Every Step. Every Detail.

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1 3M Sterilization Products and Services Every Step. Every Detail. Every Day. 3M Sterilization:

2 Steps in the Sterilization Process Health care professionals worldwide have come to trust the complete line of 3M sterilization monitoring products to help them monitor all stages of the sterilization process. 3M sets today s standard for sterilization process monitoring with a comprehensive monitoring portfolio, the 3M Attest Sterile U Network education program, world class technical service support and expert sales support. 1. Clean and Disinfect The first step in the sterilization process, clean and disinfect, addresses the removal of foreign material and makes instruments ready for further processing. The presence of soil or organic material on instruments reduces disinfection or sterilization effectiveness. If the instruments are going to be high level disinfected, a check of the high level disinfectant concentration in the processor/soaking tray is required to ensure its minimum effective concentration. 2. Prep and Pack Prep and pack is next in the sterilization process. The proper selection of internal and external chemical indicators to monitor the sterilization process is done in this step. 3. In the third step of the sterilization process, instruments are exposed to the actual sterilant (steam, ethylene oxide, etc.). Routine monitoring of the sterilization process is needed to ensure effective sterilization. This is done through the use of displays and printouts from the equipment and the proper selection and the use of biological and chemical indicators. 4. In the fourth step, instruments are removed from the sterilizer/processor and quality system documentation is completed. Then, appropriate storage is required to maintain the integrity of the packaging and level of sterility of the instrument(s) prior to use. Documentation for each individual pack is recommended by AAMI, AORN and The Joint Commission to ensure that a load or pack can be identified and found in the event of a recall. This documentation is part of a total record keeping system and is an important aspect of the department quality system. 5. Issue and Use Finally, when items are requested for use, they are retrieved from storage and checked to ensure that the external chemical monitor has reached its endpoint (e.g., color change or migration) and then issued for use. Prior to use, the internal chemical monitors are checked to ensure that sterilization process conditions penetrated to the inside of the pack. 4 3M Sterilization

3 Who to turn to for standards and recommended practices for sterilization monitoring 3M Sterilization is actively involved with various industry associations in their ongoing effort to increase the science and professionalism of reprocessing instruments. We encourage you to investigate the standards they have developed to address this subject. AAMI The Association for the Advancement of Medical Instrumentation is a U.S. national standards organization devoted to medical technology. It is a nonprofit organization made up of representatives from healthcare, industry, governmental regulators, academia and consultants that work together to develop consensus performance standards and recommended practices on medical instrumentation and technology. The AAMI Sterilization Standards Committees comprise one of the largest divisions of AAMI. ANSI/AAMI ST79 Comprehensive guide to steam sterilization and sterility assurance in health care facilities is the highest selling AAMI document. In addition to standards development, AAMI also sponsors multiple educational programs. AORN The Association of perioperative Registered Nurses is a professional organization that provides OR nurses with education and standards of practice. AORN hosts educational meetings, national congress, publications and provides multiple other resources. AORN PeriOperative Standards and Recommended Practices are published annually and serve as the primary reference for OR best practice. CDC The Centers for Disease Control and Prevention is part of the U.S. Dept. of Health and Human Services and is focused on protecting public safety through the prevention and control of disease, injury and disability. CDC focuses on key aspects of infection prevention including HAIs. The Healthcare Information Control Practices Advisory Committee (HICPAC) is sponsored by the CDC and develops good practice guidelines. ISO ISO (International Organization for Standardization) is a network of the national standards institutes of 161 countries, one member per country. ISO develops and maintains consensus standards in many areas including sterilization. Often, ISO standards are adopted by countries and may be mandated by local governments. Technical Committee 198 develops and maintains standards related to Sterilization. AAMI AORN CDC ISO 3M Sterilization 5

4 Standards Practice Confidence in Sterilization with the Core Four. 1 2 Equipment Monitoring Load Monitoring Equipment Monitoring is a way to find out whether or not your sterilizer is doing its job properly. To monitor dynamicair-removal steam sterilizers, you begin each day with a Bowie-Dick type test to detect air leaks, inadequate air removal, inadequate steam penetration and the presence of non-condensable gases, any of which can compromise sterility. 3M Comply Bowie-Dick Plus Test Pack with Early Warning Test Sheet Indicates problems due to air leaks or inadequate vacuum during the air removal test cycle. Early Warning Test Sheet provides advance notice of sterilizer problem. Chemical indicator ink retains final result so test sheet can be filed for quality assurance records and later compared to current results if a change in sterilizer performance occurs. Yellow to dark brown/black indicator ink color change is easy to interpret. Putting Standards into Practice (1) The Bowie-Dick test should always be run in a warm sterilizer to avoid false failures. (2) Place your Bowie-Dick on the bottom shelf of the cart, over the drain, in an empty sterilizer. See product description on page 12. Load Monitoring is the process by which a load is monitored and released based on the result of a biological indicator (BI) in a process challenge device (PCD). Only a BI can detect the actual killing of microbial spores inside the sterilizer. If all spores die inside the BI, you have assurance that other infectious organisms have also died inside the sterilizer. For non-implant loads, may use a Class 5 integrating indicator PCD. 3M Attest Rapid 5 Steam-Plus Test Pack Includes a 3M Attest Rapid Readout biological indicator (BI) that provides results in three hours and a 3M Comply (SteriGage ) moving-front Class 5 Integrating Indicator. Meets AAMI ST79:2006/A1:2008/A2:2009 steam sterilization guidelines for process challenge device load monitoring requirements of implants. Reduces quarantine time by 88% providing BI results in 3 hours compared to 24 hour BIs. Enables you to make decisions and take action prior to surgery, reducing the risk and cost associated with recalls and surgical infections. Putting Standards into Practice (1) A positive control should be incubated each day a test BI is incubated in each 3M Attest Auto-reader. (2) If a test BI is positive, and the cause of the failure is not immediately identifiable, all items from that load and all items from loads processed since the last load with a negative BI result should be recalled and reprocessed. (3) Loads containing implants should be quarantined until the BI results are known. See product description on page M Sterilization

