Addendum Alat Kedokteran Umum

POKJA PENGADAAN BARANG/JASA PEMERINTAH
DINAS KESEHATAN KABUPATEN ACEH JAYA
SUMBER DANA APBK TAHUN ANGGARAN 2013
Jl. Mahkota Kuala Meurisi Calang Kabupaten Aceh Jaya Kode Pos 23654

ADDENDUM DOKUMEN PELELANGAN
Nomor : 01/DINKES.01/AJ/2013
Nama Paket
Kode Lelang

: Belanja Modal Pengadaan Alat-alat Kedokteran Umum
: 270628

Addendum Dokumen Pelelangan ini merupakan bagian yang tidak terpisahkan dari
Dokumen Pengadaan
1. Rencana Anggaran Biaya (RAB) dan Daftar Spesifikasi dalam dokumen pengadaan tidak
sesuai
DIADDENDUM MENJADI :
Rencana Anggaran Biaya (RAB) dan Daftar Spesifikasi yang sesuai (lihat lampiran dibawah
ini.)
Demikian Addendum ini dibuat dan merupakan bagian yang tidak terpisahkan dari dokumen

pelelangan.

Calang, 29 Juli 2013
TTD
Pokja Pengadaan Barang/Jasa

SPESIFIKASI PENGADAAN ALAT KESEHATAN

Daftar Rincian Kegiatan
Belanja Modal Pengadaan alat-alat Kedokteran Umum
Pengguna Anggaran Dinas Kesehatan Kabupaten Aceh Jaya
Tahun Anggaran 2013

No
1

Nama Barang dan Spesifikasi
Pocket Doppler
Features:
Hi.Bebe is pocket size doppler for Obsterician,

Midwives, and Pregnant Women.
Compact and Light
High-Sensitivity Doppler Probe
Ergonomic Design
LED Display
Large-Display & Clean Sound
Easy to Use
Low Power Consumption
Long Time to Continuous Use ( 6 hours)
Water proof probe
Specification :
Display
Heart Rate Range
Accuracy
Ultrasound Frequency
Ultrasound Intensity
Speaker Output Power
Audio output for earphone
Auto Shut-off
Auto Shut-off on signal

Power
Sensitivity
PC Interface
Physical

Battery Life
Environmental Operating Temperature
Operating Humidity
Operating Atmospheric Pressure
Storage Temperature
Storage Humidity
Storage Atmospheric Pressure
Stadard Accessories:

LED with Light (Low battery &
Signal Quality display)
50 ~ 240 bpm
± 2%
2 MHz
< 10 mW/cm²

1.2 W (Built-in Loudspeaker)
Yes
5 Minutes
1 Minutes
1.5 V Battery x2 (Type:AA)
10 ~ 12 Weeks Onward
Sound card
Main Body : L 75mm x H 128mm x
D 26mm
Probe : L 25mm x H 131mm x
25mm
Weight ( Main Body & Probe ) :
200gr
360 Minutes
10°C (50°F) to 40°C (104°F)
30% ~ 85% non-condensing
70 kpa ~ 106 kpa
-10°C (14°F) to 60°C (131°F)
20% ~ 95% non-condensing
70 kpa ~ 106 kpa


2 pc Battery AA 1.5 volt
1 pc Canvas Bag
1 pc Ultrasound Transmission Gel 60g
1 pc Manual Book
2

Kasur / Matras

3

Korentang
Spesifikasi
Made of Stainless Steel

4

Lemari Instrumen
Spesifikasi :
Konstruksi

Bentuk Lemari

Ukuran ( P x L x T )

5

Lumpang
Spesifikasi :
Made of Porcelin

6

Meteran/Metline 1,5 m
Spesifikasi
- Alat ukur yang ergonomis
- Mudah dipakai
- Retractable
- Sangat presisi - skala pengukuran mm
- Fungsi sebagai alat ukur lingkar pinggang atau
mengukur bagian tubuh yang lain


