Ambulance Pergio

Page : 1

DAFTAR KEBUTUHAN PERALATAN MEDIS

No. Description Type Brand Jml

I KENDARAAN AMBULANCE MINIBUS

A. Spesifikasi Teknis Kendaraan Minibus L-300 MITSUBISHI 1 UNIT

B. Modification Exterior And Interior Delux AKINDO 1 Set

1. Exterior

a. LED Flash Light Bar Oval (Red-Red) AK 2090 AKINDO 1 Set

- Input Voltage : 12 Volt

- Power Consumption : 18 Watt

- Life Time : 10.000 hours

b. Multi Sound Sirene System AK 2087 AKINDO 1 Set

- Input voltage : 12 VDC

- Current Input : 7.5 Ampere

- Power Output : 100 Watt

- Voice : - Sirene - Horn

- Aux - Wail-1

- Yelp - Wail-2

- Hi-lo - Tool

c. Logo and Lettering ( 3M Scottlight stricker ) Scottlight 3M 1 Set

d. Kaca Film 60% / 80%

2. Interior

Specification :

Vinyl Covered by base floor

Paramedic seat

Attendant seat (minimal 2 persons capacity) with equipment box

Page : 2


Medical equipment compartment, polyuretan finishing acrylic with washtafel

Box and bracket for Oxygen Cylinder

a. Base Stretcher Vinyl Covering AK 620 AKINDO 1 Set

b. FIXED Central Gas Oxygen System AK 2030 AKINDO 1 Set

- 2 Pcs Oxygen Cylinder 1M3

- 2 Pcs Tap Pin Index

- 2 Pcs Oxygen Regulator AK 3015 AKINDO

- 1 Set Oxygen Valve AK 2012 AKINDO

- 2 Pcs Nepel elbo

- Tubing high pressure and clamb tubing

- 1 Pc Oxygen wall outlet AK 2010 AKINDO

- 1 Pc Flowmeter oxygen with humidifier AK 3016 AKINDO

- 1 Pc Nasal Oxygen Cannula With Tubing for Adult ME 7407 Asia Connection

- 1 Pc Oxygen Mask With Tubing for Adult ME 7403 Asia Connection

c. Automatic Ambulance Stretcher AK 202 AKINDO 1 Unit

II MEDICAL EQUIPMENTS

1 Hunging Blood Pressure Monitor Maxi 3 Spidel Keeler - Germany 1 Unit

1 Rechargeable Battery Back up Suction Unit OB 2012 BOSCAROL 1 Unit

Specification

New medical suction unit, compact & modern silent, powerfull double

piston motor :

- 1000 ml autoclavable jar with protection filter + shut-off valve.

- Air flow :> 30 lt. (High Vacuum -High Flow)

- Adjustable suction with analog gauge 0 to >800 mbar (80kPa)

- Autonomy about 45 minutes

Page : 3


- Double safety fuse

- ABS case shock resistent

- electronic circuit allows direct operation though 12 VDC Vehicle source &

the total recharging of the battery from any 12 V source or any 220VCA

with suitable battery charge

- Wall bracket with integrated car cable to the external 12V source.

- Dimension : 350x120x245 mm, Weight : 4,9 Kg

- CE 0434 Certificated

2 Portable Colour Patient Monitor w/o printer INNOCARE S INNOMED MEDICAL 1 Unit

( ECG, NiBP, SpO2, Resp., Temp.)

Specification

Technical data

Features

- Dimensions : 200 x 200 x 100 mm

- Weight : < 1.5 kg without sensor

- Rechargeable battery operation approx. 2.5 - 3 hours

- Display color 7" TFT LCD scroling waveforms

- External power DC15V/18VA

- Operating temperature range 10 - 40°C

With the basic measurement sensor :

- 7 ECG leads, I, II, III, aVR, aVF, aVL Vx (V1-V6) eith 5 electrodes

- With breath impedence principle from ECG electrodes

- Temperatures YSI 400 compatible input

- Non-invasive blood pressure oscillometric principle

- SpO2

Calculated parameters

- Heart rate 20 - 300

- breath count 3 - 150

Page : 4


- Temp. 0 - 50°C

- SpO2 50 - 100%

- Non-invesive systole/diestole/mean 20 - 240Hgmm

Displayable curves

- 5 scroling waveforms simultaneously

- ECG I, II,III aVR, aVF, aVL, Vxl

- breath curve

- plethismogram (from SpO2)

