DAFTAR ALKES PERINATOLOGI 2018

NO NAMA ALAT MERK TYPE S/N JUMLAH SATUAN Tahun Pengadaan BAIK RUSAK AFKIR KE GUDANG

1 Box Bayi Lokal 2 Unit 2009 SUDAH AFKIR

2 CPAP Fisher & Paykel Healthcare 3500HL H65375 1 Unit 2016 BAIK
Complete Set
3 CPAP Fisher & Paykel Healthcare Bubble with Air- 1 Unit 2011 BAIK
o2 Mixer

4 ECG GE Mac i 1 Unit 2016 DIBERIKAN KE RUANG ISOLASI

5 Head Box Tesena 5 Unit 2009&2012 4 BAIK SATU PECAH
6 Incubator Cuvis Tesena TSN UI-2 399/UI/09 1 Unit 2010 DIBERIKAN LANTAI 6
7 Incubator Transport Tesena TSN89TR 112/XI/09 1 Unit 2009 BAIK
8 Infant Inkubator Medix PC-305 7988-11 1 Unit 2011 BANPROP BAIK
9 Infant Inkubator Tesena TSN910SC-c 045/I/06 1 Unit 2005&2006 BAIK
10 Infant Inkubator Tesena TSN910SC-c 046/I/06 1 Unit 2005&2006 AFKIR KE GUDANG
11 Infant Inkubator Tesena TSN910SC-c 217/v/05T910 1 Unit 2005&2006 AFKIR KE GUDANG
12 Infant Inkubator Tesena TSN910SC-c 043/I/08 1 Unit 2005&2006 AFKIR KE GUDANG
13 Infant Inkubator Tesena TSN910SC-c 044/I/09 1 Unit 2005&2006 AFKIR KE GUDANG
14 Infant Inkubator Cobams Mod. Cristina 1 Unit 2016 BAIK
003A SCH
Mod. Cristina
15 Infant Inkubator Cobams 003A SCH 1 Unit 2016 BAIK
16 Infant Inkubator Draeger Isolette 8000 1 Unit 2016 BAIK
17 Infant Inkubator Draeger Isolette 8000 1 Unit 2016 BAIK
18 Infant Warmer Tesena TSN 89 IW 1 Unit 2006 BAIK
19 Infant Warmer Cobams Mod.Leri C88 1 Unit 2016 BAIK
20 Infus Pump B-Braun Infusomat P 52123 1 Unit 2008/2009 BAIK
21 Infus Pump Terumo TE-112 09060402 1 Unit 2010 BAIK
22 Infus Pump Terumo TE-112 09060365 1 Unit 2010 BAIK
23 Infus Pump Terumo TE-112 09060366 1 Unit 2010 BAIK
24 Infus Pump Terumo TE-112 09070328 1 Unit 2011 BAIK
25 Lampu Sorot Medillum 1 Unit 2010 BAIK
26 Lampu Vena One Med 1 Unit 2010 BAIK
27 Laryngoscope Anak Flexicare 1 Unit
28 Laryngoscope Baby Hebu 2 Unit 2011 BANPROP
29 Nebulizer Nivec Modell 02 L.1.355656/02 1 Unit 2009 BAIK
30 Neo Puff Fisher & Paykel RD-900 AEU 110523001527 1 Unit 2011 DAK PONEK BAIK
31 Neo Puff Fisher & Paykel RD-900 AEU 110523001939 1 Unit 2011 DAK PONEK BAIK
32 Patient Monitor Innomed Innocare-T DBL1100125 1 Unit 2011 BANPROP BAIK
B40i w/ibp
33 Patient Monitor GE ( Critical Care ) 1 Unit 2016 BAIK
34 Phototherapy Unit Tesena - 0801/41/06 1 Unit 2006 BAIK
35 Phototherapy Unit Tesena - 081/41/06 1 Unit 2006 BAIK
36 Phototherapy Unit Tesena - 079/VI/06 1 Unit 2006 BAIK
37 Phototherapy Unit Griss - 4 1 Unit BAIK
38 Phototherapy Unit Griss - 5 1 Unit BAIK
39 Phototherapy Unit Griss - 6 1 Unit BAIK
40 Phototherapy Unit Griss - 7 1 Unit RUSAK
41 Pulse Oxymeter (lebih dari 2 Parameter) Masimo Radical 5 N-22180 1 Unit 2010 BAIK
42 Pulse Oxymetri Neonatus Masimo Radical 7 155281 1 Unit 2011 DAK PONEK BAIK
43 Regulator O2 + Flow Meter Wall Comweld/Wall 2 Unit
44 Suction Pump Minic-S Portable 0801162U 1 Unit BAIK
45 Syringe Pump TOP TOP-5300 SM-12977E 1 Unit BAIK
46 Syringe Pump Terumo TE-331 09060225 1 Unit 2010 BAIK
47 Syringe Pump Terumo TE-331 09060251 1 Unit 2011 BAIK
Perfusor
48 Syringe Pump B Braun Compact S 1 Unit BAIK
49 Thermohygrometer 1 Unit
50 Thermometer Air Raksa Yenaco Safely 9 Unit BAIK
51 Thermometer Digital Omron MC-246 3 Unit 2011 DAK UGD 1 BAIK 2 RUSAK
52 Thermometer Kulkas Taylor 1 Unit baik
53 Timbangan Bayi digital Seca 0-14 Kg 1 Unit baik
54 inkubator GE girraffe 2 2017 baik
55 penlight riester 1 2012 baik
56 stesokop abn 1 rusak
57 otoscope 1 2010 baik
58 steam sterilizer pigeon 2 baik 1 rusak
59 film viewer ( x-ray illumination double ) poly viewer Xray film (slim 40 watt) 1 2017 baik
60 pendant icu trumpf medical pendant truport 5000 9 2016 baik
61 Incubator Baby Transport Draegerwerk AG & Co. KGaA Transport Incubator TI 500 (DMI-703-004) 1 Unit baik
62 Bedside Monitor/Patient Monitor Philips PATIENT MONITOR INTELLIVUE MX700 3 Set baik
63 Bedside Monitor/Patient Monitor PHILIPS INTELLIVUE MX700 PATIENT MONITOR BASIC PARAMETER 2 Set baik
64 Ventilator CAREFUSION HFOV 3100A 1 Set baik
65 Ventilator CAREFUSION AVEA Full Clio USD 34,872.00 2 Set baik
66 Infusion Pump Terumo INFUSION PUMP - TE-172CW3 2 Unit baik
67 Syringe Pump BBRAUN Perfusor Space / Advance Syringe Pump Bbraun 2 Unit baik
68 Syringe Pump Bbraun Perfusor Compact S/Syringe Pump Braun 1 Unit baik
69 Suchtion Pump Regulator Allied 3 Unit baik
70 Infant Warmer GE Giraffe Warmer (42000000-AKS-000054597) 1 Unit baik
71 Vein light/ viewer ACCUVEIN AV400 1 Buah baik
72 Pulse Oxymetri/Oxymeter Handled Schiller Argus OXM-C 1 Unit baik
ELITECH - INDONESIA ELITECH SPO2 MONITOR + NIBP
73 Pulse Oxymetri/Oxymeter Finger for baby MONITOR/PORTABLE VITAL SIGN MONITOR PM50 (42181800-AKS- 1 Unit baik
000411159)
74 Timbangan dan pengukur tinggi (Bayi) SECA SECA Baby Scale Digital 727 1 Unit baik
75 Lampu Periksa/Examination Lamp GEBRUDER MARTIN GMBH & CO.KG Martin Examination Light Type ML101S 1 Unit baik
76 Breast Pump Electric Ardo ARDO Carum Elektric Breastpump (42000000-AKS-000052722) 1 Unit 2016 baik
77 ECG/EKG/electrocardiograph GE Mac 2000 1 Unit baik
78 Regulator Gas Medik (Flow Meter) for infant ALLIED HEALTHCARE TIMETER Oxygen Flowmeter Classic Lowflow 6 Buah baik
1000CC Set-Autoclavable TB211-SA1
79 Nebulizer Ultrasonic nebulizer Prizma 1 Unit baik
80 Thermometer Non Contact (Infra Red) 2 unit baik
81 Medical Refrigerator (kecil) 1 unit baik
82 Alat Gula Darah one touch perio pro 1 unit baik
83 Ambu bag + selang + face mask biru tua 1 2006 tidak baik
84 Ambu bag + selang + face mask biru muda 1 2009 baik
85 Ambu bag + selang + face mask kuning 2 2010 rusak
Retur ke
86 Inkubator I Tesena 1 2006 gudang
Retur ke
87 Inkubator II Tesena 1 2006
gudang

