JADUAL 3 CAJ RAWATAN - Sultanah Aminah Hospital · 1 RAWATAN PESAKIT DALAM INPATIENT TREATMENT 100...

Bil. Prosedur (BM) Procedure (BI)TAHUN 2016

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1 RAWATAN PESAKIT DALAM INPATIENT TREATMENT 100 sehari

2 RAWATAN PSIKIATRIK PSYCHIATRIC TREATMENT1,500 setiap kali dimasukkan ke

hospital.

BERSALIN DELIVERY CHARGES3 Caesarean Caesarean 3,021

Bersalin dengan bantuan : Delivery with help:4 Forsep/ breech/vakum Forcep/Breech/Vacuum 2,5935 Bersalin Kembar Twin 2,5936 Bersalin Biasa Spontaneous Vertex Delivery 2,593

CAJ RAWATAN ATAU PROSEDUR OTHER TREATMENT7 Kardiotokograf Cardiotocograph 1208 Toilet & Suture per stich Toilet & suture per stich 509 Fine needle aspiration Fine needle aspiration 27510 Incision & drainage Incision & drainage 27511 Catheterisation Catheterisation 85

RADIOTERAPI RADIOTHERAPY TREATMENT

SIMULASI DAN PERANCANGAN BERKOMPUTER SIMULATION AND COMPUTERIZED PLANNING

12 Penandaan Setempat/Mark on set Mark on set 50

13 Simulasi Konvensional/Conventional Simulation Conventional Simulation 1,000

14Simulasi CT/CT Simulation - Biasa (tanpa contrast)/Normal (without contrast)

CT Simulation - Normal (without contrast) 1,500

15Simulasi CT/CT Simulation - Kompleks (dengan contrast)/Complex (with contrast)

CT Simulation - Complex (with contrast) 3,000

16Simulasi CT/CT Simulation - IMRT/Rapid Arc. , TBI, TNI, TBE

CT Simulation - IMRT/Rapid Arc. , TBI, TNI, TBE 5,000

17Simulasi CT/CT Simulation - Stereotactic Radiosurgery (SRT)

CT Simulation - Stereotactic Radiosurgery (SRT) 20,000

RAWATAN RADIOTERAPI RADIOTHERAPY TREATMENT18 2D/Single field/parallel opposed per fraction 2D/Single field/parallel opposed per fraction 35019 3D/any plans with 3 or more fields per fraction 3D/any plans with 3 or more fields per fraction 45020 IMRT/Rapid Arc per fraction IMRT/Rapid Arc per fraction 50021 TBI per fraction TBI per fraction 50022 TNI per fraction TNI per fraction 70023 SRT per fraction SRT per fraction 50024 SRS (Rawatan pakej- sekali caj sahaja) SRS (package treatment - onetime charge) 30,000

AKSESORI PAKAI BUANG (CONSUMABLES) CONSUMABLES

25 Topeng Cegah Gerak (Beam Direction Shell) Beam Direction Shell 25026 Vac-Lock Vac-Lock 25027 Cerroband Cerroband 50028 Wax Wax 300

RAWATAN BRAKITERAPI BRACHYTHERAPY TREATMENT

29Intra-cavitari : Dhobbies/single line source per session

Intra-cavitari : dhobbies/single line source per session 5,000

30 Intra-cavitari : Paired Ovoids per session Intra-cavitari : paired ovoids per session 5,00031 Intra-cavitari : Full Intra- cavitary per session Intra-cavitari : full intra- cavitary per session 5,000

32Intra-cavitari : For Nasopharyngeal Cancer (NPC) per session

Intra-cavitari : for nasopharyngeal cancer (NPC) per session 7,000

33Intra-luminal : Esophagus, bronchus, ano-rectal per session

Intra-luminal : Esophagus, bronchus, ano-rectal per session 300

34Interstitial brachytherapy implants : Breast brachytherapy implants per implant

Interstitial brachytherapy implants : Breast brachytherapy implants per implant 6,500

35Interstitial brachytherapy implants : Extremities implants per implant

Interstitial brachytherapy implants : Extremities implants per implant 6,000

36Interstitial brachytherapy implants : Oral cavity/anorectal/prostate implants per implant

Interstitial brachytherapy implants : Oral cavity/anorectal/prostate implants per implant 7,500

37 Prostate brachytherapy procedure Prostate brachytherapy procedure 10,000

38 Iodine-131 therapy (not Iodine scan) per session Iodine-131 therapy (not Iodine scan) per session 800

KEMOTERAPI CHEMOTHERAPYSingle Agent Single AgentJenis A Type A

39 Low dose cisplatin Low dose cisplatin 6540 Methotrexate Methotrexate 6541 Doxorubicin Doxorubicin 65

JADUAL 3CAJ RAWATAN


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CAJ RAWATAN

42 Vinorelbine Vinorelbine 65Jenis B Type B

43 Carboplatin Carboplatin 26044 Paclitaxel Paclitaxel 26045 Fluorouracil Fluorouracil 26046 Oxaliplatin Oxaliplatin 26047 High dose cisplatin High dose cisplatin 260

Jenis C Type C48 Gemcitabine Gemcitabine 1,10049 Bleomycin Bleomycin 1,10050 Docetaxel Docetaxel 1,10051 Ifosphamide Ifosphamide 1,10052 Mitoxantrone Mitoxantrone 1,10053 Mitomycin Mitomycin 1,10054 Irinotecan Irinotecan 1,100

Jenis D Type D55 Pemetrexed Pemetrexed 5,50056 Pegylated Liposomal Doxorubicin Pegylated Liposomal Doxorubicin 5,500

Double Agents Double Agents57 Doxorubicin + Cyclophosphamide Doxorubicin + Cyclophosphamide 7058 Doxorubicin + Ifosphamide Doxorubicin + Ifosphamide 66159 Doxorubicin + Cisplatin Doxorubicin + Cisplatin 8960 Doxorubicin + Docetaxel Doxorubicin + Docetaxel 97161 Doxorubicin + Paclitaxel Doxorubicin + Paclitaxel 22762 Doxorubicin + Gemcitabine Doxorubicin + Gemcitabine 32563 Carboplatin + Fluorouracil Carboplatin + Fluorouracil 14864 Carboplatin + Paclitaxel Carboplatin + Paclitaxel 39865 Carboplatin + Etoposide Carboplatin + Etoposide 10566 Carboplatin + Gemcitabine Carboplatin + Gemcitabine 56467 Carboplatin + Docetaxel Carboplatin + Docetaxel 1,03368 Carboplatin + Vinorelbine Carboplatin + Vinorelbine 29269 Cisplatin + Paclitaxel Cisplatin + Paclitaxel 23170 Cisplatin + Etoposide Cisplatin + Etoposide 13371 Cisplatin + Fluorouracil Cisplatin + Fluorouracil 12672 Cisplatin + Pemetrexed Cisplatin + Pemetrexed 6,16073 Cisplatin + Gemcitabine Cisplatin + Gemcitabine 59274 Cisplatin + Vinorelbine Cisplatin + Vinorelbine 6975 Cisplatin + Ifosphamide Cisplatin + Ifosphamide 1,01876 Cisplatin + Methotrexate Cisplatin + Methotrexate 4477 Cisplatin + Cyclophosphamide Cisplatin + Cyclophosphamide 6878 Cyclophosphamide + Vincristine Cyclophosphamide + Vincristine 3379 Cyclophosphamide + Epirubicin Cyclophosphamide + Epirubicin 33480 Etoposide + Fluorouracil Etoposide + Fluorouracil 14781 Gemcitabine + Vinorelbine Gemcitabine + Vinorelbine 31882 Gemcitabine + Paclitaxel Gemcitabine + Paclitaxel 74283 Gemcitabine + Oxaliplatin Gemcitabine + Oxaliplatin 43384 Ifosphamide + Vinorelbine Ifosphamide + Vinorelbine 77485 Ifosphamide + Epirubicin Ifosphamide + Epirubicin 1,38986 Irinotecan + Fluorouracil Irinotecan + Fluorouracil 52887 Mitomycin + Fluorouracil Mitomycin + Fluorouracil 67488 Oxaliplatin (130 mg/m2) + Capecitabine Oxaliplatin (130 mg/m2) + Capecitabine 1,29389 Oxaliplatin + Fluorouracil Oxaliplatin + Fluorouracil 31790 Paclitaxel + Fluorouracil Paclitaxel + Fluorouracil 30491 Capecitabine + Irinotecan (240 mg/m2) Capecitabine + Irinotecan (240 mg/m2) 1,560

Triple Agent Triple Agent92 Doxorubicin + Cyclophosphamide + Etoposide Doxorubicin + Cyclophosphamide + Etoposide 22093 Doxorubicin + Cisplatin + Ifosphamide Doxorubicin + Cisplatin + Ifosphamide 48894 Doxorubicin + Dacarbazine + Ifosphamide Doxorubicin + Dacarbazine + Ifosphamide 1,64595 Bleomycin + Etoposide + Cisplatin Bleomycin + Etoposide + Cisplatin 1,23696 Doxorubicin + Cyclophosphamide + Cisplatin Doxorubicin + Cyclophosphamide + Cisplatin 92

97 Cyclophosphamide + Methotrexate + Fluorouracil Cyclophosphamide + Methotrexate + Fluorouracil 62

98 Epirubicin + Cisplatin + Fluorouracil Epirubicin + Cisplatin + Fluorouracil 310

99 Fluorouracil + Doxorubicin + Cyclophosphamide Fluorouracil + Doxorubicin + Cyclophosphamide 68

100 Fluorouracil + Epirubicin + Cyclophosphamide Fluorouracil + Epirubicin + Cyclophosphamide 278101 Ifosphamide + Carboplatin + Etoposide Ifosphamide + Carboplatin + Etoposide 1,125102 Ifosphamide + Dactinomycin + Vincristine Ifosphamide + Dactinomycin + Vincristine 1,120103 Gemcitabine + Paclitaxel + Carboplatin Gemcitabine + Paclitaxel + Carboplatin 924104 Procarbazine + Lomustine + Vincristine Procarbazine + Lomustine + Vincristine 2,472


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CAJ RAWATAN

105 Ifosphamide + Cisplatin + Etoposide Ifosphamide + Cisplatin + Etoposide 1,019106 Docetaxel + Doxorubicin + Cyclophosphamide Docetaxel + Doxorubicin + Cyclophosphamide 888107 Paclitaxel + Ifosphamide + Cisplatin Paclitaxel + Ifosphamide + Cisplatin 1,015108 Docetaxel + Cisplatin + Fluorouracil Docetaxel + Cisplatin + Fluorouracil 1,070109 Paclitaxel + Carboplatin + Etoposide Paclitaxel + Carboplatin + Etoposide 912110 Paclitaxel + Carboplatin + Fluorouracil Paclitaxel + Carboplatin + Fluorouracil 981111 Mitomycin + Ifosphamide + Cisplatin Mitomycin + Ifosphamide + Cisplatin 766

112 Vincristine + Doxorubicin + Cyclophosphamide Vincristine + Doxorubicin + Cyclophosphamide 90

113 Vincristine + Dactinomycin + Cyclophosphamide Vincristine + Dactinomycin + Cyclophosphamide 515

114 Vincristine + Epirubicin + Cyclophosphamide Vincristine + Epirubicin + Cyclophosphamide 258115 Vincristine + Etoposide + Carboplatin Vincristine + Etoposide + Carboplatin 581116 Etoposide + Cisplatin + Ifosphamide Etoposide + Cisplatin + Ifosphamide 745117 Vinblastine + Ifosphamide + Cisplatin Vinblastine + Ifosphamide + Cisplatin 695118 Vinorelbine + Ifosphamide + Cisplatin Vinorelbine + Ifosphamide + Cisplatin 1,148

Complex Regime Complex Regime

119Etoposide + Dactinomycin + Methotrexate + Vincristine + Cyclophosphamide

Etoposide + Dactinomycin + Methotrexate + Vincristine + Cyclophosphamide 338

120Etoposide + Cisplatin + Dactinomycin + Methotrexate

Etoposide + Cisplatin + Dactinomycin + Methotrexate 217

121Etoposide + Vincristine + Doxorubicin + Ifosphamide + Dactinomycin

Etoposide + Vincristine + Doxorubicin + Ifosphamide + Dactinomycin 1,110

122Ifosphamide + Vincristine + Dactinomycin + Doxorubicin

Ifosphamide + Vincristine + Dactinomycin + Doxorubicin 975

123Vincristine + Doxorubicin + Cyclophosphamide + Dactinomycin

Vincristine + Doxorubicin + Cyclophosphamide + Dactinomycin 392

124Vincristine + Doxorubicin + Ifosphamide + Dactinomycin

Vincristine + Doxorubicin + Ifosphamide + Dactinomycin 1,157

125 Vincristine + Ifosphamide + Carboplatin + Etoposide Vincristine + Ifosphamide + Carboplatin + Etoposide 944

126 Vincristine + Ifosphamide + Doxorubicin + Etoposide Vincristine + Ifosphamide + Doxorubicin + Etoposide 1,141

127Methotrexate + Dactinomycin + Chlorambucil + Cyclophosphamide

Methotrexate + Dactinomycin + Chlorambucil + Cyclophosphamide 354

128 Methotrexate + Vinblastine + Doxorubicin + Cisplatin Methotrexate + Vinblastine + Doxorubicin + Cisplatin 232

Oral Agents Oral Agents129 Capecitabine 1250mg/m2 Capecitabine 1250mg/m2 658130 Capecitabine 1000mg/m2 Capecitabine 1000mg/m2 534131 Capecitabine 850mg/m2 Capecitabine 850mg/m2 441132 Chlorambucil Chlorambucil 95133 Cyclophosphamide Cyclophosphamide 3134 Etoposide Etoposide 405135 Procarbazine Procarbazine 516136 Tegafur Tegafur 255137 Temozolomide Temozolomide 5,405

TARGETED THERAPY TARGETED THERAPY138 Erlotinib 100mg Erlotinib 100mg 4,705139 Erlotinib 150mg Erlotinib 150mg 5,800140 Imatinib 100mg Imatinib 100mg 4,492141 Gefitinib Gefitinib 5,043142 Imatinib 400mg Imatinib 400mg 9,210143 Pazopanib 200mg Pazopanib 200mg 1,848144 Pazopanib 400mg Pazopanib 400mg 2,790145 Trastuzumab (loading dose) Trastuzumab (loading dose) 6,977146 Trastuzumab (maintainence dose) Trastuzumab (maintainence dose) 5,074147 Cetuximab (2 weekly regime) Cetuximab (2 weekly regime) 6,112

HORMONE THERAPY HORMONE THERAPY148 Anastrazole Anastrazole 74149 Bicalutamide Bicalutamide 74150 Exemestane Exemestane 796151 Flutamide Flutamide 91152 Letrozole Letrozole 126153 Leuprolide Acetate 3.75mg Leuprolide Acetate 3.75mg 316154 Leuprolide Acetate 11.25mg Leuprolide Acetate 11.25mg 971155 Medroxyprogesterone acetate (IM) Medroxyprogesterone acetate (IM) 26156 Megestrole Acetate Megestrole Acetate 800157 Tamoxifen Tamoxifen 16158 Goserelin 10.8 Depot (setiap 3 bulan) Goserelin 10.8 Depot (setiap 3 bulan) 992


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CAJ RAWATAN

159 Goserelin 3.6 Depot Goserelin 3.6 Depot 265IMMUNO THERAPY IMMUNO THERAPY

160 Interfelon Alfa Interfelon Alfa 1,136PERUBATAN NUKLEAR NUCLEAR MEDICINE

161 Teknetium-99M Pirauan Kardiak Teknetium-99M Cardiac Shunt 140162 Teknetium-99M Kajian Pirofosfat Teknetium-99M Phyrophosphate Study 240163 Teknetium-99MIBI kajian Latihan dan Rehat Teknetium-99MIBI Exercise & Rest Study 1,700164 Talium-201 Kajian Latihan dan Rehat Talium-201 Exercise & Rest Study 1,800165 Imbasan Limpahan Hati Berlawang Gated Heart Pool Scan 1,360166 Pengimejan Tertangguh 24 jam 24 Hours Delay Imaging 400

NEFROLOGY NEPHROLOGY

167 Intermitent peritoneal dialysis bagi setiap rawatan Intermitent peritoneal dialysis per treatment 300

168 Rawatan CAPD sebulan CAPD treatment (monthly) 2,100169 Renal biopsy (tidak termasuk laporan) Renal biopsy (excluding report) 500170 Femoral/Subclavian Catherisation Femoral/subclavian catherisation 1,000171 Haemoperfusion Haemoperfusion 1,000172 Implantation of tenchoff catheter Implantation of tenchoff catheter 200173 Pretransplant dialysis treatment Pretransplant dialysis treatment 2,000

