DEPARTEMEN KESEHATAN DIREKTORAT JENDERAL BINA PELAYANAN MEDIK RSUP Dr. HASAN SADIKIN BANDUNG Jalan Pasteur No. 38 , Bandung 40161 Telepon : (022) 2034953, 2034954 (hunting) Faksimile : (022) 2032216, 2032533 e-mail :
[email protected],
[email protected] SMS hotline : 081220050547
PENGUMUMAN PEMENANG PELELANGAN UMUM PASCA KUALIFIKASI KEBUTUHAN AMHP KHUSUS SMF ORTHOPAEDI TAHUN 2016 RSUP Dr. HASAN SADIKIN BANDUNG Nomor : BN.01.02/PNBP-POKJA III/5731/VI/2016 Tanggal : 23 Juni 2016
Berdasarkan Berita Acara Hasil Pelelangan nomor : BN.01.02/PNBP-POKJA III/5729/VI/2016, tanggal 23 Juni 2016 serta surat Penetapan Pemenang Nomor : BN.01.02/PNBP-POKJA III/5730/VI/2016, tanggal 23 Juni 2016, maka Kelompok Kerja III ULP RSUP Dr. Hasan Sadikin Bandung, mengumumkan hasil pelaksanaan Pelelangan Umum Pasca Kualifikasi Kebutuhan AMHP Khusus SMF Orthopaedi Tahun 2016 RSUP Dr. Hasan Sadikin Bandung dengan cara itemized secara elektronik melalui web site LPSE Kemenkes dengan alamat situs internet : http://lpse.Kemenkes.go.id dengan metode sistem itemized dengan hasil sebagai berikut : 1. Nama Perusahaan Alamat NPWP NO
: PT. Utama Sarana Medika : Jl. Tebet Barat Raya No. 3 Jakarta Selatan : 02.179.093.6-062.000
NAMA BARANG
MERK/NEGARA
SATUAN
VOLUME
HARGA SATUAN (Rp)
JUMLAH HARGA (RP)
KET.
TINDAKAN ORIF PLATE AND SCREW 179
Bonecement Low Viscosity 40gr
Heraeus/Germany
Buah
5
1.000.000
5.000.000
Pemenang 1
180
Bonecement Low Viscosity+Gentamicin 40gr
Heraeus/Germany
Buah
5
1.600.000
8.000.000
Pemenang 1
181
Bonecement High Viscosity 40gr
Heraeus/Germany
Buah
5
1.200.000
6.000.000
Pemenang
182
Bonecement High Viscosity+Gentamicin 40gr
Heraeus/Germany
Buah
5
1.800.000 TOTAL
9.000.000
Pemenang
28.000.000
10%PPN
2.800.000
JUMLAH
30.800.000
2. Nama Perusahaan Alamat NPWP
NO
: PT. Mitra Fajar Selaras : Pulogadung Trade Centre (PTC) Ruko Blok 8C NO.28-29, JL. Raya Bekasi KM.21 Kel.Rawaterate Kec. Cakung Jakarta Timur : 02.313.083.4-004.000
NAMA BARANG
MERK/NEGARA
SATUAN
HARGA
JUMLAH
SATUAN (Rp)
HARGA (RP)
VOLUME
KET.