7

Mikroskop
Spesifikasi
Viewing

Objective
Eye Piece
Mechanical Stage

Condenser

: Lembaran baja epoxy Powder
Coating
: terdiri dari 2bagian, atas dan bawah
Bagian atas : pintu dengan kaca (
tebal kaca 5mm,
transparan ) 2 sekat
Bagian bawah : Pintu baja dengan

kunci dan 1sekat
: 70 x 40 x 170cm

: Sliding Binocular Head Inclined at
45°, interpupilary
distance 55-75mm, 360° rotable
: Achromatic 4X, 10X, 40X (S),
100X (S.Oil)
: WF 10X dan WF 16X (a pair)
- Single layer mechanical stage
- Stage size 124 x 153mm
- Moving range 70 x 50mm
: Abbe NA 1.25 condenser with Iris
Diaphragm &
filter, rack & pinion adjustment

Illuminator

8


- Plan-concave mirror
-6V/20W built in Illumination,
Halogen Lamp 6V/20W
- Power Supply 110V/220V, CE
Approval

Otoskop
Spesifikasi :
The Otoscope have rugged metal heads, beautifully
finished in non - relative matt finish.
They provide a bright white light from Xenon powered
long life bulbs. The Otoscope head
has universal fittings for aural, nasal and also an adapter
to fit the unit disposible ear speculae

9

Partus Set
Consist Of
Braun-Stadler Episiotomy Scissors, 14.5 cm.

Umbilical Scissor Curved 13.5 mc
Rochester Pean Forcep str, 14 cm
Female Catheter, metal, Fr.14
Tissue Forceps, standard pattern, 1 x 2 Teeth, 14.5 cm.
Dissecting Forceps, standard pattern, 14.5 cm.
Hasltead Mosquito Forceps, straight, 12.5 cm.
Hegar-Mayo Needle Holder, 16 cm.
Backhaus Towel Holding Forceps, 9 cm. DF

10

Pen Light
Spesifikasi
- Super Bright LED light
- Water Resistant
- No bulbs to replace
- include 2 " AAA " batteries

11


Pispot
Spesifikasi
Made of Stainless Steel

12

Tabung Oksigen Besar + Regulator + Trolly
Spesifikasi
Flow meter cap
Gas Volume
Cylinder material
Cylinder test pressure
Filling pressure
Weight of cylinder

13

Senter
Spesifikasi
- Super Bright LED light

: 0 - 15LPM
: 6000 L
: 34 CrMo4
: 250Kgf/cm2
: 150Kgf/cm2
: 60kg

- Water Resistant
- No bulbs to replace
- include 2 " AAA " batteries
14

Stetoskop Duplex Dewasa
Spesifikasi :
Type

Individual Marking

Stethoscope with double chest piece,
switchable, from brass,
chromium-plated and dual membrane,
for adults
UMDNS Code : 13-755
Medical Product : Class 1
Stethoscope complete with 2 spare
ear tips in decorative cardboard box
length (total) : 690mm
length of moulded Y-tube : 470mm
diameter of binaurals : 5mm
length of binaurals : 190mm
max. opening of binaurals : 300mm
diameter of chest piece : 52mm
bell shaped side : 30mm
height of chest piece : 24mm
diameter of diaphragm : 45mm
0.7 mm spring at 150 mm angle width
450g
at 200 mm angle width
600g
chest piece / binaurals : brass,
polished and chromium-plated
ear tips super soft : silicone rubber,
soft
diaphragm, outside : PET, 0.25 mm
thick
diaphragm, inside : CuBe 2, 0.6 thick,
hard
non-chill-ring : NBR
moulded Y-tube : soft PVC, colour
black, latex free,
resistant against common detergents
and desinfection
chest piece : 100g
complete without packing : 180g
: 370 x 188 x 36mm
gross weight (incl. packing) / piece :
425 ( g )
volume / piece : 2500 cm3
of chest piece, maximum 26 letters

Tandu Lipat
Spesifikasi
Unfolded size ( LxWxH )
Folded Size ( LxWxH )
Self weight

: 210x53x12cm
: 61x30x12cm
: 6kg

Content of delivery
Dimension of Stetoscope

Dimension of Chest Piece

Spring power of binaurals

Material

Weight
Dimension of Box ( L x W x H )
Freight data

15

Load Bearing
Packing Size ( LxWxH )
Packing Gross Weight
16

Tensimeter Air Raksa
Spesifikasi ;
Type

Content of Delivery

Scale Material
Capillary
Mercury Purity
Mercury Quantity/Volume
Mercury Shut - off
Measuring range
Accuracy
Tolerance
Material
Case
Bulb
Dimension Case (LxWxH)
Dimension cardboard (LxWxH)
Cuffs
Weight
Freight data

