ADDENDUM DOK PENGADAAN ALDOK PUSTU SET

ADDENDUM DOKUMEN PENGADAAN
Nomor: PB.31-1.2/ULP/SGU/2014
Program

:

Program Pengadaan, Peningkatan dan Perbaikan Sarana Dan
Prasarana Puskesmas/Puskesmas Pembantu
Pengadaan Sarana dan Prasarana Puskesmas (DAK+DAU)

Kegiatan
Pekerjaan
Lokasi
Tahun Anggaran

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:
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BAB I s/d BAB XI


:

TETAP

BAB XII. SPESIFIKASI TEKNIS

:

Berubah menjadi :

Pengadaan Alat-alat Kedokteran Pustu Set

Dinas Kesehatan Kabupaten Sanggau
2014

Nama Alat dan Spesifikasi

No
1


Emergency Set
Fungsi :
Sebagai peralatan medikal kit yang lengkap dan dapat dibawa-bawa (mobilitas tinggi) hingga
berfungsi sebagai perlengkapan dalam keadaan darurat
Diagnostic Instrument :
Stetoscope dewasa delux + box
Palm Sphygmomanometer
Reflex Hammer type taylor
Penlight

1
1
1
1

bh
bh
bh
bh


Indentification Materials
Information card
Balpoint black, red
Id Card 3 Warna
Silicone Resusitator set dewasa
Silicon resusitator set anak
Masker resusitator silicone No. #00
Masker resusitator silicone No. #01
Hand Suction Pump

1 bh

Airways Instrument :
Corrugate tube
Oxygen tubing
Suction catheter no. 18
Tang Depressor
Mouth gag small & large
Guedel airway no. 50, 60, 70, 80, 90, 100, 110


1
1
1
1
1
1

Emergency Scissors

1 bh

Endotracheal intubation set
Endotracheal tube no. 7
Endotracheal tube no. 6,5
Laryngoscope set dewasa & anak
Bite block
Surgical tape 1"
Pean 14 cm
Spuit 50 cc

Nierbeken plastic

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1

bh
bh
bh
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bh

bh
bh

bh
bh
roll
bh
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Surgical set
Needle holder 14 cm
Kocher Hemostatic Forceps 14 cm
Pean Hemostatic Forceps 14 cm
Gunting operasi lurus 14 cm
Pinset chirugis 14 cm
Pinset Anatomis 14 cm
Benang Silk 3/0 + jarum
Handle scalpel no. 3
Scalpel blade no. 10, 11 dan 13@
Kasa steril individual pack
IV Catheter, spuit dan infusion set
Spuit disposible 2,5 cc/3 cc

Spuit disposible 5 cc
Spuit disposible 20 cc w/out needle
Disposible needle no. 21G
Disposible needle no. 23G
IV Catheter no. 18, 20 @3
IV Catheter no. 26 @2
Infusion set
Blood transfusion set
Torniquet
Bandage dan Sanitary Set
Arm Sling
Spalk set
Verband 5 cm
Verband 10 cm
Gauze swab steril
Gauze swab 40 x 40 steril
Plester Ultrafix 5 cm x 1 m
Apron plastik
Surgical glove steril no. 6,5, 7 @2
Masker 3 ply earloop

Desinfectan liquid spray
Surgical tape 0,5"
Surgical tape 2"
Cotton tip aplicator
Elastic bandage 3"
Elastic bandage 4"
Elastic bandage 6"
Plesterin 1 pak isi 10
Kasa Hydrophil 40 x 40 steril
Tourniquet
IV armbord
Alminium Hard Case
2

Timbangan Bayi digital
Spesifikasi yang dibutuhkan :
Range pengukuran:
Divisi
:
Baterai

:
Kondisi kerja
:
Penyimpanan kond:
Dimensi
:
Berat
:

1 kg - 20 kg, 30 cm - 150 cm
10 gram
1 Baterai 9V seri 6LR61
0ºC - 50ºC, RH 85%
0ºC - 40ºC, RH 85%
28,5 x 55 x 16 cm
2,9 kg

