patient
Cable