Autoclave Testing Service, Inc.

Transcription

1 Autoclave Testing Service, Inc. Sterilizer Monitoring Since 1986 Toll Free 877/ Celebrating 28 Years 3

2 Serving the healthcare industry since 1986 One of the first mail-to-lab spore testing companies in North America! Thank you for your interest in Autoclave Testing Service, Inc. We are a leader in sterilization products and services, where our trademark name has represented quality and excellence for over 28 years. Our products and services make us valuable partners to health care providers, as we continue enhancing the value we offer in every aspect of our company. The Autoclave Testing Service, Inc. team is committed to providing effective, creative solutions for our customers who provide critical services in our dynamic industry. We are also committed to finding the best technologies and methods for delivering high quality, cost-effective solutions. Autoclave Testing Service, Inc. Contact Us: P.O. Box 270 Pearl River, NY Call Toll Free: 877/ Fax: 888/ info@autoclavetestingservice.com Online: STAY CONNECTED Receive our monthly promotions and be the first to hear about new products and pricing! Scan code at left to register your or text ATS to to sign up! Customers may contact an ATS representative for technical or sales assistance Monday-Friday 6am-9pm EST. Autoclave Testing Service, Inc. guarantees 100% customer satisfaction. Join the thousands who rely on ATS Inc. products and services, and place your order today! Thank you, The ATS, Inc. Team View all products & services online at: 2

3 Why ATS? First in the Industry ATS, Inc. is one of the first companies in North America to provide Mail-to-Lab spore testing. Established in 1986, ATS, Inc. is renowned as an industry leader, providing sterilization monitoring and infection control solutions. Outstanding Customer Service Our team is devoted and committed to serving each client as our only client. We are open from 6am to 9pm EST to serve you better! Specialists We specialize in: sterilization processing, current regulations for your industry, causes of failed spore tests, chemical indicators to best suit your sterilization needs and much more! Special Pricing If you have more than one sterilizer to be tested routinely, two separate businesses sharing the same building, or multiple locations under the same ownership, you are automatically eligible for a discount off our alreadycompetitive prices. If you have a large number of sterilizers to test, call us for a special quote. Free Trial Test Try out our premier products and services at no charge and no obligation. Interested in our mail-to-lab service or our biological indicators? Contact us today for your free sample. The More You Buy, The More You Save At ATS, the higher quantity you purchase, the more the price is reduced. Our price structure allows you to save more by ordering in larger quantities. For example: Save on each box of biological indicators as you purchase 3 or more! Toll Free 877/ Table of Contents: Mail-to-Lab Spore Testing...pages 5-11 Spore Testing Recommendations/Guidelines Mail-In Testing Program Features Weekly, Bi-Weekly, Monthly Spore Testing In-Office Spore Testing...pages & 24 Hour Biological Indicator Testing Biological Indicator & Log Book Refills Process Challenge Devices Chemical Indicator Testing...pages Bowie-Dick Testing & Record Keeping Chemical Indicators - Class 1, 4, 5 & 6 Reprocessing & Cleaning...pages Pre-Cleaning & Lubricants & High-Level Disinfectants/Sterilants High-Level Disinfectant Monitoring Surface Disinfectant Cleaner & Residual Protein Detectors Ultrasonic Cleaners & Monitoring Washer Disinfector Monitoring Packaging & Labeling...pages Crepe & SMS & ComboWrap Sterilizer Wrap Sterilizer Pouches/Bags Sterilizer Tubing, Dispenser & Heat Sealer Indicator Tape & Tape Dispensers Record Keeping, Log Books & Label Dispensers Sterilizers & Accessories...pages New & Refurbished Sterilizers Sterilizer Door Gaskets & Cleaners Water Distillers AutoShip Program & Order Form...pages