TINDAKAN ORIF PLATE AND SCREW 179
Bonecement Low Viscosity 40gr
Teknimed/France
Buah
5
720.000
3.600.000
Pemenang
180
Bonecement Low Viscosity+Gentamicin 40gr
Teknimed/France
Buah
5
1.080.000
5.400.000
Pemenang
GS/ Korea
Buah
60
3.168.750
190.125.000
Pemenang
GS/ Korea
Buah
60
3.510.000
210.600.000
Pemenang
GS/ Korea
Buah
90
3.900.000
351.000.000
Pemenang
GS/ Korea
Buah
250
494.091
123.522.727
Pemenang
196
TINDAKAN SPINE Titanium Monoaxial Pedicle screw Ø4.5mm-6.5mm length 20-45mm Titanium Polyaxial Pedicle screw Ø 3.5mm-7.5mm length 10-45mm Titanium Longarm Monoaxial Pedicle screw Ø4.5mm-6.5mm length 30-45mm Nut titanium screw
197
Titanium Cross Link length 28mm - 50mm
GS/ Korea
Buah
16
3.217.500
51.480.000
Pemenang
198
Titanium Rod length 40-400mm
GS/ Korea
Buah
16
3.168.750
50.700.000
Pemenang
199
Lumbar titanium cage
GS/ Korea
Buah
22
2.925.000
64.350.000
Pemenang
200
Cervical Peek cage inc.Bonfuse Titanium locking cervical plate inc.4 pcs titanium screw Titanium mesh Ø 12mmx90mm
GS/ Korea
Buah
14
10.822.500
151.515.000
Pemenang
Morpo/Perancis
Buah
2
5.947.500
11.895.000
Pemenang
Irene/China
Buah
1
4.387.500
4.387.500
Pemenang
Irene/China
Buah
1
4.387.500
4.387.500
Pemenang
GS/ Korea
Buah
1
15.356.250
15.356.250
Pemenang
Ulrich/Jerman
Buah
1
11.700.000
11.700.000
Pemenang
Spine Art/Swiss
Buah
1
18.726.591
18.726.591
Pemenang
Imeclicom/Korea
Buah
1
10.237.500
10.237.500
Pemenang
Imeclicom/Korea
Buah
1
12.675.000
12.675.000
Pemenang
Imeclicom/Korea
Buah
5
2.535.000
12.675.000
Pemenang
Imeclicom/Korea
Buah
1
7.800.000
7.800.000
Pemenang
Imeclicom/Korea
Buah
1
7.020.000 TOTAL
7.020.000
Pemenang
1.319.153.068
10%PPN
131.915.307
JUMLAH
1.451.068.375
193 194 195
201 202 203 204 205 206 207 208 209 210 211
Titanium mesh Ø 10mmx90mm Ballon Kyphoplasty inc.bonecement with radiopaque agent Titanium Anterior Distraction Device Plus inc.4 locking screw Cervical Modular Cage Plate inc.2 locking screw+Bonfuse Epidural Catheter set with soft and steereable catheter inc.Hyaluronidase 1500UI Epidural Ballon Catheter with steereable catheter inc.Hyaluronidase 1500UI Introducer Kit Reuseable one-step introducer Titanium Occipital Plate with titanium bone screw Ø4,5x9mm
3. Nama Perusahaan Alamat NPWP
NO
168 177 178
: PT. Rajawali Nusindo : Jl. Soekarno Hatta No. 493 Bandung : 02.900.081.7-031.000
NAMA BARANG
MERK/NEGARA
SATUAN
TINDAKAN ORIF PLATE AND SCREW Implantcast/ Total Hip Replacement (THR) Cementless Germany Implantcast/ Hemi Shoulder Prosthesa Small,Medium,Large Set Germany Implantcast/ Total Elbow Prosthesa Small,Medium,Large Set Germany
4. Nama Perusahaan Alamat NPWP
NO
VOLUME
HARGA SATUAN (Rp)
JUMLAH HARGA (RP)
KET
Pemenang 1
Buah
50
23.865.000
1.193.250.000
Buah
10
19.350.000
193.500.000
Pemenang
Buah
10
25.887.500 TOTAL
258.875.000
Pemenang
1.645.625.000
10%PPN
164.562.500
JUMLAH
1.810.187.500
: PT. Tiara Kencana : Wisma Tiara Lantai 5, Jl. Raya Pasar Minggu Km.18 No.17 : 01.315.659.1-062.000
NAMA BARANG
SATUAN
VOLUME
MERK/NEGARA
HARGA SATUAN (Rp)
JUMLAH HARGA (RP)
KET.
