ANNUAL PROCUREMENT PROGRAM NAME AND ADDRESS OF AGENCItem in Budget For CY - 2017 PHILIPPINE HEART CENTER SUPPLIES AND MATERIALS EAST AVENUE, QUEZON CITY Programmed Amount: Date Submitted: * Medical Supplies * COMMODITY Q U A N T I T Y R E Q U I R E M E N T (Nomenclature & Description) UNIT 1st Qtr 2nd Qtr 3rd Qtr 4th Qtr Yearly Unit Price Price Amount MEDS0005 ADULT PRESSURE TUBING PT 48 MALE-MALE PIECE 800 1,000 1,000 1,000 3,800 250.00 950,000.00 MEDS0005 ADULT PRESSURE TUBING PT 48 MALE-MALE PIECE 0 2,000 1,000 0 3,000 350.00 1,050,000.00 MEDS0005 ADULT PRESSURE TUBING PT 48 MALE-MALE PIECE 0 0 0 1,000 1,000 450.00 450,000.00 MEDS0012 BLOOD COAGULATION TUBES, HEMOCHRON 95's, CA-510 BOX OF 95 0 30 32 99 161 14,886.80 2,396,774.80 MEDS0012 HEMOCHRON TUBE CA-510 BOX OF 95 10 30 0 0 40 12,889.00 515,560.00 MEDS0012 HEMOCHRON TUBE CA-510 BOX OF 95 0 0 40 34 74 14,177.90 1,049,164.60 MEDS0051 CERTOFIX MONOPAED S110 PIECE 90 0 0 0 90 1,900.00 171,000.00 MEDS0051 CERTOFIX MONOPAED S110 PIECE 60 120 240 120 540 1,900.00 1,026,000.00 MEDS0056 A/V FISTULA NEEDLE GA 16 X 1 PIECE 4,000 8,000 4,000 0 16,000 22.00 352,000.00 MEDS0075 I.V. CATHETER GA. 20 PIECE 1,000 0 0 0 1,000 30.00 30,000.00 MEDS0077 DISPOSABLE TRANSDUCER KIT PIECE 2,610 450 1,500 1,470 6,030 865.00 5,215,950.00 MEDS0082 NEOFLON ( I.V. CATHETER) G-24 PIECE 3,000 0 0 0 3,000 78.00 234,000.00 MEDS0083 ABBOCATH, G-20 PIECE 60 0 0 0 60 168.00 10,080.00 MEDS0083 ABBOCATH, G-20 PIECE 850 2,000 1,000 1,000 4,850 85.59 415,111.50 MEDS0083 ABBOCATH, G-20 PIECE 59 0 0 0 59 99.00 5,841.00 MEDS0084 I.V. CATHETER GA. 16 ABBOCATH PIECE 0 1,440 1,440 1,440 4,320 85.59 369,748.80 MEDS0085 I.V. CATHETER GA. 18 ABBOCATH PIECE 60 0 0 0 60 168.00 10,080.00 MEDS0085 I.V. CATHETER GA. 18 ABBOCATH PIECE 1,045 1,000 2,000 1,000 5,045 85.59 431,801.55 MEDS0093 I.V. CATHETER GA. 22 ABBOCATH PIECE 700 1,400 700 700 3,500 85.59 299,565.00 MEDS0094 I.V. CATHETER GA. 24, ABBOCATH PIECE 600 1,200 0 600 2,400 85.59 205,416.00 MEDS0052 I.V. CATHETER G-24 PIECE 0 8,000 8,000 4,000 20,000 30.00 600,000.00 MEDS0052 I.V. CATHETER G-24 PIECE 4,000 0 0 0 4,000 34.95 139,800.00 MEDS0052 I.V. CATHETER G-24 PIECE 0 4,000 0 0 4,000 41.00 164,000.00 MEDS0054 I.V. CATHETER GA. 16 PIECE 0 100 0 0 100 30.00 3,000.00 MEDS0056 A/V FISTULA NEEDLE GA 16 X 1 PIECE 4,000 4,000 4,000 4,000 16,000 22.00 352,000.00 MEDS0074 I.V. CATHETER GA. 18 PIECE 0 1,000 3,000 0 4,000 30.00 120,000.00 MEDS0075 I.V. CATHETER GA. 20 PIECE 0 10,000 15,000 5,000 30,000 30.00 900,000.00 MEDS0075 I.V. CATHETER GA. 20 PIECE 0 5,000 0 0 5,000 34.95 174,750.00 MEDS0076 I.V. CATHETER GA. 22 PIECE 2,500 15,500 18,000 9,000 45,000 30.00 1,350,000.00 MEDS0077 DISPOSABLE