I.

DATA ADMINISTRASI *
JENIS PRODUK : INSTRUMENT
NAMA PRODUK : Martin Minor Surgery Instrument Set
MODEL/TIPE PRODUK : VARIOUS
NAMA SOLE AGENT : PT. Atra Widiya Agung
ALAMAT SOLE AGENT : Jl.Fatmawati No.IE Jakarta Selatan
PHONE/ FAX. / E-MAIL : 021- 7577707 / 021-7507331
NAMA PABRIK : GEBRUDER MARTIN GMBH & CO. KG, Germany
ALAMAT PABRIK : KLS Martin Platz 1, 78532 Tuttlingen Germany
* seluruh data izin edar sesuai izin registrasi
Data administrasi diisi sesuai dengan data yang tercantum dalam izin edar

II. DATA SPESIFIKASI *

NAME OF PRODUCT Martin Minor Surgery Instrument Set
BRAND / MANUFACTURER GEBRUDER MARTIN GmbH & Co. KG, Germany
MODEL / TYPE VARIOUS - MINOR SURGERY INSTRUMENT SET
COUNTRY OF ORIGIN Germany
FACTORY OF ORIGIN Germany
PRODUCT'S REGISTRATION (AKL/AKD) Attached
PRODUCT'S CERTIFICATION CE 0297, According to 93/42/EEC
FDA Clearance EN 60601-1-2
CE Mark (MDD) Nr. 210299 MR2
Certificate .... EN ISO 13485 : 2003 + AC : 2009
Certificate .... ISO 9001 : 2008
Certificate .... ANNEX NO. 210299 MR2
Certificate .... DIN/ ISO 9001 And DIN/EN 46001
WHERE MARKETED Worldwide
REFERENCE OF TECHNICAL

MINOR SURGERY INSTRUMENT SET

CONSISTING OF :
1 10-100-04-07 Scalpel Handle, No. 4, 13.5 Cm 1 Pc
2 10-130-03-07 Scalpel Handle, No. 3, 12 Cm 1 Pc
3 10-137-71-07 Scalpel Handle, No. 7K, Solid, Short 1 Pc
4 10-199-00-01 Kling-Ex, Scalpel Blade Remover 1 Pc
5 11-180-15-07 Scissors, Mayo-Stille, Str., 15 Cm 1 Pc
6 11-181-15-07 Scissors, Mayo-Stille, Cvd., 15 Cm 1 Pc
7 11-284-18-07 Dissecting Scissors, Sh/Sh, Str., 18 Cm 1 Pc
8 11-285-18-07 Dissecting Scissors, Cvd., 18 Cm 2 Pcs
9 11-631-11-07 Iris Scissors, Sh/Sh, Cvd., 11.5 Cm 1 Pc
10 11-691-11-07 Strabismus Sciss., Bl/Bl, Cvd., 11.5 Cm 1 Pc
11 12-100-14-07 Dressing Forceps, 14.5 Cm 3 Pcs
12 12-100-18-07 Dressing Forceps, 18 Cm 2 Pcs
13 12-180-17-07 Dressing Forceps, W. Scraper, 17.5 Cm 1 Pc
14 12-301-14-07 Tissue Forceps, 1X2 T., 14.5 Cm 3 Pcs
15 12-301-18-07 Tissue Forceps, 1X2 T., 18 Cm 2 Pcs
16 12-380-17-07 Diss. Forceps, Taylor, 1X2 T., 17 Cm 1 Pc
17 13-312-12-07 Forceps, Mosquito, 1X2 T., Str., 12.5 Cm 5 Pcs
18 13-313-12-07 Forceps, Mosquito, 1X2 T., Cvd., 12.5 Cm 5 Pcs
19 13-340-14-07 Haemost. Forceps, Crile, Str., 14.5 Cm 5 Pcs
20 13-341-14-07 Haemost. Forceps, Crile, Cvd., 14 Cm 5 Pcs
21 13-382-14-07 Fcps., Kocher-Nip. 1X2 T., Str., 14.5 Cm 2 Pcs
22 13-383-14-07 Fcps., Kocher-Nip. 1X2 T., Cvd., 14 Cm 2 Pcs
23 13-915-11-07 Towel Forceps, Backhaus, Sharp, 11 Cm 6 Pcs
24 14-222-22-07 Forceps, Gross-Maier, Str., 22.5 Cm 1 Pc
25 14-222-27-07 Forceps, Gross-Maier, Str., 26.5 Cm 2 Pcs
26 14-352-18-07 Forceps, Foerster, Serr., Str., 18 Cm 1 Pc
27 15-171-16-07 Hooklet, Cushing, 16 Mm, 20.5 Cm 2 Pcs
28 15-220-03-07 Retractor, Volkmann, Sh., 3-Pr., 22.5 Cm 2 Pcs
29 15-242-04-07 Retractor, Kocher, Semish., 4-Pr., 22 Cm 2 Pcs
30 15-291-04-07 Retractor, Langenbeck, 40X11 Mm, 22 Cm 2 Pcs
31 15-687-00-07 Retractor, Parker-Lang., Set, 21.5 Cm 2 Pcs
32 18-543-27-01 Suction Tube, Yankauer, Compl., 31 Cm 1 Pc
33 20-390-14-07 Needleholder, Mayo-Hegar, 14.5 Cm 1 Pc
34 20-390-16-07 Needleholder, Mayo-Hegar, 16 Cm 2 Pcs
35 20-390-18-07 Needleholder, Mayo-Hegar, 18.5 Cm 3 Pcs
36 20-646-20-07 Tc-Needleholder, De Bakey, 20.5 Cm 1 Pc
37 30-134-15-07 Tissue Forceps, Allis, 5X6 T., 15.5 Cm 2 Pcs
38 30-192-16-07 Tissue Forceps, Babcock, 16 Cm 1 Pc
39 55-335-02-01 Needle Case, Perforated, 150X95X13 Mm 1 Pc
40 56-231-11-01 Bowl, Metal, H = 50, Ø 116 Mm, 0.25 L 2 Pcs
41 55-804-49-01 Martray, Din, 477X251X44 Mm 1 Pc
42 55-442-13-04 Container Ms, 60X30X14 Cm, Handle Grey 1 Pc
NAME OF PRODUCT Martin Minor Surgery Instrument Set

III. INFORMASI LAINNYA

- Garansi : 1 Tahun
- Training :-
- Spare Part :-
- Franco : Jakarta
- Waktu pengiriman : pengiriman 3 - 4 bulan
- Dan Lain-Lain : -