Contoh

DATA DUKUNG USULAN ALAT LABORATORIUM TAHUN 2017
E-KATALOG DAN NON-EKATALOG
TANGGAL E-
NO UNIT KERJA JURUSAN/ PENCARIAN Catalogue/ NAAMA BARANG VOL SAT NAMA KET
PRODI PENYEDIA
ITEM Non
1 Poltekkes D-III 20-Jan-17 e-Katalog SERENITY Basket Stretcher 2 Unit PT. SERENITY
Palembang Kep.LLG SR-B2 INDONESIA
Komoditas Alat Kesehatan

Manufaktur SERENITY
42171604-AKS-
No Produk 000044960
Nama Produk
Basket Stretcher SR-B2
Unit Pengukuran unit
PT. SERENITY
Nama Penyedia INDONESIA
No Produk (Penyedia) Serenity / SR-B2
Harga IDR 7,700,000.00 (06

Agustus 2015)
Model/Type SR-B2
ZHANGJIAGANG NEW
Country of Origin CHINA
FELLOW MED CO., LTD.,
Factory of Origin CHINA
OEM SERENITY
ISO 13485 , ISO 9001
Product Certification dan KEMKES RI
Product Registration AKL 10903412193
FDA Clearance -
CE Mark -
IEC Compliance -
Locally Content -
Where Marketed INDONESIA
Green Features -
Other Specification -
UMDNS Code(s) -
Function Basket Strecher
Supplier Footnote -
Model Footnote -
Data Footnote -
Harga belum termasuk

biaya ongkos kirim,
minimal pembelian 1
Other Information unit.
2 Poltekkes D-III 20-Jan-17 e-Katalog 2 SET PT. SERENITY

Palembang Kep.LLG SERENITY Folding Stretcher INDONESIA
with Wheels SR-F2
omoditas Alat Kesehatan
Manufaktur SERENITY
No Produk
42171611-AKS-
000044966
Folding Stretcher with
Nama Produk Wheels SR-F2
PT. SERENITY
No Produk (Penyedia)
Serenity / SR-F2
1,603,000.00 (06
Harga Agustus 2015)
Model/Type SR-F2
ZHANGJIAGANG NEW
FELLOW MED CO .,
Factory of Origin LTD ., CHINA
OEM SERENITY
ISO 13485 , ISO 9001,
Product Certification KEMKES RI
FDA Clearance -
CE Mark -
IEC Compliance -
Locally Content -
Green Features -
UMDNS Code(s) -
Function Wheels
Supplier Footnote -
Model Footnote -
Data Footnote -
Other Information Harga belum termasuk
biaya ongkos kirim,
minimal pembelian 1
3 Poltekkes D-III 20-Jan-17 e-Katalog unit. 3 SET PT.PARAMOU
Palembang Kep.LLG PARAMOUNT BED New 3 NT BED
Crank Gatch Bed INDONESIA
Manufaktur PARAMOUNT BED
No Produk
42000000-AKS-
000046642
Nama Produk New 3 Crank Gatch Bed

PT.PARAMOUNT BED
PA-99285
16,552,800.00 (20
Harga Januari 2015)
3 Crank Gatch Bed / PA-
Model/Type 99285
Country of Origin INDONESIA
Factory of Origin INDONESIA
OEM INDONESIA
HK.07.Alkes/IV/086/AK.
Product Certification 1/2013
Product Registration AKD 10902410328
FDA Clearance N/A
CE Mark N/A
ISO 13485: 2003, ISO

14001:2004, ISO
IEC Compliance 9001:2004
Locally Content n/a
ASIA, North America,

South America, Africa,
Where Marketed Europe, Oceania
Green Features N/A
1. Handle : Tourque
Release Handle , 2.
Mattress Base :
Seamless, smooth and
shining surface are
results of stringent
selection of material
and many years of
accumulated pressing
and coating skill.
Durable and easy-to-
clean, 3. Detachable
Other Specification Boards and Color
Variations : The board
is automatically locked
when fixed. The tight
fix and strength were
fully tested through out
authentic durability
and color variation A
(Plain), B (Blue), C
(Medium Oak), D
(Green), E (Pink), 4.
Caster : German Tente -
Rollen Make
UMDNS Code(s) N/A

Function N/A
Supplier Footnote N/A
Model Footnote N/A
Data Footnote N/A
Other Information N/A
4 Poltekkes D-III 20-Jan-17 e-Katalog ELITECH - 3 SET PT. SINKO
Palembang Kep.LLG INDONESIA ELITECH BLOOD PRIMA ALLOY
PRESSURE/NIBP
MONITOR/TENSIMETER
DIGITAL TENSIONE Komoditas Alat Kesehatan
Manufaktur ELITECH
ELITECH BLOOD
- INDONESIA
42181607-AKS-
PRESSURE/NIBP
No Produk 000411160
MONITOR/TENSIMETE
Nama Produk R DIGITAL TENSIONE
PT. SINKO PRIMA
Nama Penyedia ALLOY
Elitech029
3,811,500.00 (26
Harga Oktober 2016)
TENSIONE (NIBP
Model/Type
MONITOR DENGAN n/a
ZHANGJIAGANG NEW
SPO2 PROBE) CHINA
FELLOW MED CO .,
Country of Origin LTD ., CHINA
ISO 13485 , ISO 9001,
Factory of Origin KEMKES RI
PT. SINKO PRIMA
ALLOY ; SURABAYA -
INDONESIA AKL 10903412222
OEM -
- -
Product Certification -
ISO13485:2003 ;
ISO9001:2008 ; CPAKB
(CARA PRODUKSI ALAT
KESEHATAN yang BAIK) -
Product Registration INDONESIA
KEMENKES RI AKD
20501318004 -
FDA Clearance -
- -
CE Mark Wheels
- -
IEC Compliance -
IEC60601 -
Locally Content Harga belum termasuk
biaya ongkos kirim,
minimal pembelian 1
unit.
5 Poltekkes D-III 20-Jan-17 e-Katalog 2 SET PT. CIPTAJAYA

Palembang Kep.LLG INDONESIA Bedside MEDINDO
Monitor / Patient Monitor 7
inch Touch Screen PM-6500
+ Wall Stand Stainless Steel
Manufaktur Mentor - Indonesia
No Produk
42181904-AKS-
000409714
Bedside Monitor /
Patient Monitor 7 inch
Touch Screen PM-6500
+ Wall Stand Stainless
Nama Produk Steel
PT. CIPTAJAYA
Nama Penyedia MEDINDO
M200206
IDR 24,447,500.00 (26
Harga Oktober 2016)
Model/Type PM-6500 Wall Stand SS

Country of Origin Indonesia
PT. Sinko Prima Alloy,
Factory of Origin Surabaya - Indonesia
OEM n/a
ISO 13485:2003, ISO

9001:2008, CPAKB,
Product Certification CDAKB
KEMENKES RI AKD
20502310188 (Berlaku
Product Registration hingga 23 Mei 2018)
FDA Clearance n/a
CE Mark n/a
IEC Compliance IEC 60601
Locally Content n/a
Where Marketed Seluruh Indonesia
Green Features n/a
INCLUDED
ACCESSORIES: ECG
Patient Cable 3-lead,
Adult NIBP Cuff, Adult
Spo2 Sensor, Skin
Other Specification Probe Temp.
UMDNS Code(s) 16484
Pemantauan terhadap
pasien atas parameter
NIBP, Spo2, Pulse Rate,
Temperatur, ECG, dan
Function RESP
Cintailah dan Gunakan
Produk Alat Kesehatan
Supplier Footnote Anak Bangsa Indonesia
User Interface with

both keypad and touch
Model Footnote screen operation.
Powerful data storage

and management,
Trend Graph, Trend
Data Footnote Table, etc.
Other Information Made in Indonesia
6 Poltekkes D-III 20-Jan-17 e-Katalog BTL EKG 3 Channel BTL-08 3 SET PT. BOLD
SD3 omoditas Alat Kesehatan
Palembang Kep.LLG TECHNOLOGIE
Manufaktur BTL S LEADING
No Produk INDONESIA
42000000-AKS-
000055854
EKG 3 Channel BTL-08
Nama Produk SD3
PT. BOLD
TECHNOLOGIES
Nama Penyedia LEADING INDONESIA
n/a
IDR 15,800,000.00 (16
Harga Desember 2015)
Model/Type n/a
Model/Type BTL-08 SD3
Country of Origin United Kingdom
Factory of Origin Bulgaria
OEM -
Product Certification n/a
FDA Clearance -
CE Mark n/a
IEC Compliance n/a
Locally Content -
UK, Chezh, Bulgaria,

Rumania, Polandia,
Rusia, Indonesia,
Malaysia, Thailand,
Vietnam, Korea
Selatan, Meksiko, India,
Philipina, Thailand,
Where Marketed Vietnam, Rusia
Upgradeable to ECG PC
12 Channel with
Green Features Cardiopoint software
Other Specification Interpretasi
UMDNS Code(s) -
Pemeriksaan
Elektrokardiogram
Function jantung pasien
Supplier Footnote -
Model Footnote -
Data Footnote -
7 Poltekkes D-III 20-Jan-17 e-Katalog Automated External 1 Unit PT. AMPM

Palembang Kep.LLG Defibrilator (AED) HEALTHCARE
POWERHEART G3 INDONESIA
AUTOMATIC
Palembang Kep.LLG HEALTHCARE
INDONESIA
Manufaktur CARDIAC SCIENCE

42172101-AKS-
No Produk 000063252
Nama Produk
Automated External
Defibrilator (AED)
POWERHEART G3
AUTOMATIC
PT. AMPM
HEALTHCARE
No Produk (Penyedia) G3 AUTOMATIC
Harga IDR 53,143,000.00 (3

1 Desember 2015)
Model/Type G3 Automatic
Country of Origin USA
Factory of Origin USA
OEM n/a
Product Certification ISO 9001; ISO 13485
FDA Clearance n/a
CE Mark n/a
IEC Compliance n/a
Locally Content n/a
Where Marketed Worldwide/Global
Green Features n/a
Other Specification n/a
UMDNS Code(s) n/a
perangkat portable
kejutan listrik melalui
dada ke jantung.
Kejutan listrik yang
dihasilkan dari AED
dapat menghentikan
ritme yang tidak
beraturan/irregular dan
diharapkan dengan
demikian mampu
mengembalikan irama
Function normal jantung
Supplier Footnote n/a
Model Footnote n/a
Data Footnote n/a
Other Information n/a
8 Poltekkes D-III 20-Jan-17 e-Katalog Terufusion Syringe Pump 1 SET PT. Terumo
Palembang Kep.LLG TE-SS700N03 Indonesia
Manufaktur Terumo
No Produk
42000000-AKS-
000047778
Terufusion Syringe
Nama Produk Pump TE-SS700N03
Nama Penyedia PT. Terumo Indonesia

TR700
IDR 17,019,200.00 (07
Harga September 2015)
Model/Type TE-SS700/TE-SS700N03
Country of Origin Japan
Factory of Origin Japan
OEM N/A
Product Certification ISO 13485:2012
Product Registration n/a
FDA Clearance n/a
CE Mark CE-0197
IEC 60601-1:1988, IEC

60601-1-1:2000, IEC
60601-1-2:2001, IEC
60601-6-1:2006, IEC
60601-1-8:2006, IEC
IEC Compliance 60601-2-24:1998
Locally Content N/A
Where Marketed Indonesia
Green Features n/a
UMDNS Code(s) n/a
Function Syringe Pump
Model Footnote n/a
Data Footnote n/a
9 Poltekkes D-III 20-Jan-17 e-Katalog 1 SET PT.PARAMOU

Palembang Kep.LLG Infusomat P/ Infusion Pump NT BED
BBraun INDONESIA
Manufaktur BBraun
9 Poltekkes D-III 20-Jan-17 e-Katalog 1 SET PT.PARAMOU
Palembang Kep.LLG NT BED
INDONESIA
No Produk
42000000-AKS-
000033991
Infusomat P/ Infusion
Nama Produk Pump BBraun
PT. B Braun Medical
Nama Penyedia Indonesia
8712379
IDR 21,175,000.00 (29
Volumetric Infusion
Model/Type Pump/Infusomat P
Country of Origin Germany
Factory of Origin Germany
OEM NA
Product Certification NA
FDA Clearance NA
CE Mark NA
IEC Compliance NA
Locally Content NA
Where Marketed World Wide
Green Features n/a
UMDNS Code(s) n/a
Function n/a
Model Footnote n/a
Data Footnote n/a
Other Information 1. Multi propose
Infusion pump for IV
Therapy : From Basic
Infusion to Transfusion
( use only with Sangofix
Blood Set ) 2. Rate 0.1 -
999.9ml/h 3. Included
with Dosage
Calculation
10 Poltekkes D-III 20-Jan-17 e-Katalog 1 UNIT PT. SINKO

