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--- please select --- Mr. --- please select --- Date 28/01/2015 customer number notes contact telephone contact fax contact email contact Mr. page 1 of 16

Laparoscopy Bedah Dan Obgyn

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--- please select ---

Mr.

--- please select ---

Date

28/01/2015customer number

notes

contact telephone

contact fax

contact email

contact

Mr.

page 1 of 16

Position Item discription Item code Quantity

000010 FULL HD CMOS CAMERA CONTROL UNIT PV470 1,00 PCS

000020 FULL HD CMOS CAMERA HEAD W/ZOOMCOUPLER PV472 1,00 PCS

000030 FULL HD LIGHT CABLE D:4.8MM 2.5M LONG OP923 1,00 PCS

000040 LED LIGHT SOURCE OP940 1,00 PCS

000050 LIGHT CABLE ADAPTER OP941 1,00 PCS

000060 COMMUNICATION CABLE OP942 1,00 PCS

000070 26" FULL HD LCD MONITOR PV959 1,00 PCS

page 2 of 16

Position Item discription Item code Quantity

000080 Monitor stand, heavy, to be used with PV944 PV909 1,00 PCS

000090 Flow 40 Insuflador de volumen grande, para utlizarse con PG086; PG087; PG088;PG083; PG084; PG085; PG012; PG014; PG082; PG019 

PG080 1,00 PCS

000100 CO2 hydrophobic bacterial filter, 22 mm ISO connector, 99,9999% efficiency,packageof 25 pieces,to be used with PG060; PG080; PG0811

PG019 1,00 PCS

page 3 of 16

Position Item discription Item code Quantity

000110 Insufflation tube, with gas heating, to be used with PG80; PG081 PG082 1,00 PCS

000120 High pressure tube, 1 m, US/DIN, to be used with PG80; PG081; PG120 PG086 1,00 PCS

000130 Nelson Deluxe Electrosurgical generator, monopolar/bipolar; without mains cord andaccessories, to be used with GN090; GN324; GN325; GN330; GN088 and suitablemonopolar and bipolar cables

GN640 1,00 PCS

000140 Vario double footswitch, with 4 m cable, to be used with GN326; GN327; GN640;GN300

GN325 1,00 PCS

page 4 of 16

Position Item discription Item code Quantity

000150 Patient plate, conductive area 134 cm², package of 25 pieces, to be used with GN245;GN249; GK190; GK191

GK080 1,00 PCS

000160 Cable, 3.5 m, for single use patient plate; 8 mm connector, to be used with GK080;GK081; GK083; GK084; GK091; GK100; GK101; GK107

GN245 1,00 PCS

000170 Fluid 2 Laparoscopy pump, without power cable, to be used with PG052; PG072SU;PG073SU; PG071; PG076; PG078

PG070 1,00 PCS

page 5 of 16

Position Item discription Item code Quantity

000180 Inflow tubing set, silicone, with insert pin; luer-lock; reusable PG052 1,00 PCS

page 6 of 16

Position Item discription Item code Quantity

000190 Pole clamp, to be used with PG070; PV888 PG076 1,00 PCS

000200 Suction irrigation instrument, 5 mm diam., 330 mm, reusable, with two-way-stopcock,for single use hand control, to be used with PG0 52; PG072SU; PG073SU

PG027R 1,00 PCS

000210 HD Endoscope, 0°, 10 mm diam., 330 mm PE889A 1,00 PCS

000220 HD Endoscope, 0°, 5 mm diam., 310 mm PE590A 1,00 PCS

000230 Scope tray, 454 x 104 x 41 mm, tray for two scopes of sheath length up to 340 mm JF432R 1,00 PCS

000240 Antifog solution, sterile, package of 10 JG910 1,00 PCS

page 7 of 16

Position Item discription Item code Quantity

000250 Camera drape,ring design,sterile, package of 25 pieces,to be used with PV140;PV142; PV150; PV152; PV420; PV422; PV430; PV432; PV435

