& other medical. Consumables, cleaners

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1 Consumables, cleaners & other medical Sayco Single Use Instruments 1-4 Scalpel Blades 5 Disposable Sterile Scalpels 5 Sterile Stitch Cutter 6 Skin Markers 6 Disposable Sterile Biopsy Punches 7 Disposable Sterile Dermal Curretes 7 Enzymatic Cleaners 8-9 Detergent Cleaners 10 Pretreatment - Pre Foam 11 Pretreatment - Pre Gel 11 Stain Remover 12 Instrument Lubricants 12 Instrument Care Pressure Infusion Cuff 15 Tablet Splitter and Crusher 15 Urine Specimen Collector 15

2 1 SINGLE USE INSTRUMENTS Bydand Medical now have quality instruments available in a single use presentation for those medical professionals that prefer the convenience of using instruments that are already sterilised. Our Sayco Sterile range is a much welcomed addition to compliment our existing instrument ranges. SAYCO STERILE INSTRUMENTS ARE: Sterile, ready-to-use instruments. Supplied in easy-to-open durable clear plastic pouches. Blue colour coded handles for instant identification as single use. Available individually or in handy economical instrument sets. The choice is yours. GUARANTEED QUALITY. As with all the instruments that bear our brand name we guarantee that our product will be free of functional defects in workmanship and materials when used correctly in its intended purpose. Needle Holders - sterile Mayo Hegar Derf Crile-Wood Pk Ctn BSU401 15cm Pk Ctn BSU cm Pk Ctn BSU405 15cm 10 30

3 SINGLE USE INSTRUMENTS 2 Scissors - sterile Iris Dressing Sims Uterine Description Pk Ctn BSU300 straight, 11.5cm BSU301 curved, 11.5cm Description Pk Ctn BSU302 sh/bl str 10cm BSU303 sh/sh str 10cm BSU304 sh/bl str 12.5cm Pk Ctn BSU321 straight 23cm Dressing Forceps - sterile Description Pk Ctn BSU101 Standard 12cm BSU104 Adson 12cm BSU107 McIndoe 15cm Standard Adson McIndoe Splinter Forceps - sterile Description Pk Ctn BSU108 Hunter 11.5cm Hunter

4 3 SINGLE USE INSTRUMENTS Tissue Forceps - sterile Adson Description Pk Ctn BSU103 Adson 1x2 teeth 12cm BSU105 Adson Micro 1x2 teeth 12cm BSU106 Gillies 1x2 teeth 15cm Adson Micro Gillies Sponge Forceps - sterile Rampley Description Pk Ctn BSU501 Rampley 25cm Artery Forceps - sterile Halstead Mosquito - Micro Halstead Mosquito Kelly Description Pk Ctn BSU201 straight, 12.5cm BSU202 curved, 12.5cm Description Pk Ctn BSU203 straight 12.5cm BSU204 curved 12.5cm Pk Ctn BSU206 straight 14cm BSU205 curved 14cm 10 50

5 SINGLE USE INSTRUMENTS 4 Uterine Forceps - sterile Teale Vulsellum Description Pk Ctn BSU102 Teale Vulsellum 25cm Uterine Sound - sterile Sims Description Pk Ctn BSU061 Sims - rigid 28cm Scalpel Handle - sterile Description Pk Ctn BSU009 scalple handle # Suture Packs - sterile Description Pk Ctn BSU901 Micro Suture Pack: x Iris scissors straight 11.5cm 1 x Adson tissue forceps 1x2 teeth 12cm 1 x Derf needle holder 12.5cm BSU902 Suture Pack w/- sh/bl scissors x Wagner scissors sh/bl straight 12.5cm 1 x Adson tissue forceps 1x2 teeth 12cm 1 x Mayo Hegar needle holder 15cm BSU901 BSU902 BSU903 Suture Pack w/- sh/sh scissors x Wagner scissors sh/sh straight 12.5cm 1 x Adson tissue forceps 1x2 teeth 12cm 1 x Mayo Hegar needle holder 15cm BSU903