4 Guidelines for Biological Indicator (spore) Testing The CDC (Center for Disease Control and Prevention) Monitoring of Sterilizers a. Use mechanical, chemical, and biologic monitors to ensure the effectiveness of the sterilization process. b. Monitor each load with mechanical (e.g., time, temperature, pressure) and chemical (internal and external) indicators. If the internal chemical indicator is visible, an external indicator is not needed. c. Do not use processed items if the mechanical (e.g., time, temperature, pressure) or chemical (internal and/or external) indicators suggest inadequate processing. d. Use biologic indicators to monitor the effectiveness of sterilizers at least weekly with an FDA-cleared commercial preparation of spores (e.g., Geobacillus stearothermophilus for steam) intended specifically for the type and cycle parameters of the sterilizer. e. After a single positive biologic indicator used with a method other than steam sterilization, treat as nonsterile all items that have been processed in that sterilizer, dating from the sterilization cycle having the last negative biologic indicator to the next cycle showing satisfactory biologic indicator results. These nonsterile items should be retrieved if possible and reprocessed. f. After a positive biologic indicator with steam sterilization, objects other than implantable objects do not need to be recalled because of a single positive spore test unless the sterilizer or the sterilization procedure is defective as determined by maintenance personnel or inappropriate cycle settings. If additional spore tests remain positive, consider the items nonsterile and recall and reprocess the items from the implicated load(s). g. Use biologic indicators for every load containing implantable items and quarantine items, whenever possible, until the biologic indicator is negative. Guideline for Disinfection and Sterilization in Healthcare Facilities, 2008 AAP (American Academy of Pediatrics) Biological indicators are necessary to ensure sterility. A variety of indicator systems are available. The procedure recommended by the manufacturer to document sterility should be done at least weekly and results should be recorded. (from June 2000 Policy Statement) ANSI / AAMI (American National Standards Institute Inc. / Association for the Advancement of Medical Instrumentation) AORN (Association of Perioperative Registered Nurses) For routine monitoring should be used weekly, and as needed; each load of implantables. Recommended Practices, Sterilization & Disinfection, 1987 VA (Veteran s Administration) must be sterilizer monitored no less than weekly, each load of implantables or intravascular materials, following major sterilizer repairs, new products or packaging material. VA Manual G1, MP-2, Sub-chapter E, Change 159, June 22, 1983 OSAP (Organization for Safety & Asepsis Procedures) The use and functioning of heat sterilizers should be biologically monitored at least weekly, or more often if the practice demands it, with appropriate spore tests. Infection Control in Dentistry Guidelines, September 1997 ADA (American Dental Association) This report is based on the recommendations of the Centers for Disease Control and Prevention (see the CDC recommendations above) and other publications in the medical and dental literature. The recommendations in this document have been accepted by the Council on Scientific Affairs and the Council on Dental Practice. The Councils strongly urge practitioners and dental laboratories to comply with these infection control practices Since this document is not intended to cover every aspect of infection control compliance, the dentist, his or her staff and that of dental laboratories should refer to the referenced publications. Infection Control Recommendations for the Dental Office and the Dental Laboratory Biological indicators should be used within PCDs for routine sterilizer efficacy monitoring at least weekly, but preferably every day that the sterilizer is in use. ANSI/AAMI ST79:2006, Section Are you up-to-date on sterilizer testing regulations and guidelines? The CDC (Center for Disease Control) Recommends WEEKLY spore testing CONTACT ATS, INC. & FIND OUT! in all dental practices! 4

5 Are you 100% confident your instruments are sterile? REQUEST A FREE TRIAL SPORE TEST & TRY OUT OUR SUPERIOR SERVICE! NO OBLIGATION. CALL 877/ VISIT info@autoclavetestingservice.com FAX 888/ See pg. 55 for form Mail-In Spore Testing pages 6-11 Toll Free 877/ In-Office Testing pages Process Challenge Devices pages

6 Mail-to-Lab Sterilizer Testing Programs How Mail-To-Lab Spore Testing Works: Sign up for a mail-in test kit by contacting ATS. A custom kit will be shipped to your facility. Each spore is enclosed in a pouch, accompanied with a test form, Class 4 chemical indicator, and a return envelope. Run the spore and chemical indicator strip in your sterilizer with your normal cycle. Complete test details on form. Mail the spore, chemical indicator strip and test form in the pre-addressed return envelope provided. ATS, Inc. cultures the spore for 24 hours (for Steam sterilization) at which time results are posted online. If the test result fails (positive test) we immediately & confidentially contact the person who sterilized the test. ATS, Inc. Mail-To-Lab Program Details: Standard Programs: Economy-Plus Programs: Economy Programs: Economy-Saver Programs: Unique to ATS! A fresh spore test is sent to your office (e.g. weekly, bi-weekly) as a timely reminder and keeps your testing on schedule. This reminder program, exclusive to ATS, keeps you compliant with your County, State and Federal requirements! Test results are online as well as the original returned by mail. Additionally, results can be ed or faxed upon completion. Program includes filing portfolio, log book & wall certificate. Most Popular Kits! The Economy-plus kits are sent to your facility in a filing portfolio with a log book & wall certificate. Kits include all tests needed for the year, with reminder dates on each. Test results are online as well as the original returned to you by mail. Additionally, results can be ed or faxed upon completion. Economically Priced! The Economy kits are competitively-priced and include all tests needed for the year. Test results are mailed monthly for your convenience. Additionally, results can be ed or faxed upon completion. Environmentally Friendly! These environmentally-friendly and competitively-priced programs are becoming the most popular! Kits include all tests needed for the year. Test results are online ONLY. Additionally, results can be ed or faxed upon completion. ATS Mail-To-Lab Program Features: Indicator Strip Comes With Each Spore Test Monitor Test Results Online for Multiple Locations Display Wall Certificate User-Friendly Log Record Book 6