Palembang Kep.LLG PRIMA ALLOY
NEEDLE DESTROYER END-1
DUA FUNGSI

Manufaktur ELITECH - INDONESIA
No Produk
42142531-AKS-
000411143
ELITECH MEDICAL
DESTROYER/NEEDLE
DESTROYER END-1 DUA
Nama Produk FUNGSI
PT. SINKO PRIMA
Nama Penyedia ALLOY
Elitech012
IDR 8,910,000.00 (26
Harga Oktober 2016)
Model/Type END-1 DUA FUNGSI
PT. SINKO PRIMA ALLOY
; SURABAYA -
OEM -
ISO13485:2003 ;
ISO9001:2008 ; CPAKB
(CARA PRODUKSI ALAT
Product Certification KESEHATAN yang BAIK)
KEMENKES RI AKD
Product Registration 20902210075
FDA Clearance -
CE Mark -
IEC Compliance IEC60601
IYA. PRODUKSI DALAM
Locally Content NEGERI
Where Marketed SELURUH INDONESIA
Dapat menghancurkan
berbagai macam
ukuran jarum suntik :
1ml 60ml, 16 30
gauge dalam waktu 3
Green Features detik
Merusak Pangkal Jarum

dengan Pisau Potong
Baja Khusus sehingga
pompa syringe sudah
tidak dapat dipakai
Other Specification ulang lagi
UMDNS Code(s) 13925
Meleburkan Ujung
Jarum dan memotong
pangkal jarum atau
selang yang
Function terkontaminasi
Sangat bermanfaat
untuk digunakan di
rumah sakit, klinik, dan
ruang pengobatan
Bodi terbuat dari ABS
untuk
murni,menghancurkan
berfungsi
jarum
sebagaisuntik dandan
isolator
Supplier Footnote selang
pelindung bagi
Model Footnote operator
Berkemampuan besar
untuk kapasitas
peleburan ujung jarum
per hari lebih dari 200
Data Footnote biji
Other Information Dapat digunakan untuk
memotong Selang yang
sudah terkontaminasi
sehingga tidak dapat
dipakai ulang lagi
11 Poltekkes D-III 20-Jan-17 e-Katalog 1 UNIT PT. SINKO

Sterilisator Kering

No Produk
42281531-AKS-
000076993
ELITECH Sterilisator
Nama Produk Kering/GET 338 UO
PT. SINKO PRIMA
Nama Penyedia ALLOY
Elitech003
IDR 3,410,000.00 (10
Harga Maret 2016)
Model/Type GET 338 UO

; SURABAYA -
OEM -
ISO13485:2003 ;
Product Certification ISO9001:2008
KEMENKES RI AKD
FDA Clearance -
CE Mark -
IYA. PRODUKSI DALAM

NEGERI DAN PATENT
TEKNOLOGI UNTUK
PRODUK STERILISATOR
Locally Content KERING
STERILISASI HANYA
DENGAN DAYA LISTRIK
Green Features 15WATT,
STERILISASI DENGAN
OZONE KONSENTRASI
Other Specification SANGAT TINGGI
UMDNS Code(s) 13745
STERILISASI ALAT
MEDIS, DENTIST, LAB,
PERALATAN OPERASI
Function DAN SEBAGAINYA
KAMI SEBAGAI
PORTABEL; SANGAT
PEMEGANG
MUDAH DALAM PATEN
TEKNOLOGI
PENGOPERASIAN DAN
Supplier Footnote STERILISATOR
PEMANTAUANKERING
PROSES
Model Footnote STERILISASI
KONTROL PROSES
DENGAN IC PROSESOR,
SELESAI PROSES
STERILISASI UNIT AKAN
Data Footnote AUTO SHUT DOWN
Other Information SANGAT COCOK UNTUK
PEMAKAIAN DI
MASING2 UNIT
PELAYANAN ATAU
SETIAP RUANGAN
KLINIK MEDI
12 Poltekkes D-III 20-Jan-17 e-Katalog 5 UNIT PT. SERENITY
Palembang Kep.LLG Cervical Collar SR-N1 INDONESIA
Manufaktur SERENITY
No Produk
42171607-AKS-
000044964
Nama Produk Cervical Collar SR-N1
PT. SERENITY
Serenity / SR-N1
IDR 114,000.00 (06
Harga Agustus 2015)
Model/Type SR-N1
ZHANGJIAGANG NEW
FELLOW MED CO., LTD.,
OEM SERENITY
ISO 13485 , ISO 9001
Product Certification dan KEMKES RI
FDA Clearance -
CE Mark -
IEC Compliance -
Locally Content -
Green Features -
UMDNS Code(s) -
Function Cervical Collar SR-N1
Supplier Footnote -
Model Footnote -
Data Footnote -
biaya ongkos kirim,
minimal pembelian 1
unit.
13 Poltekkes D-III 20-Jan-17 e-Katalog TIMBANGAN BADAN 5 Unit PT. SINKO

Palembang Kep.LLG DIGITAL DIGIT-PRO PRIMA ALLOY

42182805-AKS-
No Produk 000410326
Nama Produk
ELITECH PATIENT SCALE

/ TIMBANGAN BADAN
DIGITAL DIGIT-PRO
PT. SINKO PRIMA
Nama Penyedia ALLOY
No Produk (Penyedia) Elitech009
Harga IDR 603,900.00 (26

Oktober 2016)
Model/Type DIGIT-PRO

; SURABAYA -
OEM -
ISO13485:2003;
ISO9001:2008; CPAKB
(CARA PRODUKSI ALAT
KESEHATAN yang
Product Certification BENAR)
KEMENKES RI AKD
FDA Clearance -
CE Mark -
IYA. PRODUKSI DALAM
Locally Content NEGERI
LAYAR LCD BESAR

UKURAN 76 X 40 MM,
CHASING BAWAH FULL
Green Features PLASTIK
LATAR BELAKANG BIRU

DAN ANGKA WARNA
PUTIH, MUDAH UNTUK
Other Specification PEMBACAAN HASIL
UMDNS Code(s) 13461
MENIMBANG BERAT
DIDESAIN KHUSUS
BADAN SECARA
UNTUK PEMAKAIANCEPAT,
Function AKURAT DAN PRESISI
PADA FASILITAS
Supplier Footnote KESEHATAN
DESAIN MOTIF BATIK

KEBANGGAN
INDONESIA,
MENGGUNAKAN 2 BIJI
Model Footnote BATERAI AAA
RESOLUSI PEMBACAAN
0.1KG, AKURASI 0.5KG,
KEMAMPUAN
Data Footnote TIMBANG S/D 150KG
PAKING DENGAN
KARTON TEBAL, RAPAT
DAN BERLAPIS UNTUK
KEAMANAN
Other Information PENGIRIMAN
14 Poltekkes D-III 20-Jan-17 e-Katalog 10 SET PT. SUMBER

Palembang Kep.LLG Silicone Adult Resuscisator MANDIRI
Komoditas Alat Kesehatan ALKESTRON
Manufaktur MORTON
42000000-AKS-
No Produk 000054460
Nama Produk
Silicone Adult
Resuscisator
Unit Pengukuran ea (Each)
PT. SUMBER MANDIRI

Nama Penyedia ALKESTRON
No Produk (Penyedia) n/a

IDR 720,000.00 (17
Harga November 2015)
MORTON / Silicone
Model/Type Resuscitator Set ADULT
Country of Origin TURKEY
Factory of Origin TURKEY
OEM No
Product Certification ISO 13485/ISO 9001
FDA Clearance N/A
CE Mark Yes
IEC Compliance n/a
Locally Content N/A
Where Marketed World
Green Features N/A
Other Specification N/A
UMDNS Code(s) N/A
Function N/A
Supplier Footnote N/A
Model Footnote N/A
Data Footnote N/A
biaya ongkos kirim,
minimal pembelian 1
unit.

15 Poltekkes D-III 20-Jan-17 e-Katalog MEDICAL Infant Warmer 1 UNIT PT Dharma
CBW 1100 Manufaktur JW Medical
Palembang Kep.LLG Bhakti Medika
42143707-AKS- Sejati
No Produk 000057372
Nama Produk
Infant Warmer CBW
1100
PT Dharma Bhakti
Nama Penyedia Medika Sejati
No Produk (Penyedia) n/a

Jenis Produk n/a
IDR 89,000,000.00 (28
Model/Type n/a
Country of Origin n/a
Factory of Origin n/a
OEM n/a
FDA Clearance n/a
CE Mark n/a
IEC Compliance n/a
Locally Content n/a
Where Marketed n/a
Green Features n/a
UMDNS Code(s) n/a
Function n/a
Model Footnote n/a
Data Footnote n/a
16 Poltekkes D-III 20-Jan-17 e-Katalog 4 UNIT BARTEC

Palembang Kep.LLG Waiting Chair 3 Seat AP UTAMA
MANDIRI
Manufaktur Bartec Utama Mandiri

No Produk
42000000-AKS-
000036614
Nama Produk Waiting Chair 3 Seat AP

BARTEC UTAMA
Nama Penyedia MANDIRI
BUMA 23051
IDR 4,144,000.00 (08
Harga Juli 2015)
Model/Type BUMA 23051
Factory of Origin Indonesia
OEM n/a
ISO 13485 : 2003 , ISO

14001 : 2004 , ISO
9001 : 2008 , OHSAS
Product Certification 18001 : 2007
Product Registration Non Register
FDA Clearance n/a
CE Mark n/a
IEC Compliance n/a
Locally Content n/a
Where Marketed n/a
Green Features n/a
UMDNS Code(s) n/a
Function n/a
Model Footnote n/a
Data Footnote n/a
17 Poltekkes D-III 20-Jan-17 e-Katalog 2 UNIT BARTEC

Palembang Kep.LLG Bedside Cabinet Top Table UTAMA
ABS MANDIRI
Manufaktur Bartec Utama Mandiri

MANDIRI
No Produk
42000000-AKS-
000038024
Bedside Cabinet Top
Nama Produk Table ABS
BARTEC UTAMA
Nama Penyedia MANDIRI
BUMA 22013
DR 4,240,000.00 (08
Harga Juli 2015)
Model/Type BUMA 22013
OEM n/a
ISO 13485 : 2003 , ISO

14001 : 2004 , ISO
9001 : 2008 , OHSAS
Product Certification 18001 : 2007
Product Registration Non Register
FDA Clearance n/a
CE Mark n/a
IEC Compliance n/a
Locally Content n/a
Where Marketed n/a
Green Features n/a
UMDNS Code(s) n/a
Function n/a
Model Footnote n/a
Data Footnote n/a
18 Poltekkes D-III 20-Jan-17 e-Katalog Spine Board SR-S1 Komoditas Alat Kesehatan 3 UNIT PT. SERENITY
Palembang Kep.LLG INDONESIA
Manufaktur SERENITY
No Produk
42171613-AKS-
000044967
Nama Produk Spine Board SR-S1
PT. SERENITY
Serenity / SR-S1
IDR 1,132,000.00 (06
Harga Agustus 2015)
Model/Type SR-S1
ZHANGJIAGANG NEW
FELLOW MED CO .,
Factory of Origin LTD., CHINA
OEM SERENITY
ISO 13485 , ISO 9001,
Product Certification KEMKES RI
FDA Clearance -
CE Mark -
IEC Compliance -
Locally Content -
Green Features -
UMDNS Code(s) -
Function Spine Board SR-S1
Supplier Footnote -
Model Footnote -
Data Footnote -
biaya ongkos kirim,
minimal pembelian 1
unit.
19 Poltekkes D-III 20-Jan-17 e-Katalog 2 UNIT PT. SERENITY
Palembang Kep.LLG Body Fat / Hydration INDONESIA
Monitor Scale
Manufaktur SERENITY
No Produk
42000000-AKS-
000073496
Serenity Body Fat /