6 SCALPEL BLADES 5 Premium Sterile Surgical Blades blade sizes not to scale Individually packed in easy peel foil packs. Blade shape printed on boxes for easy identification and selection. Blades fit all makes of handles. Blades conform to European Medical Device Directive 93/42/EEC Old Item # New Item # Description Pk SMZB10 SMZB11 SMZB12 SMZB15 SMZB20 SMZB21 SMZB22 SMZB23 SMZB24 No.10 No.11 No.12 No.15 No.20 No.21 No.22 No.23 No.24 Note: other sizes available on request Sterile Disposable Scalpels Ultra sharp carbon steel blade. Ergonomically designed handles for better feel and precision. Graduated scale on handles for convenience. Blade shape printed on boxes for easy identification and selection. Individual scalpels are packed in easy peel foils. Old New Description Pk 275/10 275/11 275/15 SMZBD10 SMZBD11 SMZBD15 No.10 No.11 No Note: other sizes available on request

7 SCALPEL BLADES 6 Sterile Stitch Cutter Slightly rounded tip for added safety and minimal patient discomfort. Old New Description Pk 274 SMZBS straight, 11.5cm Skin Marker Description Pk SMZSM20 sterile 36 SMZSM10 non-sterile 50 Dual tip skin marker with ruler Regular tip and fine tip. Available in sterile and non-sterile.

8 7 DERMAL BIOPSY Acu-Punch Biopsy Punches, disposable (sterile) Acu-Punch is made in the U.S.A. -- and the ONLY punch available in a complete range of sizes, from 2mm to 12mm. Acu-Punch is always razor sharp and ready to use. The handle is ribbed for maximum control, even when wearing gloves. Each punch comes individually wrapped in an easy peel pouch. 50 punches per box. Diameters Ø Description Box P250 2mm 50 P350 3mm 50 P450 4mm 50 P550 5mm 50 P650 6mm 50 P850 8mm 50 P mm 50 P mm 50 Acu-Dispo-Curette Dermal Curettes, disposable (sterile) Acu-Dispo-Curette is made in the U.S.A. Carefully weighted and ergonomically designed to fit the physician s hand. Each curette comes individually wrapped in an easy peel pouch. Available in convenient packs of 10 or economical boxes of 50. Diameters Ø Description Pk Box RO250 2mm RO350 3mm RO450 4mm RO550 5mm RO750 7mm 10 50

9 ENZYMATIC CLEANERS 8 AMITY Instrument Cleaning & Maintenance AMITY International is a specialty chemical manufacturer based in the UK with more than 20 years of experience in delivering custom cleaning solutions for many industry sectors including healthcare. Since 2005 Amity has been developing patented technologies in the area of High Level Disinfection (HLD) for instruments, surfaces and environment. These cleaners have proven so successful that they have re-written the rules for EN standards in contact time, efficacy, and how the products not just inactivate microbials, but destroy them entirely. Quality Accredited Amity and all its products are accredited to ISO 9001:2008 and ISO 13485:2003 (Medical Devices Directive). All Amity High Level Disinfectants are CE Certified (CE0120). Viruzyme III Manual Cleaning Protolytic Triple-Enzyme Cleaner For manual and ultrasonic cleaning of surgical, medical and dental instruments, including endoscopic equipment Concentrated biological cleaner using a unique blend of three enzymes with synergistic surfactants Triple enzyme formulation (protease, amylase and lipase) is totally effective in removing all types of protein, fat and other organic materials, even dried on blood and tissue Environmentally friendly Contains corrosion inhibitors to protect and increase instrument lifespan AMJ62A AMJ62B AMJ62C 1litre 5 litre 10 litre

