Product Training 2013

Introduction Case Medical offers reusable and consumable products for instrument processing. Our vision is to serve as our customer’s advocate- providing the finest equipment, support, education, and excellence in engineering, manufacturing, as well as implementation of universal, eco-friendly, sustainable solutions.

Our Products SteriTite Container System Universal sealed container for all sterilization modalities Insert trays and baskets Consumables including load cards, filters, and tamper evident seals

Our Products MediTray customizable inserts and case trays that must be wrapped or placed in our SteriTite sealed container Numerous modular or customizable components

Our Products Case Carts Stainless steel with adjustable shelves, nylon wheels, optional locks Open, closed and movable shelving systems for storage and transport

Our Products Case Medical’s instrument cleaners include Case Solutions and SuperNova Case Solutions is comprised of ready-to-use and concentrated cleaners, wipes, and instrument brushes The SuperNova line is our super-concentrated line of instrument chemistries for both manual and automated cleaning All are environmentally preferred for safer chemistry…and pH neutral

Learning the Parts: SteriTite and MediTray

Learning Part Numbers Prefix SC= Sealed container Ex: SC04FG BSK= Basket Ex: BSKF03 ST= Tray Ex: ST02 HT, QT= Half-size and Mid-size insert tray Ex: HT01, QT01 (nest within basket on ENDO posts) ENDO= endo trays Ex: ENDOF1 P= Partition Ex: P04 POST= post POST03 B= Brackets BMS, BES= silicone brackets Ex: BMS08, BES001 B= Metal Bracket Ex: B07

Learning Part Numbers Prefix FC, QC, HC, MC= Full, mid, half and mini case tray Ex: FC02, QC04, HC06, MC02 Case trays may be wrapped or containerized APC, EC = Insert boxes Ex: APC04, EC01

Learning Part Numbers Suffix G= Perforated Bottom (gravity) Ex: SC04FG This is our universal container compatible with all sterilization methods A missing G at the end of a SC part # denotes solid bottom Equate missing ‘G’ to missing perforations. Ex: SC04F V= FlashTite Ex: SC06FGV A missing G before the V = solid bottom Equate missing ‘G’ to missing perforations. Ex: SC06FV This means that the container has FlashTite valve(s) on the lid only. We recommend the GV as this is the universal FlashTite system for pre-vacuum and gravity-displacement steam.

SteriTite Sealed Containers State-of-the-art system Universal Steam EO Ozone STERRAD Steris V Pro Sealed immediate-use steam “flash” sterilization Durable and validated Numerous FDA 510k clearances

SteriTite Containers Half-size containers Mini containers 12”X11”X4”, 6”, 8” high Mini containers 12”X6” X 2”, 3”, 4” high Long mini containers 18.5”X6” X2”, 3” high Mid-size containers 18”X11”X4”, 6”, 8” high Full-size containers 23.5”X11”X4”, 6”, 8” high Long (Bariatric) containers 27”X11”X4”, 6” high 12

Two Inch High Containers For both shelves of the STERRAD NX and other small sterilizers. SC02M(G) SC02N(G)

MediTray Accessory Components Insert Boxes to replace peel pouches Stack multiple trays within the container for full instrument sets Stacking Endo Trays Numerous customizable components A single basket may be all that is needed 14

MediTray Accessories Supplements the SteriTite line with stacking baskets, insert trays, case trays, posts, partitions, silicone mats and brackets. BackBone silicone brackets are currently available to secure instruments from 1 to 28mm in diameter. Posts and partitions are available in 1, 2, 3” high.

Full, Mid and Half Size ENDO Trays

Endo Tray Systems Case Medical offers a line of modular, stacked trays that are ideal for virtually any endoscopic procedure set. Each endo tray system is designed to fit into its respective SteriTite container Half Size Mid Size Full Size And new long size for bariatric and instrumentation ~45cm

ENDOF1 & Lap Chole Instruments

Components of the ENDOF1

Choosing the Correct Endo Tray For most endo and lap chole instruments, use the full-size SteriTite container and endo tray for instruments up to 16.5” inches (42 cm). For shorter instruments, try the mid-size SteriTite container. For the shortest instruments, try the half-size SteriTite container and the associated endo tray system. If a finger rest extends from the base of the instrument handle, a taller tray system and container is required. Slotted brackets are available in 2-4mm and 5-10mm, depending on the diameter of the grasper.

