The Dynarex Butterfly Wound Closures are the perfect solution for protecting and securing small wounds and incisions. These closures are designed to provide optimal support and promote proper healing, ensuring that your wounds remain protected throughout the recovery process. With their durable adhesive backing, these closures stay securely in place, allowing you to go about your daily activities with confidence. The butterfly shape of these closures allows for easy application and removal, further enhancing their convenience and usability. One key feature of the Dynarex Butterfly Wound Closures is their latex-free construction. This means that individuals with latex allergies can safely use these closures without the risk of any adverse reactions. The hypoallergenic adhesive is gentle on the skin, making it suitable for people of all skin types. Another benefit of these closures is their versatility. Whether you have a small cut, a surgical incision, or a post-procedure wound, these closures are designed to meet your specific needs. Their flexibility allows them to conform to the contours of your body, ensuring a secure and comfortable fit. Specifications: Designed for small wounds and incisions Latex-free These closures are available in a convenient pack size, ensuring that you always have them on hand whenever you need them. Whether you're a healthcare professional or an individual looking to take care of minor wounds at home, the Dynarex Butterfly Wound Closures are a must-have addition to your first aid kit.

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Introducing our Wound Closure Strips - Sterile, a must-have product for every medical professional or individual seeking effective wound closure. With their superior design and high-quality materials, these adhesive strips ensure secure wound closure and promote rapid healing. Our Wound Closure Strips are crafted from a flexible, non-woven material that offers both durability and comfort. The skin-friendly adhesive used on these strips minimizes the risk of skin shearing or blistering, ensuring a gentle application process and easy removal when necessary. One of the key features of our Wound Closure Strips is their ability to provide a secure closure. Whether it's a small cut, laceration, or surgical incision, these strips adhere firmly to the skin, holding the wound edges together and allowing for the natural healing process to take place. Furthermore, our adhesive strips are designed to allow maximum porosity and vapor transmission, which contributes to the rapid healing of wounds. The breathable nature of the material ensures adequate airflow, preventing excess moisture build-up and creating an optimal environment for tissue regeneration. When it comes to wound closure, trust in the reliability and effectiveness of our Wound Closure Strips. These sterile strips are suitable for various medical applications and are an essential addition to any first aid kit, clinic, or healthcare facility. Flexible, non-woven material for optimal comfort Skin-friendly adhesive to minimize skin shearing or blistering Whether you are a medical professional or an individual in need of wound closure, our Wound Closure Strips - Sterile are the perfect solution. Don't compromise on quality and choose a trusted product that guarantees secure closure and promotes speedy recovery. Flexible, non-woven material Skin-friendly adhesive to minimize skin shearing or blistering Provides secure closure Allows maximum porosity and vapor transmission for rapid healing

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Porous, non-woven backing coated with a pressure-sensitive, hypoallergenic adhesive Less scaring when compared to staples or sutures Enhances patient comfort and less chance of infection than with sutures or staples Blends with skin tone, not very visible More Information SDS Manufacturer # B1551 Brand Steri-Strip™ Manufacturer 3M Country of Origin United States Application Skin Closure Strip Color Tan Dimensions 1/4 X 3 Inch Material Nonwoven Material Number per Pack 3 per Sterile Pack Sterility Sterile Type Flexible Strip UNSPSC Code 42312005 Latex Free Indicator Not Made with Natural Rubber Latex

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Porous, non-woven backing coated with a pressure-sensitive, hypoallergenic adhesive Less scaring when compared to staples or sutures Enhances patient comfort and less chance of infection than with sutures or staples Blends with skin tone, not very visible Manufacturer # B1557 Brand Steri-Strip™ Manufacturer 3M Country of Origin United States Application Skin Closure Strip Color Tan Dimensions 1/2 X 4 Inch Material Nonwoven Material Number per Pack 6 per Sterile Pack Sterility Sterile Type Flexible Strip UNSPSC Code 42312005 Latex Free Indicator Not Made with Natural Rubber Latex

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Skin closure secures, closes and supports small cuts and wounds Used in hospitals for improved cosmetic results Breathable - for added comfort Holds firmly in place Hypoallergenic Manufacturer # H1546 Brand Nexcare™ Steri-Strip™ Manufacturer 3M Country of Origin United States Application Skin Closure Strip Color White Dimensions 1/4 X 4 Inch HCPCS A6413 Number per Pack 18 per Sterile Pack Type Ventilated Strip UNSPSC Code 42312005