TRANSDUCER KIT PIECE 450 0 0 0 450 800.00 360,000.00 MEDS0077 DISPOSABLE TRANSDUCER KIT PIECE 500 850 1,920 1,140 4,410 865.00 3,814,650.00 MEDS0082 NEOFLON ( I.V. CATHETER) G-24 PIECE 0 2,000 4,000 3,000 9,000 78.00 702,000.00 MEDS0082 NEOFLON ( I.V. CATHETER) G-24 PIECE 2,000 0 0 0 2,000 98.54 197,080.00 MEDS0083 ABBOCATH, G-20 PIECE 953 1,200 1,050 700 3,903 85.59 334,057.77 MEDS0084 I.V. CATHETER GA. 16 ABBOCATH PIECE 720 220 1,220 1,440 3,600 85.59 308,124.00 MEDS0085 I.V. CATHETER GA. 18 ABBOCATH PIECE 739 1,600 1,355 0 3,694 85.59 316,169.46 MEDS0093 I.V. CATHETER GA. 22 ABBOCATH PIECE 1,600 0 1,400 700 3,700 85.59 316,683.00 MEDS0094 I.V. CATHETER GA. 24 ABBOCATH PIECE 0 0 0 600 600 85.59 51,354.00 MEDS0095 ADULT HEMOCONCENTRATOR/HEMOFILTER JOSTRA, WITH TUBING SET PIECE 60 60 60 56 236 8,800.00 2,076,800.00 MEDS0097 CAVAFIX MT 134 PIECE 40 40 40 0 120 750.00 90,000.00 MEDS0098 I CAVAFIX CERTO CATHETER (375) PIECE 0 20 20 0 40 700.00 28,000.00 MEDS0099 CAVAFIX CERTO (335) PIECE 40 66 66 66 238 700.00 166,600.00 MEDS0103 JACT (PLUS) CUVETTES HEMOCHRON Jr., 45'S BOX of 45 0 40 40 90 170 10,648.00 1,810,160.00 MEDS0107 CO2 HP H SIZE CYLINDER 0 0 17 0 17 3,716.92 63,187.64 MEDS0110 PEDIA HEMOCONCENTRATOR/HEMOFILTER, CAPIOX PIECE 0 0 40 0 40 7,000.00 280,000.00 MEDS0116 DIALYZER, POLYSULFONE B. BRAUNS PIECE 160 480 240 0 880 900.00 792,000.00 MEDS0117 PEDIATRIC HEMOCONCENTRATOR/HEMOFILTER, JOSTRA BC60 PLUS PIECE 120 160 160 0 440 8,800.00 3,872,000.00 MEDS0120 HOLLOW FIBER OXYGENATOR SET 0 0 16 0 16 27,000.00 432,000.00 MEDS0127 SOFNOLIME/SODASORB CARBON DIOXIDE GAS ABSORBENT GRANULES 4-8, 36.8/37 PAIL 10 20 10 10 50 4,900.00 245,000.00 MEDS0129 DIDECO ADULT HEMOFILTER/HEMOCONCENTRATOR, STAND-ALONE, BLOODLINE CPIECE 17 23 50 0 90 8,800.00 792,000.00 MEDS0130 DIALOG BLOOD LINE 3-IN-1, SINGLE USE PIECE 1,600 6,000 2,000 0 9,600 230.00 2,208,000.00 MEDS0130 DIALOG BLOOD LINE 3-IN-1, SINGLE USE PIECE 2,000 3,000 3,000 400 8,400 230.00 1,932,000.00 MEDS0136 DIACAP DIALYZER LOPS 15 PIECE 360 720 495 495 2,070 1,000.00 2,070,000.00 MEDS0137 20" EXTENSION LINE WITH MALE LUER SLIP & FEMALE LUER CONNECTION, QUANTPIECE 200 0 0 0 200 250.00 50,000.00 MEDS0137 20" EXTENSION LINE WITH MALE LUER SLIP & FEMALE LUER CONNECTION, QUANTPIECE 0 0 200 0 200 275.00 55,000.00 MEDS0138 DIDECO LILIPUT NEONATE OXYGENATOR MODEL D901 W/ NENONATE HEART LUNGSET 18 18 2 0 38 29,700.00 1,128,600.00 MEDS0140 MDT PLUS 4 COLD STERILANT, 5 LITERS CONTAINER 20 0 0 0 20 4,250.00 85,000.00 MEDS0143 CERTOFIX TRIO, PIECE 60 90 90 0 240 3,200.00 768,000.00 MEDS0144 I.V. CATHETER FOR INFANT, NEOFLON G-26 PIECE 2,000 0 1,000 4,500 7,500 98.54 739,050.00 MEDS0145 SEDIMENT FILTER, 20" BIG BLUE