Hydration Monitor
Nama Produk Scale
PT. SERENITY
SRF 934
Harga IDR1,128,428.00
Model/Type SRF 934
ZHONGSHAN CAMRY
ELECTRONIC.,LTD.,
OEM SERENITY
Product Certification ISO 9001 ; ISO 13485
KEMENKES RI AKL
FDA Clearance n/a
CE Mark Ada
IEC Compliance Ada
Locally Content n/a
Green Features n/a
UMDNS Code(s) n/a
Timbangan digital
untuk mengukur lemak
Function tubuh dan hidrasi
Model Footnote n/a
Data Footnote n/a
Other Information Garansi 2 tahun
( syarat dan ketentuan
berlaku ) , konfirmasi
stok ke penyedia
sebelum pesan barang,
apabila barang sedang
kosong , masa tunggu
selama 3 bulan.
20 Poltekkes D-III 20-Jan-17 e-Katalog Rining Hospital Bed Electric 2 UNIT PT. Graha
Palembang Kep.LLG 3 Axis Ismaya
Manufaktur Graha Tekno Medika
No Produk
42000000-AKS-
000074115
Rining Hospital Bed
Nama Produk Electric 3 Axis
Nama Penyedia PT. Graha Ismaya
GTM58
IDR34,003,125.00(18
Harga Februari2016)
Model/Type RB 0113
OEM n/a
Product Certification ISO 13485
Kemkes RI
Product Registration AKD20902510267
FDA Clearance n/a
CE Mark n/a
IEC Compliance n/a
Locally Content n/a
Where Marketed Globally/Worldwide
Green Features n/a
UMDNS Code(s) n/a
Function n/a
Model Footnote n/a
Data Footnote n/a
USULAN PRODI KEPERAWATAN LUBUKLINGGAU 2017
No Jurusan Nama Barang diminta Merk Type Negara JLH
1 JUR.KEP. GIGI SyringesFotAnasthesia-StainlessSteelSyringe DerbyDental DG005R, DG107R, DG117R, DG118R,

DD473-7 Italy 2
DG250R, DG320R, DG413R, DG522R,
2 JUR.KEP. GIGI Aesculap Extraction, Tooth Forceps For Adults Aesculap DG659R, DG733R,DK011R,
DK001R, DK021R, JF149R, DK052R, Jerman 1
3 JUR.KEP. GIGI Aesculap Extraction, Tooth Forceps For Children Aesculap DK071R, DK060R,
DL032R, JF149R,
DL033R, DL034R, DL238R, Jerman 1
4 JUR.KEP. GIGI Aesculap Extraction, Tooth Elevators Aesculap DL239R, DL211R, DL212R, JF149R, Jerman 1
5 JUR.KEP. GIGI Gum Scissors Tc - Iris Tc 11 cm - Straight Derby Dental DD405-1TC Italy 2
6 JUR.KEP. GIGI Needle Holders mathieu TC 17cm Derby Dental DD535-17TC Italy 1
7 JUR.KEP. GIGI Needle Holders - Mayo Hegar TC 16 cm Derby Dental DD525-16TC Italy 1
8 JUR.KEP. GIGI LipRetractors-Columbia14cm Derby Dental DD361 Italy 1
9 JUR.KEP. GIGI Root Elevators W. Winter Derby Dental DD324-11L Italy 2
10 JUR.KEP. GIGI Root Elevators W. Winter Derby Dental DD324-11R Italy 2
11 JUR.KEP. GIGI Sterilisator Kering ELITECH GET 338 UO Indonesia 1
12 JUR.KEP. GIGI Dressing Forceps - Gross Maier - 20cm Derby Dental DD355-1 Italy 2
13 JUR.KEP. GIGI Scalpel Handles and Scalpel Blades - Micro-Blades Holder Derby Dental DD395-1 Italy 1
14 JUR.KEP. GIGI Haemostatic Forceps - Pean 14cm - Straight Derby Dental DD353-1 Italy 1
15 JUR.KEP. GIGI Haemostatic Forceps - Kelly 14cm - Curved Derby Dental D352-2 Italy 1
16 JUR.KEP. GIGI Scalpel Handles Derby Dental DD390-3 Italy 1
17 JUR.KEP. GIGI Scaple Blades (box 100pcs) Derby Dental DD391-10 Italy 1
18 JUR.KEP. GIGI Tissue Pliers - Suture Pliers 15 cm Derby Dental DD370-1 Italy 1
19 JUR.KEP. GIGI PinsetAnatomo Otto-Leibinger OTTO-182/13 German 1
20 JUR.KEP. GIGI PinsetChirurgis Otto-Leibinger OTTO-183/13 German 1
21 JUR.KEP. GIGI ExtractingForcepsForChildrenUpperPremolars Derby Dental DD312-2 Italy 2
Harga (Rp) Jumlah Harga (Rp)
3,307,556 Rp 6,615,112
Rp 11,696,000.00 Rp 11,696,000
Rp 8,487,000.000 Rp 8,487,000
Rp 6,137,000.00 Rp 6,137,000
Rp 1,992,441.00 Rp 3,984,882
Rp 1,810,216.00 Rp 1,810,216
Rp 1,366,687.00 Rp 1,366,687
Rp 221,764.00 Rp 221,764
Rp 471,034.00 Rp 942,068
Rp 471,034.00 Rp 942,068
Rp 3,410,000.00 Rp 3,410,000
Rp 630,911.00 Rp 1,261,822
Rp 691,080.00 Rp 691,080
Rp 336,944.00 Rp 336,944
Rp 336,944.00 Rp 336,944
Rp 110,023.00 Rp 110,023
Rp 405,708.00 Rp 405,708
Rp 264,742.00 Rp 264,742
Rp 120,562.00 Rp 120,562
Rp 120,562.00 Rp 120,562
Rp -
DATA DUKUNG USULAN ALAT LABORATORIUM JURUSAN KEPERAWATAN GIGI TAHUN 201
E-KATALOG DAN NON-EKATALOG
TANGGAL E-
JURUSAN/ NAMA
NO UNIT KERJA PENCARIAN Catalogue/ NAAMA BARANG VOL SAT
PRODI PENYEDIA
ITEM Non
1 Poltekkes D-III 1-Mar-17 e-Katalog Komoditas Alat Kesehatan 6 Unit PT. Kirana
Palembang Kep.GIGI DD473-7 Syringes Fot Anasthesia Jaya Lestari
Manufaktur Derby Dental

No Produk 42000000-AKS-
000108663
Nama Produk DD473-7 Syringes Fot
Anasthesia - Stainless
Steel Syringe
Unit Pengukuran piece
Nama Penyedia PT. Kirana Jaya Lestari
No Produk (Penyedia) DD473-7

Harga
Model/Type DERBY DENTAL
DD473-7 Syringes Fot
Anasthesia - Stainless
Steel Syringe
Country of Origin Italy
Factory of Origin Italy
OEM n/a
FDA Clearance n/a
CE Mark n/a
IEC Compliance n/a
Locally Content n/a
Where Marketed n/a
Green Features n/a
UMDNS Code(s) n/a
Function n/a
Model Footnote n/a
Data Footnote n/a
Harga belum termasuk

biaya ongkos kirim,
minimal pembelian 1
Other Information unit.
2 Poltekkes D-III Kep. 1-Mar-17 e-Katalog 6 SET PT. B Braun

Palembang GIGI Aesculap Extraction, Tooth Medical
Forceps For Adults Komoditas Alat Kesehatan Indonesia
Manufaktur BBraun
42000000-AKS-
No Produk 000064835
Aesculap Extraction,
Tooth Forceps For
Nama Produk Adults
Unit Pengukuran set
Nama Penyedia PT. B Braun Medical Indonesia
DG005R, DG107R,
DG117R, DG118R,
DG250R, DG320R,
DG413R, DG522R,
DG659R, DG733R,
No Produk (Penyedia) JF149R,
Jenis Produk Impor
Harga IDR 11,696,000
Model/Type Aesculap
Country of Origin Jerman
Factory of Origin Jerman
OEM n/a
KEMENKES RI AKL
10603807039,
KEMENKES RI AKL
10603807039,
KEMENKES RI AKL
10603807039,
KEMENKES RI AKL
10603807039,
KEMENKES RI AKL
10603807039,
KEMENKES RI AKL
10603807039,
KEMENKES RI AKL
10603807039,
KEMENKES RI AKL
10603807039,
KEMENKES RI AKL
10603807039,
KEMENKES RI AKL
10603807039,
KEMENKES RI AKL
Product Registration 10903704516,
FDA Clearance n/a
CE Mark n/a
IEC Compliance n/a
Locally Content n/a
Where Marketed n/a
Green Features n/a
UMDNS Code(s) n/a
Function n/a
Model Footnote n/a
Data Footnote n/a
3 Poltekkes D-III 1-Mar-17 e-Katalog Aesculap Extraction, Tooth 6 SET PT. B Braun
Palembang Kep.GIGI Forceps For Children Komoditas Alat Kesehatan Medical
Indonesia
Manufaktur BBraun
42000000-AKS-
No Produk 000064836
Tooth Forceps For
Nama Produk Children
Unit Pengukuran set
Nama Penyedia PT. B Braun Medical Indonesia
DK001R, DK021R,
DK011R, DK052R,
DK071R, DK060R,
No Produk (Penyedia) JF149R,
Jenis Produk Impor
IDR 8,487,000.00 (03
Harga Februari 2016)
Model/Type Aesculap
OEM n/a
KEMENKES RI AKL
10603807039,
KEMENKES RI AKL
10603807039,
KEMENKES RI AKL
10603807039,
KEMENKES RI AKL
10603807039,
KEMENKES RI AKL
10603807039,
KEMENKES RI AKL
10603807039,
KEMENKES RI AKL
FDA Clearance n/a
CE Mark n/a
IEC Compliance n/a
Locally Content n/a
Where Marketed n/a
Green Features n/a
UMDNS Code(s) n/a
Function n/a
Model Footnote n/a
Data Footnote n/a
4 Poltekkes D-III 1-Mar-17 e-Katalog 6 SET PT. B Braun
Palembang Kep.GIGI Aesculap Extraction, Tooth Medical
Elevators Komoditas Alat Kesehatan Indonesia
Manufaktur BBraun
42000000-AKS-
No Produk 000064833
Nama Produk Tooth Elevators
Unit Pengukuran set
Nama Penyedia DL032R, DL033R,
PT. B Braun Medical Indonesia
DL034R, DL238R,
DL239R, DL211R,
No Produk (Penyedia) DL212R, JF149R,
Jenis Produk Impor
Harga IDR 6,137,000.
Model/Type Aesculap
OEM n/a
KEMENKES RI AKL
10603807039,
KEMENKES RI AKL
10603807039,
KEMENKES RI AKL
10603807039,
KEMENKES RI AKL
10603807039,
KEMENKES RI AKL
10603807039,
KEMENKES RI AKL
10603807039,
KEMENKES RI AKL
10603807039,
KEMENKES RI AKL
FDA Clearance n/a
CE Mark n/a
IEC Compliance n/a
Locally Content n/a
Where Marketed n/a
Green Features n/a
UMDNS Code(s) n/a
Function n/a
Model Footnote n/a
Data Footnote n/a
5 Poltekkes D-III 1-Mar-17 e-Katalog 6 SET PT. Kirana Jaya

Palembang Kep.GIGI Lestari
DD405-1TC Gum Scissors Tc -
Iris Tc 11 cm - Straight Komoditas Alat Kesehatan
42000000-AKS-
No Produk 000108231
DD405-1TC Gum
Scissors Tc - Iris Tc 11
Nama Produk cm - Straight
No Produk (Penyedia) DD405-1TC
Jenis Produk n/a
IDR 1,992,441.00 (20
Harga Mei 2016)
DERBY DENTAL
DD405-1TC Gum
Scissors Tc - Iris Tc 11
Model/Type cm - Straight
OEM n/a
FDA Clearance n/a
CE Mark n/a
IEC Compliance n/a
Locally Content n/a
Where Marketed n/a
Green Features n/a
UMDNS Code(s) n/a
Function n/a
Model Footnote n/a
Data Footnote n/a
6 Poltekkes D-III 1-Mar-17 e-Katalog 6 buah PT. Kirana Jaya
DD535-17TC Needle Holders
mathieu TC 17cm Komoditas Alat Kesehatan
42000000-AKS-
No Produk 000108245
DD535-17TC Needle
Holders mathieu TC
Nama Produk 17cm
Jenis Produk n/a
IDR 1,810,216.00 (20
Harga Mei 2016)
DERBY DENTAL
DD535-17TC Needle
Holders mathieu TC
Model/Type 17cm
OEM n/a
FDA Clearance n/a
CE Mark n/a
IEC Compliance n/a
Locally Content n/a
Where Marketed n/a
Green Features n/a
UMDNS Code(s) n/a
Function n/a
Model Footnote n/a
Data Footnote n/a
7 Poltekkes D-III 1-Mar-17 e-Katalog 6 buah PT. Kirana

Palembang Kep.GIGI Jaya Lestari
DD525-16TC Needle Holders -
Mayo Hegar TC 16 cm Komoditas Alat Kesehatan
42000000-AKS-
No Produk 000108243
DD525-16TC Needle
Holders - Mayo Hegar
Nama Produk TC 16 cm
Jenis Produk n/a
Harga IDR 1,366,687.
DERBY DENTAL
DD525-16TC Needle
Holders - Mayo Hegar
Model/Type TC 16 cm
OEM n/a
FDA Clearance n/a
CE Mark n/a
IEC Compliance n/a
Locally Content n/a
Where Marketed n/a
Green Features n/a
UMDNS Code(s) n/a
Function n/a
Model Footnote n/a
Data Footnote n/a
8 Poltekkes D-III 1-Mar-17 e-Katalog 6 UNIT PT. Kirana Jaya