5 3 4 Pack Monitoring Exposure Monitoring Products Pack Monitoring is defined as the use of chemical indicators for internal monitoring of packs, trays, containers and peel pouches. Internal pack monitoring verifies that the sterilant has penetrated to the point of placement of the chemical indicator in the pack and confirms that specific exposure conditions have been met. 3M Comply (SteriGage ) Chemical Integrator Conforms to ANSI/AAMI/ISO :2005 Class 5 Integrating Indicator performance requirements which ensures the response correlates with a BI at three time/ temperature relationships under ideal steam sterilization conditions. For use in all F steam sterilization cycles which eliminates the potential error of selecting the incorrect, cycle-specific, emulating indicator and reduces your chemical indicator inventory. Migrating moving front style ink technology provides instant Accept or Reject results at a glance that do not require color interpretation. A study is available that shows higher reading accuracy than color-change indicators. Confirmed by BSI, a leading global independent Product Testing Services Company, to meet the performance requirements of ISO :2005. Putting Standards into Practice (1) Place an integrator in the geometric center of each pack, peel pouch or tray to be to be steam sterilized. In rigid containers, place an integrator in two opposite corners of each level. In multi-level wrapped containers supplied by the manufacturer, place an integrator in the center of each level. (2) If a pack fails, but the BI was negative, you could decide to issue the remaining packs from the load. If the BI results were not available when the pack failure was discovered, the load contents should be quarantined until the BI results are known. See product description on page 13. Exposure Monitoring Products are a way for sterilizer operators to know at a glance whether packs have been exposed to the sterilization process. It assures the operator handling the processed items that the pack has been exposed to the sterilization process without the need to open the pack. 3M Comply Steam Indicator Tapes Adhesives are designed specifically for disposable or reusable wraps. 3M Comply 1222 Steam Indicator Tape for all wraps. 3M Comply 1255 Steam Indicator Tape for disposable wraps. Adhesive seals packs securely. Backing stretches to minimize tape pop-off during sterilization. Can be written on or labeled with preprinted labels such as the 3M Comply Sterilization Load Labels. Putting Standards into Practice (1) Use an external chemical indicator on the outside of each package. (2) If a package allows for visual inspection of an internal indicator, such as those with paper plastic packaging, an external indicator is not required. See product description on page 19. Ask your 3M Sales Professional how 3M can recognize and support your facility s efforts to monitor the sterilization processes according to AAMI, AORN and CDC Standards and Recommended Practices. 3M Sterilization 7

6 Rapid Readout Biological Indicators L o a d C o n t r o l Rapid Readout Biological Indicators and Test Packs Results in one hour (1291), three hours (1292) or four hours (1294). Each test pack contains a 3M Attest Rapid Readout Biological Indicator Test packs present a challenge to the sterilization process equivalent to the AAMI recommended towel pack Make decisions and take appropriate action before surgery Every-Load-Monitoring and quarantining can eliminate recalls Malfunctioning sterilizers can be repaired and put back into service quickly The 3M Attest Rapid Readout Biological Monitoring System can help reduce the costs associated with fighting infections a cost measured in both dollars and time spent 3M Attest Rapid Readout Biological Indicator for 132 C (270 F) Gravity Displacement Steam Sterilization 1291* Steam Biological Indicator (Blue cap) 50 each/box 4 boxes/case 3M Attest Rapid Readout Biological Indicators and Test Packs for 121 C (250 F) Gravity and 132 C (270 F) Vacuum-Assisted Steam Sterilization 1292* Steam Biological Indicator (Brown cap) 50 each/box 4 boxes/case 1296* Steam Biological Test Pack (25 controls) 25 packs/box 1 box/case 1296F* Steam Biological Test Pack (controls) 25 packs/box 1 box/case *Must be used in conjunction with 3M Attest 290 Auto-reader 3M Attest Rapid 5 Steam-Plus Test Pack Monitors 132 C (270 F), 4 minute vacuum-assisted and 121 C (250 F), 30 minute gravity displacement steam sterilization processes. Each pack contains a 3M Attest 1292 Rapid Readout Biological Indicator and a 3M Comply SteriGage 1243 Steam Chemical Integrator ** Steam Plus Test Pack 16 each/box 4 boxes/case (16 controls/box) 41382F** Steam Plus Test Pack 16 each/box 4 boxes/case (4 controls/box) **Must be used in conjunction with 3M Attest 290 Auto-reader 3M Attest Rapid Readout Biological Indicators and Test Packs for Ethylene Oxide (EO) Sterilization 1294*** EO Biological Indicator (Green cap) 50 each/box 4 boxes/case 1298*** EO Test Pack (25 controls) 25 packs/box 2 boxes/case 1298F*** EO Test Pack (5 controls) 25 packs/box 2 boxes/case ***Must be used in conjunction with 3M Attest 290G Auto-reader 8 3M Sterilization