88 Inkubator III Tesena 1 2006 Retur ke

gudang
89 Inkubator IV Tesena 1 2006 baik
Retur ke
90 Inkubator V Tesena 1 2006 gudang
Retur ke
91 Inkubator Transport Tesena 1 2010 gudang
92 Couvies Tesena 1 2010 baik
93 Box bayi stanless 2 2006 Retur ke
gudang
94 syring pump Top 1 2008 baik
95 syring pump Terumo 1 2010 baik
96 syring pump Terumo 1 Bantuan PONEK 2011baik
97 infus pump B. Braun 1 2008 baik
98 infus pump Terumo 3 2010 baik
99 infus pump terumo 1 Bantuan PONEK 2011-
100 Stetoskop ABN hitam 1 2009 baik
101 mesin suction 1 2008 baik
102 Nierbeken/piala ginjal stanless 6 2008 baik
103 Timbangan manual 1 2006 ADA
104 Tromol kecil stanless 1 2006 baik
105 Gunting verban besar stanless 1 2006 baik
106 Gunting verban kecil stanless 1 2008 baik
107 Korentang stanless 1 2006 baik
108 OPA plastik 1 2006 0

109 Thermometer digital 2 2006 1 baik, 2

diperbaiki

110 Thermometer Rectal 1 2006 -

111 Thermometer air raksa 10 2010 -
112 Kom kecil stanless 4 2008 0
113 Kom sedang with lip stanless 1 2008 0
114 kom besar with lip stanless 1 2008 0
115 dresing jar kecil stanless 2 2008 0
116 dresing jar sedang stanless 1 2008 0
117 dresing jar besar stanless 1 2008 0
118 Trolly dorong stanless 1 2006 di ranap
119 Bak instrument kecil stanless 1 2008 baik
120 Bak instrument sedang stanless 2 2008 baik
121 Bak instrument besar stanless 1 2008 baik
122 Vena sactie set 1 2006 baik
123 umbilical set 1 2006 baik
124 Laringoskop stanless / flexicare 1 2010 baik
125 Laringoskop stanless 1 Bantuan PONEK 2011baik
126 Patient Monitor 1 Bantuan PONEK 2011baik
127 Tiang infus stanless 2 2008 baik
128 Tiang infus stanless 3 2010 tidak ada
129 Alat gula darah Terumo 1 2009 Retur
130 Nebulizer 1 2009 baik
131 Pen light 1 2010 baik
132 senter 1 2010 -
133 lampu vena sorot one med 1 2010 tidak ada
134 lampu sorot MEDILIUM 1 2010 -
135 otoscope 1 2010 -
136 GV Set 4 2010 baik
137 kaca mata google 1 2008 baik

138 selang mesin suction hospitech 2 2010 1 baru / 1

terpakai

139 tubing ventilator flexi core 1 2010 baik

140 Lemari alkes 1 2011 retur
141 MEJA FLOWSHEED AGS 3 2017 BAIK
142
143
144
145
146
147
148
149
150
 DAFTAR ALKES PERINATOLOGI 2018

