Low Profile Gastrostomy Tube Kit MIC-Key® 12 Fr. 1.5 cm Tube Silicone Sterile Irrigation Sleeves Manufacturer # 22025 Country of

Manufacturer # 22025 Country of Origin Hungary Application Male External Catheter Diameter 25 mm HCPCS A4349 (Disclaimer) Is_Active_Vendor Y Is_DSCSA N Is_Discontinued N Is_Medical_Device N Lot_Tracking_Flag N Material PSX Silicone On_Allocation N Securing Method Self-Adhesive Seal Size Small Sterility NonSterile Supplier_ID 488040 Type Standard Type UNSPSC Code 42142720 Usage Single Patient Use

2 Knuckle Bandage

(2) Treatment Modules with (3) Triple Antibiotic Ointments

Manufacturer # 000076 Country of Origin Unknown Application Plug

Gauze Pad HCPCS B4088 (Disclaimer) Is_Active_Vendor Y Is_DSCSA N Is_Discontinued N Is_Medical_Device Y Lot_Tracking_Flag N Material Silicone On_Allocation N Sterility Sterile Supplier_ID 59114764 Tube Size 18 Fr

Low Profile Gastrostomy Tube Kit MIC-Key® 12 Fr. 1.5 cm Tube Silicone Sterile Irrigation Sleeves Manufacturer # 22025 Country ofManufacturer # 0120 12 1. 5 Country of Origin Mexico Application Low Profile Gastrostomy Tube Kit Contents 1 MIC KEY Low Profile Gastrostomy Feeding Tube, Insertion Stylet, Water soluble Lubricant, Continuous Feed Extension Set, 12 Inch, Bolus Feed Extension Set, 12 Inch, 6 mL Luer Slip Syringe, 35 mL Enteral Feeding Syringe, Gauze Pad HCPCS B4088 (Disclaimer) Is_Active_Vendor Y Is_DSCSA N Is_Discontinued N Is_Medical_Device Y Lot_Tracking_Flag N