7 Rapid Readout Biological Indicators Auto-readers For use with Attest Rapid Readout Biological Indicators 3M Attest 290 and 290G Auto-readers do not require time-consuming calibration Audible alarm sounds for improved monitoring Do not require any routine maintenance 120V nominal voltage required 3M Attest 290 Auto-readers 290 Auto-reader for steam, for use with 1 unit/box 1 box/case Attest Rapid Readout Biological Indicators for Steam 1291, and 1292, 60 C (140 F) 290G Auto-reader for EO, for use with Attest 1 unit/box 1 box/case Rapid Readout Biological Indicator for EO 1294, 37 C (98.6 F) 3M Attest Monitoring Interface for Software 3M Attest Monitoring Interface software module provides automatic, real-time documentation of 3M Attest Rapid Readout Biological Indicators by connecting the 3M Attest Auto-reader directly to Sterile Processing Microsystems SPM Asset Management Software. It provides hospitals with the trusted, gold standard in monitoring sterilization processes with instant access to results and other sterilization load documentation. 3M, in collaboration with Materials Management Microsystems, Inc. developed this interface software product to improve the accuracy and consistency of quality control processes. SPM is a comprehensive, computerized asset management system for Sterile Processing. It is designed to work on a network of computers and uses bar-code technology to track the location and movement of instruments sets throughout the processing and delivery cycle. SPM offers a guaranteed return on investment through productivity improvement. Several additional SPM modules are available to expand functionality of the system. Automatic, real-time documentation of 3M Attest Rapid Readout Biological Indicator results Supports the transition to paperless electronic record keeping Facility-wide availability of results Facilitates the recall process How SPM Software with 3M Attest Monitoring Interface works Monitor loads using 3M Attest Rapid Readout Biological Indicators Enter 3M Attest Rapid Readout BI test and control lot numbers into SPM Software and incubate BIs in the 3M Attest Auto-reader Access real-time 3M Attest Rapid Readout BI results at all networked workstations running SPM Software 3M Sterilization 9

8 Biological Indicators L o a d C o n t r o l Biological Indicators and Test Packs Biological indicator vials are easy to use and interpret with visual color readout in 24 hours (1261) or 48 hours (1262/1264) Test packs present a challenge to the sterilization process equivalent to the AAMI recommended packs Each test pack contains a 3M Attest 1262 or 1264 Biological Indicator 3M Attest Biological Indicators for 132 C (270 F) Gravity Displacement Steam Sterilization 1261 Steam Biological Indicator (Blue cap) 100 each/box 4 boxes/case 1261P Steam Biological Indicator (Blue cap) 25 each/box 4 boxes/case 3M Attest Biological Indicators for 121 C (250 F) Gravity Displacement and 132 C (270 F) Vacuum-assisted Steam Sterilization 1262 Steam Biological Indicator (Brown cap) 100 each/box 4 boxes/case 1262P Steam Biological Indicator (Brown cap) 25 each/box 4 boxes/case 1276 Steam Biological Test Pack 25 each/box 1 box/case (25 controls/box) 1276F Steam Biological Test Pack 25 each/box 1 box/case (5 controls/box) 3M Attest Steam-Plus Test Pack Each pack consists of an Attest 1262 Biological Indicator and a 3M Comply (SteriGage ) Steam Chemical Integrator Steam-Plus Test Pack 16 each/box 4 boxes/case (4 controls/box) 3M Attest Biological Indicators for Ethylene Oxide (EO) Sterilization 1264 EO Biological Indicator (Green cap) 100 each/box 4 boxes/case 1264P EO Biological Indicator (Green cap) 25 each/box 4 boxes/case 1278 EO Test Pack 25 each/box 2 boxes/case (25 controls/box) 1278F EO Test Pack 25 each/box 2 boxes/case (5 controls/box) 10 3M Sterilization

9 Biological Indicators Biological Indicator Monitoring Starter Kit Everything you need for effective monitoring of the steam sterilization process. Consists of one roll of 3M Comply N Indicator Tape, one box of 3M Attest 1262P Biological Indicators, one 3M Attest 116 Incubator, one bag of 3M Comply (SteriGage ) 1243B Chemical Integrators, one 3M Attest 1266-A Log Book and Wall Chart. 3M Attest Biological Indicator Monitoring Starter Kit 115 Monitoring Kit 1 each/box 1 box/case Biological Indicator Incubators Attest Incubators provide optimal conditions for accurate readout of Attest Biological Indicators. Convenient, 14- or 28-vial capacity Dry-block design pre-set to proper incubation temperature 3M Attest Biological Indicator Incubators vial (round), 56 C (Steam), 120 nominal 1 each/box 1 box/case voltage required, V acceptable vial (round), 37 C (EO), 120 nominal 1 each/box 1 box/case voltage required, V acceptable vial (2-tier), 56 C (Steam), 120 nominal 1 each/box 1 box/case voltage required, V acceptable vial (2-tier), 37 C (EO), 120 nominal 1 each/box 1 box/case voltage required, V acceptable vial (2-tier), 37 C/56 C (EO/Steam), 1 each/box 1 box/case 120 nominal voltage required, V acceptable 3M Sterilization 11