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Porous, non-woven backing coated with a pressure-sensitive, hypoallergenic adhesive and reinforced with polyester filaments for added strength Less scaring when compared to staples or sutures Enhances patient comfort and less chance of infection than with sutures or staples More Information SDS Manufacturer # R1542 Brand Steri-Strip™ Manufacturer 3M Country of Origin United States Application Skin Closure Strip Color White Dimensions 1/4 X 1-1/2 Inch Material Nonwoven Material NDC Number 08333154201 Number per Pack 6 per Sterile Pack Sterility Sterile Type Reinforced Strip UNSPSC Code 42312005 Latex Free Indicator Not Made with Natural Rubber Latex

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Porous, non-woven backing coated with a pressure-sensitive, hypoallergenic adhesive and reinforced with polyester filaments for added strength Less scaring when compared to staples or sutures Enhances patient comfort and less chance of infection than with sutures or staples More Information SDS Manufacturer # R1541 Brand Steri-Strip™ Manufacturer 3M Country of Origin United States Application Skin Closure Strip Color White Dimensions 1/4 X 3 Inch HCPCS A4649 Material Nonwoven Material NDC Number 08333154101 Number per Pack 3 per Sterile Pack Sterility Sterile Type Reinforced Strip UNSPSC Code 42312005 Latex Free Indicator Not Made with Natural Rubber Latex

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Porous, non-woven backing coated with a pressure-sensitive, hypoallergenic adhesive and reinforced with polyester filaments for added strength Less scaring when compared to staples or sutures Enhances patient comfort and less chance of infection than with sutures or staples More Information SDS Manufacturer # R1546 Brand Steri-Strip™ Manufacturer 3M Country of Origin United States Application Skin Closure Strip Color White Dimensions 1/4 X 4 Inch HCPCS A6413 Material Nonwoven Material NDC Number 08333154601 Number per Pack 10 per Sterile Pack Sterility Sterile Type Reinforced Strip UNSPSC Code 42312005 Latex Free Indicator Not Made with Natural Rubber Latex

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Porous, non-woven backing coated with a pressure-sensitive, hypoallergenic adhesive and reinforced with polyester filaments for added strength Manufacturer # R1549 Brand Steri-Strip™ Manufacturer 3M Country of Origin United States Application Skin Closure Strip Color White Dimensions 1/2 X 2 Inch Material Nonwoven Material NDC Number 08333154901 Number per Pack 6 per Sterile Pack Sterility Sterile Type Reinforced Strip UNSPSC Code 42312005 Latex Free Indicator Not Made with Natural Rubber Latex

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Porous, non-woven backing coated with a pressure-sensitive, hypoallergenic adhesive and reinforced with polyester filaments for added strength Less scaring when compared to staples or sutures Enhances patient comfort and less chance of infection than with sutures or staples Supplied in individually packaged cards of sterile skin closures STORE AT ROOM TEMPERATURE More Information SDS Manufacturer # R1547 Brand Steri-Strip™ Manufacturer 3M Country of Origin United States Application Skin Closure Strip Color White Dimensions 1/2 X 4 Inch HCPCS A6413 Material Nonwoven Material NDC Number 08333154701 Number per Pack 6 per Sterile Pack Sterility Sterile Type Reinforced Strip UNSPSC Code 42312005 Latex Free Indicator Not Made with Natural Rubber Latex

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Porous, non-woven backing coated with a pressure-sensitive, hypoallergenic adhesive and reinforced with polyester filaments for added strength Less scaring when compared to staples or sutures Enhances patient comfort and less chance of infection than with sutures or staples More Information SDS Manufacturer # R1548 Brand Steri-Strip™ Manufacturer 3M Country of Origin United States Application Skin Closure Strip Color White Dimensions 1 X 5 Inch Material Nonwoven Material NDC Number 08333154801 Number per Pack 4 per Sterile Pack Sterility Sterile Type Reinforced Strip UNSPSC Code 42312005 Latex Free Indicator Not Made with Natural Rubber Latex

