3-Ply pleated lightweight, breathable material Earloop with flexible nosepiece BFE of ≥ 98% Meets ASTM level 3 standards Attributes Brand Name Dukal Color Blue Sterile No Weight 5.8643 lbs Packaging Packaging 50/BX, 12BX/CS Total Case Quantity 600 Inner Packaging Barcode (01)10665973029129 Case Packaging Barcode (01)20665973029126

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3-Ply pleated lightweight, breathable material BFE of ≥ 99% Meets ASTM Level 1 standard Available in earloop or tie on with flexible nosepiece Attributes Brand Name Dukal Color Blue HCPC Code A4928 Sterile No Weight 4.85017 lbs Packaging Packaging 50/BX, 6 BX/CS Inner Packaging 50/BX Case Packaging 6 BX/CS Total Case Quantity 300 Inner Packaging Barcode (01)10665973004973 Case Packaging Barcode (01)20665973004970

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3-Ply pleated lightweight, breathable material BFE of ≥ 99% Meets ASTM Level 1 standard Available in earloop or tie on with flexible nosepiece Attributes Brand Name Dukal Color Blue HCPC Code A4928 Sterile No Weight 3.96832 lbs Packaging Packaging 50/BX, 6 BX/CS Inner Packaging 50/BX Case Packaging 6 BX/CS Total Case Quantity 300 Inner Packaging Barcode (01)10665973005550 Case Packaging Barcode (01)20665973005557

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3-Ply pleated lightweight, breathable material BFE of ≥ 99% Meets ASTM Level 1 standard Attributes Brand Name Dukal Color Blue HCPC Code A4928 Sterile No Weight 4.40925 lbs Packaging Packaging 50/BX, 6 BX/CS Inner Packaging 50/BX Case Packaging 6 BX/CS Total Case Quantity 300 Item Packaging Barcode Inner Packaging Barcode (01)10665973004980 Case Packaging Barcode (01)20665973004987

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Surgical Mask McKesson Pleated Tie Closure One Size Fits Most  NonSterile ASTM Level 1 Adult McKesson Light & Cool Surgical Masks Packaged: 50 Per Box, 6 Boxes Per Case Classic style with ties. Features cool and breathable, 3-layer SMS material and pleated style for user comfort ASTM F2100-11 - Level 1 Barrier. Fluid Resistance: ASTM F1862 at 80 mm Hg. BFE in excess of 95%. PFE in excess of 95%. Delta-P: Less than or equal to 4 mm H2O/cm2 Flammability: Class 1. Blue Single Use Not made with natural rubber latex.

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Surgical Mask McKesson Pleated Tie Closure One Size Fits Most NonSterile ASTM Level 1 Adult McKesson Surgical Masks Packaged: 50 Per Box, 6 Boxes Per Case Classic style with ties. Comfortable, cool, and breathable. ASTM F2100-11 - Level 1 Barrier. Fluid Resistance: ASTM F1862 at 80 mm Hg. BFE in excess of 95%. PFE in excess of 95%. Delta-P: Less than or equal to 4 mm H2O/cm2 Flammability: Class 1. Blue Single Use Not made with natural rubber latex.

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Manufacturer # 6163 Brand 3M™ Littmann® Cardiology IV™ Manufacturer 3M Country of Origin United States Application Cardiology Stethoscope Bell Size 1-3/10 Inch Bell Binaurals Material Stainless Steel Binaurals Chestpiece Material Black Finish Chestpiece Color Black Diaphragm Diameter 1-7/10 Inch Diaphragm Ear Pieces Type Soft Seal Ear Tips Head Type Double-Sided Chestpiece Number of Tubes 1-Tube Tube Type Double Lumen Tubing Length 27 Inch Tube UNSPSC Code 42182103 User Adult / Child

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Single-piece tunable diaphragm allows for better sound quality and less chance of sound interference Tunable diaphragms on both the adult and pediatric sides of the chestpiece Soft-sealing eartips provide an excellent acoustic seal and comfortable fit Manufacturer # 6201 Brand 3M™ Littmann® Cardiology IV™ Manufacturer 3M Country of Origin United States Application Cardiology Stethoscope Bell Size 1-3/10 Inch Bell Binaurals Material Stainless Steel Binaurals Chestpiece Material Black Finish Chestpiece Color Blue Diaphragm Diameter 1-7/10 Inch Diaphragm Ear Pieces Type Soft Seal Ear Tips Head Type Double-Sided Chestpiece Number of Tubes 2-Tube Tube Type Double Lumen Tubing Length 27 Inch Tube UNSPSC Code 42182103 User Adult / Child

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Single-piece tunable diaphragm allows for better sound quality and less chance of sound interference Tunable diaphragms on both the adult and pediatric sides of the chestpiece Soft-sealing eartips provide an excellent acoustic seal and comfortable fit Manufacturer # 6200 Brand 3M™ Littmann® Cardiology IV™ Manufacturer 3M Country of Origin United States Application Cardiology Stethoscope Bell Size 1-3/10 Inch Bell Binaurals Material Stainless Steel Binaurals Chestpiece Material Black Finish Chestpiece Color Black Diaphragm Diameter 1-7/10 Inch Diaphragm Ear Pieces Type Soft Seal Ear Tips Head Type Double-Sided Chestpiece Number of Tubes 2-Tube Tube Type Double Lumen Tubing Length 27 Inch Tube UNSPSC Code 42182103 User Adult / Child