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1

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1
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1
2
5

bh
bh
bh
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bh
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10

5
2
10
10
3
2
2
2
1

bh
bh
bh
biji
biji
bh
bh
bh
bh
bh

1
1
5
5
5
2
2
1
2
5
1
1
1
2
1
1
1
1
2
1
1

bh
bh
roll
roll
bh
bh
bh
bh
psg
bh
btl
roll
roll
bh
roll
roll
roll
pak
bh
bh
bh

3

Tempat Tidur Periksa (Examination Bed)
Spesifikasi yang dibutuhkan :
Kontruksi
:
Powder coating
Matras
:
Spon cover imitasi kulit
Tebal matras
:
10,5 cm
Komplit dengan foot step (2 step)
Uk. Foot step
:
57 x 44,5 x 39 cm (PxLxT)
Dimensi
:
200 x 63 x 100 cm (PxLxT)
Bagian kepala bisa diangkat s/d 60º
-

4

Meja Instrument 2 Rak
Spesifikasi yang dibutuhkan :
Description
Material
Construction
Finishing
Accessories

5

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Nursing Trolley
Stainless Steel
Stainless Steel 1.2 mm
Poleshing
2" Wheel

Timbangan Dewasa + Tinggi
Spesifikasi yang dibutuhkan :
The Dial Body Scale can weigh a person as well as measure the height.
The scale has the advantages of large weighing range, accuracy and high sensitivy.
The scale is widely applicable for use in business, schools, hospitals, clinics and sports departments.
A height rod assembly is included as standard.
Technical Specification :
120
Max weighing
0,5
Min value per division
700-1900
Height range
5
Min value of height per divison L375 x W275
Load platform area
L695 x W286 x H930
Measurement
15
Net weight
17
Gross weight

kg
kg
mm
mm
(mm)
(mm)
kg
kg

6

Stetoscope
Spesifikasi yang dibutuhkan :
Stethoscopes with double chest plece are switchable from membrane to bell function
The membrane side is suitable for the auscultation of high and low frequency sounds while the
bell side is designed for cardiac impulses
Brass chrome-plated binaurais
Y-stethoscope tube of 56 cm length
A special ring on the bell side of the double chest piece for chill protection

7

Tensimeter Aneroid + Stethoscope
Spesifikasi yang dibutuhkan :
Tensimeter Aneroid
The service is carried out quickly
The technology saves both time and money
The nurse keeps her own personal instrument
No depletion in the number of operational gauges available
No complicated logistical transport problems
No time lost through sending equipment
Minimal expenditure on documentation
The station remains flexible
Stethoscope
Stethoscopes with double chest plece are switchable from membrane to bell function
The membrane side is suitable for the auscultation of high and low frequency sounds while the
bell side is designed for cardiac impulses
Brass chrome-plated binaurais
Y-stethoscope tube of 56 cm length
A special ring on the bell side of the double chest piece for chill protection

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9

10

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Stainless Steel Ware Set
Tiap Set Terdiri dari :
Penjepit Korentang
Gunting Pembalut (Lister)
Pinset Anatomis 14 cm
Pinset Anatomis 18 cm
Tempat Korentang
Mangkuk untuk larutan
Waskom Bengkok
Single Bowl Stand + Waskom
Spesifikasi yang dibutuhkan
Description
Material
Construction
Finishing
Accessories

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Sterilisator Electric
Spesifikasi yang dibutuhkan
Power Consumptio:
Timer
:
Temperature
:
Power Supply
:
Instrument Jacket Di
:
Instrument Tray Di:
Overall Dimension:
Packing Dimension:
Weight
:
Fuse
:

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buah
buah
buah
buah
buah
buah
buah

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4
3
2
3
1
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1
12
2
2
1
1
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1
1
1
30
1
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1

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Buah
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Buah