Volume/pice
Warranty
17
-

: 159kg
: 63x25x18cm
: 7kg

Termometer
Spesifikasi :
Mempunyai akurasi tinggi dan cepat
Waktu pengukuran 3detik
Tahan air/water resistant
Layar LCD lebar mudah dibaca
Ada alarm waktu akhir pengukuran suhu
Memori pengukuran terakhir
dapat mengukur suhu tubuh pada dahi atau telinga

: Mercury desk model in ABS case
according to EN 1060 with
unbreakable square capillary 5.0x1.9
±0.1mm
UMDNS code : 16-158
Medical product : Class I with
measurement function
: Gauge with green cotton for adult in
unbrekable ABS case
and cardoard box for transport
: Plexiglass, background light grey
print of scale black.
: calibrated in 2 mm steps, cross
section 9,5 mm2.
: 99,9999%
: 60 g/4.41 cm3.
: Automatically by closing the case.
: 0 - 300 mm Hg.
: Class 1.
: + 2 mm (0,7% of measuring range).
: Chromium - plated parts from high
finished brass.
: Injection moulded ABS
: PVC
: 358 x 110 x 60 mm
: 360 x 113 x 64 mm
: All two tube cuffs of the ERKA
standard range
: Complete with cuff and inflation
bulb 1110 g
: Gross weight (incl.packing)/piece
1200 g*
*with cotton cuff green
for adults
: 2520 cm3
: 2 years

18

Timbangan Bayi 20 kg
SPESIFIKASI
Range pengukuran: 10 g - 20 kg , 30 cm - 150 cm
Divisi : 10 gram
Baterai : 1 Baterai 9V seri 6LR61
Kondisi kerja: 0°C - 50°C, RH 85%
Penyimpanan kondisi : 0°C - 40°C, RH 85%
Dimensi : 28,5 x 55 x 16 cm
Berat : 2,9 kg

19

Timbangan Injak Dewasa
Spesifikasi
Capacity
Fine Zero Adjustment
Easy to clean plastic platform
Dimension
Division
High Quality Construction
Packed in a custom design box
Weight ( kg )

20

Timbangan Injak Dewasa + Ukuran Tinggi
Spesifikasi :
Capacity
Division
Functions
Platform size
Dimension
Power
Weight
Accessories

21

Dental Unit Set + Chair
Spesification :
Dental Chair
- Full Electric with Hydraulic Motor
- Auto return
- Emergency Stop
- Adjustable head rest
- 1 Pc Joy stick for up/down chair position and up/down
for back,rest position,Intergate
- 1 Pc Foot control
Instrument Table
- Micro-Computer Control System, air lockable arm
system
- Anti return design for the cooling water of bur prevents
cross infection among patient
- 2 Pc Four-way high speed air turbine hose
- 1 Pc Four-way low speed air motor hose
- 1 Pc Air Motor

: 130 kg

: L 27 x W 29 x D 6.2 (cm)
: 0.5 kg

: 1.9 kg

: 150 Kg / 300 Kg
: 100 g < 100 Kg > 200 g / 200 g <
200 Kg > 500 g
: Print / Hold / BMI / Tare
: 360 x 310 mm
: 360 x 520 x 1020 mm
: AA Battery / Adaptor
: 10.4 Kg
: Adaptor

