ANNEX II C SUMMARY LIST OF MEDICAL DEVICES & SUPPLIES REQUESTED FOR CONSIGNMENT

Requesting Unit: Date:

Total
No. Item Generic Name General Specification Unit Estimated Cost
Quantity
Spine Surgery
CERVICAL PLATE Titanium 57,750.00
Screw ( PER PC.) 7,350.00
Peek CAGE 31,500.00
Short mesh 63,000.00
Med mesh 84,000.00
Long mesh 136,500.00
LAMINOPLASTY PLATE
Plate with screws Titanium 31,500.00
ANTERIOR THORACOLUMBAR PLATE
plate screw Titanium 57,750.00
screw Titanium 7,350.00
short mesh 63,000.00
med mesh 84,000.00
long mesh 136,500.00
BALLOON KYPHOPLASTY
1 BALLOON (SET 99,750.00
2 BALLONS (SET) 136,500.00
POSTERIOR CERVICAL
PEDICLE SCREW SMALL DIAMETER (PER PC) Titanium 21,000.00
1 level rod Titanium 12,600.00
2 level rod Titanium 16,800.00
3 level rod Titanium 21,000.00
4 level rod Titanium 25,200.00
RENTALS
HIGH SPEED BURR 21,000.00
NAVIGATION 52,500.00

Prepared by: Approved by: Health Approved by: Department

Professional in-charge Head

RYAN A. PARCON, MD MARITESS TERESITA M. TORIO, MD, MHA, MPH ALEXANDER D. PRING MD, FPOA
Medical Officer IV HUCC Chairperson Chairman
Department of Orthopedics Department of Orthopedics
Date: October 6, 2020 Date:

Page 1 of 13
ANNEX II C SUMMARY LIST OF MEDICAL DEVICES & SUPPLIES REQUESTED FOR CONSIGNMENT

Requesting Unit: Date:

Total
No. Item Generic Name General Specification Unit Estimated Cost
Quantity
PEDICLE SCREW
1) 1 LEVEL PEDICLE SCREW FIXATION Titanium 113,600.00
4 SCREWS, 2 RODS 1 CROSSLINK
2) 2 LEVEL PEDICLE SCREW FIXATION Titanium 153,600.00
6 SCREWS, 2 RODS 1 CROSSLINK
3) 3 LEVEL PEDICLE SCREW FIXATION Titanium 181,000.00
8 SCREWS, 2 RODS
4) SCOLIOSIS SURGERY Titanium 346,250.00
16 SCREWS, 2 RODS
TLIF
1) 1 LEVEL PEDICLE SCREW FIXATION WITH TLIF Titanium 119,900.00
4 SCREWS, 2 RODS 1 CAGE
2) 2 LEVEL PEDICLE SCREW FIXATION WITH TLIF Titanium 195,600.00
6 SCREWS, 2 RODS WITH 2 CAGES
3) 3 LEVEL PEDICLE SCREW FIXATION WITH TLIF Titanium 244,000.00
ANTERIOR CERVICAL
1) 1 LEVEL PLATE WITH PEEK CAGE Titanium 118,650.00
1 PLATE 4 SCREWS 1 PEEK CAGE
2) 2 LEVEL PLATE WITH PEEK CAGE Titanium 164,850.00
1 PLATE 6 SCREWS 2 PEEK CAGE
3) 3 LEVEL PLATE WITH PEEK CAGE Titanium 211,050.00
1 PLATE 8 SCREWS 2 PEEK CAGE
LAMINOPLASTY
1 LEVEL (1 PLATE WITH SCREWS) Titanium 31,500.00
2 LEVEL (2 PLATE WITH SCREWS) Titanium 63,000.00
3 LEVEL (3 PLATE WITH SCREWS) Titanium 94,500.00
4 LEVEL (4 PLATE WITH SCREWS) Titanium 126,000.00

Approved by: Health Approved by: Department

Prepared by: Professional in-charge Head

RYAN A. PARCON, MD MARITESS TERESITA M. TORIO, MD, MHA, MPH ALEXANDER D. PRING MD, FPOA
Medical Officer IV HUCC Chairperson Chairman
Department of Orthopedics Department of Orthopedics
Date: October 6, 2020 Date:

Page 2 of 13
ANNEX II C SUMMARY LIST OF MEDICAL DEVICES & SUPPLIES REQUESTED FOR CONSIGNMENT

Requesting Unit: Date:

