DAFTAR PEMAKAIAN IMPLANT

Nama/No.MR/Ruangan/
No Bulan Nama Alat jml PT No.telpon
Tanggal/Resep
ETTY/01489115/POLI 3-1
1 KYPOPLASTY SET 1 NAHL "081532076670
DR.ANDRE
SITI SOIDATUN
ARTHROSCOPY "08568441847/0815
2 FITRIYAH/01490314/POLI 3- 1 ARFEDA
MENISCUS REPAIR 9630852
1 DR.JAFRI
ANGGA
ARHTOSCOPY SET ACL
3 KURNIAWAN/01489959/POL 1 ARFEDA "081317449192
RECON
I 4-1 DR.JAFRI
DEDY
TIBIA LOCKING NAIL 1 "081210169445/085
4 HENDRAWAN/01485145/PO NAHL
892998807
LI 5-1 DR.ANDRE BONE GRAFT 1
CERINE/01426389/POLI 7-1
5 MINIPLATE 1 OSTEOMED "081289397285
DR.FADHIL
MUMU MUTAQIN
"083871402112/083
6 ALFANSURI/01454384/POLI ACL RECON SET 1 ARFEDA
871402115
11-1 DR.JAFRI
RUT JERNIH
MINI T-PLATE 1 "08161979133/0857
7 AGUSLIM/01488876/POLI 11- NAHL
16803995
1 DR.JAFRI K-WIRE 1

LILI 1/3 TUBULAR PLATE 1

8 ARLIANAWATI/01287668/P NAHL "08997326746
OLI 11-1 DR.ANDRE CORTICAL BONE
8
SCREW
SARDI/01491530/POLI 12-1 "085892586070/081
9 THR 1 NAHL
DR ANDRE 389188892
SANI
"085775687840/081
10 SAPUTRA/01490849/POLI ACL RECONSET 1 ARFEDA
331290685
11-1/ DR JAFRI
AMINAH BT
"083895630759/089
11 ANEN/01491360/POLI 11-1/ TKR SET 1 NAHL
630623289
DR JAFRI

PEDICLE SCREW 8
MAISAROH/01295946/POLI "082183390007/085
12 TRAVAS
13-1/DR.FADHIL ROD 2 231616263
Januari
NUD SCREW 8

SITI PEDICLE SCREW 8

13 SUKAESIH/01485292/POLI TRAVAS "085779187626
ROD 2
13-1/DR.FADHIL
NUD SCREW 8
AL MIN "08561153653/0819
14 EFFENDY/01330695/POLI 13- TKR SET 1 NAHL 7979989/081311661
1/DR.JAFRI 880
"081299248964/089
MUHAMMAD RIZKI PEDICLE SCREW 4
662442775
15 ADITIA/01487118/POLI 20- TRAVAS
ROD 2
1/DR.FADHIL
NUD SCREW 4
 NARROW PLATE 1 "081317657373
DESVIN SALUFI/MR GAK
16 NAHL
ADA/POLI 24-1/DR.ANDRE CORTICAL SCREW 8
BONE GRAFT 1
SAID /01482322/POLI 24- RESEP SUDAH DI "089517823802/089
17
1/DR.BOBBY AVICENA 651595332
ROFIAH/01492432/POLI 24-
18 TKR SIN 1 NAHL "087774108494
1/DR.JAFRI

OSTEOMED MESH 1
LAMSARI/01102101/POLI 21-
19 NAHL "08990983559
1/DR.WISMAJI OSTEOMED MINI
8
SCREW
"08996805721/0811
20 RIZKI GRAHITA ACL RECON SET 1 ARFEDA
8868716