10 Biological Bowie-Dick Indicators Test Packs L o a d C o n t r o l Bowie-Dick Plus Test Pack with Early Warning Test Sheet The 3M Comply Bowie-Dick Plus Test Pack features the Early Warning Test Sheet that identifies potential air leaks or vacuum pump failures before they appear on the Comply Bowie-Dick Test Sheet. 3M Comply Bowie-Dick Plus Test Pack with Early Warning Test Sheet 00135* Bowie-Dick Plus Test Pack with 20 packs/box 4 boxes/case Early Warning Test Sheet *Has equivalent performance to the Bowie-Dick towel pack cited in ANSI/AAMI ST79. Bowie-Dick Type Test Packs and Sheets Designed for dynamic-air-removal sterilizers to test the efficacy of the vacuum system to remove air from the sterilizer chamber and to detect leaks in the system that would allow air into the chamber. Comply Bowie-Dick Test Packs make testing steam penetration and air removal, as well as detecting air leaks, more convenient and cost effective Designed to give results equivalent to those obtainable by the Bowie and Dick protocol Preassembled packs reduce both labor and material costs Indicator pattern is easy to read and interpret 3M Comply Bowie-Dick Type Test Pack 1233* Bowie-Dick Disposable Test Pack 6 packs/bag 5 bags/case 3M Comply Bowie-Dick Test Sheet Bowie-Dick Internal Steam Indicator Sheet 50 sheets/box 5 boxes/case *Has equivalent performance to the Bowie-Dick towel pack cited in ANSI/AAMI ST M Sterilization

11 Class 5 Chemical Integrators Steam Chemical Integrator Test Pack Pack consists of a 3M Comply 1243 (SteriGage ) Steam Chemical Integrator in a small test pack of porous substrate with a moisture impervious, quality disposable wrap. Test pack presents a challenge to the sterilization process equivalent to the AAMI recommended towel pack 3M Comply (SteriGage ) Steam Chemical Integrator Test Pack (AAMI Class 5) Test Pack with Comply (SteriGage) 16 packs/box 4 boxes/case Steam Chemical Integrator 3M Comply (SteriGage ) Steam Chemical Integrators 3M Comply SteriGage Steam Chemical Integrators offer immediate, accurate and easy-to-read method of monitoring sterilization process conditions inside each pack. For use in all steam sterilizers. Moving front style has accept/reject readout for instant results with easy interpretation, convenient small size for all packs with optional extenders available for fast retrieval from inner packs Conforms to ANSI/AAMI/ISO :2005 Class 5 Integrating Indicator performance requirements which ensures the response correlates with a BI at three time/temperature relationships under ideal steam sterilization conditions 3M Comply (SteriGage ) Steam Chemical Integrators (AAMI Class 5) 1243A Steam Chemical Integrator, moving front 500 each/bag 2 bags/case 5,1 cm x 1,9 cm (2" x 3/4") 1243B Steam Chemical Integrator, moving front 100 each/bag 10 bags/case 5,1 cm x 1,9 cm (2" x 3/4") 1243E Steam Chemical Integrator, moving front 1000 each/bag 1 bag/case with extender, 22,9 cm x 1,0 cm (9" x 3/8") 1240E Extender only 2500 each/bag 2 bags/case 19,1 cm x 1,0 cm (7-1/2" x 3/8") 3M Sterilization 13

12 Rapid Chemical Readout Integrators Biological and Indicators L o a d C o n t r o l 3M Comply (Thermalog ) Steam Chemical Integrators 3M Comply Thermalog Steam Chemical Integrators offer an immediate, accurate and easy-to-read method of monitoring sterilization process conditions inside each pack. For use in all steam sterilizers. Moving front style has safe/unsafe readout for instant results with easy interpretation for fast retrieval from inner packs Conforms to ANSI/AAMI/ISO :2005 Class 5 Integrating Indicator performance requirements which ensures the response correlates with a Biological Indicator (BI) at three time/temperature relationships under ideal steam sterilization conditions 3M Comply (Thermalog ) Steam Chemical Integrators (AAMI Class 5) 2134MM Steam Chemical Integrator, moving front 250 units/pack 8 packs/case 10,16 cm x 1,91 cm (4" x 3/4") 3M Comply 6600 Steam Emulating Indicators Class 6 Emulating Indicators react to the critical variables required for steam sterilization for a specific sterilization cycle. A unique Class 6 Chemical Indicator is required for each time, temperature, and type of steam sterilization cycle. Unlike Class 5 Integrating Indicators, the response of Class 6 Emulating Indicators is not required to parallel the time/temperature response of a biological indicator. For use as an internal chemical indicator in 4 minute 132 C/270 F dynamicair-removal steam sterilization cycles. Class 6 Emulating Indicator as classified by ANSI/AAMI/ISO :2005 Plastic lamination protects sterilized items from potential ink transfer 3M Comply 6600 Steam Emulating Indicators (AAMI Class 6) M Comply Steam Emulating Indicator 250 items/pouch 20 pouches/case 4.25" x.25" 14 3M Sterilization

