Addendum Alat Kedokteran Umum

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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

: Belanja Modal Pengadaan Alat-alat Kedokteran Umum

Kode Lelang

: 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

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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

Nama Barang dan Spesifikasi

1 _{Pocket Doppler}

Features:

Hi.Bebeis 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

LED with Light (Low battery & Signal Quality display)

Heart Rate Range 50 ~ 240 bpm

Accuracy ± 2%

Ultrasound Frequency 2 MHz

Ultrasound Intensity < 10 mW/cm²

Speaker Output Power 1.2 W (Built-in Loudspeaker)

Audio output for earphone Yes

Auto Shut-off 5 Minutes

Auto Shut-off on signal 1 Minutes

Power 1.5 V Battery x2 (Type:AA)

Sensitivity 10 ~ 12 Weeks Onward

PC Interface Sound card

Physical

Battery Life 360 Minutes

Environmental Operating Temperature 10°C (50°F) to 40°C (104°F) Operating Humidity 30% ~ 85% non-condensing Operating Atmospheric Pressure 70 kpa ~ 106 kpa

Storage Temperature -10°C (14°F) to 60°C (131°F)

Storage Humidity 20% ~ 95% non-condensing

Storage Atmospheric Pressure 70 kpa ~ 106 kpa

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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

: Lembaran baja epoxy Powder Coating

Bentuk Lemari : 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

Ukuran ( P x L x T ) : 70 x 40 x 170cm

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 : Sliding Binocular Head Inclined at

45°, interpupilary

distance 55-75mm, 360° rotable

Objective : Achromatic 4X, 10X, 40X (S),

100X (S.Oil)

Eye Piece : WF 10X dan WF 16X (a pair)

Mechanical Stage - Single layer mechanical stage - Stage size 124 x 153mm - Moving range 70 x 50mm

Condenser : Abbe NA 1.25 condenser with Iris

Diaphragm &

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Illuminator - Plan-concave mirror

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

8 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

12 _{Tabung Oksigen Besar + Regulator + Trolly}

Spesifikasi

Flow meter cap : 0 - 15LPM

Gas Volume : 6000 L

Cylinder material : 34 CrMo4

Cylinder test pressure : 250Kgf/cm2

Filling pressure : 150Kgf/cm2

Weight of cylinder : 60kg

13 Senter

Spesifikasi

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

14 Stetoskop Duplex Dewasa Spesifikasi :

Type Stethoscope with double chest piece,

switchable, from brass,

chromium-plated and dual membrane, for adults

UMDNS Code : 13-755 Medical Product : Class 1

Content of delivery Stethoscope complete with 2 spare ear tips in decorative cardboard box Dimension of Stetoscope length (total) : 690mm

length of moulded Y-tube : 470mm diameter of binaurals : 5mm length of binaurals : 190mm max. opening of binaurals : 300mm Dimension of Chest Piece diameter of chest piece : 52mm

bell shaped side : 30mm height of chest piece : 24mm

diameter of diaphragm : 45mm Spring power of binaurals 0.7 mm spring at 150 mm angle width

450g

at 200 mm angle width 600g

Material 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

Weight chest piece : 100g

complete without packing : 180g Dimension of Box ( L x W x H ) : 370 x 188 x 36mm

Freight data gross weight (incl. packing) / piece : 425 ( g )

volume / piece : 2500 cm3

Individual Marking of chest piece, maximum 26 letters

15 _{Tandu Lipat}

Spesifikasi

Unfolded size ( LxWxH ) : 210x53x12cm

Folded Size ( LxWxH ) : 61x30x12cm

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Load Bearing : 159kg

Packing Size ( LxWxH ) : 63x25x18cm

Packing Gross Weight : 7kg

16 Tensimeter Air Raksa

Spesifikasi ;

Type

: 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

Content of Delivery

: Gauge with green cotton for adult in unbrekable ABS case

and cardoard box for transport

Scale Material

: Plexiglass, background light grey print of scale black.

Capillary

: calibrated in 2 mm steps, cross section 9,5 mm2.

Mercury Purity : 99,9999%

Mercury Quantity/Volume : 60 g/4.41 cm3.

Mercury Shut - off : Automatically by closing the case.

Measuring range : 0 - 300 mm Hg.

Accuracy : Class 1.

Tolerance : + 2 mm (0,7% of measuring range).

Material

: Chromium - plated parts from high finished brass.

