KEJAKSAAN NEGERI SUKABUMI - Kejaksaan … · Web viewVertical Lamp Neon to ensures an optimum of...

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KEJAKSAAN NEGERI KEJAKSAAN NEGERI SUKABUMI SUKABUMI P-29 P-29 “UNTUK KEADILAN” “UNTUK KEADILAN” S U R A T D D A K W A AN AN NO. REG. PERK : PDS- 0 NO. REG. PERK : PDS- 04 /SMI/10/2012 /SMI/10/2012 I. IDENTITAS TERDAKWA Nama Lengkap : Drs. DIDI SUBANDI Tempat Lahir : Sukabumi Umur/Tanggal Lahir : 49 Tahun / 05 Juni 1963 Jenis Kelamin : Laki-laki Kebangsaan : Indonesia Tempat Tinggal : Jalan Kalimaya VII Blok IV No. 175 Perum Baros Rt/ Rw. 005/ 014 Kelurahan Baros, Kecamatan Baros Kota Sukabumi. Agama : Islam Pekerjaan : Pegawai Negeri Sipil pada RSUD R. Syamsudin, SH. Pendidikan : S-1 II. PENAHANAN : Tidak dilakukan Penahanan III. DAKWAAN : PRIMAIR -------- Bahwa ia terdakwa Drs. DIDI SUBANDI baik secara sendiri- sendiri atau bersama-sama dengan Sdr. Rofinus Dero dan Sdr. Latif Condro Warsito (diajukan penuntutan secara terpisah) pada hari dan tanggal yang tidak dapat dipastikan sekitar bulan September sampai dengan bulan Desember 2010 atau setidak-tidaknya di tahun 2010 bertempat di RSUD R.Syamsudin, SH Kota Sukabumi Jalan Rumah Sakit Nomor 1 Kota Sukabumi atau setidak-tidaknya pada suatu tempat lain yang masih termasuk dalam Daerah Hukum Pengadilan Tindak Pidana Korupsi pada Pengadilan Negeri Kelas I Bandung yang berwenang memeriksa dan memutus perkara Tindak Pidana Korupsi berdasarkan Keputusan Ketua Mahkamah Agung Republik Indonesia Nomor : 191/KMA/SK/XII/2010 tanggal 01 Desember 2010 tentang Pengoperasian 1

Transcript of KEJAKSAAN NEGERI SUKABUMI - Kejaksaan … · Web viewVertical Lamp Neon to ensures an optimum of...

Page 1: KEJAKSAAN NEGERI SUKABUMI - Kejaksaan … · Web viewVertical Lamp Neon to ensures an optimum of illumination of all drawers Interior Container is smoth aluminum with transparent

KEJAKSAAN NEGERI KEJAKSAAN NEGERI SUKABUMISUKABUMI P-29 P-29 “UNTUK KEADILAN” “UNTUK KEADILAN”

SS UU RR AA TT D D AA KK WW AA A NA N NO. REG. PERK : PDS- 0NO. REG. PERK : PDS- 044 /SMI/10/2012 /SMI/10/2012

I. IDENTITAS TERDAKWA

Nama Lengkap : Drs. DIDI SUBANDITempat Lahir : SukabumiUmur/Tanggal Lahir : 49 Tahun / 05 Juni 1963Jenis Kelamin : Laki-lakiKebangsaan : Indonesia

Tempat Tinggal : Jalan Kalimaya VII Blok IV No. 175 Perum Baros Rt/ Rw. 005/ 014 Kelurahan Baros, Kecamatan Baros Kota Sukabumi.

Agama : IslamPekerjaan : Pegawai Negeri Sipil pada RSUD R. Syamsudin, SH.Pendidikan : S-1

II. PENAHANAN :

Tidak dilakukan Penahanan

III. DAKWAAN :

P R I M A I R

-------- Bahwa ia terdakwa Drs. DIDI SUBANDI baik secara sendiri-sendiri atau bersama-sama dengan Sdr. Rofinus Dero dan Sdr. Latif Condro Warsito (diajukan penuntutan secara terpisah) pada hari dan tanggal yang tidak dapat dipastikan sekitar bulan September sampai dengan bulan Desember 2010 atau setidak-tidaknya di tahun 2010 bertempat di RSUD R.Syamsudin, SH Kota Sukabumi Jalan Rumah Sakit Nomor 1 Kota Sukabumi atau setidak-tidaknya pada suatu tempat lain yang masih termasuk dalam Daerah Hukum Pengadilan Tindak Pidana Korupsi pada Pengadilan Negeri Kelas I Bandung yang berwenang memeriksa dan memutus perkara Tindak Pidana Korupsi berdasarkan Keputusan Ketua Mahkamah Agung Republik Indonesia Nomor : 191/KMA/SK/XII/2010 tanggal 01 Desember 2010 tentang Pengoperasian Pengadilan Tindak Pidana Korupsi pada Pengadilan Negeri Bandung, Pengadilan Negeri Semarang dan Pengadilan Negeri Surabaya, secara melawan hukum melakukan perbuatan memperkaya diri sendiri atau orang lain atau korporasi yang dapat merugikan keuangan Negara atau perekonomian Negara, perbuatan tersebut dilakukan oleh terdakwa antara lain dengan cara-cara sebagai berikut : ----------------------------------------------------------------------------------------------------------

- Bahwa awalnya pada tahun 2010 Rumah Sakit Umum Daerah R. Syamsudin,SH. Kota Sukabumi mendapatkan Dana Alokasi Khusus (DAK) Program Pengadaan Peningkatan Sarana dan Prasarana Rumah Sakit untuk kegiatan Pengadaan Alat-Alat Kesehatan Rumah Sakit dengan Pagu Anggaran senilai Rp. 4.426.510.000,- (empat miliar empat ratus dua puluh enam juta lima ratus sepuluh ribu rupiah) untuk pengadaan perlengkapan Bank darah dan IGD (Instalasi Gawat Darurat).

- Bahwa kemudian saksi dr. H.SUHERMAN. MKM., selaku Direktur RSUD R. Syamsudin, SH. Kota Sukabumi yang juga selaku Pengguna Anggaran telah menunjuk terdakwa Drs. Didi Subandi sebagai Pejabat Pembuat Komitmen (PPK) berdasarkan Surat Keputusan Direktur

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RSUD R. Syamsudin, SH. Kota Sukabumi Nomor 57 Tahun 2010 tanggal 04 Agustus 2010 dalam Proyek Pengadaan Alat-alat Kedokteran (IGD dan Bank Darah) RSUD R. Syamsudin SH. Kota Sukabumi Tahun 2010.

- Bahwa sebagai Pejabat Pembuat Komitmen (PPK), terdakwa mempunyai tugas pokok sebagai berikut :a. Menyusun perencanaan pengadaan barang/jasa.b. Menetapkan paket-paket pekerjaan disertai ketentuan mengenai peningkatan penggunaan

produksi dalam negeri dan peningkatan pemberian kesempatan bagi usaha kecil termasuk koperasi kecil, serta kelompok masyarakat.

c. Menetapkan dan mengesahkan Harga Perkiraan Sendiri (HPS), jadwal, tata cara pelaksanaan dan lokasi pengadaan yang disusun oleh Panitia Pengadaan/Pejabat Pengadaan/Unit Layanan Pengadaan.

d. Menetapkan dan mengesahkan hasil pengadaan panitia/ Pejabat Pengadaan/Unit Layanan Pengadaan.

e. Menetapkan dan mengesahkan hasil pengadaan panitia/ Pejabat Pengadaan/Unit Layanan Pengadaan sesuai dengan kewenangannya.

f. Menetapkan besaran uang muka yang menjadi hak penyedia barang/jasa sesuai ketentuan yang berlaku.

g. Menyiapkan/melaksanakan perjanjian/kontrak dengan pihak penyedia barang/jasa.h. Melaporkan pelaksanaan/penyelesaian pengadaan barang/jasa kepada pimpinan

instansinya.i. Mengendalikan pelaksanaan perjanjian/kontrak.j. Menandatangani Pakta Integritas sebelum pelaksanaan pengadaan barang/jasa dimulai.

- Berdasarkan Surat Keputusan Direktur RSUD R. Syamsudin, SH. Kota Sukabumi Nomor 57 Tahun 2010 tanggal 04 Agustus 2010 dalam Proyek Pengadaan Alat-alat Kedokteran (IGD dan Bank Darah) RSUD R. Syamsudin SH. Kota Sukabumi Tahun 2010 terdakwa selaku Pejabat Pembuat Komitmen (PPK) menyusun rencana pengadaan serta menyusun Spesifikasi teknis yaitu sebagai berikut :

No. Nama Barang Spesifikasi Tekhnis Ket.RKS / Aanwijzing1 2 3 4

BANK DARAH

1. Serologycal Centrifuge

General Specification :- CE Conformity IEC 61010 & ISO Certified 9001 : 2000- For quality & Safety Conform to IVD (In-Vitro Diagnostic) Standard- The N Control Panel has mor functions- Emergency lid lock release- Dynamic braking system with run-up & run down time in ramps 1-9- Speed indication in RPM by precision incremental of 10- RCF display with rotor radius in mmTechnical Specification :Power Supply : 208-240 V1~Frequency : 50-60 Hz Consumption : 65 VARadio Interference : EN 55011 ISM class BImunity : EN 61000-6-1Max. Capacity Unit : 8x15 mlMax. Speed, RCF Unit : 6000/min-3,421Running Time : 1,99/minDimension : 216x231x292 mmWeight : 4 kgRotor 8 Places with 33 o Angle : 1 Unit

2. Adjustable M/C Micro Pipet Ukuran 20 – 200 mlType Yellow

3. Cool Box Material- PU Form 50 mm The strong outer Provides Durability and protection inside

this Ensures Max Insulation when transporting your produck.Advantages- Lightweight- Ideal for all types of couries

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- Maintans a constant temp for up 96 hours against 30 oC Outside Temp shows on ice pack

Function Unit- Ideal for Transportation of temp sensitive good- Protect your product well againt heat and low temp, it will help you to

eliminate the cost of expensive refrigeration-transportaion- Optimized for blood and vaccine transport.- Temp as of + 4 oC- Thermometer shows on ice packCapacity/VolumeVaccene : 22 litersBlood bags each 340ml size : 22 blood bagsOuter Dimension : 600 x 385 x 430 mmInner Dimension : 465 x 235 x 210 mm

4. Reagent Refrigerator

General Specification :Interior free from ignitation sources (ATEX 95, II 3G T6)TUV for Electromagnetic Compatibility, accordance with low voltage guidelines.Laboratory Guidelines BGR 120 for explosion protectedLaboratory Guidelines GUV-R 120 for Municipal Accident Insurance Association.Laboratory TRGS 526 for Technical Regulation Hazardous SubstancesVertical Lamp Neon to ensures an optimum of illumination of all drawersInterior Container is smoth aluminum with transparent protective coating and drawersInterior Container is smoth aluminium with transparent protective coating and drawersLockable door has a plastic magnetic sealing frame that is easy to replaceHousing is insulated with particularly good, environmentally compatible pressure foam material to guarantee low energy consumption levelsOutside housing comprises galvanized sheet steel with a powder coatingDigital temperature displayTechnical Specification :

Description Labex – 285Solid Door

Labex – 285Glass Door

Volume 280 liters 280 litersTotal Drawer 1 Drawer 1 DrawerTotal Shelves 3 Shelves 3 ShelvesTemp Setting

Point+4 oC +4 oC

Temp Range +2 oC to +20 oC +2 oC to +20 oCTemp Ambient +38 oC +38 oC

Electric Voltage & Freq

220-240v,50/60hz 220-240v,50/60hz

Refrigerant Gas R134a CFC Free R134a CFC FreePower Draft 130 watt 130 watt

Average Consumption

0.6kWh/24h 0.6kWh/24h

Overal Dimension 67x70x122 cm 67x70x122 cmInterior

Dimension53 x 50 x 100 cm 53 x 50 x 100 cm

Overal Dimension with door open at

90 oC

67 x 130 cm 67 x 130 cm

Gross & Net Weight

86 & 80 kg 86 & 80 kg

Optional Recorder for 7

days

completed Completed

5. Plasma Extractor ManualControl PlateControlSize

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AcrylicManual232 x 165 x 243 mm

6. Microscope Binokuler ElektricObservationHead

WidefieldEyepieceNosepiece

DINAchromaticObjectives

Stage

Condenser

Illumination

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Binocular Head

360 oC rotating & 90 o InclinedWF10X – 18 mmWF15X – 13 mmQuardruple NosepieceQuintuple Nosepiece4x /0.1010x / 0.2540xR 0.65100xR (oil) / 1.2560xR / 0.8520xR / 0.40Build-in mechanical stage size 132mm x 145mmMoving range 50mmx76mmN.A. 1.25 abbes condenser with iris diaphragm & filter holderHallogen bulb 20w / 6vAdjustable IntensityUniversity Power 8V – 265VCoaxial focusing system with built in tension

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Focusing system

Field Diaphragm

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adjustment and focus stopField Diaphragm on base lens

7. Dry Incubator

Volume : 53 litersTemperature Control : Up to + 220 oCDimensionWidth (clear dimension) : 400 mmHeight (clear dimension) : 400 mmDepth (See side view left) : 320 mmSupport ribs for Shelves/Standard : 4 / 2 numbersWidth : 550 mmHeight (size 800 with castors) : 680 mmDepth (without door handle, door handle) : 480 mmElectrical Load (during heating) : 800 wattElectrical Supply : 230 V (+/-10%), 50/60

HzNet Weight : 35 KgGross Weight in triawall packingPacked Dimension (carton)

: 42 Kg

Width : 67 cmHeight : 78 cmDepth : 63 cm

8. Platelet Incubator & Agitator

General Specification:- Micro controller controls the internal temperature variation within

± 0.50C- Unique air flow system ensures even temperature distribution- Formed - in place CFC free PUF insulation ensures temperature

stability and reduce energy consumption- Audio visual alarm for temperature deviation from the preset

temperatureTechnical Specification :- Number of Agitator : Two- Volume : 250 liters- Temperature : 220C- Accuracy : ± 0.5°C- Oscillation : 70 ± 0.5 cycle / minutes- Capacity : 72 plasma bags- Input Voltage : 23 /110 VAC- Temperature Control : Micro Controller- Temperature Recorder: 7 day circular chart

9. DG Spin Digital Centrifuge

Main characteristics:- Simultaneous Centrifuge of up to 24 DG Gel® cards- Removable and excgangeable spinning head- Pre-defined centrifugal for optimum DG Gel® cards preocessing:

acceleration, speed, breaking and time- Digital user interface visor control and visualization of centrifuge speed and

time remaining for processing- Programmable audible alarm for end of centrifugal time periods- Visual and audible indication of any error situation and power failure- Imbalance detection system to indicate incorrect placing of DG GEL® cards

on the spinning head- Quick proceure guide includedTechnical Specification:- Capacity : 24 Gel cards- Speed : 990 rpm- Time : 9 minute- Consumption: 50 W- Weight : 15 kg- Tension : 100-240 V- Frequency : 50-60 Hz- Dimension : 410w x 180h x 525d

10. DG Term Digital Incubator

- 2 independent incubation zones with a capacity for 12- DG Gel® Cards and 12 test tubes in each- Digital user interface visor control and visualization of reaming

incubation time and real temperature for each zone- Fixed pre-set temperature of 37°C- Pre-set incubation time of 15 minute, with user options to programe

different time if required- Audible programmable alarm to notify end of incubation period- Visual and audible indication of any error situation and power failure- Quick procedure guide included- Removable trash binTechnical Specification:- Capacity :24 Gel cards and testing tubes- Temperature :37°C ± 1°C- Time :15 min (variable)- Tension :100-240 V- Frequency :50-60 Hz- Consumption:270 W- Dimension :295w x 95h x 325d- Weight :4 kg

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11. Dispenser Dispenser 500 ul

12. Pippete 5µl Pipet 5 ul

13. Pippete 25µl Pipet 25 ul

14. Pippete 50µl Pipet 50 ul

15. Warking Table Rak Test tube and gel cards

- DG Rak Local- Up to 24 card, Up to 24 sample tubes, Up to 48 dilution tubes- Up to 16 Reagent vialis, 2 bottle solution diluents

No. Nama Barang Spesifikasi Tekhnis Ket.RKS / Aanwijzing1 2 3 4

IGD

1. Infant Incubator

Specification :Power SupllyPower Consumption

Control Mode

Temperature Control

Wall Temperature

Humidity IndicationHeater OutputHigh Air Temp. alarm

Alarm

Dimension

Emergency TrollyContructionConsist of

Equipped WithCastroPaintingStabilizer

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AC 220 V, 50 Hz250 watt- Skin Temperature control Servo

Control System- Incubator Temperature Control

Manual Control System also available.Servo Control- Skin Temperature Setting 34.0 - 38.0°C in

0.1°C steps LED read-out- Skin Temperature Indication 20.0 -

42.0°C in 0.1°C steps LED read-outManual Control- Incubator/air Setting 34.0 - 38.0°C in

0.1°C steps LED read-out.- Incubator/air Indication 20.0 42.0°C in

0.1°C steps LED read-out.Red alcohol thermometer max 50°C in 0.1°C steps.Hygrometer 20 - 100%0 - Full. LED bar graph display.Audible and visible alarm for over temperature > 38°C.Audible and visible alarm for skin probe failure, internal air, sensor failure, power failure- Incubator Mudul : (H) x 62,2cm

(D)x61,5cm (W) 83,1cm .- Mattress : 34,8 cm x 65 cm.