174 Lawatan di rumah bagi setiap haemodilaisis Home visit per Haemodialysis 200 setiap lawatan.

175 Cycle-PD / Automated PD Cycle-PD / Automated PD 800176 Intermitent Peritoneal Dialysis Stab Intermitent peritoneal dialysis stab 800177 Intermitent Peritoneal Dialysistenckhoff Intermitent peritoneal dialysis tenckhoff 800178 Continuous Arteriovenous Haemofiltration Continuous arteriovenous haemofiltration 800179 Continuous Venovenous Haemodiafiltration Continuous venovenous haemodiafiltration 2,000180 Continuous Venovenous Haemodialysis Continuous venovenous haemodialysis 2,000181 Continuous Venovenous Haemofiltration Continuous venovenous haemofiltration 890182 Nightly Intermitent Peritoneal Dialysis Nightly intermitent peritoneal dialysis 2,100183 Plasma Exchange Plasma exchange 1,900184 Plasmapharesis Plasmapharesis 1,900185 Haemofiltration Haemofiltration 300186 Haemodialysis Single Use Kidney Haemodialysis single use kidney 200187 Haemodialysis Single Use Kidney High-Flux Haemodialysis single use kidney high-flux 200188 Haemodialysis Single Use Kidney Low-Flux Haemodialysis single use kidney low-flux 200189 Haemo Single Use Kidney Middle- Flux Haemodialysis single use kidney middle- flux 200

190 Catheter Insertion Surgical Tenckhoff Peritoneal Sco Catheter insertion surgical tenckhoff peritoneal sco 2,500

191 Catheter Removal Medical Tenckhoff (Non OT) Catheter removal medical tenckhoff (Non OT) 500

192 Catheter Removal Surgical Tenckhoff ( No OT) Catheter removal surgical tenckhoff ( Non OT) 500193 Kt/v (CAPD) Kt/v (CAPD) 150194 Catheter Insertion Central Venous Catheter insertion central venous 1,000195 Catheter Insertion CV Under US Guidance Catheter insertion CV under US guidance 1,000

196Catheter Insertion Femoral Double Lumen (non cuffed)

Catheter insertion femoral double lumen (non cuffed) 800

197 Catheter Insertion Femoral Single Lumen Catheter insertion femoral single lumen 1,000198 Catheter Insertion Permenant Catheter insertion permanent 2,500199 Haemodiafiltration Online Haemodiafiltration online 300200 Haemodialysis Reuse Kidney Haemodialysis reuse kidney 180201 Haemodialysis Reuse Kidney High-Flux Haemodialysis reuse kidney high-flux 180202 Haemodialysis Reuse Kidney Low-Flux Haemodialysis reuse kidney low-flux 180203 Haemodialysis Reuse Kidney Middle-Flux Haemodialysis reuse kidney middle-flux 180204 Renal Biopsy- Biopty Gun Renal biopsy- biopty gun 500205 Renal Biopsy-Cooks Renal biopsy-cooks 500206 Renal Biopsy-Tru Cut Renal biopsy-tru cut 500207 Slow Continuous Ultrafiltration Slow continuous ultrafiltration 1,000 per hari.208 Ultrafiltration Ultrafiltration 200209 Catheter Removal Central Venous Catheter removal central venous 200210 Catheter Removal Femoral Double Lumen Catheter removal femoral double lumen 200211 Catheter Removal Central Venous Under US Catheter removal central venous under US 200212 Catheter Removal Femoral Single Lumen Catheter removal femoral single lumen 200213 Renal Allograft Ultrasound Renal allograft ultrasound 100214 Renal Allograft Ultrasound Doppler Renal allograft ultrasound doppler 150

FISIOTERAPI PHYSIOTHERAPYELECTROTHERAPY MODALITIES ELECTROTHERAPY MODALITIES

215 Biofeedback/ myofeedback Biofeedback/ myofeedback 80216 Direct current/ Iontophorosis Direct current/ iontophorosis 80217 Didynamic Current Didynamic current 80218 Interrupted Direct Current (IDC) Interrupted Direct Current (IDC) 80


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CAJ RAWATAN

219 Interferential Therapy (IT) Interferential Therapy (IT) 80220 Shortwave Diathermy (SWD) Shortwave Diathermy (SWD) 80

221 Transcutaneous Electrical Nerve Stimulation (TENS) Transcutaneous Electrical Nerve Stimulation (TENS) 80

222 Ultrasound Therapy (US) Ultrasound Therapy (US) 80223 Realtime Ultrasound Realtime ultrasound 80224 Functional Electrical Stimulation Functional electrical stimulation 80225 Shockwave Therapy Shockwave therapy 80

THERMAL THERAPY/ CRYOTHERAPY THERMAL THERAPY/ CRYOTHERAPY226 Hot Pack Hot pack 40227 Wax Bath Wax bath 40228 Infrared Radiation Infrared radiation 40229 Cryotherapy Cryotherapy 40

PHOTOTHERAPY PHOTOTHERAPY230 Laser Therapy Laser therapy 80231 Ultraviolet Light Therapy Ultraviolet light therapy 80

CARDIORESPIRATORY THERAPY CARDIORESPIRATORY THERAPY232 Active Cycle Breathing Technique (ACBT Active Cycle Breathing Technique (ACBT) 60233 Breathing exercise Breathing exercise 60234 Bronchial Suction Bronchial suction 60235 Flutter/incentive Spirometer Flutter/incentive spirometer 60236 Inspiratory Muscle Training Inspiratory Muscle Training 60237 Inhalation Therapy Inhalation Therapy 60238 Percussion/Vibration Percussion/Vibration 60239 Positive Expiratory Pressure Positive expiratory pressure 60240 Postural Drainage Postural drainage 60

MECHANO THERAPY MECHANO THERAPY241 Cervical Traction Cervical traction 80242 Lumbar Traction Lumbar traction 80243 Sequential Pump Sequential pump 80

HYDROTHERAPY HYDROTHERAPY 120244 Pool Exercise Pool exercise 120245 Whirlpool Whirlpool 120

MANUAL THERAPY MANUAL THERAPY246 Soft Tissue Manipulation Soft tissue manipulation 120247 Myofascial Release Myofascial release 120248 Manual Lymphatic Drainage Manual lymphatic drainage 120249 Accupressure Accupressure 120250 TAPING/BANDAGING/STRAPPING TAPING/BANDAGING/STRAPPING 120251 COMPRESSION THERAPY (LYMPHOEDEMA) COMPRESSION THERAPY (LYMPHOEDEMA) 80

SPECIAL TECHNIQUES SPECIAL TECHNIQUES252 Canalith Repositioning Technique Canalith repositioning technique 80253 Gaze Stabilisation Exercise Gaze stabilisation exercise 80254 Icing/brushing Icing/Brushing 80255 Joint mobilisation Joint mobilisation 80256 McKenzie technique McKenzie technique 80257 Motor relearning programme (MRP) Motor Relearning Programme (MRP) 80258 Accupuncture Accupuncture 80259 Neurodevelopmental technique Neurodevelopmental technique 80

260 Proprioceptive Neuromuscular Facilitation (PNF) Proprioceptive Neuromuscular Facilitation (PNF) 80

EXERCISE THERAPY EXERCISE THERAPY261 Active, passive, resisted Active, passive, resisted 80262 Ambulation/Gait training Ambulation/Gait training 80263 Ante/Postnatal Exercise Ante/Postnatal Exercise 80264 Balance Training Balance training 80265 Bladder/bowel training Bladder/bowel training 80266 Circuit Training/Gymnic ball exercise Circuit training/Gymnic ball exercise 80267 Counter bracing Technique Counter bracing technique 80268 Functional Activities Functional activities 80269 Group Exercise Group exercise 80270 Isokinetic Exercise Isokinetic exercise 80271 Mechanical Exercise Mechanical exercise 80272 Pelvic Floor Exercise Pelvic floor exercise 80273 Pelvic Floor Exercise -with PFX educator Pelvic floor exercise -with PFX educator 80274 Relaxation Techniques Relaxation techniques 80275 Sensory re-education Sensory re-education 80276 Special Hand Regime Special hand regime 80277 Treadmill Treadmill 80


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CAJ RAWATAN

278CONSULTATION/STRUCTURED PATIENT EDUCATION/CAREER TRAINING

CONSULTATION/STRUCTURED PATIENT EDUCATION/ CAREER TRAINING 40

SPECIAL TEST – DIAGNOSTIC TOOL SPECIAL TEST – DIAGNOSTIC TOOL279 Berg’s Balance Test Berg’s Balance Test 120

280Clinical Test for Sensory Interaction & Balance (CTSIB)

Clinical Test for Sensory Interaction & Balance (CTSIB) 120

281 Computerized Dynamic Posturography Computerized dynamic posturography 120282 Computerized Hand Evaluation Computerized hand evaluation 120283 Dix-hall Pike Test Dix-Hall Pike Test 120284 Dynamic Gait Index Dynamic Gait Index 120285 Oculomotor Assessment Oculomotor assessment 120

286 Pelvic Floor Per Vagina/Per Rectal Assessment Pelvic Floor Per Vagina/Per Rectal Assessment 120

287 Perionometer Perionometer 120288 Sensory Testing Sensory testing 120289 Strength Duration Curve Strength duration curve 120290 Voluntary Muscle Testing Voluntary muscle testing 120291 Vestibular Test Vestibular test 120

CAJ RAWATAN PERGIGIAN DENTAL292 Cabutan Sebatang gigi kekal Extraction permanent tooth 50293 Cabutan Gigi supernumerari /tunggul akar Extraction supernumerary/retained root 50294 Cabutan Sebatang gigi desidus Extraction deciduous tooth 25

295 Cabutan -Komplikasi - Rawatan soket terinfeksi Extraction - complication - treatment of infected socket 50

296 Cabutan - Komplikasi -Pemberhentian pendarahan Extraction - complication - control of haemorrage 50

297 Cabutan - Komplikasi Extraction - complication 50298 Tampalan Gigi kekal – satu permukaan Restoration permanent tooth - single surface 75

299Tampalan gigi kekal – permukaan berganda/dengan pin retensi

Restoration permanent tooth - multiple surface/with pin retention 100

300 Tampalan - gigi desidus Restoration - deciduous tooth 30301 Tampalan sementara Temporary restoration 30302 Penskaleran dan penggilapan Scaling and polishing per arch 214

303Dentur penuh (akrilik) - setiap rahang - termasuk bahan

Full denture (acrylic) - per jaw including materials 900

304 Dentur separa (akrilik) - setiap rahang gigi pertama Partial denture (acrylic) - per jaw - first tooth 500

305 Dentur separa (akrilik) -maksimum Partial denture (acrylic) - maximum 800306 Dentur separa – setiap gigi tambahan Partial denture – per additional tooth 20

307Pembaikan plat dentur (tidak termasuk penggantian setiap gigi)

Repair of denture plate (not including replacement of tooth) 70

308 Pembaikan dentur (setiap gigi tambahan) Repair of denture (per additional tooth) 20309 Relining/Rebasing – setiap denture Relining/Rebasing – per denture 120310 Pelindung mulut Mouth guard 50311 Soft Splint Soft splint 50312 Hard Splint Hard splint 200313 Splint lain : eg Oyster Splint lain : eg. oyster 50314 Obturator - acrylic Obturator - acrylic 100315 Obturator - molloplast Obturator - molloplast 200316 Feeding plate Feeding plate 50317 Aplians Lain Other dental appliances 100318 Prostesis muka Facial prosthesis 200

319 Jahitan semula kecederaan tisu lembut orofasial Resuture of soft tissue injury orofacial 120

320 Buka jahitan kecederaan tisu lembut orofasial Open suture soft tissue injury orofacial 60

321 Rawatan semula kecederaan tisu lembut orofasial Revision of soft tissue injury - orofacial 120

322 Insisi dan saliran – abses orofasial Incision and drainage - orofacial abscess 120

323Inlai/Onlai - setiap gigi (tidak termasuk caj bahan dan makmal)

Inlay/onlay- per tooth (excluding material and laboratory charges) 120

324Korona/venir - setiap unit (termasuk korona sementara tetapi tidak termasuk caj bahan dan makmal)

Crown/veneer - per unit (inclusive of temporary crown but excluding material and laboratory charges)

200

325Jambatan setiap abutmen/pontik (termasuk jambatan sementara tetapi tidak termasuk caj bahan dan makmal)

Bridge per abutment/pontic (inclusive of temporary bridge but excluding material and laboratory charges)

200

326 Korona keluli nirkarat - setiap unit Stainless steel crown - per unit 50327 Korona Strip - setiap unit Strip crown - per unit 30328 Pembaikan korona/jambatan Repair of crown/bridge 50329 Tiang dan teras - sebatang gigi Post and core per tooth 150


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CAJ RAWATAN

330 Restorasi provisional - setiap gigi Provisional restoration - per tooth 30331 Rawatan kanal akar – Anterior Root canal treatment - anterior 150332 Rawatan kanal akar – Premolar Root canal treatment - premolar 200333 Rawatan kanal akar – Molar Root canal treatment - molar 300334 Rawatan kanal akar semula – Anterior Root canal retreatment - anterior 250335 Rawatan kanal akar semula – Premolar Root canal retreatment - premolar 300336 Rawatan kanal akar semula – Molar Root canal retreatment - molar 400337 Apeksifikasi - setiap gigi Apexification - per tooth 200338 Pemberhentian resopsi gigi – setiap gigi Arrest of tooth resorption - per tooth 150339 Coronal Pulpotomi - Setiap gigi kekal Coronal Pulpotomy - per permanent tooth 150340 Cvek Pulpotomi - setiap gigi kekal Cvek Pulpotomi - per permanent tooth 150341 Pulpotomi - Setiap gigi Decidous Pulpotomy - per deciduous tooth 150342 Pulpektomi -setiap gigi Pulpectomy - per tooth 200

343Pelapikan pulpa (termasuk tampalan sementara) - Langsung/tidak Langsung

Pulp capping (includes temporary restoration) – Direct/Indirect 30

344 Rawatan pembuangan pulpa (extirpasi pulpa) Treatment of pulp removal (extirpasi pulp) 50345 Pengeluaran alat yang terpisah/patah Retrieval of separated/broken instrument 200346 Pemutihan gigi (luaran) – setiap rahang Tooth bleaching (external) - per arch 500347 Pemutihan gigi (dalaman) – setiap gigi Tooth bleaching (internal) - per tooth 50348 Mikroabrasi – setiap gigi Microabrasion- per tooth 50349 Fluorida topikal - setiap rahang Topical fluoride - per arch 50350 Pengapan fisur - setiap gigi Fissure sealant - per tooth 40351 Desensitisasi - setiap gigi Desensitisation- per tooth 30352 Aplians tetap – pakej rawatan dua rahang Fixed appliance – treatment package - both arches 5,500353 Aplians tetap – pakej rawatan satu rahang Fixed appliance – treatment package - single arch 2,700354 Aplians fungsi tetap – setiap rahang Functional fixed appliance - per arch 2,000

355 Pembukaan komponen aplians tetap - setiap rahang Debonding of fixed appliance - per arch 300

356 Aplians penyambung rahang tetap Fixed expansion appliance -per arch 370

357 Aplians penyambung – setiap rahang – pengganti Fixed expansion appliance - replacement –per arch 370

358Aplians penyambung tetap – setiap rahang – pembaikan

Fixed expansion appliance - repair - per arch 100

359Aplians penyambung tetap – simen semula - setiap rahang

Fixed expansion appliance - recementation 100

360 Retainer tetap - setiap rahang Fixed retainers - per arch 300361 Retainer tetap - setiap rahang - Pengganti Fixed retainers -replacement -per arch 200362 Retainer tetap - setiap gigi - pembaikan Fixed retainers – repair - per tooth 100363 Retainer tetap - setiap rahang - penanggalan Fixed retainer - removal - per arch 200364 Aplian fungsi boleh tanggal - setiap rahang Functional removable appliance - per arch 2,000365 Aplian fungsi boleh tanggal - Pengganti Functional removable appliance - replacement 2,000366 Aplian fungsi boleh tanggal - Pembaikan Functional removable appliance - repair 250