NO NAMA ALAT MERK TYPE S/N JUMLAH SATUAN v/x

1 Box Bayi Lokal 2 Unit
2 CPAP Fisher & Paykel Healthcare 3500HL H65375 1 Unit
Complete Set Bubble with Air-o2
3 CPAP Fisher & Paykel Healthcare Mixer 1 Unit
4 ECG GE Mac i 1 Unit
5 Head Box Tesena 5 Unit
6 Incubator Cuvis Tesena TSN UI-2 399/UI/09 1 Unit
7 Incubator Transport Tesena TSN89TR 112/XI/09 1 Unit
8 Infant Inkubator Medix PC-305 7988-11 1 Unit
9 Infant Inkubator Tesena TSN910SC-c 045/I/06 1 Unit
10 Infant Inkubator Tesena TSN910SC-c 046/I/06 1 Unit
11 Infant Inkubator Tesena TSN910SC-c 217/v/05T910 1 Unit
12 Infant Inkubator Tesena TSN910SC-c 043/I/08 1 Unit
13 Infant Inkubator Tesena TSN910SC-c 044/I/09 1 Unit
14 Infant Inkubator Cobams Mod. Cristina 003A SCH 1 Unit
15 Infant Inkubator Cobams Mod. Cristina 003A SCH 1 Unit
16 Infant Inkubator Draeger Isolette 8000 1 Unit
17 Infant Inkubator Draeger Isolette 8000 1 Unit
18 Infant Warmer Tesena TSN 89 IW 1 Unit
19 Infant Warmer Cobams Mod.Leri C88 1 Unit
20 Infus Pump B-Braun Infusomat P 52123 1 Unit
21 Infus Pump Terumo TE-112 09060402 1 Unit
22 Infus Pump Terumo TE-112 09060365 1 Unit
23 Infus Pump Terumo TE-112 09060366 1 Unit
24 Infus Pump Terumo TE-112 09070328 1 Unit
25 Lampu Sorot Medillum 1 Unit
26 Lampu Vena One Med 1 Unit
27 Laryngoscope Anak Flexicare 1 Unit
28 Laryngoscope Baby Hebu 2 Unit
29 Nebulizer Nivec Modell 02 L.1.355656/02 1 Unit
30 Neo Puff Fisher & Paykel RD-900 AEU 110523001527 1 Unit
31 Neo Puff Fisher & Paykel RD-900 AEU 110523001939 1 Unit
32 Patient Monitor Innomed Innocare-T DBL1100125 1 Unit
33 Patient Monitor GE B40i w/ibp ( Critical Care ) 1 Unit
34 Phototherapy Unit Tesena - 0801/41/06 1 Unit
35 Phototherapy Unit Tesena - 081/41/06 1 Unit
36 Phototherapy Unit Tesena - 079/VI/06 1 Unit
37 Phototherapy Unit Griss - 4 1 Unit
38 Phototherapy Unit Griss - 5 1 Unit
39 Phototherapy Unit Griss - 6 1 Unit
40 Phototherapy Unit Griss - 7 1 Unit
41 Pulse Oxymeter (lebih dari 2 Parameter) Masimo Radical 5 N-22180 1 Unit
42 Pulse Oxymetri Neonatus Masimo Radical 7 155281 1 Unit
43 Regulator O2 + Flow Meter Wall Comweld/Wall 2 Unit
44 Suction Pump Minic-S Portable 0801162U 1 Unit
45 Syringe Pump TOP TOP-5300 SM-12977E 1 Unit
46 Syringe Pump Terumo TE-331 09060225 1 Unit
47 Syringe Pump Terumo TE-331 09060251 1 Unit
48 Syringe Pump B Braun Perfusor Compact S 1 Unit
49 Thermohygrometer 1 Unit
50 Thermometer Air Raksa Yenaco Safely 9 Unit
51 Thermometer Digital Omron MC-246 3 Unit
52 Thermometer Kulkas Taylor 1 Unit
53 Timbangan Bayi digital Seca 0-14 Kg 1 Unit
54 inkubator GE girraffe 2 Unit
55 penlight riester 1 Unit
56 stesokop abn 1 Unit
57 otoscope 1 Unit
58 steam sterilizer pigeon 2 Unit
59 film viewer ( x-ray illumination double ) poly viewer Xray film (slim 40 watt) 1 Unit
60 pendant icu trumpf medical pendant truport 5000 9 Unit
61 Incubator Baby Transport Draegerwerk AG & Co. KGaA Transport Incubator TI 500 (DMI-703-004) 1 Unit
62 Bedside Monitor/Patient Monitor Philips PATIENT MONITOR INTELLIVUE MX700 3 Set
63 Bedside Monitor/Patient Monitor PHILIPS INTELLIVUE MX700 PATIENT MONITOR BASIC PARAMETER 2 Set
64 Ventilator CAREFUSION HFOV 3100A 1 Set
65 Ventilator CAREFUSION AVEA Full Clio USD 34,872.00 2 Set
66 Infusion Pump Terumo INFUSION PUMP - TE-172CW3 2 Unit
67 Syringe Pump BBRAUN Perfusor Space / Advance Syringe Pump Bbraun 2 Unit
68 Syringe Pump Bbraun Perfusor Compact S/Syringe Pump Braun 1 Unit
69 Suchtion Pump Regulator Allied 3 Unit
70 Infant Warmer GE Giraffe Warmer (42000000-AKS-000054597) 1 Unit
71 Vein light/ viewer ACCUVEIN AV400 1 Buah
72 Pulse Oxymetri/Oxymeter Handled Schiller Argus OXM-C 1 Unit