Made of steel sheetThree drawers, one cupboard and top trayI.V.stand, bracked oxygen and electrical terminals5”Epoxy powder coating finished1 Pc

2. Operating Table Manual

Specifications :CONSTRUCTION

Main Frame : Made square steel pipesHead Rest Frame : Head Rest FrameBack Rest Frame : Made of steel plateKnee Rest Frame : Made of square steel pipesMain Mast Contruction : Made of steel pipesBase : Made of steel plate

Mattress deck : Made of steel plate

ADJUSTMENT RANGE- Adjustable head rest by screw

mechanism- Back rest 0°/60° adjustable by screw

mechanism

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- Knee rest -90°/0° adjustable by screw mechanism

- Trendelenburg -15°/15° adjustable by crank mechanism

- Tilting -15°/15° adjustable by crank mechanism

- Hi-low adjustable by hydraulic unit

ACCESSORIES- Knee support- Anaesthetical screen hanger- Waist support- Hand Support- Shoulder Support

FINISHINGPowder Coating & Polished (optional : sandblasting)

CASTORMade of rubber

DIMENSION1936 (L) X 510 (W) X 815 – 1035 (H) mm

3. Transport Incubator

Specification and technical characteristics :

Class Protection Against electrical shock Protection

Operation Mode

Tension of feeding-Automatic ReversionFrequencyNo of fuseFusible Nominal power of entrant (total)Control waysRank of normal work(ATC)Rank of total work (ATC)Rank of normal work (ITC)Rank of extended work (39°C) (ITC)

Rank of reading (indication in display of temperature AR/RN)Exactitude of the readingResolution of the programming and indications of displayThermometerPaineDimensions of the EquipmentOccupied AreaDimensions of the Compartment of the RNCapacity of the Compartment of the RNMattressDimensions of the MattressTotal Net WeightRollers with 4 locomotionsElectronic System

Standard accessories - 2 Oxygent cylinders for two

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Class 3 (high risk)AAEquipment Tip BF Class

Common Equipment (closed without protection)Continuous Operation (With intermittent load).100 - 130 volt, 200 - 225 volt

50 - 60 HzSingle phase 3A - fast - 20 mm 200 WattsATC /ITCFrom 28°C to 37°CFrom 28°C to 39°CFrom 35°C to 37.5°C 102 x 57 x 31 From 37.5°C to 39°C

From 0°C to 50°C

0.1°C0.1°C

Electronic digitalFrontal1,000 x 0,590 x 1,400 mm0,432 m³0,835 x 0,395 x 0,410 m

0,135 m³

Antiallergic - non toxic0.580 x 0.285 x 0.030 m57 kg4 - 2 with brakesMicroprocessed

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supported serum- Supported for spear two

rechargeable betteries- Cabin with adjustable

height within more than 10 positions

- 4 wheels, being 2 with brakes

-2 lateral handles

4. ECG 3 Channels

Spesifikasi Umum :Tipe Unit : 3 channel resting ECGLayar : Aphanumeric LCD 2X16 karakterMode operasi : Automatic, Manual, ArrhythmiaInteprestasi : AdaData yang ditampilkan : Heart rate, electrode kontrol, ADS,waktu, lead,

Kecepatan, filter settingBahasa : 17 bahasa (German, English, French, Italian, Spanish, Swedish,

Norwegian, Danish, Dutch, Crezh, Finnish, Hungarian, Macedonian, Bulgarian, Polish, Portuguese, Russian)

Spesifikasi Daya :Daya yang dibutuhkan :100 - 240W, 50/60 HzKonsumsi daya : 22W (beban penuh)Sumber : Battery atau Main listrik

Spesifikasi Lingkungan :Transport : Temp -15 and + 50°C (dengan battery)

Relative humidity 25-95%Pressure 500-1060 hPa

Operation : Temperature 10 - 40°C (dengan battery)Relative humidity 25-95%Pressure 700-1060 hPa

Spesifikasi Fisik :Tinggi : 78 mmKedalaman : 208 mmLebar : 263 mmBerat : 1.3 kgBatteryTipe : Lithium ionJumlah maksimum battery : 1 (satu)Voltage : 7.2 VWaktu pengisian : kurang dari 3 jamWaktu pengoperasian batt .:100 pemeriksaan (mode auto)Masa hidup battery : 2 s/d 3 tahun

5. Ventilator EmergencySpecificationsParameter RangeRate 5-150 bpmTidal Volume 5-2500 mlInspiratory Time 0.10 – 3.0 secondsI/E Ratio 3:1 to 1:99Flow Rate 1-120 lpmContinuous Flow : 1-29 IpmPeak Pressure 0-120 cmH2OPEEP Pressure 0-35 cmH2OPressure Trigger -.2 to –10 cmH2OPressure Support 0-50 cmH2OSIMV Rate 0.6-50 bpmO2 Sensor 21-100%Sigh 0-2500 mlVentilation ModesAssist Control | SIMV CPAP | Pressure Support | SighContinuous Flow I Pressure LiitMonitors/AlarmsPeak Pressure | Rate | OxygenPEEP/CPAP | Mean PressureLow Battery | Low Supply PressureOptionsBlender or Air EntrainmentPhysical CharacteristicsSize: 11” x 10” x 5.5” (28 cm x 25.4 cm x 14 cm)

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Weight: 10.5 lbs. (4.8 kg)All Models IncludeDisposable Adult Circuit Adult Test LungO2 High Pressure Supply Hose External Power SupplyOxygen Sensor Cell w/cable Instruction/Service ManualAccessoriesHeavy Duty Roll Stand (includes tilt bracket), Disposable Pedriatric circuit, Reusable Adult Circuit, Reusable Pediatric Circuit, Reusable Infant Circuit, Support Arm Bracket, Standar Pole Mout Bracket, Blender Pole Bracket, Filter Water Trap (air) , Filter Water Trap (O2), Aluminum E-Cylinder, Deluxe Air E-Cylinder Regulator, Deluxe O2 E-Cylinder, Regulator, With Heavy Duty Roll Stand, Cylinder Bracket and Cylinder with Regulator, Stabilizer

6. Operating Lamp Mobile

SpecificationsLamp : 1 pcLamp diameter : 62 cmReflector : Polygon reflectorIntensity : 110000 luxColor temp : 4300˚K ± 200CRI : 93 ± 3Focus Range : 60 cm ~ 180 cmDept of light : 70 CmBulp : Spec 24 V 15 W HalogenBulp quantity : Main x 1(each lamp head) : Spore x 2Action Radius : 98 cmHeight adjustment : moveablerang of lamp : 105 cmPower : AC 100 - 260 V

7. Transfer Stretcher

SpesificationsDimensionsBaseLength : 1985 mmWidth : 750 mmHeight : 575 ~ 894 mmOverallLength : 2175 mmWidht : 900 mmHeight : 894 ~ 1278 mm- Back raise and hi-lo adjustment- Two Table Tops with Polyurethane Foam Mattress covered with vinaly leather- Steel Frame (Powder Coated)- Fixed steel pipe Board (Chrome plated)- 150 mm dia. TENTE central locking casters

Collapsible Side RailsAluminum, one-touch folding, dimensions (mm) 1474 x 422 HTransport HandleThe handle shapes are designed to efficiently transmit pushing force.They can be folded and stowed when performing treatment, so they do not get in the wayMattressSafety BeltWriting TableCan be folded up for easy attachment and removalCorner BumpersBumpers are equipped on each corner to lessen jolts in case of contact.Hi-Lo HandleThe collapsible handle by Paramount bed and does not protrude when not in useUrine Bag HolderTwo holders are availablePedalLock, Free (Unlock) and steer with a single touch from any of the four cornersCaster150 mm dia, TENTE central locking castersOxygent Cylinder HolderFor maximum 1000 liters cylinders (Oxygen Cyliders is excluded)Tabung Oxygent 1000 liters : 1 pcRegulator : 1 pc

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Back Raise LeverBack raise angle can be controlled by means of a yellow gas spring lever (0 ~ 90°)Hanger Rod (Option)Hanger Rod can be fixed by knob at each corner's hole- Hanger Rod (Stainless Pipe Rod) With attachment part- 1030 ~ 1775 (H) mmStrone Space are available subject to special order, PillowSpace are available subject to special order

8. Patient Monitor + Printer

Spesifikasi Umum:Parameter yang diukur : ECG, SpO2, NIBP, Temp, Resp. RateTipe Pasien : Dewasa, Anak dan BayiTipe Ruangan : ICU/ICCU, PICU, NICU,Intra Hospital

TransportLayar : 640X480 pixel, LCD berwarnaJumlah gelombang : 3 real time + 1 freezePengontrol : Trim Knob®Fungsi pengontrol : Silence Alarms, Graph Go/Stop, NBP Go/Stop

& Power On/OffSpesifikasi Daya:Daya yang dibutuhkan : 90 - 264 VAC 50/60 Hz 500mAKonsumsi daya : 120VA (beban penuh)Sumber : Battery atau Main listrikSpesifikasi Lingkungan:Operation : Temperature -10 – +60°C

Relative humidity 25-95%Drop test : Tahan terhadap jatuh dari ketinggian maks 45

cmShock Resistance : Test Tahan terhadap goncanganWaterproof Test : Waterproof designed to level IPX1 (splash and

rain test)

Spesifikasi Fisik:Tinggi : 22 cm (8.7 in)Kedalaman : 17 cm (6.7 in)Lebar : 35.8 cm (14.1 in)Berat : 5.5 kg (12 lb)Battery : InternalTipe : nickel-metal hydride (tidak mengan dung:

lead, lithium, atau cadmium)Waktu pengisian : kurang dari 4 jam per battery (dalam keadaan

tidak dinyalakan)Waktu pengoperasian battery : 3 jam

Alarm ManagementKategori : Pasien status dan sistem statusLevel alarm : 4 level : Crisis, Warning, Procedural dan MessgNotifikasi : Suara dan visualSeting : Default dan individualPause : 5 menit di Adult ICU mode, 3 menit di Neonatal ICU mode,

dan 5 menit, 15 menit, atau permanent pause di OR modeVolume : Default 70dB diukur 1 meter dari unit

EKGLead yang ditampilkan : I, II, IIINotifikasi : leadwire lepas Per satu leadPacemaker detection/rejection : YaPacemaker pulse : dapat dilihatAlarm : Limit atas dan bawah dapat diatur bebas oleh pengguna

RespirasiTeknik pengukuran : Impedance variation detectionKecepatan respirasi : 6-120 napas per menitAlarm : Limit atas dan bawah dapat diatur bebas oleh pengguna,

Limit apnea dapat diatur bebas oleh penggunaTeknik analisa : Menganalisa semua lead satu per satu secara bersamaanPulsed Oximetry (SpO2) : SpO2 Range Compatible 50 - 100%PPR Range : Compatible 30 - 300 BPM(±3 beat per menit)Alarm : Limit atas & bawah SpO2 dan PPR dapat diatur bebas oleh

pengguna

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Non Invasive Blood Pressure (NIBP)Teknik pengukuran : OscilometricTeknologi : Dengan teknologi deflasi anak tangga dan penyamaan 2 peakJumlah tubing : 2 (dua)Parameter yang ditampilkan : Tekanan systolic, diastolic, mean , dan

waktu pengukuran terakhirMode Pengukuran : Adult ICU dan OR mode : manual, auto dan stat

Neonate mode : manual dan autoUkuran Manset : Dewasa, anak dan bayiAlarm : Limit atas & bawah systolic, diastolic dan tekanan mean diatur

bebas pengguna

SuhuJumlah channel : 1 (satu)Tipe probe : IVAC probe dengan probe cover.Parameter yang ditampilkan : TPAkurasi : (independent of source) ± 0.1ºCAlarm : Limit atas & bawah TP diatur bebas oleh penggunaTemperature range : Predictive 35.6°C to 41.1°C (96°F to 106°F)

Monitor 26.7°C to 42.2°C (80°F to 108°F)

WriterMetode : Thermal dot arrayResolusi : 600 dots/in @ 25 mm/secJumlah gelombang : 1 dan 2Lebar Paper : 50 mm (1.97 in)Panjang Paper : 25 m (95 ft)Kecepatan Paper : 12.5, 25 dan 50 mm/sec (±2%)

Kelengkapan/AccessoriesNIBP Tubing : NIBP Tubing: 1 pcCuff, Adult : Cuff, Adult 1 pcCuff, Child : Cuff, Child 1 pcCuff, Infant : Cuff, Infant 1 pcMultilink ECG Cable, 29" : Multilink ECG Cable, 29" 1 pcMultilink 3 Leadwire, 29" : Multilink 3 Leadwire, 29" 1 pcReusable Surface Probe : Reusable Surface Probe 1 pcSpO2 Interface Cable SpO2 : Interface Cable 1 pcFinger Sensor Dewasa : Sensor for Adult 1 pcFinger Sensor Anak : Sensor for infant 1 pcTrolley : 1 pcStabilizer : 1 pc

9. Anaesthesi Machine with 2 Vaporizer + Ventilator

Physical SpecificationsDimensions : Approx. HxWxDHeight : 134.5 cmWidth : 72 cmDepth : 73 cmWeight Approximately : 108 kgTop ShelfWeight Limit : 34 kgWidth : 66 cmDepth : 40 cmWork SurfaceHeight : 81.7 cmSize : 2640 cm²DIN railSide of machine : 34.5 cmCastersDiameter : 10.1 cmBrakes : Individual Locking Front Casters

Physical SpecificationsDimensions : Approx. HxWxDHeight : 134.5 cmWidth : 72 cmDepth : 73 cmWeight Approximately : 108 kgTop ShelfWeight Limit : 34 kg

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Width : 66 cmDepth : 40 cmWork SurfaceHeight : 81.7 cmSize : 2640 cm²DIN railSide of machine : 34.5 cmCastersDiameter : 10.1 cmBrakes : Individual Locking Front Casters

Anesthetic gas scavengingPassive : ± 30 mm M ISO taper

Anesthetic Agent DeliveryDeliveryVaporizers : No Calibration RequiredNumber of positions : 2 unitMounting : Tool-free instalation selectatec manifold interlocks and isolated vaporizer

Pneumatic SpecificationsAuxillary common gas outletConnector : ISO 22 mm OD and 15 mm IDGas SupplyPipeline input range : 280 kPa to 600 kPa / 41 psig to 88 psigPipeline connections : All fittings available for O2 ,N2OPrimary regulator diaphragm : 2758 kPa / 400 psig

Minimum burst pressurePrimary regulator nominal : < 338 kPa / 49 psigOutput : Pin indexed cylinder connections < 407 kPa /

59 psig DIN cylinder connectionsFlowmetersO2 ranges : Two Tubes :0.05 to 0.95 L/min and 1 to 15

L/minMinimum O2 flow : 50 L/min ± 25 mL/min

N2O ranges : Two Tubes : 0.05 to 0.95 L/min and 1 to 10 L/min

Hypoxic guard systemType : Mechanical Link-25RRange : Provides a nominal minimum 25%

concentration of oxygen in O2/N20 mixMaterials : All materials in contact with patient breathing

gages are free of natural rubber latex

Ventilator Operating Specifications/AnesthesiaVentilatorModes of Ventilation : Volume Control Mode Expire

Volume Monitoring w/ tidal volume compentation

Ventilation ParametersTidal Volume : Range 45 to 1500 mlIncremental Settings : 45 to 100 ml (increments of 5 ml)

100 to 300 ml (increments of 10 ml)300 to 1000 ml (increments of 25 ml)1000 to 1500 ml (increments of 50 ml)

Rate : 4 to 65 breaths per minute (increments of 1 breath per minute)Inspirotory / Exp. Ratio : 2 : 1 to 1 : 6 (increments of 0.5)Inpirotory Pause Adjust : 5% to 60% of inspirotory time (increments of

5%)

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10. Electrosurgical Cauter

Specifications:Instant ResponseTM Technologies- Ensure consistent clinical performance

using less power.- SmartTM generator technology. It

utilizes computer controlled output for automatic response to changes in tissue impedance- reducing the need to adjust power setting for different types of tissue.

Return Electrode Monitoring (Rem) Safety- Virtually eliminates the risk of patient

burn at the return electrode site. patended adaptive REMTM

- Contact Quality Monitoring System has been proven safe in over 100 million producer worldwide.

Three Cut Modes (All cut modes are controlled by Instant Response SystemTM):Low cut for delicate tissue or laparacopic cases.- Pure cut for a clean- Precise cut in any tissue- Blend cut for cutting with hemostatis.

Three Coag Modes:- Low/Desiccate for low Voltage contact

coagulation suitable in laparascopic & delicate tissue work.- Medium / fulgurate High Crest Factor

for efficient non contact coagulation in most application.- High/Spray for coagulating large tissue

areas with minimum depth of necrosis.

Three Bipolar Modes :- Low/Precise- Medium/standard- Macrobipolar- Controlled by Instant Response

SystemTM.- Low and medium settings utilize low

voltage to prevent sparking.

CEMTM Mode:- Generator to be used with th CUSA

CEMTM nosecone.

Output WaveformsBipolar- Precise : 470 Khz sinusoid- Standard : 470 Khz sinusoid- Macro : 470 Khz sinusoid

Monopolar Cut- Low : 390 Khz sinusoid. Simiar to the Pure Cut mode expect the max

voltage is limited to a lower value.- Pure : 390 Khz sinusoid- Blend : 390 Khz burst of sinusoid, recurring at 27 Khz intervals, 50 %

duty cycle envelope.

Monopolar Coag- Desiccate : 240Khzsinusoid repeat at 39 Khz 8%duty cycle- Fulgurate : 390 Khz damped sinusoidal bursts with a repetition freq of 30

or 57 into 500 Ohms- Spray : 390 Khz damped sinusoidal with a randomized repetition

centered at 38 Khz. Freq. incl 21 Khz < f< 35 Khz. Output is further modulated by a random 250 KHz envelope with a

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variable duty cycle.- Output power change by less than 15 % or 5 Watts, whichever is greater,

as the line voltage from 104-132 volts and 208-264 volts (at rated load).Low Frequency Leakage (50-60 Khz)Source current, patient leads, all outputs tied together,- Normal polarity, intact chasis ground < 10 μA- Normal polarity, ground open < 50 μA- Reverse polarity, ground open < 50 μA- Sink current, 140 V applied, all inputs < 50μAPER = 98PER (Power Efficiency Rating) is the measure of an electro surgical generator’s ability to accurately the selected power into a wide range of tissue types.

Dimension :H X W X L : 11.1 cm X 35.6 cm X 43.9 cmWeight : < 8.1 kgInput Power requirements : Operating range is 85 to 132 AC Volts, max

current is 7A in cut and 4 A in coag.High Freq leakage : Bipolar less than 60 mArms

Monopolar less than 150 mArms

Adaptive REM SystemMeasurement Freq : 80 Khz ± 10 KhzMeasurement Current : less than 10 μAAcceptable Resistance Ranges : REM pad – 5-135 Ohms

Non REM pad – less than 20 Ohms

Acceptance range is 5-135 Ohms after REM PolyHesive II return electrode is applied. REM trip is initial impedance plus 40 %. For example, if the initial impedance is 30 Ohms, the upper level trp is approximately 42 Ohms.Output Characteristics :

Name Mode Maximum Rated Crest

BipolarPrecise 450 100 1,5

Standard 320 100 1,5Macro 750 100 1,5

Monopolar Cut

Low 1350 300 1,5Pure 2300 300 1,5Blend 3300 300 2,5

Monopolar Coag

Desiccate 3500 500 5Fulg. High. 8500 500 7

Crest Factor 6900 500 5,5

Fulg. Low 9000 500 8Crest Factor 1000 300 1,5

Spray 3500 500 5

CEMTM

Monopolar Cut (Low) 450 100 1,5

Mopolar Coag

(Desiccate)320 100 1,5

Standard Accessories :Description Code Qty

Electrosurgical Generator FORCE FX 1

Included standard accessories

Rocker Switch Pencil - Reusable E2100 2

Stainless Steel Ball Electrode

(dia.5.6mm) - Reusable

E1002 1

Stainless Steel Fine Needle Electrode –

ReusableE1003 1

Tungsten Wire Loop Electrode - Reusable

E1005 1

Adult REM PolyHesive II E7507 10

Monopolar E6008B 1

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FootswitchStandard Bipolar

Footswitch E6009 1

Universal Monopolar Adaptor E0017 1

Footswitching Forceps Cord –

ReusableE0019 1

19,1 Cushing Bayonet Forcep; 0.7

mm Tip InsulatedE4058CT 1

11. Meja Operasi

Specification :ConstructionMain Frame : Made of square steel pipesHead Rest Frame : Made of square steel pipesBack Rest Frame : Made of square steel pipesKnee Rest Frame : Made of square steel pipesMain Mast Construction : Made of steel plateBase : Made of square steel pipesBase Cover : Made of stainless steel pipesMatras deck : Made of steel plateMain Frame : Made square steel pipesHead Rest Frame : Made of square steel pipesBack Rest Frame : Made of square steel pipesKnee Rest Frame : Made of square steel pipesMain Mast Construction : Made of steel plateBase : Made of square steel pipesBase Cover : Made of stainless steel pipesMatras deck : Made of steel plate

Adjustment Range :- Adjustable head rest by screw

mechanism- Back rest -30°/60° adjustabe by actuator- Knee rest 0°/90° adjustabe by actuator- Trendelenburg -15°/15° adjustable by

actuator

Accessories :- Leg support- Anaesthetical screen hanger- Waist Support- hand support- Shoulder support

Finishing :Powder Coating & Polished (opional : sandblasting)

CastorMade of rubberContructionShelves : Made of stainless steel platesHandle : Made of stainless steel pipesFoot Unit : Made of stainless steel square pipesFinishing : Polished (optional: sandblasting)Castor : Ø 2" two castors with brake made of plasticDimension : 600(L) x 400(W) x 800(H) mm

Instrumen Troll :Costuction : Made of Stainless steel sheetUpper Shelf : Made of Stainless steel sheet with list on each side and

equipped a drawer underneath the shelf.Lower Shelf : Made of Stainless steel sheet with list on each side.Handle : Stainless steel pipeCastor : Four 2" swivel castorPackaging : Knock Down systemDimension : 630 (L) x 470 (W) x 830 (H)

Mayo Stand :Tray : Made of stainless steel sheet with list on each sideStand : Made of Stainless steel sheetHeight : Made of Stainless steel pipe, adjust by pin lockCastor : Four 2" swivel castor

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Packaging: Knock Down systemDimension : 570 (L) x 430 (W) x min.860 (H) max 1085 mm

Examination Stool :Construction : Made of Stainless steel pipes.Seat : Made of imitation leather and foamHeight : Adjustable by revolving the seatCastor : Four 2" swivel castorDimension : 425 x Lo 580 Hi 850 mm

Keterangan :3 Unit Meja Operasi : Standard1 Unit Meja Operasi : Standard + Accessories Ortophedi

Accessories Ortophed :Material : Pipa stainless steel

Plat stainless steelDimension : (L) 1204 X (W) 300 X (H) 895-1295 mmPenyangga betis : Cor AlluminiumPenyangga kaki : Cor AlluminiumRoda : 3 "

12. Bedside Monitor

Specification :Parameter yang diukur : ECG, SpO2, NIBP, 2x Temp, Resp, Rate, 2 X IBP, CO2

Type pasien : Dewasa, Anak dan bayitype ruangan : OR, ICU/ICCU, PICU, NICULayar : 10.4" Active-Matrix, LCD berwarnaJumlah gelombang : 6 (enam)Pengontrolan : Trim Knob®Fungsi pengontrolan : Silence Alarms, Graph Go/Stop, NBP Go/Stop dan Power On/Off

Spesifikasi Lingkungan :Transport : Temperature -30 and +60°C (dengan battery)

Relative humidity 25-95%Operation : Temperature = 10 – 40°C (dengan battery)

Relative humidity 25-95%

Spesifikasi Fisik :Tinggi : 27.4 cm (10.8 inch)Kedalaman : 24.3 cm (9.6 inch)Lebar : 29.3 cm (11.5 inch)Berat : 5.08 kg (11.2 lbs)BatteryTipe : Lithium-Ion eksternal (sehingga mudah untuk diganti)Jumlah maksimum battery : 2 (dua)Voltage : 11.1 V ( nominal)Waktu Pengisian : kurang dari 4 jam per batteryWaktu pengoperasian battery : 4 - 5 jamMasa hidup battery : 500 cycles s/d 50% capacity

Alarm Management :Kategori : Pasien status dan sistem statusLevel Alarm : 4 level: crisis, warning, advisory, dan messageNotifikasi Setting : Suara dan visualSetting : Default dan individualSilencing : 1 menit, 5 menit atau off alarm saat itu sajaVolume : Default 70dB diukur 1 meter dari 1 unit

EKG :Lead yang ditampilkan : I, II, III, V, aVR, aVL dan aVFNotifikasi leadwire lepas : Per satu leadPacemaker detection/rejection : YaDeteksi Arrhytmia : Full Arrhytmia (15 parameter) dengan A-fib detectionAlarm : Limit atas bawah dapat diatur bebas oleh penggunaTeknik analisa : Menganalisa semua lead satu per satu secara

Bersamaan.