10 9 ENZYMATIC CLEANERS Viruzyme AMJ60A AMJ60B AMJ60C 1 litre 5 litre 10 litre Automated or Manual Dual Enzymatic Cleaner For use in washer/disinfectors, AER s and manual cleaning processes Dual enzymatic detergent specially formulated to remove high levels of proteins, fats and other organic material including dried on blood and tissue Particularly suitable for the reprocessing of endoscopes in an endoscope washer Excellent material compatibility Contains corrosion inhibitors to protect and increase instrument lifespan Non-hazardous and environmentally friendly Viruzyme N Automated or Manual AMJ63B AMJ63C 5 litre 10 litre Neutral Enzymatic Cleaner For use in Washer/disinfectors, AER s and or manual cleaning processes Neutral enzymatic detergent specifically formulated to wash instruments that may be damaged by high alkaline chemistries Provides superior cleaning action without foaming or causing corrosion on instrument and washers Excellent material compatibility Compatible with stainless steel, aluminium, anodised aluminium, chrome plated material, synthetic materials, rubber, latex, glass and ceramics Contains corrosion inhibitors to protect and increase instrument lifespan Non-hazardous and environmentally friendly

11 DETERGENT CLEANERS 10 Virudet N Automated or Manual Neutral Detergent Cleaner A neutral low foam cleaner for use in washer/ disinfectors, AER s and other automated decontamination systems as well as manual cleaning Excellent Material compatibility Contains corrosion and scale inhibitors Automated Manual AMJ78B AMJ78C 5 litre 10 litre AMJ78BM AMJ78CM 5 litre 10 litre Virudet + Automated or Manual AMJ70B AMJ70C 5 litre 10 litre Detergent Cleaner Ideal for use in washer/disinfectors Powerful alkaline cleaning concentrate designed to remove organice soils which have not been effectively adressed by neutral or enzymatic cleaners Its unique silicate stabilising system prevents the discolouration of instruments and the washer disinfector s chambers. Can be used in all water conditions Excellent material compatibility. It can be used for reprocessing stainless steel, aluminium, chrome plated materials, synthetic materials, rubber, latex, glass and ceramics Contains corrosion and scale inhibitors

12 11 CLEANERS - PRETREATMENT PreFoam AMJ90TP 750ml Post-Op Spray Foam Ideal for keeping soiled instruments moist preventing bio-burden from adhering to surfaces prior to decontamination The multi-tiered foaming spray covers instruments and begins breaking down blood, fat, protein and carbohydrates before they arrive at the CSSD Perfect for use in operating suites, endoscopy suites, outpatient surgery, emergency and other offsite departments and clinics where instrument and scope cleaning is not immediately available No more messy spills or splashing during transportation, reducing the risk from cross contamination Helps reduce cleaning time Non hazardous and environmentally friendly PreGel Post-Op Gel Ideal for keeping soiled instruments moist preventing bio-burden from adhering to surfaces prior to decontamination A neutral gel for use as a pre-soak cleaner. Perfect for use in operating suites, outpatient surgery, emergency and other offsite departments and clinics where instrument and scope cleaning is not immediately available Improves the effectiveness of cleaning whilst speeding up the overall cleaning process Helps protect devices from mechanical damage that could be incurred during transit between the operating theatre /clinic and CSSD AMJ91A 1 litre

13 CLEANERS - MAINTENANCE 12 Virudet 12 Instrument Stain Remover Mild acidic cleaning concentrate to remove spots and stains, including corrosion and rust For use in manual pre-soaks, ultrasonic baths and other decontamination systems Can be used for the removal of annealing colours, water spots, transferred/initial rust from contact corrosion and encrustations from inadequate reprocessing AMJ73A AMJ73B 1litre 5litre MedLube Instrument Lubricant Premixed, non-greasy, silicone free lubricant for all types of surgical instruments Anti-corrosive formula that when used on a regular basis, it helps to prevent staining and spotting Reduces the need for costly repair and maintenance AMJ92A AMJ92C 250ml dropper 400ml aerosol

