Cost Benefit Analysis Using Steri Tite Containers Medi

Sterilization Trends • Higher value instrumentation – More complex devices, including endoscopes, power equipment and robotics • • Inventory control & materials planning Reduction in labor Reduction of costs in Central Processing Rapid turns and volume

Industry Trends • Muslin Wrap to Disposable Wrap to Sealed Containers • EO Gas to STERRAD Sterilization • Single Use Devices to Re-usable Devices • Plastic Custom Trays to Aluminum Trays and Sealed Containers • Temperature and moisture sensitive devices, new sterilization modalities and packaging compatibility.

Benefits • Case Medical Universal Containers – – Using one case for all saves inventory costs Can protect valuable instrumentation Contributes to surgeon satisfaction Compatible with all devices and sterilization modalities • Container organizer systems will reduce instrument loss and damage and be seen as a value by the customer. – Reusable components are cost effective. – Instrument protection reduces costs for repair and replacement.

Steri. Tite®, the Universal Container • Compatible with every major sterilization method including STERRAD® , V-Pro, and EO • Filter-less option for “Flash” • High durability with corrosion resistant seal • Flexible design reduces affiliate costs and protects devices • Ideal for containerizing loaners 11/27/2020

Utilization Operating Room Instrument Safety Personalized Organized Inventory Savings Reduced Costs per Use Productivity Increase Reduced Labor Reduced Disposables Quicker Turns Reduced Reprocessing 11/27/2020 Flash: pre-vac & gravity Steam: pre-vac & gravity, EO, STERRAD Central Processing

Customer Gains Value • In steam sterilization – Instrument protection – Event related storage – Cost savings in labor and processing • In EO/STERRAD® and V-Pro® Sterilization – Reduced instrument loss, damage – Reduced handling costs – Universal container that can go to third-party processors and/or STERRAD® Processing – Ability to sterilize flexible endoscopes

Savings Over the Other Brand • With 1/3 more interior volume, the number of containers needed is reduced. • Lower profile container reduces weight and addresses ergonomic issues. • Ability to stack inner trays within container keeps the set together for surgery and reduces inventory/shelf space. • Ability to stack containers in the autoclave. – Saves energy and processing costs.

Savings Over the Other Brand • Sealed immediate use (flash) container reduces infection rates from cross contamination and staff injuries due to burns. • Durable construction increases useful life of product and avoids added expense of repair or replacement. • Corrosion-resistant, anodized seal provides 10 x more useful life and reduces surgical site infections from galvanic reaction. • Unconditional warranty for manufacturer’s defects avoids service charges.

Savings Over the Other Brand • Steri. Tite for multiple methods of sterilization avoids unnecessary inventory duplication. – Avoid multiple wrapped trays or different containers for each process or set. • Steri. Tite cleared for 35 lbs. total weight. – 22 lbs. of instruments and all types of devices reduces stock. • Dry loads avoid reprocessing costs.

Savings Over the Other Brand • Utilizing a lower profile container addresses ergonomic issues and reduces total weight. • Interchangeable components reduces stock. • Off-set filter retention plate: – Reduces time needed to inspect filter integrity in the OR. – Eliminates need for a secondary lid, which adds cost and weight to container.

The Steri. Tite® Container System on a Per Cycle Basis • Customer pays a similar price on a per use basis as cost for wrap – Customer saves on wrap, tape, absorbent liners, and other accessories. – Avoids damage and reprocessing costs. • Lease or pay as you go option. • Expense avoids a capital purchase. • Utilize and reduce budget for wrap.

Disposable Wrap System Costs Per Use: Item Cost Quantity Total Disposable Wrap 1. 50 2 3. 00 Autoclave Tape 0. 10 1 0. 10 Labor (per minute) 0. 24 3 0. 72 Disposal Cost 0. 09 2 0. 18 Reprocessing 0. 50 Instrument damage reserve 0. 30 Total wrap per use 4. 80 Additional Costs to Consider: Cost of tray liners Cost of peel pouches Cost of corner protectors Cost of dust covers Re-sterilization due to tears

Linen Wrap Cost Per Use Additional Costs Include: Labor for inspecting wrap Re-sterilization due to tears Poor barrier for sterility maintenance Contributes to surgical site infections

Steri. Tite® Sealed Container Costs Per Use: Item Cost Quantity Total Disposable Filters* 0. 10 3 0. 30 Disposable Seals 0. 16 2 0. 32 Labor (Per Minute) 0. 24 1. 0 0. 24 Container cost per use ** 1. 30 1 1. 30 per use 2. 16 Total Container * Average number of filters used in perforated bottom universal container. ** The cost per use for the container amortized over a 3 year term. Savings Include: Eliminates Rips and Tears 80% Disposable Cost Savings 28% Lower Labor Costs (1/3 of time to wrap) Greatly Reduced Reprocessing

Pricing and Value Strategy • Value per cycle to customer = cost of inventory for duplicate containers + cost of inventory for multiple wrapped trays + cost of wrap or cost of washing linen + cost of inspection/repair/or multiple wrap in linen due to damage of linen + cost of disposal of single use wraps + reprocessing costs due to short shelf life + hidden cost of instrument damage + hidden cost of instrument loss + personal pride in instrument

Additional Savings • Save a minimum of 20% over competitive brands by eliminating the cost of additional containers for low temperature sterilization modalities or sealed immediate-use sterilization. • Reduce container inventory by 1/3 with Steri. Tite® containers which provide added internal space and stacking capability. • Save 25% on energy and reprocessing costs with stackable, low profile containers in the autoclave.

Additional Savings • Save an additional 25% in repair and sharpening costs using Medi. Tray® inserts. • Save $3, 600 a year adapting an eventrelated sterility policy using Steri. Tite® containers. • Save up to $200. 00 per container in refurbishing costs.

Reduce the Cost of Instrument Repair with Medi. Tray® Protective Inserts Instrument Repair & Sharpening Expense Note: Above data based on information provided by hospitals in PA, TX and FL Reduce other hidden costs: Labor costs searching for replacement instruments Excess inventory and duplication Cost of delay and lost billings Cost of OR suite and staff time and labor Re-sterilization and reprocessing

Reduce The Cost Of Instrument Repair With Medi. Tray® Endo Trays and Inserts Scope Repair and Sharpening Expense *(25% savings by reducing repair and sharpening costs based on using Medi. Tray product in FL, PA) Reduce other hidden costs: Increase in laparoscopic procedures along with rising expense for repair as well as replacement costs of scopes and endoscopic instruments.

The Value of Steri. Tite® Containers and Medi. Tray® Inserts Steri. Tite® sealed containers and Medi. Tray® protective inserts provide a simple, cost-effective system for the sterilization, transport and storage of operating room instruments. Based on labor and repair cost savings, Steri. Tite® containers can fully justify initial investment within one to two years.

Contact your Case Medical, Inc. ® representative or visit http: //www. casemed. com/ for more information about the entire Medi. Tray® line of sterilization products. Thank you