7 How How Mail-to-Lab Mail-To-Lab Sterilizer Testing Testing Testing Works Works Our Mail-To-Lab Testing Advantages The widest program selection in the industry! Results in 24 Hours (for steam sterilizers once the test has arrived at the lab) Immediate notification of positive (failed) tests with a confidential phone call. Test results are immediately posted online. Log in with a secure username and password. ed reminders to sterilize and mail in spore test. Each test is accompanied with a multi-parameter chemical indicator, allowing the operator to release the contents of a sterilized cycle immediately, while waiting for the biological indicator results to be posted. Spore strips contain two organisms - Geobacillus stearothermophilus and Bacillus atrophaeus, allowing facilities to spore test Steam, Chemical Vapor, Dry Heat and Ethylene Oxide sterilization. Unlimited wall display certificates - Reassure your patients and staff by placing one in each operatory and waiting room. All test kits can be customized to suit your needs! Sterilizer Test Report Pre-dated reminders (Economy-Plus & Standard programs only) Sterilizer Test Report (STR) Mailed On: Clearly identifies the name and location of the sterilizer (optional) Test Tracking Unit #1, Statim W S Doctors Practice, PC Attn: John Smith 123 Any Road, Suite 1 Anytown, NY Autoclave Testing Service, Inc. P.O. Box 270 Pearl River NY Toll-Free: 877/ATS-1199 Fax: 845/ info@autoclavetestingservice.com Every test has an unique barcode for easy tracking and online access to results Pre-printed address on every test form; no need to write out your data every time! Additional information to be filled out by the sterilizer operator ATS, Inc. certifies every test report, with the ATS logo to eliminate fraudulent reporting View or print your test results 24/7 online! Testing Procedure Testing Data Do not remove the test strips from the pouch. Place pouch in the center of a PCD (Process Challenge Device) or the center of the load being sterilized. If using Dry Heat or chemical vapor sterilization, use the blue spore packet only. Sterilize according the sterilizer manufacturers instructions. Upon completion of the cycle, remove the test pouch and complete the Testing Data section below. Re-sterilize if the Class 4 indicator shows incomplete color change. Place test pouch and this STR report inside the return envelope (must send report and test together). Mail both to the lab for processing. This test report will be posted online and mailed upon completion. Date of test: Temperature of cycle: Pressure of cycle: Length of cycle: Operator s name: Contents of load: Test Results (to be completed by the lab technician) RESULT COMPLETED INITIALS AB STR No To view test results or test history: 1. Go to: 2. Click on Test Results Online 3. Enter your secure name and password MUST INDICATE TYPE OF STERILIZER! Steam (completed results within 24-hours at the lab) Chemical Vapor (completed results within 72-hours) Dry Heat and Ethylene Oxide (completed results in 7 days) Sterilizer Make Model No. Serial No. (make/model/serial numbers are not required) NEGATIVE (sterile) Steam Sterilization: 24-hour incubation at 58 C NEGATIVE (sterile) Chemical Vapor: 72-hour incubation at 58 C NEGATIVE (sterile) Dry Heat and Ethylene Oxide: 7-day incubation at 34 C Easy access to test results online, 24/7! Confidential phone call if failed test occurs POSITIVE (not sterile) MUST RETEST IMMEDIATELY Notified: Retests for When Positive (Failed) Tests Occur Online Results: View, Save & Print Your Results Storage Portfolio for Test Results Pre-Paid Return Envelopes Toll Free 877/

8 Mail-to-Lab Weekly Mail-to-Lab Sterilizer Testing Sterilizer Testing Customer Testimonials ATS provides an exceptional service at a great price, the only service I have used for 15 years. -Customer in Mississippi since 1997 I've used ATS for 10 years now and have always been happy with their service. It's a good feeling to know that my equipment is regularly tested and they are always quick at returning the results. Thanks. -Customer in Wisconsin since 2002 Your company is the best!! For years never had a problem!! This year results were lost in the mail! Called and your staff was very helpful! And resolved my problems quickly and completely! Thank you all for such great support! -Customer in New Jersey since 2006 I love that the test results are available online within days,and my hard copy follows shortly. I ve never had any trouble ordering or getting results. -Customer in Alabama since 2003 Need A Test Tomorrow Morning? Call by 5:00pm EST and the test will deliver by 10:30am the next day! WEEKLY TESTING Standard Weekly Economy-Plus Weekly Economy Weekly Economy-Saver Weekly Program Code W WB+ WB WBO Number of Tests/Year Tests Mailed to Your Facility One test sent each week 52 tests sent together 52 tests sent together 52 tests sent together Pre-addressed Test Forms Multi-Parameter Indicators Test Results Online, 24/7 Test Results Mailed Weekly Weekly Monthly Online Only Test Results ed * * Test Results Faxed * * ed Testing Reminders * * Control Spore Strips * * * * Pre-Paid Return Envelopes * * Display Certificate * Free Retests (if a positive result) Pre-dated Forms Filing Portfolio 20 Page Log Record Book Total Annual Cost $359.00/year $264.00/year $184.00/year $154.00/year (Cost per test) ($6.90/test) ($5.07/test) ($3.54/test) ($2.96/test) *available upon request at additional cost 8