- Blood pressure curve

- Waveform scroling speed : 12.5, 25, 50 mm/s

3 Emergency Kit ABTOR AMBU - Denmark & Various Brand 1 Set

Consist of :

A Airway Management Support

- Guedel airways ( 4 sizes) 4 pcs Clear OneMed - Indonesia

- Mouth Gag ( Jaw Spreder) 1 pce Clear OneMed - Indonesia

B Ventilation Support

- Ambu Resuscitator Adult + Patient Valve 1 pce AMBU - Denmark

- Ambu Resuscitator face mask Adult no. 5 or No. 4 1 pce AMBU - Denmark

- Ambu Oxygen reservoir bag with valve 1 pce AMBU - Denmark

- Ambu Resuscitator Child + Patient Valve 1 pce AMBU - Denmark

- Ambu Resuscitator face mask Child no. 2 1 pce AMBU - Denmark


- Mouth to mouth resuscitator lifekey 1 pce AMBU - Denmark

- Laryngoscope Set, consist of : HB 4200 Hebu Medical GmbH - Germany

* Laryngoscope handle 1 pce

* Blade laryngoscope no. 4 1 pce


Page : 5



C Circulation Support

- Anaeroid Sphygmomanometer 1 pce Anaeroid ABN - Indonesia

- Statescope Duplex 1 pce Duplex Sphygmed - Indonesia

- Infusion Set 2 pcs Steril TERUMO - Japan

- Wing Infusion Set no. 23 2 pcs Steril TERUMO - Japan

- Intravenus cathether no. 22 2 pcs Steril TERUMO - Japan


D Tracheostomy Set

- Blind intubation Reusable Laryngeal Tube for Adult, Child & Infant 5 pcs No. 0, 1, 2, 3 , 4, 5 VBM - Germany

- Xylocaine Jelly 1 tube Tube LOCAL - Indonesia

E Oxygen Delivery System

- Alluminium Oxygen Bottle cap ±175.CM3 (1.75 ltr) 1 pce Alumunium Luxfer - USA

- Oxygen Regulator Pin Index Type with adjustable flow 0 - 15 lpm 1 pce 0 - 15 lpm Gentec - USA

- Nasal Oxygen Canula 1 pce PVC OneMed - Indonesia

- Mask Oxygen Canula 1 pce PVC OneMed - Indonesia

F Hand Suction Pump

- Manual Hand Suction Pump 1 pce Manual VBM - USA

G Others

- Minor Surgery set 1 Set Various Hebu Medical GmbH - Germany

- Bandage Scissor 1 pce 18cm Hebu Medical GmbH - Germany

- Magil Forcep 1 pce 22cm Hebu Medical GmbH - Germany

- Tongue Spatula SS 1 pce 16cm Hebu Medical GmbH - Germany

- Thermometer 1 pce Mercury Safety - Japan

Page : 6


- Pen Light 1 pce Pen OneMed - Indonesia

- Setonet Dressing 2 pcs Perforated LOCAL - Indonesia

- Combine Dressing 1 pce STD LOCAL - Indonesia

- Gauze Roll 5cm 3 pcs 5cm LOCAL - Indonesia


- Cotton Woll 25gr 1 pce 25gr LOCAL - Indonesia

- Sterile Wound Dressing Kompressen small size - 2 pcs Steril Kompressen - Germany

- Sterile Wound Dressing Kompressen medium size - 2 pcs Steril Kompressen - Germany

- Triangular Bandage 2 pcs Cotton LOCAL - Indonesia

- Safety pin Large 8 pcs Stainless Steel LOCAL - Indonesia

- Alcohol Swab 10 pcs Sachet BD - Singapore

- Tranparent adhensive tape 1 pce 1 inch 3M - USA

- Leukoplast 1 pce 1 inch BDF - Indonesia

- Elastic Bandage 3 inch 1 pce 3 inch BDF - Indonesia


- Surgical sterile gloves no. 7,5 2 pcs Steril Surgipro - Malaysia

- Eye pad 2 pcs Ex. Eropa

- Torniquete 1 pce Velcro VBM - Germany

- Burn Jel / Burn Free - 2 pcs Sachet Burn Free - USA

- Burn Dressing small size 1 pce Steril Burn Free - USA

- Burn Dressing Medium size 1 pce Steril Burn Free - USA

- Syringe 3 cc 2 pcs Steril BD - Singapore


4 Long Spine Board IMM121070 BOSCAROL - Italy 1 Unit

Specification

- New Spine Board, X-ray translucent.