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Secures – Provides wound support and increases the tensile strength of the wound, compared to sutures (Reference on file) Helps improve cosmetic outcomes – Non-invasive, sterile design helps reduce scarring and the risk of infection, compared to sutures and staples, with less tissue trauma and better cosmetic outcomes. (Reference on file) Easy on patients – Comfortable to wear compared to sutures. Hypoallergenic adhesive. Allows early staple/suture removal – Helps patients get back to their normal routine faster. (Reference on file) Saves money – Less expensive than skin adhesives, sutures or staples. (Reference on file) Easy to apply – Fast application More Information SDS Manufacturer # R1540 Brand Steri-Strip™ Manufacturer 3M Country of Origin United States Application Skin Closure Strip Color White Dimensions 1/8 X 3 Inch Material Nonwoven Material NDC Number 08333154001 Number per Pack 5 per Sterile Pack Sterility Sterile Type Reinforced Strip UNSPSC Code 42312005 Latex Free Indicator Not Made with Natural Rubber Latex

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Vented Cap on Male Luer Manufacturer # 352641 Brand SafeDay™ Manufacturer B. Braun Country of Origin Unknown Administration Method Gravity / Pump Application IV Pump Set Back Check Valve Without Back Check Valve Connection Type Spin-Lock® Connector DEHP Indicator DEHP Tubing Drip Rate 15 Drops / mL Drip Rate Filter Without Filter Flow Control Type Roller Clamp / Slide Clamp For Use With For use with Vista®Basic Infusion Pump Injection Port Type Grouping Needle-Free Port Number of Ports 1 Port Port Type SafeDay™ Valve Port Priming Volume 18 mL Priming Volume Product Dating McKesson Acceptable Dating: we will ship >= 90 days Spike Type Universal Spike Sterility Sterile Tubing Length 86 Inch Tubing Tubing Length Range 73 to 96 Inches Type Solution UNSPSC Code 42221609

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Manufacturer # 490102 Brand Infusomat® Space® Manufacturer B. Braun Country of Origin Unknown Administration Method Pump Application IV Pump Set Connection Type Spin-Lock® Connector DEHP Indicator DEHP Tubing Drip Rate 20 Drops / mL Drip Rate Filter Without Filter For Use With For use with Alaris Pump Model 8100 HCPCS S1015 Injection Port Type Grouping Standard Injection Port Number of Ports 2 Ports Port Type Injection Port Priming Volume 18 mL Priming Volume Tubing Length 114 Inch Tubing Tubing Length Range 97 to 120 Inches Type Solution UNSPSC Code 42221609

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Roller Clamp / 2 Slide Clamp Manufacturer # 362420 Brand Infusomat® Space® Manufacturer B. Braun Country of Origin Unknown Administration Method Pump Application IV Pump Set Back Check Valve Without Back Check Valve, Anti-Siphon Valve Connection Type Spin-Lock® Connector Drip Rate 15 Drops / mL Drip Rate Filter Without Filter Flow Control Type Roller Clamp / Slide Clamp For Use With For use with Infusomat® Space®Large Volume Pump Injection Port Type Grouping Needle-Free Port Number of Ports 2 Ports Port Type CareSite® Needle-Free Port Priming Volume 24 mL Priming Volume Product Dating McKesson Acceptable Dating: we will ship >= 90 days Spike Type Universal Spike Sterility Sterile Tubing Length 120 Inch Tubing Tubing Length Range 97 to 120 Inches Type Solution UNSPSC Code 42221609

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Free flow protection (FFP) device 28 in. above distal end and roller clamp Manufacturer # V9905 Brand Vista® Manufacturer B. Braun Country of Origin Unknown Administration Method Pump Application IV Pump Set Back Check Valve Back Check Valve DEHP Indicator DEHP-Free Tubing Drip Rate 15 Drops / mL Drip Rate Filter Without Filter Flow Control Type Roller Clamp For Use With For use with Vista®Basic Infusion Pump Injection Port Type Grouping Without Port NDC Number 80210000111 Number of Ports Without Ports Port Type Without Port Priming Volume 20.7 mL Priming Volume Spike Type Universal Spike Sterility Sterile Tubing Length 102 Inch Tubing Tubing Length Range 97 to 120 Inches Type Solution UNSPSC Code 42221609