9 Bi-Weekly Mail-to-Lab Mail-to-Lab Sterilizer Sterilizer Testing Testing ATS has provided us with autoclave testing for several years now and I don't have one single complaint. Very good response time RE our tests. Helpful payment reminders and accurate services. Thanks ATS! - Customer in Deleware since 2003 I have used ATS since I opened my first tattoo parlor. They have always been of great help and assistance. I highly recommend them. To this day they are used by me. -Customer in Washington since 2000 I have been with ATS for a some time now and I'm very happy with the customer service reps and with how my spore test results are logged quickly and how getting the results in order and with ease. Thank you very much for all your hard work. I look forward to doing business with you for a long time to come. Thanks again! -Customer in Ohio since 2011 Our Studio has used ATS for over 20 years. We've found their services to be of the best quality and experience and most cost effective for our needs. -Customer in Virginia since 1992 BI-WEEKLY TESTING NEVER FORGET TO RUN YOUR SPORE TEST AGAIN with our new reminders! Call today to register your . It s only $5.00/ ! Standard Bi-Weekly Economy-Plus Bi-Weekly Economy Bi-Weekly Economy-Saver Bi-Weekly BW BWB+ BWB BWBO Program Code Number of Tests/Year One test sent every two weeks 26 tests sent together 26 tests sent together 26 tests sent together Tests Mailed to Your Facility Pre-addressed Test Forms Multi-Parameter Indicators Test Results Online, 24/7 Bi-Weekly Bi-Weekly Bi-Weekly Online Only Test Results Mailed * * Test Results ed * * Test Results Faxed * * ed Testing Reminders * * * * Control Spore Strips * * Pre-Paid Return Envelopes * Display Certificate Free Retests (if a positive result) Pre-dated Forms Filing Portfolio 20 Page Log Record Book $190.00/year $145.00/year $124.00/year $119.00/year Total Annual Cost ($7.30/test) ($5.57/test) ($4.76/test) ($4.57/test) (Cost per test) *available upon request at additional cost Toll Free 877/

10 Mail-to-Lab Monthly Mail-to-Lab Sterilizer Testing Sterilizer Testing Customer Testimonials I've used ATS for 12 years now. Simple, consistent. -Customer in South Carolina since 2000 I am happy with ATS. There has always been someone to speak with if I have a question & if there is an issue it is dealt with immediately. Thank you, ATS, for being a good, responsible company in the days of not-so-good companies to deal with. -Customer in Kansas since 2007 THANK YOU SO MUCH for your [beyond] timely response! There is one thing that many businesses consistently overlook, which inevitably will lead to their demise - excellent customer relations and prioritizing a client's [urgent] request. This is what I will remember about your company. -Customer in New Jersey since 2008 I love the service you provide. ATS has made for one less "VITAL" task I have to worry about. -Customer in California since 2010 Automatically fax or your tests results direct to your health department. Just give us a call with the information. It s that easy! MONTHLY TESTING Standard Monthly Economy-Plus Monthly Economy Monthly Economy-Saver Monthly Program Code M MB+ MB MBO Number of Tests/Year Tests Mailed to Your Facility One test sent each month 12 tests sent together 12 tests sent together 12 tests sent together Pre-addressed Test Forms Multi-Parameter Indicators Test Results Online, 24/7 Test Results Mailed Monthly Monthly Monthly Online Only Test Results ed * * Test Results Faxed * * ed Testing Reminders * * Control Spore Strips * * * * Pre-Paid Return Envelopes * * Display Certificate * Free Retests (if a positive result) Pre-dated Forms Filing Portfolio 20 Page Log Record Book Total Annual Cost $114.00/year $94.00/year $84.00/year $74.00/year (Cost per test) ($9.50/test) ($7.83/test) ($7.00/test) ($6.16/test) *available upon request at additional cost 10

11 Mail-to-Lab Sterilizer Testing Customized Mail-to-Lab Sterilizer Testing I ve been dealing with ATS for a few years now and they are the best when it comes to sterilizer testing. I will continue to do business with them as long as I m in the tattoo business -Customer in Minnesota since 2010 Our office has used ATS for over 15 years - the money we spend for the safety of our patients is a worthwhile investment, and ATS couldn t make it easier to confirm our sterilization processes every week. We ve had one failure over the years, and received a phone call and re-test right way - sure enough, it was an operator error that I was able to correct by reviewing procedures with staff. Fantastic service, I d highly recommend to others. -Customer in Illinois since 1988 As a over 10 year subscriber to ATS they do a great job with their service and also are very competitively priced on things like sterilization supply thanks for your great service. -Customer in Indianapolis since 1999 OTHER TEST FREQUENCIES CUSTOMIZE YOUR KIT! ATS specializes in customizing to suit your needs. Standard Bi-Monthly Standard Quarterly Standard Bi-Annually Standard Annually BM Q BA A Program Code Number of Tests/Year One test sent every other month One test sent each quarter One test sent every 6 months One test sent each year Tests Mailed to Your Facility Pre-addressed Test Forms Multi-Parameter Indicators Test Results Online, 24/7 Bi-Monthly Quarterly Bi-Annually Annually Test Results Mailed * * * * Test Results ed * * * * Test Results Faxed ed Testing Reminders * * * * Control Spore Strips Pre-Paid Return Envelopes * * * * Display Certificate Free Retests (if a positive result) Pre-dated Forms Filing Portfolio * * * * 20 Page Log Record Book $59.00/year $50.00/year $40.00/year $30.00/year Total Annual Cost ($9.83/test) ($12.50/test) ($20.00/test) ($30.00/test) (Cost per test) *available upon request at additional cost Toll Free 877/