13 Rapid Readout Biological Chemical Indicators Steam Chemical Indicator-Plus Each strip has two purple ink bars that change color in sequence during exposure to saturated steam. A clear protective coating over the ink bars prevents the ink from touching items being sterilized. 3M Comply Steam Chemical Indicator-Plus Strips Short Form 132 C (270 F) Indicator, 200 each/box 20 boxes/case 1,5 cm x 10,8 cm (5/8" x 4-1/4"), for use in 270 F dynamic-air-removal and gravity sterilizers Long Form 132 C (270 F) Indicator, 200 each/box 20 boxes/case 1,5 cm x 18,7 cm (5/8" x 7-3/8"), for use in 270 F dynamic-air-removal and gravity sterilizers Short Form 121 C (250 F) Indicator, 200 each/box 20 boxes/case 1,5 cm x 10,8 cm (5/8" x 4-1/4"), for use in 250 F gravity sterilizers Steam Chemical Indicators 3M Comply Chemical Indicators offer distinct color change to indicate process results inside each pack. Indicator changes color to dark brown/black when exposed to steam sterilization. For use in all steam sterilizers. 3M Comply Steam Chemical Indicator Strip Long strip of chemical indicator ink printed on perforated-style strip. Allows full- or half-length use for different pack sizes Steam Chemical Indicator Strip 240 each/box 8 boxes/case 1,5 cm x 20 cm (5/8" x 8") *ISO :2005 Class 4 testing is underway. 3M Comply Steam Chemical Indicator Strips Chemical indicator printed as a block on short or long strips Long Form 250 each/box 20 boxes/case 1,5 cm x 22 cm (5/8" x 8-1/2") Short Form 250 each/box 20 boxes/case 1,5 cm x 11 cm (5/8" x 4-1/4") 00109A Short Form Economy Pack 1000 each/box 4 boxes/case 1,5 cm x 11 cm (5/8" x 4-1/4") 3M Sterilization 15

14 Rapid Chemical Readout Indicators Biological Indicators L o a d C o n t r o l Vapor Hydrogen Peroxide Chemical Indicator An internal pack chemical indicator for use in STERRAD Sterilization Processes (Models 50, 100S, and 100). Indicator changes from blue to pink when exposed to vapor hydrogen peroxide. Indicator color does not fade when exposed to light. 3M Comply Gas Plasma Chemical Indicator Strip 1248 Comply Gas Plasma Chemical Indicator 250 each/box 4 boxes/case Strip, 2,0 cm x 10 cm (13/16" x 4") Liquid Peracetic Acid Chemical Indicator Single-use chemical indicator for use in the Steris System 1 processor. Indicator changes from red (unprocessed) to lime green (processed) color for easy interpretation when exposed to the appropriate concentration of sterilant. Large size and distinct color for easy retrieval of the indicator from processor. 3M Comply Liquid Peracetic Acid Chemical Indicator 1249 Comply Liquid Peracetic Acid Chemical 50 each/bag 4 bags/case Indicator, 4,4 cm x 4,4 cm (1-3/4" x 1-3/4") 16 3M Sterilization

15 Rapid Readout Biological Chemical Indicators Ethylene Oxide Chemical Integrators 3M Comply (SteriGage ) Chemical Integrators offer an immediate, accurate and easy-to-read method of monitoring sterilization process conditions inside each pack. For use in EO/HCFC gas mixture sterilization cycles. Moving front style has accept/reject readout for instant results with easy interpretation, convenient small size for all packs with optional extenders available for easy retrieval from inner packs 3M Comply (SteriGage ) Ethylene Oxide (EO) Chemical Integrators 1244A EO Chemical Integrator, moving front, 500 each/bag 2 bags/case for gas mixture sterilizers, 5,1 cm x 1,9 cm (2" x 3/4") 1244B EO Chemical Integrator, moving front, 100 each/bag 10 bags/case for gas mixture sterilizers, 5,1 cm x 1,9 cm (2" x 3/4") 1244E EO Chemical Integrator, moving front, 1000 each/bag 1 bag/case with extender, for gas mixture sterilizers, 22,9 cm x 1,0 cm (9" x 3/8") 1240E Extender only 2500 each/box 2 bags/case 19,1 cm x 1,0 cm (7-1/2" x 3/8") Ethylene Oxide Chemical Indicator For use in 100% EO and EO/HCFC gas mixtures. Long stripe of chemical indicator ink printed on perforated-style strip. Allows full- or half-length use for different pack sizes. Indicator changes color from red to green when exposed to ethylene oxide sterilization conditions. 3M Comply Ethylene Oxide (EO) Chemical Indicator Strip 1251 EO Chemical Indicator Strip 240 each/box 1 boxes/case 1,5 cm x 20 cm (5/8" x 8") 3M Sterilization 17

16 Rapid Chemical Readout Indicators Biological Indicators L o a d C o n t r o l Instrument Protectors Protect sharp-pointed surgical instruments from damage and reduce possibility of pouch puncture during sterilization and handling. Indicators on the protectors verify steam or EO gas processing. 3M Comply Instrument Protectors ,1 cm x 12,8 cm (2" x 5") 100/pack 10 packs/case ,9 cm x 16,8 cm (3-1/2" x 6-5/8") 100/pack 10 packs/case cm x 24 cm (5-1/2" x 9-1/2") 100/pack 10 packs/case Steam Sterilization Indicator Labels Peel-off, pressure-sensitive labels for hard-surfaced items such as unwrapped glass or metal. 3M Comply Chemical Indicator Label Color changes from purple to green during steam sterilization Steam For use in steam sterilizers 1000 labels/roll 12 rolls/case 1,9 cm x 3,2 cm (3/4" x 1-1/4") 1 roll/box Dry Heat Chemical Indicator Sterilization monitor for dry heat sterilizers. Indicator changes color from tan to black within 10 minutes at 160 C (320 F) during exposure to dry heat processing. 3M Comply Dry Heat Chemical Indicator Strip Dry Heat Chemical Indicator Strip 250 each/box 10 boxes/case 1,5 cm x 11 cm (5/8" x 4-1/4") 18 3M Sterilization