ELITECH - INDONESIA ELITECH SPO2 MONITOR + NIBP MONITOR/PORTABLE VITAL

73 Pulse Oxymetri/Oxymeter Finger for baby 1 Unit
SIGN MONITOR PM50 (42181800-AKS-000411159)

74 Timbangan dan pengukur tinggi (Bayi) SECA SECA Baby Scale Digital 727 1 Unit
75 Lampu Periksa/Examination Lamp GEBRUDER MARTIN GMBH & CO.KG Martin Examination Light Type ML101S 1 Unit
76 Breast Pump Electric Ardo ARDO Carum Elektric Breastpump (42000000-AKS-000052722) 1 Unit
77 ECG/EKG/electrocardiograph GE Mac 2000 1 Unit
ALLIED HEALTHCARE TIMETER Oxygen Flowmeter Classic Lowflow 1000CC Set-
78 Regulator Gas Medik (Flow Meter) for infant Autoclavable TB211-SA1 6 Buah
79 Nebulizer Ultrasonic nebulizer Prizma 1 Unit
80 Thermometer Non Contact (Infra Red) 2 unit
81 Medical Refrigerator (kecil) 1 unit
82 Alat Gula Darah one touch perio pro 1 unit
83 Ambu bag + selang + face mask biru muda 1 Set
84 Ambu bag + selang + face mask kuning 2 Set
85 Inkubator I Tesena 1 Unit
86 Inkubator II Tesena 1 Unit
87 Inkubator III Tesena 1 Unit
88 Inkubator IV Tesena 1 Unit
 89 Inkubator V Tesena 1 Unit
90 Inkubator Transport Tesena 1 Unit
91 Couvies Tesena 1 Unit
92 Box bayi stanless 2 Unit
93 Blue light fototherapi Tesena 3 Unit
94 syring pump Terumo 1 Set
95 syring pump Terumo 1 Set
96 infus pump B. Braun 1 Set
97 infus pump Terumo 3 Set
98 infus pump terumo 1 Set
99 Stetoskop ABN hitam 1 Unit
100 mesin suction 0 1 Unit
101 Nierbeken/piala ginjal 6 Unit
102 Timbangan manual 0 1 Unit
103 Tromol kecil 1 Unit
104 Gunting verban besar stanless 1 Unit
105 Gunting verban kecil stanless 1 Unit
106 Korentang stanless 1 Unit
107 OPA plastik 1 Unit
108 Thermometer digital 0 2 Unit
109 Thermometer Rectal 1 Unit
110 Thermometer air raksa 10 Unit
111 HeadBox 5 Unit
112 Kom sedang with lip stanless 1 Unit
113 kom besar with lip stanless 1 Unit
114 dresing jar kecil stanless 2 Unit
115 dresing jar sedang stanless 1 Unit
116 dresing jar besar stanless 1 Unit
117 Trolly dorong stanless 1 Unit
118 Bak instrument kecil stanless 1 Unit
119 Bak instrument sedang stanless 2 Unit
120 Bak instrument besar stanless 1 Unit
121 Vena sactie set 0 1 Unit
122 umbilical set 1 Unit
123 Laringoskop 1 Unit
124 Laringoskop stanless 1 Unit
125 Patient Monitor 0 1 Unit
126 Tiang infus 2 Unit
127 Tiang infus stanless 3 Unit
128 Alat gula darah Terumo 1 Set
129 Nebulizer 0 1 Unit
130 Pen light 1 Unit
131 senter 1 Unit
132 lampu vena sorot 1 Unit
133 lampu sorot MEDILIUM 1 Unit
134 otoscope 0 1 Unit
135 Oximetri portable 1 Unit
136 kaca mata google 1 Unit
137 selang mesin suction 2 Unit
138 tubing ventilator flexi core 1 Unit
139 HeadBox Tesena 2 Unit
140 Termometer digital 5 Unit
141 MEJA FLOWSHEED AGS 3 Unit
 Hari/Tanggal : SENIN/08 MARET 2021
NAMA ALAT MERK TYPE S/N JUMLAH SATUAN KET

Box Bayi Lokal 2 Unit

CPAP Fisher & Paykel Healthcare 3500HL H65375 1 Unit

CPAP Fisher & Paykel Healthcare Complete Set Bubble 1 Unit

with Air-o2 Mixer
ECG GE Mac i 1 Unit
Head Box Tesena 5 Unit
Incubator Cuvis Tesena TSN UI-2 399/UI/09 1 Unit di Lt 6
Incubator Transport Dragerwerk AG Isolette TI 5000 12082 1 Unit
Incubator Transport Tesena (inkubator transport TSN89TR 112/XI/09 1 Unit
yang lama)
Baby Inkubator Medix PC-305 7988-11 1 Unit
Baby Inkubator Tesena TSN910SC-c 045/I/06 1 Unit
Mod. Cristina 003A
Baby Inkubator Cobams 4161153 1 Unit
SCH
Baby Inkubator Cobams Mod. Cristina 003A 4161150 1 Unit
SCH
Baby Inkubator Draeger Isolette 8000 H407012 1 Unit
Baby Inkubator Draeger Isolette 8000 H407011 1 Unit
Infant Warmer Tesena TSN 89 IW 308/XII/10 1 Unit di Lt 5
Infant Warmer Cobams Mod.Leri C88 1 Unit +
Infus Pump B-Braun Infusomat P 52123 1 Unit +
Infus Pump Terumo TE-112 09060402 1 Unit +
Infus Pump Terumo TE-112 09060365 1 Unit +
Infus Pump Terumo TE-112 09060366 1 Unit +
Infus Pump Terumo TE-112 09070328 1 Unit +
Infus pump Terumo TE-172CW3 1609000032 1 UNIT +
NEBULIZER UltRasonic nebulizer Prizma 2 01734003415 1 unit +
Laryngoscope blade Venticare ukuran MIL 0 1 unit +
Venticare ukuran MIL 1 1 unit +
Venticare ukuran MIL 2 1 unit +
Venticare ukuran MIL 3 1 unit +
Laryngoscope blade Karl Storz germany 8546 LOT X503 1 Unit +
Karl Storz germany ukuran 1 857D LOT VR01 1 unit +
Karl Storz germany ukuran 0 8537E LOT PS01 1 unit +
Laryngoscope Baby Hebu GMBH HB420
Hebu germany ukuran MIL 0 1 unit +

Hebu germany ukuran MIL 00 1 unit

Hebu germany ukuran MIL 1 1 unit
Nebulizer Nivec Modell 02 L.1.355656/02 1 Unit

(+) / di dalam
Neo Puff Fisher & Paykel RD-900 AEU 110523001527 1 Unit lemari

(+) /ada diluar

Neo Puff Fisher & Paykel RD-900 AEU 110523001939 1 Unit (NICU)

Bed Side Monitor Innomed Innocare-T DBL1100125 1 Unit

B40i w/ibp ( Critical
Bed Side Monitor GE Care ) 5 Unit

Phototherapy Unit Tesena TLC 2H (no seri 2) 080 /VI / 06 1 Unit

Phototherapy Unit Tesena TLC 2H (no seri 1) 081 / VI / 06 1 Unit

Phototherapy Unit Tesena TLC 2H (no seri 3) 079 / VI / 06 1 Unit

Phototherapy Unit Tesena TLC 2H 1000001018 1 Unit

Phototherapy Unit Griss 821201 4 1 Unit

Phototherapy Unit Griss 821201 5 1 Unit

Phototherapy Unit Griss 821201 6 1 Unit

Phototherapy Unit Novos 037-000 BXP 5856156 1 Unit
Phototherapy Unit Novos BXP 5856140 1 Unit
Phototherapy Unit Griss 821201 7 1 Unit
Pulse Oxymeter Masimo Radical 5 N-22180 1 Unit
Pulse Oxymetri Neonatus Masimo Radical 7 155281 1 Unit
Regulator O2 + Flow Meter
Comweld/Wall 1 Unit
Wall
Suction Pump Minic-S Portable 0801162U 1 Unit
Syringe Pump TOP TOP-5300 SM-12977E 1 Unit
Syringe Pump Terumo TE-331 09060225 1 Unit
Syringe Pump Terumo TE-331 09060251 1 Unit
Syringe Pump B Braun Perfusor Compact S 110136 1 Unit