12 24 Hour In-Office Start-Up Kits Accurate Convenient Affordable The In-Office Testing Solution Are you looking for a solution to spore test right in your own office? Try our premium in-office testing kits! Our kits include everything you need: digital incubator, biological indicators, indicator activator, log record book for test results and chemical indicators for an immediate read-out. Best of all, your test results are available in 24 hours - no need to wait on the mail for your results! 24 Hour IN-OFFICE Start-Up Kit START-UP KIT INCLUDES: Digital Incubator with hinged lid Box of 24 Hour Biological Indicators START-UP 250 Class KIT 4 Chemical INCLUDES: Indicators Digital Onboard Incubator Indicator with Crusher Hinged Lid Box 20 of page 24 Log hour Record Biological BookIndicators 250 Class 4 Chemical Indicators Onboard Indicator Activator Log Record Book, 280 entries features: BIOLOGICAL INDICATORS: Comparable to all brands Fits all 24 hour incubators Meets all government regulations & guidelines 9mm wide and incubates between C Incapable of cross-contamination Most affordable method to spore test Convenient & user-friendly Easy-to-read results Extended expiration date months DIGITAL INCUBATOR: Compatible with multiple types of biological indicators Incubates 10 and 24 hour biological indicators Includes a hinged cover which prevents dehydration of the vials while providing a consistent temperature during incubation Includes a convenient onboard activator - never search for your hand-held indicator activator again 18 port capacity - great for large & small offices Dimensions - including cover - 6 x 41/2 x 41/2 Easy-To-Read Pass/Fail Results Immediate Chemical Indicator Read-out Hinged Cover for Consistent Temperature Convenient Onboard Indicator Activator Uncrushed (unused) Negative (pass) Positive (fail/control) 12

13 24 Hour In-Office Testing Refills 24 Hour In-Office Start-Up Kit 1 KIT 2 KITS 3+ KITS BI-S25-SK Start-Up Kit: 25 Tests $295.00/kit $285.00/kit $275.00/kit BI-S100-SK Start-Up Kit: 100 Tests $375.00/kit $360.00/kit $350.00/kit BI-S300-SK Start-Up Kit: 300 Tests $675.00/kit $660.00/kit $645.00/kit START-UP KIT INCLUDES: Digital Incubator with Hinged Lid Box of 24 Hour Biological Indicators 250 Class 4 Chemical Indicators Onboard Indicator Activator Log Record Book 24 Hour In-Office Testing Start-Up Kit 24 Hour In-Office Testing Refills 24 Hour In-Office Testing Refills 1 EACH 2 EACH 3+ EACH BI-S25 24 Hr SterileCheck Biological Indicator Refills, 25/bx $64.95/bx $59.95/bx $54.95/bx BI-S Hr SterileCheck Biological Indicator Refills, 100/bx $179.00/bx $169.00/bx $159.00/bx I-200 Digital Incubator, 1 each $250.00/ea $245.00/ea $240.00/ea C4-111 Class 4 Indicators, 250/bag $20.00/bg $18.00/bg $15.00/bg LRB-20 Log Record Book, 280 entries, 1 ea $15.00/bk $12.00/bk $10.00/bk BI-ACT Hand-Held Ampoule Activator, 1 ea $5.00/ea $4.00/ea $3.00/ea Biological Indicators as low as $1.59/test! Call 877/ for Ethylene Oxide self-contained biological indicators. Are you confident your sterilizer IS sterilizing? Biological indicators are the only process indicators that directly monitor the lethality of a given sterilization process. Spores used to monitor a sterilization process have demonstrated resistance to the sterilizing agent and are more resistant than the bioburden found on medical devices. B. atrophaeus spores are used to monitor ETO and Dry Heat, and G. stearothermophilus spores are used to monitor steam sterilization, hydrogen peroxide gas plasma, and liquid peracetic acid sterilizers. G. stearothermophilus is incubated at C, and B. atrophaeus is incubated at C. Steam and low temperature sterilizers (e.g., hydrogen peroxide gas plasma, peracetic acid) should be monitored at least weekly with the appropriate commercial preparation of spores. If a sterilizer is used frequently (e.g., several loads per day), daily use of biological indicators allows earlier discovery of equipment malfunctions or procedural errors and thus minimizes the extent of patient surveillance and product recall needed in the event of a positive biological indicator. Each load should be monitored if it contains implantable objects. If feasible, implantable items should not be used until the results of spore tests are known to be negative. Guideline for Disinfection and Sterilization in Healthcare Facilities, 2008 Toll Free 877/