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Single-piece tunable diaphragm allows for better sound quality and less chance of sound interference Tunable diaphragms on both the adult and pediatric sides of the chestpiece Soft-sealing eartips provide an excellent acoustic seal and comfortable fit Manufacturer # 6203 Brand 3M™ Littmann® Cardiology IV™ Manufacturer 3M Country of Origin United States Application Cardiology Stethoscope Bell Size 1-3/10 Inch Bell Binaurals Material Stainless Steel Binaurals Chestpiece Material Black Finish Chestpiece Color Purple Diaphragm Diameter 1-7/10 Inch Diaphragm Ear Pieces Type Soft Seal Ear Tips Head Type Double-Sided Chestpiece Number of Tubes 2-Tube Tube Type Double Lumen Tubing Length 27 Inch Tube UNSPSC Code 42182103 User Adult / Child

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Manufacturer # 6168 Brand 3M™ Littmann® Cardiology IV™ Manufacturer 3M Country of Origin United States Application Cardiology Stethoscope Bell Size 1-3/10 Inch Bell Color Blue Diaphragm Diameter 1-7/10 Inch Diaphragm Head Type Double-Sided Chestpiece Number of Tubes 1-Tube Tube Type Double Lumen Tubing Length 22 Inch Tube UNSPSC Code 42182103

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Single-piece tunable diaphragm allows better audibility of high frequency sounds Tunable diaphragms on both the adult and pediatric sides of the chestpiece Open bell versatility allows the pediatric side to convert to a traditional open bell by replacing the single-piece diaphragm with a non-chill sleeve Manufacturer # 6151 Brand 3M™ Littmann® Cardiology IV™ Manufacturer 3M Country of Origin United States Application Cardiology Stethoscope Bell Size 1-3/10 Inch Bell Color Black Diaphragm Diameter 1-7/10 Inch Diaphragm Head Type Double-Sided Chestpiece Number of Tubes 1-Tube Tube Type Double Lumen Tubing Length 22 Inch Tube UNSPSC Code 42182103 User Adult / Child

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Diagnose and make decisions with confidence Hear subtle changes in patient status Manufacturer # 6179 Brand 3M™ Littmann® Cardiology IV™ Manufacturer 3M Country of Origin United States Application Cardiology Stethoscope Bell Size 1-3/10 Inch Bell Binaurals Material Stainless Steel Binaurals Chestpiece Material Stainless Steel Chestpiece Color Black Diaphragm Diameter 1-7/10 Inch Diaphragm Ear Pieces Type Soft Seal Ear Tips Head Type Double-Sided Chestpiece Number of Tubes 1-Tube Tube Type Double Lumen Tubing Length 22 Inch Tube UNSPSC Code 42182103 User Adult / Child

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NEW improved high frequency acoustics – the all new design allowing greater access to high frequency heart sounds Anatomically designed headset comfortably positioned for optimal sound transmission Bell sleeve included for changing pediatric diaphragm side into an open bell NEW unique diaphragm designs – newly designed, fully optimised, adult and pediatric diaphragm offer a full range of auscultation sounds Tunable diaphragms on both the adult and pediatric sides of the chestpiece Manufacturer # 6190 Brand 3M™ Littmann® Manufacturer 3M Country of Origin United States Application Cardiology Stethoscope Bell Size 1-3/10 Inch Bell Chestpiece Material Stainless Steel Chestpiece Color Caribbean Blue Diaphragm Diameter 1-7/10 Inch Diaphragm Ear Pieces Type Soft Seal Ear Tips Head Type Double-Sided Chestpiece Number of Tubes 2-Tube Tube Type Double Lumen Tubing Length 27 Inch Tube UNSPSC Code 42182103 User Adult / Pediatric

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Diagnose and make decisions with confidence A tunable diaphragm amplifies a range of sounds by adjusting pressure on the chestpiece Diagnose and make decisions with confidence 40% larger chestpiece and 60% deeper bell than the 3M™ Littmann® Classic III™ Stethoscope Manufacturer # 6242 Brand 3M™ Littmann® Manufacturer 3M Country of Origin United States Application Cardiology Stethoscope Bell Size 1-3/10 Inch Bell Chestpiece Material Aluminum Chestpiece Color Blue Diaphragm Diameter 1-7/10 Inch Diaphragm Ear Pieces Type Soft Seal Ear Tips Head Type Double-Sided Chestpiece Number of Tubes 1-Tube Tube Type Double Lumen Tubing Length 27 Inch Tube UNSPSC Code 42182103 User Adult / Pediatric

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For maximum versatility the reverse side is also easily transformed into a traditional open bell with the supplied adapter 3M’s ‘Tunable Technology’ lets you easily switch from low to high frequency sounds by switching from light to firm pressure Laser engraving of text and symbols to personalise your scope and avoid theft/loss Anatomically designed headset comfortably positioned for optimal sound transmission Comfortable Snap-Tight soft seal eartips create an excellent acoustic seal to reduce ambient noise Manufacturer # 6204 Brand 3M™ Littmann® Cardiology IV™ Manufacturer 3M Country of Origin United States Application Cardiology Stethoscope Bell Size 1-3/10 Inch Bell Binaurals Material Stainless Steel Binaurals Chestpiece Material Black Finish Chestpiece Color Black Diaphragm Diameter 1-7/10 Inch Diaphragm Ear Pieces Type Soft Seal Ear Tips Head Type Double-Sided Chestpiece Number of Tubes 2-Tube Tube Type Double Lumen Tubing Length 27 Inch Tube UNSPSC Code 42182103 User Adult / Child