- Exclusive hollow suitable for natural positioning of patient's head

- 4 central buttonholes for lower limbs single blockage

Page : 7


- Provided with 20 hand holds obtained from the board itself

- 2 hollows on the lower side for head immobilizer velcro belts

- Extremely shockproof anti-abrasive, impermeable and washable

- No. 4 buttonholes for quick and total fixing of head immobilizer

- 2 hollows on the lower side for head immobilizer velcro straps

- Weight : 6.9 kg

- Maximum Load : 150 kg

- Dimensions : 183 x 41 x 5 cm

5 Head Immobilization IMM121630 BOSCAROL - Italy 1 Unit

Specification

- Standard head Immobilizator

- Made of high density yellow foam material water repellent

- Composed of two pillows, support of the head with opening for the access

to the ears, 2 removable straps with central padding, 1 basic pillow, 2 velcro

straps for the positioning of the head immobilizer on the stretcher

- Translucent

6 Scoop Stretcher 31-20-00 PENSI - Finland 1 Unit

Specification

The Scoop stretcher is designed for difficult body pick-ups. It is made of

durable anodized aluminium and has 3 patient belts with quick release buckles.

The scoop stretcher fulfills the requirements of EN 1865.

Technical details:

- max length : 1990 mm

- min length : 1650 mm

- length folded : 1200 mm

- height : 60 mm

Page : 8


- width : 450 mm

- weight : 8 kg

Loading capacity : 150 kg

with telescopic adjustment max length 1990 mm

opens at both ends of stretcher for patient intake

Accessories:

- 31-20-05 hooks for scoopstretcher (wall fastening)

- 31-20-20 patient belts 3 pcs + bag

- 00-31-42 storage bag for scoops stretcher

- 00-31-43 wall hangable bag

7 EED Spinal Immobilizer IMM121995 BOSCAROL - Italy 1 Unit

Specification

- Allows immobilization and extrication of patients from hardly accessible places.

- Wrapping structure and high employment flexibility

- It optimally immobilizes the trunk, the head and the spinal column

- It is equipped with rapid coloured hook/unhook ribbons and buckles

- Made of resistant washable and tearproof green cloth

- Entirely X-Ray transparent

- Transport bag also suitable for cervical collars

8 Fold Type Emergency Stretcher Fold by 8 PENSI - Finland 1 Unit

Specification

The smallest and lightest stretcher

Compact stretcher in Back Pack

Alluminium stretcher that fold into 8

Page : 9


Folded

Technical date

- Length : 50 cm

- Width : 27 cm

- Height : 8 cm

- Weight : 4.7 kg

UnFolded

Technical date

- Length : 200 CM

- Width : 55 CM

- Height : 13 CM

9 Roll Splint IMM 123020 BOSCAROL - Italy 2 Unit

Specification

- Adjustable light splint suitable for fractures, washable and disinfectable

- Covered with atoxic material

- X ray translucent

- Dimension : 92 x 11 cm

10 Pneumatic Splint, set of 6's IMM 120270 BOSCAROL - Italy 1 Unit

Specification

- Set of 6 pneumatic splints

- Short and long leg, short and long arm, ankle hand.

- Easy utilization through a zipper

- Simple inflation valve

- Realized in PVC material, resistant from 25°C to + 45°C

- Supplied with pump

- Practical transport pump

Page : 10


- Dimension set : 38 x 39 x 5h. Cm

- Weight : about 1,7 kg

11 Adjustable Neck collar 16 setting for Adult, Child & Infant Perfit ACE AMBU - Denmark 2 Set

Specification :

The Ambu Perfit ACE is a revolution in device with 16 precise settings for a

customised fit. It adjustable within the 4 standard adult settings ranging from

Neckless to Tall.