14 13 INSTRUMENT CARE Introduction As soon as possible, rinse and clean instruments as follows: These instructions are intended as general guidance for cleaning and sterilisation of Bydand reusable surgical instruments. It is important to recognise that equipment, operators, cleaning agents and procedures all have a contribution to the efficacy of instrument processing. In general there are two methods for cleaning instruments : a Manual method and an Automated method. Whenever possible Automated method should be utilised. Automated cleaning process using an Automated Washer-Disinfector is more reproducible, therefore more reliable. Staff are less exposed to the contaminated instruments and the cleaning agents used. Always ensure that staff handling instruments and cleaning agents wear suitable protective apparel. Particular attention should be paid to the instructions provided by the cleaning agent manufacturer for correct handling and use of the product. NEW OR RETURNED INSTRUMENTS: New or returned instruments cannot be considered as clean and ready for sterilisation. This is because trace residues from packaging materials or care agents may remain on instruments that could lead to the formation of stains or deposits during sterilisation. They must be sent through the entire cleaning process in the same manner as used instruments prior to sterilising. TUNGSTEN CARBIDE INSTRUMENTS: Bydand instruments that contain tungsten carbide (TC) can be easily identified by their distinctive gold coloured handles. DO NOT clean TC instruments in ultrasonic cleaners as the vibrations could damage the weld between the TC and the stainless steel. DO NOT use solutions that contain benzyl ammonium chloride (BAC) to clean/disinfect TC instruments. The BAC will soften and destroy the TC inserts. Only use ph neutral cleaners and lubricants on TC instruments. High ph will break down the carbide and the instrument will deteriorate prematurely. Low ph will begin to break down the weld material that adheres the TC to the stainless steel and the TC will lose hardness. SINGLE USE INSTRUMENTS: Instruments labelled Single-Use must not be reprocessed as they are not designed to perform as intended after the first usage. Cleaning Process 1. Holding/Pre-soak Never allow blood, tissue and debris to dry onto instrument surfaces. If rinsing and decontamination processes are not immediately available, pre-treat instruments or hold them in a neutral ph pre-soak enzymatic solution after patient use but prior to actual cleaning. We recommend our PreFoam (AMJ90TP) foaming spray for pre-soaking soiled instruments and scopes. Also our PreGel (AMJ91A) concentrated preclean gel is ideal for this purpose. 2. Rinse Immediately after surgery, remove organic materials by rinsing instruments under warm (not hot) running water. This rinse should remove most debris. DO NOT process dissmilar metals (stainless, copper, chrome plated) together. 3. Cleaning All blood, body fluids and tissue must be completely removed from an instrument prior to sterilisation. Irrespective of the cleaning method used always observe the following: a) Use ONLY neutral ph (7) or mild alkaline enzymatic cleaners and detergents. b) ALWAYS use distilled (demineralised) water for final rinse d) Dissimilar metal instruments MUST BE separated. e) DO NOT let sharps (scissors, knives, etc) touch each other during the cleaning process. f) All instruments with hinges, box locks, ratchets, etc MUST BE processed in an open position. i/ Manual Cleaning Soaking instruments in an enzymatic cleaner bath is an effective way of removing organic material. Make sure to follow the cleaning agent manufacturers instructions carefully. We recommend our Viruzyme III for this purpose, using a typical dosage of 3-5ml/L, and soak for 10 minutes. Ensure that all spaces and recesses are completely filled with cleaning solution and no air pockets exist. Maintain a solution temperature of 20 to 40 C during the soaking process. Use a stiff nylon brush. DO NOT use steel wool or wire brushes. Brush delicate instruments carefully, and if possible separately from general instruments. After scrubbing rinse instruments throughly in demineralised water to remove cleaning solution. While rinsing, open and close any hinged instruments, such as scissors, to ensure that the hinged areas are rinsed out and no debris remains. Change solution frequently. ii/ Ultrasonic Soaking & Cleaning: This is widely recognised as being the most effective method of cleaning instruments. However, extreme care must be taken when using this method to prevent damage being caused to instruments. CHECK that your selected cleaner can be safely used with your ultrasonic cleaner. Process instruments as per the manufacturers recommended cleaning cycle - NEVER LONGER. We recommend our Viruzyme III for this purpose, using a typical dosage of 3-5ml/L, and soak for 3 minutes. Upon completion of the cycle, remove instruments IMMEDIATELY and rinse with demineralised water

