| No. | Jumlah | ID | Nama Instrumen | Spesifikasi |
|---|
| 1 | 2 pcs | 26.233 | Korentang Penjepit Sponge Foerster Lurus | 25 cm |
| 2 | 1 pcs | 11.305-18 | Pinset Anatomis | 18 cm |
| 3 | 1 pcs | 11.361-18 | Pinset Bedah Dengan Gigi 1x2 | 18 cm |
| 4 | 1 pcs | 11.558-14 | Gunting Mayo Lurus | 14 cm |
| 5 | 1 pcs | 11.559-14 | Gunting Mayo Lengkung | 14 cm |
| 6 | 2 pcs | 13.580 | Klem Kelly Lurus | 14 cm |
| 7 | 2 pcs | 13.600 | Klem Arteri Jaringan Lurus Halstead Mosquito | 12,5 cm |
| 8 | 2 pcs | 13.601 | Klem Arteri Jaringan Bengkok Halstead Mosquito | 12,5 cm |
| 9 | 2 pcs | 13.736-15 | Klem Allis Dengan Gigi 4x5 | 15 cm |
| 10 | 2 pcs | 26.156 | Korentang Lurus Penjepit Alat Steril Maier | 25 cm |
| 11 | 1 pcs | 12.435-14 | Klem/Pemegang Jarum Jahit | 14 cm |
| 12 | 1 pcs | 12.450-18 | Klem/Pemegang Jarum Jahit Dengan Kunci | 18 cm |
| 13 | 1 pcs | 2619-2 | Waskom Bengkok / Nierbeken | — |
