B. Braun Medical

150 mL Burette Chamber without Automatic Shutoff Manufacturer # 375111 Brand BBraun™ Manufacturer B. Braun Country of Origin Unknown Administration Method Gravity Application Burette IV Administration Set Back Check Valve Without Back Check Valve Connection Type Female Luer Connector DEHP Indicator DEHP-Free Tubing Filter Without Filter Flow Control Type Roller Clamp / Slide Clamp Injection Port Type Grouping Needle-Free Port NDC Number 80210000025 Number of Ports 1 Port Port Type UltraSite® Luer Access Chamber Port Priming Volume 3 mL Priming Volume Spike Type Universal Spike Sterility Sterile Tubing Length 20 Inch Tubing Tubing Length Range 1 to 24 Inches Type Solution UNSPSC Code 42221609

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Port covers Lipid Resistant Female Luer Lock Ports Manufacturer # 455992 Manufacturer B. Braun Country of Origin Unknown Application Stopcock Connection Type Spin Lock Connector Gang Style 2 Gang Length 3 Inch NDC Number 08021455992 Number of Ports 2 Ports Priming Volume 0.68 mL Stopcock Type 3 Way UNSPSC Code 42221612

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Luer lock and spike protectors 150 mL Burette Chamber with UltraSite Valve with Automatic Shutoff Manufacturer # 375059 Brand BBraun™ Manufacturer B. Braun Country of Origin Unknown Administration Method Gravity Application Burette IV Administration Set Back Check Valve Without Back Check Valve Connection Type Female Luer Connector DEHP Indicator DEHP-Free Tubing Filter Without Filter Flow Control Type Roller Clamp / Slide Clamp HCPCS S1015 Injection Port Type Grouping Needle-Free Port NDC Number 08021375059 Number of Ports 1 Port Port Type UltraSite® Luer Access Chamber Port Priming Volume 3 mL Priming Volume Spike Type Non-Vented Spike Sterility Sterile Tubing Length 20 Inch Tubing Tubing Length Range 1 to 24 Inches Type Solution UNSPSC Code 42221609

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Injection sites are 26 inches and 6 inches above distal end 2 roller clamps / slide clamp 150mL Burette Chamber Mini-Drop Manufacturer # 375128 Brand Metriset* Manufacturer B. Braun Country of Origin Unknown Administration Method Gravity Application Burette IV Administration Set Back Check Valve Without Back Check Valve Connection Type Spin-Lock® Connector Drip Rate 60 Drops / mL Drip Rate Filter Without Filter Flow Control Type Roller Clamp / Slide Clamp Injection Port Type Grouping Standard Injection Port NDC Number 08021375128 Number of Ports 2 Ports Port Type Injection Port Priming Volume 18 mL Priming Volume Spike Type Non-Vented Spike Sterility Sterile Tubing Length 109 Inch Tubing Tubing Length Range 97 to 120 Inches Type Solution UNSPSC Code 42221609

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150 mL Burette Chamber Manufacturer # 375112 Brand BBraun™ Manufacturer B. Braun Country of Origin Unknown Administration Method Gravity Application Burette IV Administration Set Back Check Valve Without Back Check Valve Connection Type Female Luer Connector DEHP Indicator DEHP-Free Tubing Filter Without Filter Flow Control Type Roller Clamp / Slide Clamp Injection Port Type Grouping Standard Injection Port NDC Number 08021375112 Number of Ports 1 Port Port Type Injection Port Priming Volume 3 mL Priming Volume Spike Type Non-Vented Spike Sterility Sterile Tubing Length 20 Inch Tubing Tubing Length Range 1 to 24 Inches Type Solution UNSPSC Code 42221609

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Port Covers 2 Female Luer Lock Ports Manufacturer # 456006 Brand Discofix® Manufacturer B. Braun Country of Origin Unknown Application Stopcock Connection Type Spin-Lock Connector DEHP Indicator DEHP-Free NDC Number 08021456006 Number of Ports 2 Ports Priming Volume 0.26 mL Stopcock Type 4 Way UNSPSC Code 42221612

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Lipid Resistant Manufacturer # 455980 Brand Discofix® Manufacturer B. Braun Country of Origin Unknown Application Stopcock Connection Type Female Luer Lock, Spin Lock Connector DEHP Indicator Non-DEHP NDC Number 08021455980 Priming Volume 0.20 mL Stopcock Type 1 Way Type Lipid Resistant UNSPSC Code 42221612

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WARNING: This product can expose you to chemicals which are known to the State of California to cause cancer and birth defects or other reproductive harm. For more information, go to www.p65Warnings.ca.gov. Flexible straw for fluid aspiration from glass ampules to reduce potential for glass particle injection WARNING: Cancer and Reproductive Harm - www.P65Warnings.ca.gov Manufacturer # 415020 Brand Filter Straw® Manufacturer B. Braun Country of Origin Unknown Application Medication Transfer Straw For Use With Single Dose Glass Ampules NDC Number 08021415020 Specifications 4 Inch, 5 Micron Filter, Disposable UNSPSC Code 42221607

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WARNING: This product can expose you to chemicals which are known to the State of California to cause cancer and birth defects or other reproductive harm. For more information, go to www.p65Warnings.ca.gov. Flexible straw for fluid aspiration from glass ampules to reduce potential for glass particle injection WARNING: Cancer and Reproductive Harm - www.P65Warnings.ca.gov Manufacturer # 415021 Brand Filter Straw® Manufacturer B. Braun Country of Origin Unknown Application Medication Transfer Straw For Use With Single Dose Glass Ampules NDC Number 08021415021 Specifications 1-3/4 Inch, 5 Micron Filter, Disposable UNSPSC Code 42221607

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Port Covers 2-Female Luer Lock Ports Manufacturer # 455991 Brand Discofix® Manufacturer B. Braun Country of Origin Unknown Application Stopcock Connection Type Male Luer Slip Connector DEHP Indicator Non-DEHP NDC Number 08021455991 Number of Ports 2 Ports Priming Volume 0.26 mL Stopcock Type 3 Way UNSPSC Code 42221612

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2 Female Luer Lock Ports Manufacturer # 456020 Brand Braun Manufacturer B. Braun Country of Origin Unknown Application Stopcock Connection Type SPIN-LOCK Connector DEHP Indicator DEHP-Free Number of Ports 2 Ports Priming Volume 0.26 mL Sterility Sterile Stopcock Type 4 Way UNSPSC Code 42221612

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Port Covers 2 Female Luer Lock Ports Manufacturer # 456003 Brand Discofix® Manufacturer B. Braun Country of Origin Unknown Application Stopcock Connection Type Spin-Lock Connector DEHP Indicator Non-DEHP NDC Number 08021456003 Number of Ports 2 Ports Priming Volume 0.26 mL Stopcock Type 3 Way UNSPSC Code 42221612

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