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Respirasi :Teknik pengukuran : Impedance variation detectionKecepatan respirasi : 0-200 napas per menitAlarm : Limit atas bawah dapat diatur bebas oleh pengguna

Limit apnea dapat diatur bebas oleh pengguna

Pulsed Oximetry (SpO2)ApO2 Range : Compatible 50 - 100%PPR Range : Compatible 50 - 300 BPMAlarm : Limit atas & bawah SpO2 dan PPR dapat diatur bebas oleh

pengguna

Non Invasive Blood Pressure (NIBP) :Teknik pengukuran : OscilometricTeknologi Jumlah tubing : Dengan teknologi deflasi anak tangga dan

penyamaan 2 peakJumlah tubing : 2 (dua)Parameter yang ditampilkan : Tekanan systolic, diastolic, mean dan

waktu pengukuran terakhirMode pengukuran : Adult ICU dan OR mode : manual, auto dan statNeeonate mode : Manual dan autoKeseluruhan akurasi system : Memenuhi standar SP 10-1992 AAMIUkuran Manset : Dewasa, anak dan bayiAlarm : Limit atas & bawah systolic, diastolic dan tekanan mean diatur

bebas pengguna

Suhu :Jumlah chanel : 2 (dua)tipe probe : YSI Series 400 atau 700 (ditentukan oleh input probe)Parameter yang ditampilkan : T1, T2Akurasi : (independent of source) ± 0.1°C untuk YSI series 400 probe ±

0.3°C untuk YSI series 700 probe.Alarm : Limit atas & bawah T1 dan T2 diatur bebas oleh pengguna

Invasive Blood Pressure :Jumlah Channel : 2 chanelLetak tranducer : 10 bagian : ART (artery), FEM (Femoral), PA

(Pulmonary Artery), CVP (Central Vensus Pressure), LA (Let Atrial), RA ((Right Atrial), UAC (Umbilical Artery Catheter-untuk pasien neonatal), SP (Special), UVC (Umbilical Venos Catheter-untuk pasien neonatal), ICP (Intracranial Pressure).

Jaringan LAN :Jaringan : View antar unit tanpa centralPasien Monitor Includes :1. Adult NIBP Tubing : 1 pc2. Cuff for Adult : 1 pc3. Cuff for Child : 1 pc4. Cuff for Infant : 1 pc5. Multilink ECG Cable 29" : 1 pc6. Multilink 3 Leadwirw 29" : 1 pc7. Temp. Interconnect cable 8" : 1 pc8. Reusable Skin Surface Probe : 1 pc9. Sp02 Interface Cable : 1 pc10. Finger Sensor Adult : 1 pc11. Finger sensor bayi : 1 pc12. IBP Interface Cable : 1 pc13. IBP Transducer : 1 pc14. Pole Mout : 1 pc15. Disposible Monitoring Kit Single : 1 pc16. Disposible Monitoring Kit Dual : 1 pc17. Battery : 1 pc18. Stabilizer : 1 pc

13. Defibrillator

Specifications :Energi Level

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AED : Adult 90, 130, 150 J; Paediatric: 15, 30, 50 J (configurable)Paddles : 2,4,8,15,30,50,90,130,180 JPads : 2,4,6,8,15,30,50,70,90,110,130,150,180 JInternal : 2,4,6,8,15,30 JWaveform : Pulsed Biphasic at 5 kHz – Multipulse BiowaveCharging time : 8 seconds for 180 J w/ a full charged batteryEnergy selection : Automatic in AED ode, set wheel on paddles, two push

buttons for internal defibrillation.Defibrillation mode : Non-synchronized, syncronized via adhesive pads

using measured ECG.

External Pacemaker :Operating mode : Fix - Demand - Overdrive (frequency *3)Frequencies : 40 - 210p/minCurrent : 35-150 mAMonitor : Sreen LCD colour screen 10.4" (211.2 x158.4 mm) adjustable

contrast settingsParameters displayed : Status bar + up to 12 ECG channels+ Defi window

displaying time number of shocks delivered, Energy selected,operating mode, AED texts or pacemaker window + measurements (ECG, SpO2, PNI) + functions keys.

Curvesdisplayed : ECG, SpO2

Parameters displayed: HR, sys, dia, average, SpO2

Trends : 24 hours, graphical and tabular for all parametersInput : CF class patient cable 3,4 or 10 leadsLeads : I, II, III, aVR, aVL, aVF, V1-V6 (according to the patien

cable connected).Band pass : 1-35 Hz or 1-50 Hz (according to the ECG source)Measuring range : 30-300 bpmAmplification : ECG 0.25, 0.5, 1, 2 cm/mV

Printer :Thermal printer : Z format, width 72 mmPaper : 3Number of channels : 25, 50 mm/sChart print out speed: Automatic or manualOperating mode :Printout : curves, measurements, events, trends, date and time, alarm,

defibrillator test.

Alarms :System alarms : Monitor, defibrillator, battery charge, recorder and

memory.Physiological alarms : ECG, NIBP, SpO2

Technical alarms : All parameters

Power Supply :Main power supply : 100V - 240V; 50/60 HzDC external supply : 9V - 48V DCBattery : One internal and removable (optin)-type Li-Ion

10.8 V 4.6 AhChanging time : 1 h (for 80%)Battery level control : Charging and discharging indication on screen

Memory :Size : 30 Minutes ambient noise (voice) and 500 event (duration, number

of shocks, date and time of shock)SpO2 (Masimo) : on/of by cable detectionDisplay range : SpO2 1% – 100%

ECG 25- 240 bpmResolution : SpO2 0.1%

ECG 1 bpm

NIBP :Method : OscillometricUsage : Adults, NeonatesMeasuring intervals in automatic mode : 1 - 90 minMeasuring range in adults mode : SYS 30-255 mmHg, DIA 15 – 220

mmHgMeasuring range in neonates mode : SYS 30-135 mmHg, DIA 15 – 110

mmHgResolution : 1 mmHg, 1 bpmAccuracy : ± 3 mmHg and ± 2 bpm

Communication :Serial Ink : 12 leads ECG phone transmission to SEMANET- 10 s

resting ECGEthernet Ink: Software updateUSB Ink : Memory stick (read SAED memory, Read trends)

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Analog : QRS trigger, 1 channel ECG, Remote alarm

Enviromental Conditions:Galvanic protection : BF typeTemperatures : -30 to 50°C (transport storage)

0 to 50°C (Operation)Atmospheric pressure : 500 to 1060 hPaRelative humidity : 30 to 95 % (no condensation)Dimension : 289 mm x 177 mm x 271 mm (H x W x D)

14. Infusion Pump

Specifications :Description : Infusion PumpPump type : Peristaltic fingerApplicable IV sets : or infusion pumps, and other standard IV sets (15, 19,

20, and 60 drops/ml)Flow rate : 1.0 – 99.9 ml/h (series dedicated IV set)

1.0 – 99.9 ml/h in 0.1 ml/h increments; above 100mL/h, in 1 mL/h increments1.0 – 400 ml/h (standard 15 drops/ml IV set)1.0 – 380 ml/h (standard 19 drops/ml IV set)1.0 – 360 ml/h (standard 20 drops/ml IV set)1.0 – 150 ml/h (standard 60 drops/ml IV set)

Volume limit range : 1 to 9.999 ml in 1 ml incrementsInfusion accuracy : ±5%, ±10% when other common IV sets are used.Alarms : Empty container, Occlusion, Door open, Air-in-line,

Low battery, Infusion complete, Power source switched, Operator error, and other device malfunctions

Air bubble detection : Can be set to any of 3 levels, 504, 0.1 ml/15min, 1 ml/15min

Occlusion detection pressure :Can be set to any of 4 levels : Pl-4: occlusion not detectedPI-3: 5160.0 kPa (51,200 mmHg/51.63 kgf/cm²)PI-2: 5120.0 kPa (5900 mmHg/51.22 kgf/cm²)Pl-1: 580.0 kPa (5600 mmHg/5_0.82 kgf/cm²)PI-0: 540.0 kPa (5300 mmHg/50.41 kgf/cm²)Can be set to either of 2 levels when other common IV sets are used : P2-1: 5160.0 kPa (51,200 mmHg/51.63

kgf/cm²)P2- 0: 580.0 kPa (5600 mmHg/ 50.82 kgf/cm²)

Special functions :Automatic shutoff: : When the infusion pump is operating on battery power

and has been left for 3 minutes with the infusion stopped or in an alarm state, the buzzer sounds. After the buzzer has been left sounding for 3 minutes, the power turns off automatically to conserve the battery.

Alarm repeat : Unless the cause of an alarm is corrected within 2 minutes after the operator has pressed the "Silence" buzzer key, the buzzer will sound again to remind the operator of the problem.

Data memorize function : Retains the most recent flow rate, vol. limit or total volume infused for the next use.

Sound setting : Audible indication of standby and infusion in progress can be turned on or off.

Power source switch alarm : An alarm sounds when AC power supply has stopped and the unit has switched over to battery operation.

Operating conditions :Ambient temperature : +5 to 40°C Humidity: 20 to 90% (no condensation)

Pressure: 70 to 106 kPa

Storage conditions :Ambient temperature : -10 to 45°CHumidity : 10 to 90% (no condensation) Pressure: 50 to 106 kPaPower source : AC 100-240V±10%, 50/60 Hz

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Internal battery : Rechargeable DC 12V, 700 mAh, Ni-Cd (type BP-53). Battery life is approx. 2 hours when using a new, fully charged battery at a fluid delivery rate of 25 ml/h.

External DC power supply : DC 12.7 to 15 V (external power cord optional)Input current : AC power supply: 50.3A –External DC power supply: 50.7AClassification : Class I, Type CF, IPXI (drip-proof)Fuse : TIADimensions : 90/W/X216(H)X209(D)mmWeight : Approx. 2.6kgAccessories : AC power cord, drop sensor, Operation guide, Custom

stand infusion pumps, Stabilizer

15. Syring PumpSpecification :Power Supply : AC power source: AC100-240V±10% 50~60Hz (approx.)External DC power supply : DC 12.7-15V – (exact)Built in battery : Rechargeable, DC 12V 700mAh Ni-Cd Model: BP-53Continuous operation : Approx. two hours (when a new battery is fully

recharged with 5mL/h set)Power Consumption current : AC power supply: 0.3A (approx)External DC power supply : 0.5A (exact) Applicable syringe : 10ml, 20ml, 30ml, and 50ml syringes from:1) TOP, TERUMO, B0D, or B. BRAUN2) B-D, TERUMO, MONOJECT, or B.BRAUN can be used (In Auto Selection (*) Mode, only 50 ml syringes can be used)Flow range : 0.1 – 400.0 ml/h (10ml syringe)

0.1 – 700.0 ml/h (20ml syringe)0.1 – 900.0 ml/h (30ml syringe)0.1 - 1500.0 ml/h (50ml syringe)Settings adjustable in 0.1ml increments

Total infusion volume range : 0.1 - 999.9 mlInfusion accuracy : Brand-specified mode

Mechanical accuracy: ±1% Accuracy including the syringe: ±3%

Auto Selection (*) mode (Only 50m l syringes can be used)

Mechanical accuracy: ±1% Accuracy including the syringe: ±3%

ø Accuracy obtained when infusion is performed for over one hour with an infusion rate of 1.0 ml/h or moreBolus rate : Approx. 400.0 ml/h (10 ml syringe)

Approx. 700.0 ml/h (20 ml syringe)Approx. 900.0 mL/h (30 ml syringe)Approx. 1500.0 ml/h (50ml syringe)

Occlusion detection pressure : 4-step selection Extra high : 119.7±40.0kPa/ 900±300mmHg/1.22±0.41KgF/cm²High : 93.1±33.3kPa/700±250mmHg/0.95±0.34KgF/cm²Medium : 66.5±26.7kPa/ 500±200mmHg/0.68±0.27KgF/cm²Low : 39.9±20.0kPa/300±150mmHg/0.41±0.20KgF/cm²Alarm : Low volume (inactive in Auto Selection [*] Mode), occlusion, low

battery, syringe barrel / syringe, plunger clamp disengaged, power supply switch, reminder, CPU error.

Special functions : Auto power OFF : If the system is left on hold or in alarm status for approximately three minutes, a buzzer will sound. After another three minutes system power will be shut off automatically

Repeat alarm : If two minutes have elapsed without resetting the alarm after it is silenced, the alarm will sound again.

Data memorize : Infusion rate set value/Total volume storage settingis allowed.

Buzzer setting : Presence / absence of wait tone and operation tone can be specified

Power supply switch alarm : The system has entered the internal battery operation mode when power is no longer supplied from the AC/DC power supply.

Operating conditions : Ambient temperature: 10 to 40°C Relative humidity : 30 to 85% (no condensation)Atmospheric pressure : 70 to 106kPaStorage conditions : Ambient temperature: -10 to 45ºC Relative humidity : 10 to 90% (no condensation)Atmospheric pressure : 50 to 106kPa Classification : Class I, Type CS, IPX1 (Drip proof)Fuse : T1AExternal dimensions : 320(W) x 116(H) x 139(D) mmWeight : Approx. 2.2 kgAccessories : AC power source cord x1

Operation guide x1Pole Clamp x1Custom stand for infusion pumps

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Stabilizer

16. Suction Pump

Specification :Functions :- Whole shell this instrument adopts ABS

material anid is one plastic injection forming with, shiny appearance and easy maintenance

- The instrument is installed with one moving detachable square tray output appliences and hold suction’s consuming parts.

- The suction bottle is made of plastic can resist hit and high temperature and pressure disinfection. But any chemicals such as antiseptic solution, cleaner etc. Can not be put in the bottle to avoid bottle breaking.

- Volume of suction bottle of surgery an gynecology can each reach 3000 cc. By shifting the surgery and gynecology knob, they can be individually used

- To secure this unit, one automatic full water stop device is installed.

- One filter is installed between the suction bottle and the unit. When it's polutted, please immediatelly replace it

- To be clean and sanitary, when water exceeds 1/2 level, please immediatelly pour it out

- The instrument can be pushed, pulled or turn at original place for easy movement. Front two cassette are installed with breaks

- For selection "Suction", it's suitable for general vacuum suction because its diameteris bigger

- For selection "Extraction", it's suitable for artificial abortion and larger extreaction because it's diameter is bigger

- Suction and extraction can support each other. Please use “select valve” for change to reduce the tube connecting trouble and save time

Pump SpecificationVoltage : 120V / 240VCurrent : 2.4A / 1.2ACapacitor : 26 uf / 13ufRPM : #Poles : 4Output : 250W 1/3HPMax flow rate : 80 liter/minMax. Suction : 700-720 mm/hgWeight : 9.0kgs

The instrument plane :- Surgical suction- Obstical suction- Vacuum gauge

Power switch (on/off) :- Surgical suction bottle : 3000 c.c- Regulator valve- Filter (big)- Gynecology suction bottle : 3000 c.c- Floating control (big)

The side :- Fuse base- Insert hole for foot switch- Power cord- Moving vaster- Brake caster

17. CPAP (Continous Positive Airway Presure) with Medical

Air Compressor Specification :- CPAP-System Easy plus with internal

care operates in constant flow and pressure limited according to the continuous flow principle. The fresh-gas, which can be set at flow meter, flows continuously during the inspiratory and expiratory phase.

- The expiratory gas and fresh-gas are released together via the expiration valve.

Scope of applications :- Therapy using the CPAP system can be

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successfully in the treatment of pulmonary edema, atelectasis as well as traumatosis in the thoracic reagion. The scope of application ranges from over many clinical uses, such as intensive car, postoperative treatment, phsyio-therapy and emergency treatment.

- The CPAP-System is a care unit for respiratory therapy of neonates and enfants, providing.√ CPAP√ manual ventiltion√ oxygen / air mixture√ oxygen insufflation√ heated tubing system

Technical Data of the CPAP-System easy plus with internal compressor :• Settings

O2 Flow (constant) : adjustable 0-10 l/minAir Flow (constant) : adjustable 0-10 l/minOxygen mixture : djustable 21-99 %O2

• Patient component P1 Built-in HumidifierExpiratory pressure (PEEP) : adjustabe 0-10 mbarInspiratory pressure (Platesu ): adjustable 15-60 mbar (manual

breathing)Heated Humidification : 1 2 volt / 10 watt-relative humidity up to

a max 98%• Heated tubing system : Electrical output : 12 volt / 12 watt- for temperature stabilization• Built-in compressor : Output 15 l/min 0.2 bar

18. Oxygen Central

Spesifikasi :Sentral Oxygen Kapasitas 2x5 Cylinder(Manual System) terdiri dari :Manual Change Over Manifold : 1 bhOxygen Regulator : 2 bhCentral Piping (Header) c/w Copper Tube HP Block & Valve : 1 bhLea Coper Tube Oxygen : 10 bhCylinder Bracket : 1 setMain Valve 3/4" Welding type : 2 bhInstalasi Pipa Oxygen : 28 titikPipa Tembaga 3/4" type L : 72 mPipa Tembaga 1/2" type L : 102 mPipa Tembaga 3/8" type L : 120 mCopper Fittings : 1 lotOutlet Oxygen : 20 bhZone Valve Type-2 c/w pressure switch : 1 bhAlarm system for oxygen c/w pressure switch : 1 bhFlowmeter / Humidifier : 16 bhWallduct system c/w stop kontak & lampu tindakan : 15 bh

- Setelah spesifikasi tekhnis tersebut dibuat lalu oleh terdakwa diserahkan kepada saksi Rofinus Dero selaku Ketua Panitia pengadaan barang dan jasa, selanjutnya Saksi Rofinus Dero mengundang anggota panitia pengadaan lainnya untuk menyusun jadwal dan membuat dokumen lelang, dan terdakwa menetapkan dokumen lelang yang didalamnya memuat spesifikasi.