Case : Injection moulded ABS

Bulb : PVC

Dimension Case (LxWxH) : 358 x 110 x 60 mm Dimension cardboard (LxWxH) : 360 x 113 x 64 mm

Cuffs

: All two tube cuffs of the ERKA standard range

Weight

: Complete with cuff and inflation bulb 1110 g

Freight data

: Gross weight (incl.packing)/piece 1200 g*

*with cotton cuff green for adults

Volume/pice : 2520 cm3

Warranty : 2 years

17 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

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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 : 130 kg

Fine Zero Adjustment Easy to clean plastic platform

Dimension : L 27 x W 29 x D 6.2 (cm)

Division : 0.5 kg

High Quality Construction Packed in a custom design box

Weight ( kg ) : 1.9 kg

20 _{Timbangan Injak Dewasa + Ukuran Tinggi}

Spesifikasi :

Platform size : 360 x 310 mm

Dimension : 360 x 520 x 1020 mm

Power : AA Battery / Adaptor

Weight : 10.4 Kg

Accessories : Adaptor

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

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- 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

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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

- Klem arteri Kocher mosquito lengkung 12.5 cm Spesifikasi

- Klem arteri Pean mosquito 12. 5 cm Spesifikasi

- Pinset chirugis 14.5 cm Spesifikasi

- Pinset jaringan kecil 14 cm/Pinset Anatomis Spesifikasi

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- Needle holder 14 cm Spesifikasi

- Gunting jaringan sh/sh straight 14 cm Spesifikasi

- Gunting jaringan bl/bl straight 14 cm Spesifikasi

- Gunting jaringan Iris sh/sh curved 11,5 cm Spesifikasi

- Skalpel 3 Spesifikasi

- Bisturi 11

- Baskom kecil Ø 36cm Spesifikasi

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 AC 220 V/50 Hz , 300 VA Temperature Control Range and Correlative

Specification

Air Mode Control 25 - 37ºC

Temperature Rise Time* (Typical at 23 Ambient) 60 minutes Temperature Uniformity* (level mattress) 1.5 (After Incubator Temperature Equilibrium* is reached)

Alarm

Motor Alarm Motor failure, Air flow stop

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- Air flow sensor failure Temperature Deviation Alarm High/Low air temperature

Over Temperature Alarm

High temperature in the air temperature mode

E2ROM Failed Internal malfunction

Environment Temperature

(Note: Ensure correct operation, incubator should be use under required environment)

Operating Range +20°C - +30°C

Storage Range -40°C - +55°C

Environment Humidity

Operating Range

30 % RH - 75 % RH Non-Condensing

Storage Range < 93 % RH Non-Condensing

Atmospheric Pressure

Shipment and Store atmospheric pressure range 500 hPa - 1060 hPa Operating Atmosperic pressure range 700 hPa - 1060 hPa Air Velocity

Ambient Air Velocity < 0.3 m/s Other Specification

Infant Mattress Width 30 cm

Infant Mattress Lenth 60 cm

Noise Level within Hood Environment

< 60 dB(A) (Based on surrounding environment noise

below 40 dB(A)) Air Velocity Over Mattress 0.35 m/s

Mattress Maximum Load 10 kg

I.V. Pole Max Load 2 kg

Hood Max Load 4 kg

24 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 AC 220V, 50 Hz

Power rate 100 VA

Blue light ray wavelength 420 nm ~ 470 nm Blue light radiation power 500 uM/cm2 Phototherapy adjustable angle 0°~ 90 °

Tine recorder range 0 ~ 9999 hours can restart

Packing size 95.5 cm x 65.5 cm x 20.5 cm

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Standard Configure: Phototherapt unit Shaft

Up-down pole Stand

Power cord

25 Kulkas vaksin Spesifikasi

Reliable temperature between +2⁰_{C to +8}⁰_C Only 8 hrs. of electricity needed per 24 hrs. At 43⁰_C 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.) 218 (7.7) Vaccine storage capacity, litres (cu. Ft.) 105 (3.7)

Temperature range,⁰_C _{+2 to +8}

Power consumption (stable running) at 3.20 43⁰_{C AMB per 24h, kWh}

Refrigerant R134a

Hold-over time during power cut at 43⁰_C ₂₅ AMB, hours

Baskets, no. 7

Dimensions :

Height, mm (inches) 840 (33.1)

Width, mm (inches) 1260 (49.6)

Depth, mm (inches) 700 (27.6)

Gross weight, kg (lbs) 126 (278)

Net weight, kg (lbs) 97 (214)

Loading Quantities :

Qty. Per 20' / 40' container 24 / 50

Certificate ISO 9001, 14001 & OHSAS 18001 Certified

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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 Nama Barang VOLUME HARGA

SATUAN (Rp)

JUMLAH HARGA (RP)

1 Pocket Doppler 9

2 Kasur / Matras 5

3 Korentang 9

4 Lemari Instrumen 9

5 Lumpang 18

6 Meteran/Metline 1,5 m 9

7 Mikroskop 3

8 Otoskop 9

9 Partus Set 4

10 Pen Light 9

11 Pispot 9

12 Tabung Oksigen Besar + Regulator +

Trolly 9

13 Senter 9

14 Stetoskop Duplex Dewasa 18

15 Tandu Lipat 15

16 Tensimeter Air Raksa 18

17 Termometer 18

18 Timbangan Bayi 20 kg 18

19 Timbangan Injak Dewasa 9

20 Timbangan Injak Dewasa + Ukuran

Tinggi 9

21 Dental Unit Set + Chair 3

22 MINOR SET 9

23 Incubator Bayi 9

24 Phototherapy 9

25 Kulkas vaksin 2

TOTAL PPN 10%

JUMLAH TOTAL