- 1 Pc Low speed straight handpiece
- 1 Pc Low speed contra angle handpiece
- 1 Pc Three Way Syringe for cold and warm water
- 1 Pc X-Ray Viewer
Assistant Side
- 1 Pc High Suction
- 1 Pc Saliva Ejector
- 1 Pc Three Way Syringe for cold and warm water
Spittoon Side
- 1 Pc Luxurious toughened glass cuspidor
- 1 Pc Automatic cup filler for cold and arm water
- 1 Pc Operating Light (Adjustable Light Intensity low to
high )
- 1 Pc Built out injecting water purified system of
handpiece
Other :
1 bh compresor
1 bh light curing
1 bh built in intra oral camera
1 set arm monitor + monitor
1 bh tissue holder
Alat Pencabutan Gigi Dewasa 12's
- Tang insisive atas/ upper insisive
- Tang promotor atas/ upper premolar
- Tang molar atas kiri/ upper molar left
- Tang molar atas kanan/ upper molar right
- Tang molar 3atas/ upper molar wisdom
- Tang insisive bawah/ lower incisive
- Tang prenmolar bawah / lower premolar
- Tang molar bawah/ lower molar
- Tang sisa akar bawah/ loer root
- Tang molar 3bawah/ lower wisdom
- Tang bayonet
- Tang sisa akar depan/ upper root anterior
Alat Pencabutan Gigi Anak
- Tang insisive atas/ upper incisive
- Tang molar atas/ upper molar
- Tang premolar atas/ upper premolar
- Tang sisa akar atas/ upper root
- Tang insisive bawah/ lower incisive
- Tang molar bawah/ lower molar
Amalgam carrier
Amalgam stopper
Bein Small
Bein Medium
Bone file
Burnisher

Cement spatula
Cement stopper
Chisel
Cryer kiri
Cryer kanan
Excavator
Sonde
Gum scissor straight
Lecron
Pinset
Mirror handle
Mouth mirror
Raspatorium
Scaler inter dental
Scaler kiri dan kanan
Needle Holder
Plastis Instrument
Scalpel Handle
Matrix Holder
Matrix Band
Exterpasi
K-File
Reamer

22
-

MINOR SET
terdiri dari
Klem arteri Kocher mosquito lurus 12.5 cm
Spesifikasi
Made of Stainless Steel

-

Klem arteri Kocher mosquito lengkung 12.5 cm
Spesifikasi
Made of Stainless Steel

-

Klem arteri Pean mosquito 12. 5 cm
Spesifikasi
Made of Stainless Steel

-

Pinset chirugis 14.5 cm
Spesifikasi
Made of Stainless Steel

-

Pinset jaringan kecil 14 cm/Pinset Anatomis
Spesifikasi
Made of Stainless Steel

-

Pinset Bengkok kecil 14 cm
Spesifikasi

Made of Stainless Steel
-

Needle holder 14 cm
Spesifikasi
Made of Stainless Steel

-

Gunting jaringan sh/sh straight 14 cm
Spesifikasi
Made of Stainless Steel

-

Gunting jaringan bl/bl straight 14 cm
Spesifikasi
Made of Stainless Steel

-

Gunting jaringan Iris sh/sh curved 11,5 cm
Spesifikasi
Made of Stainless Steel

-

Skalpel 3
Spesifikasi
Made of Stainless Steel

-

Bisturi 11

-

Baskom kecil Ø 36cm
Spesifikasi
Made of Stainless Steel

23

Incubator Bayi
Features:
Air-Temp Mode with Micro-Computer Controlled
Dual LED Display
Visual and Audible Safety Alarms
User Friendly
Easy Access
Low Power Consumption
Specifications:
Power Requirements
Power Requirements / Input Power
Temperature Control Range and Correlative
Specification
Air Mode Control
Temperature Rise Time* (Typical at 23 Ambient)
Temperature Uniformity* (level mattress)
(After Incubator Temperature Equilibrium* is reached)
Alarm
Motor Alarm
Sensor Alarm

AC 220 V/50 Hz , 300 VA

25 - 37ºC
60 minutes
1.5

Motor failure, Air flow stop
- Air temperature sensor failure
- Isolate OverHeating sensor failure

Temperature Deviation Alarm
Over Temperature Alarm
E2ROM Failed
Environment Temperature
(Note: Ensure correct operation, incubator should be use
under required environment)
Operating Range
Storage Range
Environment Humidity
Operating Range
Storage Range
Atmospheric Pressure
Shipment and Store atmospheric pressure range
Operating Atmosperic pressure range
Air Velocity
Ambient Air Velocity
Other Specification
Infant Mattress Width
Infant Mattress Lenth
Noise Level within Hood Environment
Air Velocity Over Mattress
Mattress Maximum Load
I.V. Pole Max Load
Hood Max Load
24