17 Rapid Readout Biological Indicator Indicators Tapes Indicator Tapes for Steam Sterilization A reliable steam indicator tape that provides immediate identification of processed items and also serves as a closure to seal sterilization packs. The chemical indicator lines will turn dark when exposed to a steam sterilization process. Class I: conforms to ANSI/AAMI/ISO :2005 3M Comply Indicator Tapes for Steam Sterilization* N 1,25 cm x 55 m (1/2" x 60 yds.), Tan - 36 rolls/case N 2,5 cm x 55 m (1" x 60 yds.), Tan - 18 rolls/case N 5 cm x 55 m (2" x 60 yds.), Tan - 10 rolls/case N 1,9 cm x 55 m (3/4" x 60 yds.), Tan - 24 rolls/case *Contains Dry Natural Rubber Steam Indicator Tapes for Disposable Wraps A reliable steam indicator tape specifically designed for disposable wraps that provides immediate identification of processed items and also serves as a closure to seal sterilization packs. The chemical indicator lines will turn dark when exposed to a steam sterilization process. Class I: conforms to ANSI/AAMI/ISO :2005 3M Comply Steam Indicator Tapes for Disposable Wraps* N 2,5 cm x 55 m (1" x 60 yds.), Blue - 18 rolls/case N 1,9 cm x 55 m (3/4" x 60 yds.), Blue - 24 rolls/case *Contains Dry Natural Rubber Indicator Tapes for EO Sterilization A reliable ethylene oxide gas indicator tape that provides immediate identification of processed items and also serves as a closure to seal sterilization packs. The chemical indicator lines will turn red when exposed to an EO sterilization process. Class I: conforms to ANSI/AAMI/ISO :2005 3M Comply Indicator Tapes for Ethylene Oxide (EO) Sterilization* ,25 cm x 55 m (1/2" x 60 yds.), Green - 36 rolls/case ,5 cm x 55 m (1" x 60 yds.), Green - 18 rolls/case ,9 cm x 55 m (3/4" x 60 yds.), Green - 24 rolls/case *Contains Dry Natural Rubber 3M Sterilization 19

18 Rapid Indicator Readout Tapes Biological Indicators L o a d C o n t r o l Indicator Tape for Vapor Hydrogen Peroxide Sterilization An external chemical indicator tape for use in STERRAD Sterilization Processes (Models 50, 100S, and 100). Indicator changes from blue to pink when exposed to vapor hydrogen peroxide. 3M Comply Gas Plasma Indicator Tape ,9 cm x 55 m (3/4" x 60 yds.), White - 24 rolls/case Indicator Tape Dispensers 3M Comply M52 Tape Dispenser with Tabber The Comply M52 Tape Dispenser with Tabber has a weighted base and is capable of handling three rolls of 1/2-inch, up to two rolls no wider than 1-inch, or one 2-inch roll of indicator tape. A tabber can be attached to the tape dispenser, which automatically folds a 1/4-inch length of tape up to a 1-inch roll width. M52 Heavy Duty - 1 each/case C22 Heavy Duty Tape Dispenser The C22 heavy duty tape dispenser is made of rugged, high-impact, durable plastic and is capable of handling two rolls of 1-inch wide indicator tape. C22 Heavy duty, holds 2 rolls - 2 each/case 20 3M Sterilization

19 Record Keeping Load Record Cards For steam and ethylene oxide (EO) gas sterilizers. Provides a permanent record of sterilizer use and work flow. 3M Comply Load Record Cards 1252 Steam Load Record Card 240 each/box 4 boxes/case 7,6 cm x 12,8 cm (3" x 5") 1253 EO Load Record Card 240 each/box 2 boxes/case 7,6 cm x 12,8 cm (3" x 5") Steam and EO Load Record Card 250 each/box 4 boxes/case 7,6 cm x 12,8 cm (3" x 5") Steam and EO Load Record Card 250 each/box 4 boxes/case 10,2 cm x 14 cm (4" x 5-1/2") Sterilization Integrator Load Record Card A single-use device that indicates whether materials within a pack or load have been exposed to conditions necessary for sterilization. The steam sterilization record cards can be used in all steam sterilization processes. 3M Comply (SteriGage ) Load Record Card 4171MM Integrator with Load Record Card Steam 100 each/box 1 box/case 3M Sterilization 21