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0.2 Micron Air Eliminating Filter Free Flow Protection Manufacturer # US9923F Brand Vista® Manufacturer B. Braun Country of Origin Unknown Administration Method Pump Application IV Pump Set Back Check Valve Back Check Valve Connection Type Spin-Lock® Connector DEHP Indicator DEHP-Free Tubing Drip Rate 15 Drops / mL Drip Rate Filter 0.2 Micron Filter Flow Control Type Roller Clamp For Use With For use with Vista®Basic Infusion Pump HCPCS S1015 Injection Port Type Grouping Needle-Free Port Number of Ports 2 Ports Port Type CareSite® Needle-Free Port Priming Volume 23 mL Priming Volume Product Dating McKesson Acceptable Dating: we will ship >= 90 days Spike Type Universal Spike Sterility Sterile Fluid Path Tubing Length 124 Inch Tubing Tubing Length Range 121 to 144 Inches Type Solution UNSPSC Code 42221609

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Free-Flow Protector Clip, Roller Clamp, 2 Slide Clamp Manufacturer # 354212 Brand Outlook® Manufacturer B. Braun Country of Origin Unknown Administration Method Pump Application IV Pump Set Back Check Valve Back Check Valve Connection Type Spin-Lock® Connector DEHP Indicator DEHP Tubing Drip Rate 15 Drops / mL Drip Rate Filter Without Filter Flow Control Type Roller Clamp / Slide Clamp For Use With For use with Outlook and Outlook ES Large Volume Infusion Pump HCPCS S1015 Injection Port Type Grouping Needle-Free Port NDC Number 08021354212 Number of Ports 2 Ports Port Type CareSite® Needle-Free Port Priming Volume 27 mL Priming Volume Spike Type Universal Spike Sterility Sterile Tubing Length 129 Inch Tubing Tubing Length Range 121 to 144 Inches Type Solution UNSPSC Code 42221609

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1.2 Micron Filter Manufacturer # 362033 Brand Infusomat® Space® Manufacturer B. Braun Country of Origin Unknown Administration Method Pump Application IV Pump Set Back Check Valve Without Back Check Valve Connection Type Spin-Lock® Connector Drip Rate 15 Drops / mL Drip Rate Filter 1.2 Micron Filter For Use With For use with Infusomat® Space®Large Volume Pump HCPCS S1015 Injection Port Type Grouping Needle-Free Port Number of Ports 2 Ports Port Type CareSite® Needle-Free Port Priming Volume 25 mL Priming Volume Product Dating McKesson Acceptable Dating: we will ship >= 90 days Spike Type Universal Spike Tubing Length 124 Inch Tubing Tubing Length Range 121 to 144 Inches Type Solution UNSPSC Code 42221609

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Free Flow Protection Clip 1.2 Micron Filter Manufacturer # 352456 Brand Vista® Manufacturer B. Braun Country of Origin Unknown Administration Method Pump Application IV Pump Set Back Check Valve Without Back Check Valve Connection Type Spin-Lock® Connector DEHP Indicator DEHP-Free Tubing Drip Rate 15 Drops / mL Drip Rate Filter 1.2 Micron Filter Flow Control Type Roller Clamp For Use With For use with Vista®Basic Infusion Pump HCPCS S1015 Injection Port Type Grouping Standard Injection Port NDC Number 08021352456 Number of Ports 1 Port Port Type Injection Port Priming Volume 24.6 mL Priming Volume Spike Type Universal Spike Sterility Sterile Tubing Length 115 Inch Tubing Tubing Length Range 97 to 120 Inches Type Solution UNSPSC Code 42221609

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Contains BPA Contains PVC 36 Month shelf life 0.2 Micron Filter Free-Flow Protector Clip, Roller Clamp, 2 Slide Clamp Manufacturer # 354214 Brand Outlook® Manufacturer B. Braun Country of Origin Unknown Administration Method Pump Application IV Pump Set Back Check Valve Without Back Check Valve, Anti-Siphon Valve Connection Type Spin-Lock® Connector DEHP Indicator DEHP-Free Tubing Drip Rate 15 Drops / mL Drip Rate Filter 0.2 Micron Filter Flow Control Type Roller Clamp / Slide Clamp For Use With For use with Outlook and Outlook ES Large Volume Infusion Pump Injection Port Type Grouping Needle-Free Port Number of Ports 2 Ports Port Type CareSite® Needle-Free Port Priming Volume 26 mL Priming Volume Spike Type Universal Spike Sterility Sterile Tubing Length 119 Inch Tubing Tubing Length Range 97 to 120 Inches Type Solution UNSPSC Code 42222001