- Air flow sensor failure
High/Low air temperature
High temperature in the air
temperature mode
Internal malfunction

+20°C - +30°C
-40°C - +55°C
30 % RH - 75 % RH NonCondensing
< 93 % RH Non-Condensing
500 hPa - 1060 hPa
700 hPa - 1060 hPa
< 0.3 m/s
30 cm
60 cm
< 60 dB(A) (Based on surrounding
environment noise
below 40 dB(A))
0.35 m/s
10 kg
2 kg
4 kg

Phototherapy
Features:
This unit have adjustable height mechanism and wheels
with brake; it can work in with any kinds of incubator
and infant bed.
Phototherapy adjustable angle stainless steel shaft.
Angle of the lamp case can be adjusted 0°~ 90°
Composed with 5 pieces 20 W blue light lamps and 5
pieces electronic ballast.
LCD display timer recording phototherapy time and use
time of lamps.
Main Technical Data :
Power supply requirement
Power rate
Blue light ray wavelength
Blue light radiation power
Phototherapy adjustable angle
Tine recorder range
Packing size
Gross weight

AC 220V, 50 Hz
100 VA
420 nm ~ 470 nm
500 uM/cm2
0°~ 90 °
0 ~ 9999 hours can restart
95.5 cm x 65.5 cm x 20.5 cm
23 kg

Standard Configure:
Phototherapt unit
Shaft
Up-down pole
Stand
Power cord

25

Kulkas vaksin
Spesifikasi
Reliable temperature between +2⁰C to +8⁰C
Only 8 hrs. of electricity needed per 24 hrs. At 43⁰C
AMB
Self-regulating cooling system
Air flow system in vaccine compartment
External cabinet and internal liner pre-painted galvanized
steel
Cooling coil of copper
CFC-free refrigerant and insulation
Compressor made for use in the tropics
Solid lid with handle and lock
7 baskets for organized storage
Available in 220V-240V 50/60Hz + 115V 60Hz
Delivered in solid, wooden crate

Specification
s:
Gross volume, litres (cu. Ft.)
Vaccine storage capacity, litres (cu. Ft.)
Temperature range, ⁰C
Power consumption (stable running) at
43⁰C AMB per 24h, kWh
Refrigerant
Hold-over time during power cut at 43⁰C
AMB, hours
Baskets, no.

218 (7.7)
105 (3.7)
+2 to +8
3.20

Height, mm (inches)
Width, mm (inches)
Depth, mm (inches)
Gross weight, kg (lbs)
Net weight, kg (lbs)

840 (33.1)
1260 (49.6)
700 (27.6)
126 (278)
97 (214)

Qty. Per 20' / 40' container

24 / 50
ISO 9001, 14001 & OHSAS 18001
Certified

R134a
25
7

Dimensions :

Loading
Quantities :
Certificate



Melampirkan Surat Izin Penyalur Alat Kesehatan yang masih berlaku pada usulan Daftar
Spesifikasi yang ditawarkan.

RENCANA ANGGARAN BIAYA (RAB)

Daftar Rincian Kegiatan
Belanja Modal Pengadaan alat-alat Kedokteran Umum
Pengguna Anggaran Dinas Kesehatan Kabupaten Aceh Jaya
Tahun Anggaran 2013
No
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25

Nama Barang
Pocket Doppler
Kasur / Matras
Korentang
Lemari Instrumen
Lumpang
Meteran/Metline 1,5 m
Mikroskop
Otoskop
Partus Set
Pen Light
Pispot
Tabung Oksigen Besar + Regulator +
Trolly
Senter
Stetoskop Duplex Dewasa
Tandu Lipat
Tensimeter Air Raksa
Termometer
Timbangan Bayi 20 kg
Timbangan Injak Dewasa
Timbangan Injak Dewasa + Ukuran
Tinggi
Dental Unit Set + Chair
MINOR SET
Incubator Bayi
Phototherapy
Kulkas vaksin

TERBILANG :

VOLUME

HARGA
SATUAN (Rp)

9
5
9
9
18
9
3
9
4
9
9
9
9
18
15
18
18
18
9
9
3
9
9
9
2
TOTAL
PPN 10%
JUMLAH TOTAL
PEMBULATAN

JUMLAH
HARGA (RP)