CASE SOLUTIONS 101: HOW TO GET STARTED

© 2010 Case Medical, Inc.

WHY CHOOSE CASE MEDICAL’S INSTRUMENT CHEMISTRIES?

Super concentrated and ready-to-use cleaners for each step in the decontamination process

Environmentally-friendly with no added dyes, perfumes, fillers or masking agents

pH Neutral Non-corrosive (will not harm instruments)

Proven effectiveness with validated products and process

Sealed automated dispensing with dose control and flow control to avoid over or underuse

Packaged in 2.5 and 1 gallon bottles to maximize inventory space, eliminate ergonomic and handling issues and save on shipping costs

Theirs

Ours

SUPERNOVA: THE PRODUCTS

SuperNova Multi-Enzymatic Cleaner SuperNova .1 multi-enzymatic SuperNova .25 multi-enzymatic

SuperNova NPHD Detergent SuperNova .1 NPHD SuperNova .25 NPHD

SuperNova InstruCreme Lubricant CaseDry Drying Agent

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

SUPERNOVA.25 MULTI-ENZYMATIC CLEANER

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

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

INSTRUCREME LUBRICANT CONCENTRATE

Formulated for machine use Set automatic washer lubrication setting at

0.1 (1/10) to 0.25 (1/4) oz./gal Lubricates critical areas Rinses free on surfaces

CASE DRY

Highly concentrated drying agent to be used in the final rinse of cart washer

Non-corrosive Non-staining Dilution rate of 2 fl oz. per 100 gallons of

water

CASE SOLUTIONS: THE PRODUCTS

PentaPrep PentaZyme SchmutzOff BioGone Ink and Tape Remover InstruCreme Ready-To-Use

PENTAPREP AND PENTAZYME

Multi-enzymatic precleaner 5+ enzymes to rapidly breakdown bioburden

and biofilm Keeps surfaces moist and prevents adhesion

of gross soil on instruments Point of use pH neutral cleaners available in

spray and foam bottles PentaZyme is a concentrate, has additional

enzymes to attack biofilm and an added rust inhibitor…ideal for soaking

SCHMUTZOFF

Descaler and Stain Remover stainless steel cleaner

Restores finish to stainless steel surgical instruments

Removes scale, stains, rust, organic matter and mineral deposits

Ready-to-use

BIOGONE

Enzymatic odor and spill remover Liquid enzymes quickly biodegrade and

eliminate foul odors. Ready to use may be sprayed into the air or

on surfaces Natural extracts: not a masking agent,

neutralizes odors

INSTRUCREME LUBRICANT

Ready-to-use InstruCreme lubricant and rust inhibitor

Silicone free Protective microfilm prevents stains, rust and

corrosion on surgical instruments Spray on to maintain working action of

hinged instruments and moving part of surgical devices

May be diluted 1:10 for soak

INK AND TAPE REMOVER

Easily removes indelible ink and tape adhesives from surfaces

Formulated with natural citrus extracts Will not harm metal surfaces pH neutral

NOW THAT YOU ARE FAMILIAR WITH THE PRODUCTS, LET’S DISCUSS THE PROCESS!

WHERE ARE THE CLEANERS USED? SuperNova and Case Solutions are designed for

each step in the decontamination process Begin at point of use in the OR with the

precleaners: PentaPrep foam or spray on soiled instruments keeps them moist and begins the breakdown process

Manual cleaning at the sink utilizing the sealed automated dispensing system

Automated cleaning at the washer/decontaminator, ultrasonic and cart washers

Maintenance of the decontam area: restoring stainless steel surfaces with SchmutzOff, Ink and Tape Remover and combating noxious odors with BioGone

INSTRUCTIONS FOR INSTALL AT THE SINK

1.Case Medical’s SuperNova sink installation kit includes a proportioner with slide bar, a universal adapter, spare metering tip and hose.

2. An attached plastic metering tip will be in place in the stem in the back of the metal proportioner. A spare metering tip is included in the package. The color of the metering tip corresponds to the dilution: bronze for .1 and tan for .25.

3. A color coded cap with flow control corresponds tothe colored label on the bottle to ensure proper product choice, flow control and dilution. The pink cap is used for the SuperNova.1 multi-enzymatic cleaner at the sink.4. Remove the white shipping cap from the bottle. Puncture the seal by pushing the lower hose on the color coded cap through the seal into the bottle.5. Slide the opposing end of the hose over the stem on the top of the color coded cap. A silicone sealant should be used when attaching the hose to the stem of the cap for best flow.