The Ambu Perfit ACE is the only adjustable adult one-piece rigid cervical spine

immobilisation

Techincal Data :

- Shell Material : Polyethylene

- Adjustable Sizes : Neckless, short, regular and tall

- Number of adjustments : 16

- Colour White/light grey

12 Automatic External Defibrilator AED Plus Zoll - Netherland / USA 1 Unit

Specification :

Waveform : Rectilinear Biphasic

Defibrillator Charge Hold Time : 30 seconds

Energy Selection: Automatic preprogrammed selection (120J, 150J, 200J)

Patient Safety: All patient connections are electrically isolated.

Charge Time: Less than 10 seconds with new batteries.

Electrodes: ZOLL CPR-D•padz, pedi•padz® II or stat•padz® II.

Built-in Defibrillator Self Test: Included

CPR: Metronome Rate: Variable 60 to 100 CPM

Depth: 1/2" to 3"; 1.3 to 7.8 cm.

Page : 11


Defibrillation Advisory: Evaluates electrode connection and patient ECG

to determine if defibrillation is required.

Shockable Rhythms: Ventricular fibrillation with

average amplitude >100 microvolts and wide complex

ventricular tachycardia with rates greater than 150

BPM for adults, 200 BPM for pediatrics. For ECG

Analysis Algorithm sensitivity and specificity, refer to

AED Plus Administrator’s Guide.

Patient Impedance Measurement Range: 0 to 300 ohms

Defibrillator: Protected ECG Circuitry

Display Format: Optional LCD with Moving Bar

Size: 2.6" x 1.3"; 6.6 cm x 3.3 cm

Viewing Time: 2.6 seconds

Display Sweep Speed: 25 mm/sec; 1"/sec

Battery Capacity: Typical new (20°C) = 5 years (300

shocks) or 13 hours continuous monitoring. End of life

designated by Red X (typical remaining shocks = 100,

5 hours continuous monitoring).

PC Minimum Requirements For Configuration And Patient

Data Recovery: Windows® 98, Windows® 2000,

Windows® NT, Windows® XP, IBMcompatible PII with

16550 UART (or higher) computer. 64MB RAM. VGA

monitor or better. CD-ROM drive. IrDA port. 2MB

disk space.

DEVICE

Size: (H x W x D) 5.25"x 9.50" x 11.50";

13.3 cm x 24.l cm x 29.2 cm

Weight: 6.7 lbs.; 3.1 kg

Page : 12


Power: User Replaceable Batteries. 10 -Type 123A Photo

Flash lithium manganese dioxide batteries.

Device Classification: Class II and internally powered per

EN60601-1

Design Standards: Meets applicable requirements of UL

2601, AAMI DF-39, IEC 601-2-4, EN60601-1,

IEC60601-1-2.

ENVIRONMENT

Operating Temperature: 32° to 122°F; 0° to 50°C

Storage Temperature: -22° to 140°F; -30° to 60°C

Humidity: 10 to 95% relative humidity, non-condensing

Vibration: MIL Std. 810F, Min. Helicopter Test

Shock: IEC 68-2-27; 100G

Altitude: 300 to 15,000 ft.; -91m to 4573m

Particle andWater Ingress: IP-55.

CPR-D•padz

Shelf Life: 5 years

Conductive Gel: Polymer Hydrogel

Conductive Element: Tin

Packaging: Multilayer foil laminate pouch

Impedance Class: Low

Cable Length: 43 in (1.1 m)

Sternum: Length: 6.1 in (15.5 cm); Width: 5.0 in (12.7 cm);

Length, conductive gel: 3.5 in (8.9 cm); Width, conductive

gel: 3.5 in (8.9 cm); Area, conductive gel: 12.3 sq in (79.0 sq cm)

Apex: Length: 6.1 in (15.5 cm); Width: 5.6 in (14.1 cm);

Length, conductive gel: 3.5 in (8.9 cm); Width, conductive

gel: 3.5 in (8.9 cm); Area, conductive gel: 12.3 sq in (79.0 sq cm)

Page : 13


Complete assembly: Folded Length: 7.6 in (19.4 cm); Folded

width: 7.0 in (17.8 cm); Folded height: 1.5 in (3.8 cm)

Design standards: Meets applicable requirements of

ANSI/AAMI/ISO DF-39-1993.

