tE ELO KAF|SA UTAMA

SERVING YOU BETTEFl www.etokarsa.com

No. srH/Mcs/240353/022024
Tanggal 27 Febfltai 2024
Hal lnformasi Harga Alat Kesehatan Merk ZEISS

Kepada Yth.
Direktur RSUD Syarifah Ambami Rato Ebu
Jl. Pemuda Kaffa No.9, Pejagan, Kec. Bangkalan, Kabupaten Bangkalan, Jawa Timur 69112

Dengan hormat,

Bersama ini kami PT. Elo Karsa Utama sebagai distributor resmi ZEISS lndonesia bermaksud untuk
memberikan informasi harga alat kesehatan merk ZEISS sebagai berikut :

Nama Produk Harga

Kategori No, Produk
Asuransi
E-Katalog
E-Katalog (Ro) (Rp)
4831403999-
Peralatan Bedah ZEISS TIVATO 7OO 3,381,000,000 10,143,000
FKS-18&74931

Svarat dan Ketentuan:

1 . Harga diatas sudah termasuk PPN 1 l %
2. Biaya Pengiriman : Rp 8,700,00O,JUnit
3. Pembayaran : Sesuai dengan yang lertera pada surat kontrak
4. Bukti transfer pembayaran : Harap dikirimkan ke email: admin.medical@elokarsa.com
5. Pengiriman : 4 hingga 12 minggu terhitung se.iak kont ak ditandatangani kedua
belah pihak
6. Konfigurasi : Terlampir

Untuk informasi lebih laniut dapat menghubungi Charles Andreas (+62 895-344+08716) atau Hendry
Sabella (+62 81 5-849G1 775) email: hendrv.s@elokarsa.com

Demikian surat ini kami sampaikan, atas perhatian dan kerjasamanya kami ucapkan terima kasih.

Hormat kami,
PT Elo Karsa Utama

A
Medical General Manager

,*tItr:
It. Raye Ksbyor.tr L.ma 34t
Jakarta - 12220 lldon!&r
P,.6? -21.739 ?856. ,20 1893
t:.62-2I-726 0177
E: cusl0merssrvice4S€bklrsa.c0m
l_!v ELO KAFISA UTAMA
SEF|VING YOU BETTEF| www.eIokarsa.c0m

No. : slH/MC5240353/022024
Tanggal '.27 Februati 2024
Lampiran

'Konfigurasi ZEISS TIVATO 700 (Hat.01)

quantity
Sales Code Description
(unit)
nVATO. 700 ENT Comfort package
Contains:
- TIVATO. 70O Basic System
- AutoBalance for a one touch automatic balancing ofthe system
- AutoDrape activating drape suction for sterile, obstruction free
microscope handling and for easier usage of SMARTDRAPE
OlENTCOM - Microscope XY movement for precise motorized movements of 1
the microscope
- Additional Depth of Field to reduce need for refocusing
- HD Videoln to connect external HD signals for viewing on the
TIVATO 7OO
- SMARTDRAPE starter packa8e
- ZEISS Smart Services ration

Eyepieces
9OEYEP12 Eyepiece 12.5x for all tubes L

Binocular Tube
lOTUBMTI Tiltable tube 180' with 2x eyepieces 1

Litht Source
Xenon 300 W
Xenon (300 W) light source supportin8 optimal visualization in
challenging anatomical situations (e.g. deep channels)
lOLIGHXE Offers comfortable visualization with daylight like color 1
reproduction of anatomical regions
Enables activation of Fluorescein Sodium and lndocyanine Green
based fluorescence for enhanced visualization

Coobservation
Coobservation left/right with stereo-coobserver, straight tube and
20coLRsT 2x eyepieces
Supports assistance in ENT/Cranial surgery 1
Coobservation face-to-face Stereo-bridge with tiltable tube 190", 2x
20coFFTt eyepieces and rotatable adapter
Supports assistance in Spine/P&R Surgery 1