DUAL GRADE 5005 PIECE 4 0 0 0 4 1,800.00 7,200.00 MEDS0146 PRE UV STERILIZER SEDIMENT FILTER, 20" 1 MICRON PIECE 0 0 0 4 4 350.00 1,400.00 MEDS0147 INDUSTRIAL SALT ON BRINE TANK SACK 24 0 0 0 24 150.00 3,600.00 MEDS0164 CALMED RECIRCULATION Y-ADAPTER, 10's, CODE: 20020, CA20020 BOX 20 0 0 20 40 8,000.00 320,000.00 MEDS0165 CALMED ATRA SUMP WEIGHTED SUCKERS, CODE: SU-29602, 10'S BOX of 10 18 10 0 20 48 15,500.00 744,000.00 MEDS0171 DLP AORTIC ROOT CANNULA, CODE: 20014, 20'S PIECE 0 0 20 0 20 1,084.80 21,696.00 MEDS0176 QUANTUM EXTENSION LINE M/M 20" CODE: QMMSM-20 PIECE 0 175 200 50 425 275.00 116,875.00 MEDS0177 SEDIMENT FILTER 20 INCHES 10 MICRONS PIECE 0 0 20 20 40 350.00 14,000.00 MEDS0178 SEDIMENT FILTER 20 INCHES 5 MICRONS PIECE 0 0 16 16 32 350.00 11,200.00 MEDS0181 ACID HD CONCENTRATE NKFS 02, 5 LITERS CANISTER 4,000 1,600 3,200 1,600 10,400 300.00 3,120,000.00 MEDS0187 CERTOFIX TRIO PAED S520 PIECE 0 180 240 120 540 3,700.00 1,998,000.00 MED0188 MULTIPLE PERFUSION SET BOT 0 0 30 20 50 1,265.60 63,280.00 MEDS0190 QUADROX-i PEDIATRIC OXYGENATOR VKMO 30000 HMO 30000 + VHK 31000, WITH RSET 68 140 105 50 363 26,500.00 9,619,500.00 MEDS0194 DIDECO COMPACTFLO EVO ADULT MEMBRANE OXYGENATOR PHISIO COATED CODSET 80 240 0 0 320 22,000.00 7,040,000.00 MEDS0194 DIDECO COMPACTFLO EVO ADULT MEMBRANE OXYGENATOR PHISIO COATED CODSET 0 0 160 0 160 25,000.00 4,000,000.00 MEDS0195 ADULT OXYGENATOR MEMBRANE QUADROX i HMO 70000 + VHK 2001 W/ ADULT HESET 150 135 82 0 367 25,000.00 9,175,000.00 MEDS0197 DHF 0.6 HEMOCONCENTRATOR PEDIA W/ TUBING CAT. NO. 5326/QMHDMUF-3-001 SET 40 0 48 12 100 8,000.00 800,000.00 MEDS0198 SORIN DIDECO CSC14 ADULT CARDIOPLEGIA SET, CAT # C20174 PIECE 0 200 200 0 400 7,000.00 2,800,000.00 MEDS0199 RETROGUARD ARTERIAL SAFETY VALVE, CODE: 4007100 PIECE 25 75 0 0 100 9,850.00 985,000.00 MEDS0200 SARNS CENTRIFUGAL PUMP (DISPOSABLE PUMP HEAD) CODE: 164275 PIECE 20 75 75 0 170 8,000.00 1,360,000.00 MEDS0200 SARNS CENTRIFUGAL PUMP (DISPOSABLE PUMP HEAD) CODE: 164275 PIECE 0 0 16 20 36 8,000.00 288,000.00 MEDS0201 BI-FUSE EXTENSION TUBING PIECE 300 0 300 0 600 262.39 157,434.00 MEDS0202 CERTOFIX DUO S408 PIECE 0 0 0 100 100 3,400.00 340,000.00 MEDS0202 CERTOFIX DUO S408 PIECE 40 120 0 100 260 3,500.00 910,000.00 MEDS0203 BIS SENSOR ADULT, PIECE 0 20 0 40 60 1,300.00 78,000.00 MEDS0206 EFFLUENT BAG PIECE 20 0 0 20 40 700.00 28,000.00 MEDS0207 SUBSTITUATE LINE (MULTIFILTRATE) PIECE 20 0 20 0 40 600.00 24,000.00 MEDS0208 DIALYSATE LINE (MULTIFILTRATE) PIECE 24 0 0 0 24 500.00 12,000.00 MEDS0209 AV 600S PIECE 24 14 0 4 42 5,700.00 239,400.00 MEDS0210 MULTIFILTRATE CASSETTE , PIECE 16 0 16 0 32 2,700.00 86,400.00 MEDS0211 ELECTA ATS KITS 175ML ( CAT NO.