13 Emergency Cricothyrotomy Adult 30-04-004-1 VBM - Germany 1 Unit

Specification

Cricothyrotomy is an emergency procedure to avoid death from suffocation

in case of upper airway obstruction if intubation or tracheotomy are impossible.

VBM offers two Quicktrach-sets with the following advantages :

- Fast and safe airway in case of upper airway obstruction

- Sterile sets are-assembled and immediately ready for use

- Specially grinded needle tip makes prior incision via scaple unnecessary and

reduces the risk of bleeding

- Stopper prevents needle from being inserted too deep to reduce the risk

of posterior tracheal wall perforation

- Necktape allows a fast and safe fixation

- Quickest airway access via-step procedure

Complete set, sterile packed

ID : 4.0 mm

14 Emergency Cricothyrotomy Child 30-04-002-1 VBM - Germany 1 Unit

Specification

Cricothyrotomy is an emergency procedure to avoid death from suffocation

in case of upper airway obstruction if intubation or tracheotomy are impossible.

VBM offers two Quicktrach-sets with the following advantages :

- Fast and safe airway in case of upper airway obstruction

- Sterile sets are-assembled and immediately ready for use

Page : 14


- Specially grinded needle tip makes prior incision via scaple unnecessary and

reduces the risk of bleeding

- Stopper prevents needle from being inserted too deep to reduce the risk

of posterior tracheal wall perforation

- Necktape allows a fast and safe fixation

- Quickest airway access via-step procedure

Complete set, sterile packed

ID : 2.0 mm

Page : 15


Page : 16


Page : 17

Page : 18

Page : 19

DAFTAR KEBUTUHAN PERALATAN MEDIS

No. Description Type Brand Jml Harga Satuan Total Harga

Rp. Rp.

I KENDARAAN AMBULANCE MINIBUS

A. Spesifikasi Teknis Kendaraan Minibus Pregio KIA - Korea 1 UNIT 285,000,000 285,000,000

B. Modification Exterior And Interior Delux AKINDO 1 Set 85,500,000 85,500,000

1. Exterior

a. LED Flash Light Bar Oval (Red-Red) AK 2090 AKINDO 1 Set

b. Multi Sound Sirene System AK 2087 AKINDO 1 Set -

c. Logo and Lettering ( 3M Scottlight stricker ) Scottlight 3M 1 Set -

d. Kaca Film 60% / 80%

2. Interior

a. Base Stretcher Vinyl Covering AK 620 AKINDO 1 Set -

b. FIXED Central Gas Oxygen System AK 2030 AKINDO 1 Set -

- 2 Pcs Oxygen Cylinder 1M3

- 2 Pcs Tap Pin Index

- 2 Pcs Oxygen Regulator AK 3015 AKINDO

- 1 Set Oxygen Valve AK 2012 AKINDO

- 2 Pcs Nepel elbo

- Tubing high pressure and clamb tubing

- 1 Pc Oxygen wall outlet AK 2010 AKINDO

- 1 Pc Flowmeter oxygen with humidifier AK 3016 AKINDO

- 1 Pc Nasal Oxygen Cannula With Tubing for Adult ME 7407 Asia Connection

- 1 Pc Oxygen Mask With Tubing for Adult ME 7403 Asia Connection

c. Automatic Ambulance Stretcher AK 202 AKINDO 1 Unit -


Rp. Rp.

II MEDICAL EQUIPMENTS

1 Hunging Blood Pressure Monitor Maxi 3 Spidel Keeler - Germany 1 Unit 7,100,000 7,100,000

1 Rechargeable Battery Back up Suction Unit OB 2012 BOSCAROL 1 Unit 31,800,000 31,800,000

2 Emergency Kit ABTOR AMBU - Denmark & Various Brand 1 Set 117,000,000 117,000,000

Consist of :

A Airway Management Support

- Guedel airways ( 4 sizes) 4 pcs Clear OneMed - Indonesia

- Mouth Gag ( Jaw Spreder) 1 pce Clear OneMed - Indonesia

B Ventilation Support

- Ambu Resuscitator Adult + Patient Valve 1 pce AMBU - Denmark

- Ambu Resuscitator face mask Adult no. 5 or No. 4 1 pce AMBU - Denmark


- Ambu Resuscitator Child + Patient Valve 1 pce AMBU - Denmark

- Ambu Resuscitator face mask Child no. 2 1 pce AMBU - Denmark


- Mouth to mouth resuscitator lifekey 1 pce AMBU - Denmark

- Laryngoscope Set, consist of : HB 4200 Hebu Medical GmbH - Germany

* Laryngoscope handle 1 pce





Rp. Rp.