15 INSTRUMENT CARE Cleaning (cont d) iii/ Automatic Washer Sterilisers: Follow manufacturers recommendations but ensure instruments are lubricated after the last rinse cycle and before the sterilisation process. 4. After Cleaning Inspect each instrument for proper function and condition. Make sure instrument surfaces are visibly clean and free from stains. We recommend using our Virudet 12 Stain Remover (AMJ73A) to help remove any resdiue stains. Separate all dissimilar metals prior to sterilisation. Allow instruments to air-dry. If instruments are to be stored prior to sterilisation ensure that they are stored in a clean and dry environment. NOTE: Caring for your instruments by following these cleaning, maintenance, and sterilisation guidelines will ensure trouble-free functionality and increase the longevity of your Bydand instruments. Not following proper instrument care guidelines and procedures will void all manufacturers warranties. For further information about our range of instrument cleaning and stain identification please refer to our Instrument Product Catalogue or contact our office directly. 5A. Autoclaving Prior to sterilising, inspect all instruments for cleanliness. Ensure that instruments are visibly clean and free from stains and debris, INCLUDING any detergent residue - as this can cause staining upon autoclaving. If an instrument exhibits staining please refer to our Stain Indication Guide in the instrument section of our catalogue To sterilise follow these steps: i/ Lubricate: Any hinged instruments should be inspected for adequate lubrication at the screw or box joint. Treat any instruments lacking adequate lubrication. A nonsilicone, water soluble lubricant must be used. We recommend using our MedLube Instrument Lubricant & Rust Inhibitor (AMJ92A or AMJ92C). DO NOT use industrial oils or lubricants. ii/ Sterilising Instruments: either individually or in sets Individual instruments: Disposable pouches are ideal. If sterilising an instrument with a ratchet lock, be sure to use a pouch that is wide enough for the instrument to be sterilised in an open (unlocked) position. Instruments that are locked during autoclaving can experience cracking around hinges or other problems due to heat expansion. Instrument sets: Unlock all instruments and sterilise in open position. Place heavy instruments on the bottom of set (when two layers are required). DO NOT OVERLOAD trays or chamber. CAUTION: With most portable tabletop autoclaves, at the end of the autoclave cycle and before the drying cycle, unlock the door and open slightly (about 5mm). Then run the dry cycle for the period recommended by the autoclave manufacturer. If the autoclave door is fully opened before the drying cycle, cold air will rush into the chamber causing condensation on the instruments that may result in water stains or cause wet packs. Check autoclave filters and chamber cleanliness regularly. Tip: Instrument Stain Remover such as our Virudet 12 Stain Remover (AMJ73A) is an effective way of cleaning the autoclave chamber. 5B. Chemical/Cold Sterilisation/Disinfection Most chemical/cold sterilisation disinfection treatments render instruments sterile only after 10 hour immersion. This prolonged action can be more detrimental than the usual 20 minute autoclave cycle. Follow sterilisation cycle and process as recommended by the steriliser manufacturer. CAUTION: For instruments with tungsten carbide insert jaws, we do not recommend using chemical/cold sterilisation treatments as the action may deteriorate the tungsten carbide.

16 MISCELLANEOUS 15 Infusion Press Cuff Inflatable device for optimal pressure infusions. Heavy duty accurate pressure gauge with spring loaded hanging clip. Cuff is made from from tough wear resistant polyester with anti-microbial shield. Strong highly transparent fine mesh front for excellent visiblity of IV bag level. Available in two (2) sizes. 500ml SGIC500 1,000ml SGIC0 Pilomat Tablet Crusher Tablet Splitter Crushes tablets with a simple twist of the cap. SMZ044 Cuts tablets of any size quickly and neatly in half. Inbuilt storage compartment. SMZ044 URIPET Small Animal Specimen Collector veterinary use only The easy-to-use no mess way of collecting urine samples. Supplied in sterilised single units. Includes sample bottles with identification label. Available in single units or economical bulk cases of 50. R12.495

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