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Single-piece tunable diaphragm allows for better sound quality and less chance of sound interference Tunable diaphragms on both the adult and pediatric sides of the chestpiece Soft-sealing eartips provide an excellent acoustic seal and comfortable fit Manufacturer # 6202 Brand 3M™ Littmann® Manufacturer 3M Country of Origin United States Application Cardiology Stethoscope Bell Size 1-3/10 Inch Bell Binaurals Material Stainless Steel Binaurals Chestpiece Material Black Finish Chestpiece Color Blue Diaphragm Diameter 1-7/10 Inch Diaphragm Ear Pieces Type Soft Seal Ear Tips Head Type Double-Sided Chestpiece Number of Tubes 2-Tube Tube Type Double Lumen Tubing Length 27 Inch Tube UNSPSC Code 42182103 User Adult / Child

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A tunable diaphragm amplifies a range of sounds by adjusting pressure on the chestpiece 40% larger chestpiece and 60% deeper bell than the 3M™ Littmann® Classic III™ Stethoscope Diagnose and make decisions with confidence Manufacturer # 6232 Brand 3M™ Littmann® Manufacturer 3M Country of Origin United States Application Cardiology Stethoscope Bell Size 1-3/10 Inch Bell Chestpiece Material Aluminum Chestpiece Color Black Diaphragm Diameter 1-7/10 Inch Diaphragm Ear Pieces Type Soft Seal Ear Tips Head Type Double-Sided Chestpiece Number of Tubes 1-Tube Tube Type Double Lumen Tubing Length 27 Inch Tube UNSPSC Code 42182103 User Adult / Pediatric

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Designed for use with adult and pediatric patients Diagnose and make decisions with confidence A tunable diaphragm amplifies a range of sounds by adjusting pressure on the chestpiece Manufacturer # 6234 Brand 3M™ Littmann® Manufacturer 3M Country of Origin United States Application Cardiology Stethoscope Bell Size 1-3/10 Inch Bell Chestpiece Material Aluminum Chestpiece Color Blue Diaphragm Diameter 1-7/10 Inch Diaphragm Ear Pieces Type Soft Seal Ear Tips Head Type Double-Sided Chestpiece Number of Tubes 1-Tube Tube Type Double Lumen Tubing Length 27 Inch Tube UNSPSC Code 42182103 User Adult / Pediatric

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Designed for use with adult and pediatric patients Diagnose and make decisions with confidence A tunable diaphragm amplifies a range of sounds by adjusting pressure on the chestpiece Manufacturer # 6238 Brand 3M™ Littmann® Manufacturer 3M Country of Origin United States Application Cardiology Stethoscope Bell Size 1-3/10 Inch Bell Chestpiece Material Aluminum Chestpiece Color Gray Diaphragm Diameter 1-7/10 Inch Diaphragm Ear Pieces Type Soft Seal Ear Tips Head Type Double-Sided Chestpiece Number of Tubes 1-Tube Tube Type Double Lumen Tubing Length 27 Inch Tube UNSPSC Code 42182103 User Adult / Pediatric

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Outstanding acoustics with better audibility of high-frequency sounds (adult side, firm pressure) Tunable diaphragm: Hear high or low frequency sounds by slightly adjusting pressure on the chestpiece Next-generation tubing lasts longer and resists stains Manufacturer # 6155 Brand 3M™ Littmann® Cardiology IV™ Manufacturer 3M Country of Origin United States Application Cardiology Stethoscope Bell Size 1-3/10 Inch Bell Chestpiece Material Stainless Steel Chestpiece Color Green Diaphragm Diameter 1-7/10 Inch Diaphragm Ear Pieces Type Soft Seal Ear Tips Head Type Double-Sided Chestpiece Number of Tubes 1-Tube Tube Type Double Lumen Tubing Length 22 Inch Tube UNSPSC Code 42182103 User Adult / Child

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Manufacturer # 6177 Brand 3M™ Littmann® Cardiology IV™ Manufacturer 3M Country of Origin United States Application Cardiology Stethoscope Bell Size 1-3/10 Inch Bell Binaurals Material Stainless Steel Binaurals Chestpiece Material Stainless Steel Chestpiece Color Black Diaphragm Diameter 1-7/10 Inch Diaphragm Ear Pieces Type Soft Seal Ear Tips Head Type Double-Sided Chestpiece Number of Tubes 1-Tube Tube Type Double Lumen Tubing Length 22 Inch Tube UNSPSC Code 42182103 User Adult / Child

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Single-piece tunable diaphragm allows for better sound quality and less chance of sound interference Tunable diaphragms on both the adult and pediatric sides of the chestpiece Soft-sealing eartips provide an excellent acoustic seal and comfortable fit Headset is easily adjusted for individual fit and comfort Dual-lumen tubing provides an individual air passage for each ear for superior sound quality Manufacturer # 6170 Brand 3M™ Littmann® Manufacturer 3M Country of Origin United States Application Cardiology Stethoscope Bell Size 1-3/10 Inch Bell Chestpiece Material Stainless Steel Chestpiece Color Burgundy Diaphragm Diameter 1-7/10 Inch Diaphragm Ear Pieces Type Soft Seal Ear Tips Head Type Double-Sided Chestpiece Number of Tubes 2-Tube Tube Type Double Lumen Tubing Length 27 Inch Tube UNSPSC Code 42182103 User Adult / Pediatric

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Outstanding acoustics with better audibility of high-frequency sounds (adult side, firm pressure) Tunable diaphragm: Hear high or low frequency sounds by slightly adjusting pressure on the chestpiece Next-generation tubing lasts longer and resists stains Manufacturer # 6154 Brand 3M™ Littmann® Cardiology IV™ Manufacturer 3M Country of Origin United States Application Cardiology Stethoscope Bell Size 1-3/10 Inch Bell Chestpiece Material Stainless Steel Chestpiece Color Blue Diaphragm Diameter 1-7/10 Inch Diaphragm Ear Pieces Type Soft Seal Ear Tips Head Type Double-Sided Chestpiece Number of Tubes 1-Tube Tube Type Double Lumen Tubing Length 22 Inch Tube UNSPSC Code 42182103 User Adult / Child