6. Remove the current aerator at the sink faucet and replace with the SuperNova sink proportioner. An adapter may be needed for proper fit. You may use the universal adapter in you installation package.

7. Attach the proportioner to the universal adapter and tighten.Note: If the universal adapter is not needed, attach the proportioner directly to the faucet.

8. SuperNova’s external alarm bracket may be mounted on the wall near the sink or placed on the counter.

Before

After

LET’S SEE HOW CASE MEDICAL FAIRS AGAINST THE COMPETITION…

PHYSICAL PROPERTIES COMPARISON

SuperNova Leading Competitor

pH (Conc.) 7 6.8-13

Chelation Value 12 <0.20

Hard Water Tolerance (ppm)

12,000 ppm <120 ppm

Surface Tension 2.0% (wt) to 0.5% (wt)

27.6 43.5-53.8

Foam Generation Ambient

Low Moderate

Foam Generation >100F Low/None Low

ENZYME COMPARISONEnzymes Percentage

Case MedicalSuperNova.1

ProteaseAmylaseLipase

~12%

Case MedicalSuperNova.25

ProteaseAmylaseLipase

4.5%

SterisKlenzyme

Protease 2.6%

RuhoffEndozyme

Triple Enzyme None Detected

CLEANING PERFORMANCE SUMMARY

Test Method Product Tested Time(min.)

Temp. Soil Type Soil/Log Reduction

Soak SuperNova .1 Enzymatic

2 RoomTemp.

ATS Organic

83.2%

Manual Cleaning

SuperNova .1 Enzymatic

2 RoomTemp.

ATS OrganicBioburden

94.1%

Automated Cleaning

SuperNova .25 Enzymatic

5 43°C ATS OrganicBioburden

99%-5.3 Log

Process PentaPrepEnzymaticNPHD

222

Room 43°CRoom

ATS OrganicBioburden

>99.9%-6 Log

PRODUCT CLEANING COMPARISON

Case Medical Competitor

Time (min.) 2 minutes 10 minutes

Dilution Rate: Tested (oz/gal) Recommended

SuperNova.1 at .1SuperNova.1 at .1

At 1 oz/galAt .5 oz/gal

Results: Soil Removal Log Reduction

99%5.3

66.9%Not Disclosed

Material Compatibility

Compatible with all metals

Not Safe for Aluminum

CASE MEDICAL VALIDATION Efficacy demonstrated in independent

university studies The Process: 6Log reduction, the

mathematical equivalent of sterilization, >99.9% reduction organic soil

The Product: SuperNova Multi-enzymatic 5.3Log reduction and 99% reduction in organic soil

Non-toxic at use dilution

BREAKING THE MYTH OF ALKALINE CLEANERS

Caustic is not better: Alkaline detergents cause corrosion and destroy

expensive instruments Case Medical’s pH neutral cleaners are proven

highly effective without harmful and abrasive chemicals

Case Medical developed its line of instrument chemistries to protect the containers and the devices within!

CONTRACTS OPEN THE DOOR…

GPO CONTRACTS FOR OUR INSTRUMENT CHEMISTRIES

Novation Standardization: Dual Source Contract

Premier Contract: ASCEND Sole Source Contract

MedAssets VA/FSS/GOV

Regional Contracts Yankee Alliance GYNHA

NOW THAT YOU HAVE WORKED HARD TO GET THE BUSINESS DON’T LOSE IT…Follow up is critical!

MAINTAINING THE BUSINESS

Protect your residual business by following up with the account

Service and follow up is critical! Knowledge is power

When price is an issue focus on cost per use savings

Use the cost benefit analysis to demonstrate real savings

The competition is in there and will say and do whatever to remove us! Have you heard of “The warranty on the machine

will be voided if you switch” The cleaners are the same, why change?

WE ARE HERE TO HELP YOU

WHO’S WHO

Deb Ferreira is our Instrument Chemistries Product Specialist dferreira@casemed.com

Lydia can provide you with marketing materials, and advice lkasani@casemed.com

William will keep you posted regarding shipments wbaez@casemed.com

Carolina is in charge of quality control of cleaners ctabares@casemed.com