Total
No. Item Generic Name General Specification Unit Estimated Cost
Quantity
ANTERIOR THORACOLUMBAR
PLATE AND 4 SCREWS Titanium 87,150.00
PLATE AND SHORT MESH CAGE 150,150.00
PLATE AND MED. MESH CAGE 171,150.00
PLATE AND LONG MESH CAGE 223,650.00
BALLOON KYPHOPLASTY
1 BALLOON 99,750.00
2 BALLOONS 136,500.00
POSTERIOR CERVICAL
1 LEVEL ( 4 SCREWS 2 RODS) Titanium 96,600.00
2 LEVEL ( 6 SCREWS 2 RODS) Titanium 142,800.00
3 LEVEL ( 8 SCREWS 2 RODS) Titanium 189,000.00
4 LEVEL ( 10 SCREWS 2 RODS) Titanium 235,200.00
ORTHOPEDIC SURGERY
TOTAL HIP PROSTHESIS
Cemented 89,600.00
Cementless 145,600.00
Hybrid 123,200.00
Ceramic on Poly 168,000.00
Ceramic on Ceramic 190,400.00
Superpath 201,600.00
PARTIAL HIP PROSTHESIS
Austinmoore 50,000.00
Thompson 50,000.00
Bi-Polar 84,000.00
TOTAL KNEE ARTHROPLASTY 145,600.00
ANTIBIOTIC BONE CEMENT 14,000.00

Approved by: Health Approved by: Department

Prepared by: Professional in-charge Head

RYAN A. PARCON, MD MARITESS TERESITA M. TORIO, MD, MHA, MPH ALEXANDER D. PRING MD, FPOA
Medical Officer IV HUCC Chairperson Chairman
Department of Orthopedics Department of Orthopedics
Date: October 6, 2020 Date:

Page 3 of 13
ANNEX II C SUMMARY LIST OF MEDICAL DEVICES & SUPPLIES REQUESTED FOR CONSIGNMENT
Requesting Unit: Date:
Total
No. Item Generic Name General Specification Unit Estimated Cost
Quantity
INTERLOCKING NAILS
Proximal Femur Nail Titanium 60,000.00
Femur Nail Titanium 44,500.00
Tibia Nail Titanium 44,500.00
Retrograde Nail Titanium 45,000.00
Elastic Nail Titanium 35,000.00
LOCKING PLATES
Proximal Femur Titanium 60,000.00
Distal Femur Titanium 60,000.00
Proximal Tibia Titanium 60,000.00
Distal Tibia Titanium 60,000.00
Proximal Humerus Titanium 55,000.00
Distal Humerus Titanium 55,000.00
Olecranon Lock Plate Titanium 55,000.00
Clavicular Plate Titanium 50,000.00
Distal Radius Titanium 50,000.00
Narrow DCP Lock Plate Titanium 45,000.00
Broad DCP Lock Plate Titanium 45,000.00
Radius Ulna Lock Plate Titanium 45,000.00
Reconstruction Lock Plate Titanium 45,000.00
1/3 Tubular Lock plate Titanium 45,000.00
Approved by: Health Approved by: Department
Prepared by: Professional in-charge Head

RYAN A. PARCON, MD MARITESS TERESITA M. TORIO, MD, MHA, MPH ALEXANDER D. PRING MD, FPOA
Medical Officer IV HUCC Chairperson Chairman
Department of Orthopedics Department of Orthopedics
Date: October 6, 2020 Date:

Page 4 of 13
ANNEX II C SUMMARY LIST OF MEDICAL DEVICES & SUPPLIES REQUESTED FOR CONSIGNMENT

Requesting Unit: Date:

Total
No. Item Generic Name General Specification Unit Estimated Cost
Quantity
COMPRESSION PLATING
1/3 tubular plate Titanium/Stainless 20,000.00
Mini Dynamic Compression Plate Titanium/Stainless 20,000.00
Reconstruction Plate Titanium/Stainless 30,000.00
Narrow Dynamic Compression Plate Titanium/Stainless 35,000.00
Broad Dynamic Compression Plate Titanium/Stainless 35,000.00
L-Plate Titanium/Stainless 35,000.00
T-Plate Titanium/Stainless 35,000.00
Dynamic Compression Screw (DCS) Titanium/Stainless 45,000.00
Compression Hip Screw (CHS) Titanium/Stainless 45,000.00
EXTERNAL FIXATORS
Femur Exfix Titanium/Stainless 25,000.00
Tibia Exfix Titanium/Stainless 25,000.00
Humerus Titanium/Stainless 25,000.00
Finger Titanium/Stainless 25,000.00
Radius ulna Titanium/Stainless 25,000.00
Hybrid Titanium/Stainless 35,000.00
Spanning Titanium/Stainless 35,000.00
Illizarove Titanium/Stainless 45,000.00
Pelvic Exfix Titanium/Stainless 50,000.00
Hinge Fixator Titanium/Stainless 55,000.00
TENSION BOND WIRING
Circlage wiring Titanium/Stainless 15,000.00
Pinning Titanium/Stainless 3,000.00
ACL IMPLANTS
Bio-Absorbable screws 35,000.00
Metallic Screws 30,000.00
Suture Fixation 35,000.00
ETHIBOND Suture 15,000.00

Approved by: Health Approved by: Department

Prepared by: Professional in-charge Head

RYAN A. PARCON, MD MARITESS TERESITA M. TORIO, MD, MHA, MPH ALEXANDER D. PRING MD, FPOA
Medical Officer IV HUCC Chairperson Chairman
Department of Orthopedics Department of Orthopedics
Date: October 6, 2020 Date:

Page 5 of 13
ANNEX II C SUMMARY LIST OF MEDICAL DEVICES & SUPPLIES REQUESTED FOR CONSIGNMENT

Requesting Unit: Date:

Total
No. Item Generic Name General Specification Unit Estimated Cost
Quantity
ROTATOR CUFF REPAIR/ACHILLES TENDON REPAIR/MEDIAL
COLLATERAL LIGAMENT REPAIR/INTERNAL BRACE/ PATELLAR
TENDON REPAIR
4.75mm x 19.1mm, BioCompositeSwiveLock C Knotless Suture Anchor
35,000.00
Closed Eyelet
4.75mm x 19.1mm, BiocompositeSwiveLock Knotless Suture Anchor with
38,000.00
FiberTape Loop
4.5mm x 14mm BioComposite Corkscrew FT Knotted Suture Anchor with
35,000.00
two #2 FiberWire
5.5mm x 14.7mm BioComposite Corkscrew FT Knotted Suture Anchor with
35,000.00
three #2 FiberWire
6.5mm x 14.7mm BioComposite Corkscrew FT Knotted Suture Anchor with
35,000.00
two #2 FiberWire
3.5mm x 15.8mm BioCompositeSwiveLock Knotless Suture Anchor 35,000.00
5.5mm x 19.1mm SwiveLockBiocomposite Knotless Suture Anchor Closed
35,000.00
Eyelet
BANKART REPAIR/SLAP REPAIR
2.9mm x 15.5mm BioCompositePushLock Knotless Suture Anchor 35,000.00
3.0mmx 14.5mm BioCompositeSutureTak Knotted Suture Anchor with two
35,000.00
#2 FiberWire
3.5mm x 19.5mm BiocompositePushLock Knotless Suture Anchor 35,000.00
BICEPS TENDON REPAIR
7mm x 23mm BioCompositeSwiveLockTenodesis Screw 40,000.00
8mm x 23mm BioCompositeSwiveLockTenodesis Screw 40,000.00
AC JOINT (DogBone Buttons and FiberTapes)
Dog Bone 50,000.00
FiberTape 2 mm
Approved by: Health Approved by: Department
Prepared by: Professional in-charge Head

RYAN A. PARCON, MD MARITESS TERESITA M. TORIO, MD, MHA, MPH ALEXANDER D. PRING MD, FPOA
Medical Officer IV HUCC Chairperson Chairman
Department of Orthopedics Department of Orthopedics
Date: October 6, 2020 Date:

Page 6 of 13
ANNEX II C SUMMARY LIST OF MEDICAL DEVICES & SUPPLIES REQUESTED FOR CONSIGNMENT

Requesting Unit: Date:

Total
No. Item Generic Name General Specification Unit Estimated Cost
Quantity
ACL RECONSTRUCTION/PCL RECONSTRUCTION
(1)ACL TightRope RT/ (1)BioComposite Interference Screw 7-11mmx
23mm and 28mm ( 30% Biphasic Calcium Phosphateand 70% PLDLA)
(3)FiberWires, (1)4mm Spade Tip Drill Pin, (1) Arthroscopy Disposable
Drapes
ACL Tightrope RT Implant
BioComposite Interference Screw, 7mm X 23mm
BioComposite Interference Screw, 8mm X 23mm
BioComposite Interference Screw, 9mm X 23mm
83,000.00
BioComposite Interference Screw, 10mm X 23mm
BioComposite Interference Screw, Full Thread, 8mm X 28mm
BioComposite Interference Screw, Full Thread, 9mm X 28mm
BioComposite Interference Screw, Full Thread,10mm X 28mm
BioComposite Interference Screw, Full Thread, 11mm X 28mm
FiberWires with Needle
ACL Tightrope Drill Pin Closed Eyelet, 4mm
ACL ALL INSIDE
(1)ACL TightRope RT, (1)TightRope Attachable Button System(ABS),
(1)TightRope ABS Button,(1)round 14mm FlipCutter (1), (3)FiberWire
without needle, (1)Arthroscopy Disposable Drapes
ACL TightRope RT
Tightrope ABS Implant
Tightrope ABS Button 14mm 92,000.00
Fiberwire # 2, w/o needle
7.0 mm Flip Cutter II
8.0 mm Flip Cutter II
9.0 mm Flip Cutter II
10.0 mm Flip Cutter II
11.0 mm Flip Cutter II
MENISCAL CINCH REPAIR SYSTEM
32,000.00
Meniscal Cinch
Approved by: Health Approved by: Department
Prepared by: Professional in-charge Head

RYAN A. PARCON, MD MARITESS TERESITA M. TORIO, MD, MHA, MPH ALEXANDER D. PRING MD, FPOA
Medical Officer IV HUCC Chairperson Chairman
Department of Orthopedics Department of Orthopedics
Date: October 6, 2020 Date:

Page 7 of 13
ANNEX II C SUMMARY LIST OF MEDICAL DEVICES & SUPPLIES REQUESTED FOR CONSIGNMENT

Requesting Unit: Date:

Total
No. Item Generic Name General Specification Unit Estimated Cost
Quantity
ARTHROSCOPIC DISPOSABLES
*One set is used per case for Rotator Cuff Repair, Bankart Repair,
SLAP Repair, Biceps Tendon Repair, Achilles Tendon Repair, Medial
Collateral Ligament Repair, Internal Brace/Patellar Tendon Repair
Scorpion FastPass Needle/ QuickPassSutureLasso
24,000.00
PassPort Button Cannulas 8x3mm
Twist in Cannulas 7x7mm
FiberWire without needle
Shoulder Disposable Drapes
FIBERWARE SUTURES (Multi-stranded long chain ultra-high molecular
weight polyethylene)
Fiberwire with needle (#2 FiberWire, 38 inches (blue) with tapered needle) 2,800.00
Fiberwires without needle (#2 FiberWire, 38 inches 1 blue and 1
2,800.00
white/black)
FiberTape Long 9,000.00
Fibertape (2mm tape, 36 inches each end tapered to #2 FiberWire) 5,000.00
Tigertape. (2mm tape, 36 inches each end tapered to #2 FiberWire) 5,000.00
PEEK SUTURE ANCHORS
4.5mm x 14mm PEEK CorkScrew FT with two #2 FiberWire 35,000.00
5.5mm x 14.7mm PEEK CorkScrew FT with three #2 FiberWire 35,000.00
4.75mm x 19.1mm PEEK SwiveLock C 35,000.00
2.9 mm x 15.5mm PEEK PushLock 35,000.00
3.0mm x 14.5mm PEEK SutureTak 35,000.00
Polyaxial SCREW 20,000.00
Crosslink 21,000.00
1 level rod 8,400.00
2 level rod 12,600.00
3 level rod 16,800.00
4 level rod 21,000.00
scolio rod 26,250.00
Approved by: Health Approved by: Department
Prepared by: Professional in-charge Head

RYAN A. PARCON, MD MARITESS TERESITA M. TORIO, MD, MHA, MPH ALEXANDER D. PRING MD, FPOA
Medical Officer IV HUCC Chairperson Chairman
Department of Orthopedics Department of Orthopedics
Date: October 6, 2020 Date:

Page 8 of 13
ANNEX II C SUMMARY LIST OF MEDICAL DEVICES & SUPPLIES REQUESTED FOR CONSIGNMENT

Requesting Unit: Date:

Total
No. Item Generic Name General Specification Unit Estimated Cost
Quantity
1.5 MICRO PLATE & SCREWS
1.5 Cranial plate, 4 hole, straight, regular Titanium PIECE 12500.00
1.5 Cranial plate, 5 hole, straight, regular Titanium PIECE 15,550.00
1.5 Cranial plate, 6 hole, straight, regular Titanium PIECE 18,650.00
1.5 Cranial plate, 8 hole, straight, regular Titanium PIECE 24,850.00
1.5 Cranial plate, 10 hole, straight, regular Titanium PIECE 31,100.00
1.5 Cranial plate, 16 hole, straight, regular Titanium PIECE 45,700.00
Orbital Plates
1.5 Orbital plate, 6 hole, curved Titanium PIECE 20,100.00
1.5 Orbital plate, 8 hole, curved Titanium PIECE 26,800.00
Special Plates
1.5 Cranial plate, 4 hole, L left 90◦ Titanium PIECE 19,100.00
1.5 Cranial plate, 4 hole, L right 90◦ Titanium PIECE 19,100.00
Regular Screws
Implant Screw, cross, d1.5mm, L 4mm Titanium PIECE 3,120.00
Implant Screw, cross, d1.5mm, L 5mm Titanium PIECE 3,120.00
Implant Screw, cross, d1.5mm, L 6mm Titanium PIECE 3,120.00
Implant Screw, cross, d1.5mm, L 8mm Titanium PIECE 3,120.00
Implant Screw, cross, d1.5mm, L 10mm Titanium PIECE 3,120.00
Emergency Screws
Emergency Screw, cross, d1.8mm, L 5mm Titanium PIECE 3,820.00
Emergency Screw, cross, d1.8mm, L 7mm Titanium PIECE 3,820.00

2.0 MINI PLATE & SCREWS

Straight Plates
2.0 Cranial plate, 4 hole, straight, regular Titanium PIECE 10,850.00
2.0 Cranial plate, 5 hole, straight, regular Titanium PIECE 13,600.00
2.0 Cranial plate, 6 hole, straight, regular Titanium PIECE 16,250.00
2.0 Cranial plate, 8 hole, straight, regular Titanium PIECE 21,650.00
2.0 Cranial plate, 16 hole, straight, regular Titanium PIECE 38,200.00
2.0 Cranial plate, 20 hole, straight, regular Titanium PIECE 44,550.00
Orbital Plates
2.0 Orbital plate, 6 hole, curved Titanium PIECE 18,150.00
2.0 Orbital plate, 8 hole, curved Titanium PIECE 24,175.00
Special Plates
2.0 Cranial plate, 4 hole, L left 90˚, medium Titanium PIECE 15,910.00
2.0 Cranial plate, 4 hole, L right 90˚, medium Titanium PIECE 15,910.00
Approved by: Health Approved by: Department
Prepared by: Professional in-charge Head

ALEXANDER C. CABUNGCAL MD, FPSO-HNS, FPCS MARITESS TERESITA M. TORIO, MD, MHA, MPH ALEXANDER C. CABUNGCAL MD, FPSO-HNS, FPCS
Chairman HUCC Chairperson Chairman
Department of EENT Department of EENT
Date: October 6, 2020 Date: Page 9 of 13
Page 10 of 13
ANNEX II C SUMMARY LIST OF MEDICAL DEVICES & SUPPLIES REQUESTED FOR CONSIGNMENT

Requesting Unit: Date:

Total
No. Item Generic Name General Specification Unit Estimated Cost
Quantity
Regular Screws
Implant Screw, cross, d2.0mm, L 4mm Titanium PIECE 2,230.00
Implant Screw, cross, d2.0mm, L 5mm Titanium PIECE 2,230.00
Implant Screw, cross, d2.0mm, L 6mm Titanium PIECE 2,230.00
Implant Screw, cross, d2.0mm, L 8mm Titanium PIECE 2,230.00
Emergency Screws
Emergency Screw, cross, d2.3mm, L 5mm Titanium PIECE 2,870.00
Emergency Screw, cross, d2.3mm, L 7mm Titanium PIECE 2,870.00
Emergency Screw, cross, d2.3mm, L 9mm Titanium PIECE 2,870.00
Implant Screw, cross, d2.0mm, L 10mm Titanium PIECE 2,230.00
Self Drilling Screws
Cortical Screw, Self-Drilling, cross, 2.2mm, L5mm Titanium PIECE 3,660.00
Cortical Screw, Self-Drilling, cross, 2.2mm, L6mm Titanium PIECE 3,660.00
Cortical Screw, Self-Drilling, cross, 2.2mm, L7mm Titanium PIECE 3,660.00