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Manufacturer # 6165 Brand 3M™ Littmann® Cardiology IV™ Manufacturer 3M Country of Origin United States Application Cardiology Stethoscope Bell Size 1-3/10 Inch Bell Binaurals Material Stainless Steel Binaurals Chestpiece Material Stainless Steel Chestpiece Color Black Diaphragm Diameter 1-7/10 Inch Diaphragm Ear Pieces Type Soft Seal Ear Tips Head Type Double-Sided Chestpiece Number of Tubes 1-Tube Tube Type Double Lumen Tubing Length 27 Inch Tube UNSPSC Code 42182103 User Adult / Child

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Outstanding acoustics with better audibility of high-frequency sounds (adult side, firm pressure) Tunable diaphragm: Hear high or low frequency sounds by slightly adjusting pressure on the chestpiece Next-generation tubing lasts longer and resists stains Manufacturer # 6158 Brand 3M™ Littmann® Cardiology IV™ Manufacturer 3M Country of Origin United States Application Cardiology Stethoscope Bell Size 1-3/10 Inch Bell Chestpiece Material Stainless Steel Chestpiece Color Raspberry Diaphragm Diameter 1-7/10 Inch Diaphragm Ear Pieces Type Soft Seal Ear Tips Head Type Double-Sided Chestpiece Number of Tubes 1-Tube Tube Type Double Lumen Tubing Length 27 Inch Tube UNSPSC Code 42182103 User Adult / Child

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Double Sided Chestpiece Patented tunable diaphragm conveniently alternated between the low and high frequency sounds without the need to turn over the chestpiece Handcrafted solid stainless steel chestpiece for superior acoustics Two-in-one tube design eliminates tube rubbing noise Excellent acoustic seal and comfortable fit with the soft sealing eartips Overall length 27 Inch Manufacturer # 2161 Brand 3M™ Littmann® Master Cardiology™ Manufacturer 3M Country of Origin United States Application Cardiology Stethoscope Bell Size 1-3/10 Inch Bell Binaurals Material Aluminum Binaurals Chestpiece Material Stainless Steel Chestpiece Color Black Diaphragm Diameter 1-7/10 Inch Diaphragm Ear Pieces Type Soft Seal Ear Tips Head Type Single Head Chestpiece Number of Tubes 1-Tube Tube Type Double Lumen Tubing Length 27 Inch Tube UNSPSC Code 42182103 User Adult Latex Free Indicator Not Made with Natural Rubber Latex

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Double Sided Chestpiece Patented tunable diaphragm conveniently alternated between the low and high frequency sounds without the need to turn over the chestpiece Handcrafted solid stainless steel chestpiece for superior acoustics Two-in-one tube design eliminates tube rubbing noise Excellent acoustic seal and comfortable fit with the soft sealing eartips Overall length 27 Inch Manufacturer # 2160 Brand 3M™ Littmann® Master Cardiology™ Manufacturer 3M Country of Origin United States Application Cardiology Stethoscope Bell Size 1-3/10 Inch Bell Binaurals Material Aluminum Binaurals Chestpiece Material Stainless Steel Chestpiece Color Black Diaphragm Diameter 1-7/10 Inch Diaphragm Ear Pieces Type Soft Seal Ear Tips Head Type Single Head Chestpiece Number of Tubes 1-Tube Tube Type Double Lumen Tubing Length 27 Inch Tube UNSPSC Code 42182103 User Adult Latex Free Indicator Not Made with Natural Rubber Latex

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Double Sided Chestpiece Patented tunable diaphragm conveniently alternated between the low and high frequency sounds without the need to turn over the chestpiece Handcrafted solid stainless steel chestpiece for superior acoustics Two-in-one tube design eliminates tube rubbing noise Excellent acoustic seal and comfortable fit with the soft sealing eartips Overall length 27 Inch Manufacturer # 2163 Brand 3M™ Littmann® Master Cardiology™ Manufacturer 3M Country of Origin United States Application Cardiology Stethoscope Bell Size 1-3/10 Inch Bell Binaurals Material Aluminum Binaurals Chestpiece Material Stainless Steel Chestpiece Color Burgundy Diaphragm Diameter 1-7/10 Inch Diaphragm Ear Pieces Type Soft Seal Ear Tips Head Type Single Head Chestpiece Number of Tubes 1-Tube Tube Type Double Lumen Tubing Length 27 Inch Tube UNSPSC Code 42182103 User Adult Latex Free Indicator Not Made with Natural Rubber Latex

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Tunable diaphragm allows the user to conveniently alternate between the low- and high-frequency sounds without turning over the chestpiece Patented tunable diaphragm conveniently alternated between the low and high frequency sounds without the need to turn over the chestpiece Handcrafted solid stainless steel chestpiece for superior acoustics Two-in-one tube design eliminates tube rubbing noise Excellent acoustic seal and comfortable fit with the soft sealing eartips Overall length 27 Inch Manufacturer # 2164 Brand 3M™ Littmann® Master Cardiology™ Manufacturer 3M Country of Origin United States Application Cardiology Stethoscope Bell Size 1-3/10 Inch Bell Binaurals Material Aluminum Binaurals Chestpiece Material Stainless Steel Chestpiece Color Blue Diaphragm Diameter 1-7/10 Inch Diaphragm Ear Pieces Type Soft Seal Ear Tips Head Type Single Head Chestpiece Number of Tubes 1-Tube Tube Type Double Lumen Tubing Length 27 Inch Tube UNSPSC Code 42182103 User Adult Latex Free Indicator Not Made with Natural Rubber Latex