367 Aplian boleh tanggal – pakej rawatan setiap rahang Removable appliance -treatment package -per arch 1,500

368Aplian boleh tanggal aktif - setiap rahang – Pengganti

Active removable appliance - replacement - per arch 400

369Aplian boleh tanggal pasif - setiap rahang – Pengganti

Passive removable appliance -replacement - per arch 400

370 Penyenggara ruang boleh tanggal - setiap rahang Removable space maintainer per arch 400

371 Aplian aktif boleh tanggal - satu rahang – Pembaikan Active removable - repair - per arch 250

372 Retainer boleh tanggal – setiap rahang - pembaikan Removable retainers – repair - per arch 250

373Penyenggara ruang boleh tanggal - setiap rahang – pembaikan

Passive removable appliance (space maintainers) – repair - per arch 250

374 Essix retainer Essix retainer 300375 Aksesori rahang palatal/lingual Palatal/Lingual Accessory Arch 250376 Aksesori - rahang palatal/lingual - Pengganti Palatal/Lingual Accessory Arch – replacement 250

377Peralatan traction on plant rahang setiap alat – setiap rahang

Placement of traction device (on plant) – per device 400

378 Traction chain untuk gigi terimpak Placement of traction chain – impacted tooth 800

379Traction chain untuk pergerakan gigi minor – setiap gigi

Placement of traction chain for minor tooth movement per tooth 200

380Impresi bagi model kerja - setiap rahang (atas/bawah)

Impression for working model per arch (upper/lower) 200

381 Gegelang ortodontik – pengganti Orthodontic bands - replacement 100382 Braket ortodontik - satu gigi - pengantian Orthodontic brackets - replacement per tooth 100

383Dawai ortodontik - setiap rahang – pengantian (atas/bawah)

Orthodontic wire - replacement per arch upper/lower 200


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CAJ RAWATAN

384Komponen boleh tanggal - setiap rahang – Pembaikan

Repair of metal/acrylic component of removable appliance per arch 100

385 Rawatan Facemask Facemask treatment 400386 Rawatan Chin cup Chin cup treatment 400387 Rawatan palatal expander Palatal expander treatment 400388 Rawatan headgear Headgear treatment 400

389Periodontik - Pembedahan flap dengan pembedahan tulang

Flap surgery with osseous surgery 674

390 Pembedahan flap dengan regenerasi tulang Flap surgery with bone regeneration 800391 Pembedahan mukogingiva Mucogingival surgery 500392 Pemanjangan korona – dengan ostektomi Crown lengthening with ostectomy 617393 Pemanjangan korona – tanpa ostektomi Crown lengthening without ostectomy 550394 Hemiseksi gigi Tooth hemisection 1,312395 Regenerasi tulang dipandu Guided bone regeneration 1,036396 Regenerasi tisu dipandu Guided tissue regeneration 1,648397 Pembedahan flap Flap surgery 674398 Gingivektomi Gingivectomy 400399 Gingivoplasti Gingivoplasty 400400 Pembedahan baji Wedge surgery 400401 Furkasionplasti – Penembusan Furcationplasty - tunnelling 1,419402 Furkasionplasti – Grufplasti Furcationplasty - grooveplasty 1,419403 Reseksi akar Root resection 1,312

404Pengetaman akar setiap kuadran (Debridmen Subgingiva)

Root debridement per quadran (debridement subgingiva) 421

405Pengetaman akar keseluruhan mulut (Debridmen Subgingiva)

Root debridement whole mouth (debridmen subgingiva) 637

406 Pensplinan gigi Splinting of teeth 158407 Venir gingiva labial Labial gingival veneer 300408 Perisisi ligamen periodontium Pericision of periodontal ligament 150409 Pengubahsuaian morfologi gigi Modification of tooth morphology 150410 Pengkonturan semulsa restorasi sedia ada Recontouring of pre-existing restoration 150411 Penyelarasan oklusal Occlusal adjustment 134412 Frenotomi/Frenektomi Frenotomy/Frenectomy 647

413Sendi Temporomandibel (TMJ)Reduksi – tertutup

Close reduction temporomandible joint (TMJ) 150

414Antralplasti maksila - sinus lift – dengan autograf (graf tulang)

Antralplasty maxillary (sinus lift) with autograft-bone graft 1,000

415Antraplasti maksila(sinus lift) – dengan alograf

Maxillary antralplasty (sinus lift) with allograft 400

416 Penutupan fistula oro-antral Closure of oro-antral fistula 1,000417 Pencucian antrum Caldwell – Luc (sebelah) Antral washout caldwell-luc (per side) 200

418Eksisi lesi maksilofasial – dengan rekonstruksi – alograf

Excision lesion maxillofacial - with reconstruction-allograft 750

419 Eksisi lesi maksilofasial Excision of maxillofacial lesion 200420 Marsupialisasi lesi tulang maksilofasial Marsupialisation of bony maxillofaciallesion 200421 Marsupialisasi lesi tisu lembut mulut Marsupialisation of oral soft tissue lesion 100

422Reduksi dan fiksasi fraktur tulang maksilofasial – tertutup

Reduction and fixation of bony maxillofacial fracture - closed 600

423 Reduksi dan fiksasi tulang maksilofasial – sementara Reduction and fixation of bony maxillofacial fracture – temporary 20

424 Vestibuloplasti oral (setiap rahang)-dengan graf Oral vestibuloplasty (per arch) with graft 750

425 Vestibuloplasti mulut -setiap rahang Oral vestibuloplasty (per arch) 300426 Penanggalan fiksasi dalaman – maksilofasial Removal of internal fixation – maxillofacial 300427 Sekuestrektomi – maksilofasial Maxillofacial sequestrectomy 120428 Pembuangan kalkulus duktus liur – terbuka Removal of salivary duct calculus- open 400429 Pembuangan kalkulus duktus liur – tertutup Removal of salivary duct calculus- closed 30430 Miatoplasti bukaan duktus kelenjar liur Meatoplasty of salivary duct orifice 200431 Duktus kelenjar liur- Dilasitasi Salivary duct dilation 150432 Duktus kelenjar liur- Peligaturan Salivary duct ligation 150433 Eksisi lesi tisu lembut mulut dengan laser Excision of oral soft tissue lesion with laser 200

434 Eksisi lesi tisu lembut mulut – 2 cm atau kurang Excision of oral soft tissue lesion – 2cm or less 120

435 Saraf trigeminal – krioterapi/keratan Trigeminal nerve - cryotherapy/sectioning 300436 Penanggalan benda asing – orofasial – mudah Removal of foreign body – orofacial – simple 120437 Biopsi tulang maksilofasial Biopsy - bony – maxillofacial 200438 Biopsi tisu lembut mulut Biopsy - soft tissue – oral 120439 Biopsi lesi tru-cut Biopsy lesion tru-cut 50440 Ablasi lesi mukosa oral Ablation of oral mucosal lesion 200441 Frenoplasti Frenoplasty 170


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CAJ RAWATAN

442 Frenotomi/Frenektomi dengan laser Frenotomi/frenectomy with laser 170

443Apisektomi - setiap gigi – gigi belakang – dengan tampalan retrograde

Apicectomy (per tooth) - posterior tooth with retrograde filling 1,000

444 Apisektomi -setiap gigi – gigi belakang Apicectomy (per tooth) - posterior tooth 750

445Apisektomi -setiap gigi – gigi anterior dengan tampalan retograd

Apicectomy (per tooth) - anterior tooth with retrograde filling 300

446 Apisektomi -setiap gigi – gigi hadapan Apicectomy (per tooth) - anterior tooth 120

447Pengeluaran gigi terimpak melalui pembedahan -setiap gigi – rumit

Surgical removal of impacted/unerupted tooth (per tooth) – complicated 1,000

448Pengeluaran melalui pembedahan-Gigi/Akar -setiap gigi

Surgical removal of tooth/root (per tooth) 400

449Pengeluaran melalui pembedahan- Gigi/Akar tersesar -setiap gigi

Surgical removal of displaced tooth/root (per tooth) 400

450Pengeluaran melalui pembedahan- Gigi terimpak/enrupted -setiap gigi – mudah

Surgical removal of impacted/unerupted tooth (per tooth) – simple 400

451 Transplantasi gigi Transplantation tooth 750

452Peletakan semula dan/atau penstabilan gigi – pembedahan

Repositioning and/or stabilization of tooth – surgical 400

453Peletakan semuladan/atau penstabilan gigi – tanpa pembedahan

Repositioning and/or stabilization of tooth –non-surgical 150

454 Penanaman semulagigi Reimplantation of tooth 200

455Pembedahan pendedahan gigi -setiap gigi – dengan penempatan penyambung

Surgical exposure of tooth (per tooth) with placement of attachment 400

456Pembedahan pendedahan gigi -setiap gigi – tanpa penempatan penyambung

Surgical exposure of tooth (per tooth) without placement of attachment 150

457Implan pergigian -setiap implan-pembedahan peringkat pertama dengan autograph

Dental Implant (per implant) – first stage surgery with autograft 600

458Implan pergigian -setiap implan – pembedahan peringkat pertama

Dental Implant (per implant) – first stage surgery 400

459Implan pergigian -setiap implan-pembedahan peringkat pertama dengan pengganti tulang

Dental Implant (per implant) – first stage surgery with bone substitute 400

460Implan pergigian (setiap implan) – pembedahan peringkat kedua

Dental Implant (per implant) – second stage surgery 50

461Implan maksilofasial -setiap implan – pembedahan peringkat pertama

Maxillofacial implant (per implant) – first stage surgery 400

462Implan maksilofasial (setiap implan) – pembedahan peringkat kedua

Maxillofacial implant (per implant – second stage surgery 50

463 Penanggalan implan pergigian/maksilofasial – rumit Removal of dental/maxillofacial implants - complicated 300

464Penanggalan implan pergigian/maksilofasial – mudah

Removal of dental/maxillofacial implants – simple 75

465 Debridemen tisu lembut orofasial Debridement of oro-facial soft tissue 60466 Pendawaian pergigian -setiap rahang Dental wiring – per jaw 75

467 Pemberhentian pendarahan – selepas pembedahan Control of haemorrhage – post-surgery 75

468 Pemberhentian pendarahan – lesi Control of haemorrhage –lesion 50469 Pemberhentian pendarahan – selepas cabutan Control of haemorrhage – post-extraction 30

470 Terapi – orofasial Laser lembut – setiap kitaran Orofacialsoft laser therapy - per course 75

471 Terapi – oromaksilofasial ultrasound Oromaxillofacial ultrasound therapy 75472 Obturator prosthesis Prosthesis-obturator 120473 Sitologi aspirasi jarum halus – orofasial Fine needle aspiration cytology-orofacial 50474 Operkulektomi mulut Oral operculectomy 30

475 Penanggalan pendawaian pergigian (setiap rahang) Removal of dental wires (per jaw) 30

476 Suntikan ubatan – orofasial Injection of medication –orofacial 30CAJ ANGGOTA TIRUAN ARTIFICIAL LIMBS / PROSTHESISPeralatan Upper Limb Prosthesis Upper Limb Prosthesis Item

477 Cosmetic Silicone Glove Cosmetic silicone glove 2,800

478 Cosmetic fingers Cosmetic fingers 1,200

479 Trans Radius Cosmetic Trans radius cosmetic 4,000

480 Trans Radius Mechanical Function Hand Trans radius mechanical function hand 6,300

481 Trans Humerus Cosmetic Trans humerus cosmetic 7,500

482 Trans Humerus Mechanical Functional Hand Trans humerus mechanical functional hand 9,500

Peralatan Lower Limb Prosthesis Lower Limb Prosthesis Item


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CAJ RAWATAN

483 Chopart Chopart 1,800

484 Symes Prosthesis Symes prosthesis 3,800

485Transtibial Prosthesis K1 Berjalan dalam rumah (Indoor Walker)

Transtibial prosthesis indoor walker 3,550

486 Transtibial Prosthesis K2 Limited Outdoor Transtibial prosthesis K2 limited outdoor 5,500

487 Transtibial Prosthesis K3 Active Walker Transtibial prosthesis K3 active walker 9,500

488 Transtibial Prosthesis K4 Very Active/Sport Transtibial prosthesis K4 very active/Sport 18,800

489 Through Knee Prosthesis K1 hingga K4 Through knee prosthesis K1 to K4 13,800

490Transfemoral Prostesis K1 Berjalan dalam rumah (Indoor Walker)

Transfemoral prostesis K1 indoor walker 7,500

491 Transfemoral Prostesis K2 Limited Outdoor Transfemoral prostesis K2 limited outdoor 9,000

492 Transfemoral Prostesis K3 Active Walker Transfemoral prostesis K3 cctive walker 15,000

493 Transfemoral Prostesis K4 Very Active/Sport Transfemoral prostesis K4 very active/sport 35,000

494 Hip Disarticulated Prostesis K1 hingga K4 Hip disarticulated prostesis K1 to K4 15,000

495 Knee Orthoses Hinge Knee Knee orthoses hinge knee 450496 Knee Orthoses Weekender Knee Brace Knee orthoses weekender knee brace 1,100497 Knee Orthoses Revolution Brace Knee orthoses revolution brace 700

498 Knee Orthoses Knee Ranger post operation brace Knee orthoses knee ranger post operation brace 450

499 Knee Orthoses Fracture hinges Knee orthoses fracture hinges 400

500Lower limb Orthoses Knee Ankle Foot Orthoses (KAFO)

Lower limb orthoses knee ankle foot orthoses (KAFO) 3,800

501 Ankle Foot Orthoses Ankle foot orthoses 350502 Super Lite Ankle Foot Orthoses Super lite ankle foot orthoses 250503 Ankle Foot Orthoses Sweeder Ankle Brace Ankle foot orthoses sweeder ankle brace 400504 Suprameleolar Prosthesis 500 seunit Suprameleolar prosthesis 500 per unit 500

505Ankle Foot Orthosis- Ankle Foot Orthosis (Custom made/polypropelyne)

Ankle foot orthosis- ankle foot orthosis (custom made/polypropelyne) 350

506 Foot care Wonder Spur Foot care wonder spur 70507 Foot care Wonder Cup Foot care wonder cup 70508 Foot care Wonder Sport Foot care wonder sport 130509 Foot care Soft sock Foot care soft sock 200510 Foot care Gel Squares Foot care gel squares 140511 Paediatric Orthoses Pavlic Harness Paediatric orthoses pavlic harness 450

512Paediatric Orthoses Dennis Brown Shoes (Straight Last) full set

Paediatric orthoses dennis brown shoes (straight last) full set 700

513Paediatric Orthoses Dennis Brown Shoes (Full Abduction) full set

Paediatric orthoses Dennis Brown Shoes (full abduction) full set 700

514 Cervical Soft Collar Cervical soft collar 55

515 Cervical Adjustable Collar (Plastik) Cervical adjustable collar (plastic) 65516 Philadelphia A Series Collar Philadelphia A series collar 280

517 Atlas Collar Atlas collar 300

518 Philadelphia Collar Philadelphia collar 130

519 Minerva Cervical Support Minerva cervical support 1,000

520 Philadelphia Collar with Stabilizer & Halo Philadelphia collar with stabilizer & halo 550

521 S.O.M.I Brace S.O.M.I Brace 900

522 USMC Halo System USMC halo system 3,000523 Halo Liner Halo liner 1,100524 PMT Halo System PMT halo system 3,000525 Torque Screw Driver Torque screw driver 1,000526 Cervical- Thoracic Lumbar-sacral- Orthosis Cervical- thoracic lumbar-sacral- orthosis 2,800527 Juwett Brace Juwett brace 700528 Knight Taylor Brace (TLSO) Knight taylor brace (TLSO) 800529 Knight Taylor Brace (LSO) Knight taylor brace (LSO) 650530 Kydex Knight Taylor Brace Kydex knight taylor brace 900531 Kydex Chair Back Brace Kydex chair back brace 700532 TLSO Body Jacket (Moulded Polypropelyne) TLSO body jacket (moulded polypropelyne) 2,800533 Sacro-Lumbar Support (Fabric) Sacro-lumbar support (fabric) 150

534 Scoliosis Boston Brace (Moulded Polypropelyne) Scoliosis boston brace (moulded polypropelyne) 3,000

Peralatan Rehabilitasi Rehabilitation Accessories


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CAJ RAWATAN

535 Aluminium Axilla Crutch Aluminium Axilla Crutch : 55536 Kanak-kanak (S) Children (S) 55537 Remaja (M Teenage (M) 55538 Dewasa (L) Adult (L) 55539 Dewasa bersaiz besar (XL) Adult big size (XL) 55540 Adjustable elbow crutch Adjustable elbow crutch 140

541Adjustable aluminium walking stick with strap in bronze colour

Adjustable aluminium walking stick with strap in bronze colour 45

542Adjustable aluminium crooked handle walking stick in bronze colour

Adjustable aluminium crooked handle walking stick in bronze colour 55

543 Adjustable folding walking frame in bronze colour Adjustable folding walking frame in bronze colour 125

544 Quadruped walking aid Quadruped walking aid 58545 Quadruped walking aid- Narrow Base Quadruped walking aid- narrow base 58

546Standard wheel chair 18” with detachable armrest and footrest

Standard wheel chair 18” with detachable armrest and footrest 680

547 Standard wheel chair 18” Standard wheel chair 18” 280548 Semi light weight wheel chair Semi light weight wheel chair 800

549Reclining wheel chair with detachable armrest and elevating footrest

Reclining wheel chair with detachable armrest and elevating footrest 1,200

550 Light weight wheel chair Light weight wheel chair 1,400551 Commode wheel chair Commode wheel chair 1,400552 Major buggy Major buggy 1,500553 Commode chair Commode chair 200

PERKHIDMATAN PERUBATAN TRADISIONAL DAN KOMPLEMENTARI

TRADITIONAL AND COMPLEMENTARY MEDICINE SERVICES

PERUBATAN TRADISIONAL MELAYU/ PRIBUMI TRADITIONAL MEDICINE FOR MALAY/PRIBUMI

Urut Tradisional Melayu/ Pribumi Traditional Massage for Malay/Pribumi554 Rawatan Kesakitan Kronik Chronic disease treatment 50 per sesi.555 Rawatan Pasca Angin Ahmar Post-stroke treatment 50 per sesi.