Palembang Kep.GIGI DD368-1 Lip Retractors - Lestari
Middledorpf 21.5 cm (14x17
mm) Komoditas Alat Kesehatan
8 Poltekkes D-III 1-Mar-17 e-Katalog 6 UNIT PT. Kirana Jaya

42000000-AKS-
No Produk 000108202
DD368-1 Lip
Retractors -
Middledorpf 21.5 cm
Nama Produk (14x17 mm)
Jenis Produk n/a
Harga IDR 888,777.
DERBY DENTAL
DD368-1 Lip
Retractors -
Middledorpf 21.5 cm
Model/Type (14x17 mm)
OEM n/a
FDA Clearance n/a
CE Mark n/a
IEC Compliance n/a
Locally Content n/a
Where Marketed n/a
Green Features n/a
UMDNS Code(s) n/a
Function n/a
Model Footnote n/a
Data Footnote n/a
9 Poltekkes D-III 1-Mar-17 e-Katalog 6 SET PT. Kirana Jaya

Palembang Kep.GIGI DD324-11L Root Elevators W. Lestari
Winter Komoditas Alat Kesehatan
42000000-AKS-
No Produk 000108210
DD324-11L Root
Nama Produk Elevators W. Winter
No Produk (Penyedia) DD324-11L
Jenis Produk n/a
IDR 471,034.00 (20
Harga Mei 2016)
DERBY DENTAL
DD324-11L Root
Model/Type Elevators W. Winter
OEM n/a
FDA Clearance n/a
CE Mark n/a
IEC Compliance n/a
Locally Content n/a
Where Marketed n/a
Green Features n/a
UMDNS Code(s) n/a
Function n/a
Model Footnote n/a
Data Footnote n/a
10 Poltekkes D-III 1-Mar-17 e-Katalog 6 set PT. Kirana Jaya

Palembang Kep.GIGI DD324-11R Root Elevators W. Lestari
Winter Komoditas Alat Kesehatan
42000000-AKS-
No Produk 000108211
DD324-11R Root
Nama Produk Elevators W. Winter
No Produk (Penyedia) DD324-11R
Jenis Produk n/a
IDR 471,034.00 (20
Harga Mei 2016)
DERBY DENTAL
DD324-11R Root
Model/Type Elevators W. Winter
OEM n/a
FDA Clearance n/a
CE Mark n/a
IEC Compliance n/a
Locally Content n/a
Where Marketed n/a
Green Features n/a
UMDNS Code(s) n/a
Function n/a
Model Footnote n/a
Data Footnote n/a
11 Poltekkes D-III 1-Mar-17 e-Katalog 3 UNIT PT. SINKO
Palembang Kep.GIGI PRIMA ALLOY
Sterilisator Kering

ELITECH -
Manufaktur INDONESIA
000076993
ELITECH Sterilisator
Nama Produk Kering/GET 338 UO
PT. SINKO PRIMA
Nama Penyedia ALLOY
No Produk (Penyedia) Elitech003
IDR 3,410,000.00 (10
Harga Maret 2016)
Model/Type GET 338 UO
PT. SINKO PRIMA

ALLOY ; SURABAYA
Factory of Origin - INDONESIA
OEM -
ISO13485:2003 ;
Product Certification ISO9001:2008
KEMENKES RI AKD
FDA Clearance -
CE Mark -
IYA. PRODUKSI
DALAM NEGERI
DAN PATENT
TEKNOLOGI UNTUK
PRODUK
STERILISATOR
Locally Content KERING
SELURUH
STERILISASI HANYA
DENGAN DAYA
Green Features LISTRIK 15WATT,
STERILISASI
DENGAN OZONE
KONSENTRASI
Other Specification SANGAT TINGGI
UMDNS Code(s) 13745
STERILISASI ALAT
MEDIS, DENTIST,
LAB, PERALATAN
OPERASI DAN
Function SEBAGAINYA
KAMI SEBAGAI
PORTABEL; SANGAT
PEMEGANG
MUDAH DALAMPATEN
TEKNOLOGI
PENGOPERASIAN
STERILISATOR
DAN PEMANTAUAN
Supplier Footnote KERING
PROSES
Model Footnote STERILISASI
KONTROL PROSES
DENGAN IC
PROSESOR, SELESAI
PROSES
STERILISASI UNIT
AKAN AUTO SHUT
Data Footnote DOWN
Other Information SANGAT COCOK
UNTUK PEMAKAIAN
DI MASING2 UNIT
PELAYANAN ATAU
SETIAP RUANGAN
KLINIK MEDI
12 Poltekkes D-III 1-Mar-17 e-Katalog 6 unit PT. Kirana Jaya

DD355-1 Dressing Forceps -
Gross Maier - 20cm Komoditas Alat Kesehatan
42000000-AKS-
No Produk 000108169
DD355-1 Dressing
Forceps - Gross Maier -
Nama Produk 20cm
Jenis Produk n/a
IDR 630,911.00 (20
Harga Mei 2016)
DERBY DENTAL
DD355-1 Dressing
Forceps - Gross Maier -
Model/Type 20cm
OEM n/a
FDA Clearance n/a
CE Mark n/a
IEC Compliance n/a
Locally Content n/a
Where Marketed n/a
Green Features n/a
UMDNS Code(s) n/a
Function n/a
Model Footnote n/a
Data Footnote n/a
13 Poltekkes D-III 1-Mar-17 e-Katalog 6 buah PT. Kirana
Palembang Kep.GIGI Jaya Lestari
DD395-1 Scalpel Handles and
Scalpel Blades - Micro-Blades
Holder Komoditas Alat Kesehatan
42000000-AKS-
No Produk 000108226
DD395-1 Scalpel
Handles and Scalpel
Blades - Micro-Blades
Nama Produk Holder
Jenis Produk n/a
IDR 691,080.00 (20
Harga Mei 2016)
DERBY DENTAL
DD395-1 Scalpel
Handles and Scalpel
Blades - Micro-Blades
Model/Type Holder
OEM n/a
FDA Clearance n/a
CE Mark n/a
IEC Compliance n/a
Locally Content n/a
Where Marketed n/a
Green Features n/a
UMDNS Code(s) n/a
Function n/a
Model Footnote n/a
Data Footnote n/a

DD353-1 Haemostatic Forceps
- Pean 14cm - Straight Komoditas Alat Kesehatan
42000000-AKS-
No Produk 000108166
DD353-1 Haemostatic
Forceps - Pean 14cm -
Nama Produk Straight
Jenis Produk n/a
IDR 336,944.00 (20
Harga Mei 2016)
DERBY DENTAL
DD353-1 Haemostatic
Forceps - Pean 14cm -
Model/Type Straight
OEM n/a
FDA Clearance n/a
CE Mark n/a
IEC Compliance n/a
Locally Content n/a
Where Marketed n/a
Green Features n/a
UMDNS Code(s) n/a
Function n/a
Model Footnote n/a
Data Footnote n/a
Palembang Kep.GIGI Haemostatic Forceps - Kelly Lestari
14cm - Curved Komoditas Alat Kesehatan
42000000-AKS-
No Produk 000108161
DD352-2 Haemostatic
Forceps - Kelly 14cm -
Nama Produk Curved
Jenis Produk n/a
IDR 336,944.00 (20
Harga Mei 2016)
DERBY DENTAL
DD352-2 Haemostatic
Forceps - Kelly 14cm -
Model/Type Curved
OEM n/a
FDA Clearance n/a
CE Mark n/a
IEC Compliance n/a
Locally Content n/a
Where Marketed n/a
Green Features n/a
UMDNS Code(s) n/a
Function n/a
Model Footnote n/a
Data Footnote n/a

Palembang Kep.GIGI Komoditas Alat Kesehatan Lestari
DD390-3 Scalpel Handles
42000000-AKS-
No Produk 000108217
DD390-3 Scalpel
Nama Produk Handles
Jenis Produk n/a
IDR 110,023.00 (20
Harga Mei 2016)
DERBY DENTAL
DD390-3 Scalpel
Model/Type Handles
OEM n/a
FDA Clearance n/a
CE Mark n/a
IEC Compliance n/a
Locally Content n/a
Where Marketed n/a
Green Features n/a
UMDNS Code(s) n/a
Function n/a
Model Footnote n/a
Data Footnote n/a

DD391-10 Scaple Blades (box
100pcs) Komoditas Alat Kesehatan
42000000-AKS-
No Produk 000108760
DD391-10 Scaple
Nama Produk Blades (box 100pcs)
Unit Pengukuran box
Jenis Produk n/a
IDR 405,708.00 (20
Harga Mei 2016)
Model/Type DD391-10
OEM n/a
FDA Clearance n/a
CE Mark n/a
IEC Compliance n/a
Locally Content n/a
Where Marketed n/a
Green Features n/a
UMDNS Code(s) n/a
Function n/a
Model Footnote n/a
Data Footnote n/a
18 Poltekkes D-III 1-Mar-17 e-Katalog Komoditas Alat Kesehatan 6 unit PT. Kirana Jaya
DD370-1 Tissue Pliers - Suture
Pliers 15 cm Manufaktur Derby Dental
42000000-AKS-
No Produk 000108182
DD370-1 Tissue Pliers

Nama Produk - Suture Pliers 15 cm
Jenis Produk n/a
Harga IDR 264,742.00
DERBY DENTAL
DD370-1 Tissue Pliers
Model/Type - Suture Pliers 15 cm
OEM n/a
FDA Clearance n/a
CE Mark n/a
IEC Compliance n/a
Locally Content n/a
Where Marketed n/a
Green Features n/a
UMDNS Code(s) n/a
Function n/a

Model Footnote n/a
Data Footnote n/a

19 Poltekkes D-III 1-Mar-17 e-Katalog Pinset Anatomo Komoditas Alat Kesehatan 6 unit PT. ANDINI
Palembang Kep.GIGI SARANA
Manufaktur Otto-Leibinger
000064971
Nama Produk Other Instruments - Pinset
Anatomo
Nama Penyedia PT. ANDINI SARANA
No Produk (Penyedia) P81LPSTAM

Jenis Produk Impor
Harga IDR 120,562.00 (17
November 2015)
Model/Type Pinset Anatomi
Factory of Origin OTTO LEIBINGER
GmbH. Germany
OEM n/a
Product Certification EN ISO 13485 : 2012 +
AC 2012 - ISO 13485 :
2003 + Cor 1 : 2009
Product Registration KEMENKES RI AKL
10603110710
FDA Clearance n/a
CE Mark EC : 93/42/EEC
IEC Compliance n/a
Locally Content 0%
Where Marketed Di Seluruh Dunia
Green Features n/a
Other Specification Stainless Steel; panjang
UMDNS Code(s) 14,5
n/a cm
Function Alat untuk memegang /
menjepit jaringan
Model Footnote OTTO - 182/13
Data Footnote n/a
Other Information Berdiri sejak 1978.
www.otto-leibinger.de
20 Poltekkes D-III 1-Mar-17 e-Katalog Other Instruments - Pinset Komoditas Alat Kesehatan 6 unit PT. ANDINI
Palembang Kep.GIGI Chirurgis SARANA
000064973
Nama Produk Other Instruments - Pinset
Chirurgis
No Produk (Penyedia) P81LPSCRG

Jenis Produk Impor
Harga IDR 120,562.00 (17

November 2015)
Model/Type Pinset Chirurgis
GmbH. Germany
OEM n/a
AC 2012 - ISO 13485 :
2003 + Cor 1 : 2009
10603110710
FDA Clearance n/a
IEC Compliance n/a
Locally Content 0%
Green Features n/a
Other Specification Stainless Steel; panjang
UMDNS Code(s) +14,5
n/a cm
Function Alat untuk memegang /
menjepit jaringan
Data Footnote n/a
21 Poltekkes D-III 1-Mar-17 e-Katalog DD312-2 Extracting Forceps ForKomoditas Alat Kesehatan 6 buah PT. Kirana Jaya
Palembang Kep.GIGI Manufaktur Derby Dental Lestari
000108084
Nama Produk DD312-2 Extracting
Forceps For Children
Upper Premolars

Harga
DD312-2 Extracting
Forceps For Children
Upper Premolars
OEM n/a
FDA Clearance n/a
CE Mark n/a
IEC Compliance n/a
Locally Content n/a
Where Marketed n/a
Green Features n/a
UMDNS Code(s) n/a
Function n/a
Model Footnote n/a
Data Footnote n/a
22 Poltekkes D-III 1-Mar-17 e-Katalog Komoditas Alat Kesehatan 6 set PT. Kirana Jaya
Palembang Kep.GIGI DD361 Lip Retractors - Manufaktur Derby Dental Lestari
Columbia 14cm
000108192
Nama Produk DD361 Lip Retractors -
Columbia 14cm
No Produk (Penyedia) DD361

