Product Training Europe July 2002 Dialysis/Vascular Access Thanks Jim, I have looked forward to this meeting for a long time . Product Training Europe July 2002

Agenda Dialysis Process Hemodialysis Catheter Features & Benefits Acute Catheter Features & Benefits Acute Catheter Competition Chronic Catheter Features & Benefits Chronic Catheter Competition Peritoneal Dialysis Insertion Technique

Dialysis Process

Hemodialysis Features & Benefits Acute Catheters Chronic Catheters

Catheter Presentation By Benefit to the Customer Group Features into 3 Key Benefits: Clinical Performance Our catheters incorporate key features that are designed to provide optimal performance Safety & Reliability Our catheter’s integrity and reliability provide the gold standard in the industry Ease of Use Our catheter is designed to provide insertion flexibility for the physician and ease of day-to-day use for the clinician Indicates a feature unique to Tyco Healthcare

Acute Catheters

Tyco Healthcare Acute Catheters Acute Hemodialysis Catheters Tyco Healthcare Acute Catheters QUINTON Single Lumen Straight & Curved Extensions 8 Fr Singles & Kits MAHARKAR Dual Lumen 8, 10, 11.5 Fr MAHURKAR Triple Lumen Curved Extensions – Singles & Kits Straight Extensions – Kit Only -- Coming Soon 12 Fr

QUINTON Single Lumen Acute Hemodialysis Catheters Clinical Performance Safety & Reliability Polyurethane Straight & Curved Extensions Clearly Marked Priming Volumes Radiopaque Tapered Tip Design ULTEM Luer Lock Adapters Clear Silicone Extensions Durable Inline Clamps Transparent Suture Wings Ease of Use

MAHURKAR Dual Lumen Acute Hemodialysis Catheters Clinical Performance Features Polyurethane Catheter Material Double "D" Design Benefits Keeps the catheter stiff for easy insertion Softens as it warms to body temperature Maximizes lumen size with minimal exit site Optimizes flow rates

MAHURKAR Dual Lumen Acute Hemodialysis Catheters Safety & Reliability Features Transparent Rotatable Suture Wings Fewest Lumen Side Holes 3 arterial 2 venous Benefits Facilitates skin inspection Allows for repositioning of catheter after insertion Minimizes risk of exit site infection Minimizes risk of clot formation

MAHURKAR Dual Lumen Acute Hemodialysis Catheters Ease of Use Features Straight & Curved Extensions Printed Priming Volumes Radiopaque Benefits Increases patient comfort Allows for numerous insertion sites Allows for easy visualization of priming volumes Facilitates quick visualization under X-Ray

MAHURKAR Dual Lumen Acute Hemodialysis Catheters Ease of Use Ease of Use (cont.) Features Tapered Tip Variety of Lengths (5) and French sizes (3) Available in Singles & Kits Benefits Facilitates ease of insertion without use of peel-away sheath Aids in securing the proper catheter for diverse patient sizes Proper insertion items are readily available Facilitates bedside insertion

MAHURKAR 12Fr. Triple Lumen

MAHURKAR Acute Triple Lumen Acute Hemodialysis Catheters MAHURKAR Acute Triple Lumen Clinical Performance Features Polyurethane Material Benefits Keeps the catheter stiff for easy insertion Softens as it warms to body temperature Maximizes lumen size with minimal exit site

MAHURKAR Acute Triple Lumen Acute Hemodialysis Catheters MAHURKAR Acute Triple Lumen Clinical Performance Features Modified “Double D” Lumen Design Laser Cut Arterial Slot Softer Atraumatic Tip Benefits Ensures maximum flows with low pressure Reduces positional occlusion Maintains high flows Retains heparin lock Reduces vessel trauma during insertion

MAHURKAR Triple Lumen Acute Hemodialysis Catheters Safety & Reliability Features Ultem Adapters Silicone Extensions Durable inline clamps Benefits Ensures secure/readily available connections Break resistant Will not crimp over time Able to visualize fluids Lightweight, durable, and damage resistant

MAHURKAR Triple Lumen Acute Hemodialysis Catheters Ease of Use Features Straight & Curved Extensions Straight Infusion Line Printed Priming Volumes Benefits Increases patient comfort Allows for numerous insertion sites Prevents accidental infusion of heparin or antithrombolytics Allows for easy visualization of priming volumes

MAHURKAR Triple Lumen Acute Hemodialysis Catheters Ease of Use Ease of Use (cont.) Features Radiopaque Tapered Tip Benefits Facilitates quick visualization under X-Ray Facilitates ease of insertion without use of peel-away sheath

MAHURKAR Acute Triple Lumen Acute Hemodialysis Catheters MAHURKAR Acute Triple Lumen Ease of Use Ease of Use (cont.) Features Wide Variety of Sizes Available in Singles & Kits Benefits 4 different lengths accommodate varying body types and insertion sites Kits contain most of the components needed for insertion and simplify stocking and inventory tracking