Rawatan Penjagaan Ibu Selepas Bersalin Post-natal mother care556 Rawatan Urut Selepas Bersalin Post natal massage treatment 50 per sesi.

557Pakej Rawatan Pemulihan Selepas Bersalin – Urut, Tungku & Bengkung

Post natal recovery treatment packages - massage, furnase and bengkung 150 per sesi.

558 Rawatan Pemulihan Selepas Bersalin – Tangas Post natal recovery treatment - tangas 50 per sesi.Perubatan Tradisional Cina TRADITIONAL CHINESE MEDICINEAkupunktur Acupuncture

559 Rawatan Kesakitan Kronik Chronic disease treatment 50 per sesi.560 Rawatan Pasca Angin Ahmar Post-stroke treatment 50 per sesi.

561Akupunktur dan tambahan moxibustion untuk rawatan kesakitan kronik dan pasca angin ahmar

Acupuncture and moxibustion in addition to the treatment of chronic pain and post stroke 60 per sesi.

562 Lain-lain Indikasi Other indication 50 per sesi.Herba Herbs

563Rawatan sampingan untuk pesakit onkologi (termasuk kos herba)

Ancillary treatment for oncology patient (including the cost of herbs)250 per kitaran.

(1 kitaran = 2 minggu)

Perubatan Tradisional India TRADITIONAL INDIAN MEDICINEAyurveda Ayurveda

564 Shirodhara Shirodhara 150 per sesi.565 Abhyanga Abhyanga 150 per sesi.

Terapi Komplementari Complementary Therapy566 Kiropraktik Chiropractic 150 per sesi.567 Osteopatik Osteopatic 200 per sesi.

BEKALAN DARAH DAN HASIL DARAH BLOOD SUPPLY AND BLOOD PRODUCT568 Sel Darah Utuh Packed Red Cell 120569 Darah lengkap Whole Blood 120570 Pati platelet Platelet Concentrate 120571 Krioendapan Cryoprecipitate 120572 Plasma beku segar Fresh frozen plasma 120573 Kriosupernatan Cryosupernatant 120574 Platelet aferes Platelet apheresis 630575 Sel Darah Utuh Pediatrik Paediatric packed cells 110576 Filtered Red Cell Filtered red cell 200577 Irradiated sel Irradiated sel 160578 Patogen Inactivated Plasma Patogen inactivated plasma 600579 Patogen Inactivated Platelet Patogen inactivated platelet 800580 Patogen Inactivated Platelet Aferesis Patogen inactivated platelet aferesis 1,350


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CAJ RAWATAN

581 Irradiated Aferasis Platelet Irradiated aferasis platelet 690582 Irradiated Platelet Irradiated platelet 160

Produk Pecahan Plasma Plasma Breakdown Product

583 High Purity Factor VIII Concentrate - 250 IU/vial High purity factor VIII concentrate - 250 IU/vial 540

584 Intermediate Purity Factor VIII - 250 IU/vial Intermediate purity factor VIII - 250 IU/vial 300585 Pure Factor IX -500 IU/vial Pure factor IX -500 IU/vial 790

586 Prothrombin Complex Concentrate - 500 IU/vial Prothrombin complex concentrate - 500 IU/vial 590

587 Recombinant Factor VIIa - 60 KIU/vial Recombinant factor VIIa - 60 KIU/vial 2,970588 Albumin - 20% 100ml Albumin - 20% 100ml 180589 Intravenous Immune Globulin (IV) - 3g/50ml Intravenous immune globulin (IV) - 3g/50ml 700590 Recombinant VIII - 250 IU/vial Recombinant VIII - 250 IU/vial 670591 Recombinant IX - 500 IU/vial Recombinant IX - 500 IU/vial 1,190592 Autologous Plasma Eye Drop Autologous plasma eye drop 450

KLINIK PEMULIHAN CARA KERJA OCCUPATIONAL THERAPY ASSESSMENT ASSESSMENTADL Assessment ADL Assessment 40

593Canadian Occupational Therapy Performance Measure (C.O.P.M)

Canadian Occupational Therapy Performance Measure (C.O.P.M) 40

594Camberwell Assessment of Needs Short Schedule (CANSAS)

Camberwell Assessment of Needs Short Schedule (CANSAS) 40

595 Functional Ability Assessment (FAA) Functional Ability Assessment (FAA) 40596 Functional Independence Measure (FIM) Functional Independence Measure (FIM) 40597 Kohlman Evaliation of Living Skill (KELS) Kohlman Evaliation of Living Skill (KELS) 40598 Modified Barthel Index Modified Barthel Index 40

599 Pediatric Evaluation Disabilities Inventory (PEDI) Pediatric Evaluation Disabilities Inventory (PEDI) 40

600 Self Care Skills (PASS) Self Care Skills (PASS) 40601 Kohlmens Kohlmens 40602 AMPS AMPS 40

Physical Assesment Physical Assesment603 Muscle Manual Test (MMT) Muscle Manual Test (MMT) 40604 Strength-dynamometer/pinch gauge Strength-dynamometer/pinch gauge 40605 2 point discrimination test 2 point discrimination test 40606 9 hole peg test 9 hole peg test 40607 Berg Balance Test Berg Balance Test 40608 Grooved Peg board Grooved peg board 40609 Jebsen Taylor Hand Function Test Jebsen Taylor Hand Function Test 40610 Minnesota Manual Dexterity Test Minnesota Manual Dexterity Test 40611 O’connor Finger Dexterity Test O’connor Finger Dexterity Test 40612 O’connor Tweezer Dexterity Test O’connor Tweezer Dexterity Test 40613 Pain visual analog scale Pain visual analog scale 40614 Purdue pegboard test Purdue Pegboard Test 40615 Range of Motion – Goniometer Range of Motion – goniometer 40616 Roeder manipulative aptitude test Roeder Manipulative Aptitude Test 40617 Semmes-Weinstein Monofilaments test Semmes-Weinstein Monofilaments Test 40618 Sensory profile Sensory profile 40619 Stereognosis test Stereognosis test 40620 Vibration Vibration 40621 Volumeter Volumeter 40622 Tinnetti balance Test Tinnetti balance test 40

623 Microcomputer Upper Limb Exerciser (MULE) Microcomputer Upper Limb Exerciser (MULE) 40

Development Assessment Development Assessment624 Bruiniks Oseretsky Test Bruiniks Oseretsky Test 40625 Denver Denver 40626 Oral motor rating scale Oral motor rating scale 40627 Peabody Peabody 40

Perceptual and Cognitive Assessment Perceptual and Cognitive Assessment628 Berry VMI Berry VMI 40

629Chessington Occupational Therapy Neurological Assessment Battery (C.O.T.N.A.B)

Chessington Occupational Therapy Neurological Assessment Battery (C.O.T.N.A.B) 40

630 Hospital Anxiety Depression Scale Hospital Anxiety Depression Scale 40

631Lowerstein Occupational Therapy Cognitive assessment (L.O.T.C.A)

Lowerstein Occupational Therapy Cognitive assessment (L.O.T.C.A) 40

632 Mini Mental State Examination Mini Mental State Examination 40633 Rivermead Perceptual Assessment Battery Rivermead Perceptual Assessment Battery 40

Preschool Assesment Preschool Assesment634 Miller Assessment Pre Schoolers Miller Assessment Pre Schoolers 40


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CAJ RAWATAN

635 School Function Assessment (SFA) School Function Assessment (SFA) 40636 Test of Handwriting skill Test of handwriting skill 40

Behavior assessment Behavior assessment 40637 Threshold Assessment Grid (TAG) Threshold Assessment Grid (TAG) 40638 Hospital Anxiety and Depression scale Hospital anxiety and depression scale 40639 Irritability - depression anxiety scale Irritability - depression anxiety scale 40640 Shaan's Function Questionaire Shaan's Function Questionaire 40641 The Beck Depression scale The Beck Depression scale 40642 Wheel Chair Assessment Wheel Chair Assessment 40

Driving Assessment Driving Assessment643 Pre-driving assessment Pre-driving assessment 400644 Stroke driving screening assessment Stroke driving screening assessment 400

Home/Work Place/School Assessment Home/Work Place/School Assessment645 Home Fast Tool Home fast tool 40

Work/Vocational assessment Work/Vocational assessment646 *BTE *BTE 400647 Laser Laser 400648 *LIDO *LIDO 400649 Role check list Role check list 400650 T pal T pal 400651 Valpar Valpar 400652 Work Cube Work cube 400

ACTIVITIES OF DAILY LIVING (ADL) TRAINING ACTIVITIES OF DAILY LIVING (ADL) TRAININGInstrumental Activities of Daily Living Instrumental Activities of Daily Living

653 Ability to use telephone Ability to use telephone 40654 Early ambulation Early ambulation 40655 Self hygiene Self hygiene 40656 Transfer Transfer 40657 Ability to handle Finance Ability to handle Finance 40658 Bathing Bathing 40659 Bladder management Bladder management 40660 Bower management Bower management 40661 Cleaning work Cleaning work 40662 Device care Device care 40663 Domestic skill Domestic skill 40664 Dressing Dressing 40665 Eating/feeding Eating/feeding 40666 Food/meal preparation Food/meal preparation 40667 Functional communication Functional communication 40668 Functional mobility Functional mobility 40669 Grooming Grooming 40670 Health eminence Health eminence 40671 Household maintenance Household maintenance 40672 Housekeeping Housekeeping 40673 Laundry Laundry 40674 Mode of transportation Mode of transportation 40675 Money management Money management 40676 Responsibility for medication Responsibility for medication 40677 Safety procedure Safety procedure 40678 Sexual expression Sexual expression 40679 Shopping Shopping 40680 Toileting Toileting 40

Aids and Adaptation (bagi setiap peralatan modifikasi yang dibekalkan)

Aids and Adaptation (for each modification equipment supplied)

681 Cooking utensil Cooking utensil 80682 Dressing Dressing 80683 Feeding/drinking utensil Feeding/drinking utensil 80684 Mobility Mobility 80685 Bathing Bathing 80686 Reading/writing Reading/writing 80687 Wheel chair seating Wheel chair seating 80688 Behavioral therapy Behavioral therapy 40

Cognitive & Perceptual Training Cognitive & Perceptual Training689 Basic concepts Basic concepts 40690 Body part identification Body part identification 40691 Cognitive stimulation Cognitive stimulation 40692 Educational activities Educational activities 40693 Right/left discrimination Right/left discrimination 40694 Figure ground disrimination Figure ground disrimination 40695 Reality orientation Reality orientation 40


(RM)

CAJ RAWATAN

696 Topographical orientation Activities Topographical orientation Activities 40697 Sequencing Sequencing 40698 Categration Categration 40

699Dynamic Splint - Harga mekanisme (mengikut harga pasaran) + harga statik splint

Dyanamic Splint - the price of mechanism (according to market price) + the price of static splint

240

Creative Therapy Creative Therapy700 Art therapy Art therapy 40701 Drama/role play Drama/role play 40702 Music therapy Music therapy 40

Social Skill Training Social Skill Training703 Assertive training Assertive training 40704 Coping skill training Coping skill training 40705 Group support Group support 40706 Group therapy Group therapy 40707 Individual therapy Individual therapy 40708 Interpersonal skill Interpersonal skill 40709 Self awareness activities Self awareness activities 40710 Self control Self control 40711 Self expression Self expression 40712 Social conduct Social conduct 40713 Social skill training Social skill training 40


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CAJ RAWATAN

714 Time management Time management 40715 Role checklist Role checklist 40

Patients and Career Education Patients and Career Education716 Body mechanic & ergonomic Body mechanic & ergonomic 40717 Edema control Edema control 40718 Energy conservation/work Simplication Energy conservation/work Simplication 40719 Environment therapy Environment therapy 40720 Joint protection techniques Joint protection techniques 40

Play and Leisure Play and Leisure721 Leisure check list Leisure check list 40722 Play and leisure exploration Play and leisure exploration 40723 Play and Leisure training Play and leisure training 40

Relaxation Relaxation724 Bio-feedback Bio-feedback 40725 Deep breathing Deep breathing 40726 Diaphragmatic breathing Diaphragmatic breathing 40727 Imaginary relaxation Imaginary relaxation 40728 Progressive muscular relaxation techniques Progressive muscular relaxation techniques 40

Sensory Training Sensory Training729 Sensory desensitization Sensory desensitization 40730 Sensory integration Sensory integration 40731 Sensory re-education Sensory re-education 40732 Sensory stimulation Sensory stimulation 40733 Fluidotherapy Fluidotherapy 40

Motor Training Motor Training734 Above elbow prothesis Above elbow prothesis 40735 Above knee prothesis Above knee prothesis 40736 Active assisted exercise Active assisted exercise 40737 Below elbow prothesis Below elbow prothesis 40738 Below knee prothesis Below knee prothesis 40739 Bilateral integration Bilateral integration 40740 Crossing midline Crossing midline 40741 Ergonomic training Ergonomic training 40742 Fine motor skills Fine motor skills 40743 Finger prosthesis Finger prosthesis 40744 Gait training Gait training 40745 Gross motor activities Gross motor activities 40746 Hand-eye coordination Hand-eye coordination 40747 Improve Balance Improve balance 40748 Motor re-education Motor re-education 40749 Neuro developmental technique Neuro developmental technique 40750 Normalize muscle tone Normalize muscle tone 40751 Oral muscle stimulation Oral muscle stimulation 40752 Strengthening exercise Strengthening exercise 40753 Endurance training Endurance training 40754 Reduce muscle tone Reduce muscle tone 40755 Above elbow prothesis Above elbow prothesis 40

Compression Therapy Compression Therapy756 Corban bandage Corban bandage 40757 Pressure splint Pressure splint 40758 Tubigrip Tubigrip 40


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CAJ RAWATAN

PERIHAL

Pressure Garment Pressure Garment759 Finger strap Finger strap760 Gauntlet Gauntlet761 Glove Glove762 Forearm A Sleeve Forearm A Sleeve763 Full length arm sleeve Full length arm sleeve764 Vest with long sleeve Vest with long sleeve765 Vest with short sleeve Vest with short sleeve766 Chin strap Chin strap767 Mask Mask768 Short pants Short pants769 Long pants Long pants770 Thigh strap Thigh strap771 Calf strap Calf strap772 Socks (1 unit) Socks (1 unit)

Static Splint Static Splint 773 Finger toe Finger toe774 Hand/foot Hand/foot775 Hand to forearm Hand to forearm776 Finger to forearm Finger to forearm777 Forearm to upper arm Forearm to upper arm778 Hand to upper arm Hand to upper arm779 Upper arm Upper arm780 Hard collar Hard collar781 Foot to calf Foot to calf782 Foot to mid thigh Foot to mid thigh783 Mid calf to mid thigh Mid calf to mid thigh784 Plaztozote Insole Plaztozote Insole785 Tennis Elbow Tennis Elbow786 Ulnar driff Ulnar driff787 Ergonomic A sling Ergonomic A sling788 Foot drop check Foot drop check789 Buddy strap Buddy strap790 Body brace Body brace791 Pelvis harness Pelvis harness