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Anatomically designed headset Two-in-one tube design (dual lumen) eliminates noise from two tubes rubbing together Pressure-based sound frequency adjustment with tunable diaphragm Special-procedures adaptor (included) for neonatal or pediatric auscultation Non-chill rim and diaphragm Brass-finish on chestpiece and eartubes Manufacturer # 2175 Brand 3M™ Littmann® Master Cardiology™ Manufacturer 3M Country of Origin United States Application Cardiology Stethoscope Bell Size 1-3/10 Inch Bell Binaurals Material Aluminum Binaurals Chestpiece Material Stainless Steel Chestpiece Color Black Diaphragm Diameter 1-7/10 Inch Diaphragm Ear Pieces Type Soft Seal Ear Tips Head Type Single Head Chestpiece Number of Tubes 1-Tube Tube Type Double Lumen Tubing Length 27 Inch Tube UNSPSC Code 42182103 User Adult

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Anatomically designed headset Two-in-one tube design (dual lumen) eliminates noise from two tubes rubbing together Pressure-based sound frequency adjustment with tunable diaphragm Special-procedures adaptor (included) for neonatal or pediatric auscultation Non-chill rim and diaphragm Smoke-finish chestpiece Manufacturer # 2176 Brand 3M™ Littmann® Master Cardiology™ Manufacturer 3M Country of Origin United States Application Cardiology Stethoscope Bell Size 1-3/10 Inch Bell Binaurals Material Aluminum Binaurals Chestpiece Material Stainless Steel Chestpiece Color Black Diaphragm Diameter 1-7/10 Inch Diaphragm Ear Pieces Type Soft Seal Ear Tips Head Type Single Head Chestpiece Number of Tubes 1-Tube Tube Type Double Lumen Tubing Length 27 Inch Tube UNSPSC Code 42182103 User Adult

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Flat, with bi-directional pleats and horizontal ties for largely increased facial comfort and fit Soft breathable inner lining Intended for use in environments with minimal fluid exposure More Information Product Spec Sheet SDS Manufacturer # 1818 Brand 3M™ Manufacturer 3M Country of Origin Thailand Application Surgical Mask Bacterial Filtration Efficiency BFE >98% Color White Delta Differential Pressure <4.0 mm H2O/cm2 Fastening Type Tie Closure Material Rayon Particle Filtration Efficiency PFE >95% Protection Level Not Rated Size One Size Fits Most Sterility NonSterile Style Pleated UNSPSC Code 42131713 User Adult Latex Free Indicator Not Made with Natural Rubber Latex

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A tunable diaphragm amplifies a range of sounds by adjusting pressure on the chestpiece 40% larger chestpiece and 60% deeper bell than the 3M™ Littmann® Classic III™ Stethoscope Diagnose and make decisions with confidence Rainbow Chest Piece Manufacturer # 6240 Brand 3M™ Littmann® Manufacturer 3M Country of Origin United States Application Cardiology Stethoscope Bell Size 1-3/10 Inch Bell Chestpiece Material Aluminum Chestpiece Color Black Diaphragm Diameter 1-7/10 Inch Diaphragm Ear Pieces Type Soft Seal Ear Tips Head Type Double-Sided Chestpiece Number of Tubes 1-Tube Tube Type Double Lumen Tubing Length 27 Inch Tube UNSPSC Code 42182103 User Adult / Pediatric

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Chemical Indicator, strips printed with reactive ink for Plasma or Vaporized Hydrogen Peroxide sterilization processes.Internal Control. Metals Free. Chemdye® CD42 Process Indicators (Type 1 according to ISO 11140-1:2014 standard) are single-use chemical indicators that consist of plastic strips printed with indicator ink. These indicators have been designed to monitor Plasma or Vaporized Hydrogen Peroxide sterilization processes within loads, ensuring an adequate exposure to the sterilizing agent during the sterilization process and allowing to distinguish between processed and unprocessed items. Innovative highly sensitive red ink was developed to turn to yellow when the indicator is exposed to Plasma or Vaporized Hydrogen Peroxide. Endpoint condition: 50 ºC, 6 minutes, 2.3 mg/l H2O2. Indicators 100% free of toxic heavy metals. Instructions For Use: Place a Chemdye® CD42 Process Indicator within each package, bag or tray that will be sterilized by Plasma or Vaporized Hydrogen Peroxide. In rigid containers, place the indicator in every corner, or at least two diagonally opposite corners, to ensure that the sterilization agent has reached the most inaccessible areas. Perform the sterilization cycle. After the sterilization process has finished, remove the indicators from the sterilizer and analyze the results. For all the chemical indicators exposed to Plasma or Vaporized Hydrogen Peroxide, the ink must turn to the yellow reference color when the sterilization parameters are reached. For reference color, please refer to Result Reference Guide. More Info About This Product: Color Chart

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CD40 / Multi-variable Chemical Indicator, strips printed with reactive ink for Plasma or Vaporized Hydrogen Peroxide sterilization processes. Control of plasma or vaporized H2O2 sterilization processes. Conditions: 6 minutes, 50 °C, 2,3 mg/l H2O2. Characteristics: Type 4 Chemical Indicator (according to ISO 11140-1). Strips printed with indicator ink. Size: 105 x 18 mm (approximate). Initial color: Purple. Final color: Green. 100 % Toxic Heavy Metals free. Instructions For Use: Place a Chemdye® CD40 Multivariable Process Indicator within each package, bag or tray that will be sterilized by Plasma or Vaporized Hydrogen Peroxide. In rigid containers, place the indicator in every corner, or at least two diagonally opposite corners, to ensure that the sterilization agent has reached the most inaccessible areas. Perform the sterilization cycle. After the sterilization process has finished, remove the indicators from the sterilizer and analyze the results. For all the chemical indicators exposed to Plasma or Vaporized Hydrogen Peroxide, the ink must turn to the green or lighter reference color when the sterilization parameters are reached. Specifications: Process: Hydrogen peroxide Initial Color: Purple Final Color: Green Indicator Type: Type 4 chemical indicator Regulations: ISO 11140-1 More Info About This Product: Color Chart