14 10 Hour Economy In-Office Testing Accurate Convenient Affordable The In-Office Testing Solution with 10 Hour Results Are you looking for a solution to spore test right in your own office? Try our 10 hour in-office testing kit! Our kits include everything you need: digital incubator, biological indicators, indicator activator, log record book, and chemical indicators. Run a test in the evening and learn your results the next morning! Results in 10 hours - no need to wait on the mail! 10 Hour IN-OFFICE START-UP KIT START-UP KIT INCLUDES: Digital Incubator with hinged lid Box of 10 Hour Biological Indicators 250 Class 4 Chemical Indicators Onboard Indicator Activator Log Record Book, 280 entries Immediate Chemical Indicator Read-out Includes Plastic Lid for Consistent Temperature features: 10 HOUR EZTest BIOLOGICAL INDICATORS: Comparable to other 10 hour brands Fit all 10 hour incubators Meets all government regulations & guidelines 9mm wide and incubates between C Incapable of cross-contamination Incubate in the evening & record results in the morning Convenient & user-friendly Easy-to-read results Extended expiration date months DIGITAL INCUBATOR: Compatible with multiple types of biological indicators Incubates 10 and 24 hour biological indicators Tests Steam & Ethylene Oxide sterilizers Includes a hinged cover which prevents dehydration of the vials and provides a consistent temperature during incubation Includes a convenient onboard activator - never search for your hand-held indicator activator again 18 port capacity - great for large & small offices Dimensions including cover - 6 x 41/2 x 41/2 10 Hour In-Office Testing Start-Up Kit & Refills 10 Hour Start-Up Kit 1 EACH 2 EACH 3+ EACH BI-EZ100-SK Start-Up Kit: 100 EZTest Indicators $499.00/kit $489.00/kit $479.00/kit BI-SEZ Hour EZTest Refills/box $279.00/bx $269.00/bx $259.00/bx I-200 Digital Incubator, 1 each $250.00/ea $245.00/ea $240.00/ea C4-111 Class 4 Indicators, 250/bag $20.00/bg $18.00/bg $15.00/bg LRB-20 Log Record Book, 280 entries, 1 each $15.00/ea $12.00/ea $10.00/ea BI-ACT Hand-Held Ampoule Activator, 1 each $5.00/ea $4.00/ea $3.00/ea BI-200 Digital Incubator, 1 each $250.00/ea $245.00/ea $240.00/ea 14

15 10 Hour Premium In-Office Testing As low as $2.59/test! 10 Hour Premium Start-Up Kit 1 EACH 2 EACH 3+ EACH BI-SEZ Hour EZTest 25/box $84.00/bx $79.00/bx $74.00/bx BI-SEZ10 10 Hour EZTest 100/box $279.00/bx $269.00/bx $259.00/bx I-SWI Smart-Well TM Incubator $1,750.00/ea $1,690.00/ea $1,650.00/ea BI-SR100-SK 100 Ampoule Start-Up Kit $1,995.00/kit $1,895.00/kit $1,795.00/kit Smart-Read TM 10 Hour Premium Monitoring Kit START-UP KIT INCLUDES: Digital Incubator with Printer Box of 10 Hour Biological Indicators 250 Class 4 Chemical Indicators Onboard Indicator Activator Log Record Book, 280 entries Positive Control Cell Incubation Cells Status Indicator LEDs: Orange = Unit In Test Green = No Growth Red = Growth Printer for BI test results Onboard BI Activator Password Protection Large, Touch-Sensitive User Interface Smart-Read TM System Kit Features: Fast biological results True biological system Easy one-step evaluation Automatic documentation Alarm on sterilization failure 100% Verifiable results Password protection Touch-screen user interface The Smart-Read TM system significantly reduces quarantine time without sacrificing product safety or operator productivity. No enzyme pretest. No false negatives. No operator hassle. Though a highly sophisticated tool, the Smart-Well TM incubator is easy to configure with its simple touch-screen interface. The incubator can evaluate up to ten Smart-Read TM biological indicators independently, and contains one additional incubation cell for a positive control unit. Each biological indicator test result is automatically documented in a user-customizable printed report, and an alarm is sounded the moment that sterilization failure is detected. The incubator also contains an NIST-traceable thermometer marked at the appropriate incubation temperature to allow an operator to quickly verify proper operation. For each incubated Smart-Read TM indicator, the printout will show the incubation chamber number, the result of the Smart-Read TM indicator, the incubation start time and date as well as the amount of time elapsed, plus the additional information programmed into the Smart-Well TM by the user, to include: Type of sterilization cycle (i.e., pre-vac, flash, express, gravity) Sterilization cycle number Cycle temperature and exposure duration Operator identification Smart-Read TM biological indicator lot number Improved processor and storage Password protection Dual integrated digital thermometers Large color LCD interface Temperature progress meter The Smart-Read TM EZTest Biological Indicator Monitoring System allows an organization to release sterile product with true biological confirmation faster and easier than ever before. This unique system uses a real biological indicator - with no added enzyme or chemical integrator - which is incubated, evaluated, and documented in one simple, automated operation. Relying only upon bacterial spore growth, the Smart-Read TM system can detect sterilization failure in as few as three to five hours, and confirm sterilization in only ten hours. The Smart-Read TM system is so fast that every sterilization cycle can be monitored and the contents of the load quarantined until true biological results are available. Recalls of non-sterile items will be a thing of the past! Toll Free 877/