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Includes: Universal spike, roller clamp, SPIN-LOCK® connector 0.2 Micron Filter Manufacturer # 490037 Brand Infusomat® Space® Manufacturer B. Braun Country of Origin Unknown Administration Method Pump Application IV Pump Set Connection Type Spin-Lock® Connector DEHP Indicator DEHP Tubing Drip Rate 60 Drops / mL Drip Rate Filter 0.2 Micron Filter HCPCS S1015 Injection Port Type Grouping Needle-Free Port NDC Number 80214090037 Number of Ports 2 Ports Port Type Needle-Free Port Priming Volume 25 mL Priming Volume Tubing Length 130 Inch Tubing Tubing Length Range 121 to 144 Inches Type Solution UNSPSC Code 42221609

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36 Month shelf life Anti Siphon Valve Manufacturer # 363421 Brand Infusomat® Space® Manufacturer B. Braun Country of Origin Unknown Administration Method Pump Application IV Pump Set Back Check Valve Back Check Valve Connection Type Spin-Lock® Connector Drip Rate 15 Drops / mL Drip Rate Filter Without Filter Flow Control Type Roller Clamp / Slide Clamp For Use With For use with Infusomat® Space®Large Volume Pump Injection Port Type Grouping Needle-Free Port Number of Ports 2 Ports Port Type CareSite® Needle-Free Port Priming Volume 22 mL Priming Volume Spike Type Universal Spike Sterility Sterile Tubing Length 120 Inch Tubing Tubing Length Range 97 to 120 Inches Type Solution UNSPSC Code 42222008

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Injection site is 8 inches and 3 inches above distal end Manufacturer # 352379A Brand UltraSite® Manufacturer B. Braun Country of Origin Unknown Administration Method Gravity / Pump Application IV Pump Set Back Check Valve Without Back Check Valve Connection Type Spin-Lock® Connector DEHP Indicator DEHP Tubing Drip Rate 60 Drops / mL Drip Rate Filter Without Filter Flow Control Type Roller Clamp For Use With For use with Vista®Basic Infusion Pump Injection Port Type Grouping Needle-Free Port Number of Ports 2 Ports Port Type Needle-Free Port Priming Volume 17.2 mL Priming Volume Spike Type Universal Spike Tubing Length 84 Inch Tubing Tubing Length Range 73 to 96 Inches Type Solution UNSPSC Code 42221609

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Designed to ensure simplicity during every phase of the Infusion process from programming and set installation to delivery of therapy Saves time loading with straight-line gravity tubing Quick start-up saves time for continuous Infusions. simply enter rate and volume, then press START Separate bag hook for pump offers space and cost savings, eliminating need for standalone IV pole Manufacturer # 352719 Brand Vista® Basic Manufacturer B. Braun Country of Origin Unknown Administration Method Pump Application IV Pump Set Back Check Valve Back Check Valve Connection Type Spin-Lock® Connector DEHP Indicator DEHP-Free Tubing Drip Rate 15 Drops / mL Drip Rate Filter Without Filter Flow Control Type Roller Clamp For Use With For use with Vista®Basic Infusion Pump HCPCS S1015 Injection Port Type Grouping Needle-Free Port Number of Ports 1 Port Port Type CareSite® Needle-Free Port Priming Volume 24 mL Priming Volume Product Dating McKesson Acceptable Dating: we will ship >= 90 days Spike Type Universal Spike Tubing Length 104 Inch Tubing Tubing Length Range 97 to 120 Inches Type Solution UNSPSC Code 42221609

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60 Month shelf life 2 Roller Clamp / Slide Clamp / Pinch Clamp Manufacturer # 362431 Brand Infusomat® Space® Manufacturer B. Braun Country of Origin Unknown Administration Method Pump Application IV Pump Set Back Check Valve Back Check Valve Connection Type Spin-Lock® Connector Drip Rate 15 Drops / mL Drip Rate Filter Without Filter Flow Control Type Roller Clamp / Slide Clamp / Pinch Clamp For Use With For use with Infusomat® Space®Large Volume Pump HCPCS S1015 Injection Port Type Grouping Needle-Free Port Number of Ports 3 Ports Port Type SafeLine® Split Septum Port Priming Volume 21 mL Priming Volume Spike Type Universal Spike Sterility Sterile Tubing Length 120 Inch Tubing Tubing Length Range 97 to 120 Inches Type Solution UNSPSC Code 42221609

