1. Product Training 2013

2. 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.

3. 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

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

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

6. 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

7. Learning the Parts: SteriTite and MediTray

8. 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

9. 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

10. 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.

11. 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

12. 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

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

14. 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

15. 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.

16. Full, Mid and Half Size ENDO Trays

17. 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

18. ENDOF1 & Lap Chole Instruments

19. Components of the ENDOF1

20. 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.

21. 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

22. 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

23. 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

24. Components of ENDOF1

25. Components of ENDOF1T456

26. Arthroscopy Set in ENDOQ1 4 Levels

27. Arthroscopy Set in ENDOF1T234 3 Levels

28. 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

29. 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

30. 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

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

32. 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.

33. 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

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

35. 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

36. 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

37. 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

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

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

40. Utilize the Chart

41. 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!

42. 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

43. 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

44. 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.

45. 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

46. 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

47. 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

48. 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.

49. 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.

50. 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.

51. 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.

52. 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

53. Questions?