ADDENDUM DOK. PENGADAAN SARPRAS ICU & IGD.

PEMERINTAH KABUPATEN BELITUNG TIMUR
UNIT LAYANAN PENGADAAN
POKJA V

Alamat : Komplek Perkantoran Terpadu Dsn. Manggarawan, Manggar - Belitung Timur /Fax. (0719)-91655

ADDENDUM DOKUMEN PENGADAAN
Nomor: 01.a/POKJA.V-ULP.11/2013
TANGGAL : 29 April 2013
Pada hari ini, Senin Tanggal Dua Puluh Sembilan Bulan April Tahun Dua Ribu Tigabelas (29-04-2013), pukul
10.00 WIB s/d selesai, bertempat di Sekretariat Unit Layanan Pengadaan Kabupaten Belitung Timur telah mengkaji
hasil Penjelasan Pekerjaan (Anwijziing) pada tanggal Dua puluh Enam bulan April Tahun Dua Ribu Tiga Belas (2604-2013) dan melakukan penelitian ulang untuk Pekerjaan :
Pekerjaan
Lokasi
Volume
Sumber Dana
Tahun Anggaran
HPS

:
:

:
:
:
:

Pengadaan Sarpras/ Peralatan ICU dan IGD (DAK 2013 + Pendamping)
RSUD Kab. Belitung Timur
1 (satu) Tahun
APBD Kab. Belitung Timur + DAK 2013
2013
Rp. 1.208.769.000,00
(Satu Milyar Dua Ratus Delapan Juta Tujuh Ratus Enam Puluh Sembilan
Ribu Rupiah)

Bahwa setelah melakukan acara Penjelasan Pekerjaan(Anwijziing) dan melakukan penelitian ulang terhadap
dokumen pengadaan, maka dibuatlah Addendum Dokumen Pengadaan yaitu :
Pada Dokumen Pengadaan Nomor 01./POKJA.V-ULP.11/2013 Tanggal 23 April 2013 Pada Bab. XIII Daftar
Kuantitas dan Harga terdapat kesalahan pada item No 10. Ventilator dengan spek sebagai berikut yaitu :

SEBELUM ADDENDUM :

NO
10

NAMA BARANG
VENTILATOR

SPESIFIKASI
Type : Ventilator infant to adult with mini compressor
Patient body weight : 0.5 to 200 kg
Ventilation modes : Up to 10 modes ; Adaptive mode with close loop parameter, SIMV,
PSIMV, PCV, A/C, CPAP/PSV, NPPV, BIPAP, APRV, PVRC
Automatic maneuver for static compliance assessment and lung recruitment
Indonesian languange available
Operator adjustable and special function alarm
Tidal Volume : 2-2000 ml
Respiratory rate : 1-120 bpm
PEEP : 0-50 cmH2O
FiO2 : minimmum 21 to 100 %
I : E ratio = 1 : 25 to 4: 1 (working range)
Inspiratory Time : 0,1 to 10 s

Peak Flow : minimum range 1-180 ml/min
Flow trigger : 0.5 to 15 l/min
Pressure trigger : 0.5 to 10 cmH2O
% Minute volume on adaptive mode with close parameter : 25 -350 %
Monitoring :
Pressure : PEEP/CPAP, Ppeak, Pmean. Pplateau, AutoPEEP
Volume : expiratory tidal volume, expiratory minute volume, leakage volume
Time : Inspiratory, exporatory, I : E ratio, total
Flow : inspiratory flow, expiratory flow
Waveform : airway pressure, flow, volume
Loops : base on volume, flow, airway pressure
Mini compressor : water and oil free, low noise, weight : 28-30 kg
Accessories :
1 set trolley with battery back up
1 pc pwer cable
1 set quick positioning arm

1 set each breathing set adult, pediatric, & infant with single water trap, reuseable
1 set each test lung adult, pediatric, & infant
1 box flow sensor infant, adult/pediatric

1 pc hose, oxygane supply
1 pc hose, air supply
1 set nebulizer set, disposible
1 set mask starter kit for non invasive ventilation
1 set scavenging kit single patient use
1 pc oxygen cell
1 unit humidifier base, MR850, 1 unit
1 set humidification kit adult/pediatric for MR850
1 set humidification kit infant for MR850
1 pc operator manual

DIGANTI MENJADI :
NO
10

NAMA BARANG
VENTILATOR

SPESIFIKASI
Type : Ventilator infant to adult with mini compressor

Patient body weight : 0.5 to 200 kg
Ventilation modes : Up to 10 modes
Automatic maneuver for static compliance assessment and lung recruitment

Operator adjustable and special function alarm
Tidal Volume : minimum 2-2000 ml
Respiratory rate : minimum 1-120 bpm
PEEP : minimum 0-50 cmH2O
FiO2 : minimmum 21 to 100 %
I : E ratio = 1 : 25 to 4: 1 (working range)
Inspiratory Time : minimum 0,1 to 10 s
Peak Flow : minimum range 1-180 ml/min
Flow trigger : minimum 0.5 to 15 l/min
Pressure trigger : minimum 0.5 to 10 cmH2O

Monitoring :
Pressure : PEEP/CPAP, Ppeak, Pmean. Pplateau, AutoPEEP
Volume : expiratory tidal volume, expiratory minute volume, leakage volume
Time : Inspiratory, exporatory, I : E ratio, total
Flow : inspiratory flow, expiratory flow

Waveform : airway pressure, flow, volume
Loops : base on volume, flow, airway pressure
Mini compressor : water and oil free, low noise
Accessories :
1 set trolley with battery back up
1 pc pwer cable
1 set quick positioning arm
1 set each breathing set adult, pediatric, & infant with single water trap, reuseable
1 set each test lung adult, pediatric, & infant
1 box flow sensor infant, adult/pediatric
1 pc hose, oxygane supply
1 pc hose, air supply
1 set nebulizer set, disposible
1 set mask starter kit for non invasive ventilation
1 set scavenging kit single patient use

1 pc oxygen cell
1 unit humidifier base, MR850, 1 unit
1 set humidification kit adult/pediatric for MR850
1 set humidification kit infant for MR850

1 pc operator manual

Demikianlah Addendum Dokumen Pengaadaan ini dibuat dengan sebenarnya untuk dapat dipergunakan
seperlunya.

Manggar, tanggal seperti tersebut diatas,
Ttd,
POKJA V,