168
Total Hip Replacement (THR) Cementless
Buah
50
LINK/Germany
22.347.000
1.117.350.000
Pemenang
173
Hemihip Arthroplasty Bipolar Cementless
Buah
10
LINK/Germany
17.910.000
179.100.000
Pemenang
174
Total Hip Replacement (THR) Hybrid
Buah
10
LINK/Germany
19.345.000
193.450.000
Pemenang
175
Total Hip Replacement (THR) Reverse Hybrid
Buah
10
LINK/Germany
17.858.000
178.580.000
Pemenang
TOTAL
5. Nama Perusahaan Alamat
1.668.480.000
10%PPN
166.848.000
JUMLAH
1.835.328.000
: PT DAEWOONG PHARMACEUTICAL COMPANY INDONESIA : Vinilon Building, LT. 2, Unit 3&5, JL. Raden Saleh Raya No. 13-17 Jakarta
NPWP NO
: 02.026.766.2-023.000 NAMA BARANG
MERK/NEGARA
SATUAN
HARGA
JUMLAH
SATUAN (Rp)
HARGA (RP)
VOLUME
KET.
TINDAKAN ORIF PLATE AND SCREW 183
Negative Pressure Wound Therapy ukuran L
Bontite-L/Korea
Buah
18
1.248.000
22.464.000
200
Cervical Peek cage inc.Bonfuse
Bontite-L/Korea
Buah
14
10.822.500 TOTAL
151.515.000 173.979.000
10%PPN
17.397.900
JUMLAH
191.376.900
Pemenang Pemenang 1
6. Nama Perusahaan Alamat NPWP NO
: PT. Transmedic Indonesia : Perkantoran Menara Era Unit G-01, Jl Senen Raya No 135-137, Jakarta Pusat : 02.414.447.9-056.000
NAMA BARANG
MERK/NEGAR A
SATUAN
VOLUM E
1
1/3 tubular plates 3.5mm 02-05 holes
2
1/3 tubular plates 3.5mm 06-09 holes
Buah
7
3
Buah
10
Synthes/Swiss
Buah
6
Synthes/Swiss
Buah
Synthes/Swiss
31
Angled Blade Plate (ABP) 95-1250 stainless steel Cancellous screw 4.0mm length 10-60mm 1/2 threaded stainless steel Cancellous screw 4.0mm length 10-60mm 1/2 threaded titanium Cancellous screw 4.0mm length 10-60mm 1/3 threaded stainless steel Cancellous screw 4.0mm length 10-60mm 1/3 threaded titanium Cancellous screw 4.0mm length 10-60mm fully threaded stainless steel Cancellous screw 4.0mm length 10-60mm fully threaded titanium Cancellous screw 6.5mm length 20-110mm 1/2 threaded stainless steel Cancellous screw 6.5mm length 20-110mm 1/2 threaded titanium Cancellous screw 6.5mm length 20-110mm 1/3 threaded stainless steel Cancellous screw 6.5mm length 20-110mm 1/3 threaded titanium Cancellous screw 6.5mm length 20-110mm fully threaded stainless steel Cancellous screw 6.5mm length 20-110mm fully threaded titanium Cannulated screw 6.5mm, 1/2 threaded, length 50105mm, stainless steel Cannulated screw 6.5mm, 1/3 threaded, length 50105mm, stainless steel Cannulated screw 6.5mm, fully threaded, length 50105mm, stainless steel Cannulated screw 7.0mm, 1/2 threaded, length 7090mm, stainless steel Cannulated screw 7.0mm, 1/3 threaded, length 7090mm, stainless steel Cannulated screw 7.0mm, fully threaded, length 7090mm, stainless steel Cortex screw 2.4mm length 10-22mm, titanium
33 35
8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
36 37 38 39 40 41 52 53
Buah
7
HARGA SATUAN (Rp)
KET.