Flourescence Prepatation
tE ELO KA.FIS,A. UTAMA
SEFIVING YOU BETTEFI www.eiokarsa.com

No. : stHiMC5/240353/0212024
Tanggal '.27 Febuai 2024
Lampiran

*Konfigurasi ZEISS TIVATO 700 (Hal.02)

YELLOW 550 Preparation

30YE550H Prepares TIVATOo 700 for Fluorescein Sodium induced
fluorescence visualization.
lncludes one Fluorescence Target YELLOW 560 1

Video System
Premium HD Video Package
40HD2DPA Fully integrated 3-chip HD camera, 1080p 1,

lncludes ODU-HDMI cable (5m) and HD-sDl cable (10m)

VideorecordinB
Enhanced video recording with Streaming and selectable
4OHDRECO 1
compression for storage and data transmission

lntegrated Hard Drive

lntegrated 1TB HDD
40HDDlTB
Provides internal storage space for video recording 1

Wireless Network Package

Enables WLAN and WiFi Hot Spot functionality
for wireless shared network data exchange and
sOWLANPA
Wifi connection to mobile devices. Allows for
network access to data via web browser. 1

Advanced Surgeon{ontrolled Robotic-Hands-Free Control

HFC Foot Control Panel (FCP WL)
Enables movement of the system with the foot to reduce workflow
lOHFCFWL 1
interruption. lncludes wireless 14 Fct FCP WL, with 6m back-up
cable

Transport Box
6OTRSBOX Shipping Crate (single use, free of solid wood) 1

Additional component :

UPS 2000VA , 230V , 1300 watt 1

Trolley Stainless steel , 55x40x80cm 1
External HDD External HDD 1 TB 1

J.k.rt.:
It Raya Kebayaran Lama 34E
J akarta -
l,2220 ln{one$ra
P..6? -?i. /39 2856. /?0 1893
t: '62.21-726 0:.77
Er austcnerservEeAlret0Iaria ccr
tE ELO KAFISA UTAMA
SEF|VING YOU E}ETTEF www.etokarsa.com

No. stH/Mcs/240353/02024
Tanggal 27 Februan 2024
Lampiran

' Spesitikasi ZEISS TIVATO 700 (Hat.01)

Specfrcarbrs
l{icrGcope
Varickop AppEx 200 b 625 m
Zoom stlstem mrgnific.tion fuor O.4xlo 2.4x
Mag n ification adluatnent rnotorizedrEnual, adrustabl€ travel speed.
Focu3ing rnobrized/manual, adiustable Favel speed.
Luminous lieE adlurtmonti rnotorized/rEnual, automatic adaptaton to rnagnification and
bcus (Arb BrightEss).
AutoBalance The [SysEml butba can be tapped b batance the device. Fine
balancing wirh a drape can be perfonned by hpping the lDrapel
buton-
AutoDrape Starts the drape suction aubnEticaly if he RFID label of t|e
SMARTDRAPE has been read in.
Handgrip Both hand grips are of the sarE deson. you can configure the
and the rirht hand gnp with the sarne funclbns or with difierent
functions.
Ehcfricrl D.t
RaEd vdtsge 100-240 v Ac
Cur€flt consumdbn max. 800 VA
RaGd tequency 50-€0 rk
Degree of proEclbn (as per I
EN 60601-1)
USB€ pod 5VOC,Max. 1A
USB-A port 5VOC,Max. 1A
lln tube !r,l$ ayapbce
Iiltable tube 18O' with ey€fr€Ees Tiltabb tube l8O" wilh tyvo eyspieces
12.5x eyepiee, 2 pcs '12-5x pushin wideangle aph6riral eyepi:ce, 2 pcs