Jenis Produk n/a
Harga IDR 221,764.00 (20 Mei
2016)
DD361 Lip Retractors -
Columbia 14cm
OEM n/a
FDA Clearance n/a
CE Mark n/a
IEC Compliance n/a
Locally Content n/a
Where Marketed n/a
Green Features n/a
UMDNS Code(s) n/a
Function n/a
Model Footnote n/a
Data Footnote n/a
DD188-1 Plastic Filling 42000000-AKS-
Instruments No Produk 000108033
DD188-1 Plastic
Nama Produk Filling Instruments
Jenis Produk n/a
IDR 139,247.00 (20
Harga Mei 2016)
DD188-1 Plastic
Model/Type Filling Instruments
OEM n/a
FDA Clearance n/a
CE Mark n/a
IEC Compliance n/a
Locally Content n/a
Where Marketed n/a
Green Features n/a
UMDNS Code(s) n/a
Function n/a
Model Footnote n/a
Data Footnote n/a
DD186-3 Double Ended Filling 42000000-AKS-
Instruments No Produk 000108055
DD186-3 Double
Ended Filling
Nama Produk Instruments
Jenis Produk n/a
IDR 134,090.00 (20
Harga Mei 2016)
DD186-3 Double
Ended Filling
Model/Type Instruments
OEM n/a
FDA Clearance n/a
CE Mark n/a
IEC Compliance n/a
Locally Content n/a
Where Marketed n/a
Green Features n/a
UMDNS Code(s) n/a
Function n/a
Model Footnote n/a
Data Footnote n/a
42000000-AKS-
Matrix Retainers - IVORY 8N No Produk 000108135
Matrix Retainers -
Nama Produk IVORY 8N
Jenis Produk n/a
IDR 281,933.00 (20
Harga Mei 2016)
DD271 Matrix
Model/Type Retainers - IVORY 8N
OEM n/a
FDA Clearance n/a
CE Mark n/a
IEC Compliance n/a
Locally Content n/a
Where Marketed n/a
Green Features n/a
UMDNS Code(s) n/a
Function n/a
Model Footnote n/a
Data Footnote n/a
DD170-3 Cement Spatulas Manufaktur Derby Dental
42000000-AKS-
No Produk 000108047
DD170-3 Cement
Nama Produk Spatulas
Jenis Produk n/a
IDR 147,843.00 (20
Harga Mei 2016)
DD170-3 Cement
Model/Type Spatulas
OEM n/a
FDA Clearance n/a
CE Mark n/a
IEC Compliance n/a
Locally Content n/a
Where Marketed n/a
Green Features n/a
UMDNS Code(s) n/a
Function n/a
Model Footnote n/a
Data Footnote n/a
DD199-1 Amalgam Carrier -
Straight Manufaktur Derby Dental
42000000-AKS-
No Produk 000108063
DD199-1 Amalgam
Nama Produk Carrier - Straight
Jenis Produk n/a
IDR 402,270.00 (20
Harga Mei 2016)
DD199-1 Amalgam
Model/Type Carrier - Straight
OEM n/a
FDA Clearance n/a
CE Mark n/a
IEC Compliance n/a
Locally Content n/a
Where Marketed n/a
Green Features n/a
UMDNS Code(s) n/a
Function n/a
Model Footnote n/a
Data Footnote n/a
28 Poltekkes D-III 1-Mar-17 e-Katalog Komoditas Alat Kesehatan 6 unit PT. ANDINI
Conservation Set - Semen
Stoper Kecil Manufaktur Otto-Leibinger
42000000-AKS-
No Produk 000064923
Conservation Set -
Nama Produk Semen Stoper Kecil
No Produk (Penyedia) P81LSNSKL
Jenis Produk Impor
IDR 116,012.00 (17
Model/Type Semen Stopper Kecil
OTTO LEIBINGER
Factory of Origin GmbH. Germany
OEM n/a
EN ISO 13485 : 2012 +

AC 2012 - ISO 13485 :
Product Certification 2003 + Cor 1 : 2009
KEMENKES RI AKL
FDA Clearance n/a
IEC Compliance n/a
Locally Content 0%
Green Features n/a
Stainless Steel; DE
Other Specification 1,2-1,6mm
UMDNS Code(s) n/a
Alat untuk menekan
bahan tumpatan pada
Function kavitas
Data Footnote n/a
Berdiri sejak 1978.
Other Information www.otto-leibin
29 Poltekkes D-III 1-Mar-17 e-Katalog Komoditas Alat Kesehatan 6 set PT. ANDINI
Conservation Set - Semen
Stoper Besar Manufaktur Otto-Leibinger
42000000-AKS-
No Produk 000064921
Conservation Set -
Nama Produk Semen Stoper Besar
No Produk (Penyedia) P81LSNSBR
Jenis Produk Impor
IDR 116,012.00 (11
Model/Type Semen Stopper Besar
OTTO LEIBINGER
OEM n/a
EN ISO 13485 : 2012 +

AC 2012 - ISO 13485 :
KEMENKES RI AKL
FDA Clearance n/a
IEC Compliance n/a
Locally Content 0%
Green Features n/a
Stainless Steel; DE
Other Specification 2,0-2,5mm
UMDNS Code(s) n/a
Alat untuk menekan
bahan tumpatan pada
Function kavitas
Data Footnote n/a
Berdiri sejak 1978.
Other Information www.otto-leibinger.
30 Poltekkes D-III 1-Mar-17 e-Katalog 6 unit PT. ANDINI
Palembang Kep.GIGI Conservation Set - Amalgam Manufaktur Otto-Leibinger SARANA
Stopper Kecil
000064928
Nama Produk Conservation Set -
Amalgam Stopper Kecil

No Produk (Penyedia) P81LAMGSK

Jenis Produk Impor
Harga IDR 118,856.00 (17
November 2015)
Model/Type Amalgam Stopper Kecil

GmbH. Germany
OEM n/a
AC 2012 - ISO 13485 :
2003 + Cor 1 : 2009
10603110710
FDA Clearance n/a
IEC Compliance n/a
Locally Content 0%
Green Features n/a
Other Specification Stainless Steel; Black,
UMDNS Code(s) 1,2-1,5mm,
n/a panjang 17cm
Function Alat untuk kondensasi
amalgam yaitu menekan
dan memadatkan
amalgam
Data Footnote n/a
stopper Besar
000064926
Amalgam stopper Besar

No Produk (Penyedia) P81LAMGSB

Jenis Produk Impor
Harga IDR 118,856.00 (17
November 2015)
Model/Type Amalgam Stopper Besar

GmbH. Germany
OEM n/a
AC 2012 - ISO 13485 :
2003 + Cor 1 : 2009
10603110710
FDA Clearance n/a
IEC Compliance n/a
Locally Content 0%
Green Features n/a
Other Specification Stainless steel, black,
UMDNS Code(s) 2,0-3,5mm,
n/a panjang 17cm
Function Alat untuk kondensasi
amalgam yaitu menekan
dan memadatkan
amalgam
Data Footnote n/a
Palembang Kep.GIGI Conservation Set - Burnisher Manufaktur Otto-Leibinger SARANA
Besar
000064930
Burnisher Besar
No Produk (Penyedia) P81LBRHBS

Jenis Produk Impor
Harga IDR 143,309.00 (17
November 2015)
Model/Type Burnisher Besar
GmbH. Germany
OEM n/a
AC 2012 - ISO 13485 :
2003 + Cor 1 : 2009
10603110710
FDA Clearance n/a
IEC Compliance n/a
Locally Content 0%
Green Features n/a
Other Specification Stainless Steel; white 28,
UMDNS Code(s) panjang
n/a 17 cm
Function Alat untuk finishing
aplikasi bahan tambal
sehingga hubungan tepi
restorasi baik
Data Footnote n/a
Palembang Kep.GIGI Conservation Set - Burnisher Manufaktur Otto-Leibinger SARANA
Kecil
000064932
Burnisher Kecil
No Produk (Penyedia) P81LBRHKC

Jenis Produk Impor
Harga IDR 143,309.00 (17
November 2015)
Model/Type Burnisher Kecil
GmbH. Germany
OEM n/a
AC 2012 - ISO 13485 :
2003 + Cor 1 : 2009
10603110710
FDA Clearance n/a
IEC Compliance n/a
Locally Content 0%
Green Features n/a
Other Specification Stainless Steel; white 29,
UMDNS Code(s) panjang
n/a 17 cm
Function Alat untuk finishing
aplikasi bahan tambal
sehingga hubungan tepi
restorasi baik
Data Footnote n/a
Carver
000064929
Amalgam Carver
No Produk (Penyedia) P81LAMGCR

Jenis Produk Impor
Harga IDR 149,280.00 (17
November 2015)
Model/Type Amalgam Carver
GmbH. Germany
OEM n/a
AC 2012 - ISO 13485 :
2003 + Cor 1 : 2009
10603110710
FDA Clearance n/a
IEC Compliance n/a
Locally Content 0%
Green Features n/a
Other Specification Stainless Steel; Panjang
UMDNS Code(s) 17
n/acm
Function Alat untuk membentuk
tumpatan amalgam sesuai
anatomi gigi

Data Footnote n/a
Palembang Kep.GIGI Other Instruments - Bond File Manufaktur Otto-Leibinger SARANA
000064979
Nama Produk Other Instruments - Bond
File
No Produk (Penyedia) P81LBONDF

Jenis Produk Impor
Harga IDR 524,899.00 (17
November 2015)
Model/Type Dental Hand Instrument /
Bone File
GmbH. Germany
OEM n/a
AC 2012 - ISO 13485 :
2003 + Cor 1 : 2009
10603110710
FDA Clearance n/a
IEC Compliance n/a
Locally Content 0%
Green Features n/a
Other Specification Stainless Steel ; Miller
UMDNS Code(s) n/a

Function Alat untuk mengurangi /
mengikir tulang di dalam
mulut
Data Footnote n/a
Palembang Kep.GIGI Other Instruments - Bond Manufaktur Otto-Leibinger SARANA
Ronger/Knable Forcep
000064980
Nama Produk Other Instruments - Bond
Ronger/Knable Forcep

No Produk (Penyedia) P81LBRGKF

Jenis Produk Impor
Harga IDR 1,412,904.00 (17
November 2015)
Model/Type Bone Ronger / Knable
Forcep
GmbH. Germany
OEM n/a
AC 2012 - ISO 13485 :
2003 + Cor 1 : 2009
FDA Clearance 10603110710
n/a
IEC Compliance n/a
Locally Content 0%
Green Features n/a
Other Specification Stainless Steel; Luer,
panjang 15 cm
UMDNS Code(s) n/a
Function Alat / instrumen untuk
memotong tulang
Data Footnote n/a
Diagnostic Set - Explorer
Straight Manufaktur Otto-Leibinger
42000000-AKS-
No Produk 000064913
Diagnostic Set -
Nama Produk Explorer Straight
No Produk (Penyedia) P81LEXPS
Jenis Produk Impor
IDR 51,182.00 (17
Explorer Straight /
Model/Type Sonde Lurus
OTTO LEIBINGER
Factory of Origin GmbH.
EN ISO Germany
13485 : 2012 +
OEM n/a
AC 2012 - ISO 13485 :
KEMENKES RI AKL
FDA Clearance n/a
IEC Compliance n/a
Locally Content 0%
Green Features n/a
Stainless Steel; Panjang
Other Specification 15 cm
UMDNS Code(s) n/a
Sonde / eksplorer untuk

mengetahui letak
Function deposit, karies - lurus
Data Footnote n/a
Berdiri sejak 1978.
Other Information www.otto-leibinger.de
38 Poltekkes D-III 1-Mar-17 e-Katalog Diagnostic Set - Explorer 6 unit PT. ANDINI
Palembang Kep.GIGI Halfmoon Komoditas Alat Kesehatan SARANA
42000000-AKS-
No Produk 000064914
Diagnostic Set -
Nama Produk Explorer Halfmoon
No Produk (Penyedia) P81LEXPH
Jenis Produk Impor
IDR 51,182.00 (17
Explorer Halfmoon /
Model/Type Sonde Lengkung
OTTO LEIBINGER
EN ISO Germany
13485 : 2012 +
OEM n/a
AC 2012 - ISO 13485 :
KEMENKES RI AKL
FDA Clearance n/a
IEC Compliance n/a
Locally Content 0%
Green Features n/a
Other Specification 15 cm
UMDNS Code(s) n/a
Sonde / eksplorer untuk

mengetahui letak
deposit, karies ujung
Function lengkung
Data Footnote n/a
Berdiri sejak 1978.