Washing Equioment
Stainless Steel
Stainless Steel Pipe 1.2mm
Poleshing
2" Wheel

1500 W
0 - 60 Minutes
5 - 40ºC
AC 220 V ±10%, 50 Hz
420 x 180 x 108 mm2
414 x 174 x 35 mm2
450 x 207 x 235 mm2
500 x 288 x 325 mm2
7,5 kg
ф 5 x 20/10 A

Minor Surgery Set
Tiap set terdiri dari :
Instrument Tray 512 SS (20 x 10 x 5 cm)
Backhaus towel forceps 9cm
Catgut plain 3/0 1,5cm
Benang bedah silk 2/0 5m
Sterile duk non woven 20 x 30cm
Surgical glove no. 7,5 steril
Gunting iris tajam/tajam 11cm
Gunting mayo lurus 17cm
Gunting operasi lurus tajam/tajam 14cm
Gunting operasi lurus tajam/tumpul 14cm
Jarum Hecting Kulit Combinasi
Klem arteri bengkok 12,5cm (mosquito)
Klem arteri lurus 12,5cm (mosquito)
Klem arteri lurus 14cm (pean)
Klem arteri lurus 16cm (kocher)
Korentang penjepit sponge 25cm (foester)
Needle holder mayo 14cm
Pinset Chirurgis 14cm
Pinset anatomis 14cm
Pinset Splinter 10,5cm
Surgical blades no. 10, 11, 15 @10bj
Retractor 2 gigi tajam 20cm (volkman)
Scalpel handle No. 3
Scalpel handle No. 4
Slip sonde

12

Partus Set
Tiap set terdiri dari :
Catgut plain (1,5m, 2/0)
Gambar Ibu Hamil & Proses Kelahiran
Nelathon Catheter No. 14
Gunting Episiotomy 14cm
Gunting Puser 16cm
Hecting Nald GT 12
Instrument Bak 509
Kocher Lurus 16cm
Bnald Voeder Hegar 14cm
Pinset Anatomis 14cm
Pinset Chirurgis 14cm
Setengah Kocher Lurus 14cm
Funduscope Kayu
Mucus Extractor
Iodine Cup
Apron
Pean Lurus 14cm
Gunting Angkat Jahitan 14cm
Bnierbeken 20cm Bentuk Ginjal
Sarung Tangan no. 7/7,5
Baby Scale + Celana Timbang
- Timbangan kapasitas 7kg
- Gantungan dari besi baja
- Celana Timbangan dari kain belacu
Tas Partus Kit (Uk. 32 x 16 x 17,5cm)
Famale Catheter Sterile

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Buah
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1 Buah
1 Buah

13

Lampu Periksa
Spesifikasi yang dibutuhkan
Perfect Focusing Light
Cool Beam Light
Desktop Adjustable
Flexible Arm
Complete with dimmer
44.000 Lux
Bulb : Halogen 12 Volt/50 W
Power : 220 V, 50 Hz/60 Hz
Lower Stand : Stainless Steel
70 cm long flexible arm can be stayed in any desired position
5 Castors 2" mobile stand with tube frame 95 cm high
Power Consumption 50 Watt
Electricity : 220 V, 50 Hz/60 Hz

14

Kursi Roda
Spesifikasi yang dibutuhkan
Outer Dimension
Outer Dimension Length
Outer Dimension Width
Outer Dimension High
Folding Dimension
Folding Dimension Length
Folding Dimension Width
Folding Dimension High

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12
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1

1060 mm
600 mm

930 mm
240 mm
880 mm

Wheel and Castor Dimension
Castor Diameter
Driving Wheel Diameter

200 mm
590 mm

Seat Dimension
Seat Length
Seat Width
Seat High

400 mm
410 mm
500 mm

Back Dimension
Back Width
Back High

410 mm
450 mm

Capacity
-

100 kg

BAB XIII s/d BAB XIV

Capacity Maximal
:

TETAP

Demikian Addenddum Dokumen ini dibuat dengan penuh rasa tanggung jawab dan merupakan bagian tak terpisahkan
dengan dokumen pengadaan

SANGGAU, 6 NOVEMBER 2014
POKJA BIDANG BARANG DAN JASA LAINNYA