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CAJ RAWATAN

IMPLAN BAGI PERKHIDMATAN OFTALMOLOGI IMPLANT CHARGES FOR OPHTALMOLOGY SERVICES

Paediatric and strabismus Paediatric and Strabismus792 Frontalis sling; silastic material Frontalis sling; silastic material 600793 Frontalis sling; ptose up Frontalis sling; ptose up 1,125794 Lacrimal intubation; Ritleng tube Lacrimal intubation; ritleng tube 600795 Lacrimal intubation; Crawford tube Lacrimal intubation; crawford tube 608796 Mini Monoka Mini monoka 600797 Glaucoma; Baerveldt implant Glaucoma; baerveldt implant 2,055798 Glaucoma; Ahmad valve implant Glaucoma; Ahmad Valve Implant 2,400799 Medpor orbital sphere implant Medpor orbital sphere implant 1,950800 Customised artificial eye Customised artificial eye 3,900801 Ready-made artificial eye Ready-made artificial eye 120802 Conformer Conformer 480803 Silicone band for squint surgery Silicone band for squint surgery 120804 Low vision optical devices Low vision optical devices 3,000

Surgical Vitreoretina Surgical Vitreoretina805 Silicone oil Silicone oil 675806 Gas C3F8 Gas C3F8 225807 Gas SF6 Gas SF6 225808 Silicone band Silicone band 120809 Silicone sponge Silicone sponge 450810 Silicone tyre Silicone tyre 150

Glaucoma Glaucoma811 Baerveldt implant (standard) Baerveldt implant (standard) 2,055812 Baerveldt implant (pars plana) Baerveldt implant (pars plana) 2,055813 Ahmad Valve (standard) Ahmad Valve (standard) 2,400814 Ahmad Valve (pars plana) Ahmad Valve (pars plana) 3,300815 Molteno implant Molteno implant 1,950816 Amniotic membrane Amniotic membrane 750817 Implant tube extender Implant tube extender 1,200818 Cataract and refractive surgery Cataract and refractive surgery 1,200819 Capsular tension ring Capsular tension ring 525820 Aniridia ring Aniridia ring 1,125

Cornea Cornea821 Corneal –precut Corneal –precut 6,000822 Corneal-tissue in optisol Corneal-tissue in optisol 2,700823 Corneal tissue-tissue in glycerol Corneal tissue-tissue in glycerol 1,500824 Amniotic membrane Amniotic membrane 750825 Bandage contact lens - weekly Bandage contact lens - weekly 15826 Bandage contact lens - monthly Bandage contact lens - monthly 45827 Keratoprosthesis - Ocular Landers Keratoprosthesis - ocular landers 2,997828 Keratoprosthesis - Boston Keratoprosthesis - Boston 12,000829 Intrastromal corneal ring segment - INTACS Intrastromal corneal ring segment - INTACS 4,500

830 Optical Cylinder for Osteo-odonto-Keratoprostesis (OOKP) Optical Cylinder for Osteo-Odonto-Keratoprostesis (OOKP) 3,000

831 Symblepharon ring Symblepharon ring 585Oculoplastic Oculoplastic

832 Crawford lacrimal intubation Crawford lacrimal intubation 435833 O'Donoghue lacrimal intubation O'Donoghue lacrimal intubation 375834 Ritleng intubation set Ritleng intubation set 600835 Bicanaliculus intubation set Bicanaliculus intubation set 225836 Snug plug - punctal plug Snug plug - punctal plug 300837 Ptosis probe – silicone Ptosis probe – silicone 600838 Ptosis probe – gortex Ptosis probe – gortex 990839 Conformer - silicone, perforated Conformer - silicone, perforated 480840 Symblepharon ring Symblepharon ring 585841 Titanium plate Titanium plate 1,425842 Titanium screw Titanium screw 225843 Gold weight implant Gold weight implant 3,150844 Platinum weight implant Platinum weight implant 3,900845 Silicone tyre 276 Silicone tyre 276 150846 Fixation sleeve Fixation sleeve 75847 Sponge Sponge 450848 Mini monoka Mini monoka 600849 Monoka Monoka 600850 Upper eyelid spacer Upper eyelid spacer 1,350851 Lower eyelid spacer Lower eyelid spacer 1,350852 Acrylic implant Acrylic implant 75853 Hydroxyapatite orbital implant Hydroxyapatite orbital implant 2,400854 MEDPOR - micro thin sheet MEDPOR - micro thin sheet 1,050855 MEDPOR - ultra thin sheet MEDPOR - ultra thin sheet 1,050856 MEDPOR - sheets MEDPOR - sheets 1,050


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CAJ RAWATAN

857 MEDPOR - titanium sheets MEDPOR - titanium sheets 1,425858 MEDPOR Enophthalmos wedges MEDPOR enophthalmos wedges 1,950859 MEDPOR Orbital conical implant MEDPOR orbital conical implant 2,025860 MEDPOR Orbital sphere implant MEDPOR orbital sphere implant 1,950861 MEDPOR blocks MEDPOR blocks 1,170862 Orbital sphere tissue expander Orbital sphere tissue expander 2,700863 PESS implant PESS implant 3,300864 Customised artificial eye Customised artificial eye 3,900865 Ready-made artificial eye Ready-made artificial eye 120

IMPLAN UNTUK PERKHIDMATAN ORTOPEDIK IMPLANT CHARGES FOR ORTHOPAEDICS SERVICES

866 1.5mm Cortical Screw, 0.5mm Pitch, Full Thread (Length Range: 6mm-30mm ) 1.5mm cortical screw, 0.5mm pitch, full thread (length range: 6mm-30mm ) 15

867 2.0mm Cortical Screw, 0.6mm Pitch, Full Thread (Length Range: 6mm-40mm) 2.0mm cortical screw, 0.6mm pitch, full thread (length range: 6mm-40mm) 16

868 2.7mm Cortical Screw, 1.0mm Pitch, Full Thread (Length Range: 8mm – 50mm) 2.7mm cortical screw, 1.0mm pitch, full thread (length range: 8mm – 50mm) 17

869 2.7mm Cortical Screw, 1.0mm Pitch, Self Tapping, Full Thread (Length Range: 6mm – 40mm ) 2.7mm cortical screw, 1.0mm pitch, self tapping, full thread (length range: 6mm – 40mm ) 18

870 Epiphysis Mini Plates 2.0mm (Range: Left/Right L-Obligue, Left/Right 90 Degree T-Plate) Epiphysis mini plates 2.0mm (range: left/right L-Obligue, left/right 90 Degree T-Plate) 67

871 Quarter Tubular Plate 2.7mm (Hole Range: 3mm – 8mm) Quarter tubular plate 2.7mm (hole range: 3mm – 8mm) 77

872 Self Compression Plates 2.0mm (Hole Range: 4mm – 8mm) Self compression plates 2.0mm (hole range: 4mm – 8mm) 104

873 Self Compression Plates 2.7mm (Hole Range: 2mm – 12mm) Self compression plates 2.7mm (hole range: 2mm – 12mm) 141

874 Straight Mini Plate 2.0mm (Hole Range: 3mm – 6mm) Straight mini plate 2.0mm (hole range: 3mm – 6mm) 94

875 4.0mm Cancellous Screws, 1.75mm Pitch, Full Thread (Length Range: 10mm – 70mm) 4.0mm cancellous screws, 1.75mm pitch, full thread (length range: 10mm – 70mm) 18

876 4.0mm Cancellous Screws, 1.75mm Pitch, Long Thread (Length Range: 16mm – 72mm) 4.0mm cancellous screws, 1.75mm pitch, long thread (length range: 16mm – 72mm) 13

877 4.0mm Cancellous Screws, 1.75mm Pitch, Short Thread (Length Range: 10mm – 80mm) 4.0mm cancellous screws, 1.75mm pitch, short thread (length range: 10mm – 80mm) 11

878 3.5mm Cortical Screws, 1.25mm Pitch, Full Thread (Length Range: 10mm– 70mm) 3.5mm cortical screws, 1.25mm pitch, full thread (length range: 10mm– 70mm) 16

879 3.5mm Cortical Screws, 1.25mm Pitch, Self Tapping, Full Thread (Length Range: 10mm – 65mm) 3.5mm cortical screws, 1.25mm pitch, self tapping, full thread (length range: 10mm – 65mm) 17

880 Clover Leaf Plate 3.5mm (Hole Range: 3mm – 5mm) Clover leaf plate 3.5mm (hole range: 3mm – 5mm) 334

881 LC-Self Compression Plate 3.5mm (Hole Range: 2mm – 12mm) LC-self compression plate 3.5mm (hole range: 2mm – 12mm) 256

882 One Third Tubular Plate 3.5mm (Hole Range: 2mm – 12mm) One third tubular plate 3.5mm (hole range: 2mm – 12mm) 71

883 Self Compression Plate 3.5mm (Hole Range: 2mm – 12mm) Self compression plate 3.5mm (hole range: 2mm – 12mm) 94

884 Small T-Plate (Obligue Angled) 3.5mm (Hole Range: 3mm – 5mm) Small T-Plate (obligue angled) 3.5mm (hole range: 3mm – 5mm) 168

885 Small T-Plate (Right Angled) 3.5mm (Hole Range: 3mm – 6mm) Small T-Plate (right angled) 3.5mm (hole range: 3mm – 6mm) 168

886 6.5mm Cancellous Screw, 2.75mm Pitch, 32mm Thread Length (Length Range: 30mm – 110mm) 6.5mm cancellous screw, 2.75mm pitch, 32mm thread length (length range: 30mm – 110mm) 30

887 6.5mm Cancellous Screw, 2.75mm Pitch, Full Thread (Length Range: 16mm – 110mm) 6.5mm cancellous screw, 2.75mm pitch, full thread (length range: 16mm – 110mm) 31

888 4.5mm Cortical Screw, 1.75mm Pitch, Full Thread (Length Range: 14mm – 80mm) 4.5mm cortical screw, 1.75mm pitch, full thread (length range: 14mm – 80mm) 16

889 4.5mm Cortical Screw, 1.75mm Pitch, Self Tapping, Full Thread (Length Range: 14mm – 80mm) 4.5mm cortical screw, 1.75mm pitch, self tapping, full thread (length range: 14mm – 80mm) 17

890 4.5mm Malleolar Screw, 1.75mm Pitch, Threaded Length (Length Range: 25mm – 100mm) 4.5mm malleolar screw, 1.75mm pitch, threaded length (length range: 25mm – 100mm) 33

891 Broad Self Compression Plate 4.5mm (Holes Range: 4mm – 18mm) Broad self compression plate 4.5mm (holes range: 4mm – 18mm) 211

892 Butress L-Plate (Right Angled) 4.5mm (Hole Range: 3mm – 6mm) Butress L-Plate (right angled) 4.5mm (hole range: 3mm – 6mm) 281

893 Buttress L-Plate (Left Angled) 4.5mm (Hole Range: 3mm – 8mm) Buttress L-Plate (left angled) 4.5mm (hole range: 3mm – 8mm) 281


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CAJ RAWATAN

894 Buttress T-Plate 4.5mm (Hole Range: 3mm – 8mm) Buttress T-Plate 4.5mm (hole range: 3mm – 8mm) 234

895 Cobra Head Plate 4.5mm (Hole Range: 8mm – 11mm) Cobra head plate 4.5mm (hole range: 8mm – 11mm) 667

896 Condylar Buttress Plate (Left Angled) 4.5mm (Hole Range: 7mm – 15mm) Condylar buttress plate (left angled) 4.5mm (hole range: 7mm – 15mm) 585

897 Condylar Buttress Plate (Right Angled) 4.5mm (Hole Range: 7mm – 15mm) Condylar buttress plate (right angled) 4.5mm (hole range: 7mm – 15mm) 585

898 Large T-Plate 4.5mm (Hole Range: 3mm – 9mm) Large T-Plate 4.5mm (hole range: 3mm – 9mm) 328

899 Lateral Tibia Plate (Left Angled) 4.5mm (Hole Range: 5mm – 13mm) Lateral tibia plate (left angled) 4.5mm (hole range: 5mm – 13mm) 585

900 Lateral Tibia Plate (Right Angled) 4.5mm (Hole Range: 5mm – 13mm) Lateral tibia plate (right angled) 4.5mm (hole range: 5mm – 13mm) 585

901 Limited Contact - Broad Self Compression Plate 4.5mm (Holes Range: 6mm – 18mm) Limited contact - broad self compression plate 4.5mm (holes range: 6mm – 18mm) 422

902 Limited Contact - Narrow Self Compression Plate 4.5mm (Holes Range: 2mm – 16mm) Limited contact - narrow self compression plate 4.5mm (holes range: 2mm – 16mm) 375

903 Narrow Self Compression Plate 4.5mm (Holes Range: 2mm – 18mm) Narrow self compression plate 4.5mm (holes range: 2mm – 18mm) 153

904 Semi-Tubular Plate 4.5mm (Hole Range: 2mm- 12mm) Semi-tubular plate 4.5mm (hole range: 2mm- 12mm) 78

905 Spoon Plate 4.5mm (Hole Range: 5mm – 6mm) Spoon plate 4.5mm (hole range: 5mm – 6mm) 312

906 Bone Screw Washers (Range: Outer 6.5mm, 7.2mm, 10.0mm, 13.0mm) Bone screw washers (range: outer 6.5mm, 7.2mm, 10.0mm, 13.0mm) 10

907 4.0mm Cannulated Screw, 16mm Thread Length (Length Range: 25mm – 50mm) 4.0mm cannulated screw, 16mm thread length (length range: 25mm – 50mm) 206

908 4.5mm Cannulated Screw, 16mm Thread Length (Length Range: 20mm -80mm) 4.5mm cannulated screw, 16mm thread length (length range: 20mm -80mm) 206

909 6.5mm Cannulated Screw, Full Thread (Length Range: 25mm – 115mm) 6.5mm cannulated screw, full thread (length range: 25mm – 115mm) 206

910 7.0mm Cannulated Screw, 16mm Thread Length (Length Range: 30mm – 130mm) 7.0mm cannulated screw, 16mm thread length (length range: 30mm – 130mm) 206

911 7.0mm Cannulated Screw, 32mm Thread Length (Length Range: 45mm) 7.0mm cannulated screw, 32mm thread length (length range: 45mm) 217

912 7.0mm Cannulated Screw, Full Thread (Length Range: 20mm – 130mm) 7.0mm cannulated screw, full thread (length range: 20mm – 130mm) 217

913 Curved Reconstruction Plate 3.5mm (Holes Range: 6mm- 18mm) Curved reconstruction plate 3.5mm (holes range: 6mm- 18mm) 410

914 Straight Reconstruction Plate 3.5mm (Hole Range: 5mm – 22mm) Straight reconstruction plate 3.5mm (hole range: 5mm – 22mm) 234

915 Straight Reconstruction Plate 4.5mm (Hole Range: 3mm – 16mm) Straight reconstruction plate 4.5mm (hole range: 3mm – 16mm) 328

916 DHS Plate 130 (Hole Range: 2mm – 9mm) DHS Plate 130 (hole range: 2mm – 9mm) 585917 DHS Plate 135 (Hole Range: 2mm – 9mm) DHS Plate 135 (hole range: 2mm – 9mm) 585918 DHS Plate 140 (Hole Range: 2mm – 12mm) DHS Plate 140 (hole range: 2mm – 12mm) 702919 DHS Plate 145 (Hole Range: 2mm – 12mm) DHS Plate 145 (hole range: 2mm – 12mm) 702920 DHS Plate 150 (Hole Range: 2mm – 12mm) DHS Plate 150 (hole range: 2mm – 12mm) 702

921 Hexagonal Head Compression Screw, Length 36mm Hexagonal head compression screw, length 36mm 43

922 Lag Screw, Thread 12.5mm, Thread Length 22.0mm (Length Range: 50mm – 145mm) Lag screw, thread 12.5mm, thread length 22.0mm (length range: 50mm – 145mm) 234

923 Calibrated Guide Wires, 2.5mm, Length 230mm Calibrated guide wires, 2.5mm, length 230mm 94

924 Austin Moore Narrow Stem Stainless Steel (Head Size Range: 38mm – 56mm) Austin Moore Narrow Stem Stainless Steel (head size range: 38mm – 56mm) 953