BBRAUN Perfusor Space /

Syringe Pump Advance Syringe Pump Bbraun 2018 383366 1 Unit

Syringe Pump BBRAUN Perfusor Space / 2018 383373 1 Unit

Advance Syringe Pump Bbraun

BBRAUN Perfusor Space /

Syringe Pump Advance Syringe Pump Bbraun 2018 383394 1 Unit

Thermohygrometer 1 Unit
Thermometer Air Raksa Yenaco Safely 9 Unit
Thermometer Digital Omron MC-246 1 Unit
Thermometer Kulkas Taylor 1 Unit
Timbangan Bayi digital Seca baby scale digital 727 1000000061709 1 Unit
Timbangan Bayi digital Seca baby scale digital 0-14 kg 1 Unit
Timbangan bayi manual Medcalindo 1 Unit
Baby Inkubator GE girrafe HDHW60213 1 Unit
Baby Inkubator GE girrafe HDHW60209 1 Unit
Baby Inkubator GE girraffe HDHW60212 1 Unit
penlight general care 1 Unit Baik/nyala
penlight riester 1 Unit Baik/nyala
Stetoskop abn 1 Unit
Stetoskop Litman Quality (warna hitam) 1 Unit

Stetoskop Litman Quality (warna merah) 1 Unit

Stetoskop Erka germany 1 Unit
steam sterilizer pigeon 1 Unit
otoscope 1 Unit
film viewer ( x-ray poly viewer Xray film (slim 40
illumination double ) watt) PJM1701107001 1 Unit

trumpf medical pendant

pendant icu HYPORT 8000 9 Unit
truport 5000

Draegerwerk AG & Co. KGaA

Incubator Baby Transport (DMI-703-004) 1 Unit
Transport Incubator TI 500

Bedside Monitor/Patient PHILIPS INTELLIVUE MX700

PATIENT MONITOR BASIC DE 58550392 1 Set
Monitor PARAMETER
 PHILIPS INTELLIVUE MX700
Bedside Monitor/Patient PATIENT MONITOR BASIC DE 58550402 1 Set
Monitor
PARAMETER
PHILIPS INTELLIVUE MX700
Bedside Monitor/Patient
PATIENT MONITOR BASIC DE 58550400 1 Set
Monitor PARAMETER
PHILIPS INTELLIVUE MX700
Bedside Monitor/Patient
PATIENT MONITOR BASIC DE 58550369 1 Set
Monitor PARAMETER
PHILIPS INTELLIVUE MX700
Bedside Monitor/Patient PATIENT MONITOR BASIC DE 58550396 1 Set
Monitor
PARAMETER
Ventilator CAREFUSION HFOV 3100A (21) BHW01308 1 Set
CAREFUSION AVEA Full Clio
Ventilator BGY 01632 1 Set
USD 34,872.00

CAREFUSION AVEA Full Clio

Ventilator USD 34,872.01 BHY 01013 1 unit

Ventilator unit +
Suchtion Pump Regulator Allied 20170206 1 Unit

Suchtion Pump Regulator Allied 20170206 1 Unit

Suchtion Pump Regulator Allied 20170206 1 Unit
GE Giraffe Warmer
Infant Warmer (42000000-AKS-000054597) 621702810 1 Unit (+) / di NICU

Vein light/ viewer ACCUVEIN AV400 AV17170008 1 Unit +

Pulse Oxymetri/Oxymeter
Schiller Argus OXM-C 1 Unit (+) / Perina
Handled
 ELITECH - INDONESIA ELITECH
SPO2 MONITOR + NIBP
Pulse Oxymetri/Oxymeter MONITOR/PORTABLE VITAL
Finger for baby SIGN MONITOR PM50 PM717540004 1 Unit Kasih ke VK
(42181800-AKS-000411159)

ELITECH - INDONESIA ELITECH

SPO2 MONITOR + NIBP
Pulse Oxymetri/Oxymeter MONITOR/PORTABLE VITAL
SIGN MONITOR PM50 PM717540005 1 Unit
Finger for baby
(42181800-AKS-000411159)

GEBRUDER MARTIN GMBH &

CO.KG Martin Examination
Lampu Periksa/Examination Light Type ML101S ML10101U1030016M 1 Unit
Lamp 019

Ardo ARDO Carum Elektric

Breastpump (42000000-AKS-
Breast Pump Electric 000052722) 1671233 1 Unit

ALLIED HEALTHCARE TIMETER

Regulator Gas Medik (Flow Oxygen Flowmeter Classic 20170330 1 Unit
Meter) for infant Lowflow 1000CC Set-
Autoclavable TB211-SA1
 ALLIED HEALTHCARE TIMETER
Regulator Gas Medik (Flow Oxygen Flowmeter Classic
20170330 1 Unit
Meter) for infant Lowflow 1000CC Set-
Autoclavable TB211-SA2

ALLIED HEALTHCARE TIMETER

Regulator Gas Medik (Flow Oxygen Flowmeter Classic 20170330 1 Unit
Meter) for infant Lowflow 1000CC Set-
Autoclavable TB211-SA3

ALLIED HEALTHCARE TIMETER

Regulator Gas Medik (Flow Oxygen Flowmeter Classic
20170330 1 Unit
Meter) for infant Lowflow 1000CC Set-
Autoclavable TB211-SA4
 ALLIED HEALTHCARE TIMETER
Regulator Gas Medik (Flow Oxygen Flowmeter Classic
Meter) for infant Lowflow 1000CC Set- 20170330 1 Unit
Autoclavable TB211-SA5

Thermometer Non Contact

MICROLIFE 1718D2605 1 Unit
(Infra Red)
Thermometer Non Contact
MICROLIFE 1718D2601 1 Unit
(Infra Red)