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IT26-C / Moving front Chemical Integrator to monitor Steam sterilization processes between 118°C and 138°C. Control of Steam sterilization processes between 118 °C and 138 °C. Characteristics: Type 5 Integrating Indicator (according to ISO 11140-1). Size: 52 mm x 21 mm. Chemical Integrator consists of a paper wick and a steam and temperature sensitive chemical pellet contained in a paper/film/foil laminate. The chemical pellet melts and migrates as a dark bar along the paper wick. The migration is visible through a zone marked ACCEPT or REJECT, thus indicating whether sterilization conditions were met. The extent of migration depends on steam quality, time, and temperature. The ACCEPT result is reached when a theoretical spore population reaches its kill time, indicating integration condition has been reached. This condition is calibrated with the kill time of 106 Geobacillus stearothermophilus spore population, calculated in BIER (Biological Indicator Evaluator Resistometer). Conditions: saturated steam at 121 °C, 128 °C, 135 °C. Optionally, the readout of the chemical indicator can be done using Trazanto Automatic Quality Control and Traceability System (see instructions for use in device´s manual). Instructions For Use: Carefully open the package and remove only the number of indicators needed. Reseal the package tightly. Place a Integron® IT26-C indicator in each pack, peel pouch, container system or tray to be steam sterilized in the most inaccessible area to sterilizing agent. Perform de sterilization cycle. After the sterilization process has finished, the dark bar should have reached the ACCEPT zone. If the dark bar has not reached the ACCEPT zone, a REJECT result is indicated and the items in the pack, peel pouch, container system, or tray were not exposed to proper steam sterilization conditions. These items should be reprocessed according to established procedures and a new IT26-C has to be used. Despite this, regarding cycle integration parameters, this process can be considered as accepted. In case the IT26-C indicator shows a damp appearance after the sterilization process, Terragene® recommend planning an equipment´s maintenance. Specifications: Process: Steam Indicator Type: Type 5 chemical indicator Regulations: ISO 11140-1 More Info About This Product: User Manual

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IT26-C Extender/ Moving front Chemical Integrator to monitor Steam sterilization processes between 118°C and 138°C. Control of Steam sterilization processes between 118 °C and 138 °C. Characteristics: Type 5 Integrating Indicator (according to ISO 11140-1). Size: 52 mm x 21 mm. Chemical Integrator consists of a paper wick and a steam and temperature sensitive chemical pellet contained in a paper/film/foil laminate. The chemical pellet melts and migrates as a dark bar along the paper wick. The migration is visible through a zone marked ACCEPT or REJECT, thus indicating whether sterilization conditions were met. The extent of migration depends on steam quality, time, and temperature. The ACCEPT result is reached when a theoretical spore population reaches its kill time, indicating integration condition has been reached. This condition is calibrated with the kill time of 106 Geobacillus stearothermophilus spore population, calculated in BIER (Biological Indicator Evaluator Resistometer). Conditions: saturated steam at 121 °C, 128 °C, 135 °C. Optionally, the readout of the chemical indicator can be done using Trazanto Automatic Quality Control and Traceability System (see instructions for use in device´s manual). Instructions For Use: Carefully open the package and remove only the number of indicators needed. Reseal the package tightly. Place a Integron® IT26-C indicator in each pack, peel pouch, container system or tray to be steam sterilized in the most inaccessible area to sterilizing agent. Perform de sterilization cycle. 4After the sterilization process has finished, the dark bar should have reached the ACCEPT zone. If the dark bar has not reached the ACCEPT zone, a REJECT result is indicated and the items in the pack, peel pouch, container system, or tray were not exposed to proper steam sterilization conditions. These items should be reprocessed according to established procedures and a new IT26-C has to be used. NOTE: In some extended or wet steam cycles, the dark bar can display discoloration in some zones of the reading window, imposing a difficulty for result´s interpretation (see Result Reference Guide for reference). Despite this, regarding cycle integration parameters, this process can be considered as accepted. In case the IT26-C indicator shows a damp appearance after the sterilization process, Terragene® recommend planning an equipment´s maintenance.

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2 level chemical integrator for Ethylene Oxide sterilization processes. One-side laminated strips. Metals free. Integron® IT12 Chemical Integrators (Type 5 according to ISO 11140-1:2014 standard) are single-use two level chemical indicators that consist of paper strips laminated on the back side and printed with indicator ink. They have been designed for monitoring Ethylene Oxide (EO) sterilization processes. The integration level contains a purple/brown ink which was developed to turn to green when a theoretical spore population reaches its kill time, thus indicating that the SAFE condition has been met. Level 1 – Red: Exposure level. Indicator ink turns yellow to indicate exposition to the process, but does not ensure that the variables required to achieve the integration condition have been achieved (UNSAFE condition). Level 2 – Purple / brown: Integration level. Indicator ink turns green to indicate that the integration condition indicated in the quality certificate has been achieved. This condition consists of the kill time of a theoretical 106 Bacillus atrophaeus spore population, calculated in a BIER (Biological Indicator Evaluator Resistometer), and is called SAFE condition. Indicators 100% free of toxic heavy metals. Instructions For Use: Place a Integron® IT12 Chemical Integrator along with the material to be sterilized in a suitable package according to the recommended sterilization techniques. Place the indicators in those areas of most difficult access to the sterilizing agent. Perform the sterilization cycle. After the sterilization process has finished and evacuation/ventilation process is over, you may:               A. Remove the integrator indicator taking the necessary precaution to avoid                          contact with the remaining sterilizing agent.              B. Ventilate the load together with the integrator indicator and then perform                        the reading. Analyze the results. If the SAFE integration condition has been reached, the        sterilization process has been effective. Specifications: Process: Ethylene Oxide Initial Color: Level 1 Red, Level 2 purple-brown Final Color: Level 1 Yellow, level 2 Green Indicator Type: Type 5 chemical indicator Regulations: ISO 11140-1 More Info About This Product: Color Chart