HARGA (RP) 3.367.000
Pemenang
693000
4.851.000
Pemenang
3034000
30.340.000
Pemenang
304.000
1.824.000
Pemenang
6
456.000
2.736.000
Pemenang
Buah
6
304.000
1.824.000
Pemenang
Synthes/Swiss
Buah
6
456.000
2.736.000
Pemenang
Synthes/Swiss
Buah
48
304.000
14.592.000
Pemenang 1
Synthes/Swiss
Buah
8
456.000
3.648.000
Pemenang 1
Synthes/Swiss
Buah
14
313.500
4.389.000
Pemenang 1
Synthes/Swiss
Buah
8
570.000
4.560.000
Pemenang
Synthes/Swiss
Buah
8
313.500
2.508.000
Pemenang
Synthes/Swiss
Buah
8
570.000
4.560.000
Pemenang
Synthes/Swiss
Buah
40
313.500
12.540.000
Pemenang 1
570.000
2.280.000
Pemenang 1
4
481.000
JUMLAH
Synthes/Swiss
Buah
Synthes/Swiss
Buah
4
1.377.500
5.510.000
Pemenang
Synthes/Swiss
Buah
4
1.377.500
5.510.000
Pemenang 1
Synthes/Swiss
Buah
4
2.470.000
9.880.000
Pemenang
Synthes/Swiss
Buah
4
2.470.000
9.880.000
Pemenang
Synthes/Swiss
Buah
4
2.470.000
9.880.000
Pemenang
Synthes/Swiss
Buah
4
2.565.000
10.260.000
Pemenang
Synthes/Swiss
Buah
8
570.000
4.560.000
Pemenang 1
Cortex screw 3.5mm length 10-120mm titanium
Synthes/Swiss
Buah
200
475.000
95.000.000
Pemenang 1
Cortex screw 4.5mm length 15-120mm titanium DCS® Plate 95°, 10 -22holes, length 178 - 370 mm, Stainless Steel DHS/DCS® Compression Screw, length 36 mm, Stainless Steel DHS/DCS® Guide Wire 2.5 mm DHS/DCS® Screw 12.5 mm, length 55-100 mm, Stainless Steel DHS® Plate 135°, 4-16 holes, Stainless Steel DHS® Trochanter Stabilizing Plate, length 148 mm, Stainless Steel A2FN, Ø 9.0 - 12.0 mm, right/left, cannulated, length 300 - 380 mm, Titanium Alloy (TAN), light green, sterile End Cap for A2FN, cannulated, extension 0 - 10 mm, Titanium Alloy (TAN), grey, sterile
Synthes/Swiss
Buah
25
475.000
11.875.000
Pemenang 1
Synthes/Swiss
Buah
3
5.225.000
15.675.000
Pemenang
Synthes/Swiss
Buah
4
494.000
1.976.000
Pemenang
Synthes/Swiss
Buah
4
570.000
2.280.000
Pemenang
Synthes/Swiss
Buah
4
855.000
3.420.000
Pemenang
Synthes/Swiss
Buah
2
6.840.000
13.680.000
Pemenang
Synthes/Swiss
Buah
2
9.500.000
19.000.000
Pemenang
Synthes/Swiss
Buah
1
8.550.000
8.550.000
Pemenang
Synthes/Swiss
Buah
1
1.425.000
1.425.000
Pemenang 1
91