2.5 RECON AND TRAUMA PLATES AND SCREWS

Reconstruction Plates
2.5 Reconstruction plate, 16 hole, straight Titanium PIECE 77,500.00
2.5 Reconstruction plate, 16 hole, apc Titanium PIECE 84,000.00
2.5 Reconstruction plate, 17 + 5 hole, apca, left Titanium PIECE 127,800.00
2.5 Reconstruction plate, 17 + 5 hole, apca, right Titanium PIECE 127,800.00
2.5 Reconstruction plate, 4+17+4 hole, apca, double Titanium PIECE 219,500.00
2.5 Reconstruction plate, 5+19+5 hole, apca, double Titanium PIECE 219,500.00
Trauma Plates
2.5 Trauma plate, 6 hole, straight Titanium PIECE 15,650.00
2.5 Trauma plate, 6 hole, straight, medium Titanium PIECE 21,500.00
2.5 Trauma plate, 8 hole, straight, medium Titanium PIECE 37,900.00
2.5 Trauma plate, 16 hole, straight Titanium PIECE 48,850.00
2.5 Trauma plate, 6 hole, 120*, angled Titanium PIECE 50,600.00
2.5 Trauma plate, 8 hole, 120*, angled Titanium PIECE 58,280.00
2.5 Trauma plate, 8 hole, curved Titanium PIECE 58,280.00
2.5 Trauma plate, 16 hole, apc Titanium PIECE 76,500.00
Approved by: Health Approved by: Department
Prepared by: Professional in-charge Head

ALEXANDER C. CABUNGCAL MD, FPSO-HNS, FPCS MARITESS TERESITA M. TORIO, MD, MHA, MPH ALEXANDER C. CABUNGCAL MD, FPSO-HNS, FPCS
Chairman HUCC Chairperson Chairman
Department of EENT Department of EENT
Date: October 6, 2020 Date:

Page 11 of 13
ANNEX II C SUMMARY LIST OF MEDICAL DEVICES & SUPPLIES REQUESTED FOR CONSIGNMENT

Requesting Unit: Date:

Total
No. Item Generic Name General Specification Unit Estimated Cost
Quantity
Regular Screws
Implant Screw, cross, d2.5mm, L 6mm Titanium PIECE 4,455.00
Implant Screw, cross, d2.5mm, L 8mm Titanium PIECE 4,455.00
Implant Screw, cross, d2.5mm, L 10mm Titanium PIECE 4,455.00
Implant Screw, cross, d2.5mm, L 12mm Titanium PIECE 4,455.00
Implant Screw, cross, d2.5mm, L 14mm Titanium PIECE 4,455.00
Implant Screw, cross, d2.5mm, L 16mm Titanium PIECE 4,455.00
Implant Screw, cross, d2.5mm, L 18mm Titanium PIECE 4,455.00
Emergency Screws
Emergency Screw, cross, d2.8mm, L 10mm Titanium PIECE 4,760.00
Emergency Screw, cross, d2.8mm, L 12mm Titanium PIECE 4,760.00
Emergency Screw, cross, d2.8mm, L 16mm Titanium PIECE 4,760.00
Locking Screws
Locking Screw, cross-drive, d2.5mm, L10mm Titanium PIECE 8,750.00
Locking Screw, cross-drive, d2.5mm, L12mm Titanium PIECE 8,750.00
Locking Screw, cross-drive, d2.5mm, L14mm Titanium PIECE 8,750.00

MICRO-MOTOR DRILL RENTAL SET 10,000.00

consists of:
1 unit x Control Unit
1 unit x surgical handpiece

Approved by: Health Approved by: Department

Prepared by: Professional in-charge Head

ALEXANDER C. CABUNGCAL MD, FPSO-HNS, FPCS MARITESS TERESITA M. TORIO, MD, MHA, MPH ALEXANDER C. CABUNGCAL MD, FPSO-HNS, FPCS
Chairman HUCC Chairperson Chairman
Department of EENT Department of EENT
Date: October 6, 2020 Date:

Page 12 of 13
ANNEX II C SUMMARY LIST OF MEDICAL DEVICES & SUPPLIES REQUESTED FOR CONSIGNMENT

Requesting Unit: Date:

Total
No. Item Generic Name General Specification Unit Estimated Cost
Quantity
1 ANEURYSM CLIP, 5 mm, CURVED TITANIUM 5 PC 143,750
2 ANEURYSM CLIP, 5 mm, STRAIGHT TITANIUM 5 PC 143,750
3 ANEURYSM CLIP, 7 mm, CURVED TITANIUM 5 PC 143,750
4 ANEURYSM CLIP, 7 mm, STRAIGHT TITANIUM 5 PC 143,750
5 ANEURYSM CLIP, 9 mm, SLIGHTLY CURVED TITANIUM 5 PC 143,750
6 ANEURYSM CLIP, 9 mm, STRAIGHT TITANIUM 5 PC 143,750
7 ANEURYSM CLIP, 11 mm, SLIGHTLY CURVED TITANIUM 5 PC 143,750
8 STAPLER, INTESTINAL, CIRCULAR, 25 mm TITANIUM 10 PC 170,000
9 STAPLER, INTESTINAL, CIRCULAR, 28 mm TITANIUM 20 PC 340,000
10 STAPLER, INTESTINAL, CIRCULAR, 31 mm TITANIUM 10 PC 170,000
11 STAPLER, INTESTINAL, ENDOSCOPIC, SHORT, MANUAL TITANIUM 10 PC 90,000
12 STAPLER, INTESTINAL, ENDOSCOPIC, STANDARD, MANUAL TITANIUM 10 PC 90,000
13 RELOAD UNIT, ENDOSCOPIC, 30 mm, CURVED TITANIUM 25 PC 300,000
14 RELOAD UNIT, ENDOSCOPIC, 45 mm, TRIPLE STAPLE LINE TITANIUM 25 PC 300,000
15 RELOAD UNIT, ENDOSCOPIC, 45 mm, MEDIUM/THICK, TRIPLE STAPLE TITANIUM 25 PC 300,000
16 LINE
RELOAD UNIT, ENDOSCOPIC, 45X3.5mm, TRIPLE STAPLE LINE TITANIUM 25 PC 300,000
17 RELOAD UNIT, ENDOSCOPIC, 60 mm, MEDIUM/THICK, TRIPLE TITANIUM 25 PC 300,000
18 STAPLE LINE
STAPLER, INTESTINAL/THORACIC, LINEAR, 45 mm TITANIUM 20 PC 300,000
19 STAPLER, INTESTINAL, LINEAR, 60 mm TITANIUM 10 PC 150,000
20 STAPLER, INTESTINAL, LINEAR, 80 mm TITANIUM 10 PC 150,000
21 RELOAD UNIT, LINEAR, 45X3,5 mm TITANIUM 40 PC 160,000
22 RELOAD UNIT, LINEAR, 45X4.8 mm TITANIUM 40 PC 160,000
23 RELOAD UNIT, LINEAR, 60X3.8 mm TITANIUM 40 PC 160,000
24 RELOAD UNIT, LINEAR, 60X4.8 mm TITANIUM 40 PC 160,000
25 RELOAD UNIT, LINEAR, 80X3.8 mm TITANIUM 40 PC 160,000
26 RELOAD UNIT, LINEAR, 80X4.8 mm TITANIUM 40 PC 160,000
27 MESH FIXATION DEVICE/TACKER, ABSORBABLE, SPIRAL SCREW SYNTHETIC 25 PC 450,000

28 MESH FIXATION DEVICE/TACKER, NON ABSORBABLE, SPIRAL TITANIUM 10 PC 100,000

SCREW
Approved by: Health Approved by: Department
Prepared by: Professional in-charge Head

ROY M. BERBERABE, MD, MHA, FPCS ALEJANDRO M. PALINES, JR, MD, MHA, FACS
Training Coordinator MARITESS TERESITA M. TORIO, MD, MHA, MPH Chairman
Department of Surgery HUCC Chairperson Department of Surgery

Date: October 6, 2020 Date:

Page 13 of 13