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IT26-1YS / Unique point chemical integrator for Steam sterilization processes between 121° C and 134° C. Control of Steam sterilization processes between 121 ºC and 135 ºC. Characteristics: Type 5 Integrator Indicator (according to ISO 11140-1). One-side-laminated strips printed with indicator ink. Size: 70 mm x 23 mm. Initial Color: Yellow. Final Color: Black. 100 % Toxic Heavy Metal free. Instructions For Use: Place a chemical integrator Integron® IT26-1YS within each package, bag or tray that will be sterilized by Steam. In rigid containers place an IT26-1YS in every corner, or at least two diagonally opposite corners, to ensure that steam has reached the most inaccessible areas. Perform the sterilization cycle. After the sterilization process has finished, remove the indicators from the sterilizer and analyze the results. For all the chemical indicators exposed to Steam, the ink must turn to the black reference color when the integration conditions are reached. Specifications: Process: Steam Initial Color: Yellow Final Color: Black Indicator Type: Type 5 chemical indicator Regulations: ISO 11140-1 More Info About This Product: Color Chart

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CDWAH-U / Stainless steel re-usable holder of great resistance and durability. The holder is designed to be fixed on the tray, which allows reproducible location of the cleaning indicator in ultrasonic washing machines. Base: 32,7 mm wide, 72,5 mm long. Designed to hold Chemdye® CDWA cleaning indicators and perform routine control of cleaning processes in ultrasonic washers. Characteristics: Chrome plating SUS304 grade stainless steel re-usable holder of great resistance and durability. Base: 32 mm wide, 72.5 mm long, pin at the back side. The holder is designed to be fixed on the tray, which allows reproducible location of the cleaning indicator in ultrasonic washing machines, without representing a challenge to the washing process. Specifications: Process: Cleaning and thermodisinfection Regulations: ISO/TS 15883-5

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Holder for cleaning and thermodisinfection Indicators. Stainless Steel re-usable holder of great resistance and durability. Base: 32 mm wide, 72 mm long, pin at the back side. ISO/TS 15883-5. Designed to hold Chemdye® CDWA and Integron® IT27W indicators in order to perform routine control of cleaning and thermal disinfection processes in automatic machines. Characteristics: Chrome plating SUS304 grade stainless steel re-usable holder of great resistance and durability. Base: 32 mm wide, 72.5 mm long, pin at the back side. Basket: 32 mm wide, 37 mm long, 0.5 mm thick. The holder is designed to mimic the cleaning challenges posed by a large process load during the washing cycle and can be fixed on the tray, which allows reproducible location of the cleaning indicator in the washer-disinfector. When CDWA4 is placed within the holder, half of the test soil is obscured, thus simulating the joint of a surgical instrument, with water stream hitting it indirectly. The other half of the test soil is covered by a mesh, thus posing a difficulty for water stream to reach it, mimicking shadowed or occluded surfaces. The new design of CDWAH optimizes the control of the washer disinfectors ability to force water and detergent into and onto the test soil. Specifications: Process: Cleaning and thermodisinfection Regulations: ISO 15883

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Instructions For Use: Before The Test: Place the holder around the neck of the capsule. Press the holder down so that the groove of the holder fits securely around the neck of the vial. Insert the L shaped end on either side of the holder into the holes of the Ultrasonic device’s basket to hold the vial in position. The holder can be attached to a wire basket or perforated basket. Vials should be placed in the correct location within a tray / basket according to Ultrasonic Cleaning Indicator´s IFU based on the size of the tank. After the test is complete After the ultrasonic cycle remove the vial holding it with three fingers of one hand and the index finger and thumb of the other hand on the holder and lid of capsule. Place the index finger on the end of the holder, then place the thumb on the lid of the capsule for support, push the holder back off the neck of the capsule and remove the holder with both fingers.

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CDWA4 / Cleaning Indicator for cleaning performance tests. Challenge level: very high. Detects all the factors that affect the result of a washing process. Initial Color: Fuchsia. Result: removal of the fuchsia organic substance. Designed for routine control of cleaning processes and for monitoring automatic washing machines effectiveness as well as monitoring ultrasonic washing machines which operate at frequencies equal to or greater than 35 kHz, and temperatures between 30 ºC and 70 ºC. Characteristics: Challenge Level: Very high. Allows detection of all factors affecting the outcome of cleaning process. Initial Color: Fuchsia. Size: 70 mm x 30 mm (approximate). Synthetic temperature-stable support. Result: Elimination of fuchsia organic substance. To interpret results visually, use the results reference guide on product´s instructions for use. Optionally, the readout of the cleaning indicator can be done using Trazanto Automatic Quality Control and Traceability System (see instructions for use in device´s manual). Instructions For Use: Choose the Chemdye® Splat CDWA indicator according to the desired difficulty. Place the indicator on the Chemdye® Splat CDWAH or Chemdye® Splat CDWAH-U holder. Place the system on the tray along with the material. Once the cleaning cycle is over, remove the indicator. Analyze Chemdye® Splat CDWA indicators using the reference table and record results. If unfavorable results are obtained, perform the appropriate corrective actions and repeat the washing process. Specifications: Process: Cleaning and thermodisinfection Initial Color: Fuchsia Regulations: ISO 13485, ISO/TS 15883-5