16 Biological Indicator Refills 24 Hour Biological Indicators STOCK UP & SAVE take advantage of quantity pricing! 24 Hour Results Hour SterileCheck Refills 1 BOX 2 BOXES 3+ BOXES BI-S25 SterileCheck Refills, 25/box $64.95/bx $59.95/bx $54.95/bx BI-S100 SterileCheck Refills, 100/box $179.00/bx $169.00/bx $159.00/bx SterileCheck biological indicators are the most affordable method to spore test. They are for use in steam sterilization processes and incubate between C. Each self-contained test consists of a plastic container with cap, a crushable glass ampoule inside with recovery media, and a paper strip inoculated with spores (Geobacillus Stearothermophilus). The ampoule expiration date is months. See start-up kits on pages 11 and 12. Call 877/ for Ethylene Oxide self-contained biological indicators. SterileCheck biological indicators are compatible with ALL 24 hour incubators. Biological Indicators as low as $1.59/test! 10 Hour Biological Indicators 10 Hour Results Hour EZTest Refills 1 BOX 2 BOXES 3+ BOXES BI-SEZ Hr EZTest Refills, 25/box $84.00/bx $79.00/bx $74.00/bx BI-SEZ10 10 Hr EZTest Refills, 100/box $279.00/bx $269.00/bx $259.00/bx The Smart-Read TM EZTest is a self-contained color change biological indicator. They are for use in steam sterilization processes and incubate between C. It requires no special processing and can be used in place of any existing selfcontained vial. The EZTest biological indicator contains spores of Geobacillus Stearothermophilus and is suitable for all steam sterilization processes. See start-up kits on pages 14 and 15. Rapid Readout Biological Indicators & Test Packs As low as $3.98/test! For Gravity Displacement Sterilizers 3 1 Hour Results For Pre-Vac Sterilizers 3 Hour Results 3M Attest Refills & PCDs 1-3 BOXES 4-7 BOXES 8+ BOXES BI-1291 BI-1292 BI-1296 BI-1296F Rapid Read BI, blue cap, 1 hour, 50/box, 4 bxs/cs Rapid Read BI, brown cap, 3 hour, 50/box, 4 bxs/cs 25 BI Attest Test Packs (25 controls), 25 packs/box 25 BI Attest Test Packs (5 controls), 25 packs/box $219.00/bx ($4.38/test) $219.00/bx ($4.38/test) $209.00/bx (4.18/test) $209.00/bx (4.18/test) $199.00/bx ($3.98/test) $199.00/bx ($3.98/test) $295.00/bx $285.00/bx $275.00/bx $275.00/bx $265.00/bx $255.00/bx For Pre-Vac Sterilizers 3M Attest biological indicators offer one hour (1291) and three hour (1292) results. MUST choose the correct biological indicator for your sterilizer: For 132 C (272 F) Gravity displacement Steam Sterilization: 1291 For Pre-vac/vacuum-assisted sterilizers and 121 C (250 F) Gravity sterilizers, use: 1292, 1296, 1296F Advantages of quicker biological indicator results: Make decisions and take appropriate action before use of instruments. Every load monitoring and quarantining can eliminate recalls. Use test packs to challenge your sterilization process. 16

17 Process Challenge Devices (PCDs) For PRE-VAC & GRAVITY Sterilizers 24 Hour Disposable PCDs 24 Hour PCDs 1 CASE 2 CASES 3+ CASES PCD-SBI5 20 PCD s with 5 controls $159.00/cs $156.00/cs $153.00/cs PCD-SBI10 20 PCD s with 10 controls $179.00/cs $176.00/cs $173.00/cs PCD-SBI20 20 PCD s with 20 controls $239.00/cs $236.00/cs $233.00/cs Sterilization processing of instruments can be tedious and error prone. When you need the ultimate biological test for steam autoclave effectiveness, choose the BI-OK steam test-pak - your guarantee of sterilization efficacy. With this test pack, you can be assured that proper sterilization parameters have been achieved. BI-OK steam test-pak delivers the convenience of a record which documents the date, department, temperature, cycle time, sterilizer and load number. The operator initials and test results are entered along with control results for permanent documentation that sterilizer equipment is functioning properly. * According to ANSI/AAMI ST-79:2010, in emergency situations Class 5 Integrator within a PCD can be used for immediate release of loads containing implants with the following evaluation of the results of biological indicators within the PCD. Run Normal Sterilization Cycle with PCD Inside Once Sterilized, Remove Indicator & Record Card Crush Ampoule & Incubate for 24 Hrs Fill In Required Info & Store in Records Vapor Line Disposable PCDs Vapor Line PCDs 1 CASE 2 CASES 3+ CASES PCD-VL Vapor Line Class 5 Integrator PCD, 20 packs/case $349.00/cs $344.00/cs $339.00/cs A single-use test pack designed to provide a challenge to 250 F (121 C) gravity displacement and 273 F (133 C) pre-vacuum sterilizers in modern hospital practice. Equivalent in performance to a biological indicator in the AAMI approved linen pack. Propper PASS/FAIL Steam Challenge Pack PASS results reflect conditions in the sterilizer that exceed those required to kill spores of biological indicators. FAIL results mean that conditions required for sterility have not been met. The Propper PASS/FAIL Steam Challenge Pack comes complete with the Vapor Line Integrator, that provides a clear, simple and immediate readout. According to ANSI/AAMI ST-79:2010, non-implant load release decision can be based on the results of challenge test pack (PCD) with Class 5 integrator. Toll Free 877/