Hip Screw Stardrive® Ø 6.5 mm, self-tapping, length 60 - 105 mm, for Expert™ LFN, Titanium Alloy (TAN), sterile Locking Screw Stardrive® Ø 5.0 mm, length 26 70 mm, for Medullary Nails, Titanium Alloy (TAN), light green Tibial Nail Ø 8.0 - 10.0 mm, with proximal Bend, cannulated, length 255 - 375 mm, Titanium Alloy (TAN), dark blue /light green, sterile End Cap for Tibial Nails Ø 8.0 to 13.0 mm, extension 0 - 15 mm, Titanium Alloy (TAN), gold Locking Screw Stardrive® Ø 4.0 - 5.0 mm, length 26 54 mm, for Medullary Nails, Titanium Alloy (TAN), dark blue /light green Locking Screw Stardrive® Ø 5.0 mm, length 26 70 mm, for Medullary Nails, Titanium Alloy (TAN), light green Cancellous Bone Locking Screw Stardrive® Ø 5.0 mm with dual core, self-tapping, length 30 - 60 mm, Titanium Alloy (TAN), gold Locking Bolt 4.9 mm,length 26-68 mm, Titanium LCP 4.5/5.0, broad, 7 - 11 holes, length 134-242 mm, Pure Titanium LCP 4.5/5.0, broad, 12 - 13 holes, length 224 -242 mm, Pure Titanium Locking Distal Femoral Plate 4.5mm,left/right, 7-13 holes, titanium Locking Medial Distal Tibia Plate 3.5,RIGHT/LEFT, 6 12holes, titanium Locking narrow plate 3.5mm 04-12holes, stainless steel Locking narrow plate 4.5mm 04-16holes, titanium Locking One-third Tubular Plate 3.5, 5 -8 holes, Titanium Locking Proximal Lateral Tibia Plate 4.5mm, left/right 5-13holes, titanium Locking Reconstruction Plate 3.5, 5 - 12holes, Titanium Locking Screw 2.4 mm, length 10-24 mm, Titanium
96
Locking screw 3.5mm Length 10-55mm, titanium
Synthes/Swiss
Buah
160
551.000
88.160.000
Pemenang 1
98
Locking screw 5.0mm Lengh 14-85mm, titanium
Synthes/Swiss
Buah
70
684.000
47.880.000
Pemenang 1
99
Locking Screw Ø 1.8 mm, Pure Titanium LCP Sup-Ant-Clavic-Pl3.5 6-7ho left/right L94-110 TAN Locking T-plate 3.5, oblique-angled, right/left,shaft 35holes,stainless steel Locking T-plate 4.5, shaft 3-10holes, stainless steel Locking Volar Radius Plate 2.4mm, right/left,shaft 35holes, titanium PFNA-II - Proximal Femoral Nail Ø 9.0 mm, right/left, 130°, length 170-240 mm, Titanium Alloy (TAN), sterile PFNA-II Blade, length 75-120 mm, Titanium Alloy (TAN), sterile PFNA-II End Cap, extension 0-15 mm, Titanium Alloy (TAN), sterile Locking Bolt Ø 4.9 mm, self-tapping, length 2668 mm, Titanium Alloy (TAN), green Proximal Humeral Plate 3.5, 3-5 holes, titanium
Buah
8
570.000
4.560.000
Pemenang 1
Buah
2
6.840.000
13.680.000
Pemenang 1
Buah
8
2.280.000
18.240.000
Pemenang
Buah
8
3.800.000
