1. Basic training
© 2010 Case Medical, Inc.

2. Case Medical
Innovative designer and manufacturer of high quality sterilization containers and instrument chemistries
Sterilization containers validated for all sterilization processes providing custom and modular options
Instrument chemistries composed of high levels of synergistic enzymes and chelating agents.
Validated and environmentally friendly
New modern and integrated facility in South Hackensack, NJ
All of our products are manufactured under our roof in the USA.
FDA Registered, ISO Certified, WBE and Corporate Member of AAMI. 2

3. Basic Principles
Our focus is to provide sustainable solutions to both SPD and OR
We need to be knowledgeable
We need to be consultants
We need to listen to our customer’s needs
We need to provide them with sustainable products that meet their needs

4. The Case Medical Story
It is time to promote and sell sustainable solutions.
We have the validated products for decontamination and sterilization.
That truly last over time and are cost effective.
Customers recognize this.
We have all major GPO contracts.
That gets you in the door.
We have the world’s only universal container system.
That is ideal for standardization
No one wants to wrap!
Everyone is using low temperature sterilization. We are compatible.
We have validated, pH neutral, super concentrated, liquid, environmentally friendly, cleaning products with dose control.
And our products are proven in the field.

5. Now is the time. Compete with excellent products
Provide factual Information
Utilize our contracts
And focus on committed, dual source, and pending single source agreements

6. Searching for Sustainable Solutions
Cost versus price.
Sell the value.
Customers want solutions to their problems.
Become their consultant.
Meet their needs.
This will help you sell ours and your other products, too.

7. SteriTite Sealed Containers
State-of-the-art system
Universal
Steam EO
Ozone
STERRAD
Flash
Steris Amsco V-Pro1
Durable and validated
Sell value

8. MediTray Products for Organization
This is the furniture for our house.
Become the architect, designer and interior decorator.
Provide protection.
Sell value.

9. SteriTite Disposables
The annuity.
Get contracts for monthly deliveries from us to them.
Make your commission an annuity.

10. SuperNova Value, a little goes a long, long way
Super concentrated means more product for use
Small size means more storage space
Sealed dispensing means safe handling, no spills, no contact
Automated dispensing to reduce errors and cut costs
No handling injuries or ergonomic issues

11. SuperNova Value PH neutral means non-corrosive, Best components
safe for containers
safe for devices
safe for the environment
safe for people
Best components
High quality enzymes and surfactants
High purity water
Validation gives assurance

12. SteriTite: The Case for Sterilization12

13. The universal container
Perforated bottom for gravity steam and pre-vacuum steam.
Perforated bottom for STERRAD.
Validated for all…steam, EO, gas plasma, ozone and hydrogen peroxide.
SteriTite, the only sealed container with 510k for all current sterilization methods.
Including sealed flash sterilization with FlashTite valve plate for gravity and pre-vacuum steam.
Pre-vacuum flash with paper filter and filter retention plate. 13

14. Truly Compatible
Their “S”
Ours

15. The SteriTite Basics 12 sizes or 24 models of SteriTite containers.
Standard line 4, 6, 8” tall, minis or endo 3” tall.
Wide, long container for Bookwalter and bariatric sets. 5” tall.
Solid bottom for pre-vacuum steam and EO with vacuum.
Perforated bottom, the universal container.
When using baskets within the container, leave one inch for clearance.
Always use pH neutral detergents.
Container is easy to disassemble for cleaning. 15

16. Mini container 16

17. Half-size container 17

18. Mid-size container 18

19. Full-size container 19

20. 20

21. Features & Benefits Durable heat treatable anodized aluminum alloy
Nesting dimples for stable transport
Tightly sealed construction with knife edge fit
Maximum interior space
Designed to facilitate instrument protection and organization
Only1” clearance required for contents 21

22. Features & Benefits Rivet-less case assembly
Off set filter plate to prevent puncture
Lift loops on lids for aseptic removal
Secure latching mechanism
Interchangeable component parts
Standard (DIN) sizing
Ideal for containerizing loaners 22

23. Designed to package your instrument sets23

24. 24

27. 27

28. 28

29. MEDITRAY, UNIVERSAL COMPONENTS:
Can be used in all systems
Modular parts make new sets
Place to add more instruments
Easy to change layout of tray
Containerize in SteriTite containers or wrap
Adapts to all systems, including STERRAD 29