How to Choose: Find out how many instruments are in the set to determine how many levels are needed. SC08QG MID-SIZE 8” HIGH CONTAINER ENDOQ1 FOR SC08QG SC06QG MID-SIZE 6” HIGH CONTAINER ENDOQ1T234 FOR SC06QG

SC08FG Full size 8” high container for both options How to Choose: Find out how deep the instrument handles are to determine which set is needed. Ideal for instruments with deep handles ENDOF1T456 for SC08FG SC08FG Full size 8” high container for both options Top layer for deep handles. Second layer for shorter handled instruments. ENDOF1FOR SC08FG

How to Choose: Find out how deep the instrument handles are to determine which set is needed. Ideal for shorter handles 12 or less instruments ENDOF1T234 FOR SC06FG SC06FG Full size 6”H container

Components of ENDOF1

Components of ENDOF1T456

Arthroscopy Set in ENDOQ1 4 Levels

Arthroscopy Set in ENDOF1T234 3 Levels

Containerizing Loaners SteriTite containers are DIN sized and designed to be compatible with loaner and consignment tray dimensions Some custom sets can simply drop-in to the container In other cases, we need to remove the contents from the existing case lid and base

Containerizing Loaners Drop-in is ideal when: Set is DIN sized Set has handles that enable the user to easily lift out of the container Inner tray of set can be removed from lid and base of the existing case

Containerizing Loaners SteriTite and MediTray basket with inserts are needed when: Set is not DIN sized Set is heavy and must be broken down Base of set is too wide to drop-in Set cannot be disassembled from base To replace plastic, multi-level trays To get back to standard cycles

SteriTite Disposables Chemical Indicators Tamper Evident Seals Disposable Filters Use of our disposables is part of our 510k

Sell the Appropriate Disposables Steam & Eto H2O2 STerrad SCL01 SCLH2023 SCS01W SCS01B SCLH2024 SCL02 Process indicator for hydrogen peroxide sterilization including STERRAD have a red to yellow color change. Fully compatible with ASP’s current process indicators. Process indicator for steam and EtO sterilization have a yellow to brown (steam) or rust (EtO). The tamper evident seals are offered in red or blue (depicted above) and have an additional chemical indicator.

MediTray Products MediTray posts, partitions, and brackets are designed to customize and organize trays while extending the life of surgical instruments. No other container manufacturer has the range of modular and off-the-shelf components to fully customize sets Learn the parts Provide guidance Sell value

Know the Components in the Kit Brackets Silicone and metal Posts Partitions Insert Boxes Silicone Mats

Customization Tips Complete preferences for customization questionnaire Fill out sizing and customization chart Obtain a copy of the count sheet Take a picture of the set and label it Provide correct spelling of set name Identify the quantity of each set

Customization Tips Use a tape measure to aid you with sizing Look at the existing packaging as a guide Describe the contents, include length, height, width of instrumentation For special instrumentation use your copy machine for a one to one representation Select the proper configuration such as container with layered baskets or brackets and partitions, basic sets such as endo systems and accessories including insert boxes, mats and posts Identify plaque color and size requirements – For STERRAD and V- Pro clear only

Using the Template Print Instruments from the set can be placed directly on the print The print helps you: Identify the appropriate basket or tray size Configure/organize the instruments Without carrying a basket or container

Using the Template Print Using the layout with brackets Using the layout without brackets still helps us help you

Using the Template Print Sets are labeled with: Date Facility name Set name Size of basket(s) Quantity of sets needed

Utilize the Chart

Remember: Keep it Simple How many instruments are in the set? How long are the handles? How deep are the handles? What is the length of the smallest and largest instruments in the set? Don’t forget to use the tools!

Customization and Assembly of Trays The following pictures will demonstrate how to effectively customize trays using insert trays and by adding and removing MediTray posts and silicone brackets. QT01 in a BSKF03 prior to customization

Posts MediTray posts are used to elevate and position the nesting tray Posts are also used to hold instruments such as scissors in place Posts fit into the hole pattern of Case Medical’s MediTray baskets Posts are secured in place with a nut

Utilize Nut Driver To Tighten Use nut driver to secure post or a metal bracket spokes into the tray. Turn the driver clockwise to tighten. To Remove To remove a MediTray bracket or post, unscrew each pin from underside, turn counterclockwise to loosen. Remove the nut and pull out.

Silicone Brackets Case Medical’s silicone brackets are designed to pop into our basket’s hole pattern and fit securely in place Simply designate an area and push the silicone bracket spokes into the hole pattern

Silicone Bracket Removal Silicone brackets may be removed by simply using your palms to push the bracket downward toward the tray Alternatively, silicone brackets may be removed utilizing needle-nose pliers or a nut driver and post tool Compress the spokes with needle nose pliers to remove

Securing Instruments Once you have customized your layout, gently place instruments into the silicone bracket Be sure to pick the correct diameter for each surgical instrument. Note: Instrument should fit securely and have very little movement within the tray

Stacking Trays Case Medical’s baskets are designed to be easily stacked within the sealed container. Nesting trays can be easily stacked by utilizing posts. Once customization is complete, begin by placing the nesting tray on the posts. Note: Posts should be aligned so that they can easily fit within the nesting tray hole pattern.

Customization Guidelines Customization will vary depending on the customer’s needs. We hope that this tutorial effectively demonstrated basic customization of Case Medical’s line of MediTray baskets and accessories. The Case Medical team is available to problem solve as well as offer further guidance for customization.

Count Sheet This is an example of a typical count sheet used in a US hospital. The barcode circled below is scanned and entered into the instrument tracking computer.

Tracking the Set The instrument set is tracked by the label attached to the sterilization container. The barcode on the label is scanned and entered into the computer.

Barcoding the Plaque The SteriTite ID plaques can be etched or laser engraved with set name or possibly a barcode for seamless data transfer and set tracking

Questions?