ANNEX "A1"

DESCRIPTION OF CONTRACT MATERIEL AND PRICE

ARMY HOSPITAL - TK II MARTHEN INDEY JAYAPU RA

Boq. Deskripsi Kode Item Qty Manufaktor Model Harga Harga Total (EUR)
Unit
No. (EUR)
1 PERALATAN
1 .001 Accessories for operating table (ENT) ALKES-002 1 MAQUET Meera (ENT ACC) 7.637, 7.637,61
64
1.002 Accessories for operating lable (NEURO) ALKES-003 1 MAQUET Meera ( Neuro Acc) 40.151. 40.15 ,74
74
1.003 Accessories for operating lable (SPINE) ALKEI3-004 1 MAQUET Meera ( Spine Acc) 37.244,04

1.004 Accessories for operating labTe ALKES-OOS 1 MAQUET Meera ( Uiology ACC) 9.987,1 9.087,19
(UROLOGY) 3
1.005 Advanced Syringe Pump ALKES-006 1 ARCOMED Syramed SP 3.079,2 3.079,20
6000 Chroma X
0
1.006 Ampulelion Sef ALKES-007 1 LANDANGER Amputation Sel 10.961, 10.961,00
00
1.007 Anaeslhesla Ceiling Pendant ALKES-008 3 MAQUET Moduevo ( AHEj 24.626, 73.8g4.03
01
1.008 Anesthesia Machine wiih Monitoring ALKES-000 2 DRAGER ATCAN A300X L * 65.9O6 131.813,42
VISTA 120-G*
15" .71
1.00fi Anesthesia Machine wilh Moniloring (High ALKE6-0t1 1 DRAGER Perseus + Mon 15" 114.7’3 114.734, 24
end) 4,24
1.010 Appendiclomy Sel ALKES•0J3 1 LANDAMGER Appendiclomy set 1.390,G 1.399,68
8
1.011 Basic Eye Surgery Set ALKES-018 1 MC Basic Inslrumenl 2.3'20,8 2.359,00
MEDIZINTECHNIK Set for 0
1.012 Basic Hand Surgery Set ALKES-019 LANDING ER Opthalmlc 8.488,12
Surgery Basic
Hand Surgery
Set
1.013 Beslc Neuro Surgery Seb ALKES-021 1 LANDANGER Basic Neuro Surgery 23.030, 23.038,94
T2e1 94
1.014 Basic ObGyn Sel ALKES-022 1 LANDANGER Basle Ob Gyn T2el 8.276.7
2
1.016 Basle Orthoped ie Set ALKES-024 LANDANGER Basic Orlhopedlc Set 12.525, 12.525, BB
B6
1.01e Basic PedieTric Set ALKES-02'2 1 LANDANGE R Basic Pediatric Set 2.301,9 2.391,98
6
I .017 Basic Plesltk Surgery ALKES-026 1 LANDANGER Basic PIas1ik Surgery BB4,B2 664,62
.016 Basic Uro)ogy inslrumenl Set ALKEI2-027 LANDANGER Basle IJro]ogy 11.964, 11.064,54
lnslrumenl Set 54
1.018 Bed Side Monllor ICU ALKES-029 9 DRAGER VISTA 170-C* 15" 15.7e4, 14P.0B1,B7
63
1.020 Bed Trolley patient ATKE'3-030 8 LINET ELEGANZA 1 3.157,4 2fi'.259,52
4
1.021 Blanket and Fluid warmer cabinet ALKEN-032 4 Enthermics EC 1350BL 15.840, 16.840,67
Medical
System 87
Bowl Holder ALKES-034 3 BECKER BK130141 2.607,99
889,3
3
BPH/ Prostateclomy Set ALKES-035 1 LANDANGER BPH/ Prostaleclomy
Set
J.024 0-ARM ALKES-036 4 PHILiPS ZENItION 70 375.39 375.30'2,32
5,32
1.025 Carl, Anesthesia fit K EN-037 3 HETMOVE Heimove Hybrid 3.796,1 11.386,33
1
1.026 Cataract Set ALKES-038 1 MC Calaract, 2.460,2 2,460,20
MEDIZINTECHNI ComeoscTerai 0
K Sep
1.027 Circumcision Sel ALKES-041 1 LANDANGER Circumcision Sel 1.789,2 1.709,26
6
1.028 Coal Apron and Thyroid ALKES-042 1 RFT CA10060/50 (x1) * 1.G70,7 1.670,73
CA10075/50 (x1) +
3
TS0O410/50
(x2) *
MIGOM/1 SET
(x3) + MiGL/50
(x1) + PG025
(x2)
1.028 C ranlolomy Set At.ItES-04B 1 LANDANGER Craniolomy Sel 11.319, 11.319,67
87
1,030 Crash carl compfete wf Manual Defibrillalor ALLES-047 3 PERSOLIFE*HERS PL4 15.690, 47.070,90
(emergency Trolley) IL 0C5*ACC*EFFIC 30
1.03t Dental Surgical Molor ALKES-051 1 L*PHILIPS IA DFM100 Z9.649,11
W8H
IMPLANTMED*ACC 29.649,
11
1.032 Digital Panarom)c plue primer ALKES-053 1 ACTEON X-MIMD PRIME 3D 250.58 250.582,46
2.46
1.033 Disposal unlf (Kick Bucket) ALKES-054 3 ORLA CB.?'0.1111 1fi1,42 454,26
1.034 Double Monitor Holder ALKES-055 1 MAQUET Double Monilor 31.233, 31.233,12
Noisier 12
1.035 DR ( Digilal Radiogrepy ) ALKES-056 1 PHiLIP5 DIGITAL DIAGNOSE 390.22
C50
1.1+UPS 5,26
1.036 ENT Surgery Sel ALKES-060 1 LANDANGER ENT Surgery’ Sef 15.554, 4 S.554,00
00
1.037 ESWL Package – LilholrTpTer ALKES-061 1 EDAP-TMS Sonolilh i-move 51G.22 516,225,98
5.98
1.036 ESWL Package – USG ALKES-062 1 BK MEDICAL BK 3000 143.64 143.848,31
8,31
1.039 Flexible Cystoscopy ALKES•063 1 KARL STORZ Flexible Cystoscopy 58.180. SO.100,25
25
1.040 Fluid Warmer ALKES-OBS 3 BIEGLER BW685 '2.236. 15.408,36
I2

BUYER SELLER

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