30. Stack multiple trays within the container for full instrument sets30

31. ENDOF1

32. Insert boxes replace peel pouches32

33. FlashTite® 33

34. FlashTite, a filter-less flash container
An accessory to the SteriTite container
The SteriTite container with FlashTite valve plate approved for sealed gravity displacement flash and sealed pre- vacuum flash
Meets AAMI and AORN parameters for flash sterilization
Eliminates the open flash pan
Goes into the autoclave sealed and comes out sterilized and sealed
With FDA 510k
Complies with JACHO requirement for sealed flash 34

35. SteriTite Sealed Containers35

36. Assembly for Use Place the lid on top of base.
Secure the closure by latching the lid to the base.
Push the bottom section of the latch over the lock holder.
Place the appropriate ID tags in the label holders.
Thread the tamper evident seal with indicator facing forward through the lock holder. 36

37. Post-Sterilization
To minimize the potential of condensate formation within the sealed container
Crack the door.
Allow to cool on the sterilizer cart.
Then, distribute as needed or place in sterile storage. 37

38. FlashTite
Simply remove the disposable filter and filter retention plate from the SteriTite container and replace with the FlashTite valve plate for flash sterilization.
In gravity flash, be sure that the perforated bottom container is used and all vents have FlashTite valve plates in place.
No filter is used! 38

39. FlashTite Decontamination
The FlashTite container system should be cleaned with a neutral pH detergent only. Rinse thoroughly after each use and dry all components.
Set up SuperNova at the sink for manual cleaning and decontamination of Flashed items as well as the FlashTite container.

40. Flashing Procedures
In gravity flash, use a minimum exposure of 5 to 10 minutes based on size of load, type of device and condition of steam and sterilizer.
Verify with a one hour rapid readout biological and appropriate flash indicators.
Verify at 10 minutes, then reduce time.
No dry time is required, but 2 to 3 minutes will give you drier contents. 40

41. FlashTite at Point of Use
Transfer container using a glove or dry towel.
Open container.
Check seal on valve.
Check indicator color.
Check arrow indent.

42. Verification Check the hospital sterilizer.
Follow hospital procedures.
Try our product in the sterilizer.
In-service the staff. 42

43. Case Solutions SuperNova System43

44. Technological Breakthrough
Environmentally Friendly
Dose Control
Flow Control
Built in sealed dispensing
Product and process validation
Previously recorded studies showed maximum 3 to 4 Log reduction!
We demonstrated 6 Log reduction in bioburden and >99.9% reduction in organic soil
No need for caustic cleaners to achieve results 44

45. Standardization Recommended three step process
Utilizing the same pH neutral product for manual and automated cleaning
And the same NPHD detergent for the cart and utensil washers
PentaPrep, five enzyme pre-cleaner for point of use and decontamination
SchmutzOff -stainless steel cleaning applications including instrument reconditioning, surface cleaning, and removal of rust and scale on walls of autoclave and automated washers (ACID) 45

46. SUPERNOVA.1 MULTI-ENZYMATIC CLEANER
Highest concentrated, liquid, multi-enzymatic cleaner for manual and automated cleaning.
Contains significant levels (~12%) of protease, amylase and lipase enzymes
Validated for soaking and manual cleaning at 0.1 (1/10) oz./gal.
May be diluted further in automated washers and in treated water.
10 to 4 times more product!
May be diluted to 1/40 oz per gallon based on water quality. 46

47. SUPERNOVA.25
The same multi-enzymatic detergent set at a specific dilution rate for automatic washers.
Validated at 0.25 (1/4) ounce per gallon, the lowest default setting of most automatic machines.
Pre-set and ready to go!
May be diluted further to 1/10 oz based on water quality 47

48. SUPERNOVA NPHD DETERGENT
Highest concentrated, liquid, pH neutral, detergent for manual, ultrasonic and hot water wash cycle of washer decontaminator.
Contains excellent surfactant with significant chelating agents for hard water ion removal.
Product formulated for automatic and manual cleaning.
Validated at .1 ounce per gallon. May be diluted further. 48