30.400.000
Pemenang
Buah
3
7.125.000
21.375.000
Pemenang 1
Buah
2
8.075.000
16.150.000
Synthes/Swiss
Buah
2
4.725.000
9.450.000
Pemenang 1
Synthes/Swiss
Buah
2
1.425.000
2.850.000
Pemenang 1
Synthes/Swiss
Buah
2
950.000
1.900.000
Pemenang 1
Synthes/Swiss
Buah
3
12.825.000
38.475.000
Pemenang 1
Synthes/Swiss
Buah
4
3.325.000
13.300.000
Pemenang
Buah
3
9.405.000
28.215.000
Pemenang
147
Titanium Elastic Nail diameter 1.5-4.0mm, titanium Two-coloumn Distal Radius plate 2.4mm, right/left, shaft 2-4holes, head 6 holes, titanium Washer for screws diameter 2.7-4.0mm, stainless steel
Synthes/Swiss
Buah
6
237.500
1.425.000
Pemenang
148
Washer for screws diameter 2.7-4.0mm, titanium
Synthes/Swiss
Buah
6
342.000
2.052.000
Pemenang
149
Washer for screws diameter 4.5-6.5mm, stainless steel
Synthes/Swiss
Buah
18
237.500
4.275.000
Pemenang
54 55 56 57 58 59 60 65 68 69 74 78 79 82 83 86 89
101 104 106 108 127 128 129 130 132 141 146
Synthes/Swiss
Buah
1
1.900.000
1.900.000
Pemenang
Synthes/Swiss
Buah
1
950.000
950.000
Synthes/Swiss
Buah
1
8.550.000
8.550.000
Pemenang
Synthes/Swiss
Buah
1
1.425.000
1.425.000
Pemenang
Synthes/Swiss
Buah
1
950.000
950.000
Pemenang
Synthes/Swiss
Buah
1
950.000
950.000
Pemenang
Synthes/Swiss
Buah
1
1.425.000
1.425.000
Pemenang
Synthes/Swiss
Buah
6
950.000
5.700.000
Pemenang 1
Synthes/Swiss
Buah
6
5.044.500
30.267.000
Pemenang
Synthes/Swiss
Buah
6
8.265.000
49.590.000
Pemenang 1
Synthes/Swiss
Buah
6
9.120.000
54.720.000
Pemenang 1
Synthes/Swiss
Buah
3
9.120.000
27.360.000
Pemenang 1
Pemenang 1
Buah
6
1.995.000
11.970.000
Pemenang
Synthes/Swiss
Buah
6
2.755.000
16.530.000
Pemenang
Synthes/Swiss
Buah
6
1.805.000
10.830.000
Pemenang
Synthes/Swiss
Buah
3
9.405.000
28.215.000
Pemenang 1
Synthes/Swiss
Buah
3
3.135.000
9.405.000
Pemenang
Synthes/Swiss
Buah
12
617.500
7.410.000
Pemenang 1
Synthes/Swiss
Synthes/Swiss Synthes/Swiss
Synthes/Swiss
Pemenang
150
Washer for screws diameter 4.5-6.5mm, titanium
Synthes/Swiss
Buah
6
342.000 TOTAL 10%PPN JUMLAH
7. Nama Perusahaan Alamat NPWP NO
2.052.000
Pemenang 1
899.144.000 89.914.400 989.058.400
: PT. MULTI SARANA BUANA : Perkantoran Puri Niaga I, Jl. Puri Kencana Blok K7No. 3P Kembangan, Jakarta : 02.614.786.8-086.000
NAMA BARANG
MERK/NEGARA
SATUAN
HARGA
JUMLAH
SATUAN (Rp)
HARGA (RP)
VOLUME
KET.