JG904 1,00 PCS

000260 Veress cannula, 2.1 mm diam., 120 mm, reusable, to be used with PG002; PG013;PG012; PG014; PG082

PG008 1,00 PCS

000270 TROCAR SLEEVE 5/110MM SMOOTH WITH TAP EK014R 1,00 PCS

000280 TROCAR SLEEVE 10/110MM SMOOTH WITH TAP EK024R 1,00 PCS

000290 TROCAR PIN TRIANGULAR 5/110MM EK052R 1,00 PCS

000300 TROCAR PIN TRIANGULAR 10/110MM EK062R 1,00 PCS

000310 SEALING UNIT FOR 5MM TROCARS EK080P 1,00 PCS

page 8 of 16

Position Item discription Item code Quantity

000320 SEALING UNIT F/10/12MM TROCARS W.REDUCER EK083P 1,00 PCS

000330 SEALING UNIT FOR 10/12MM TROCARS EK086P 1,00 PCS

000340 REDUCING SLEEVE 10MM TO 5MM EK090R 1,00 PCS

000350 ADTEC MONOPOLAR Hook Scissors, complete instrument, monopolar, straight,working length: 310 mm (12 1/4"), diam. 5 mm, blunt/blunt, rotatable, insulated, singleaction, consisting of PM973R, PO600R, PO958R, detachable, reusable

PO001R 1,00 PCS

000360 METZENBAUM ADTEC SINGLE USE Dissecting Scissors, shaft only, monopolar,curved to left, 310 mm (12 1/4"), diam. 5 mm, insulated, double action, sterile,reposable, package of 10 pieces

PO888 1,00 PCS

page 9 of 16

Position Item discription Item code Quantity

000370 METZENBAUM ADTEC MONOPOLAR TC Dissecting Scissors, complete instrument,monopolar, curved to left, working length: 310 mm (12 1/4") diam. 5 mm, serrated(fine), blunt/blunt, rotatable, insulated, double action, consisting of PM973R, PO603R,PO958R, detach

PO004R 1,00 PCS

000380 MARYLAND ADTEC MONOPOLAR Grasping Forceps, complete instrument, curved,310 mm, diam. 5 mm, serrated, double action, consisting of PM973R, PO608R,PO958R, reusable

PO102R 1,00 PCS

000390 ADTEC MONOPOLAR Grasping Forceps, complete instrument, straight, 310 mm,diam. 5 mm, serrated (coarse), fenestrated, double action, consisting of PM973R,PO647R, PO959R, reusable

PO128R 1,00 PCS

000400 ADTEC MONOPOLAR Grasping Forceps, complete instrument, 310 mm, diam. 5 mm,serrated, blunt, double action, consisting of PM973R, PO607R, PO958R, reusable

PO101R 1,00 PCS

000410 ADTEC MONOPOLAR Grasping Forceps, complete instrument, straight, 310 mm,diam. 5 mm, toothed (2x4), single action, consisting of PM973R, PO648R, PO959R,reusable

PO132R 1,00 PCS

000420 ADTEC MONOPOLAR Grasping Forceps, complete instrument, straight, 310 mm,diam. 10 mm, toothed (2x3), single action, consisting of PM974R, PO623R, PO959R,reusable

PO117R 1,00 PCS

page 10 of 16

Position Item discription Item code Quantity

000430 DORSEY ADTEC MONOPOLAR Intestinal Forceps, complete instrument, straight, 310mm, diam. 5 mm, serrated, fenestrated, double action, consisting of PM973R,PO618R, PO959R, reusable

PO112R 1,00 PCS

000440 ADTEC NEEDLE HOLDER TC Needleholder complete instrument, straight, 310 mm,diam. 5 mm, reusable

PL407R 1,00 PCS

000450 ADTEC NEEDLE HOLDER TC Needleholder complete instrument, curved to left, 310mm, diam. 5 mm, reusable

PL408R 1,00 PCS

000460 KUTHE Knot Pusher, 5 mm diam., 310 mm, knot guide instrument for extracorporalknots

PL432R 1,00 PCS

000470 Reducing sleeve for reusable trocar, straight, blue, 5.5 mm diam., 150 mm, for sutureand ligature instruments; for application of R oeder loops; inner diam. 4 mm, to be usedwith EJ700R; EJ710R; EJ701R; RT096R; RT093R