Medical Refrigerator (kecil) PANASONIC 17040034 1 Unit

Alat Gula Darah one touch perio pro WBHJL067 1 Unit Retur
41191182800105
Alat Gula Darah Terumo Blood Glucose Meter 2B 1 Unit
Ambu bag + selang + face
biru tua FLEXICORE 1 Unit
mask
Ambu bag + selang + face biru muda FLEXICORE 1 Unit
mask
Ambu bag + selang + face
mask kuning FLEXICORE 2 Unit

Ambu bag + selang + face

mask MORTON 20403510775 1 Unit

Ambu bag + selang + face

MORTON 20403510775 1 Unit
mask
Ambu bag + selang + face MORTON 20403510775 1 Unit
mask
Ambu bag + selang + face
mask MORTON 20403510775 1 Unit
Ambu bag + selang + face
mask MORTON 20403510775 1 Unit

Ambu bag + selang + face

MORTON 20403510775 1 Unit
mask
Kulkas asi Aqua AQR-D191 1 Unit

Nierbeken/piala ginjal 8 Unit

Gunting verban besar stanless 1 Unit

Gunting verban kecil stanless 1 Unit
Korentang 1 Unit
OPA 55555 1 Unit
Kom kecil stanless 4 Unit
Kom sedang with lip stanless 1 Unit
kom besar with lip stanless 1 Unit
dresing jar kecil stanless 2 Unit
dresing jar sedang stanless 1 Unit
dresing jar besar stanless 1 Unit
Trolly dorong stanless 1 Unit
Bak instrument kecil stanless 1 Unit
Bak instrument sedang stanless 2 Unit
Bak instrument besar stanless 1 Unit
Vena sactie set 1 Unit
umbilical set 1 Unit
Tiang infus stanless 2 Unit
Tiang infus stanless 3 Unit
1 Unit
lampu vena sorot One med AH-001 1 Unit Baik/nyala
lampu vena sorot 1 Unit
kaca mata google 1 Unit
tubing ventilator FLEXI CORE 1 Unit
VENA SEKSI AUSCULAP 7852 1 unit
MEJA FLOWSHEED AGS 3 Unit
2 dipakai + 1
thermometer digital ABN model NO DT - 900 13 unit rusak
regulator oksigen + flow meter
15 lmp 1 unit
glass box PMS 88125 15 1 unit
lemari alkes MAK 181132901139005 0 1 unit
troley alkes MAK 181135301000005 8 1 unit
air purifier GENANO 1 unit
125-
Endoskope Karl Storz 809120 PO/MV/VII/2017
Set Ventilator Avea Vadi Ventilator Tubing REF G-329000 2 Set
HFO Carefusion Carefusion 3100 A BHW01308 1 unit
Dsteril panasonic 2 unit
PHILIPS INTELLIVUE MX500
Bedside Monitor/Patient PATIENT MONITOR BASIC DE 35198581 1 Set Pinjaman lt 5
Monitor
PARAMETER
 Hari/Tanggal : Jumat, 12-Juli-2019
NO NAMA ALAT MERK TYPE S/N JUMLAH SATUAN KET
1 Box Bayi Lokal 2 Unit AFKIR

Fisher & Paykel

2 CPAP Healthcare 3500HL H65375 1 Unit Baik

Complete Set
3 CPAP Fisher & Paykel Bubble with 1 Unit Baik
Healthcare
Air-o2 Mixer

4 ECG GE Mac i 1 Unit Baik

5 Head Box Tesena 5 Unit
6 Incubator Cuvis Tesena TSN UI-2 399/UI/09 1 Unit di Lt6

Tesena
Incubator (inkubator
7 TSN89TR 112/XI/09 1 Unit Baik
Transport transport yang
lama)
Infant
8 Inkubator Medix PC-305 7988-11 1 Unit Baik

9 Infant Tesena TSN910SC-c 045/I/06 1 Unit Baik

Inkubator
Infant
10 Tesena TSN910SC-c 046/I/06 1 Unit Baik
Inkubator
Infant
11 Inkubator Tesena TSN910SC-c 217/v/05T910 1 Unit Baik

Infant
12 Tesena TSN910SC-c 043/I/08 1 Unit Baik
Inkubator

13 Infant Tesena TSN910SC-c 044/I/09 1 Unit Baik

Inkubator

14 Infant Cobams Mod. Cristina 4161153 1 Unit Baik

Inkubator 003A SCH

15 Infant Cobams Mod. Cristina 4161150 1 Unit Baik

Inkubator 003A SCH

16 Infant Draeger Isolette 8000 H407012 1 Unit Baik

Inkubator
Infant
17 Inkubator Draeger Isolette 8000 H407011 1 Unit Baik

18 Infant Warmer Tesena TSN 89 IW 308/XII/10 1 Unit Baik

19 Infant Warmer Cobams Mod.Leri C88 1 Unit Baik

20 Infus Pump B-Braun Infusomat P 52123 1 Unit Baik

21 Infus Pump Terumo TE-112 09060402 1 Unit Baik
22 Infus Pump Terumo TE-112 09060365 1 Unit Baik
23 Infus Pump Terumo TE-112 09060366 1 Unit Baik
24 Infus Pump Terumo TE-112 09070328 1 Unit Baik
25 Infus pump Terumo TE-172CW3 1609000032 1 UNIT Baik
UltRasonic
26 NEBULIZER nebulizer 2 01734003415 1 unit Baik
Prizma
Laryngoscope Venticare 1 unit Baik/nyala
blade ukuran MIL 0
Venticare
1 unit Baik/nyala
ukuran MIL 1
Venticare
ukuran MIL 2 1 unit Baik/nyala

Venticare
1 Baik/nyala
ukuran MIL 3
Laryngoscope Karl Storz 8546 LOT X503 1 Unit Baik/nyala
blade germany
Karl Storz
germany ukuran 857D LOT VR01 1 unit Baik/nyala
1
Karl Storz
germany ukuran 8537E LOT PS01 1 unit Baik/nyala
0