TINDAKAN ORIF PLATE AND SCREW 5 12 13 14 15 18 19 21 27 28 31 32 33 34 35 45 53 55 62 65 66 67 68 69 74 78 86
Broad plates 4.5mm 07-18 holes, stainless steel Cancellous screw 4.0mm length 10-60mm fully threaded stainless steel Cancellous screw 4.0mm length 10-60mm fully threaded titanium Cancellous screw 6.5mm length 20-110mm 1/2 threaded stainless steel Cancellous screw 6.5mm length 20-110mm 1/2 threaded titanium Cancellous screw 6.5mm length 20-110mm fully threaded stainless steel Cancellous screw 6.5mm length 20-110mm fully threaded titanium Cannulated screw 6.5mm, 1/3 threaded, length 50105mm, stainless steel Condylar buttress plate 4.5mm, left/right, shaft 715holes stainless steel Condylar buttress plate 4.5mm, left/right, shaft 715holes titanium Cortex screw 2.4mm length 10-22mm, titanium Cortex screw 3.5mm length 10-120mm stainless steel Cortex screw 3.5mm length 10-120mm titanium Cortex screw 4.5mm length 15-120mm stainless steel Cortex screw 4.5mm length 15-120mm titanium
Hejie/ China
Buah
6
1.402.000
8.412.000
Perencana
Hejie/ China
Buah
48
117.000
5.616.000
Perencana
Hejie/ China
Buah
8
156.000
1.248.000
Perencana
Hejie/ China
Buah
14
156.000
2.184.000
Perencana
Hejie/ China
Buah
8
195.000
1.560.000
Perencana
Hejie/ China
Buah
40
155.900
6.236.000
Perencana
Hejie/ China
Buah
195.000
780.000
Perencana
Hejie/ China
Buah
4
1.364.000
5.456.000
Perencana
Hejie/ China
Buah
1
1.948.000
1.948.000
Perencana
Hejie/ China
Buah
1
3.117.000
3.117.000
Perencana
Hejie/ China
Buah
8
117.000
936.000
Perencana
Hejie/ China
Buah
200
117.000
23.400.000
Perencana
Hejie/ China
Buah
200
155.900
31.180.000
Perencana
Hejie/ China
Buah
200
116.900
23.380.000
Perencana
Hejie/ China
Buah
25
156.000
3.900.000
Perencana
EXTERNAL FIXATION SMALL SET End Cap for A2FN, cannulated, extension 0 - 10 mm, Titanium Alloy (TAN), grey, sterile Locking Screw Stardrive® Ø 5.0 mm, length 26 70 mm, for Medullary Nails, Titanium Alloy (TAN), light green K-Wire Dia : 0,6 ; 0,8 ; 1,0 ; 1,2 ; 1,4 ; 1,6 ; 1,8 ; 2,0 ;2,4 ;2,8; 3,0m Locking Bolt 4.9 mm,length 26-68 mm, Titanium Locking broad plate 4.5mm 16 holes curved, stainless steel Locking broad plate 4.5mm 18holes, stainless steel LCP 4.5/5.0, broad, 7 - 11 holes, length 134-242 mm, Pure Titanium LCP 4.5/5.0, broad, 12 - 13 holes, length 224 -242 mm, Pure Titanium Locking Distal Femoral Plate 4.5mm,left/right, 7-13 holes, titanium Locking Medial Distal Tibia Plate 3.5,RIGHT/LEFT, 6 -12holes, titanium Locking Proximal Lateral Tibia Plate 4.5mm, left/right 5-13holes, titanium
Hejie/ China
Buah
2
2.727.500
5.455.000
Perencana
Hejie/ China
Buah
1
624.000
624.000
Perencana
Buah
1
389.000
389.000
Perencana
Hejie/ China
Buah
200
117.000
23.400.000
Perencana
Hejie/ China
Buah
6
389.500
2.337.000
Perencana
Hejie/ China
Buah
6
Hejie/ China
Buah
6
5.610.500
33.663.000
Perencana
Hejie/ China
Buah
6
5.605.000
33.630.000
Perencana 1
Hejie/ China
Buah
6
5.610.500
33.663.000
Perencana
Hejie/ China
Buah
6
6.857.000
41.142.000
Perencana
Hejie/ China
Buah
3
5.844.000
17.532.000
Perencana
Hejie/ China
Buah
3
6.234.000
18.702.000
Perencana
4
Hejie/ China