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Site is 6 inches above distal end Free Flow Protection Clip Manufacturer # 362035 Brand Infusomat® Space® Manufacturer B. Braun Country of Origin Unknown Administration Method Pump Application IV Pump Set Connection Type Spin-Lock® Connector DEHP Indicator DEHP Tubing Drip Rate 15 Drops / mL Drip Rate Filter Without Filter Flow Control Type Roller Clamp / Slide Clamp For Use With For use with Infusomat® Space®Large Volume Pump Injection Port Type Grouping Without Port Number of Ports 3 Ports Port Type Without Port Priming Volume 22 mL Priming Volume Spike Type Universal Spike Sterility Sterile Tubing Length 122 Inch Tubing Tubing Length Range 121 to 144 Inches Type Solution UNSPSC Code 42222008

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Contains BPA Contains PVC 36 Month shelf life 170 Micron Blood Filter Free-Flow Protector Clip, 3 Roller Clamp Manufacturer # 354216 Brand Outlook® Manufacturer B. Braun Country of Origin Unknown Administration Method Pump Application IV Pump Set Back Check Valve Without Back Check Valve Connection Type Spin-Lock® Connector DEHP Indicator DEHP-Free Tubing Drip Rate 10 Drops / mL Drip Rate Filter 170 Micron Filter Flow Control Type Roller Clamp For Use With For use with Outlook and Outlook ES Large Volume Infusion Pump Injection Port Type Grouping Needle-Free Port Number of Ports 1 Port Port Type CareSite® Needle-Free Port Priming Volume 46 mL Priming Volume Spike Type Non-Vented Spike Sterility Sterile Tubing Length 130 Inch Tubing Tubing Length Range 121 to 144 Inches Type Blood UNSPSC Code 42222001

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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. Low Absorption Polyethylene Lined Tubing Free Flow Protection Clip WARNING: Cancer and Reproductive Harm - www.P65Warnings.ca.gov Manufacturer # V7450 Brand Outlook® Manufacturer B. Braun Country of Origin Unknown Administration Method Pump Application IV Pump Set Connection Type Spin-Lock® Connector Drip Rate 60 Drops / mL Drip Rate Filter Without Filter Flow Control Type Roller Clamp For Use With For use with Outlook® Pumps Injection Port Type Grouping Without Port NDC Number 00264938324 Number of Ports Without Ports Port Type Without Port Priming Volume 27 mL Priming Volume Spike Type Universal Spike Sterility Sterile Fluid Path Tubing Length 135 Inch Tubing Tubing Length Range 121 to 144 Inches Type Nitroglycerin UNSPSC Code 42221609

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Contains BPA Contains PVC 36 Month shelf life 15 Micron Filter GVS EasyDrop® Flow Regulator Manufacturer # 354213 Brand Outlook® Manufacturer B. Braun Country of Origin Unknown Administration Method Pump Application IV Pump Set Back Check Valve Without Back Check Valve Connection Type Rotating Male Luer Lock Connector DEHP Indicator DEHP-Free Tubing Drip Rate 15 Drops / mL Drip Rate Filter 15 Micron Filter Flow Control Type Roller Clamp For Use With For use with Outlook and Outlook ES Large Volume Infusion Pump Injection Port Type Grouping Needle-Free Port Number of Ports 3 Ports Port Type CareSite® Needle-Free Port Spike Type Universal Spike Sterility Sterile Tubing Length 92 Inch Tubing Tubing Length Range 73 to 96 Inches Type Solution UNSPSC Code 42222001

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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. Minimizes contrast waste 170 Micron Blood Filter Free-Flow Protector Clip, 3 Roller Clamp WARNING: Cancer and Reproductive Harm - www.P65Warnings.ca.gov Manufacturer # NF3120 Brand Outlook® Manufacturer B. Braun Country of Origin Unknown Administration Method Pump Application IV Pump Set Back Check Valve Without Back Check Valve Connection Type Spin-Lock® Connector DEHP Indicator DEHP Tubing Drip Rate 10 Drops / mL Drip Rate Filter 170 Micron Filter Flow Control Type Roller Clamp For Use With For use with Outlook and Outlook ES Large Volume Infusion Pump Injection Port Type Grouping Needle-Free Port NDC Number 00264959924 Number of Ports 1 Port Port Type SafeLine® Split Septum Port Priming Volume 46 mL Priming Volume Spike Type Non-Vented Spike Sterility Sterile Tubing Length 138 Inch Tubing Tubing Length Range 121 to 144 Inches Type Blood UNSPSC Code 42221609