PEDICLE SCREW 4 "089619134545

SEHABUDIN/01488684/POLI ROD 2
21 TRAVAS
28-1/POLI DR.FADHIL NUD SCREW 4
LUMBAL CAGE 1
BONE FUSE 1
Nama/No.MR/Ruangan/
No Bulan Nama Alat jml PT No.telpon
Tanggal/Resep
RECONTRUCTION
KAIRUL 2
PLATE "082258169066/08
1 UMAM/01485461/POLI 2-2 NAHL
CORTICAL BONE 1313252544
DR.ANDRE 8
SCREW
MUHAMMAD
2 MAULANA/0149306/POLI 2- K-WIRE 2 NAHL "081290405797
2 DR.ANDRE
JONG MOY CANULATED SCREW 8
3 NAHL "081385475412
YOE/01377065/POLI 2-2 WASHER 2
NURBAITI/01297856/POLI 2- PEDICLE SCREW 8 "085161750288/08
4 EMRAZ
2 DR.ANDRE ROD 2 3159525439
SURYATI/01099318/POLI 2- "089510295651/08
5 TKR SET 1 NAHL
2 DR.JAFRI 9669398494
SUNEMIH/01493156/POLI 2- TKR RECONTRUCTION "081212496565/08
6 1 NAHL
2 DR.JAFRI SET 9519890407
SITI PEDICLE SCREW 4
7 SYAMSIYAH/01488288/POLI ROD 2 TRAVAS "081210565655
4-2 DR.FADLI NUD 4
YOLANDA ANTERIOR CERVICAL
1
8 HUTABARAT/01492844/PO PLATE TRAVAS "082110975714
LI 4-2 DR.ANDRE CAGE 1
CERVICAL LOCKING
BENNY 1
PLATE
9 SUSANTO/01494061/POLI 4- NAHL "085313853197
CORTICAL LOCKING
2 DR.ANDRE 8
SCREW
 SHERMAVIANA/01494914/ ACL RECON
10 1 ARFEDA "085773127027
POLI 8-2 DR.JAFRI ARTHROSCOPY
SELLA INTAN BURHOLE PLATE 1
"081321085652/08
11 SYURILLA/01466229/POLI 9- MINIPLATE 3 OSTEOMED
2111088669
2 DR.BOBBY SCREW 10
AULIA PASHA T-MINIPLATE 1 "087775694383/08
12 NAHL
NADILA/01494986/POLI 9-2 MINI SCREW 8 7880700914
RIDHO PEDICLE SCREW 8 GK ADA NO DRI
13 EMRAZ
ABYANSYAH/01493997/POL ROD 2 POLI
TAN A MOY
"08388064090/083
14 /01485759/POLI 9-2 KYPOPLASTY 1 EMRAZ
895794516
DR.ANDRE
PEDICLE SCREW 4
RUKIAH /641937/POLI 10-2
15 ROD 2 TRAVAS "081286646422
DR.FADHIL
NUD 4
Februari
ZASKIA PUTRI INION PLATE 6 HOLE 1
16 SHOLIHAH/01488947/POLI OSTEOMED "085817323012
SCREW 2 MM 4
10-2 DR.PRUPUT
SCREW 6 MM 4
NARROW PLATE
MUCHAMAT 1
LOCKING
17 HARTONO/01493960/POLI NAHL "085692446621
CORTICAL LOCKING
16-2 DR.ANDRE 8
SCREW
ERNA/01477341/POLI 16-2
18 THR SET 1 NAHL "082130009933
DR.JAFRI
SRI MUNJAYANAH PEDICLE SCREW 4
"08128039347/087
19 /01490947/POLI 17-2 ROD 2 TRAVAS
878759123
DR.FADHIL NUD SCREW 4
PEDICLE SCREW 6
ROD 2
ROHIMAT/01423146/POLI
20 NUD 6 TRAVAS "01423146
17-2 DR.FADHIL
LUMBAL CAGE 1
BONE FUSE 1
HANUSIA
21 RAMIN/01483407/POLI 17- BONEGROSS 1 088296635404
2 DR WIDYA
RIZIQ "081296254143/08
ACL RECON
22 ZIDDAN/01495815/POLI 18- 1 ARFEDA 3183456252/08136
ARTHROSCOPY
2 DR.JAFRI 5202796
CLAVICULA PLATE 1
JEFRI/01496132/POLI 21-2
23 CORTICAL LOCKING NAHL "081289666751
DR.ANDRE 6
PLATE
LUCKY
24 YANUARDI/01487058/POLI PALINDROME 19 1 ADA DI OK
21-2 DR.RINO
 RIZKI AGUNG
ACL RECON "083876355935/08
25 WICAKSONO/01496168/PO 1 ARFEDA
ARTHROSCOPY 8977691901
LI 22-2
YAYANG/01485993DR.BOB PEDICLE SCREW 4
26 TRAVAS "087776110430
BY/POLI 23-2 ROD 2
ABDUL
27 BASIT/01484455/DR.RINO/ PORT A 1 "087775824028
POLI 23-2
PEDICLE SCREW 8
SUYATI/01461297/DR.FADI
28 ROD 2 TRAVAS "085158617703
L /DR.RINO 24-2
NUD 8
Nama/No.MR/Ruangan/
No Bulan Nama Alat jml PT No.telpon
Tanggal/Resep
REFAN PRASETYO/ PEDICLE SCREW 8
1 EMRAZ "081319873593
01438558/POLI/2-3 ROD 2
IRAWATI/01464263/POLI/2- ACETABULIM "087872835229/08
2 1 NAHL
3 DR.JAFRI CAGE/THR 1207469559
PONIKEM/01496967/POLI/ "085283897379/08
3 TKR 1 NAHL
2-3 DR.ANDRE 2258390183
JERIANY PEDICLE SCREW 8 "081244210100/08
4 EMRAZ
SALIM/01210718/POLI/2-3 ROD 2 1317414846
RICHAND RIZQY MESH 10*10 1 "0895413351100/0
5 OSTEOMED
PUTRA/01486550/POLI/2-3 SCREW 6 895330058825
6 ENI ISNAINI PORTH A CATH 7 FR 1 MBA IIS
WIWIK/01494171/POLI/7-3 "081927051948/08
7 TKR 1 NAHL
DR.ANDRE 18837758
SUMANAH/01345230/POLI/ "08998882588/088
8 TKR 1 NAHL
7-3 DR.JAFRI 293617301
KEVIN
9 CHRISTANTO/01498220/15- ACL RECON SET 1 ARFEDA "08127075561
3 DR.JAFRI
PFNA 1
WASIYEM/01498208/15-3 PROXIMAL FEMUR
10 1 NAHL "081808878178
DR.JAFRI PLATE
BONGGRAFT 2
PEDICLE SCREW 4
WAHYUNI / 01493733 /
11 ROD 2 TRAVAS "081326664281
POLI / 17-3 DR.FADHIL
NUD 4
LOA KOEI SING PEDICLE SCREW 6
12 /01498087/POLI /17-3 ROD 2 TRAVAS "088221162657
DR.FADHIL NUD 6
CERVICAL CAGE 2
BENNY/01404912/POLI/17-
13 CERVI PLATE 1 TRAVAS "081294974642
3 DR.FADHIL
BONE FUSE 1