- Kemudian pada tanggal 04 Agustus 2010 Panitia mengumumkan paket kegiatan pengadaan alat-alat kesehatan tersebut di LPSE Jabar dengan nilai pagu sebesar Rp. 4.426.510.000,- (empat miliar empat ratus dua puluh enam juta lima ratus sepuluh ribu rupiah) dengan metode evaluasi sistem gugur dengan tahapan : evaluasi administrasi, evaluasi teknis dan evaluasi harga.

- Bahwa dari pengumuman tersebut ada 35 perusahaan yang mendaftar, namun hanya 11 perusahaan yang memasukan dokumen penawaran serta lulus tahap evaluasi administrasi yaitu :1. PT. Catur Parahyangan2. CV. Tiga Warna Jaya Abadi3. CV. Trimanunggal Mandiri4. PT. Asta Kurnia Abadi

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5. PT. Beta Sinarindo6. PT. Dwi Putra Unggu Pratama7. PT. L-Med Mitra Persada8. PT. Mutiara Jaya Farma9. PT. Sinar Surya Semesta Raya10. PT. Sumber Alkeslab11. PT. Sinergi Dua Kawan Sejati

- Dari 11 peserta yang memasukan penawaran, ada 2 peserta yang tidak lulus tahap administrasi karena tidak melampirkan SIUP, selanjutnya Panitia melakukan evaluasi teknis terhadap 9 (Sembilan) peserta lelang yang lulus tahap administrasi dan pada saat melakukan evaluasi teknis Saksi Rofinus Dero menugaskan dr.Hj.Ellis Fasta Martiana,Sp.PA melakukan evaluasi terhadap 3 (tiga) perusahaan penawar yaitu PT. Mutiara Jaya Farma, PT Sinar Surya Semestaraya dan PT. L-Med Mitra Persada dan kemudian saksi dr.Hj.Ellis Fasta Martiana,Sp.PA menyampaikan hasil evaluasinya kepada Ketua Panitia (saksi Rofinus dero) bahwa yang layak dan memenuhi spesifikasi teknis dalam pengadaan barang alat kesehatan tersebut adalah PT. Sinar Surya Semestaraya karena spesifikasi teknis yang ditawarkan oleh PT. L-Med Mitra Persada terdapat sebagian barang yang tidak sesuai dengan spesifikasi teknis yaitu :

NO. NAMA ALAT

KEBUTUHAN YANG DI BUTUHKAN RSUD R.

SYAMSUDIN, SH(Dokumen pemilihan)

PENAWARAN YANG DIAJUKAN PT. SINAR

SURYA SEMESTARAYA

PENAWARAN YANG DIAJUKAN PT. L MED

MITRA PERSADA

1. Peralatan Bank Darah :COOL BOX Volume /kapasitas 22 liter Volume /kapasitas 22 liter Volume /kapasitas 10liter

2. Peralatan IGD : INFANT

INCUBATOR

VENTILATOR EMERGENCY

OPERATING LAMP MOBILE

TRANSFER STRECHER

OXYGEN CENTRAL

Ada fasilitas Phototherapy

Ada Accecories

Intensity 110.000 LUX

Ada Tabung Oxygen dan Regulator

Menyebutkan jumlah item barang

Ada fasilitas Phototherapy

Ada Accecories

Intensity 110.000 LUX

Ada Tabung Oxygen dan Regulator

Menyebutkan jumlah item barang

Tidak ada

Tidak ada

Intensity 70.000 LUX

Tidak ada

Tidak menyebutkan jumlah item barang.

- Bahwa kemudian setelah Panitia melakukan evaluasi teknis, saksi Rofinus Dero (Ketua Panitia) menyampaikan kepada Terdakwa bahwa PT. L-Med Mitra Persada tidak memenuhi persyaratan secara teknis, meskipun penawaran dari PT.L-Med Mitra Persada merupakan penawaran terendah, namun pada saat itu Saksi Rofinus Dero mengatakan kepada Terdakwa bahwa saksi Rofinus Dero mau mengusulkan PT. L-Med Mitra Persada menjadi pemenang asalkan PT. L-Med Mitra persada mau mengadakan barang sesuai yang terdapat pada dokumen lelang dan pada saat itu PT.L-Med Mitra persada melalui Saksi Helmi menyatakan siap dan menyanggupi untuk mengadakan barang sesuai dengan dokumen pemilihan.

- Bahwa setelah terdakwa bersama sama dengan Saksi Rofinus Dero, dan saksi Helmi yang mengatasnamakan dari PT.L-Med Mitra Persada bertemu di Hotel Pangrango Selabintana Sukabumi, selanjutnya saksi Rofinus Dero tanpa sepengetahuan dari anggota panitia yang lain membuat Berita Acara evaluasi penawaran nomor : 05/PP/ALKES/UPT.PBJ-RSUD/2010 tanggal 6 September 2010 dalam poin b tentang evaluasi teknis nomor 6 menyatakan bahwa kesimpulan evaluasi PT.L-Med Mitra Persada

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memenuhi syarat teknis sehingga saksi Rofinus Dero selaku Ketua Panitia mengusulkan pemenang lelang di LPSE dengan pemenang PT.L-Med Mitra Persada sebagai urutan pertama, kemudian Terdakwa selaku PPK menyetujui usulan tersebut melalui LPSE pada kolom Persetujuan evaluasi padahal terdakwa mengetahui bahwa PT. L-Med Mitra Persada tidak memenuhi persyaratan pada evalusi tekhnis, atas dasar tersebut saksi Rofinus Dero mengumumkan pemenang dengan urutan pertama PT.L-Med Mitra Persada.

- Bahwa pada tanggal 23 September 2010 Terdakwa selaku PPK menandatangani Surat Penunjukan Penyedia Barang (SPPB) Nomor : 3/PPK.RSUD_Alkes(paket 1)/2010 dan kemudian pada tanggal 30 September 2010 terdakwa bersama dengan saksi Latif Condro Warsito (terdakwa yang diajukan penuntutan berkas terpisah) selaku Direktur PT.L-Med Mitra Persada menandatangani Surat perjanjian untuk melaksanakan pengadaan alat-alat kedokteran (IGD dan bank darah) Nomor : 4/PPK.RSUD_ALKES/2010 tanggal 30 September 2010 dengan nilai kontrak sebesar Rp.4.126.500.000,- (empat milyar seratus dua puluh enam juta lima ratus ribu rupiah), dimana spesifikasi yang tercantum dalam dokumen kontrak tersebut tidak sama dengan spesifikasi yang ada dalam dokumen pemilihan yaitu :

NO. NAMA ALAT Spesifikasi yang ada dalam dokumen pemilihan

Spesifikasi yang ada dalam kontrak antara PT.L-Med Mitra Persada

dan PPK

1. Peralatan Bank Darah :COOL BOX Volume /kapasitas 22 liter Volume /kapasitas 10liter

2. Peralatan IGD : INFANT INCUBATOR

VENTILATOR EMERGENCY

OPERATING LAMP MOBILE

TRANSFER STRECHER

OXYGEN CENTRAL

Ada fasilitas Phototherapy

Ada Accecories

Intensity 110.000 LUX

Ada Tabung Oxygen dan Regulator

Menyebutkan jumlah item barang

Tidak ada Ada Accecories

Tidak ada Ada Accecories

Intensity 70.000 LUX

Tidak ada

Tidak menyebutkan jumlah item barang.

- Bahwa selanjutnya pada tanggal 13 Desember 2010 tim panitia pemeriksa barang yang terdiri dari :Dr. Santoso Hadiwidjojo : Ketua Merangkap AnggotaFarida Tristianti,SE : Sekretaris merangkap anggotaUlly Falda,Apt : Anggota Sri Iriani : AnggotaNeti Herawati : AnggotaSri Suprihartini : Anggota Zaenal Mutaqin : Anggotadr. Abu Surur, Sp.U : Pengguna Barangmelakukan pemeriksaan barang dengan kesimpulan bahwa barang terdapat baik dan berfungsi sebagaimana mestinya sesuai Surat Perintah Kerja berdasarkan Berita Acara Pemeriksaan Barang Nomor : 1576/P2B-RSUD/XII/2010 tanggal 13 Desember 2010.

- Bahwa dalam pemeriksaan barang, terdakwa hanya memberikan satu lembar dokumen kepada Tim P2B (Panitia Pemeriksa Barang) yang berisikan nama barang dan jumlahnya saja, tidak mencantumkan spesifikasi yang harus diperiksa oleh tim P2B dan dokumen tersebut sebelum diperiksa oleh tim P2B sudah terlebih dahulu ditandatangani oleh terdakwa dengan saksi Latif Condro Wasito, sehingga tim P2B tidak melakukan pemeriksaan spesifikasi terhadap barang yang diterima.

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- Bahwa setelah Berita Acara Pemeriksaan ditandatangani oleh seluruh anggota tim P2B kemudian Saksi latif Condro Warsito membawa dokumen tersebut sebagai salah satu persyaratan pengajuan pembayaran.

- Bahwa pada tanggal 22 Desember 2010 Pemerintah Daerah Kota Sukabumi melalui Kuasa BUD menerbitkan 2 (dua) Surat Perintah Pencairan dana (SP2D) yakni :1. Nomor : 851/LS/DAK/2010 untuk Keperluan pembayaran langsung 100% Belanja

Pengadaan alat-alat kedokteran (IGD dan Bank darah) sumber dana DAK senilai Rp. 3.751.363.636.- (tiga miliar tujuh ratus lima puluh satu juta tiga ratus tiga uluh enam ribu enam ratus tiga puluh enam rupiah)

2. Nomor : 852/LS/DAK/2010 untuk Keperluan pembayaran langsung 100% Belanja Pengadaan alat-alat kedokteran (IGD dan Bank darah) sumber dana pendamping senilai Rp. 375.136.364.- (tiga ratus tujuh puluh lima juta seratus tiga puluh enam ribu tiga ratus enam puluh empat rupiah)

kepada saksi Latif Condro Warsito selaku Direktur PT.L-Med Mitra Persada yang beralamat di Jalan Kebayoran Lama No.24 Jakarta dengan Nomor rekening 0351005220 Bank Pembangunan Daerah Jawa Timur Cabang Jakarta.

- Bahwa akibat perbuatan terdakwa bersama-sama dengan saksi Rofinus Dero dan saksi latif Condro Warsito, dimana PT. L-Med Mitra Persada pada saat dilakukan evaluasi teknis barang yang ditawarkan tidak sama dengan spesifikasi yang ditetapkan dalam dokumen pemilihan penyedia barang, namun atas dasar kesepakatan antara saksi Didi Subandi, Rofinus Dero dan terdakwa PT. L-Med Mitra Persada disetujui sebagai pemenang sebagaimana yang diusulkan oleh Panitia serta PPK, selanjutnya terdakwa selaku PPK menandatangani kontrak dengan Sdr. Latif condro Warsito selaku Direktur PT. L-Med Mitra Persada, dimana dalam kontrak tersebut tidak mencantumkan spesifikasi teknis yang sesuai dengan yang ada dalam dokumen pemilihan namun kontrak tersebut dilampiri spesifikasi teknis yang ditawarkan oleh PT.L-Med yang sebagian besar berbeda dengan spesifikasi teknis yang ada dalam dokumen pemilihan, hal tersebut bertentangan dengan ketentuan :Pasal 10 ayat (5) huruf f Keputusan Presiden Republik Indonesia Nomor 80 tahun 2003 tentang Pengadaan Barang dan Jasa Pemerintah yang menyatakan “Panitia melakukan evaluasi terhadap penawaran yang masuk” dikaitkan dengan Keputusan Presiden Republik Indonesia Lampiran I BAB II huruf f poin 3 yang menyatakan “ penawaran yang memenuhi syarat adalah penawaran yang sesuai dengan ketentuan syarat-syarat dan spesifikasi yang ditetapkan dalam dokumen pemilihan penyedia barang/jasa tanpa ada penyimpangan penting/pokok atau penawaran bersyarat “ dan poin 8 yang menyatakan “ penawaran dinyatakan memenuhi persyaratan teknis apabila memenuhi spesifikasi teknis barang yang ditawarkan berdasarkan contoh brosur dan gambar yang ditetapkan dalam dokumen pemilihan barang jasa “.

- Bahwa dari perbedaan spesifikasi antara dokumen pemilihan dengan penawaran terdapat selisih sebagaimana hasil perhitungan dari Tim Audit BPKP Perwakilan Jawa Barat sebesar Rp.759.613.807,- (tujuh ratus lima puluh sembilan juta enam ratus tiga belas ribu delapan ratus tujuh rupiah) dengan perincian sebagai berikut :

No Nama Barang Spesifikasi Satuan

Kuantitas

Harga Kontrak

HargaKontrak

(Net PPn)

Harga PembelianL-Med ke

Distributor

Selisih Ket.

1 2 3 4 5 6 7 8 9 10Bank Darah

1. Serological Centrifuge

Hettich EBA 20-Germany

Unit 2 65.000.000,- 59.090.909,- 28.201.250,- 30.889.659,- Faktur PT. Prima Alkesindo Nusantara Nomor: BDG/1012000704 tanggal 23 Desember 2010 (belum termasuk biaya

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transport).

2. Adjustable M/C Micro Pippete

-

a. Ukuran 20-200ml

Starlab S71002200-Germany

Unit 2 6.000.000,- 5.454.545,- 5.3000.000,- 154.545,-

b. Micro Pipette type Yellow

Ex Indonesia

Box 20 4.500.000,- 4.090.9.09,- 4.000.000,- 90.909,-

3. Cool Box Delta T Silverbag 10L- Germany

Unit 1 5.000.000,- 4.545.455,- 2.117.500 2.427.955,- Sesuai Surat Pengiriman Barang yang menunjuk pada Faktur Nomor BDG/1011000641 tanggal 22 November 2010 (belum termasuk biaya transport).

4. Reagent Refrigerator

Kirsch-Labex 285-Germany

Unit 1 150.000.000,- 136.363.636,- 57.365.000 78.998.636,- Sesuai Surat Pengiriman Barang yang menunjuk pada Faktur Nomor BDG/1011000641 tanggal 22 November 2010 (belum termasuk biaya transport).

5. Plasma Extractor Manual

Labtop LPE-1-India

Unit 1 5.500.000,- 5.000.000,- 2.125.200,- 2.847.800,- Faktur Penjualan PT. Prima Alkesindo Nusantara No. BDG/TP/1000000019 tanggal 24 November 2010.

6. Microscope Binocular Electric

Seiler-Seilerscope-USA

Unit 1 15.000.000,- 13.636.364,- 13.500.000,- 136.364,- -

7. Dry Incubator

Hettich INE 400-Germany

Unit 1 40.000.000,- 36.363.636,- 24.062.500 12.301.136,- Sesuai Surat Pengiriman Barang yang menunjuk pada Faktur Nomor BDG/1011000641 tanggal 22 November 2010 (belum termasuk biaya transport)

8. Platelet Incubator + Agitator

Labtop LPI-125 + LPA 36-India

Unit 1 125.000.000,- 113.636.364,- 52.988.320 60.648.044,- Sesuai Surat Pengiriman Barang yang menunjuk pada Faktur Nomor BDG/1011000642 tanggal 22 November 2010 (belum termasuk biaya transport)

9. DG Spin Digital Sentrifuge

Grifols 210363-France

Unit 1 180.000.000,- 163.636.363,- 149.278.125 102.994.602,- Sesuai Surat Pengiriman Barang yang menunjuk pada Faktur Nomor BDG/TP/10000000020 tanggal 30 Desember 2010 (belum termasuk biaya transport).

10. DG Term Digital Incubator

Grifols 213734-France

Unit 1 60.000.000 54.545.454,- -

11. Dispenser Grifols MicroDisp.-France

Unit 1 11.000.000,- 10.000.000,- -

12. Pipette 5 ul Starlab S1000005/ Germany

Unit 1 3.000.000,- 2.727.273,- -

13. Pipette 25 ul

Starlab S1000020/ Germany

Unit 1 3.000.000,- 2.727.273,- -

14. Pipette 50 ul

Starlab S1000025/ Germany

Unit 1 3.000.000,- 2.727.273,- -

15. Working Table Rack Test Tube

Grifols-210363-France

Unit 1 17.500.000,- 15.909.091,- -

Rp. 252.272.727,-

1 2 3 4 5 6 7 8 9 10IGD

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1. Infant Incubator

Tesena-TSN 910 Sc-Indonesia

Unit 1 50.000.000,- 45.454.546,- 119.420.000,- 3.307.273,- Invoice PT. Tesena Inovindo No. IK. 10000269 tanggal 24 Desember 2010.

3. Transports Incubator

Tesena-TSN 705 TRSC- Indonesia

Unit 1 85.000.000,- 77.272.727,-

Rp. 122.727.273,-

2. Operating Table

Karixa KA 33M- Indonesia

Unit 1 46.500.000,- 42.272.727,- 21.600.000 20.672.727,- Invoice PT. Sarandi Karya Nugraha No. 265.inv.skn.smi.12.10 tanggal 06 Desember 2010.

4. ECG 3 Channel

SIE Monitor EC 12T-Rusia

Unit 7 259.000.000,- 231.700.000,- 231.700.000,- 3.754.545,- -

5. Ventilator Emergency

O Two-01CV4000- Canada

Unit 1 125.000.000,- 113.636.364,- 112.5000.000,- 1.136.364,- -

6. Operating Lamp Mobile

Daray SL-200 England

Unit 2 97.000.000,- 88.181.818,- 87.000.000,- 1.181.818,- -

7. Transfer Strectcher

TMT-631-09 Indonesia

Unit 27 202.5000.000,- 184.090.909,- 106.593.750,- 77.497.159,- Sesuai Purchase Order Confirmation Nomor 011/CF-TMT/XI/2010 tanggal 10 November 2010.

8. Patient Monitor + Printer

SIE Monitor-Mitar 1-Rusia

Unit 3 416.386.364

-

9. Anesthesia Machine with 4 vaporizer + ventilator

Infinium-ADS II-USA

Unit 1 465.000.000,- 422.727.273,- 420.000.000,- 2.727.273,- Sesuai Kuitansi Pembayaran tanggal 30 Desember 2010 (belum termasuk biaya transport).

10. Electrosurgical Cutter

Hermann-HHF 300-Germany

Unit 2 340.000.000,- 309.090.909,- 304.000.000,- 5.090.909,- -

11. Meja Operasi

Karixa KA 20E- Indonesia

Unit 4 340.000.000,- 309.090.909,- 141.818.184 167.272.725,- Invoice PT. Sarandi Karya Nugraha No. 265.inv.skn.smi.12.10 tanggal 06 Desember 2010.

12. Bed Side Monitor

SIE Monitor-Mitar 1-Rusia

Unit 2 310.000.000,- 281.818.182,- 280.000.000,- 1.818.182,- -

13. Defibrillator CU-ER 3-Korea

Unit 1 110.000.000,- 100.000.000,- 98.500.000,- 1.500.000,- -

14. Infusion Pump

Biosensor-BSV 700- Brazil

Unit 2 68.000.000,- 61.818.182,- 61.000.000,- 818.182,-

15. Syringe Pump

Biosensor-SEV 10 Plus-Brazil

Unit 3 90.000.000,- 81.818.182,- 81.000.000,- 818.818,-

16. Suction Pump

Tongye-YDX 100M-35A-

Unit 3 75.000.000,- 68.181.818,- 67.500.000,- 681.818,-

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PRC

17. CPAP (Continuous Positive Airway Pressure)

Hoffrichter-Vektor at Auto-Germany

Unit 2 210.000.000,- 190.909.091,- 76.680.000 114.229.091,- Sesuai Nota No: 014/MJM/XII/2010 tanggal 27 Desember 2010 dan Kuitansi No: 014/K/MJM/XII/2010 tanggal 27 Desember 2010 (belum termasuk biaya transport).