PL650R 1,00 PCS

000480 Myoma drill, straight, 5.0 mm diam., 310 mm PL430R 1,00 PCS

000490 Probe, straight, 400 mm, diam. 5 mm, reusable BN320R 1,00 PCS

000500 CHALLENGER TI-P Clip Applier Forceps, pneumatic, multi-fire, 370 mm, diam. 10 mm,consisting of PL520R, PL536R, reusable, reposable to be used with: PL575SU,PL579T

PL606R 1,00 PCS

000510 CHALLENGER TI-P ML-LIGAT.CLIPS 12 CARTR. PL579T 1,00 PCS

page 11 of 16

Position Item discription Item code Quantity

000520 Monopolar Handle, 5 mm diam., 330 mm, for monopolar laparoscopy electrodes,consisting parts GK373R; GK370P, to be used with GK383R; GK384R; GK385R;GK386R; GK393R; GK394R; GK395R

GK372R 1,00 PCS

000530 Monopolar hook electrode tip, ceramic insulation, J-shaped, 5 mm diam., to be usedwith GK372R, GK374R

GK383R 1,00 PCS

000540 Monopolar spatula electrode tip, 5 mm diam., to be used with GK372R, GK374R GK386R 1,00 PCS

000550 Monopolar connecting cable, 4 mm socket, 3.5 m, Aesculap, ACMI, Berchtold, Martin GN202 1,00 PCS

000560 METZENBAUM ADTEC BIPOLAR Dissecting Scissors, complete instrument, bipolar,curved to left, working length: 310 mm (12 1/4"), diam. 5 mm, blunt/blunt, rotatable,insulated, double action, consisting of PM430R, PM450R, PM973R, detachable,reusable

PM400R 1,00 PCS

000570 ADTEC BIPOLAR Grasping Forceps, complete instrument, straight, 310 mm, diam. 5mm, fenestrated, double action, consisting of PM433R, PM450R, PM973R, reusable

PM403R 1,00 PCS

000580 MARYLAND ADTEC BIPOLAR Grasping Forceps, complete instrument, curved, 310mm, diam. 5 mm, fenestrated, double action, consisting of PM438R, PM450R,PM973R, reusable

PM408R 1,00 PCS

page 12 of 16

Position Item discription Item code Quantity

000590 BIPOLAR CABLE 4M AAG/MARTIN AAG FLAT GN140 1,00 PCS

000600 Uterine Irrigation Cannula with two interchangeable cones, 250 mm (13") ER876 1,00 PCS

000610 SCHROEDER Uterine Dressing Forceps, straight, 250 mm (10"), standard EO110R 1,00 PCS

000620 Perforated basket, Standard 1/1, 540 x 253 x 76 mm, with feet JF223R 1,00 PCS

000630 Silicone mat (mesh), Standard 1/1, 536 x 250 mm, slip-free storage of instruments,good drying characteristics, gentle storage durin

JF941 1,00 PCS

000640 Bottom, without base perforation, Standard 1/1, outer length: 592 mm, outer width: 274mm, outer heigth: 187 mm, inner length: 544 mm, inner width: 258 mm, inner heigth:172 mm

JK444 1,00 PCS

page 13 of 16

Position Item discription Item code Quantity

000650 PRIMELINE Lid (Outer), Standard 1/1, blue, outer length: 558 mm, outer width: 285mm, outer heigth: 46 mm

JP002 1,00 PCS

000660 Endo storage rack, Standard 1/1, 540 x 253 x 166 mm, for MIS instruments andtrocars, consisting of: Storage rack, standard, perfora

PL960R 1,00 PCS

000670 Cleaning brush, 3.7 mm diam., 550 mm, for inner and outer tube Ø 5,0mm , package of6 pieces

GK469R 1,00 PCS

000680 Cleaning brush, 10 mm diam., 550 mm, for outer tube Ø 5 & 10mm, package of 6pieces

PM995R 1,00 PCS

000690 Oil, package of 6 pieces, volume: 300 ml JG600 1,00 PCS

page 14 of 16

Position Item discription Item code Quantity

000700 Oil, volume: 50 ml JG598 1,00 PCS

page 15 of 16

Position Item discription Item code Quantity

page 16 of 16