Maret
 DERA
ARTHROSCOPY
14 BIDRIYATI/01271679/POLI / 1 ARFEDA "082119501974
MENISCUS REPAIR
18-3 DR.JAFRI
Maret RECONTRUCTION
AZIZI SUWANDI / 01498467 2 "087781438739/08
15 PLATE NAHL
/ POLI / 21-3 DR.ANDRE 1310135579
CORTICAL SCREW 12
MONITA/01185149/POLI/2
16 TKR 1 NAHL "085772912336
1-3 DR.ANDRE
NUR
MENISCUS REPAIR
17 HESNIWATI/01498957/POLI 1 ARFEDA "081286226392
ARTHROSCOPY
/22-3 DR.JAFRI
TJIANG TOENG PEDICLE SCREW 8
18 EMRAZ "083893541683/08
FONG/01494881/POLI/28-3 ROD 2
NUR PEDICLE SCREW 3 LEVEL
19 KOMALASARI/01499345/PO ROD 10 TRAVAS "081233377747
LI/28-3 DR.WISMAJI CROSS LINK 1
SUTINAH/01499128/POLI/2 PEDICLE SCREW 6
20 TRAVAS "081319031196
3-3 DR.BOBBY ROD 2
PEDICLE SCREW 4
ELDA/01099218/POLI/28-3
21 ROD 2 TRAVAS "085280794347
DR.FADHIL
NUD 4
PEDICLE SCREW 4
HASIP/01479684/POLI/28-3
22 ROD 2 TRAVAS "085774559925
DR.FADHIL
NUD 4
R PEDICLE SCREW 6
23 SANTOSO/01491655/POLI/ ROD 2 TRAVAS "081268048493
28-3 DR.FADHIL NUD 6
PEDICLE SCREW 6
PARIYO/01493135/POLI/28-
24 ROD 2 TRAVAS "085777721013
3 DR.FADHIL
NUD 6
PEDICLE SCREW 10
WAGIEM/01485911/POLI/2
25 NUD 10 EMRAZ "081511437226
8-3 DR.WIDYA
ROD 2
SUHENDRA/762015/POLI/3
26 MINI T PLATE 1 OSTEOMED "081310979590
0-3 DR.JAFRI
ANDI
27 SAHARIBULAN/01498369/P SUPLASYN 1 "081391357126
OLI/31-3 DR.WIDYA
Nama/No.MR/Ruangan/
No Bulan Nama Alat jml PT No.telpon
Tanggal/Resep