28 Laryngoscope Hebu GMBH HB420

Baby
Hebu germany
ukuran MIL 0 1 unit Baik/nyala

Hebu germany 1 unit Baik/nyala

ukuran MIL 00
Hebu germany
1 unit Baik/nyala
ukuran MIL 1
29 Nebulizer Nivec Modell 02 L.1.355656/02 1 Unit Baik/nyala
Baik/di
30 Neo Puff Fisher & Paykel RD-900 AEU 110523001527 1 Unit dalam
lemari

Baik/ada
31 Neo Puff Fisher & Paykel RD-900 AEU 110523001939 1 Unit diluar
(NICU)
 Patient
32 Monitor Innomed Innocare-T DBL1100125 1 Unit Baik

Patient B40i w/ibp

33 Monitor GE ( Critical Care ) 1 Unit Baik

Phototherapy TLC 2H (no

34 Unit Tesena seri 2) 0801/41/06 1 Unit Baik

35 Phototherapy Tesena TLC 2H (no 081/41/06 1 Unit Baik

Unit seri 3)
Phototherapy TLC 2H (no
36 Tesena 079/VI/06 1 Unit Baik
Unit seri 1)
Phototherapy Lampu
37 Unit Griss - 4 1 Unit mati 3
Phototherapy Lampu
38 Griss - 5 1 Unit
Unit mati 1

39 Phototherapy Griss - 6 1 Unit

Unit
Phototherapy
40 Unit Griss - 7 1 Unit

41 Pulse Oxymeter Masimo Radical 5 N-22180 1 Unit Baik

Pulse Oxymetri
42 Neonatus Masimo Radical 7 155281 1 Unit Baik

Regulator O2 +
43 Flow Meter Comweld/Wall 1 Unit Baik
Wall
44 Suction Pump Minic-S Portable 0801162U 1 Unit Baik
45 Syringe Pump TOP TOP-5300 SM-12977E 1 Unit Baik
46 Syringe Pump Terumo TE-331 09060225 1 Unit Baik
47 Syringe Pump Terumo TE-331 09060251 1 Unit Baik
Perfusor
48 Syringe Pump B Braun Compact S 110136 1 Unit Baik

BBRAUN
Perfusor Space /
49 Syringe Pump Advance Syringe 2018 383366 1 UNIT Baik
Pump Bbraun

BBRAUN
Perfusor Space /
50 Syringe Pump 2018 383394 1 UNIT Baik
Advance Syringe
Pump Bbraun
 Thermohygrom
49 eter 1 Unit Baik

Thermometer
50 Yenaco Safely 9 Unit Baik
Air Raksa

51 Thermometer Omron MC-246 1 Unit Baik

Digital

52 Thermometer Taylor 1 Unit Baik

Kulkas
1
53 Timbangan Bayi Seca baby scale 00000000617 1 Unit Baik
digital digital 727
09
Timbangan Bayi Seca baby scale
54 digital digital 0-14 kg 1 unit Baik

Timbangan bayi
55 Medcalindo 2 725102058247 1 unit
manual
56 Inkubator GE girrafe HDHW60213 1 unit Baik
57 Inkubator GE girrafe HDHW60209 1 unit Baik
58 inkubator GE girraffe HDHW60212 1 Unit Baik
59 penlight riester 1 Unit Baik/nyala
56 Stetoskop abn 1 Unit
Litman Quality
Stetoskop (warna hitam) 1 Unit Baik

Litman Quality
57 Stetoskop 1 Unit Baik
(warna merah)
Stetoskop Erka germany 1 Unit Baik

steam sterilizer pigeon 1 Unit Baik

58 otoscope 1 Unit

film viewer ( x- poly viewer

PJM17011070
59 ray illumination Xray film (slim 01 1 Unit Baik
double ) 40 watt)

trumpf medical
60 pendant icu pendant truport HYPORT 8000 9 Unit Baik
5000

Draegerwerk
61 Incubator Baby AG & Co. KGaA (DMI-703- 1 Unit Baik
Transport Transport 004)
Incubator TI 500
 PHILIPS
Bedside INTELLIVUE
62 Monitor/Patien MX700 PATIENT DE 58550392 1 Set Baik
t Monitor MONITOR BASIC
PARAMETER

PHILIPS
Bedside INTELLIVUE
63 Monitor/Patien MX700 PATIENT DE 58550402 1 Set Baik
t Monitor MONITOR BASIC
PARAMETER

PHILIPS
Bedside INTELLIVUE
64 Monitor/Patien MX700 PATIENT DE 58550400 1 Set Baik
t Monitor MONITOR BASIC
PARAMETER

PHILIPS
Bedside INTELLIVUE
65 Monitor/Patien MX700 PATIENT DE 58550369 1 Set Baik
t Monitor MONITOR BASIC
PARAMETER

PHILIPS
Bedside INTELLIVUE
66 Monitor/Patien MX700 PATIENT DE 58550396 1 Set Baik
t Monitor MONITOR BASIC
PARAMETER

CAREFUSION (21)
67 Ventilator HFOV 3100A BHW01308 1 Set Baik

CAREFUSION
68 Ventilator AVEA Full Clio BGY 01632 1 Set Baik
USD 34,872.00
CAREFUSION
69 Ventilator AVEA Full Clio BHY 01013 1 unit Baik
USD 34,872.01
 Ventilator unit
unit

Suchtion Pump
70 Regulator Allied 20170206 1 unit

Suchtion Pump
71 Regulator Allied 20170206 1 unit Baik

Suchtion Pump
72 Allied 20170206 1 Unit Baik
Regulator

GE Giraffe
70 Infant Warmer Warmer 621702810 1 Unit Baik
(42000000-AKS-
000054597)

71 Vein light/ ACCUVEIN AV17170008 1 Buah Baik

viewer AV400

Pulse
Schiller Argus
72 Oxymetri/Oxy OXM-C 1 Unit PERINA
meter Handled

ELITECH -
INDONESIA
ELITECH SPO2
MONITOR +
NIBP
MONITOR/PORT
Pulse ABLE VITAL
Oxymetri/Oxy SIGN MONITOR Kasih ke
73 PM717540004 1 Unit
meter Finger PM50 VK
for baby (42181800-AKS-
000411159)
 ELITECH -
INDONESIA
ELITECH SPO2
MONITOR +
NIBP
MONITOR/PORT
Pulse ABLE VITAL
Oxymetri/Oxy SIGN MONITOR PM717540005 1 UNIT Baik
meter Finger PM50
for baby (42181800-AKS-
000411159)