925 Austin Moore Standard Stem Stainless Steel (Head Size Range: 38mm – 56mm) Austin Moore Standard Stem Stainless Steel (head size range: 38mm – 56mm) 953

926 Austin Moore Standard Stem Titanium (Head Size Range: 38mm – 56mm) Austin Moore Standard Stem Titanium (head size range: 38mm – 56mm) 1,521

927 Thompson Standard Stem Stainless Steel (Head Size Range: 38mm – 56mm) Thompson Standard Stem Stainless Steel (head size range: 38mm – 56mm) 953

928 Thompson Standard Stem Titanium (Head Size Range: 38mm – 55mm) Thompson Standard Stem Titanium (head size range: 38mm – 55mm) 1,521

929 130 Angled Blade Plates (Hole Range: 4mm – 12mm) 130 Angled Blade Plates (hole range: 4mm – 12mm) 634

930 95 Angled Blade Plates (Condylar Plate 95) (Hole Range: 5mm – 18mm) 95 Angled Blade Plates (Condylar Plate 95) (hole range: 5mm – 18mm) 1,112

931 Supracondylar Plates 95 Degress (Hole Range: 6mm – 16mm) Supracondylar plates 95 degress (hole range: 6mm – 16mm) 913

932 Carbon Fibre Rods 11.0mm (Length Range: 100mm – 600mm) Carbon fibre rods 11.0mm (length range: 100mm – 600mm) 153


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CAJ RAWATAN

933 Schanz Screws 4.0mm (Length Range: 100mm – 250mm) Schanz screws 4.0mm (length range: 100mm – 250mm) 57

934 Schanz Screws 4.0mm/3.0mm (Length Range: 80mm – 100mm) Schanz screws 4.0mm/3.0mm (length range: 80mm – 100mm) 52



937 Tube to Pin Clamp, Connection Schanz Screw 5.0mm to 11.0mm Tube Tube to pin clamp, connection Schanz Screw 5.0mm to 11.0mm Tube 223

938 Tube to Tube Clamp, End Connector 11.0mm to 11.0mm Tube Tube to tube clamp, end connector 11.0mm to 11.0mm tube 223

939 Tube to Tube Clamp, Mid Shaft Connector 11.0mm to 11.0mm Tube Tube to tube clamp, mid shaft connector 11.0mm to 11.0mm tube 223

940 Ender Nails 4.5mm (Length Range: 420mm – 520mm) Ender nails 4.5mm (length range: 420mm – 520mm) 195

941 Ender Nails 4.8mm (Length Range: 220mm – 520mm) Ender nails 4.8mm (length range: 220mm – 520mm) 161

942 Kuntcher Nails 10.0 mm (Length Range: 20 cm – 52 cm) Kuntcher nails 10.0 mm (length range: 20 cm – 52 cm) 385

943 Kuntcher Nails 11.0mm (Length Range: 20 cm – 52 cm) Kuntcher nails 11.0mm (length range: 20 cm – 52 cm) 390









952 Cerclage Wires (10's) (Diameter Range: 1.0mm - 1.2mm) Cerclage wires (10's) (diameter range: 1.0mm - 1.2mm) 1,404

953 Cerclage Wires, Length 10 Meters (Diameter Range: 1.0mm - 1.2mm) Cerclage wires, length 10 meters (diameter range: 1.0mm - 1.2mm) 134

954 Kirchner Wires 0.9mm, Trocar Tip Single or Double (Length Range: 70mm – 150mm) Kirchner wires 0.9mm, trocar tip single or double (length range: 70mm – 150mm) 6





959 Kirchner Wires 1.6mm, Trocar Tip Single or Double (Length Range: 150mm – 280mm) Kirchner wires 1.6mm, trocar tip single or double (length Range: 150mm – 280mm) 8

960 Kirchner Wires 1.8mm, Trocar Tip Single or Double (Length Range: 150mm – 280mm) Kirchner wires 1.8mm, trocar tip single or double (length Range: 150mm – 280mm)r 8


962 Rush Pins 2.4mm (Length Range: 25mm – 254mm) Rush pins 2.4mm (length range: 25mm – 254mm) 84




966 Steinmann Pins 3.5mm with Trocar Tip (Length Range: 125mm – 150mm) Steinmann pins 3.5mm with trocar tip (length range: 125mm – 150mm) 34

967 Steinmann Pins 4.0mm/5.0mm Mid Thread (Length Range: 175mm – 200mm) Steinmann pins 4.0mm/5.0mm mid thread (length range: 175mm – 200mm) 141



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CAJ RAWATAN



971 Interlocking Femoral Nail Interlocking femoral nail 880972 Interlocking Tibia Nail Interlocking tibia nail 880973 Distal Tibia Plate Distal tibia plate 3,300974 Osteotomy Plate Osteotomy plate 2,860975 Calcaneal Plates Calcaneal plate 2,200976 Bone Staples Bone staples 110977 Stainless Steel Elastic Nail Stainless steel elastic nail 1,760978 Bone Cement (plain) Bone cement (plain) 220979 External Fixator 2 tubes and 8 clamps External fixator 2 tubes and 8 clamps 4,950980 Wrist External Fixator Wrist external fixator 4,950981 Reconstruction External Fixator Set Tibia Reconstruction external fixator set tibia 8,800982 Reconstruction External Fixator Set Femur Reconstruction external fixator set femur 13,200

IMPLAN KAKI DAN BUKU LALI FOOT AND ANKLE IMPLANT

983 Suture anchor – 2.4mm - 5.5mm (titanium, bio absorbable, PEEK) Suture anchor – 2.4mm - 5.5mm (titanium, bio absorbable, PEEK) 1,375

984 Syndesmosis tightrope Syndesmosis tightrope 1,750985 Bio tenodesis screw Bio tenodesis screw 1,690986 Break away screw Break away screw 360987 Triple threaded screw 6.0mm Triple threaded screw 6.0mm 900

988 Cannulated screw 2.4mm, 3.0mm, 4.0mm, 6.5mm, 7.0mm & 7.3mm (titanium) Cannulated screw 2.4mm, 3.0mm, 4.0mm, 6.5mm, 7.0mm & 7.3mm (titanium) 525

989 Locking plate (mini & calcaneum) Locking plate (mini & calcaneum) 2,350990 Compression staple Compression staple 475991 Pilon plate (distal end tibia) Pilon plate (distal end tibia) 2,000992 Ankle distractor (external fixator) Ankle distractor (external fixator) 6,000993 Bone graft (Bonalive) Bone graft (bonalive) 2,800994 Radiofrequency coblation probe (Topaz) Radiofrequency coblation probe (topaz) 1,300995 Arthroscopic radiofrequency probe (Covac) Arthroscopic radiofrequency probe (covac) 950996 Arthroereisis screw Arthroereisis screw 2,575997 Total ankle replacement Total ankle replacement 15,500998 Taylor spatial frame Taylor spatial frame 12,000999 Hind foot nail Hind foot nail 3,350

1000 Metatarsophalangeal joint arthroplasty (hemi & total) Metatarsophalangeal joint arthroplasty (hemi & total) 6,125

GENERAL/TRAUMA IMPLANTS GENERAL/TRAUMA IMPLANTS1001 DHS DHS 6501002 Interlocking Femoral Nail Interlocking femoral nail 6951003 Interlocking Tibial Nail Interlocking tibial nail 6951004 Kuntscher Intramedullary Nail Tibia Kuntscher intramedullary nail tibia 1951005 Kuntscher Intramedullary Nail Femur Kuntscher intramedullary nail femur 1951006 Steinman Pin Steinman pin 391007 Schanz Screw Schanz screw 591008 Cortical Screw 3.5mm Cortical screw 3.5mm 101009 Cortical Screw 4.5mm Cortical screw 4.5mm 131010 Circlage Wire 0.2mm - 1.5mm Circlage wire 0.2mm - 1.5mm 105

1011 6.5mm Cancellous screw (16/32/Full Thread) 6.5mm cancellous screw (16/32/full thread) 22

1012 4.0mm Cancellous screw (Full/Short Thread) 4.0mm cancellous screw (full/short thread) 171013 Cannulated Screw 4.0mm, 6.5mm, 7.0mm Cannulated screw 4.0mm, 6.5mm, 7.0mm 1901014 Mini Plates Mini plates 1691015 Mini Screws 1.5mm, 2.0mm, 2.7mm Mini screws 1.5mm, 2.0mm, 2.7mm 241016 Angle Blade Plate Angle blade plate 7501017 K-Wires various sizes and length K-Wires various sizes and length 131018 Rush Nails Rush nails 6491019 Straight Reconstruction Plate 2.7mm Straight reconstruction plate 2.7mm 1581020 Reconstruction Plate 3.5mm (Straight/Curved) Reconstruction plate 3.5mm (straight/curved) 2731021 Reconstruction Plate 4.5mm (Straight/Curved) Reconstruction plate 4.5mm (straight/curved) 2751022 Broad DCP Plate (4.5mm) Broad DCP plate (4.5mm) 1471023 Narrow DCP (4.5mm) Narrow DCP (4.5mm) 1131024 Small Fragments Plate (3.5mm) Small fragments plate (3.5mm) 901025 One Third Tubular Plate (3.5mm) One third tubular plate (3.5mm) 521026 Semi Tubular Plate (4.5mm) Semi tubular plate (4.5mm) 711027 T-Buttress Plate 4H - 6H (4.5mm) T-buttress plate 4H - 6H (4.5mm) 1791028 T - Plate (4.5mm) T - plate (4.5mm) 2121029 L- Buttress Plate 4H - 6H (4.5mm) L- buttress plate 4H - 6H (4.5mm) 1951030 Small T- Plate (3.5mm) :Oblique/Right/Left Small T- plate (3.5mm) :oblique/Right/Left 1201031 Condylar Buttress Plate (4.5mm) Condylar buttress plate (4.5mm) 4501032 Clover Leaf Plate Clover leaf plate 2651033 Spoon Plate Spoon plate 229


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CAJ RAWATAN

1034 Distal Tibial Plate Distal tibial plate 1,1251035 Osteotomy Plate Osteotomy plate 6501036 LC-DCP Plate (3.5mm, 4.5mm) LC-DCP plate (3.5mm, 4.5mm) 2251037 Calcanel Plate Calcanel plate 5251038 Y-Plate Y-plate 2251039 Bone Staples Bone staples 401040 Washer Washer 15

JOINT ARTHROPLASTY JOINT ARTHROPLASTY

1041 Hemi Hip Prosthesis (Austin Moore/Thompson) Hemi hip prosthesis (Austin Moore/Thompson) 725

MISCELLANEOUS MISCELLANEOUS1042 Bone Cement (Plain) Bone cement (plain) 250

BASIC LCP SMALL FRAGMENT 3.5mm BASIC LCP SMALL FRAGMENT 3.5mm1043 LCP Straight Plate 3.5mm: (Stainless Steel) : LCP Straight Plate 3.5mm: (Stainless Steel) :1044 6-9 holes (1 set) 1 Plate and Screws 6-9 holes (1 set) 1 Plate and Screws 8001045 10-12 holes 10-12 holes 1,1001046 LCP Metaphyseal 3.5mm (Titanium) : LCP Metaphyseal 3.5mm (Titanium) :1047 6-9 holes (1 set) 1 Plate and Screws 6-9 holes (1 set) 1 Plate and Screws 1,8001048 10-12 holes 10-12 holes 2,000

LCP T Plate 3.5mm: (Stainless Steel) LCP T Plate 3.5mm: (Stainless Steel)1049 - Right Angled (3-6 holes) - Right Angled (3-6 holes) 8001050 - Obloque Angle (3-5 holes) - Obloque Angle (3-5 holes) 800

1051 LCP Reconstruction Plate 3.5mm (6-9 holes) Stainless Steel LCP Reconstruction Plate 3.5mm (6-9 holes) Stainless Steel 850

1052 LCP Plate (1.0mm, 1.3mm, 1.5mm, 2.0mm, 2.4mm) - 1 plate & screw LCP Plate (1.0mm, 1.3mm, 1.5mm, 2.0mm, 2.4mm) - 1 plate & screw 1,600

1053 Screw only Screw only 1501054 Proximal Humeral Locking Plate Proximal Humeral Locking Plate 3,0001055 Distal Humeral Locking Plate Distal Humeral Locking Plate 3,9001056 Distal Radius Locking Plate (volar) Distal Radius Locking Plate (volar) 2,2001057 Distal Radius Locking Plate (dorsal) Distal Radius Locking Plate (dorsal) 2,3001058 LCP Distal Radius Plate 2.4mm : LCP Distal Radius Plate 2.4mm :1059 - Dorsal Plate (2 Plates) - Dorsal Plate (2 Plates) 2,300

1060 - Volar Plate (Extraarticular or Juxta Articular) - Volar Plate (Extraarticular or Juxta Articular) 1,800

1061 - Extra Long Volar Plate (10 holes) - Extra Long Volar Plate (10 holes) 2,7001062 - LCP Wrist Fusion 2.7mm/3.5mm - LCP Wrist Fusion 2.7mm/3.5mm 2,8001063 - LCP Ulna Hook 2.0mm - LCP Ulna Hook 2.0mm 1,6001064 - 3.0mm Headless Compression Screw - 3.0mm Headless Compression Screw 700

1065 Variable Angle 2 column Distal Radius Plate 2.4mm Variable Angle 2 column Distal Radius Plate 2.4mm 2,500

LOCKING PLATE (Upper Limb)(Stainless Steel) LOCKING PLATE (Upper Limb)(Stainless Steel)

1066 Clavicular Locking Plate Clavicular Locking Plate 1,8001067 Proximal Humeral Locking Plate Proximal Humeral Locking Plate 2,2001068 Distal Humeral locking plate Distal Humeral locking plate 3,900

1069 LCP Extra-Articular Distal Humerus Plate 3.5mm(6 holes, 8 holes, 9 holes, 10 holes) LCP Extra-Articular Distal Humerus Plate 3.5mm(6 holes, 8 holes, 9 holes, 10 holes) 3,900

1070 LCP Hook Plate 3.5mm LCP Hook Plate 3.5mm 1,2001071 Olecranon locking plate Olecranon locking plate 3,0001072 Unreamed Humeral Nail Unreamed Humeral Nail 1,6001073 Without End Caps Without End Caps 1,2001074 with End Caps with End Caps 1,600

1075 LCP Compact hands (1.0mm, 1.3mm, 1.5mm, 2.0mm, 2.4mm) LCP Compact hands (1.0mm, 1.3mm, 1.5mm, 2.0mm, 2.4mm) 1,600

BASIC LCP LARGE FRAGMENT 4.5mm/5.0mm BASIC LCP LARGE FRAGMENT 4.5mm/5.0mm

LCP Narrow 4.5mm/5.0mm humerus/tibia : LCP Narrow 4.5mm/5.0mm humerus/tibia :1076 - 6-9 holes - 6-9 holes 1,0001077 - 10-16 holes - 10-16 holes 1,6001078 - 8-9 holes - 8-9 holes 1,1001079 - 10-14 holes - 10-14 holes 1,6501080 - 16 holes - 16 holes 2,000

1081 LCP T-Buttress Plate 4.5mm/5.0mm (4-5 holes) LCP T-Buttress Plate 4.5mm/5.0mm (4-5 holes) 900

1082 LCP T Plate 4.5mm/5.0mm (4-6 holes) LCP T Plate 4.5mm/5.0mm (4-6 holes) 900

1083 LCP L-Buttress Plate 4.5mm/5.0mm (4-6 holes) LCP L-Buttress Plate 4.5mm/5.0mm (4-6 holes) 900

1084 LCP Metaphyseal 3.5mm/4.5mm/5.0mm BROAD ( 3-9 holes) LCP Metaphyseal 3.5mm/4.5mm/5.0mm BROAD ( 3-9 holes) 2,200

1085 LCP Reconstruction Plate 4.5mm/5.0mm (6-10 holes) LCP Reconstruction Plate 4.5mm/5.0mm (6-10 holes) 2,000

INTERLOCKING NAIL (Stainless Steel) INTERLOCKING NAIL (Stainless Steel)


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LCP Dynamic Hip Screw 4.5mm/5.0mm 2-6 holes: LCP Dynamic Hip Screw 4.5mm/5.0mm 2-6 holes:

1086 - 1 Plate and Srews - 1 Plate and Srews 1,000

1087 - 1 Plate + 1 Lag Screw + 1 Compression Screw + Screws - 1 Plate + 1 Lag Screw + 1 Compression Screw + Screws 1,200