Tjen Sioe Jin/01487992/poli-

1 1 NAHL 08192633088
1/4/2022-dr.jafri
THR set
SUTIATI/01498584/POLI-
2 1 NAHL "081310326054
1/4/2022/DR.JAFRI PROXIMATE T PLATE
 NAUFAL RAFI
"081802700332/08
3 AIMAR/01496406/5/4/202 1 ARFEDA
ACL RECONTRACTION 7786418570
2-DR.JAFRI
MENISCUS REPAIR SET
MARIAM/01496923/6/4/20 PEDICLE SCRE 8
4 TRAVAS "089514429351
22-DR.ANDRE ROD 2
OUW JUNITA CERVICAL CAGE 2
5 TJAHYADI/01485729/POLI- BONE FUSE 1 TRAVAS "085714880388
7/4/2022-DR.FADHIL CERVICAL PLATE 1
HIU JHAI PEDICLE SCREW 6
6 HA/01434358/7/74/2022/P ROD 2 TRAVAS "081284188842
OLI-DR.FADHIL NUD
LIE SIAH PROXIMATE
1 "083807410336
7 TJIN/01501132/11/4/2022/ HUMERUS LOCKING NAHL
POLI-DR.ANDRE LOCKING SCRE 6
HENKY
8 RIZWAN/01220387/11/4/2 1 TIPOKRAT "085697089680
April 022/POLI-DR.JAFRI TKR REVISI
INGGRIT PEDICLE SCREW 4
"081806027255/08
9 FERIYANTI/01454294/7/4/2 NUT SCREW 4 EMRAZ
1806027255
022/POLI-DR.WIDYANTI ROD 2
IDA AYU THR BIPOLAR SET 1
10 QEYSYA "088293168715
YANTI/01476824/12/4/202 CEMEND 1
SURYANINGSIH/0151196/1
11 MENISCUS 1 ARFEDA "087874812388
2/4/2022/POLI-DR.JAFRI
ARTHROSCOPY
RADIUS LOCKING
1
PLATE
LILI
LOCKING SCREW 6
12 ARLIANAWATI/01287668/1 NAHL "08997326746
SMALL PLATE 1
3/4/2022/POLI-DR.ANDRE
CORTICAL BONE
5
SCREW
HUMERUS DISTAL
1
PLATE LATERA
HUMERUS DISTAL
ANGGI 1
PLATE MEDIAAL
13 SAPUTRA/01499688/13/4/2 NAHL "087759921767
LOCKING CORTICAL
022/POLI-DR.ANDRE 6
BONE SCREW
CORTICAL BONE
4
SCREW