Perencana
91
Locking Screw 2.4 mm, length 10-24 mm, Titanium
Hejie/ China
Buah
12
545.500
6.546.000
Perencana
96
Locking screw 3.5mm Length 10-55mm, titanium
Hejie/ China
Buah
160
545.500
87.280.000
Perencana
98
Locking screw 5.0mm Lengh 14-85mm, titanium
Hejie/ China
Buah
70
662.400
46.368.000
Perencana
99
Locking Screw Ø 1.8 mm, Pure Titanium Locking Superior Clavicula plate 3.5mm, 6-8 holes,left/right, stainless steel LCP Sup-Ant-Clavic-Pl3.5 6-7ho left/right L94-110 TAN Locking Volar Radius Plate 2.4mm, right/left,shaft 3-5holes, titanium Narrow plates 3.5mm 02-12 holes, stainless steel Plate 2.0mm, 4-6Holes, with/without/Med/Large Stem, Titanium PFNA-II Blade, length 75-120 mm, Titanium Alloy (TAN), sterile PFNA-II End Cap, extension 0-15 mm, Titanium Alloy (TAN), sterile Locking Bolt Ø 4.9 mm, self-tapping, length 2668 mm, Titanium Alloy (TAN), green Proximal Humeral Plate 3.5, 3-12 holes, stainless steel Proximal Humeral Plate 3.5, 3-5 holes, titanium
Hejie/ China
Buah
8
545.500
4.364.000
Perencana
Hejie/ China
Buah
1
3.896.000
3.896.000
Perencana
Hejie/ China
Buah
2
3.896.000
7.792.000
Perencana
Hejie/ China
Buah
3
5.065.000
15.195.000
Perencana
Hejie/ China
Buah
8
935.000
7.480.000
Perencana
Hejie/ China
Buah
8
779.000
6.232.000
Perencana
Hejie/ China
Buah
2
3.896.000
7.792.000
Perencana
Hejie/ China
Buah
2
623.500
1.247.000
Perencana
Hejie/ China
Buah
2
389.000
778.000
Perencana
Hejie/ China
Buah
3
1.402.000
4.206.000
Perencana
Hejie/ China
Buah
3
2.493.000
7.479.000
Perencana
Hejie/ China
Buah
2
4.121.000
8.242.000
Perencana
Hejie/ China
Buah
12
1.402.000
16.824.000
Perencana
Hejie/ China
Buah
10
195.000
1.950.000
Perencana
Hejie/ China
Buah
30
467.500
14.025.000
Perencana
Hejie/ China
Buah
6
1.169.000
7.014.000
Perencana
140
Radius plate, palmar/dorsal, right/left Reconstruction plates 3.5mm, 05-22 holes, stainless steel Schanz screw diameter 2.0mm-5.0mm, length 100225mm SS. Wire Dia. 0,6 0,8 1,0 1,2 1,4 1,6 1,8 2,0 2,2 2,4 2,6 2,8 , 3,0 T Plate 2.0mm, 6Holes, Long/with/without Stem, titanium T-Buttress Plate 4.5, shaft 4 - 6 holes, Stainless Steel
Hejie/ China
Buah
4
1.948.000
7.792.000
Perencana
142
Titanium Screws - Cross Lock-2.0 x 5-11 mm
Hejie/ China
Buah
6
117.000
702.000
Perencana
144
T-plate 3.5mm, 03-06 holes, stainless steel
Hejie/ China
Buah
6
1.169.000
7.014.000
Perencana
145
T-plate 4.5mm, 05-09 holes, stainless steel
Hejie/ China
Buah
6
1.169.000
7.014.000
Perencana
150
Washer for screws diameter 4.5-6.5mm, titanium
Hejie/ China
Buah
6
156.000 TOTAL
936.000
Perencana
100 101 108 123 125 128 129 130 131 132 134 135 136 137 139
608.058.000
10%PPN
60.805.800
JUMLAH
668.863.800
Kepada peserta yang memasukan dokumen penawaran diberikan masa sanggah selama 5 (lima) hari kalender terhitung setelah tanggal pengumuman ini. Surat sanggahan disampaikan pada : Alamat Situs Internet: http://lpse.depkes.go.id: atau secara tertulis ditujukan kepada: Kelompok Kerja III ULP RSUP Dr. Hasan Sadikin Bandung. Demikian untuk diketahui, atas perhatian serta partisipasinya, kami ucapkan terima kasih. Pokja III ULP RSUP Dr. Hasan Sadikin Bandung