20 Record Keeping L o a d C o n t r o l Log Books, Envelopes and Record Charts Complete record keeping systems that maintain your sterilization process information and reduce record keeping time to just minutes each day. The preprinted log books put all the information you need to help you meet requirements at your fingertips. 3M Attest Envelopes, Sheets and Binders 1254E-A Sterilization Record Envelopes, 24,13 cm x 29,21 cm 100 each/pack 5 packs/case (9-1/2" x 11-1/2") with two load-contents columns, for Steam, Flash or Low Temperature Systems 1254S-A Sterilization Record Sheets, 21,59 cm x 27,94 cm 250 each/pack 4 packs/case (8-1/2" x 11") with two load-contents columns, for Steam, Flash or Low Temperature Systems 1254E-S Steam Sterilization Record Envelopes, 24,13 cm x 29,21 cm 100 each/pack 5 packs/case (9-1/2" x 11-1/2") with one column load-contents format 1254E-F Flash Sterilization Record Envelopes, 24,13 cm x 29,21 cm 100 each/pack 5 packs/case (9-1/2" x 11-1/2") with one column load-contents format 1254E-LT Low Temperature Sterilization Record Envelopes, 100 each/pack 5 packs/case 24,13 cm x 29,21 cm (9-1/2" x 11-1/2") with one column load-contents format 1254-A Sterilization Record System, binder with 50 each 1 each 1 each/case 1254E-A envelopes and 50 each 1254S-A sheets 1254B Sterilization Record Binder (order 1254E series envelopes 1 each 1 each/case and 1254S-A sheets separately) 3M Attest Log Books 1280-A Log Book for Steam, with 50 record charts, blue, use with 50 each/pack 1 pack/case Attest 1291 Rapid Readout BIs 1283-A Log Book for Steam, with 50 record charts, brown, use with 50 each/pack 1 pack/case Attest 1292 Rapid Readout BIs 1267-A Log Book for EO, with 50 record charts, green, use with 50 each/pack 1 pack/case Attest 1294 EO Rapid Readout BIs 1266 Log Book for Steam, with 50 record charts, use with 1 each/pack 1 pack/case Attest 1291 and 1292 Rapid Readout BIs 1266-A Log Book for Steam, with 50 record charts, use with 50 each/pack 1 pack/case Attest 1261 or 1262 BIs 1268 Log Book, with 50 record charts, 1 each/pack 1 pack/case use with all Low Temperature BI and CI products 1283 Log Book, with 50 record charts, 1 each/pack 1 pack/case use with all Glutaraldehyde Indicators 22 3M Sterilization

21 Record Keeping Label Gun System 3M Comply Label Gun 1256B Printing applicator prints and applies 1 each/box 1 box/case labels directly where needed 3M Event Related Sterilization Record Labels* d 1269B Blue labels 1125 labels/roll 1 box/case 2,85 cm x 1,58 cm (1-1/8" x 5/8") 12 rolls/box 1269BL Black labels 1125 labels/roll 1 box/case 2,85 cm x 1,58 cm (1-1/8" x 5/8") 12 rolls/box 1269G Green labels 1125 labels/roll 1 box/case 2,85 cm x 1,58 cm (1-1/8" x 5/8") 12 rolls/box 1269R Red labels 1125 labels/roll 1 box/case 2,85 cm x 1,58 cm (1-1/8" x 5/8") 12 rolls/box 3M Sterilization Record Labels* Expires 1257B Blue labels 1125 labels/roll 1 box/case 2,85 cm x 1,58 cm (1-1/8" x 5/8") 12 rolls/box 1257BL Black labels 1125 labels/roll 1 box/case 2,85 cm x 1,58 cm (1-1/8" x 5/8") 12 rolls/box 1257G Green labels 1125 labels/roll 1 box/case 2,85 cm x 1,58 cm (1-1/8" x 5/8") 12 rolls/box 1257R Red labels 1125 labels/roll 1 box/case 2,85 cm x 1,58 cm (1-1/8" x 5/8") 12 rolls/box Sterilization Record Labels* Blank 1257W White labels 1125 labels/roll 1 box/case 2,85 cm x 1,58 cm (1-1/8" x 5/8") 12 rolls/box *Transitioning to Latex-Free Product 3M Sterilization 23

22 Clean and Disinfect L o a d C o n t r o l Multi-Enzyme Detergent An effective multi-enzyme detergent used for cleaning metal and plastic medical instruments, including flexible and rigid endoscopes. Effectively digests human secretions after immersion for only 2 10 minutes. Made with biodegradable materials. 3M Rapid Multi-Enzyme Detergent B 5 Liter Bottle 3 each/case case Glutaraldehyde Monitors Each monitor consists of a plastic strip with a black-framed chemical reaction pad. Pad changes from white to yellow when immersed in glutaraldehyde solutions with adequate concentration. 3M Comply Glutaraldehyde Monitors, 1.5%, 1.8%, 2.1% Designed to test glutaraldehyde solutions with stated manufacturer's Minimum Effective Concentration (MEC) values. Indicates safe solutions when above 1.5%, 1.8% or 2.1% MECs. 3983MM 1.5% MEC* 60 monitors/bottle 2 bottles/case % MEC* 60 monitors/bottle 2 bottles/case % MEC* 60 monitors/bottle 2 bottles/case *Test strips are brand specific. Please contact 3M for details 24 3M Sterilization

23 Sterilization Equipment 100% Ethylene Oxide rs/aerators 3M Steri-Vac Models 5XL and 8XL are 100% ethylene oxide (EO) gas sterilizers/ aerators available with two pre-programmed cycles. (Warm Cycle: 55 C, ~2.75 hrs exposure. Cool Cycle 37 C, ~4.75 hrs exposure.) Physical cycle parameters are displayed on video display with print capability. Designed for safety, the single unitdose 100% EO cartridge is punctured inside the chamber only when proper chamber negative-pressure conditions are achieved. The built-in aeration cycle allows a single chamber process. Available in single or double door pass-through design. Cat. No. Description Shipping 3M Steri-Vac 5XL r/aerator The 5XL sterilizer features 4.8 cu.ft. of usable space in the chamber. The software-controlled electronic design is easy to use with built in display of cycle status. Relative humidity sensor monitors sterilization chamber RH during preconditioning phase. 5XL r/aerator 1 unit/case Exterior: 59 cm (H) x 76 cm (W) x 90 cm (D) 23" (H) x 30" (W) x 35" (D) Chamber: 38 cm (H) x 43 cm (W) x 83 cm (D) 15" (H) x 17" (W) x 34"(D) 3M Steri-Vac 8XL r/aerator Like the 5XL, the sterilizer allows full usage of the rectangular chamber, is easy to use and provides continuous display of the cycle status. The 8XL provides a 7.9 cu. ft. chamber. The relative humidity feature continuously monitors, maintains and documents the proper humidity in the sterilization chamber during the precondition phase. 8XL r/aerator 1 unit/case Exterior: 179 cm (H) x 94 cm (W) x 109 cm (D) 70" (H) x 37" (W) x 43" (D) Chamber: 46 cm (H) x 51 cm (W) x 97 cm (D) 18-1/8" (H) x 20" (W) x 38" (D) Remote Display Panel The digital remote display option (RDP) allows hands-off operation and is available for both 5XL and 8XL models. Up to four Steri-Vac sterilizers can be connected to a single RDP. RDP Remote Display 1 unit/case 3M Sterilization 25