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Super Rapid Self-contained Biological Indicator for Steam sterilization processes. Geobacillus stearothermophilus (ATCC 7953) 10^6 spores per vial. Readout: 1 hour. An optional visual pH color change confirmation could be made after 48 hours of incubation. If sterilization process has not been successful, culture medium will change to a greenish color first, and then to yellow during incubation at 60 ºC, thus showing the presence of living spores. If sterilization process is successful culture medium will remain purple after the incubation process. 7-day readout is optional and not intended to be routinely performed; it is an initial validation of the 1 hour-reading. Fluorescence results may be compared to the 7-day visual reading. Note: if 7-day readout is performed, a humidified environment will be required to avoid medium to dry out. D-Value: Not lower than 1.5 minutes at 121 ºC. Another D-value is informed at 132 ºC and at 135 ºC. Z-Value is informed. Instructions For Use: Identify the Terragene® Bionova® BT222 SCBI by writing the sterilizer number (in case of having more than one), load number and processing date on the label. Pack the SCBI along with materials to be sterilized in an appropriate package according to recommended sterilization practices. Place the package in those areas which are considered most inaccessible for the sterilizing agent (e.g., the center of the load and areas near the door). Sterilize as usual. After the sterilization process has finished, open the sterilizer door, wait five minutes and remove the SCBI from the package. CAUTION: Wear safety glasses and gloves when removing the Terragene® Bionova® BT222 SCBI from the sterilized package. WARNING: Do not crush or handle the SCBI excessively, since this might cause the glass ampoule to burst. Let the SCBI cool down until it reaches room temperature. Check the Process Indicator on SCBI label. A color change to brown indicates that the SCBI has been exposed to Steam. IMPORTANT: This color change does not evidence the process effectiveness to achieve sterility. If the Process Indicator color has not changed, check the sterilization process. Press the lid to seal the tube. Crush the ampoule contained in the SCBI with an individual ampoule crusher or with the ampoule crusher placed within the incubator´s incubation area. Then shake the tube down vigorously, with movements similar to those performed to lower the temperature in a mercury thermometer, until the medium reaches the base of the tube and soaks the spore carrier entirely. Finally, place the SCBI in the incubator. Incubate the processed indicator and the positive control indicator in the appropriate Terragene® Bionova® Auto-Reader Incubators for a maximum of 1 hour at (60 ± 2) °C for super rapid readout. Specifications: Process: Steam Microorganism: Geobacillus stearothermophilus (ATCC 7953) Population: 10^6 Spores/carrier Read-Out Time: 1 h Regulations: IRAM 37102-1, IRAM 37102-3, ISO 11138-1, ISO 11138-3

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Rapid Self-contained Biological Indicator for Ethylene Oxide sterilization processes. Bacillus atrophaeus (ATCC 9372) 10^6 spores per vial. Readout: 4 hours. An optional visual pH color change confirmation could be made after 48 hours of incubation. If sterilization process has not been successful, culture medium will change to a greenish color first, and then to yellow during incubation at 37 ºC, thus showing the presence of living spores. If sterilization process is successful culture medium will remain blue after the incubation process. 7-day readout for visual confirmation by color change is optional and not intended to be routinely performed; it is an initial validation of the 4 hour-reading. Fluorescence results may be compared to the 7-day visual reading. Instructions For Use: Identify the Terragene® Bionova® BT110 SCBI by writing the sterilizer number (in case of having more than one), load number and processing date on the label. Pack the SCBI along with materials to be sterilized in an appropriate package according to recommended sterilization practices. Place the package in those areas which are considered most inaccessible for the sterilizing agent (e.g., the center of the load and areas near the door). Sterilize as usual. After the sterilization process has finished, open the sterilizer door, wait five minutes and remove the SCBI from the package. CAUTION: Wear safety glasses and gloves when removing the Terragene® Bionova® BT110 SCBI from the sterilized package. Check the Process Indicator on SCBI label. A color change to green indicates that the SCBI has been exposed to Ethylene Oxide. IMPORTANT: This color change does not evidence the process effectiveness to achieve sterility. If the color of the Process Indicator has not changed, check the sterilization process. Press the lid to seal the tube. Crush the ampoule contained in the SCBI with an individual ampoule crusher or with the ampoule crusher placed within the incubator´s incubation area. Then shake the tube down vigorously, with movements similar to those performed to lower the temperature in a mercury thermometer, until the medium reaches the base of the tube and soaks the spore carrier entirely. Finally, place the SCBI in the incubator. Incubate the processed indicator and the positive control indicator in the appropriate Terragene® Bionova® Auto-Reader incubators for a maximum of 4 hours at (37 ± 2) °C for rapid readout. Note: Holding time between sterilization and incubation should not exceed a 7-day period. Fluorescence detection by the reader (excitation 340-380 nm / emission 455-465 nm) means failure in the sterilization process. If no fluorescence is detected after 4 hours of incubation, the result is negative. The positive control must give positive fluorescence readout. It is good practice to incubate a positive control for visual color change. If chamber relative humidity is unknown or < 35 %, continue to incubate the Biological Indicator for a pH color change result, since low relative humidity may increase the fluorescent readout time beyond 4 hours. Specifications: Process: Ethylene Oxide Microorganism: Bacillus atrophaeus (ATCC 9372) Population: 10^6 Spores/carrier Read-Out Time: 4 h Regulations: IRAM 37102-1, IRAM 37102-2, ISO 11138-1, ISO 11138-2 Length: 40 mm

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