1088 - 8 -10 holes - 8 -10 holes 1,4001089 - 12-14 holes - 12-14 holes 1,8001090 Femur Interlocking Nail Femur Interlocking Nail 8501091 Retrograde Nail Retrograde Nail 1,5001092 Femur Reconstruction nail Femur Reconstruction nail 1,5001093 Proximal Femoral Nail (Standard) Proximal Femoral Nail (Standard) 1,8001094 Proximal Femoral Nail (Long Stem) Proximal Femoral Nail (Long Stem) 2,5001095 Gamma Nail Gamma Nail 1,8001096 Distal Femoral Nail Distal Femoral Nail 2,4001097 Tibial Interlocking Nail Tibial Interlocking Nail 8501098 LCP Hook Plate 3.5mm LCP Hook Plate 3.5mm 1,200

LCP 1/3 Tubular 1.3mm : LCP 1/3 Tubular 1.3mm :1099 - 5-7 holes - 5-7 holes 1,2001100 - 8-10 holes - 8-10 holes 1,400

1101 LCP Medial Proximal Tibia Plate 3.5mm (4-8 holes) LCP Medial Proximal Tibia Plate 3.5mm (4-8 holes) 2,400

LCP Medial Distal Tibia Plate 3.5mm LCP Medial Distal Tibia Plate 3.5mm1102 - low bend 6-8 holes - low bend 6-8 holes 2,1001103 - 12-14 holes - 12-14 holes 2,600

1104 LCP Anterolateral Distal Tibial Plate 3.5mm (5-11 holes) LCP Anterolateral Distal Tibial Plate 3.5mm (5-11 holes) 2,100

1105 LCP Compact Foot : (LCP Plate 2.0mm/2.4mm/2.7mm) LCP Compact Foot : (LCP Plate 2.0mm/2.4mm/2.7mm) 1,600

1106 LCP 2 Hole Plate 2.7mm (consists of 1 Plate & Screws) LCP 2 Hole Plate 2.7mm (consists of 1 Plate & Screws) 800

1107 Screw only (2.0mm, 2.4mm, 2.7mm) Screw only (2.0mm, 2.4mm, 2.7mm) 1501108 LCP Calcaneal Plate 3.5mm LCP Calcaneal Plate 3.5mm 2,0001109 Midfoot Fusion Bolt Midfoot Fusion Bolt 1,800

INTERLOCKING NAIL (Titanium) INTERLOCKING NAIL (Titanium)1110 Femur Interlocking Nail Femur Interlocking Nail 1,6001111 Gamma Nail Gamma Nail 2,2001112 Distal Femoral Nail Distal Femoral Nail 2,0001113 Spiral locking Spiral locking 2,4001114 Tibial Interlocking Nail Tibial Interlocking Nail 8501115 Expert Tibial Nail (Cannulated) Expert Tibial Nail (Cannulated) 2,0001116 Expert A2FN Standard locking Expert A2FN Standard locking 1,8001117 Periarticular plate LCP Tomofix 3.5mm Periarticular plate LCP Tomofix 3.5mm 2,600

1118 LCP Distal Fibula Plate 2.7mm/3.5mm (lateral/posterolateral) LCP Distal Fibula Plate 2.7mm/3.5mm (lateral/posterolateral) 2,900

1119 LCP Proximal Tibia Plate 3.5mm, lateral (6-8 holes) LCP Proximal Tibia Plate 3.5mm, lateral (6-8 holes) 2,400

OTHERS OTHERS1120 Expert nail Expert nail 1,800

DISTAL FEMUR /PROXIMAL & DISTAL TIBIA FRACTURES DISTAL FEMUR /PROXIMAL & DISTAL TIBIA FRACTURES 15,800

1121

(Consist of: Posts, 3 Hole Wire Clamps, 2 Hole Wire Clamp, Supplementary Screw Holder Bar & Clamps, HA Coated Orthofix Tapered Cortical Screws)

(Consist of: Posts, 3 Hole Wire Clamps, 2 Hole Wire Clamp, Supplementary Screw Holder Bar & Clamps, HA Coated Orthofix Tapered Cortical Screws)

ACUTE TRAUMA/POST-TRAUMATIC STIFFNESS ACUTE TRAUMA/POST-TRAUMATIC STIFFNESS 15,000

1122 (Consist of: Complete Orthofix Elbow Fixator Kit With HA Coated Orthofix Tapered Cortical Screws )

(Consist of: Complete Orthofix Elbow Fixator Kit With HA Coated Orthofix Tapered Cortical Screws )

GENU VARUM/GENU VALGUM/LLD/ ANKLE VALGUS etc.(Consist of : Brand : Orthofix, Italy)

GENU VARUM/GENU VALGUM/LLD/ ANKLE VALGUS etc.(Consist of : Brand : Orthofix, Italy)

1123 Trauma Paediatric Orthopedik Trauma Paediatric Orthopedik 2,400Titanium Elastic Nail (TEN) Titanium Elastic Nail (TEN)

1124 - Without End Caps (consists of 2 pcs TEN only) - Without End Caps (consists of 2 pcs TEN only) 1,200

1125 - With End caps (consists of 2 pcs TEN & 2 pcs End Cap) - With End caps (consists of 2 pcs TEN & 2 pcs End Cap) 1,600

1126 Capos 3.5mm & 4.5mm (consists of 1 Plate & Screw) (Stainless Steel) Capos 3.5mm & 4.5mm (consists of 1 Plate & Screw) (Stainless Steel) 1,200

1127 Paediatric Hip Plate (3.5mm & 5.0mm) 1 Plate & Screw (Stainless Steel) Paediatric Hip Plate (3.5mm & 5.0mm) 1 Plate & Screw (Stainless Steel) 2,200


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CAJ RAWATAN

1128 Telescopic nail Telescopic nail 9,0001129 Paediatric Hip Locking Plate Paediatric Hip Locking Plate 2,5001130 8 Plate 8 Plate 2,5001131 Paediatric Limb reconstruction System Paediatric Limb reconstruction System 15,0001132 Arthrodiastasis Arthrodiastasis 15,0001133 Scoliosis Instrumentation (Anterior) Scoliosis Instrumentation (Anterior) 30,000

1134 Scoliosis Instrumentation (Anterior-Posterior) Scoliosis Instrumentation (Anterior-Posterior) 30,000

1135 Scoliosis Instrumentation (Posterior) Scoliosis Instrumentation (Posterior) 25,0001136 Anterior Cervical Fusion System (single level) Anterior Cervical Fusion System (single level) 6,0001137 Posterior Cervical Fusion Posterior Cervical Fusion 10,0001138 Spinal Cages Spinal Cages 3,0001139 Anterior Spinal Instrumentations Anterior Spinal Instrumentations 10,0001140 Lower Back Instrumentations (single level) Lower Back Instrumentations (single level) 9,0001141 Artificial Discs (Cervical) Artificial Discs (Cervical) 11,0001142 Artificial Discs (lumbar) Artificial Discs (lumbar) 11,0001143 Kyphoplasty (per level) Kyphoplasty (per level) 7,8751144 Vertebroplasty (per level) Vertebroplasty (per level) 4,5001145 Halo Vest System Halo Vest System 9,4501146 Scoliosis Bracing Scoliosis Bracing 8401147 Juwett, SOMI,TLSO, LSO Bracing Juwett, SOMI,TLSO, LSO Bracing 9981148 Pedicle Screws Pedicle Screws 1,155

Sports Surgery and Arthroscopy : Sports Surgery and Arthroscopy :1149 Primary ACL reconstruction (single bundle) Primary ACL reconstruction (single bundle) 4,6431150 Primary ACL reconstruction (double bundle) Primary ACL reconstruction (double bundle) 6,9431151 Primary PCL reconstruction (single bundle) Primary PCL reconstruction (single bundle) 5,9761152 Primary PCL reconstruction (double bundle) Primary PCL reconstruction (double bundle) 7,0681153 Primary PLC reconstruction (single bundle) Primary PLC reconstruction (single bundle) 4,5151154 Primary PLC reconstruction (double bundle) Primary PLC reconstruction (double bundle) 7,0051155 Primary MCL reconstruction (single bundle) Primary MCL reconstruction (single bundle) 4,5151156 Primary MCL reconstruction (double bundle) Primary MCL reconstruction (double bundle) 7,005

Multiligament reconstruction without allograft Multiligament reconstruction without allograft

1157 - 2 ligaments - 2 ligaments 7,8731158 - 3 ligaments - 3 ligaments 10,1081159 - 4 ligaments - 4 ligaments 13,558

Multiligament reconstruction with allograft Multiligament reconstruction with allograft1160 - 2 ligaments - 2 ligaments 16,8731161 Patella stabilization surgery Patella stabilization surgery 4,0101162 Knee malalignment surgery Knee malalignment surgery 4,4001163 Meniscus repair surgery Meniscus repair surgery 4,3431164 Meniscus transplantation surgery Meniscus transplantation surgery 27,2551165 Shoulder stabilization surgery Shoulder stabilization surgery 4,5001166 Anterior and Posterior stabilization Anterior and Posterior stabilization 7,7231167 Single Row (small or medium size tear) Single Row (small or medium size tear) 12,5001168 Single Row (massive tear) Single Row (massive tear) 4,6701169 Double Row (small or medium size tear) Double Row (small or medium size tear) 7,9451170 Double Row (massive tear) Double Row (massive tear) 7,3701171 Biceps tendon repair or tenodesis Biceps tendon repair or tenodesis 6,9951172 ACJ repair ACJ repair 10,7951173 ACJ reconstruction ACJ reconstruction 3,5131174 Osteochondral transplantation surgery Osteochondral transplantation surgery 4,438

Implants for Arthroscopy and Sport Surgery Implants for Arthroscopy and Sport Surgery

1175 Bioabsorbable Interference Screw Bioabsorbable Interference Screw 1,2451176 Extracortical button Extracortical button 1,3351177 Suture Anchor Suture Anchor 1,3701178 Meniscus repair Meniscus repair 1,1001179 Tight rope repair kit Tight rope repair kit 8751180 AC graftrope AC graftrope 1,5001181 Meniscus implant Meniscus implant 25,0001182 Allograft tissue (Freeze-Dried) Allograft tissue (Freeze-Dried) 6,0001183 Allograft tissue (Fresh Frozen) Allograft tissue (Fresh Frozen) 11,5001184 Osteochondral implant Osteochondral implant 3,0001185 Force fibrewire Force fibrewire 2101186 Knee Brace Knee Brace 1,5001187 Shoulder Brace Shoulder Brace 4751188 Osteotomy Plate Osteotomy Plate 2,5001189 Bone Substitute Bone Substitute 1,400

OSTEOTITE HA COATED SCREWS:- OSTEOTITE HA COATED SCREWS:-

1190 Osteotite bone screw 180mm/50mm diameter 6mm, thread 6-5mm Osteotite bone screw 180mm/50mm diameter 6mm, thread 6-5mm 360


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CAJ RAWATAN









BASIC LRS COMPONENTS BASIC LRS COMPONENTS 1199 LRS Extra Short Rail Length 12cm LRS Extra Short Rail Length 12cm 2,4271200 LRS Standard Rail Length 30cm LRS Standard Rail Length 30cm 2,5581201 LRS Long Rail Length 40cm LRS Long Rail Length 40cm 3,5341202 LRS Straight Central Clamp LRS Straight Central Clamp 4,1671203 LRS Straight Outer Clamp LRS Straight Outer Clamp 3,0331204 LRS T-Clamp LRS T-Clamp 2,9041205 Sandwich Clamp With C/D Unit for LRS Sandwich Clamp With C/D Unit for LRS 3,676

1206 Compression Distraction Unit Long Clicker Model Compression Distraction Unit Long Clicker Model 2,242

1207 Compression Distraction Unit Short Compression Distraction Unit Short 1,319

1208 Compression Distraction Unit STD Clicker Model Compression Distraction Unit STD Clicker Model 909

1209 Dyna-Ring with C/D Unit Attach For LRS Dyna-Ring with C/D Unit Attach For LRS 1,055ACUTE/GRADUAL CORRECTION CLAMPS ACUTE/GRADUAL CORRECTION CLAMPS

1210 LRS Multiplanar Clamp LRS Multiplanar Clamp 4,5371211 Micrometric Swivelling Clamp for LRS Micrometric Swivelling Clamp for LRS 3,5341212 LRS Hinged Rail Coupling LRS Hinged Rail Coupling 3,7451213 LRS of-Garches T-Clamp LRS of-Garches T-Clamp 3,941

1214 Of-Garches Standard Compression/Distraction Unit Of-Garches Standard Compression/Distraction Unit 985

1215 Of-Garches Long Compression/Distrraction Unit Of-Garches Long Compression/Distrraction Unit 985

1216 Pelvic Fixator Long Model Kit with 6pcs of Screws Pelvic Fixator Long Model Kit with 6pcs of Screws 11,500

1217 Hand/forearm applications Hand/forearm applications 5,5001218 Articulated hip distraction/perthes Articulated hip distraction/perthes 16,000

1219 Orthofix dynamic wrist fixator system with screws Orthofix dynamic wrist fixator system with screws 6,500

(Kit No: 37000 or 37001) (Kit No: 37000 or 37001)1220 SS Half Rings (Diameter 80mm - 240mm) SS Half Rings (Diameter 80mm - 240mm) 1601221 SS 5/8 Rings (Diameter 80mm - 220mm) SS 5/8 Rings (Diameter 80mm - 220mm) 180

1222 Carbon Fibre Half Ring (Diameter 80mm – 240mm) Carbon Fibre Half Ring (Diameter 80mm – 240mm) 320

SS Italian Femoral Arches SS Italian Femoral Arches1223 - 90 degree Arch, small/large size - 90 degree Arch, small/large size 2001224 - 120 degree Arch, small/large size - 120 degree Arch, small/large size 2001225 - Threaded Rods (Size: 40mm - 450mm) - Threaded Rods (Size: 40mm - 450mm) 34

1226 - Slotted Threaded Rods (Size: 40mm – 100mm) - Slotted Threaded Rods (Size: 40mm – 100mm) 62

Telescopic Rods Telescopic Rods 1227 Telescopic Rods: 100mm Telescopic Rods: 100mm 941228 Telescopic Rods: 150mm Telescopic Rods: 150mm 1091229 Telescopic Rods: 200mm Telescopic Rods: 200mm 1251230 Telescopic Rods: 250mm Telescopic Rods: 250mm 1561231 Telescopic Rods: 300mm Telescopic Rods: 300mm 1871232 Telescopic Rods: 350mm Telescopic Rods: 350mm 1871233 Telescopic Rods: 400mm Telescopic Rods: 400mm 1871234 Posts Female (Size: 2-4 Holes) Posts Female (Size: 2-4 Holes) 591235 Male Post (Size: 2-4 Holes) Male Post (Size: 2-4 Holes) 591236 Hinges Female Standard Hinges Female Standard 591237 Hinges Male Standard Hinges Male Standard 591238 Hinges-90 degree Standard Hinges-90 degree Standard 591239 Hinges-90 degree Low profile Hinges-90 degree Low profile 59

Short Connection Plates Short Connection Plates1240 Short Connection Plate 2 Holes Length 35mm Short Connection Plate 2 Holes Length 35mm 621241 Short Connection Plate 3 Holes Length 45mm Short Connection Plate 3 Holes Length 45mm 62


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CAJ RAWATAN

1242 Short Connection Plate 4 Holes Length 55mm Short Connection Plate 4 Holes Length 55mm 621243 Short Connection Plate 5 Holes Length 65mm Short Connection Plate 5 Holes Length 65mm 621244 Short Connection Plate 6 Holes Length 75mm Short Connection Plate 6 Holes Length 75mm 621245 Short Connection Plate 7 Holes Length 85mm Short Connection Plate 7 Holes Length 85mm 941246 Short Connection Plate 8 Holes Length 95mm Short Connection Plate 8 Holes Length 95mm 94

1247 Short Connection Plate 9 Holes Length 105mm Short Connection Plate 9 Holes Length 105mm 94

1248 Short Connection Plate 10 Holes Length 115mm Short Connection Plate 10 Holes Length 115mm 94

Long Connection Plate Long Connection Plate

1249 Long Connection Plate Size: 8 Holes Length 155mm Long Connection Plate Size: 8 Holes Length 155mm 94



Connected Plates with Threaded Ends Connected Plates with Threaded Ends

1252 Connection Plates with threaded ends: 5 Holes Length 135mm Connection Plates with threaded ends: 5 Holes Length 135mm 94