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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. Compatible with the COLLEAGUE Series Volumetric Infusion Pumps and FLO-GARD 6201 and 6301 Series Volumetric Infusion Pumps 36 Month shelf life Free Flow Protector Clip WARNING: Cancer and Reproductive Harm - www.P65Warnings.ca.gov Manufacturer # V7453 Brand Outlook® Manufacturer B. Braun Country of Origin Unknown Administration Method Pump Application IV Pump Set Color Code Green/Yellow Stripe Connection Type Spin-Lock® Connector DEHP Indicator DEHP-Free Tubing Drip Rate 60 Drops / mL Drip Rate Filter Without Filter Flow Control Type Slide Clamp For Use With For use with Outlook® Pumps Injection Port Type Grouping Without Port NDC Number 00264976624 Number of Ports Without Ports Port Type Without Port Priming Volume 16 mL Priming Volume Spike Type Universal Spike Sterility Sterile Fluid Path Tubing Length 124 Inch Tubing Tubing Length Range 121 to 144 Inches Tubing Type Microbore Tubing Type Epidural UNSPSC Code 42221609

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Non-pyrogenic Free Flow Protection Clip Manufacturer # V7405 Brand Outlook® Manufacturer B. Braun Country of Origin Unknown Administration Method Pump Application IV Pump Set Connection Type Spin-Lock® Connector DEHP Indicator DEHP Tubing Drip Rate 15 Drops / mL Drip Rate Filter Without Filter Flow Control Type Roller Clamp Injection Port Type Grouping Standard Injection Port NDC Number 00264930824 Number of Ports 1 Port Port Type Injection Port Priming Volume 30 mL Priming Volume Spike Type Universal Spike Sterility Sterile Fluid Path Tubing Length 132 Inch Tubing Tubing Length Range 121 to 144 Inches Type Solution UNSPSC Code 42272018

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Injection site 26 inches above distal end Manufacturer # V1482 Brand BBraun™ Manufacturer B. Braun Country of Origin Unknown Administration Method Pump Application IV Pump Set Back Check Valve Back Check Valve Connection Type Spin-Lock® Connector Drip Rate 15 Drops / mL Drip Rate Filter Without Filter Flow Control Type Roller Clamp / Slide Clamp For Use With For use with SIGMA Spectrum Infusion Systems Injection Port Type Grouping Standard Injection Port NDC Number 00264954650 Number of Ports 1 Port Port Type Injection Port Priming Volume 19 mL Priming Volume Spike Type Universal Spike Sterility Sterile Tubing Length 106 Inch Tubing Tubing Length Range 97 to 120 Inches Type Solution UNSPSC Code 42221609

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Site is 6 inches above distal end Free-flow Protection Clamp Manufacturer # 362031 Brand Infusomat® Manufacturer B. Braun Country of Origin Unknown Administration Method Pump Application IV Pump Set Back Check Valve Back Check Valve Connection Type Spin-Lock® Connector DEHP Indicator DEHP-Free Tubing Drip Rate 15 Drops / mL Drip Rate Filter Without Filter Flow Control Type Roller Clamp / Slide Clamp For Use With For use with Infusomat® Space®Large Volume Pump HCPCS S1015 Injection Port Type Grouping Needle-Free Port Number of Ports 3 Ports Port Type SafeLine® Split Septum Port Priming Volume 22 mL Priming Volume Product Dating McKesson Acceptable Dating: we will ship >= 90 days Spike Type Convertible Piercing Pin Sterility Sterile Tubing Length 119 Inch Tubing Tubing Length Range 97 to 120 Inches Tubing Type Macrobore Tubing Type Solution UNSPSC Code 42221609