Xonon light rourra

Color Erlperatlte 50m K ($00 n
Rabd porer (larp) 300 w
Vdtage 100-240 v rc
Lofurlght co-oblcrvalron
Left,/dght co-observation wih Stereo co-obGervation tDe
sbrco coobservatbn rnodule, Straight tube
straight tube aM im Sle€ve, 2 pcs
eyepirces Eyegi€r2, 2 F
Face-to{ace co-ob6ewation
Face-to-iace co-obsen ation SterPo ffige 50
with Tiltablo tube 180' and t o Tiltable tube 180"
eyepiecea Eyepia:e, 2 pcs

Fod cor rol panal 14F FCP V\IL

HFC tuot conbol pan€l (FCPI,!L) FSP CAN bus caHe, 6 m

Inbsrabd 3{hlg HO catnan

 ry ELO KAFISA UTAMA
SEFIVING YOU BETTEFI www.etokarsa.com

No. : SIH/MC5/240353/02/2024
Tanggal :27 Februan 2024
Lampiran

' Spesifikasi ZEISS TIVATO 700 (Hat.02)

Clanly
1920 x 1080 p
Signal-to-noise ratio Sarpling tequency
54 dB
50 Hz, 59.94 i'ames/second

Video recording Resolution: 1920 x 1080. Selection of tie bit rate

Recording Quality . High Quality: High brt rate
. Medium Ouality: Medium bit rate
. Low Quality. Low bit rate

Depth of Field ( DOF ) fle depth of field (DOF)

DOF on: High depth ot ireld less light lower rmage
lncreased DOF off. Low depth of field rnore light igh
irnage resoluton.

Mrcroscope XY Movernent i/iobdzed XY fine ad.iusfrEnt

(XY = adjusE t,le field ofvbw in the verti:al and horizooEt axes).
ZEISS Smart SeMces lmport Licenses lmport additional li:enses.
Export Log Files When you press this button, lhe log files (enor nEssages) are exported
Backup on lnternal Hard Drive Most Recent to a cornec{ed USB sbrage device.
from: Available Point of tinE of last
co.nponent
UPS : I . 2m0vA 230v , 1 300 wa[ :
Trolley 2. Srtahl€ss geel , 65x40x80cm ;

lrk:r13
tE ELO KAF|SA UTAMA
SEF|VING YOU BETTER www.eIokarsa.com

No. : stH I MC S I 240353t 02 t 2024

Tanggal '.27 Februati 2024
Lampiran

. Gambar ZEISS TMTO 700

.'?
T"l

^l

J.llrta,
ll Reya Kebayo$n Lama -l4E
lak6!ta- 12220 lndoIesra
P .62.2i. /392856. /20 t803
F1'62.2r-7260i77
E: cUslorrerservtcetreloltrsa ccF
tE ELO KAF|SA UTAMA
SERVING YC)U BETTEFI www.eIokarsa.com

No. : SIH/MC51240353/0212024
Tanggal :27 FeUuai 2024
Lampiran

*Screenshot E-Katalog
ZEISS TTVATO 700

rt E@@

-tf
o o

G!

.E
tE ELO KAF|SA UTAMA
SEFiVING YC]U E}ETTEFI www.etokarsa.com

No. stH/MCS/240353/02l2024
Tanggal 27 Februai 2024
Lampiran

'Data Populasi ZEISS TIVATO 700

No Customer City / District

I Bunda Thamrin RS Medan
2 Columbia Asia, RS Semarang Semarang
3 Dr. Mohammad Sutomo Pontianak, RSAU Pontianak
4 Eka Hospital . RS Cibubur Cibubur
5 Eka Pekanbaru Pekanbaru
b Hasan Sadikin dr RSUP Bandung
7 JIH, RS Jooia Sleman
I M RSUP Padang
o Mandava Royal Hospital Puri Tangerang
10 Metropolitan Medical CeQler (MMC), RS Jakarta Jakarta
11 Mitra Medika Premier RS Medan Medan
12 Persada, RS Malang Malang
13 Primaya, RS / Awal Bros, RS Makassar Makassar
14 Regina Maris Medan Medan
't5 Sailul RSUD Malang
16 Siloam Hospital Agora Jakarta
17 Siloam Hospital Kebon Jeruk Jakarta