39 Poltekkes D-III 1-Mar-17 e-Katalog Komoditas Alat Kesehatan 6 buah PT. ANDINI
Excavator Kecil Manufaktur Otto-Leibinger
42000000-AKS-
No Produk 000064915
Diagnostic Set -
Nama Produk Excavator Kecil
No Produk (Penyedia) P81LEXCK
Jenis Produk Impor
IDR 119,424.00 (17
Model/Type EXCAVATOR KECIL
OTTO LEIBINGER
EN ISO Germany
13485 : 2012 +
OEM n/a
AC 2012 - ISO 13485 :
KEMENKES RI AKL
FDA Clearance n/a
IEC Compliance n/a
Locally Content 0%
Green Features n/a
Stainless Steel; 1.5
Other Specification mm, panjang 16 cm
UMDNS Code(s) n/a
Alat untuk
membersihkan kavitas
Function sebelum penambalan
Data Footnote n/a
Berdiri sejak 1978.

Excavator Besar Manufaktur Otto-Leibinger
42000000-AKS-
No Produk 000064916
Diagnostic Set -
Nama Produk Excavator Besar
No Produk (Penyedia) P81LEXCB
Jenis Produk Impor
IDR 119,424.00 (17
Model/Type EXCAVATOR BESAR

OTTO LEIBINGER
OEM n/a
EN ISO 13485 : 2012 +

AC 2012 - ISO 13485 :
KEMENKES RI AKL
FDA Clearance n/a
IEC Compliance n/a
Locally Content 0%
Green Features n/a
Stainless Steel; 1.8
Other Specification mm, panjang 16 cm
UMDNS Code(s) n/a
sebagai alat untuk

membersihkan kavitas
Function sebelum penambalan
Data Footnote n/a
Berdiri sejak 1978.

41 Poltekkes D-III 1-Mar-17 e-Katalog Komoditas Alat Kesehatan 6 box PT. Kirana Jaya
Palembang Kep.GIGI mouth mirror plane Manufaktur Derby Dental Lestari
000108160
Nama Produk DD105-4 Mouth Mirrors
Plane 22mm (box 12pcs)
Unit Pengukuran box


Jenis Produk n/a
Harga IDR 271,595.00 (20 Mei
2016)
DD105-4 Mouth Mirrors
Plane 22mm (box 12pcs)

OEM n/a
FDA Clearance n/a
CE Mark n/a
IEC Compliance n/a
Locally Content n/a
Where Marketed n/a
Green Features n/a
UMDNS Code(s) n/a
Function n/a
Model Footnote n/a
Data Footnote n/a
Palembang Kep.GIGI Mouth Mirror Handles Manufaktur Derby Dental Lestari
000108153
Nama Produk DD102 Mouth Mirror
Handles

Jenis Produk n/a
Harga IDR 57,179.00 (20 Mei
2016)
Model/Type DD102 Mouth Mirror
Handles
OEM n/a
FDA Clearance n/a
CE Mark n/a
IEC Compliance n/a
Locally Content n/a
Where Marketed n/a
Green Features n/a
UMDNS Code(s) n/a
Function n/a
Model Footnote n/a
Data Footnote n/a
Palembang Kep.GIGI Cotton and Dressing Pliers Manufaktur Derby Dental Lestari
Perry 13cm
000108200
Nama Produk DD131-4 Cotton and
Dressing Pliers Perry
13cm

Jenis Produk n/a
Harga IDR 132,225.00 (20 Mei
2016)
Model/Type DD131-4 Cotton and
Dressing Pliers Perry
13cm
OEM n/a
FDA Clearance n/a
CE Mark n/a
IEC Compliance n/a
Locally Content n/a
Where Marketed n/a
Green Features n/a
UMDNS Code(s) n/a
Function n/a
Model Footnote n/a
Data Footnote n/a
Palembang Kep.GIGI Cotton and Dressing Pliers Manufaktur Derby Dental Lestari
Flagg 15 cm
000108198
Nama Produk DD131-1 Cotton and
Dressing Pliers Flagg 15
cm

Jenis Produk n/a
Harga IDR 132,225.00 (20 Mei
2016)
Model/Type DD131-1 Cotton and
Dressing Pliers Flagg 15
cm
OEM n/a
FDA Clearance n/a
CE Mark n/a
IEC Compliance n/a
Locally Content n/a
Where Marketed n/a
Green Features n/a
UMDNS Code(s) n/a
Function n/a
Model Footnote n/a
Data Footnote n/a
Palembang Kep.GIGI Scalers Jacquette Manufaktur Derby Dental Lestari
000108143
Nama Produk DD150-2 Scalers
Jacquette

Jenis Produk n/a
Harga IDR 173,629.00 (20 Mei
2016)
Model/Type DD 150-2 Scalers
Jacquette
OEM n/a
FDA Clearance n/a
CE Mark n/a
IEC Compliance n/a
Locally Content n/a
Where Marketed n/a
Green Features n/a
UMDNS Code(s) n/a
Function n/a
Model Footnote n/a
Data Footnote n/a
Palembang Kep.GIGI Scalers Jacquette Manufaktur Derby Dental Lestari
000108145
Nama Produk DD150-3 Scalers
Jacquette

Jenis Produk n/a
Harga IDR 173,629.00 (20 Mei
2016)
Model/Type DD 150-3 Scalers
Jacquette
OEM n/a
FDA Clearance n/a
CE Mark n/a
IEC Compliance n/a
Locally Content n/a
Where Marketed n/a
Green Features n/a
UMDNS Code(s) n/a
Function n/a
Model Footnote n/a
Data Footnote n/a
47 Poltekkes D-III 1-Mar-17 e-Katalog DD116-1L Periodontal Pocket Komoditas Alat Kesehatan 6 unit PT. Kirana Jaya
Palembang Kep.GIGI Probes Williams Lestari
000108191
Nama Produk DD116-1L Periodontal
Pocket Probes Williams

No Produk (Penyedia) DD116-1L

Jenis Produk n/a
Harga IDR 153,669.00 (20 Mei
Model/Type 2016)
DD116-1L Periodontal
Pocket Probes Williams

OEM n/a
FDA Clearance n/a
CE Mark n/a
IEC Compliance n/a
Locally Content n/a
Where Marketed n/a
Green Features n/a
UMDNS Code(s) n/a
Function n/a
Model Footnote n/a
Data Footnote n/a
DD150-U15 Scalers Towner No Produk 42000000-AKS-
000108138
Nama Produk DD150-U15 Scalers
Towner
No Produk (Penyedia) DD150-U15

Jenis Produk n/a
Harga IDR 173,629.00 (20 Mei
Model/Type 2016)
DD 150-U15 Scalers
Towner
OEM n/a
FDA Clearance n/a
CE Mark n/a
IEC Compliance n/a
Locally Content n/a
Where Marketed n/a
Green Features n/a
UMDNS Code(s) n/a
Function n/a
Model Footnote n/a
Data Footnote n/a
SD140-02 Gracey curettes No Produk 42000000-AKS-
GRA 1/2 000108085
Nama Produk SD140-02 Gracey curettes
GRA 1/2
No Produk (Penyedia) SD140-02

Jenis Produk n/a
Harga IDR 192,540.00 (20 Mei
Model/Type 2016)
DERBY DENTAL SD
140-02 Gracey curettes
GRA 1/2
OEM n/a
FDA Clearance n/a
CE Mark n/a
IEC Compliance n/a
Locally Content n/a
Where Marketed n/a
Green Features n/a
UMDNS Code(s) n/a
Function n/a
Model Footnote n/a
Data Footnote n/a
SD140-10 Gracey curettes No Produk 42000000-AKS-
GRA 9/10 000108098
Nama Produk SD140-10 Gracey curettes
GRA 9/10

Jenis Produk n/a
Harga IDR 192,540.00 (20 Mei
2016)
Model/Type DERBY DENTAL SD
140-10 Gracey curettes
GRA 9/10
OEM n/a
FDA Clearance n/a
CE Mark n/a
IEC Compliance n/a
Locally Content n/a
Where Marketed n/a
Green Features n/a
UMDNS Code(s) n/a
Function n/a
Model Footnote n/a
Data Footnote n/a
DD150-M23 Scalers Universal No Produk 42000000-AKS-
000108152
Nama Produk DD150-M23 Scalers
Universal
No Produk (Penyedia) DD150-M23

Jenis Produk n/a
Harga IDR 221,764.00 (20 Mei
Model/Type 2016)
D 150-M23 Scalers
Universal
OEM n/a
FDA Clearance n/a
CE Mark n/a
IEC Compliance n/a
Locally Content n/a
Where Marketed n/a
Green Features n/a
UMDNS Code(s) n/a
Function n/a
Model Footnote n/a
Data Footnote n/a
42000000-AKS-
Respatorium No Produk 000064992
Other Instruments -
Nama Produk Respatorium
No Produk (Penyedia) P81LRSPTM
Jenis Produk Impor269,558.00 (17
IDR
Model/Type Respatorium
OTTO LEIBINGER
OEM n/a
EN ISO 13485 : 2012 +

AC 2012 - ISO 13485 :
KEMENKES RI AKL
FDA Clearance n/a
IEC Compliance n/a
Locally Content 0%
Green Features n/a
Stainless Steel;
Other Specification Willinger, 160x6mm
UMDNS Code(s) n/a
Untuk melepaskan
perlekatan antara
tulang alveolar dengan
Function flap mukoperiostel
Data Footnote n/a
Berdiri sejak 1978.

42000000-AKS-
No Produk 000064994
Other Instruments -
Korentang/Sponge & Dressing Korentang/Sponge &
Forcep Nama Produk Dressing Forcep
No Produk (Penyedia) P81LKTSDF
Jenis Produk Impor
IDR 555,323.00 (17
Korentang / Sponge &
Model/Type Dressing Forcep
OTTO LEIBINGER
OEM n/a
EN ISO 13485 : 2012 +

AC 2012 - ISO 13485 :
KEMENKES RI AKL
Green Features n/a
Other Specification +/- 18 Cm
untuk memegang atau

mengambil alat dan
bahan medis steril
supaya tetap dalam
Function kondisi steril.
Model Footnote OTTO-296/11
Data Footnote n/a
54 Poltekkes D-III 1-Mar-17 Non Catalog Komoditas Alat 6 unit

Palembang Kep.GIGI Kesehatan
Manufaktur Cobra Dental
No Produk Ultrasonic
Scaller
Nama Produk
Piezo Art
P1
Nama Penyedia Cobra dental
Jenis Produk
Harga ###
Model/Type Code : 1103
Country of Origin Taiwan
Factory of Origin Taiwan
OEM
Product Certification
Product Registration
FDA Clearance
CE Mark
IEC Compliance
Locally Content
Where Marketed
Green Features
Other Specification
UMDNS Code(s)
Function
Supplier Footnote
Model Footnote
Data Footnote
Other Information
000108763
SD281-1 Matrix Band - Nama Produk SD281-1 Matrix Band -
TOFFELEMIRE TOFFELEMIRE

Jenis Produk Impor
Harga IDR 80,798.00 (20 Mei
2016)
Model/Type Derby Dental SD281-1
Matrix Band -
TOFFELMIRE
OEM n/a
FDA Clearance n/a
CE Mark n/a
IEC Compliance n/a
Locally Content n/a
Where Marketed n/a
Green Features n/a
UMDNS Code(s) n/a
Function n/a
Model Footnote n/a
Data Footnote n/a
56 Poltekkes D-III 1-Mar-17 Non Komoditas Alat Kesehatan 2 unit cobra dental
Palembang Kep.GIGI Katalog Manufaktur Cobra Dental
No Produk
Nama Produk Dappen Disk / Glass
Jenis Produk
Harga rice : Rp11.000,00
Country of Origin
Factory of Origin
OEM
FDA Clearance
CE Mark
IEC Compliance
Locally Content
Where Marketed
Green Features
Other Specification
UMDNS Code(s)
Function
Supplier Footnote
Model Footnote
Data Footnote
Other Information
57 Poltekkes D-III 1-Mar-17 Non Komoditas Alat Kesehatan 6 unit Cobra dental
No Produk
Nama Produk Angle Wieder Dochem
Anak
Jenis Produk
Harga Price : Rp30.250,00
Model/Type Code : 3003-A
Country of Origin
Factory of Origin
OEM
FDA Clearance
CE Mark
IEC Compliance
Locally Content
Where Marketed
Green Features
Other Specification
UMDNS Code(s)
Function
Supplier Footnote
Model Footnote
Data Footnote
Other Information
No Produk
Nama Produk Angle Wieder Dochem
Dewasa
Jenis Produk
Model/Type Code : 3003-D
Country of Origin
Factory of Origin
OEM
FDA Clearance
CE Mark
IEC Compliance
Locally Content
Where Marketed
Green Features
Other Specification
UMDNS Code(s)
Function
Supplier Footnote
Model Footnote
Data Footnote
Other Information
No Produk
Nama Produk Niti S File Sendoline
L21#45-80
Jenis Produk
Model/Type Code : 21198.3
Country of Origin
Factory of Origin
OEM
FDA Clearance
CE Mark
IEC Compliance
Locally Content
Where Marketed
Green Features
Other Specification
UMDNS Code(s)
Function
Supplier Footnote
Model Footnote
Data Footnote
Other Information
60 Poltekkes D-III 1-Mar-17 NON Komoditas Alat Kesehatan 6 unit Cobra dental
No Produk
60 Poltekkes D-III 1-Mar-17 NON 6 unit Cobra dental
Palembang Kep.GIGI Katalog
Nama Produk Niti S File Sendoline