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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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Hyper Rapid Self-contained Biological Indicator for Vaporized Hydrogen Peroxide sterilization processes. Final readout: 5 minutes. Indications For Use: Terragene® Bionova® BT98 fluorescence hyper rapid readout Biological Indicators have been designed for quick and easy monitoring of Plasma or vaporized hydrogen Peroxide sterilization cycles. Device Description: Terragene® Bionova® BT98 fluorescence hyper rapid readout Biological Indicators are single-use Self-Contained Biological Indicators (SCBIs) that consist of a polypropylene tube, a spore carrier and a glass ampoule with a culture medium, enclosed with a colored cap. Each tube contains a population of Geobacillus stearotermophilus ATCC 7953 spores inoculated on a spore carrier, a plastic cap with holes and a barrier permeable to Plasma or Vaporized Hydrogen Peroxide. Each BT98 has a Process Indicator on label that changes from purple to green when exposed to hydrogen peroxide. Precautions: Warning: Do not use Terragene® Bionova® BT98 SCBI to control EO, Dry Heat, Formaldehyde or other sterilization processes different from specified. Do not reuse SCBI. Warning:  Place one or more SCBI in sterilizing hard-to-reach areas to ensure all areas of the chamber are sterilized. Please evaluate all load configurations to ensure ALL hard-to-reach areas have been identified, and place a SCBI in each of those locations. Warning:  Do not reuse the sterilizer until the SCBI test result is negative. Instructions For Use: Identify the Terragene® Bionova® BT98 SCBI by writing the sterilizer number (incase 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® BT98 SCBI from the sterilized package. ( 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 green indicates that the SCBI has been exposed to Hydrogen Peroxide. 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 5 minutes at (60 ± 2) °C for hyper rapid readout. (Holding time between sterilization and incubation should not exceed a 1-hour period.) Important: Use a non-sterilized SCBI as a positive control at least once per day, when a sterilization cycle is run. The positive control ensures that correct incubation conditions were met; the capability of the medium to promote rapid growth; viability of spores has not been altered due to improper storage temperature, humidity or proximity to chemicals and proper functioning of Terragene® Bionova® Auto-Reader Incubators. Both, the positive control indicator and the processed indicator, should belong to the same batch. 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 5 minutes 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. Record positive results and discard the SCBIs immediately, as it is indicated below. Hyper Rapid Readout: 5 minutes The hyper rapid readout must be carried out in the appropriate Terragene® Bionova® auto-reader incubators. Fluorescence is emitted after the reader stimulates the spore carrier with UV light. Final readout of negative results is readily available after 5 minutes of incubation. Fluorescence readout is an indirect measure of the viability of Geobacillus stearothermophilus spores after the sterilization process (positive results). Furthermore, a failure in the sterilization process can also become evident by culture medium color-change. Due to the high sensitivity of the fluorescence results at 5 minutes, conventional incubation for color change of Terragene® Bionova® SCBI BT98 is not an advantage. Visual Confirmation: 5 days: Optionally, you can perform a visual color-change confirmation after a 5-day incubation. If the sterilization process has not been successful, culture medium will turn to yellow during incubation at (60 ± 2) ºC, indicating the presence of living spores. If sterilization was successful, culture medium will remain purple after incubation. The positive control must show a color change from purple to yellow for results to be valid. ( If 5-day readout is performed, a humidified environment will be required to prevent medium from drying out.) Readout Time: 7 days A 7-day readout is optional and may be routinely performed. This is an initial validation of the 5-minute readout. Fluorescence results are compared to the 7-day visual readouts. Monitoring Frequency: Follow facility policies and procedures which should specify a biological indicator monitoring frequency compliant with professional association recommended practices and/or national guidelines and standards. As the best practice and to provide optimal patient safety, Terragene® recommends that every sterilization load be monitored with an appropriate biological indicator. Storage: Store in a dark place at temperature between 10-30 ºC and 30-80 % relative humidity. Do not freeze. Do not store biological indicators near sterilizing agents or other chemical products. Shelf Life: Biological Indicators have an expiration date of 2 years from the date of manufacture when stored at recommended conditions. Do not use indicators after their expiration date. Chemical Process Indicator on SCBI label have an expiration date of 2 years when used as part of SCBI. Endpoint Stability Reaction: Chemical Process Indicator endpoint shall remain unchanged for a period of 6 months when stored at previously indicated conditions. Disposal: Discard biological indicators after use according to your country’s healthcare and safety regulations. The positive biological indicators can be autoclaved in a gravity air displacement steam sterilizer at 121 ºC for 5 minutes, 132 ºC for 15 minutes or 134 ºC for 10 minutes; or in a dynamic air removal steam sterilizer at 132 °C for 4 minutes or 135 °C for 3 minutes. Specifications: Population: 10^6 Spores/carrier Read-Out Time: 5 min Regulations: IRAM 37102-1:1999, ISO 11138-1:2017, ISO 13485:2016 / NS-EN ISO 13485:2016

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