18. Oxygen Central

Victor-D-USA

Unit 1 110.000.000,- 100.000.000,- 98.500.000,- 1.500.000,- -

Total 4.126.500.000,- 3.751.363.636,- 2.991.749.829,- 759.613.807,- -

- Akibat perbuatan terdakwa bersama sama dengan saksi Rofinus Dero dan saksi Latif Condro Warsito sebagaimana diuraikan diatas telah merugikan keuangan negara sebesar Rp. 759.613.807,- (tujuh ratus lima puluh sembilan juta enam ratus tiga belas ribu delapan ratus tujuh rupiah) atau setidak-tidaknya sejumlah itu.

-------- Perbuatan terdakwa diatur dan diancam sebagaimana diatur dalam Pasal 2 ayat (1) jo Pasal 18 ayat (1) huruf b Undang-undang Republik Indonesia Nomor : 31 tahun 1999 tentang Pemberantasan Tindak Pidana Korupsi sebagaimana telah diubah dengan Undang-undang Republik Indonesia Nomor : 20 tahun 2001 tentang perubahan atas Undang – undang Republik Indonesia Nomor : 31 tahun 1999 tentang Pemberantasan Tindak Pidana Korupsi jo Pasal 55 ayat (1) ke-1 KUHPidana. -------------------------------------

SUBSIDIAIR

-------- Bahwa ia terdakwa Drs. DIDI SUBANDI selaku Pejabat Pembuat Komitmen (PPK) berdasarkan Surat Keputusan Direktur RSUD R. Syamsudin, SH. Kota Sukabumi Nomor 57 Tahun 2010 tanggal 04 Agustus 2010 dalam Proyek Pengadaan Alat-alat Kedokteran (IGD dan Bank Darah) RSUD R. Syamsudin SH. Kota Sukabumi Tahun 2010 berdasarkan Kontrak Nomor 4/PPK.RSUD_Alkes (Paket1)/2010 tanggal 30 September 2010 baik secara sendiri-sendiri atau bersama-sama dengan Latif Condro Warsito dan Rofinus Dero (diajukan penuntutan secara terpisah) pada hari dan tanggal yang tidak dapat dipastikan sekitar bulan September sampai dengan bulan Desember 2010 atau setidak-tidaknya di tahun 2010 bertempat di RSUD R.Syamsudin, SH Kota Sukabumi Jalan Rumah Sakit Nomor 1 Kota Sukabumi atau setidak-tidaknya pada suatu tempat lain yang masih termasuk dalam Daerah Hukum Pengadilan Tindak Pidana Korupsi pada Pengadilan Negeri Kelas I Bandung yang berwenang memeriksa dan memutus perkara Tindak Pidana Korupsi berdasarkan Keputusan Ketua Mahkamah Agung Republik Indonesia Nomor : 191/KMA/SK/XII/2010 tanggal 01 Desember 2010 tentang Pengoperasian Pengadilan Tindak Pidana Korupsi pada Pengadilan Negeri Bandung, Pengadilan Negeri Semarang dan Pengadilan Negeri Surabaya, dengan tujuan menguntungkan diri sendiri atau orang lain atau suatu korporasi melnyalahgunakan kewenangan, kesempatan atau sarana yang ada padanya karena jabatan atau kedudukan dapat merugikan keuangan Negara atau perekonomian Negara, perbuatan tersebut dilakukan oleh terdakwa antara lain dengan cara-cara sebagai berikut : -------------------------------------------------------------------------------------------- Bahwa awalnya pada tahun 2010 Rumah Sakit Umum Daerah R.Syamsudin,SH. Kota

Sukabumi mendapatkan Dana Alokasi Khusus (DAK) Program Pengadaan Peningkatan Sarana dan Prasarana Rumah Sakit untuk kegiatan Pengadaan Alat-Alat Kesehatan Rumah Sakit dengan Pagu Anggaran senilai Rp. 4.426.510.000,- (empat miliar empat ratus dua puluh enam juta lima ratus sepuluh ribu rupiah) untuk pengadaan perlengkapan Bank darah dan IGD (Instalasi Gawat Darurat).

- Bahwa berdasarkan hal tersebut, saksi dr. H.SUHERMAN. MKM selaku Direktur RSUD R. Syamsudin, SH. Kota Sukabumi yang juga selaku Pengguna Anggaran menunjuk terdakwa Drs. Didi Subandi sebagai Pejabat Pembuat Komitmen (PPK) berdasarkan Surat Keputusan

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Direktur RSUD R. Syamsudin, SH. Kota Sukabumi Nomor 57 Tahun 2010 tanggal 04 Agustus 2010 dalam Proyek Pengadaan Alat-alat Kedokteran (IGD dan Bank Darah) RSUD R. Syamsudin SH. Kota Sukabumi Tahun 2010.

- Bahwa sebagai Pejabat Pembuat Komitmen (PPK), terdakwa mempunyai tugas pokok sebagai berikut :a. Menyusun perencanaan pengadaan barang/ jasa.b. Menetapkan paket-paket pekerjaan disertai ketentuan mengenai peningkatan penggunaan

produksi dalam negeri dan peningkatan pemberian kesempatan bagi usaha kecil termasuk koperasi kecil, serta kelompok masyarakat.

c. Menetapkan dan mengesahkan Harga Perkiraan Sendiri (HPS), jadwal, tata cara pelaksanaan dan lokasi pengadaan yang disusun oleh Panitia Pengadaan/ Pejabat Pengadaan/ Unit Layanan Pengadaan.

d. Menetapkan dan mengesahkan hasil pengadaan panitia/ Pejabat Pengadaan/ Unit Layanan Pengadaan.

e. Menetapkan dan mengesahkan hasil pengadaan panitia/ Pejabat Pengadaan/ Unit Layanan Pengadaan sesuai dengan kewenangannya.

f. Menetapkan besaran uang muka yang menjadi hak penyedia barang/ jasa sesuai ketentuan yang berlaku.

g. Menyiapkan/ melaksanakan perjanjian/ kontrak dengan pihak penyedia barang/ jasa.h. Melaporkan pelaksanaan/ penyelesaian pengadaan barang/ jasa kepada pimpinan

instansinya.i. Mengendalikan pelaksanaan perjanjian/ kontrak.j. Menandatangani Pakta Integritas sebelum pelaksanaan pengadaan barang/ jasa dimulai.

- Bahwa kemudian berdasarkan Surat Keputusan Direktur RSUD R. Syamsudin, SH. Kota Sukabumi Nomor 57 Tahun 2010 tanggal 04 Agustus 2010 dalam Proyek Pengadaan Alat-alat Kedokteran (IGD dan Bank Darah) RSUD R. Syamsudin SH. Kota Sukabumi Tahun 2010 terdakwa selaku Pejabat Pembuat Komitmen (PPK) menyusun rencana pengadaan serta menyusun Spesifikasi teknis yaitu sebagai berikut :

No. Nama Barang Spesifikasi Tekhnis Ket.RKS / Aanwijzing1 2 3 4

BANK DARAH

1. Serologycal Centrifuge

General Specification :- CE Conformity IEC 61010 & ISO Certified 9001 : 2000- For quality & Safety Conform to IVD (In-Vitro Diagnostic) Standard- The N Control Panel has mor functions- Emergency lid lock release- Dynamic braking system with run-up & run down time in ramps 1-9- Speed indication in RPM by precision incremental of 10- RCF display with rotor radius in mmTechnical Specification :Power Supply : 208-240 V1~Frequency : 50-60 Hz Consumption : 65 VARadio Interference : EN 55011 ISM class BImunity : EN 61000-6-1Max. Capacity Unit : 8x15 mlMax. Speed, RCF Unit : 6000/min-3,421Running Time : 1,99/minDimension : 216x231x292 mmWeight : 4 kgRotor 8 Places with 33 o Angle : 1 Unit

2. Adjustable M/C Micro Pipet Ukuran 20 – 200 mlType Yellow

3. Cool Box Material- PU Form 50 mm The strong outer Provides Durability and protection inside

this Ensures Max Insulation when transporting your produck.Advantages- Lightweight- Ideal for all types of couries- Maintans a constant temp for up 96 hours against 30 oC Outside Temp

shows on ice packFunction Unit- Ideal for Transportation of temp sensitive good- Protect your product well againt heat and low temp, it will help you to

eliminate the cost of expensive refrigeration-transportaion- Optimized for blood and vaccine transport.- Temp as of + 4 oC

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- Thermometer shows on ice packCapacity/VolumeVaccene : 22 litersBlood bags each 340ml size : 22 blood bagsOuter Dimension : 600 x 385 x 430 mmInner Dimension : 465 x 235 x 210 mm

4. Reagent Refrigerator

General Specification :Interior free from ignitation sources (ATEX 95, II 3G T6)TUV for Electromagnetic Compatibility, accordance with low voltage guidelines.Laboratory Guidelines BGR 120 for explosion protectedLaboratory Guidelines GUV-R 120 for Municipal Accident Insurance Association.Laboratory TRGS 526 for Technical Regulation Hazardous SubstancesVertical Lamp Neon to ensures an optimum of illumination of all drawersInterior Container is smoth aluminum with transparent protective coating and drawersInterior Container is smoth aluminium with transparent protective coating and drawersLockable door has a plastic magnetic sealing frame that is easy to replaceHousing is insulated with particularly good, environmentally compatible pressure foam material to guarantee low energy consumption levelsOutside housing comprises galvanized sheet steel with a powder coatingDigital temperature displayTechnical Specification :

Description Labex – 285Solid Door

Labex – 285Glass Door

Volume 280 liters 280 litersTotal Drawer 1 Drawer 1 DrawerTotal Shelves 3 Shelves 3 ShelvesTemp Setting

Point+4 oC +4 oC

Temp Range +2 oC to +20 oC +2 oC to +20 oCTemp Ambient +38 oC +38 oC

Electric Voltage & Freq

220-240v,50/60hz 220-240v,50/60hz

Refrigerant Gas R134a CFC Free R134a CFC FreePower Draft 130 watt 130 watt

Average Consumption

0.6kWh/24h 0.6kWh/24h

Overal Dimension

67x70x122 cm 67x70x122 cm

Interior Dimension

53 x 50 x 100 cm 53 x 50 x 100 cm

Overal Dimension with door open at 90

oC

67 x 130 cm 67 x 130 cm

Gross & Net Weight

86 & 80 kg 86 & 80 kg

Optional Recorder for 7

days

completed Completed

5. Plasma Extractor ManualControl PlateControlSize

:::

AcrylicManual232 x 165 x 243 mm

6. Microscope Binokuler ElektricObservationHead

WidefieldEyepieceNosepiece

DINAchromaticObjectives

Stage

Condenser

Illumination

Focusing system

Field Diaphragm

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:

:

:

:

:

Binocular Head360 oC rotating & 90 o InclinedWF10X – 18 mmWF15X – 13 mmQuardruple NosepieceQuintuple Nosepiece4x /0.1010x / 0.2540xR 0.65100xR (oil) / 1.2560xR / 0.8520xR / 0.40Build-in mechanical stage size 132mm x 145mmMoving range 50mmx76mmN.A. 1.25 abbes condenser with iris diaphragm & filter holderHallogen bulb 20w / 6vAdjustable IntensityUniversity Power 8V – 265VCoaxial focusing system with built in tension adjustment and focus stopField Diaphragm on base lens

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7. Dry Incubator

Volume : 53 litersTemperature Control : Up to + 220 oCDimensionWidth (clear dimension) : 400 mmHeight (clear dimension) : 400 mmDepth (See side view left) : 320 mmSupport ribs for Shelves/Standard : 4 / 2 numbersWidth : 550 mmHeight (size 800 with castors) : 680 mmDepth (without door handle, door handle) : 480 mmElectrical Load (during heating) : 800 wattElectrical Supply : 230 V (+/-10%), 50/60 HzNet Weight : 35 KgGross Weight in triawall packingPacked Dimension (carton)

: 42 Kg

Width : 67 cmHeight : 78 cmDepth : 63 cm

8. Platelet Incubator & Agitator

General Specification:- Micro controller controls the internal temperature variation within

± 0.50C- Unique air flow system ensures even temperature distribution- Formed - in place CFC free PUF insulation ensures temperature

stability and reduce energy consumption- Audio visual alarm for temperature deviation from the preset

temperature

Technical Specification :- Number of Agitator : Two- Volume : 250 liters- Temperature : 220C- Accuracy : ± 0.5°C- Oscillation : 70 ± 0.5 cycle / minutes- Capacity : 72 plasma bags- Input Voltage : 23 /110 VAC- Temperature Control : Micro Controller- Temperature Recorder: 7 day circular chart

9. DG Spin Digital Centrifuge

Main characteristics:- Simultaneous Centrifuge of up to 24 DG Gel® cards- Removable and excgangeable spinning head- Pre-defined centrifugal for optimum DG Gel® cards preocessing:

acceleration, speed, breaking and time- Digital user interface visor control and visualization of centrifuge speed and

time remaining for processing- Programmable audible alarm for end of centrifugal time periods- Visual and audible indication of any error situation and power failure- Imbalance detection system to indicate incorrect placing of DG GEL® cards

on the spinning head- Quick proceure guide included

Technical Specification:- Capacity : 24 Gel cards- Speed : 990 rpm- Time : 9 minute- Consumption: 50 W- Weight : 15 kg- Tension : 100-240 V- Frequency : 50-60 Hz- Dimension : 410w x 180h x 525d

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10. DG Term Digital Incubator

- 2 independent incubation zones with a capacity for 12- DG Gel® Cards and 12 test tubes in each- Digital user interface visor control and visualization of reaming

incubation time and real temperature for each zone- Fixed pre-set temperature of 37°C- Pre-set incubation time of 15 minute, with user options to programe

different time if required- Audible programmable alarm to notify end of incubation period- Visual and audible indication of any error situation and power failure- Quick procedure guide included- Removable trash binTechnical Specification:- Capacity :24 Gel cards and testing tubes- Temperature :37°C ± 1°C- Time :15 min (variable)- Tension :100-240 V- Frequency :50-60 Hz- Consumption:270 W- Dimension :295w x 95h x 325d- Weight :4 kg

11. Dispenser Dispenser 500 ul

12. Pippete 5µl Pipet 5 ul

13. Pippete 25µl Pipet 25 ul

14. Pippete 50µl Pipet 50 ul

15. Warking Table Rak Test tube and gel cards

DG Rak Local- Up to 24 card, Up to 24 sample tubes, Up to 48 dilution tubes- Up to 16 Reagent vialis, 2 bottle solution diluents

No. Nama Barang Spesifikasi Tekhnis Ket.RKS / Aanwijzing1 2 3 4

IGD1. Infant Incubator

Specification :Power SupllyPower Consumption

Control Mode

Temperature Control

Wall Temperature

Humidity IndicationHeater OutputHigh Air Temp. alarm

Alarm

Dimension

:::

:

:

:::

:

:

AC 220 V, 50 Hz250 watt- Skin Temperature control Servo

Control System- Incubator Temperature Control

Manual Control System also available.Servo Control

- Skin Temperature Setting 34.0 - 38.0°C in 0.1°C steps LED read-out

- Skin Temperature Indication 20.0 - 42.0°C in 0.1°C steps LED read-out

Manual Control- Incubator/air Setting 34.0 - 38.0°C in

0.1°C steps LED read-out.- Incubator/air Indication 20.0 42.0°C in

0.1°C steps LED read-out.Red alcohol thermometer max 50°C in 0.1°C steps.Hygrometer 20 - 100%

0 - Full. LED bar graph display.Audible and visible alarm for over temperature > 38°C.Audible and visible alarm for skin probe failure, internal air, sensor failure, power failure- Incubator Mudul : (H) x 62,2cm

(D)x61,5cm (W) 83,1cm .- Mattress : 34,8 cm x 65 cm.

Made of steel sheetThree drawers, one cupboard and top tray

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Emergency TrollyContructionConsist of

Equipped WithCastroPaintingStabilizer

::

:::

I.V.stand, bracked oxygen and electrical terminals

5”Epoxy powder coating finished1 Pc

2. Operating Table Manual

Specifications :

CONSTRUCTIONMain Frame : Made square steel pipesHead Rest Frame : Head Rest FrameBack Rest Frame : Made of steel plateKnee Rest Frame : Made of square steel pipesMain Mast Contruction : Made of steel pipesBase : Made of steel plate

Mattress deck : Made of steel plate

ADJUSTMENT RANGE- Adjustable head rest by screw

mechanism- Back rest 0°/60° adjustable by screw

mechanism- Knee rest -90°/0° adjustable by screw

mechanism- Trendelenburg -15°/15° adjustable by

crank mechanism- Tilting -15°/15° adjustable by crank

mechanism- Hi-low adjustable by hydraulic unit

ACCESSORIES- Knee support- Anaesthetical screen hanger- Waist support- Hand Support- Shoulder Support

FINISHINGPowder Coating & Polished (optional : sandblasting)

CASTORMade of rubber

DIMENSION1936 (L) X 510 (W) X 815 – 1035 (H) mm

3. Transport IncubatorSpecification and technical characteristics :

Class Protection Against electrical shock Protection

Operation Mode

Tension of feeding-Automatic ReversionFrequencyNo of fuse

::

:

:

:

::

Class 3 (high risk)AAEquipment Tip BF Class

Common Equipment (closed without protection)Continuous Operation (With intermittent load).100 - 130 volt, 200 - 225 volt

50 - 60 HzSingle phase

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Fusible Nominal power of entrant (total)Control waysRank of normal work(ATC)Rank of total work (ATC)Rank of normal work (ITC)Rank of extended work (39°C) (ITC)

Rank of reading (indication in display of temperature AR/RN)Exactitude of the readingResolution of the programming and indications of displayThermometerPaineDimensions of the EquipmentOccupied AreaDimensions of the Compartment of the RNCapacity of the Compartment of the RNMattressDimensions of the MattressTotal Net WeightRollers with 4 locomotionsElectronic System

Standard accessories - 2 Oxygent cylinders for two

supported serum- Supported for spear two

rechargeable betteries- Cabin with adjustable

height within more than 10 positions

- 4 wheels, being 2 with brakes

-2 lateral handles

::

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:

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:

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3A - fast - 20 mm 200 WattsATC /ITCFrom 28°C to 37°CFrom 28°C to 39°CFrom 35°C to 37.5°C 102 x 57 x 31 From 37.5°C to 39°C

From 0°C to 50°C

0.1°C0.1°C

Electronic digitalFrontal1,000 x 0,590 x 1,400 mm0,432 m³0,835 x 0,395 x 0,410 m

0,135 m³

Antiallergic - non toxic0.580 x 0.285 x 0.030 m57 kg4 - 2 with brakesMicroprocessed

4. ECG 3 Channels

Spesifikasi Umum :Tipe Unit : 3 channel resting ECGLayar : Aphanumeric LCD 2X16 karakterMode operasi : Automatic, Manual, ArrhythmiaInteprestasi : AdaData yang ditampilkan : Heart rate, electrode kontrol, ADS,waktu, lead,

Kecepatan, filter settingBahasa : 17 bahasa (German, English, French, Italian, Spanish, Swedish,

Norwegian, Danish, Dutch, Crezh, Finnish, Hungarian, Macedonian, Bulgarian, Polish, Portuguese, Russian)

Spesifikasi Daya :Daya yang dibutuhkan :100 - 240W, 50/60 HzKonsumsi daya : 22W (beban penuh)Sumber : Battery atau Main listrik