GEBRUDER
MARTIN GMBH
& CO.KG Martin
Lampu Examination ML10101U10
75 Periksa/Examin Light Type 30016M019 1 Unit Baik
ation Lamp ML101S

Ardo ARDO
Carum Elektric
Breastpump
76 Breast Pump (42000000-AKS- 1671233 1 Unit Baik
Electric 000052722)

ECG/EKG/electr SPW17280040
77 ocardiograph GE Mac 2000 PA 1 Unit Baik

ALLIED
HEALTHCARE
TIMETER
Regulator Gas Oxygen
Medik (Flow
78 Flowmeter 20170330 1 Buah Baik
Meter) for Classic Lowflow
infant
1000CC Set-
Autoclavable
TB211-SA1
 ALLIED
HEALTHCARE
Regulator Gas TIMETER
Oxygen
Medik (Flow
79 Meter) for Flowmeter 20170330 1 unit Baik
Classic Lowflow
infant 1000CC Set-
Autoclavable
TB211-SA2

ALLIED
HEALTHCARE
Regulator Gas TIMETER
Oxygen
80 Medik (Flow Flowmeter 20170330 1 unit Baik
Meter) for Classic Lowflow
infant
1000CC Set-
Autoclavable
TB211-SA3

ALLIED
HEALTHCARE
TIMETER
Regulator Gas Oxygen
Medik (Flow
81 Meter) for Flowmeter 20170330 1 unit Baik
infant Classic Lowflow
1000CC Set-
Autoclavable
TB211-SA4

ALLIED
HEALTHCARE
TIMETER
Regulator Gas
Medik (Flow Oxygen
82 Flowmeter 20170330 1 unit Baik
Meter) for Classic Lowflow
infant
1000CC Set-
Autoclavable
TB211-SA5

Thermometer
83 Non Contact MICROLIFE 1718D2605 1 unit Baik
(Infra Red)
 Thermometer
84 Non Contact MICROLIFE 1718D2601 1 unit Baik
(Infra Red)
Medical
84 Refrigerator PANASONIC 17040034 1 unit Baik
(kecil)

85 Alat Gula Darah one touch perio WBHJL067 1 unit Retur

pro

Alat Gula Darah

Terumo Blood
Alat Gula Darah Glucose Meter 411911828001052B 1 Unit Baik

Ambu bag +
85 selang + face biru tua FLEXICORE 1 Unit Baik
mask
Ambu bag +
86 selang + face biru muda FLEXICORE 1 Unit Baik
mask
Ambu bag +
87 selang + face kuning FLEXICORE 2 Unit Baik
mask
Ambu bag +
88 selang + face MORTON 20403510775 1 unit Baik
mask
Ambu bag +
89 selang + face MORTON 20403510775 1 unit Baik
mask
Ambu bag +
90 selang + face MORTON 20403510775 1 unit Baik
mask
Ambu bag +
91 selang + face MORTON 20403510775 1 unit Baik
mask
Ambu bag +
92 selang + face MORTON 20403510775 1 unit Baik
mask
Ambu bag +
93 selang + face MORTON 20403510775 1 unit Baik
mask
96 Kulkas asi Aqua AQR-D191 1 unit Baik
97 Kulkas asi
98
99
100
101
102
103
Nierbeken/pial
104 8 Unit Baik
a ginjal

105 Nierbeken/pial
a ginjal
106 Tromol kecil stanless 1 Unit Baik

107 Gunting verban stanless 1 Unit Baik

besar
Gunting verban
108 kecil stanless 1 Unit Baik

109 Korentang 1 Unit Baik

110 OPA 55555 1 Unit Baik
111 OPA
112
4baik/1pc
113 HeadBox 5 Unit h
114 Kom kecil stanless 4 Unit Baik
Kom sedang
115 with lip stanless 1 Unit Baik

116 kom besar with stanless 1 Unit Baik

lip

117 dresing jar kecil stanless 2 Unit Baik

dresing jar
118 stanless 1 Unit Baik
sedang
dresing jar
119 stanless 1 Unit Baik
besar
120 Trolly dorong stanless 1 Unit Baik

Bak instrument
121 stanless 1 Unit Baik
kecil

Bak instrument
122 sedang stanless 2 Unit Baik

Bak instrument
123 besar 1 Unit Baik
stanless

124 Vena sactie set 1 Unit Baik

125 umbilical set 1 Unit Baik
126 umbilical set
127
Patient
128 Monitor 1 Set Baik

129 Tiang infus stanless 2 Unit Baik

130 Tiang infus stanless 3 Unit Baik
131 Tiang infus 1 Unit Baik
132 1 Unit
133 1 Unit
Baik/nyal
134 senter 1 Unit a
lampu vena Baik/nyal
135 One med AH-001 1 Unit a
sorot
lampu vena
136 1 Unit
sorot
137 GV Set 4 Unit Baik

138 kaca mata 1 Unit Baik

google

139 tubing FLEXI CORE 1 Unit Baik

ventilator
140 VENA SEKSI AUSCULAP 7852 1 unit Baik
MEJA
FLOWSHEED AGS 3 Unit Baik

thermometer model NO DT - 2 dipakai

141 digital ABN 900 13 unit + 1 rusak

seri
000100000101 Baik
fototherapi TESENA 8T2HTLED 1 unit

regulator
oksigen + flow Baik
meter 15 lmp 1 unit
glass box PMS 88125 15 1 unit Baik
181132901139 Baik
lemari alkes MAK 005 0 1 unit
181135301000 Baik
troley alkes MAK 005 8 1 unit
air purifier GENANO 1 unit Baik
Endoskope Karl Storz 809120 125-PO/MV/VII/2017 Baik
Phototerapy Novos 037-000 BXP 5856156 1 unit Baik
Phototerapy Novos BXP 5856140 1 unit Baik
Set Ventilator Vadi Ventilator Baik
Avea Tubing REF G-329000 2 Set
 Baik
HFO Carefusion Carefusion 3100 A BHW01308 1 unit
Baik/nyala

Baik/nyala

Baik/nyala

Baik/nyala

Baik/nyala

Baik/nyala

Baik/nyala

Baik/nyala

Baik/nyala

Baik/nyala

Baik/nyala
Baik/nyala