24 Sterilization Equipment L o a d C o n t r o l Steri-Gas 100% Ethylene Oxide (EO) Gas Cartridges The easy-to-use, single dose 3M Steri-Gas EO cartridges are engineered for safety. The cartridge contains 3.5, 4.5 or 6 oz. of EO depending on the model Steri-Vac r used. Precise usage of EO with single-dose cartridges means no waste of sterilant With 3M Steri-Gas Cartridges, operators have no bulky, heavy gas tanks to handle, and no hoses, valves and filters to adjust or replace The cartridges do not contain CFCs or HCFCs 3M Steri-Gas Cartridges gram Cartridge for Models 400C, 4XL and 5XL 12 each/box 4 boxes/case gram Cartridge for Model 400B 12 each/box 4 boxes/case gram Cartridge for Model 8XL 12 each/box 4 boxes/case Ethylene Oxide (EO) Monitoring Badge 3M EO personal monitoring badges are lightweight and are designed with EO-sensitive material. Clips to lapel or pocket near breathing zone for passive monitoring of individual during a work shift. The monitor is mailed for analysis and a report is provided back to the user with results. The employer is notified immediately of any result that exceeds permissible exposure limits. 3M Ethylene Oxide (EO) Monitoring Badge 3550 EO Monitoring Badge - 5 each/case Printer Papers Cat. No. Description Shipping 3M Steri-Vac Printer Papers 1215A Printer Paper, 51 mm (2") wide, 2 rolls/case for models 400B & 400C (discontinued models) 1216A Printer Paper, 60 mm (2-3/8") wide, 2 rolls/case for 4XL and 5XL (with serial number below ) 1217 Printer Paper, 79 mm (3-1/8") wide, 2 rolls/case for 8XL and 5XL (with serial number above ) 26 3M Sterilization

25 Sterilization Equipment Transfer Cart A stainless steel transfer cart developed to assist operators to move, lift or lower materials and supplies around the Sterile Processing Department. Fully programmable, state-of-the-art motor controller allows for multiple adjustments to fit user s needs Drifting/coasting of load is eliminated due to electromagnetic brake and drive screw design Battery operated with built-in, self-monitoring recharger; two rechargeable batteries provided Two table sizes available Cat. No. Description Shipping 3M Transfer Cart 6010 Vestil Loading Cart 1 cart/case Table size: 61 cm x 48 cm (24" x 19") or 76 cm x 59 cm (30" x 23.5") Raised height: 145 cm (57") Holding capacity: 68 kg (175 lbs) 3M Sterilization 27

26 Sterilization Equipment L o a d C o n t r o l Aerator The 3M Model XL aeration cabinet circulates warm, filtered air in its 5 cu. ft. chamber. Designed for compatibility with 3M Steri-Vac rs. Two selectable aeration temperatures, 37 C (99 F) or 55 C (131 F) Modular system for versatility Space efficient A door lock prevents unauthorized access Cat. No. Description Shipping 3M Steri-Vac XL Aerator XL Aerator 1 unit/case Exterior: 62 cm (H) x 78 cm (W) x 93 cm (D) 24-3/8" (H) x 30-3/4" (W) x 36-5/8" (D) Chamber: 41 cm (H) x 46 cm (W) x 84 cm (D) 16-1/8" (H) x 18-1/8" (W) x 33" (D) Ethylene Oxide (EO) Abator The 3M Abator removes EO gas exhausted from 3M Steri-Vac rs and Aerators, converting it into CO2 and water vapor. At normal operating temperatures and concentrations, removal efficiency is % when EO concentrations are greater than (>)100ppm. Works automatically with sterilization system Interfaces with up to two sterilizers or two aerators Cat. No. Description Shipping 3M Ethylene Oxide (EO) Abator 50 Abator 1 unit/case 81 cm (H) x 92 cm (W) x 107 cm (L) 32" (H) x 36" (W) x 42" (L) 28 3M Sterilization

27 Sterilization Packaging Packaging 3M Steri-Lok Peel Open Packages for Ethylene Oxide (EO) Sterilization (Film/Tyvek Component) ,9 cm x 24,8 cm (3-7/8" x 9-3/4") 250 each/box 4 boxes/case ,9 cm x 61 cm (3-1/8" x 24") 250 each/box 4 boxes/case ,8 cm x 33 cm (7" x 13") 250 each/box 2 boxes/case ,8 cm x 38 cm (11-3/4" x 14-7/8") 250 each/box 2 boxes/case cm x 45,7 cm (15-3/4" x 18") 250 each/box 2 boxes/case 3M Sterilization 29

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