Spesifikasi Lingkungan :Transport : Temp -15 and + 50°C (dengan battery)

Relative humidity 25-95%Pressure 500-1060 hPa

Operation : Temperature 10 - 40°C (dengan battery)Relative humidity 25-95%Pressure 700-1060 hPa

Spesifikasi Fisik :Tinggi : 78 mmKedalaman : 208 mmLebar : 263 mmBerat : 1.3 kgBatteryTipe : Lithium ionJumlah maksimum battery : 1 (satu)Voltage : 7.2 VWaktu pengisian : kurang dari 3 jamWaktu pengoperasian batt .:100 pemeriksaan (mode auto)Masa hidup battery : 2 s/d 3 tahun

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5. Ventilator Emergency

SpecificationsParameter RangeRate 5-150 bpmTidal Volume 5-2500 mlInspiratory Time 0.10 – 3.0 secondsI/E Ratio 3:1 to 1:99Flow Rate 1-120 lpmContinuous Flow : 1-29 IpmPeak Pressure 0-120 cmH2OPEEP Pressure 0-35 cmH2OPressure Trigger -.2 to –10 cmH2OPressure Support 0-50 cmH2OSIMV Rate 0.6-50 bpmO2 Sensor 21-100%Sigh 0-2500 mlVentilation ModesAssist Control | SIMV CPAP | Pressure Support | SighContinuous Flow I Pressure LiitMonitors/AlarmsPeak Pressure | Rate | OxygenPEEP/CPAP | Mean PressureLow Battery | Low Supply PressureOptionsBlender or Air EntrainmentPhysical CharacteristicsSize: 11” x 10” x 5.5” (28 cm x 25.4 cm x 14 cm)Weight: 10.5 lbs. (4.8 kg)All Models IncludeDisposable Adult Circuit Adult Test LungO2 High Pressure Supply Hose External Power SupplyOxygen Sensor Cell w/cable Instruction/Service ManualAccessoriesHeavy Duty Roll Stand (includes tilt bracket), Disposable Pedriatric circuit, Reusable Adult Circuit, Reusable Pediatric Circuit, Reusable Infant Circuit, Support Arm Bracket, Standar Pole Mout Bracket, Blender Pole Bracket, Filter Water Trap (air) , Filter Water Trap (O2), Aluminum E-Cylinder, Deluxe Air E-Cylinder Regulator, Deluxe O2 E-Cylinder, Regulator, With Heavy Duty Roll Stand, Cylinder Bracket and Cylinder with Regulator, Stabilizer

5. Operating Lamp Mobile

SpecificationsLamp : 1 pcLamp diameter : 62 cmReflector : Polygon reflectorIntensity : 110000 luxColor temp : 4300˚K ± 200CRI : 93 ± 3Focus Range : 60 cm ~ 180 cmDept of light : 70 CmBulp : Spec 24 V 15 W HalogenBulp quantity : Main x 1(each lamp head) : Spore x 2Action Radius : 98 cmHeight adjustment : moveablerang of lamp : 105 cmPower : AC 100 - 260 V

7. Transfer Stretcher

SpesificationsDimensionsBaseLength : 1985 mmWidth : 750 mmHeight : 575 ~ 894 mmOverallLength : 2175 mmWidht : 900 mmHeight : 894 ~ 1278 mm- Back raise and hi-lo adjustment- Two Table Tops with Polyurethane Foam Mattress covered with vinaly leather- Steel Frame (Powder Coated)- Fixed steel pipe Board (Chrome plated)- 150 mm dia. TENTE central locking casters

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Collapsible Side RailsAluminum, one-touch folding, dimensions (mm) 1474 x 422 HTransport HandleThe handle shapes are designed to efficiently transmit pushing force.They can be folded and stowed when performing treatment, so they do not get in the way

MattressSafety BeltWriting TableCan be folded up for easy attachment and removal

Corner BumpersBumpers are equipped on each corner to lessen jolts in case of contact.

Hi-Lo HandleThe collapsible handle by Paramount bed and does not protrude when not in use

Urine Bag HolderTwo holders are available

PedalLock, Free (Unlock) and steer with a single touch from any of the four corners

Caster150 mm dia, TENTE central locking castersOxygent Cylinder HolderFor maximum 1000 liters cylinders (Oxygen Cyliders is excluded)Tabung Oxygent 1000 liters : 1 pcRegulator : 1 pc

Back Raise LeverBack raise angle can be controlled by means of a yellow gas spring lever (0 ~ 90°)

Hanger Rod (Option)Hanger Rod can be fixed by knob at each corner's hole- Hanger Rod (Stainless Pipe Rod) With attachment part- 1030 ~ 1775 (H) mmStrone Space are available subject to special order, PillowSpace are available subject to special order

8. Patient Monitor + Printer

Spesifikasi Umum:Parameter yang diukur : ECG, SpO2, NIBP, Temp, Resp. RateTipe Pasien : Dewasa, Anak dan BayiTipe Ruangan : ICU/ICCU, PICU, NICU,Intra Hospital

TransportLayar : 640X480 pixel, LCD berwarnaJumlah gelombang : 3 real time + 1 freezePengontrol : Trim Knob®Fungsi pengontrol : Silence Alarms, Graph Go/Stop, NBP Go/Stop

& Power On/Off

Spesifikasi Daya:Daya yang dibutuhkan : 90 - 264 VAC 50/60 Hz 500mAKonsumsi daya : 120VA (beban penuh)Sumber : Battery atau Main listrikSpesifikasi Lingkungan:Operation : Temperature -10 – +60°C

Relative humidity 25-95%Drop test : Tahan terhadap jatuh dari ketinggian maks 45

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cmShock Resistance : Test Tahan terhadap goncanganWaterproof Test : Waterproof designed to level IPX1 (splash and

rain test)

Spesifikasi Fisik:Tinggi : 22 cm (8.7 in)Kedalaman : 17 cm (6.7 in)Lebar : 35.8 cm (14.1 in)Berat : 5.5 kg (12 lb)Battery : InternalTipe : nickel-metal hydride (tidak mengan dung:

lead, lithium, atau cadmium)Waktu pengisian : kurang dari 4 jam per battery (dalam keadaan

tidak dinyalakan)Waktu pengoperasian battery : 3 jam

Alarm ManagementKategori : Pasien status dan sistem statusLevel alarm : 4 level : Crisis, Warning, Procedural dan MessgNotifikasi : Suara dan visualSeting : Default dan individualPause : 5 menit di Adult ICU mode, 3 menit di Neonatal ICU mode,

dan 5 menit, 15 menit, atau permanent pause di OR modeVolume : Default 70dB diukur 1 meter dari unit

EKGLead yang ditampilkan : I, II, IIINotifikasi : leadwire lepas Per satu leadPacemaker detection/rejection : YaPacemaker pulse : dapat dilihatAlarm : Limit atas dan bawah dapat diatur bebas oleh pengguna

RespirasiTeknik pengukuran : Impedance variation detectionKecepatan respirasi : 6-120 napas per menitAlarm : Limit atas dan bawah dapat diatur bebas oleh pengguna,

Limit apnea dapat diatur bebas oleh penggunaTeknik analisa : Menganalisa semua lead satu per satu secara bersamaanPulsed Oximetry (SpO2) : SpO2 Range Compatible 50 - 100%PPR Range : Compatible 30 - 300 BPM(±3 beat per menit)Alarm : Limit atas & bawah SpO2 dan PPR dapat diatur bebas oleh

pengguna

Non Invasive Blood Pressure (NIBP)Teknik pengukuran : OscilometricTeknologi : Dengan teknologi deflasi anak tangga dan penyamaan 2 peakJumlah tubing : 2 (dua)Parameter yang ditampilkan : Tekanan systolic, diastolic, mean , dan

waktu pengukuran terakhirMode Pengukuran : Adult ICU dan OR mode : manual, auto dan stat

Neonate mode : manual dan autoUkuran Manset : Dewasa, anak dan bayiAlarm : Limit atas & bawah systolic, diastolic dan tekanan mean diatur

bebas pengguna

SuhuJumlah channel : 1 (satu)Tipe probe : IVAC probe dengan probe cover.Parameter yang ditampilkan : TPAkurasi : (independent of source) ± 0.1ºCAlarm : Limit atas & bawah TP diatur bebas oleh penggunaTemperature range : Predictive 35.6°C to 41.1°C (96°F to 106°F)

Monitor 26.7°C to 42.2°C (80°F to 108°F)

WriterMetode : Thermal dot arrayResolusi : 600 dots/in @ 25 mm/secJumlah gelombang : 1 dan 2Lebar Paper : 50 mm (1.97 in)Panjang Paper : 25 m (95 ft)Kecepatan Paper : 12.5, 25 dan 50 mm/sec (±2%)

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Kelengkapan/AccessoriesNIBP Tubing : NIBP Tubing: 1 pcCuff, Adult : Cuff, Adult 1 pcCuff, Child : Cuff, Child 1 pcCuff, Infant : Cuff, Infant 1 pcMultilink ECG Cable, 29" : Multilink ECG Cable, 29" 1 pcMultilink 3 Leadwire, 29" : Multilink 3 Leadwire, 29" 1 pcReusable Surface Probe : Reusable Surface Probe 1 pcSpO2 Interface Cable SpO2 : Interface Cable 1 pcFinger Sensor Dewasa : Sensor for Adult 1 pcFinger Sensor Anak : Sensor for infant 1 pcTrolley : 1 pcStabilizer : 1 pc

9. Anaesthesi Machine with 2 Vaporizer + Ventilator

Physical SpecificationsDimensions : Approx. HxWxDHeight : 134.5 cmWidth : 72 cmDepth : 73 cmWeight Approximately : 108 kgTop ShelfWeight Limit : 34 kgWidth : 66 cmDepth : 40 cmWork SurfaceHeight : 81.7 cmSize : 2640 cm²DIN railSide of machine : 34.5 cmCastersDiameter : 10.1 cmBrakes : Individual Locking Front Casters

Physical SpecificationsDimensions : Approx. HxWxDHeight : 134.5 cmWidth : 72 cmDepth : 73 cmWeight Approximately : 108 kgTop ShelfWeight Limit : 34 kgWidth : 66 cmDepth : 40 cmWork SurfaceHeight : 81.7 cmSize : 2640 cm²DIN railSide of machine : 34.5 cmCastersDiameter : 10.1 cmBrakes : Individual Locking Front Casters

Anesthetic gas scavengingPassive : ± 30 mm M ISO taper

Anesthetic Agent DeliveryDeliveryVaporizers : No Calibration RequiredNumber of positions : 2 unitMounting : Tool-free instalation selectatec manifold interlocks and isolated vaporizer

Pneumatic SpecificationsAuxillary common gas outletConnector : ISO 22 mm OD and 15 mm IDGas Supply

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Pipeline input range : 280 kPa to 600 kPa / 41 psig to 88 psigPipeline connections : All fittings available for O2 ,N2OPrimary regulator diaphragm : 2758 kPa / 400 psig

Minimum burst pressurePrimary regulator nominal : < 338 kPa / 49 psigOutput : Pin indexed cylinder connections < 407 kPa /

59 psig DIN cylinder connectionsFlowmetersO2 ranges : Two Tubes :0.05 to 0.95 L/min and 1 to 15

L/minMinimum O2 flow : 50 L/min ± 25 mL/min

N2O ranges : Two Tubes : 0.05 to 0.95 L/min and 1 to 10 L/min

Hypoxic guard systemType : Mechanical Link-25RRange : Provides a nominal minimum 25%

concentration of oxygen in O2/N20 mixMaterials : All materials in contact with patient breathing

gages are free of natural rubber latex

Ventilator Operating Specifications/AnesthesiaVentilatorModes of Ventilation : Volume Control Mode Expire

Volume Monitoring w/ tidal volume compentation

Ventilation ParametersTidal Volume : Range 45 to 1500 mlIncremental Settings : 45 to 100 ml (increments of 5 ml)

100 to 300 ml (increments of 10 ml)300 to 1000 ml (increments of 25 ml)1000 to 1500 ml (increments of 50 ml)

Rate : 4 to 65 breaths per minute (increments of 1 breath per minute)Inspirotory / Exp. Ratio : 2 : 1 to 1 : 6 (increments of 0.5)Inpirotory Pause Adjust : 5% to 60% of inspirotory time (increments of

5%)

10. Electrosurgical CauterSpecifications:Instant ResponseTM Technologies- Ensure consistent clinical performance

using less power.- SmartTM generator technology. It

utilizes computer controlled output for automatic response to changes in tissue impedance- reducing the need to adjust power setting for different types of tissue.

Return Electrode Monitoring (Rem) Safety- Virtually eliminates the risk of patient

burn at the return electrode site. patended adaptive REMTM

- Contact Quality Monitoring System has been proven safe in over 100 million producer worldwide.

Three Cut Modes (All cut modes are controlled by Instant Response SystemTM):Low cut for delicate tissue or laparacopic cases.- Pure cut for a clean- Precise cut in any tissue- Blend cut for cutting with hemostatis.

Three Coag Modes:- Low/Desiccate for low Voltage contact

coagulation suitable in laparascopic & delicate tissue work.- Medium / fulgurate High Crest Factor

for efficient non contact coagulation in most application.- High/Spray for coagulating large tissue

areas with minimum depth of necrosis.

Three Bipolar Modes :- Low/Precise- Medium/standard- Macrobipolar- Controlled by Instant Response

SystemTM.- Low and medium settings utilize low

voltage to prevent sparking.

CEMTM Mode:

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- Generator to be used with th CUSA CEMTM nosecone.

-Output WaveformsBipolar- Precise : 470 Khz sinusoid- Standard : 470 Khz sinusoid- Macro : 470 Khz sinusoid

Monopolar Cut- Low : 390 Khz sinusoid. Simiar to the Pure Cut mode expect the max

voltage is limited to a lower value.- Pure : 390 Khz sinusoid- Blend : 390 Khz burst of sinusoid, recurring at 27 Khz intervals, 50 %

duty cycle envelope.

Monopolar Coag- Desiccate : 240Khzsinusoid repeat at 39 Khz 8%duty cycle- Fulgurate : 390 Khz damped sinusoidal bursts with a repetition freq of 30

or 57 into 500 Ohms- Spray : 390 Khz damped sinusoidal with a randomized repetition

centered at 38 Khz. Freq. incl 21 Khz < f< 35 Khz. Output is further modulated by a random 250 KHz envelope with a variable duty cycle.

- Output power change by less than 15 % or 5 Watts, whichever is greater, as the line voltage from 104-132 volts and 208-264 volts (at rated load).

Low Frequency Leakage (50-60 Khz)Source current, patient leads, all outputs tied together,- Normal polarity, intact chasis ground < 10 μA- Normal polarity, ground open < 50 μA- Reverse polarity, ground open < 50 μA- Sink current, 140 V applied, all inputs < 50μAPER = 98PER (Power Efficiency Rating) is the measure of an electro surgical generator’s ability to accurately the selected power into a wide range of tissue types.

Dimension :H X W X L : 11.1 cm X 35.6 cm X 43.9 cmWeight : < 8.1 kgInput Power requirements : Operating range is 85 to 132 AC Volts, max

current is 7A in cut and 4 A in coag.High Freq leakage : Bipolar less than 60 mArms

Monopolar less than 150 mArms

Adaptive REM SystemMeasurement Freq : 80 Khz ± 10 KhzMeasurement Current : less than 10 μAAcceptable Resistance Ranges : REM pad – 5-135 Ohms

Non REM pad – less than 20 Ohms

Acceptance range is 5-135 Ohms after REM PolyHesive II return electrode is applied. REM trip is initial impedance plus 40 %. For example, if the initial impedance is 30 Ohms, the upper level trp is approximately 42 Ohms.

Output Characteristics :Name Mode Maximum Rated Crest

BipolarPrecise 450 100 1,5

Standard 320 100 1,5Macro 750 100 1,5

Monopolar Cut

Low 1350 300 1,5Pure 2300 300 1,5Blend 3300 300 2,5

Monopolar Coag

Desiccate 3500 500 5Fulg. High. 8500 500 7

Crest Factor 6900 500 5,5

Fulg. Low 9000 500 8Crest Factor 1000 300 1,5

Spray 3500 500 5CEMTM Monopolar

Cut (Low)450 100 1,5

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Mopolar Coag

(Desiccate)320 100 1,5

Standard Accessories :Description Code Qty

Electrosurgical Generator FORCE FX 1

Included standard accessories

Rocker Switch Pencil - Reusable E2100 2

Stainless Steel Ball Electrode

(dia.5.6mm) - Reusable

E1002 1

Stainless Steel Fine Needle Electrode –

ReusableE1003 1

Tungsten Wire Loop Electrode - Reusable

E1005 1

Adult REM PolyHesive II E7507 10

Monopolar Footswitch E6008B 1

Standard Bipolar Footswitch E6009 1

Universal Monopolar Adaptor E0017 1

Footswitching Forceps Cord –

ReusableE0019 1

19,1 Cushing Bayonet Forcep; 0.7

mm Tip InsulatedE4058CT 1

11. Meja Operasi Specification :ConstructionMain Frame : Made of square steel pipesHead Rest Frame : Made of square steel pipesBack Rest Frame : Made of square steel pipesKnee Rest Frame : Made of square steel pipesMain Mast Construction : Made of steel plateBase : Made of square steel pipesBase Cover : Made of stainless steel pipesMatras deck : Made of steel plateMain Frame : Made square steel pipesHead Rest Frame : Made of square steel pipesBack Rest Frame : Made of square steel pipesKnee Rest Frame : Made of square steel pipesMain Mast Construction : Made of steel plateBase : Made of square steel pipesBase Cover : Made of stainless steel pipesMatras deck : Made of steel plate

Adjustment Range :- Adjustable head rest by screw

mechanism- Back rest -30°/60° adjustabe by actuator- Knee rest 0°/90° adjustabe by actuator- Trendelenburg -15°/15° adjustable by

actuator

Accessories :- Leg support- Anaesthetical screen hanger- Waist Support- hand support- Shoulder support

Finishing :Powder Coating & Polished (opional : sandblasting)

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CastorMade of rubberContructionShelves : Made of stainless steel platesHandle : Made of stainless steel pipesFoot Unit : Made of stainless steel square pipesFinishing : Polished (optional: sandblasting)Castor : Ø 2" two castors with brake made of plasticDimension : 600(L) x 400(W) x 800(H) mm

Instrumen Troll :Costuction : Made of Stainless steel sheetUpper Shelf : Made of Stainless steel sheet with list on each side and

equipped a drawer underneath the shelf.Lower Shelf : Made of Stainless steel sheet with list on each side.Handle : Stainless steel pipeCastor : Four 2" swivel castorPackaging : Knock Down systemDimension : 630 (L) x 470 (W) x 830 (H)

Mayo Stand :Tray : Made of stainless steel sheet with list on each sideStand : Made of Stainless steel sheetHeight : Made of Stainless steel pipe, adjust by pin lockCastor : Four 2" swivel castorPackaging: Knock Down systemDimension : 570 (L) x 430 (W) x min.860 (H) max 1085 mm

Examination Stool :Construction : Made of Stainless steel pipes.Seat : Made of imitation leather and foamHeight : Adjustable by revolving the seatCastor : Four 2" swivel castorDimension : 425 x Lo 580 Hi 850 mm

Keterangan :3 Unit Meja Operasi : Standard1 Unit Meja Operasi : Standard + Accessories Ortophedi

Accessories Ortophed :Material : Pipa stainless steel

Plat stainless steelDimension : (L) 1204 X (W) 300 X (H) 895-1295 mmPenyangga betis : Cor AlluminiumPenyangga kaki : Cor AlluminiumRoda : 3 "

12. Bedside MonitorSpecification :Parameter yang diukur : ECG, SpO2, NIBP, 2x Temp, Resp, Rate, 2 X IBP, CO2

Type pasien : Dewasa, Anak dan bayitype ruangan : OR, ICU/ICCU, PICU, NICULayar : 10.4" Active-Matrix, LCD berwarnaJumlah gelombang : 6 (enam)Pengontrolan : Trim Knob®Fungsi pengontrolan : Silence Alarms, Graph Go/Stop, NBP Go/Stop dan Power On/Off

Spesifikasi Lingkungan :Transport : Temperature -30 and +60°C (dengan battery)

Relative humidity 25-95%Operation : Temperature = 10 – 40°C (dengan battery)

Relative humidity 25-95%

Spesifikasi Fisik :Tinggi : 27.4 cm (10.8 inch)Kedalaman : 24.3 cm (9.6 inch)Lebar : 29.3 cm (11.5 inch)Berat : 5.08 kg (11.2 lbs)BatteryTipe : Lithium-Ion eksternal (sehingga mudah untuk diganti)Jumlah maksimum battery : 2 (dua)Voltage : 11.1 V ( nominal)Waktu Pengisian : kurang dari 4 jam per batteryWaktu pengoperasian battery : 4 - 5 jamMasa hidup battery : 500 cycles s/d 50% capacity

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Alarm Management :Kategori : Pasien status dan sistem statusLevel Alarm : 4 level: crisis, warning, advisory, dan messageNotifikasi Setting : Suara dan visualSetting : Default dan individualSilencing : 1 menit, 5 menit atau off alarm saat itu sajaVolume : Default 70dB diukur 1 meter dari 1 unit

EKG :Lead yang ditampilkan : I, II, III, V, aVR, aVL dan aVFNotifikasi leadwire lepas : Per satu leadPacemaker detection/rejection : YaDeteksi Arrhytmia : Full Arrhytmia (15 parameter) dengan A-fib detectionAlarm : Limit atas bawah dapat diatur bebas oleh penggunaTeknik analisa : Menganalisa semua lead satu per satu secara

Bersamaan.