L25#15-40
Jenis Produk Code:21198.2
Harga Price:Rp275.000,00
Model/Type
Country of Origin
Factory of Origin
OEM
FDA Clearance
CE Mark
IEC Compliance
Locally Content
Where Marketed
Green Features
Other Specification
UMDNS Code(s)
Function
Supplier Footnote
Model Footnote
Data Footnote
Other Information
No Produk
Nama Produk Tongue Holder
Jenis Produk
Country of Origin
Factory of Origin
OEM
FDA Clearance
CE Mark
IEC Compliance
Locally Content
Where Marketed
Green Features
Other Specification
UMDNS Code(s)
Function
Supplier Footnote
Model Footnote
Data Footnote
Other Information
62 Poltekkes D-III 1-Mar-17 NON Komoditas Alat Kesehatan 6 Set Cobra dental
No Produk
Nama Produk Mortar Stamper
Amalgam
Jenis Produk
Country of Origin
Factory of Origin
OEM
FDA Clearance
CE Mark
IEC Compliance
Locally Content
Where Marketed
Green Features
Other Specification
UMDNS Code(s)
Function
Supplier Footnote
Model Footnote
Data Footnote
Other Information
No Produk
Nama Produk Air Syringe/Chip
Blower
Jenis Produk
Country of Origin
Factory of Origin
OEM
FDA Clearance
CE Mark
IEC Compliance
Locally Content
Where Marketed
Green Features
Other Specification
UMDNS Code(s)
Function
Supplier Footnote
Model Footnote
Data Footnote
Other Information
64 Poltekkes D-III 1-Mar-17 Non Komoditas Alat Kesehatan 6 unit Cobra Dental
No Produk
Nama Produk Lentulo / Paste Filler
Sendoline
Jenis Produk Code:21215
Model/Type
Country of Origin
Factory of Origin
OEM
FDA Clearance
CE Mark
IEC Compliance
Locally Content
Where Marketed
Green Features
Other Specification
UMDNS Code(s)
Function
Supplier Footnote
Model Footnote
Data Footnote
Other Information
No Produk
65 Poltekkes D-III 1-Mar-17 NON 6 Set Cobra dental
Palembang Kep.GIGI Katalog
Nama Produk Exterpantie/Barbed

BroachSendoline
Model/Type
Country of Origin
Factory of Origin
OEM
FDA Clearance
CE Mark
IEC Compliance
Locally Content
Where Marketed
Green Features
Other Specification
UMDNS Code(s)
Function
Supplier Footnote
Model Footnote
Data Footnote
Other Information
No Produk
Nama Produk BurDiamondSet6RA
Edenta
Model/Type
Country of Origin
Factory of Origin
OEM
FDA Clearance
CE Mark
IEC Compliance
Locally Content
Where Marketed
Green Features
Other Specification
UMDNS Code(s)
Function
Supplier Footnote
Model Footnote
Data Footnote
Other Information
No Produk
Nama Produk
ChiselPakistanPendek
Jenis Produk Code:3136-PD
Model/Type
Country of Origin
Factory of Origin
OEM
FDA Clearance
CE Mark
IEC Compliance
Locally Content
Where Marketed
Green Features
Other Specification
UMDNS Code(s)
Function
Supplier Footnote
Model Footnote
Data Footnote
Other Information
No Produk
Nama Produk MaletStainless
Pakistan
Model/Type
Country of Origin
Factory of Origin
OEM
FDA Clearance
CE Mark
IEC Compliance
Locally Content
Where Marketed
Green Features
Other Specification
UMDNS Code(s)
Function
Alat untuk memukul
chisel guna memecah
akar / tulang gigi pada
prosedurbedahmulut
Supplier Footnote
Model Footnote
Data Footnote
Other Information
No Produk
Nama Produk ScallerSEWingKA
Pakistan
Jenis Produk Code:3464-WIKA
Model/Type
Country of Origin
Factory of Origin
OEM
FDA Clearance
CE Mark
IEC Compliance
Locally Content
Where Marketed
Green Features
Other Specification
UMDNS Code(s)
Function Instrumenuntukmemb
Supplier Footnote
Model Footnote
Data Footnote
Other Information
No Produk
Nama Produk ScallerSEChisel
Pakistan
Jenis Produk Code:3464-CH
Model/Type
Country of Origin
Factory of Origin
OEM
FDA Clearance
CE Mark
IEC Compliance
Locally Content
Where Marketed
Green Features
Other Specification
UMDNS Code(s)
Function
Supplier Footnote
Model Footnote
Data Footnote
Other Information
No Produk
Nama Produk JarumOperasi
Model/Type
Country of Origin
Factory of Origin
OEM
FDA Clearance
CE Mark
IEC Compliance
Locally Content
Where Marketed
Green Features
Other Specification
UMDNS Code(s)
Function
Supplier Footnote
Model Footnote
Data Footnote
Other Information
AN GIGI TAHUN 2017
KET
PT. Kirana
Jaya Lestari
USULAN ALAT-ALAT LABORATORIUM
DG005R,
JURUSAN KEPERAWATAN GIGI 2017
DG107R, PPAKG
DG117R,
DG118R, Mata Kuliah
DG250R, Oral Dental Pel
No Jurusan Nama Barang diminta Merk Type
DG320R,
DK001R,
Negara Konser Exodo Sterilis Prevd JLH Harga (Rp)
DG413R,
DL032R, PPAKG Diagno Materi Asgi
DK021R, vasi ntia asi ent
DG522R,
DL033R, stik al Masy
DK011R,
1 JUR.KEP. GIGI Syringes Fot Anasthesia - Stainless Steel Syringe DerbyDental DG659R,
DL034R,
DK052R,
DD473-7 Italy 6 20 26 3,307,556
DG733R,
DL238R,
DK071R, 6
2 JUR.KEP. GIGI Aesculap Extraction, Tooth Forceps For Adults Aesculap JF149R,
DL239R, Jerman 6 Rp 11,696,000.00
DK060R,
DL211R, 6
3 JUR.KEP. GIGI Aesculap Extraction, Tooth Forceps For Children Aesculap JF149R, Jerman 20 26 Rp 8,487,000.000
DL212R,
4 JUR.KEP. GIGI Aesculap Extraction, Tooth Elevators Aesculap JF149R, Jerman 6 6 Rp 6,137,000.00
5 JUR.KEP. GIGI Gum Scissors Tc - Iris Tc 11 cm - Straight Derby Dental DD405-1TC Italy 6 6 Rp 1,992,441.00
6 JUR.KEP. GIGI Needle Holders mathieu TC 17cm Derby Dental DD535-17TC Italy 6 6 Rp 1,810,216.00
7 JUR.KEP. GIGI Needle Holders - Mayo Hegar TC 16 cm Derby Dental DD525-16TC Italy 6 6 Rp 1,366,687.00
8 JUR.KEP. GIGI Lip Retractors - Columbia 14cm Derby Dental DD361 Italy 6 6 Rp 221,764.00
9 JUR.KEP. GIGI Root Elevators W. Winter Derby Dental DD324-11L Italy 6 6 Rp 471,034.00
10 JUR.KEP. GIGI Root Elevators W. Winter Derby Dental DD324-11R Italy 6 6 Rp 471,034.00
11 JUR.KEP. GIGI Sterilisator Kering ELITECH GET 338 UO Indonesia 6 6 Rp 3,410,000.00
12 JUR.KEP. GIGI Dressing Forceps - Gross Maier - 20cm Derby Dental DD355-1 Italy 6 6 Rp 630,911.00
13 JUR.KEP. GIGI Scalpel Handles and Scalpel Blades - Micro-Blades Holder Derby Dental DD395-1 Italy 6 6 Rp 691,080.00
14 JUR.KEP. GIGI Haemostatic Forceps - Pean 14cm - Straight Derby Dental DD353-1 Italy 6 6 Rp 336,944.00
15 JUR.KEP. GIGI Haemostatic Forceps - Kelly 14cm - Curved Derby Dental D352-2 Italy 6 6 Rp 336,944.00
16 JUR.KEP. GIGI Scalpel Handles Derby Dental DD390-3 Italy 6 6 Rp 110,023.00
17 JUR.KEP. GIGI Scaple Blades (box 100pcs) Derby Dental DD391-10 Italy 6 6 Rp 405,708.00
18 JUR.KEP. GIGI Tissue Pliers - Suture Pliers 15 cm Derby Dental DD370-1 Italy 6 6 Rp 264,742.00
OTTO-
19 JUR.KEP. GIGI Pinset Anatomo Otto-Leibinger 182/13 German 6 6 Rp 120,562.00
OTTO-
20 JUR.KEP. GIGI Pinset Chirurgis Otto-Leibinger 183/13 German 6 6 Rp 120,562.00
21 JUR.KEP. GIGI Extracting Forceps For Children Upper Premolars Derby Dental DD312-2 Italy 6 6 Rp 857,833.00
22 JUR.KEP. GIGI Lip Retractors - Middledorpf 21.5 cm (14x17 mm) Derby Dental DD368-1 Italy 6 6 Rp 888,777
23 JUR.KEP. GIGI Plastic Filling Instruments Derby Dental DD188-1 Italy 6 6 Rp 139,247.00
24 JUR.KEP. GIGI Double Ended Filling Instruments Derby Dental DD186-3 Italy 6 20 26 Rp 134,090.00
25 JUR.KEP. GIGI Matrix Retainers - IVORY 8N Derby Dental DD271 Italy 6 6 Rp 281,933
26 JUR.KEP. GIGI Cement Spatulas Derby Dental DD170-3 Italy 6 20 26 Rp 147,843
27 JUR.KEP. GIGI Amalgam Carrier - Straight Derby Dental DD199-1 Italy 6 20 26 Rp 402,270.00
28 JUR.KEP. GIGI Semen Stoper Kecil Derby Dental OTTO - 113/2 German 6 20 26 Rp 116,012.00
29 JUR.KEP. GIGI Semen Stoper Besar Otto-Leibinger OTTO - 113/3 German 6 6 Rp 116,012
OTTO-
30 JUR.KEP. GIGI Amalgam Stopper Kecil Otto-Leibinger 152/1 German 6 20 26 Rp 118,856.00
OTTO-
31 JUR.KEP. GIGI Amalgam stopper Besar Otto-Leibinger 152/3 German 6 6 Rp 118,856.00
OTTO-
32 JUR.KEP. GIGI Burnisher Besar Otto-Leibinger 150/28 German 6 6 Rp 143,309.00
OTTO-
33 JUR.KEP. GIGI Burnisher Kecil Otto-Leibinger 150/31 German 6 20 26 Rp 143,309.00
OTTO-
34 JUR.KEP. GIGI Amalgam Carver Otto-Leibinger 160/78 German 6 20 26 Rp 149,290.00
OTTO-
35 JUR.KEP. GIGI Bond File Otto-Leibinger 338/4 German 6 6 Rp 524,899.00
OTTO-
36 JUR.KEP. GIGI Knable Forcep Otto-Leibinger 136/52 German 6 6 Rp 1,412,904.00
37 JUR.KEP. GIGI Explorer Straight Otto-Leibinger 100/9 German 6 6 Rp 51,182.00
38 JUR.KEP. GIGI Explorer Halfmoon Otto-Leibinger 100/23 German 6 40 46 Rp 51,182.00
39 JUR.KEP. GIGI Excavator Kecil Otto-Leibinger 135/16 German 6 20 26 Rp 119,424.00
40 JUR.KEP. GIGI Excavator Besar Otto-Leibinger 135/18 German 6 6 Rp 119,424.00
41 JUR.KEP. GIGI Mouth mirror plane Otto-Leibinger DD105-4 German 6 40 46 Rp 271,595.00
42 JUR.KEP. GIGI Mouth Mirror Handles Otto-Leibinger DD102 German 6 40 46 Rp 57,179.00
43 JUR.KEP. GIGI Cotton and Dressing Pliers Perry 13cm Otto-Leibinger DD131-4 German 6 40 46 Rp 132,225.00
44 JUR.KEP. GIGI Cotton and Dressing Pliers Flagg 15 cm Otto-Leibinger DD131-1 German 6 6 Rp 132,225.00
45 JUR.KEP. GIGI Scalers Jacquette Derby Dental DD150-2 Italy 6 20 26 Rp 173,629.00
46 JUR.KEP. GIGI Scalers Jacquette Derby Dental DD150-3 Italy 6 20 26 Rp 173,629.00
47 JUR.KEP. GIGI Periodontal Pocket Probes Williams Derby Dental DD116-1L Italy 6 20 26 Rp 153,669.00
48 JUR.KEP. GIGI Scalers Towner Derby Dental DD150-U15 Italy 6 20 26 Rp 173,629.00
49 JUR.KEP. GIGI Gracey curettes GRA 1/2 Derby Dental SD140-02 Italy 6 20 26 Rp 192,540.00
50 JUR.KEP. GIGI Gracey curettes GRA 9/10 Derby Dental SD140-10 Italy 6 20 26 Rp 192,540
51 JUR.KEP. GIGI Scalers Universal Derby Dental DD150-M23 Italy 6 20 26 Rp 221,764.00
52 JUR.KEP. GIGI Respatorium Otto-Leibinger 335/06 German 6 6 Rp 269,558.00
53 JUR.KEP. GIGI Korentang/Sponge & Dressing Forcep Otto-Leibinger 296/11 German 6 6 Rp 555,323.00
54 JUR.KEP. GIGI Ultrasonic Scaller Piezo Art P1 Taiwan 6 20 26 Rp 4,785,000.00
55 JUR.KEP. GIGI Matrix Band - TOFFELEMIRE Derby Dental SD281-1 Italy 6 6 Rp 80,798.00
56 JUR.KEP. GIGI Dappen Disk / Glass Cobra Dental Taiwan 6 40 46 Rp 11,000.00
57 JUR.KEP. GIGI Angle Wieder Dochem Anak Cobra Dental Taiwan 6 6 Rp 30,250.00
58 JUR.KEP. GIGI Angle Wieder Dochem Dewasa Cobra Dental Taiwan 6 6 Rp 30,250.00
59 JUR.KEP. GIGI Niti S File Sendoline Cobra Dental L21#45-80 Taiwan 6 6 Rp 275,000.00
60 JUR.KEP. GIGI Niti S File Sendoline Cobra Dental L25#15-40 Taiwan 6 6 Rp 275,000.00
61 JUR.KEP. GIGI Tongue Holder Cobra Dental Taiwan 6 20 26 Rp 352,000.00
62 JUR.KEP. GIGI Mortar Stamper Amalgam Cobra Dental Taiwan 6 20 26 Rp 85,800.00
63 JUR.KEP. GIGI Air Syringe/Chip Blower Cobra Dental Taiwan 6 6 Rp 45,100.00
64 JUR.KEP. GIGI Lentulo / Paste Filler Sendoline Cobra Dental Taiwan 6 6 Rp 132,000.00
65 JUR.KEP. GIGI Exterpantie/Barbed Broach Sendoline Cobra Dental Taiwan 6 6 Rp 66,000.00
66 JUR.KEP. GIGI Bur Diamond Set 6 RA Edenta Cobra Dental Taiwan 6 6 Rp 220,000.00
67 JUR.KEP. GIGI Chisel Pendek Cobra Dental Pakistan 6 20 26 Rp 70,000.00
68 JUR.KEP. GIGI Malet Stainless Cobra Dental Pakistan 6 20 26 Rp 192,500.00
69 JUR.KEP. GIGI Scaller SE Wing KA Cobra Dental Pakistan 6 20 26 Rp 16,500.00
70 JUR.KEP. GIGI Scaller SE Chisel Cobra Dental Pakistan 6 6 Rp 16,500.00
71 JUR.KEP. GIGI Jarum Operasi Cobra Dental 6 Rp 16,500.00
JUMLAH 420 400 40 0 220 1086
EXODONTIA
No Jurusan Nama Barang diminta Merk Type Negara JLH Harga (Rp)
1 JUR.KEP. GIGI Aesculap Extraction, Tooth Forceps For Adults Aesculap Jerman 6 Rp 11,696,000.00
2 JUR.KEP. GIGI Aesculap Extraction, Tooth Forceps For Children Aesculap Jerman 6 Rp 8,487,000.000
3 JUR.KEP. GIGI Aesculap Extraction, Tooth Elevators Aesculap Jerman 6 Rp 6,137,000.00
4 JUR.KEP. GIGI Root Elevators W. Winter Derby Dental DD324-11L Italy 6 Rp 471,034.00
5 JUR.KEP. GIGI Root Elevators W. Winter Derby Dental DD324-11R Italy 6 Rp 471,034.00
Jumlah
Konservasi
No Jurusan Nama Barang diminta Merk Type Negara JLH Harga (Rp)
1 JUR.KEP. GIGI Excavator Kecil Otto-Leibinger 135/16 German 100 Rp 119,424.00
2 JUR.KEP. GIGI Mouth mirror plane Otto-Leibinger DD105-4 German 100 Rp 271,595.00
3 JUR.KEP. GIGI Mouth Mirror Handles Otto-Leibinger DD102 German 100 Rp 57,179.00
4 JUR.KEP. GIGI Explorer Halfmoon Otto-Leibinger 100/23 German 100 Rp 51,182.00
5 JUR.KEP. GIGI Cotton and Dressing Pliers Flagg 15 cm Otto-Leibinger DD131-1 German 100 Rp 132,225.00
6 JUR.KEP. GIGI Double Ended Filling Instruments Derby Dental DD186-3 Italy 40 Rp 134,090.00
7 JUR.KEP. GIGI Cement Spatulas Derby Dental DD170-3 Italy 40 Rp 147,843
8 JUR.KEP. GIGI Amalgam Carrier - Straight Derby Dental DD199-1 Italy 40 Rp 402,270.00
9 JUR.KEP. GIGI Semen Stoper Kecil Derby Dental 113/2 German 40 Rp 116,012.00
JUR.KEP. GIGI Amalgam Stopper Kecil Otto-Leibinger 152/1 German 40 Rp 118,856.00
JUR.KEP. GIGI Burnisher Kecil Otto-Leibinger 150/31 German 40 Rp 143,309.00
JUR.KEP. GIGI Amalgam Carver Otto-Leibinger 160/78 German 40 Rp 149,290.00
JUR.KEP. GIGI Tongue Holder Cobra Dental Taiwan 40 Rp 352,000.00
JUR.KEP. GIGI Dappen Disk / Glass Cobra Dental Taiwan 40 Rp 11,000.00
JUR.KEP. GIGI Mortar Stamper Amalgam Cobra Dental Taiwan 10 Rp 85,800.00
JUR.KEP. GIGI
JUR.KEP. GIGI
JUR.KEP. GIGI
JUR.KEP. GIGI
Jumlah Harga (Rp)
Rp 85,996,456
Rp 70,176,000
Rp 220,662,000
Rp 36,822,000
Rp 11,954,646
Rp 10,861,296
Rp 8,200,122
Rp 1,330,584
Rp 2,826,204
Rp 2,826,204
Rp 20,460,000
Rp 3,785,466
Rp 691,080
Rp 2,021,664
Rp 2,021,664
Rp 660,138
Rp 2,434,248
Rp 1,588,452
Rp 723,372
Rp 723,372
Rp 5,146,998
Rp 1,777,554
Rp 835,482
Rp 3,486,340
Rp 1,691,598
Rp 3,843,918
Rp 10,459,020
Rp 3,016,312
Rp 696,072
Rp 3,090,256
Rp 713,136
Rp 859,854
Rp 3,726,034
Rp 3,881,540
Rp 3,149,394
Rp 8,477,424
Rp 307,092
Rp 2,354,372
Rp 3,105,024
Rp 716,544
Rp 12,493,370
Rp 2,630,234
Rp 6,082,350
Rp 793,350
Rp 4,514,354
Rp 4,514,354
Rp 3,995,394
Rp 4,514,354
Rp 5,006,040
Rp 5,006,040
Rp 5,765,864
Rp 1,617,348
Rp 3,331,938
Rp 124,410,000
Rp 484,788
Rp 506,000
Rp 181,500
Rp 181,500
Rp 1,650,000
Rp 1,650,000
Rp 9,152,000
Rp 2,230,800
Rp 270,600
Rp 792,000
Rp 396,000
Rp 1,320,000
Rp 1,820,000
Rp 5,005,000
Rp 429,000
Rp 99,000
Rp 99,000
Rp 759,041,110
Jumlah Harga (Rp)