49. INSTRUCREME LUBRICANT CONCENTRATE
Formulated for machine use.
Set automatic washer lubrication setting at 0.1 (1/10) to (1/4) oz./gal.
Lubricates critical areas.
Rinses free on surfaces. 49

50. Theirs
Ours 50

51. PACKAGING
All Case Solutions products are packaged in a case containing two (2) 2.5-gallon totes or four (4) 1 gallon bottles that equal approximately 15 to 55 gallons of current cleaners on the market.
One case of SuperNova can be shipped directly to your facility without special handling or use of a forklift! 51

54. SuperNova Cleaning Steps

56. Case Solutions CSR Ink and adhesive remover
SchmutzOff stainless steel, acid based re- conditioner and descaler
InstruCreme instrument lubricant
Instrument cleaning brushes
Multi-enzymatic cleaners

57. Pre-Cleaning Steps
Use PentaPrep ready to use foam or spray for point of use, transport or holding area in decontam
Use PentaZyme concentrate for soaking and for manual cleaning at the sink.
Has rust inhibitor for extended soaking
Dilute at 0.50 fl oz/gallon
May be used for automated washers

58. SuperNova Manual Cleaning Instructions
“Pink is for the sink.”
Check to see that the SuperNova.1 container of multi-enzymatic cleaner with pink label is on its pink stand in cabinet under the sink.
Turn on both hot and cold water equally.
Press green button on the right of the faucet proportioner inward for clear water. Press red button inward on the left side of the proportioner for the multi-enzymatic detergent (soap).
Do not pour or add any other products. There is no need to measure. The proportioner or aerator will automatically dispense the correct amount of diluted cleaner.
Remember to rinse well before placement into the automated washers.

59. SuperNova Instructions for Sonic Cleaner
“Purple is for the sonic.”
Check to see that the SuperNova.25 container of multi-enzymatic cleaner with purple label is on its purple stand.
Do not pour or add any other products. There is no need to measure. The sonic washer will automatically dispense the correct amount of diluted cleaner.

60. SuperNova for Automated Washers
Purple is for the Multi-Enzymatic Cleaning Step.
Check to see that the SuperNova.25 container of multi- enzymatic cleaner with purple label is on its purple stand.
Blue is for the Hot Water Detergent Wash.
Check to see that the SuperNova.25 container pH Neutral detergent with blue label is on its blue stand.
Green is for the Lubricating Cycle.
Check to see that the SuperNova.25 container of Lubricant Concentrate with green label is on its green stand.

61. SuperNova for the Cart Washer
Blue is for the Detergent Wash Cycle.
Check to see that the SuperNova.25 container of pH Neutral detergent with blue label is on its blue stand.
Orange is the Agent that Facilitates Quick Drying.
Check to see that the SuperNova container of CaseDry with orange label is on its orange stand.

62. For Ambulatory and Out-Patient Clinics
An abbreviated process
Less product
Small set ups

63. SuperNova Manual Cleaning Instructions
“Purple is for the sink.”
Check to see that the SuperNova.25 container of multi-enzymatic cleaner with purple label is on its purple stand in cabinet under the sink.
Turn on both hot and cold water equally.
Press green button on the right of the faucet proportioner inward for clear water. Press red button inward on the left side of the proportioner for the multi-enzymatic detergent (soap).
Do not pour or add any other products. There is no need to measure. The proportioner or aerator will automatically dispense the correct amount of diluted cleaner. Remember to rinse well before placement into the automated washers.
Process for Ambulatory Centers

64. SuperNova Instructions for Sonic Cleaner
“Blue is for the sonic.”
Check to see that the SuperNova.25 container of detergent with blue label is on its blue stand.
Do not pour or add any other products. There is no need to measure. The sonic washer will automatically dispense the correct amount of diluted cleaner.
Follow with a thorough rinse using deionized, distilled or RO water.
Note: If there is no automated washer, set up second sink with neutral pH SuperNova.25 detergent with Chelating agents as final wash step. Then, rinse thoroughly.
Process for Ambulatory Centers

65. Super Concentrated Products
Contribute to major cost savings.
Validated, safe, cost effective products results in better patient outcome and frees staff for needed patient care. 65

66. Thank you
Final thoughts and comments