Respirasi :Teknik pengukuran : Impedance variation detectionKecepatan respirasi : 0-200 napas per menitAlarm : Limit atas bawah dapat diatur bebas oleh pengguna

Limit apnea dapat diatur bebas oleh pengguna

Pulsed Oximetry (SpO2)ApO2 Range : Compatible 50 - 100%PPR Range : Compatible 50 - 300 BPMAlarm : Limit atas & bawah SpO2 dan PPR dapat diatur bebas oleh

pengguna

Non Invasive Blood Pressure (NIBP) :Teknik pengukuran : OscilometricTeknologi Jumlah tubing : Dengan teknologi deflasi anak tangga dan

penyamaan 2 peakJumlah tubing : 2 (dua)Parameter yang ditampilkan : Tekanan systolic, diastolic, mean dan

waktu pengukuran terakhirMode pengukuran : Adult ICU dan OR mode : manual, auto dan statNeeonate mode : Manual dan autoKeseluruhan akurasi system : Memenuhi standar SP 10-1992 AAMIUkuran Manset : Dewasa, anak dan bayiAlarm : Limit atas & bawah systolic, diastolic dan tekanan mean diatur

bebas pengguna

Suhu :Jumlah chanel : 2 (dua)tipe probe : YSI Series 400 atau 700 (ditentukan oleh input probe)Parameter yang ditampilkan : T1, T2Akurasi : (independent of source) ± 0.1°C untuk YSI series 400 probe ±

0.3°C untuk YSI series 700 probe.Alarm : Limit atas & bawah T1 dan T2 diatur bebas oleh pengguna

Invasive Blood Pressure :Jumlah Channel : 2 chanelLetak tranducer : 10 bagian : ART (artery), FEM (Femoral), PA

(Pulmonary Artery), CVP (Central Vensus Pressure), LA (Let Atrial), RA ((Right Atrial), UAC (Umbilical Artery Catheter-untuk pasien neonatal), SP (Special), UVC (Umbilical Venos Catheter-untuk pasien neonatal), ICP (Intracranial Pressure).

Jaringan LAN :Jaringan : View antar unit tanpa centralPasien Monitor Includes :1. Adult NIBP Tubing : 1 pc2. Cuff for Adult : 1 pc3. Cuff for Child : 1 pc4. Cuff for Infant : 1 pc5. Multilink ECG Cable 29" : 1 pc6. Multilink 3 Leadwirw 29" : 1 pc7. Temp. Interconnect cable 8" : 1 pc8. Reusable Skin Surface Probe : 1 pc9. Sp02 Interface Cable : 1 pc

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10. Finger Sensor Adult : 1 pc11. Finger sensor bayi : 1 pc12. IBP Interface Cable : 1 pc13. IBP Transducer : 1 pc14. Pole Mout : 1 pc15. Disposible Monitoring Kit Single : 1 pc16. Disposible Monitoring Kit Dual : 1 pc17. Battery : 1 pc18. Stabilizer : 1 pc

13. DefibrillatorSpecifications :Energi LevelAED : Adult 90, 130, 150 J; Paediatric: 15, 30, 50 J (configurable)Paddles : 2,4,8,15,30,50,90,130,180 JPads : 2,4,6,8,15,30,50,70,90,110,130,150,180 JInternal : 2,4,6,8,15,30 JWaveform : Pulsed Biphasic at 5 kHz – Multipulse BiowaveCharging time : 8 seconds for 180 J w/ a full charged batteryEnergy selection : Automatic in AED ode, set wheel on paddles, two push

buttons for internal defibrillation.Defibrillation mode : Non-synchronized, syncronized via adhesive pads

using measured ECG.

External Pacemaker :Operating mode : Fix - Demand - Overdrive (frequency *3)Frequencies : 40 - 210p/minCurrent : 35-150 mAMonitor : Sreen LCD colour screen 10.4" (211.2 x158.4 mm) adjustable

contrast settingsParameters displayed : Status bar + up to 12 ECG channels+ Defi window

displaying time number of shocks delivered, Energy selected,operating mode, AED texts or pacemaker window + measurements (ECG, SpO2, PNI) + functions keys.

Curvesdisplayed : ECG, SpO2

Parameters displayed: HR, sys, dia, average, SpO2

Trends : 24 hours, graphical and tabular for all parametersInput : CF class patient cable 3,4 or 10 leadsLeads : I, II, III, aVR, aVL, aVF, V1-V6 (according to the patien

cable connected).Band pass : 1-35 Hz or 1-50 Hz (according to the ECG source)Measuring range : 30-300 bpmAmplification : ECG 0.25, 0.5, 1, 2 cm/mV

Printer :Thermal printer : Z format, width 72 mmPaper : 3Number of channels : 25, 50 mm/sChart print out speed: Automatic or manualOperating mode :Printout : curves, measurements, events, trends, date and time, alarm,

defibrillator test.

Alarms :System alarms : Monitor, defibrillator, battery charge, recorder and

memory.Physiological alarms : ECG, NIBP, SpO2

Technical alarms : All parameters

Power Supply :Main power supply : 100V - 240V; 50/60 HzDC external supply : 9V - 48V DCBattery : One internal and removable (optin)-type Li-Ion

10.8 V 4.6 AhChanging time : 1 h (for 80%)Battery level control : Charging and discharging indication on screen

Memory :Size : 30 Minutes ambient noise (voice) and 500 event (duration, number

of shocks, date and time of shock)

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SpO2 (Masimo) : on/of by cable detectionDisplay range : SpO2 1% – 100%

ECG 25- 240 bpmResolution : SpO2 0.1%

ECG 1 bpm

NIBP :Method : OscillometricUsage : Adults, NeonatesMeasuring intervals in automatic mode : 1 - 90 minMeasuring range in adults mode : SYS 30-255 mmHg, DIA 15 – 220

mmHgMeasuring range in neonates mode : SYS 30-135 mmHg, DIA 15 – 110

mmHgResolution : 1 mmHg, 1 bpmAccuracy : ± 3 mmHg and ± 2 bpm

Communication :Serial Ink : 12 leads ECG phone transmission to SEMANET- 10 s

resting ECGEthernet Ink: Software updateUSB Ink : Memory stick (read SAED memory, Read trends)Analog : QRS trigger, 1 channel ECG, Remote alarm

Enviromental Conditions:Galvanic protection : BF typeTemperatures : -30 to 50°C (transport storage)

0 to 50°C (Operation)Atmospheric pressure : 500 to 1060 hPaRelative humidity : 30 to 95 % (no condensation)Dimension : 289 mm x 177 mm x 271 mm (H x W x D)

14. Infusion Pump

Specifications :Description : Infusion PumpPump type : Peristaltic fingerApplicable IV sets : or infusion pumps, and other standard IV sets (15, 19,

20, and 60 drops/ml)Flow rate : 1.0 – 99.9 ml/h (series dedicated IV set)

1.0 – 99.9 ml/h in 0.1 ml/h increments; above 100mL/h, in 1 mL/h increments1.0 – 400 ml/h (standard 15 drops/ml IV set)1.0 – 380 ml/h (standard 19 drops/ml IV set)1.0 – 360 ml/h (standard 20 drops/ml IV set)1.0 – 150 ml/h (standard 60 drops/ml IV set)

Volume limit range : 1 to 9.999 ml in 1 ml incrementsInfusion accuracy : ±5%, ±10% when other common IV sets are used.Alarms : Empty container, Occlusion, Door open, Air-in-line,

Low battery, Infusion complete, Power source switched, Operator error, and other device malfunctions

Air bubble detection : Can be set to any of 3 levels, 504, 0.1 ml/15min, 1 ml/15min

Occlusion detection pressure :Can be set to any of 4 levels : Pl-4: occlusion not detectedPI-3: 5160.0 kPa (51,200 mmHg/51.63 kgf/cm²)PI-2: 5120.0 kPa (5900 mmHg/51.22 kgf/cm²)Pl-1: 580.0 kPa (5600 mmHg/5_0.82 kgf/cm²)PI-0: 540.0 kPa (5300 mmHg/50.41 kgf/cm²)Can be set to either of 2 levels when other common IV sets are used : P2-1: 5160.0 kPa (51,200 mmHg/51.63

kgf/cm²)P2- 0: 580.0 kPa (5600 mmHg/ 50.82 kgf/cm²)

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Special functions :Automatic shutoff: : When the infusion pump is operating on battery power

and has been left for 3 minutes with the infusion stopped or in an alarm state, the buzzer sounds. After the buzzer has been left sounding for 3 minutes, the power turns off automatically to conserve the battery.

Alarm repeat : Unless the cause of an alarm is corrected within 2 minutes after the operator has pressed the "Silence" buzzer key, the buzzer will sound again to remind the operator of the problem.

Data memorize function : Retains the most recent flow rate, vol. limit or total volume infused for the next use.

Sound setting : Audible indication of standby and infusion in progress can be turned on or off.

Power source switch alarm : An alarm sounds when AC power supply has stopped and the unit has switched over to battery operation.

Operating conditions :Ambient temperature : +5 to 40°C Humidity: 20 to 90% (no condensation)

Pressure: 70 to 106 kPa

Storage conditions :Ambient temperature : -10 to 45°CHumidity : 10 to 90% (no condensation) Pressure: 50 to 106 kPaPower source : AC 100-240V±10%, 50/60 HzInternal battery : Rechargeable DC 12V, 700 mAh, Ni-Cd (type BP-53).

Battery life is approx. 2 hours when using a new, fully charged battery at a fluid delivery rate of 25 ml/h.

External DC power supply : DC 12.7 to 15 V (external power cord optional)Input current : AC power supply: 50.3A –External DC power supply: 50.7AClassification : Class I, Type CF, IPXI (drip-proof)Fuse : TIADimensions : 90/W/X216(H)X209(D)mmWeight : Approx. 2.6kgAccessories : AC power cord, drop sensor, Operation guide, Custom

stand infusion pumps, Stabilizer

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15. Syring Pump

Specification :Power Supply : AC power source: AC100-240V±10% 50~60Hz (approx.)External DC power supply : DC 12.7-15V – (exact)Built in battery : Rechargeable, DC 12V 700mAh Ni-Cd Model: BP-53Continuous operation : Approx. two hours (when a new battery is fully

recharged with 5mL/h set)Power Consumption current : AC power supply: 0.3A (approx)External DC power supply : 0.5A (exact) Applicable syringe : 10ml, 20ml, 30ml, and 50ml syringes from:1) TOP, TERUMO, B0D, or B. BRAUN2) B-D, TERUMO, MONOJECT, or B.BRAUN can be used (In Auto Selection (*) Mode, only 50 ml syringes can be used)Flow range : 0.1 – 400.0 ml/h (10ml syringe)

0.1 – 700.0 ml/h (20ml syringe)0.1 – 900.0 ml/h (30ml syringe)0.1 - 1500.0 ml/h (50ml syringe)Settings adjustable in 0.1ml increments

Total infusion volume range : 0.1 - 999.9 mlInfusion accuracy : Brand-specified mode

Mechanical accuracy: ±1% Accuracy including the syringe: ±3%

Auto Selection (*) mode (Only 50m l syringes can be used)

Mechanical accuracy: ±1% Accuracy including the syringe: ±3%

ø Accuracy obtained when infusion is performed for over one hour with an infusion rate of 1.0 ml/h or moreBolus rate : Approx. 400.0 ml/h (10 ml syringe)

Approx. 700.0 ml/h (20 ml syringe)Approx. 900.0 mL/h (30 ml syringe)Approx. 1500.0 ml/h (50ml syringe)

Occlusion detection pressure : 4-step selection Extra high : 119.7±40.0kPa/ 900±300mmHg/1.22±0.41KgF/cm²High : 93.1±33.3kPa/700±250mmHg/0.95±0.34KgF/cm²Medium : 66.5±26.7kPa/ 500±200mmHg/0.68±0.27KgF/cm²Low : 39.9±20.0kPa/300±150mmHg/0.41±0.20KgF/cm²Alarm : Low volume (inactive in Auto Selection [*] Mode), occlusion, low

battery, syringe barrel / syringe, plunger clamp disengaged, power supply switch, reminder, CPU error.

Special functions : Auto power OFF : If the system is left on hold or in alarm status for approximately three minutes, a buzzer will sound. After another three minutes system power will be shut off automatically

Repeat alarm : If two minutes have elapsed without resetting the alarm after it is silenced, the alarm will sound again.

Data memorize : Infusion rate set value/Total volume storage settingis allowed.

Buzzer setting : Presence / absence of wait tone and operation tone can be specified

Power supply switch alarm : The system has entered the internal battery operation mode when power is no longer supplied from the AC/DC power supply.

Operating conditions : Ambient temperature: 10 to 40°C Relative humidity : 30 to 85% (no condensation)Atmospheric pressure : 70 to 106kPaStorage conditions : Ambient temperature: -10 to 45ºC Relative humidity : 10 to 90% (no condensation)Atmospheric pressure : 50 to 106kPa Classification : Class I, Type CS, IPX1 (Drip proof)Fuse : T1AExternal dimensions : 320(W) x 116(H) x 139(D) mmWeight : Approx. 2.2 kgAccessories : AC power source cord x1

Operation guide x1Pole Clamp x1Custom stand for infusion pumpsStabilizer

16. Suction Pump

Specification :Functions :- Whole shell this instrument adopts ABS

material anid is one plastic injection forming with, shiny appearance and easy maintenance

- The instrument is installed with one moving detachable square tray output appliences and hold suction’s consuming parts.

- The suction bottle is made of plastic can resist hit and high temperature and pressure disinfection. But any

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chemicals such as antiseptic solution, cleaner etc. Can not be put in the bottle to avoid bottle breaking.

- Volume of suction bottle of surgery an gynecology can each reach 3000 cc. By shifting the surgery and gynecology knob, they can be individually used

- To secure this unit, one automatic full water stop device is installed.

- One filter is installed between the suction bottle and the unit. When it's polutted, please immediatelly replace it

- To be clean and sanitary, when water exceeds 1/2 level, please immediatelly pour it out

- The instrument can be pushed, pulled or turn at original place for easy movement. Front two cassette are installed with breaks

- For selection "Suction", it's suitable for general vacuum suction because its diameteris bigger

- For selection "Extraction", it's suitable for artificial abortion and larger extreaction because it's diameter is bigger

- Suction and extraction can support each other. Please use “select valve” for change to reduce the tube connecting trouble and save time

Pump SpecificationVoltage : 120V / 240VCurrent : 2.4A / 1.2ACapacitor : 26 uf / 13ufRPM : #Poles : 4Output : 250W 1/3HPMax flow rate : 80 liter/minMax. Suction : 700-720 mm/hgWeight : 9.0kgs

The instrument plane :- Surgical suction- Obstical suction- Vacuum gauge

Power switch (on/off) :- Surgical suction bottle : 3000 c.c- Regulator valve- Filter (big)- Gynecology suction bottle : 3000 c.c- Floating control (big)

The side :- Fuse base- Insert hole for foot switch- Power cord- Moving vaster- Brake caster

17. CPAP (Continous Positive Airway Presure) with Medical Air

CompressorSpecification :- CPAP-System Easy plus with internal

care operates in constant flow and pressure limited according to the continuous flow principle. The fresh-gas, which can be set at flow meter, flows continuously during the inspiratory and expiratory phase.

- The expiratory gas and fresh-gas are released together via the expiration valve.

Scope of applications :- Therapy using the CPAP system can be

successfully in the treatment of pulmonary edema, atelectasis as well as traumatosis in the thoracic reagion. The scope of application ranges from over many clinical uses, such as intensive car, postoperative treatment, phsyio-therapy and emergency treatment.

- The CPAP-System is a care unit for respiratory therapy of neonates and enfants, providing.√ CPAP√ manual ventiltion√ oxygen / air mixture√ oxygen insufflation√ heated tubing system

Technical Data of the CPAP-System easy plus with internal compressor :• Settings

O2 Flow (constant) : adjustable 0-10 l/minAir Flow (constant) : adjustable 0-10 l/min

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Oxygen mixture : djustable 21-99 %O2

• Patient component P1 Built-in HumidifierExpiratory pressure (PEEP) : adjustabe 0-10 mbarInspiratory pressure (Platesu ): adjustable 15-60 mbar (manual

breathing)Heated Humidification : 1 2 volt / 10 watt-relative humidity up to

a max 98%

Heated tubing system : Electrical output : 12 volt / 12 watt- for temperature stabilization• Built-in compressor : Output 15 l/min 0.2 bar

18. Oxygen Central

Spesifikasi :Sentral Oxygen Kapasitas 2x5 Cylinder(Manual System) terdiri dari :Manual Change Over Manifold : 1 bhOxygen Regulator : 2 bhCentral Piping (Header) c/w Copper Tube HP Block & Valve : 1 bhLea Coper Tube Oxygen : 10 bhCylinder Bracket : 1 setMain Valve 3/4" Welding type : 2 bhInstalasi Pipa Oxygen : 28 titikPipa Tembaga 3/4" type L : 72 mPipa Tembaga 1/2" type L : 102 mPipa Tembaga 3/8" type L : 120 mCopper Fittings : 1 lotOutlet Oxygen : 20 bhZone Valve Type-2 c/w pressure switch : 1 bhAlarm system for oxygen c/w pressure switch : 1 bhFlowmeter / Humidifier : 16 bhWallduct system c/w stop kontak & lampu tindakan : 15 bh

- Setelah spesifikasi tekhnis tersebut dibuat lalu oleh terdakwa diserahkan kepada saksi Rofinus Dero selaku Ketua Panitia pengadaan barang dan jasa, selanjutnya Saksi Rofinus Dero mengundang anggota panitia pengadaan lainnya untuk menyusun jadwal dan membuat dokumen lelang, dan terdakwa menetapkan dokumen lelang yang didalamnya memuat spesifikasi.

- Kemudian pada tanggal 04 Agustus 2010 Panitia mengumumkan paket kegiatan pengadaan alat-alat kesehatan tersebut di LPSE Jabar dengan nilai pagu sebesar Rp. 4.426.510.000,- (empat miliar empat ratus dua puluh enam juta lima ratus sepuluh ribu rupiah) dengan metode evaluasi sistem gugur dengan tahapan : evaluasi administrasi, evaluasi teknis dan evaluasi harga.