1253 Connection Plates with threaded end: 7 Holes Length 175mm Connection Plates with threaded end: 7 Holes Length 175mm 94



Twisted Plates Twisted Plates 1256 Twisted Plates: 2 Holes Length 45mm Twisted Plates: 2 Holes Length 45mm 501257 Twisted Plates: 3 Holes Length 65mm Twisted Plates: 3 Holes Length 65mm 501258 Twisted Plates: 4 Holes Length 85mm Twisted Plates: 4 Holes Length 85mm 501259 Curved Plates: 3 Holes Curved Plates: 3 Holes 621260 Bushing (for Big RFS) Bushing (for Big RFS) 311261 Threaded Sockets (20mm - 60mm) Threaded Sockets (20mm - 60mm) 40

Connection Bolts and Nuts Connection Bolts and Nuts 1262 Connection Bolts: 10mm Connection Bolts: 10mm 91263 Connection Bolts: 16mm Connection Bolts: 16mm 91264 Connection Bolts: 20mm Connection Bolts: 20mm 221265 Connection Bolts: 30mm Connection Bolts: 30mm 221266 Nut 6mm Nut 6mm 31267 Nut 13mm Nut 13mm 51268 Thin Nut Thin Nut 41269 Nylon Insert Nut Nylon Insert Nut 61270 Square Nut Square Nut 161271 Spacing Washers 1.5mm Spacing Washers 1.5mm 41272 Spacing Washers 2.0mm Spacing Washers 2.0mm 41273 Split Locking Washer 2.0mm Split Locking Washer 2.0mm 61274 Flat Sided Washers 2.0mm Flat Sided Washers 2.0mm 71275 Flat Sided Washers 4.0mm Flat Sided Washers 4.0mm 71276 Slotted Washers 4.0mm Slotted Washers 4.0mm 91277 Conical Washer Couple Conical Washer Couple 311278 Wire fixation Bolt Slotted Wire fixation Bolt Slotted 341279 Wire fixation Bolt Cannulated Wire fixation Bolt Cannulated 341280 Pin fixation Bolts for 3mm Pins Pin fixation Bolts for 3mm Pins 621281 Pin fixation Bolts for 4mm Pins Pin fixation Bolts for 4mm Pins 621282 Pin fixation Bolts for 5mm Pins Pin fixation Bolts for 5mm Pins 621283 Pin fixation Bolts for 6mm Pins Pin fixation Bolts for 6mm Pins 621284 Single Pin Fixation Bolt Single Pin Fixation Bolt 1251285 Multiple Pin Fixation Clamp Multiple Pin Fixation Clamp 4061286 Wire Fixation Buckle Wire Fixation Buckle 218

Blocks for Half Pins (Rancheo Cubes) Blocks for Half Pins (Rancheo Cubes)1287 Blocks for Half Pins: 1 Hole Blocks for Half Pins: 1 Hole 391288 Blocks for Half Pins: 2 Holes Blocks for Half Pins: 2 Holes 391289 Blocks for Half Pins: 3 Holes Blocks for Half Pins: 3 Holes 391290 Blocks for Half Pins: 4 Holes Blocks for Half Pins: 4 Holes 561291 Blocks for Half Pins: 5 Holes Blocks for Half Pins: 5 Holes 621292 Blocks for Half Pins for Centre Sleeve: 1 Holes Blocks for Half Pins for Centre Sleeve: 1 Holes 421293 Blocks for Half Pins for Centre Sleeve: 2 Holes Blocks for Half Pins for Centre Sleeve: 2 Holes 421294 Blocks for Half Pins for Centre Sleeve: 3 Holes Blocks for Half Pins for Centre Sleeve: 3 Holes 421295 Blocks for Half Pins for Centre Sleeve: 4 Holes Blocks for Half Pins for Centre Sleeve: 4 Holes 561296 Blocks for Half Pins for Centre Sleeve: 5 Holes Blocks for Half Pins for Centre Sleeve: 5 Holes 62

Centre Sleeve for Block for Half Pins Centre Sleeve for Block for Half Pins 1297 Centre Sleeve for Block for Half Pins - 3mm Centre Sleeve for Block for Half Pins - 3mm 121298 Centre Sleeve for Block for Half Pins - 4mm Centre Sleeve for Block for Half Pins - 4mm 121299 Centre Sleeve for Block for Half Pins - 5mm Centre Sleeve for Block for Half Pins - 5mm 12


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CAJ RAWATAN

1300 Centre Sleeve for Block for Half Pins - 6mm Centre Sleeve for Block for Half Pins - 6mm 121301 Universal Joint Universal Joint 1871302 Rotational Translation Device Rotational Translation Device 2701303 Oblique Support Connection Oblique Support Connection 53

Wires Wires1304 K-Wires-Cortical 1.5mm x 300mm K-Wires-Cortical 1.5mm x 300mm 251305 K-Wires-Cortical 1.8mm x 370mm K-Wires-Cortical 1.8mm x 370mm 251306 K-Wires-Cancellous 1.5mm x 300mm K-Wires-Cancellous 1.5mm x 300mm 251307 K-Wires-Cancellous 1.8mm x 370mm K-Wires-Cancellous 1.8mm x 370mm 251308 Olive Wires-(Bayonet Point) 1.5 x 300mm Olive Wires-(Bayonet Point) 1.5 x 300mm 291309 Olive Wires-(Bayonet Point) 1.8 x 400mm Olive Wires-(Bayonet Point) 1.8 x 400mm 291310 Set Screws 3.0mm Set Screws 3.0mm 61311 Schanz Screws 5 x 175mm Schanz Screws 5 x 175mm 351312 Schanz Screws 5 x 150mm Schanz Screws 5 x 150mm 351313 Proximal Humerus Endoprosthesis Proximal Humerus Endoprosthesis 17,5001314 Distal Humerus Endoprosthesis Distal Humerus Endoprosthesis 35,0001315 Total Humerus Endoprosthesis Total Humerus Endoprosthesis 40,0001316 Proximal Femur Endoprosthesis Proximal Femur Endoprosthesis 21,0001317 Total Femur Endoprosthesis Total Femur Endoprosthesis 41,5001318 Proximal Tibia Endoprosthesis Proximal Tibia Endoprosthesis 33,0001319 Bone Cement Bone Cement 3501320 Expandable Endoprosthesis Expandable Endoprosthesis 97,0001321 Long Stem Bipolar Long Stem Bipolar 7,2501322 Shoulder arthroplasty Shoulder arthroplasty 7,9001323 Radio-capitellum prosthesis Radio-capitellum prosthesis 8,5001324 Total wrist prosthesis Total wrist prosthesis 12,0001325 Distal ulnar head prosthesis Distal ulnar head prosthesis 5,6001326 Sigmoid notch (DRUJ) prosthesis Sigmoid notch (DRUJ) prosthesis 4,8001327 Radial head modular Co Ci/Ti Radial head modular Co Ci/Ti 6,5001328 Radial head prosthesis Radial head prosthesis 5,0001329 Bipolar radial head Bipolar radial head 6,0001330 Silicone PIP, MCP, MCP Preflex Silicone PIP, MCP, MCP Preflex 1,000

1331 Silicone PIP, MCP, MCP Preflex with bone cement Silicone PIP, MCP, MCP Preflex with bone cement 1,150

1332 Semi constrained PIP Arthoplasty Semi constrained PIP Arthoplasty 6,3001333 Semi constrained MCP Arthoplasty Semi constrained MCP Arthoplasty 5,6001334 Surface replacement PIP Arthoplasty Surface replacement PIP Arthoplasty 4,7001335 Surface replacement MCP Arthoplasty Surface replacement MCP Arthoplasty 3,6001336 CMC Thumb Arthroplasty CMC Thumb Arthroplasty 5,2501337 Carpal fusion plate 3 holes Carpal fusion plate 3 holes 1,7001338 Carpal fusion plate 4 holes Carpal fusion plate 4 holes 2,1001339 Carpal fusion plate 5 holes Carpal fusion plate 5 holes 2,4501340 Hunter’s rod (Silastic rods) Hunter’s rod (Silastic rods) 800

Stainless Steel Mini plates Stainless Steel Mini plates1341 Straight 1.5mm 20 holes Straight 1.5mm 20 holes 3101342 Straight 2.0mm 20 holes Straight 2.0mm 20 holes 2801343 Condylar plate 1.5mm R/L Condylar plate 1.5mm R/L 4451344 Condylar plate 2.0mm R/L Condylar plate 2.0mm R/L 5001345 Condylar plate 2.7mm R/L Condylar plate 2.7mm R/L 4401346 T plate 1.5mm; shaft 9 holes; 3/4 holes T plate 1.5mm; shaft 9 holes; 3/4 holes 5001347 T plate 2.0mm; shaft 9 holes; 3/4 holes T plate 2.0mm; shaft 9 holes; 3/4 holes 4201348 H plate 2.0mm H plate 2.0mm 3401349 H plate 1.5mm H plate 1.5mm 1601350 Reconstruction plate 2.7mm, 5-8 holes Reconstruction plate 2.7mm, 5-8 holes 4001351 Reconstruction plate 2.7mm 5-8 holes Reconstruction plate 2.7mm 5-8 holes 5201352 Adaptation plate 2.0mm 20 holes Adaptation plate 2.0mm 20 holes 300

Low Profile Titanium Plates Low Profile Titanium Plates1353 1.3mm 1.5mm 1.3mm 1.5mm 1,6001354 Condylar blade plate Condylar blade plate 1,6001355 Y, T plate Y, T plate 1,6001356 H, Extended H plate H, Extended H plate 1,6001357 Straight plate Straight plate 1,6001358 1.0mm, 1.3mm, 1.5mm, 2.0mm, 2.4mm screws 1.0mm, 1.3mm, 1.5mm, 2.0mm, 2.4mm screws 1,600

Scaphoid Screws Scaphoid Screws1359 Accutrac micro 2.8mm/2.2mm Accutrac micro 2.8mm/2.2mm 1,2001360 Accutrac mini 3.8mm/3.2mm Accutrac mini 3.8mm/3.2mm 1,0001361 Headless compression screw 3.0mm Headless compression screw 3.0mm 7001362 Autofix 2.0mm/2.5mm Autofix 2.0mm/2.5mm 6001363 Autofix 3.0mm/4.0mm Autofix 3.0mm/4.0mm 6001364 3.0mm cannulated screw 3.0mm cannulated screw 450

Locking Plates Locking Plates1365 Dorsal Dorsal 2,300


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CAJ RAWATAN

1366 Volar (extra/intra articular) Volar (extra/intra articular) 1,8001367 10 holes 10 holes 2,7001368 Variable angle Variable angle 2,5001369 Wrist fusion 2.7mm/3.5mm Wrist fusion 2.7mm/3.5mm 2,8001370 3.5mm LCP 6-9 holes 3.5mm LCP 6-9 holes 8001371 3.5mm LCP 10-12 holes 3.5mm LCP 10-12 holes 1,1001372 3.5mm locking reconstruction plate 6-9 holes 3.5mm locking reconstruction plate 6-9 holes 8501373 3.5mm LCP metaphyseal plate 6-9 holes 3.5mm LCP metaphyseal plate 6-9 holes 1,8001374 3.5mm LCP metaphyseal plate 10 holes 3.5mm LCP metaphyseal plate 10 holes 2,0001375 3.5mm LCP T plate 3-6 holes 3.5mm LCP T plate 3-6 holes 8001376 Proximal humerus internal locking system Proximal humerus internal locking system 2,200

1377 LCP distal humerus 2.7mm/3.5mm 3-9 holes (2 plates) LCP distal humerus 2.7mm/3.5mm 3-9 holes (2 plates) 3,900

1378 LCP olecranon 3.5mm 2-8 holes LCP olecranon 3.5mm 2-8 holes 2,700Anchor Sutures Anchor Sutures

1379 Minilok 2.3mm absorbable Minilok 2.3mm absorbable 8501380 Microfix 1.6mm absorbable Microfix 1.6mm absorbable 8501381 Hinged Elbow External Fixator Hinged Elbow External Fixator1382 1 Hinge, 4 Clamps, 4 Schantz screws 1 Hinge, 4 Clamps, 4 Schantz screws 7,500

Surgery System Surgery SystemTotal Knee Replacement System Total Knee Replacement System

1383 - Total Knee Replacement System for Young - Total Knee Replacement System for Young 12,000

1384 - Total Knee Replacement System Mobile Bearing - Total Knee Replacement System Mobile Bearing 8,000

1385 - Ts Tibial Total Knee Replacement System - Ts Tibial Total Knee Replacement System 13,000

1386 - Total Stabilization Total Knee Revision Replacement System - Total Stabilization Total Knee Revision Replacement System 19,000

1387 - Modular Rotating Hinged (MRH) Total Knee Replacement System - Modular Rotating Hinged (MRH) Total Knee Replacement System 22,000

1388 - Global Modular Replacement System (GMRS) Proximal Femur Total Knee Replacement System

- Global Modular Replacement System (GMRS) Proximal Femur Total Knee Replacement System 48,000

1389 - Global Modular Replacement System (GMRS) Proximal Tibial Total Knee Replacement System

- Global Modular Replacement System (GMRS) Proximal Tibial Total Knee Replacement System 35,000

1390 - Global Modular Replacement System (GMRS) Distal Femur Total Knee Replacement System - Global Modular Replacement System (GMRS) Distal Femur Total Knee Replacement System 35,000

1391 - Global Modular Replacement System (GMRS) Total Femur Total Knee Replacement System - Global Modular Replacement System (GMRS) Total Femur Total Knee Replacement System 48,000

Total Hip Replacement System Total Hip Replacement System1392 - Bipolar Hemi Hip Replacement System - Bipolar Hemi Hip Replacement System 4,1001393 - Total Hip Replacement System (Cemented) - Total Hip Replacement System (Cemented) 7,500

1394 - Total Hip Replacement System for Young Adult - Total Hip Replacement System for Young Adult 13,000

1395 - Total Hip Replacement System (Cementless) - Total Hip Replacement System (Cementless) 10,750

1396 - Total Hip Replacement System -Long Stem (Cemented) - Total Hip Replacement System -Long Stem (Cemented) 8,000

1397 - Total Hip Replacement System -Gap Ii and Mesh (Cemented) - Total Hip Replacement System -Gap Ii and Mesh (Cemented) 13,100

1398 - Total Elbow Replacement System - Total Elbow Replacement System 8,5001399 - Hemi Shoulder Replacement System - Hemi Shoulder Replacement System 7,2501400 - Total Shoulder Replacement System - Total Shoulder Replacement System 8,0001401 - Reversed Shoulder - Reversed Shoulder 17,0001402 - Total Ankle Replacement - Total Ankle Replacement 9,500

Revision Accessories Revision Accessories1403 - Acetabulum Reconstruction Ring - Acetabulum Reconstruction Ring 4,5001404 - Revision Stems - Revision Stems 8,0001405 - Mesh Femoral - Mesh Femoral 2,0001406 - Mesh Acetabulum - Mesh Acetabulum 2,0001407 - Cables - Cables 5001408 - Pulse Lavage - Pulse Lavage 3001409 - Plate - Plate 1,5001410 - Cement - Cement 2701411 - Antibiotic Bone Cement - Antibiotic Bone Cement 3501412 - Antibiotic Bone Cement (Tobramycin) - Antibiotic Bone Cement (Tobramycin) 1,1001413 - Trabecular Metal Cone/Wedges - Trabecular Metal Cone/Wedges 3,5001414 - Constraint Cup with Head - Constraint Cup with Head 3,5001415 - Cement Joint Spacer - Cement Joint Spacer 4,0001416 - Trochanteric Hook Plate - Trochanteric Hook Plate 12,000

Bayi (0hingga 12 bulan) Kanak-kanak (1 hingga 18 tahun) Dewasa (18 tahun ke atas)TAHUN 2016 (RM) TAHUN 2016 (RM) TAHUN 2016 (RM)

10 10 1020 30 3030 40 4020 30 4030 40 5060 80 12040 60 10020 20 3040 60 8040 60 8060 80 12030 40 5030 40 5030 40 50

10 10 1020 20 3030 50 8030 60 12030 60 12060 120 24040 60 16040 80 16060 120 160

120 160 30040 120 16010 20 3040 70 7010 20 3060 60 7060 30 4010 10 10

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JADUAL 3 CAJ RAWATAN - Sultanah Aminah Hospital · 1 RAWATAN PESAKIT DALAM INPATIENT TREATMENT 100...

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