Rp 70,176,000
Rp 50,922,000
Rp 36,822,000
Rp 2,826,204
Rp 2,826,204
Rp 163,572,408
Jumlah Harga (Rp)

Rp 11,942,400
Rp 27,159,500
Rp 5,717,900
Rp 5,118,200
Rp 13,222,500
Rp 5,363,600
Rp 5,913,720
Rp 16,090,800
Rp 4,640,480
Rp 4,754,240
Rp 5,732,360
Rp 5,971,600
Rp 14,080,000
Rp 440,000
Rp 858,000
Rp -
Rp -
Rp -
Rp -

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DATA DUKUNG USULAN ALAT LABORATORIUM TAHUN 2017

E-KATALOG DAN NON-EKATALOG

Komoditas Alat Kesehatan

No Produk (Penyedia) Serenity / SR-B2

Harga IDR 7,700,000.00 (06

Harga belum termasuk

2 Poltekkes D-III 20-Jan-17 e-Katalog 2 SET PT. SERENITY

Nama Produk New 3 Crank Gatch Bed

ISO 13485: 2003, ISO

ASIA, North America,

UMDNS Code(s) N/A

5 Poltekkes D-III 20-Jan-17 e-Katalog 2 SET PT. CIPTAJAYA

Model/Type PM-6500 Wall Stand SS

ISO 13485:2003, ISO

User Interface with

Powerful data storage

UK, Chezh, Bulgaria,

7 Poltekkes D-III 20-Jan-17 e-Katalog Automated External 1 Unit PT. AMPM

Manufaktur CARDIAC SCIENCE

No Produk (Penyedia) G3 AUTOMATIC

Harga IDR 53,143,000.00 (3

Nama Penyedia PT. Terumo Indonesia

IEC 60601-1:1988, IEC

9 Poltekkes D-III 20-Jan-17 e-Katalog 1 SET PT.PARAMOU

10 Poltekkes D-III 20-Jan-17 e-Katalog 1 UNIT PT. SINKO

Komoditas Alat Kesehatan

Merusak Pangkal Jarum

11 Poltekkes D-III 20-Jan-17 e-Katalog 1 UNIT PT. SINKO

Komoditas Alat Kesehatan

PT. SINKO PRIMA ALLOY

IYA. PRODUKSI DALAM

13 Poltekkes D-III 20-Jan-17 e-Katalog TIMBANGAN BADAN 5 Unit PT. SINKO

Komoditas Alat Kesehatan

ELITECH PATIENT SCALE

No Produk (Penyedia) Elitech009

Harga IDR 603,900.00 (26

PT. SINKO PRIMA ALLOY

LAYAR LCD BESAR

LATAR BELAKANG BIRU

DESAIN MOTIF BATIK

14 Poltekkes D-III 20-Jan-17 e-Katalog 10 SET PT. SUMBER

PT. SUMBER MANDIRI

No Produk (Penyedia) n/a

Komoditas Alat Kesehatan

No Produk (Penyedia) n/a

16 Poltekkes D-III 20-Jan-17 e-Katalog 4 UNIT BARTEC

Manufaktur Bartec Utama Mandiri

Nama Produk Waiting Chair 3 Seat AP

ISO 13485 : 2003 , ISO

17 Poltekkes D-III 20-Jan-17 e-Katalog 2 UNIT BARTEC

Manufaktur Bartec Utama Mandiri

ISO 13485 : 2003 , ISO

Serenity Body Fat /

No Jurusan Nama Barang diminta Merk Type Negara JLH

1 JUR.KEP. GIGI SyringesFotAnasthesia-StainlessSteelSyringe DerbyDental DG005R, DG107R, DG117R, DG118R,

Manufaktur Derby Dental

No Produk (Penyedia) DD473-7

Harga belum termasuk

2 Poltekkes D-III Kep. 1-Mar-17 e-Katalog 6 SET PT. B Braun

Product Certification n/a

5 Poltekkes D-III 1-Mar-17 e-Katalog 6 SET PT. Kirana Jaya

7 Poltekkes D-III 1-Mar-17 e-Katalog 6 buah PT. Kirana