- Bahwa dari pengumuman tersebut ada 35 perusahaan yang mendaftar, namun hanya 11 perusahaan yang memasukan dokumen penawaran serta lulus tahap evaluasi administrasi yaitu :1. PT. Catur Parahyangan2. CV. Tiga Warna Jaya Abadi3. CV. Trimanunggal Mandiri4. PT. Asta Kurnia Abadi5. PT. Beta Sinarindo6. PT. Dwi Putra Unggu Pratama7. PT. L-Med Mitra Persada8. PT. Mutiara Jaya Farma9. PT. Sinar Surya Semesta Raya10. PT. Sumber Alkeslab11. PT. Sinergi Dua Kawan Sejati

- Dari 11 peserta yang memasukan penawaran, ada 2 peserta yang tidak lulus tahap administrasi karena tidak melampirkan SIUP, selanjutnya Panitia melakukan evaluasi teknis terhadap 9 (Sembilan) peserta lelang yang lulus tahap administrasi dan pada saat melakukan evaluasi teknis Saksi Rofinus Dero menugaskan dr.Hj.Ellis Fasta Martiana,Sp.PA melakukan evaluasi terhadap 3 (tiga) perusahaan penawar yaitu PT. Mutiara Jaya Farma, PT Sinar Surya Semestaraya dan PT. L-Med Mitra Persada dan kemudian saksi dr.Hj.Ellis Fasta

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Martiana,Sp.PA menyampaikan hasil evaluasinya kepada Ketua Panitia (saksi Rofinus dero) bahwa yang layak dan memenuhi spesifikasi teknis dalam pengadaan barang alat kesehatan tersebut adalah PT. Sinar Surya Semestaraya karena spesifikasi teknis yang ditawarkan oleh PT. L-Med Mitra Persada terdapat sebagian barang yang tidak sesuai dengan spesifikasi teknis yaitu :

NO. NAMA ALAT

KEBUTUHAN YANG DI BUTUHKAN RSUD R.

SYAMSUDIN, SH (Dokumen pemilihan)

PENAWARAN YANG DIAJUKAN PT. SINAR

SURYA SEMESTARAYA

PENAWARAN YANG DIAJUKAN PT. L MED

MITRA PERSADA

1. Peralatan Bank Darah :COOL BOX Volume /kapasitas 22 liter Volume /kapasitas 22 liter Volume /kapasitas 10liter

2. Peralatan IGD : INFANT

INCUBATOR

VENTILATOR EMERGENCY

OPERATING LAMP MOBILE

TRANSFER STRECHER

OXYGEN CENTRAL

Ada fasilitas Phototherapy

Ada Accecories

Intensity 110.000 LUX

Ada Tabung Oxygen dan Regulator

Menyebutkan jumlah item barang

Ada fasilitas Phototherapy

Ada Accecories

Intensity 110.000 LUX

Ada Tabung Oxygen dan Regulator

Menyebutkan jumlah item barang

Tidak ada

Tidak ada

Intensity 70.000 LUX

Tidak ada

Tidak menyebutkan jumlah item barang.

- Bahwa kemudian setelah Panitia melakukan evaluasi teknis, saksi Rofinus Dero (Ketua Panitia) menyampaikan kepada Terdakwa bahwa PT. L-Med Mitra Persada tidak memenuhi persyaratan secara teknis, meskipun penawaran dari PT.L-Med Mitra Persada merupakan penawaran terendah, namun pada saat itu Saksi Rofinus Dero mengatakan kepada Terdakwa bahwa saksi Rofinus Dero mau mengusulkan PT. L-Med Mitra Persada menjadi pemenang asalkan PT.L-Med Mitra persada mau mengadakan barang sesuai yang terdapat pada dokumen lelang dan pada saat itu PT.L-Med Mitra persada melalui Saksi Helmi menyatakan siap dan menyanggupi untuk mengadakan barang sesuai dengan dokumen pemilihan.

- Bahwa setelah terdakwa bersama sama dengan Saksi Rofinus Dero, dan saksi Helmi yang mengatasnamakan dari PT.L-Med Mitra Persada bertemu di Hotel Pangrango Selabintana Sukabumi, selanjutnya saksi Rofinus Dero tanpa sepengetahuan dari anggota panitia yang lain membuat Berita Acara evaluasi penawaran nomor : 05/PP/ALKES/UPT.PBJ-RSUD/2010 tanggal 6 September 2010 dalam poin b tentang evaluasi teknis nomor 6 menyatakan bahwa kesimpulan evaluasi PT.L-Med Mitra Persada memenuhi syarat teknis sehingga saksi Rofinus Dero selaku Ketua Panitia mengusulkan pemenang lelang di LPSE dengan pemenang PT.L-Med Mitra Persada sebagai urutan pertama, kemudian Terdakwa selaku PPK menyetujui usulan tersebut melalui LPSE pada kolom Persetujuan evaluasi padahal terdakwa mengetahui bahwa PT. L-Med Mitra Persada tidak memenuhi persyaratan pada evalusi tekhnis, atas dasar tersebut saksi Rofinus Dero mengumumkan pemenang dengan urutan pertama PT.L-Med Mitra Persada.

- Bahwa pada tanggal 23 September 2010 Terdakwa selaku PPK menandatangani Surat Penunjukan Penyedia Barang (SPPB) Nomor : 3/PPK.RSUD_Alkes(paket 1)/2010 dan kemudian pada tanggal 30 September 2010 terdakwa bersama dengan saksi Latif Condro Warsito (terdakwa yang diajukan penuntutan berkas terpisah) selaku Direktur PT.L-Med

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Mitra Persada menandatangani Surat perjanjian untuk melaksanakan pengadaan alat-alat kedokteran (IGD dan bank darah) Nomor : 4/PPK.RSUD_ALKES/2010 tanggal 30 September 2010 dengan nilai kontrak sebesar Rp.4.126.500.000,- (empat milyar seratus dua puluh enam juta lima ratus ribu rupiah), dimana spesifikasi yang tercantum dalam dokumen kontrak tersebut tidak sama dengan spesifikasi yang ada dalam dokumen pemilihan yaitu :

NO. NAMA ALAT Spesifikasi yang ada dalam dokumen pemilihan

Spesifikasi yang ada dalam kontrak antara PT.L-Med Mitra Persada

dan PPK

1. Peralatan Bank Darah :COOL BOX Volume /kapasitas 22 liter Volume /kapasitas 10liter

2. Peralatan IGD : INFANT INCUBATOR

VENTILATOR EMERGENCY

OPERATING LAMP MOBILE

TRANSFER STRECHER

OXYGEN CENTRAL

Ada fasilitas Phototherapy

Ada Accecories

Intensity 110.000 LUX

Ada Tabung Oxygen dan Regulator

Menyebutkan jumlah item barang

Tidak ada Ada Accecories

Tidak ada Ada Accecories

Intensity 70.000 LUX

Tidak ada

Tidak menyebutkan jumlah item barang.

- Bahwa selanjutnya pada tanggal 13 Desember 2010 tim panitia pemeriksa barang yang terdiri dari :Dr. Santoso Hadiwidjojo : Ketua Merangkap AnggotaFarida Tristianti,SE : Sekretaris merangkap anggotaUlly Falda,Apt : Anggota Sri Iriani : AnggotaNeti Herawati : AnggotaSri Suprihartini : Anggota Zaenal Mutaqin : Anggotadr. Abu Surur, Sp.U : Pengguna Barangmelakukan pemeriksaan barang dengan kesimpulan bahwa barang terdapat baik dan berfungsi sebagaimana mestinya sesuai Surat Perintah Kerja berdasarkan Berita Acara Pemeriksaan Barang Nomor : 1576/P2B-RSUD/XII/2010 tanggal 13 Desember 2010.

- Bahwa dalam pemeriksaan barang, terdakwa hanya memberikan satu lembar dokumen kepada Tim P2B (Panitia Pemeriksa Barang) yang berisikan nama barang dan jumlahnya saja, tidak mencantumkan spesifikasi yang harus diperiksa oleh tim P2B dan dokumen tersebut sebelum diperiksa oleh tim P2B sudah terlebih dahulu ditandatangani oleh terdakwa dengan saksi Latif Condro Wasito, sehingga tim P2B tidak melakukan pemeriksaan spesifikasi terhadap barang yang diterima.

- Bahwa setelah Berita Acara Pemeriksaan ditandatangani oleh seluruh anggota tim P2B kemudian Saksi latif Condro Warsito membawa dokumen tersebut sebagai salah satu persyaratan pengajuan pembayaran.

- Bahwa pada tanggal 22 Desember 2010 Pemerintah Daerah Kota Sukabumi melalui Kuasa BUD menerbitkan 2 (dua) Surat Perintah Pencairan dana (SP2D) yakni :1. Nomor : 851/LS/DAK/2010 untuk Keperluan pembayaran langsung 100% Belanja

Pengadaan alat-alat kedokteran (IGD dan Bank darah) sumber dana DAK senilai Rp. 3.751.363.636.- (tiga miliar tujuh ratus lima puluh satu juta tiga ratus tiga uluh enam ribu enam ratus tiga puluh enam rupiah)

2. Nomor : 852/LS/DAK/2010 untuk Keperluan pembayaran langsung 100% Belanja Pengadaan alat-alat kedokteran (IGD dan Bank darah) sumber dana pendamping senilai

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Rp. 375.136.364.- (tiga ratus tujuh puluh lima juta seratus tiga puluh enam ribu tiga ratus enam puluh empat rupiah)

kepada saksi Latif Condro Warsito selaku Direktur PT.L-Med Mitra Persada yang beralamat di Jalan Kebayoran Lama No.24 Jakarta dengan Nomor rekening 0351005220 Bank Pembangunan Daerah Jawa Timur Cabang Jakarta.

- Bahwa dari perbedaan spesifikasi antara dokumen pemilihan dengan penawaran terdapat selisih sebagaimana hasil perhitungan dari Tim Audit BPKP Perwakilan Jawa Barat sebesar Rp.759.613.807,- (tujuh ratus lima puluh sembilan juta enam ratus tiga belas ribu delapan ratus tujuh rupiah) dengan perincian sebagai berikut :

No Nama Barang Spesifikasi Satuan

Kuantitas

Harga Kontrak

HargaKontrak

(Net PPn)

Harga PembelianL-Med ke

Distributor

Selisih Ket.

1 2 3 4 5 6 7 8 9 10Bank Darah

1. Serological Centrifuge

Hettich EBA 20-Germany

Unit 2 65.000.000,- 59.090.909,- 28.201.250,- 30.889.659,- Faktur PT. Prima Alkesindo Nusantara Nomor: BDG/1012000704 tanggal 23 Desember 2010 (belum termasuk biaya transport).

2. Adjustable M/C Micro Pippete

-

c. Ukuran 20-200ml

Starlab S71002200-Germany

Unit 2 6.000.000,- 5.454.545,- 5.3000.000,- 154.545,-

d. Micro Pipette type Yellow

Ex Indonesia

Box 20 4.500.000,- 4.090.9.09,- 4.000.000,- 90.909,-

3. Cool Box Delta T Silverbag 10L- Germany

Unit 1 5.000.000,- 4.545.455,- 2.117.500 2.427.955,- Sesuai Surat Pengiriman Barang yang menunjuk pada Faktur Nomor BDG/1011000641 tanggal 22 November 2010 (belum termasuk biaya transport).

4. Reagent Refrigerator

Kirsch-Labex 285-Germany

Unit 1 150.000.000,- 136.363.636,- 57.365.000 78.998.636,- Sesuai Surat Pengiriman Barang yang menunjuk pada Faktur Nomor BDG/1011000641 tanggal 22 November 2010 (belum termasuk biaya transport).

5. Plasma Extractor Manual

Labtop LPE-1-India

Unit 1 5.500.000,- 5.000.000,- 2.125.200,- 2.847.800,- Faktur Penjualan PT. Prima Alkesindo Nusantara No. BDG/TP/1000000019 tanggal 24 November 2010.

6. Microscope Binocular Electric

Seiler-Seilerscope-USA

Unit 1 15.000.000,- 13.636.364,- 13.500.000,- 136.364,- -

7. Dry Incubator

Hettich INE 400-Germany

Unit 1 40.000.000,- 36.363.636,- 24.062.500 12.301.136,- Sesuai Surat Pengiriman Barang yang menunjuk pada Faktur Nomor BDG/1011000641 tanggal 22 November 2010 (belum termasuk biaya transport)

8. Platelet Incubator + Agitator

Labtop LPI-125 + LPA 36-India

Unit 1 125.000.000,- 113.636.364,- 52.988.320 60.648.044,- Sesuai Surat Pengiriman Barang yang menunjuk pada Faktur Nomor BDG/1011000642 tanggal 22 November 2010 (belum

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termasuk biaya transport)

9. DG Spin Digital Sentrifuge

Grifols 210363-France

Unit 1 180.000.000,- 163.636.363,- 149.278.125 102.994.602,- Sesuai Surat Pengiriman Barang yang menunjuk pada Faktur Nomor BDG/TP/10000000020 tanggal 30 Desember 2010 (belum termasuk biaya transport).

10. DG Term Digital Incubator

Grifols 213734-France

Unit 1 60.000.000 54.545.454,- -

11. Dispenser Grifols MicroDisp.-France

Unit 1 11.000.000,- 10.000.000,- -

12. Pipette 5 ul Starlab S1000005/ Germany

Unit 1 3.000.000,- 2.727.273,- -

13. Pipette 25 ul

Starlab S1000020/ Germany

Unit 1 3.000.000,- 2.727.273,- -

14. Pipette 50 ul

Starlab S1000025/ Germany

Unit 1 3.000.000,- 2.727.273,- -

15. Working Table Rack Test Tube

Grifols-210363-France

Unit 1 17.500.000,- 15.909.091,- -

Rp. 252.272.727,-

1 2 3 4 5 6 7 8 9 10IGD

1. Infant Incubator

Tesena-TSN 910 Sc-Indonesia

Unit 1 50.000.000,- 45.454.546,- 119.420.000,- 3.307.273,- Invoice PT. Tesena Inovindo No. IK. 10000269 tanggal 24 Desember 2010.

3. Transports Incubator

Tesena-TSN 705 TRSC- Indonesia

Unit 1 85.000.000,- 77.272.727,-

Rp. 122.727.273,-

2. Operating Table

Karixa KA 33M- Indonesia

Unit 1 46.500.000,- 42.272.727,- 21.600.000 20.672.727,- Invoice PT. Sarandi Karya Nugraha No. 265.inv.skn.smi.12.10 tanggal 06 Desember 2010.

4. ECG 3 Channel

SIE Monitor EC 12T-Rusia

Unit 7 259.000.000,- 231.700.000,- 231.700.000,- 3.754.545,- -

5. Ventilator Emergency

O Two-01CV4000- Canada

Unit 1 125.000.000,- 113.636.364,- 112.5000.000,- 1.136.364,- -

6. Operating Lamp Mobile

Daray SL-200 England

Unit 2 97.000.000,- 88.181.818,- 87.000.000,- 1.181.818,- -

7. Transfer Strectcher

TMT-631-09 Indonesia

Unit 27 202.5000.000,- 184.090.909,- 106.593.750,- 77.497.159,- Sesuai Purchase Order Confirmation Nomor 011/CF-TMT/XI/2010 tanggal 10 November 2010.

8. Patient Monitor + Printer

SIE Monitor-Mitar 1-Rusia

Unit 3 416.386.364

-

9. Anesthesia Machine with 4 vaporizer + ventilator

Infinium-ADS II-USA

Unit 1 465.000.000,- 422.727.273,- 420.000.000,- 2.727.273,- Sesuai Kuitansi Pembayaran tanggal 30 Desember 2010 (belum termasuk biaya transport).

10. Electrosurgical Cutter

Hermann-HHF 300-Germany

Unit 2 340.000.000,- 309.090.909,- 304.000.000,- 5.090.909,- -

11. Meja Karixa KA Unit 4 340.000.000,- 309.090.909,- 141.818.184 167.272.725,- Invoice PT. Sarandi Karya

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Operasi 20E- Indonesia

Nugraha No. 265.inv.skn.smi.12.10 tanggal 06 Desember 2010.

12. Bed Side Monitor

SIE Monitor-Mitar 1-Rusia

Unit 2 310.000.000,- 281.818.182,- 280.000.000,- 1.818.182,- -

13. Defibrillator CU-ER 3-Korea

Unit 1 110.000.000,- 100.000.000,- 98.500.000,- 1.500.000,- -

14. Infusion Pump

Biosensor-BSV 700- Brazil

Unit 2 68.000.000,- 61.818.182,- 61.000.000,- 818.182,-

15. Syringe Pump

Biosensor-SEV 10 Plus-Brazil

Unit 3 90.000.000,- 81.818.182,- 81.000.000,- 818.818,-

16. Suction Pump

Tongye-YDX 100M-35A-PRC

Unit 3 75.000.000,- 68.181.818,- 67.500.000,- 681.818,-

17. CPAP (Continuous Positive Airway Pressure)

Hoffrichter-Vektor at Auto-Germany

Unit 2 210.000.000,- 190.909.091,- 76.680.000 114.229.091,- Sesuai Nota No: 014/MJM/XII/2010 tanggal 27 Desember 2010 dan Kuitansi No: 014/K/MJM/XII/2010 tanggal 27 Desember 2010 (belum termasuk biaya transport).

18. Oxygen Central

Victor-D-USA

Unit 1 110.000.000,- 100.000.000,- 98.500.000,- 1.500.000,- -

Total 4.126.500.000,- 3.751.363.636,- 2.991.749.829,- 759.613.807,- -

- Bahwa terdakwa bersama-sama dengan saksi Rofinus Dero yang telah menetapkan PT. L-Med Mitra Persada sebagai pemenang dalam kegiatan pengadaan alat-alat kedokteran (IGD dan Bank darah) di RSUD R.Syamsudin, SH Kota Sukabumi tahun 2010, dimana pada saat dilakukan evaluasi teknis barang yang ditawarkan oleh PT. L-Med Mitra Persada, terdakwa mengetahui bahwa PT. L Med Mitra Persada tidak memenuhi syarat dalam spesifikasi tekhnis dan seharusnya terdakwa tidak menyetujui dan menetapkan PT. L-Med Mitra Persada sebagai pemenang, namun dalam hal ini terdakwa tetap menyetujui usulan dari Ketua Panitia Pengadaan yaitu saksi Rofinus Dero, karena adanya kesepakatan antara terdakwa Drs. Didi Subandi dengan saksi Rofinus Dero dan saksi Helmi yang mengatasnamakan PT. L-Med Mitra Persada tersebut PT. L-Med Mitra Persada tetap dimenangkan sebagai penyedia barang dan jasa.

- Akibat perbuatan terdakwa bersama sama dengan saksi Rofinus Dero dan saksi Latif Condro Warsito sebagaimana diuraikan diatas telah merugikan keuangan negara sebesar Rp. 759.613.807,- (tujuh ratus lima puluh sembilan juta enam ratus tiga belas ribu delapan ratus tujuh rupiah) atau setidak-tidaknya sejumlah itu.

--------- Perbuatan terdakwa diatur dan diancam sebagaimana diatur dalam Pasal 3 jo Pasal 18 ayat 1 huruf (b) Undang-undang Republik Indonesia Nomor : 31 tahun 1999 tentang Pemberantasan Tindak Pidana Korupsi sebagaimana telah diubah dengan Undang-undang Republik Indonesia Nomor : 20 tahun 2001 tentang Perubahan atas Undang – undang Republik Indonesia Nomor : 31 tahun 1999 tentang Pemberantasan Tindak Pidana Korupsi jo Pasal 55 ayat (1) ke-1 KUHPidana. -------------------------------------

Sukabumi, 31 Oktober 2012Jaksa Penuntut Umum,

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SANDI ROZALI NURSUBHAN.SHJaksa Pratama Nip. 19792406 2003 12 1 003

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