C Circulation Support

- Anaeroid Sphygmomanometer 1 pce Anaeroid ABN - Indonesia

- Statescope Duplex 1 pce Duplex Sphygmed - Indonesia

- Infusion Set 2 pcs Steril TERUMO - Japan

- Wing Infusion Set no. 23 2 pcs Steril TERUMO - Japan



D Tracheostomy Set

- Blind intubation Reusable Laryngeal Tube for Adult, Child & Infant 5 pcs No. 0, 1, 2, 3 , 4, 5 VBM - Germany

- Xylocaine Jelly 1 tube Tube LOCAL - Indonesia

E Oxygen Delivery System

- Alluminium Oxygen Bottle cap ±175.CM3 (1.75 ltr) 1 pce Alumunium Luxfer - USA

- Oxygen Regulator Pin Index Type with adjustable flow 0 - 15 lpm 1 pce 0 - 15 lpm Gentec - USA

- Nasal Oxygen Canula 1 pce PVC OneMed - Indonesia

- Mask Oxygen Canula 1 pce PVC OneMed - Indonesia

F Hand Suction Pump

- Manual Hand Suction Pump 1 pce Manual VBM - USA

G Others

- Minor Surgery set 1 Set Various Hebu Medical GmbH - Germany

- Bandage Scissor 1 pce 18cm Hebu Medical GmbH - Germany

- Magil Forcep 1 pce 22cm Hebu Medical GmbH - Germany

- Tongue Spatula SS 1 pce 16cm Hebu Medical GmbH - Germany


Rp. Rp.

- Thermometer 1 pce Mercury Safety - Japan

- Pen Light 1 pce Pen OneMed - Indonesia

- Setonet Dressing 2 pcs Perforated LOCAL - Indonesia

- Combine Dressing 1 pce STD LOCAL - Indonesia



- Cotton Woll 25gr 1 pce 25gr LOCAL - Indonesia

- Sterile Wound Dressing Kompressen small size - 2 pcs Steril Kompressen - Germany

- Sterile Wound Dressing Kompressen medium size - 2 pcs Steril Kompressen - Germany

- Triangular Bandage 2 pcs Cotton LOCAL - Indonesia

- Safety pin Large 8 pcs Stainless Steel LOCAL - Indonesia

- Alcohol Swab 10 pcs Sachet BD - Singapore

- Tranparent adhensive tape 1 pce 1 inch 3M - USA

- Leukoplast 1 pce 1 inch BDF - Indonesia



- Surgical sterile gloves no. 7,5 2 pcs Steril Surgipro - Malaysia

- Eye pad 2 pcs Ex. Eropa

- Torniquete 1 pce Velcro VBM - Germany

- Burn Jel / Burn Free - 2 pcs Sachet Burn Free - USA

- Burn Dressing small size 1 pce Steril Burn Free - USA

- Burn Dressing Medium size 1 pce Steril Burn Free - USA



3 Long Spine Board IMM121070 BOSCAROL - Italy 1 Unit 11,000,000 11,000,000


Rp. Rp.

4 Scoop Stretcher 31-20-00 PENSI - Finland 1 Unit 18,900,000 18,900,000

5 EED Spinal Immobilizer IMM121995 BOSCAROL - Italy 1 Unit 7,420,000 7,420,000

6 Fold Type Emergency Stretcher Fold by 8 PENSI - Finland 1 Unit 7,420,000 7,420,000

7 Pneumatic Splint, set of 6's IMM 120270 BOSCAROL - Italy 1 Unit 6,360,000 6,360,000

8 Adjustable Neck collar 16 setting for Adult, Child & Infant Perfit ACE AMBU - Denmark 2 Set 1,300,000 2,600,000

9 Automatic External Defibrilator AED Plus Zoll - Netherland / USA 1 Unit 116,600,000 116,600,000

696,700,000


Rp. Rp.

Documents

Ambulance Pergio