18 Process Challenge Devices (PCDs) Re-Usable PCD - For Pre-Vac Sterilizers Only NEW! Re-usable PCD 1 EACH 2 EACH 3+ EACH PCD-3300 SteriscanTM Pre-vac PCD, 1 each $299.00/ea $294.00/ea $289.00/ea Up To 200 Uses! The Steriscan TM Pre-vac Process Challenge Devices is re-usable, (up to 200 uses) environmentally and user-friendly. Can be used to challenge biological indicators, chemical indicators and Bowie-Dick tests. This PCD reduces costs and waste since there is no paper waste to discard at all. This PCD provides an accurate, repeatable challenge to pre-vac sterilizers. Return to ATS to be recycled! Size: 10.6 (27cm) Long KEY FEATURES: Environmentally friendly Re-usable up to 200 uses User-friendly No paper waste and recyclable All-In-One Reusable Test Pack Steam Entry Torturous Path Insulated Chamber Cap All of your test pack needs in one device! USE FOR CHALLENGING: -Biological Indicators -Chemical Indicators -Bowie-Dick Tests What is a Process Challenge Device (PCD)? Is it sterile? Process challenge device (PCD): An item designed to simulate product to be sterilized and to constitute a defined challenge to the sterilization process and used to assess the effective performance of the process. A PCD is a challenge test pack or test tray that contains a biological indicator, a Class 5 integrating indicator, or an enzyme-only indicator. Guideline for Disinfection and Sterilization in Healthcare Facilities,

19 Complete Line of Chemical Indicator Testing Bowie-Dick Testing pages Toll Free 877/ Chemical Indicators pages Class 6 Emulators page 26 19

20 Bowie-Dick Green Card Testing Bowie-Dick Green Card Test System FOR DYNAMIC AIR-REMOVAL (PRE-VAC) STERILIZERS As low as $2.58/test! Bowie-Dick Green Cards 1 EACH 2 EACH 3+ EACH BD-132-SK Start-Up Kit Includes: Holder & 30 Test Cards $130.00/kit $125.00/kit $120.00/kit BD Test Cards/Bag $85.00/bg $82.00/bg $79.00/bg BD Test Cards/Case $320.00/cs $315.00/cs $310.00/cs BD-132-TH 1 Test Card Holder $65.00/ea $60.00/ea $55.00/ea Bowie-Dick test cards must be used DAILY (or each day the sterilizer is used) to evaluate the performance of air-removal (vacuum) system of dynamic pre-vacuum type sterilizers. The color on the card changes to green to indicate a Bowie-Dick test pass. If any purple color remains in the center, a fail is indicated. The Most Cost-Effective Method to Perform Daily Bowie-Dick Testing of Pre-Vac Sterilizers! INTERPRETATION GUIDE: NOTE: Due to printing variances, colors below may not be exact. This easy-to-use test requires less storage space than other Bowie-Dick products and is environmentally friendly! Can be used as a permanent record test information can be recorded on the back. KEY FEATURES: Environmentally friendly STOCK UP & SAVE take advantage of FDA approved quantity pricing! Easy-to-use Same size and shape as a business card Save money with every test Permanent record Store results conveniently in record keeper Compares to all leading brands Distinct color change Start-up kit includes re-usable aluminum holder Lead and toxic heavy metal free Unexposed Passed - no fault Failed - small air leak Passed - Short to med dry time Failed - wet steam Excessive Failed - large air leak Superheated Complete color change after 3.5 minutes at 132 C. *actual card size 20

21 Bowie-Dick Test Packs & Record Keeping As low as $4.96/test! Bowie-Dick Pre-Assembled Test Pack System FOR DYNAMIC AIR-REMOVAL (PRE-VAC) STERILIZERS Bowie-Dick Pre-assembled Test Packs 1-4 CASES 5-9 CASES 10+ CASES BD-V Bowie-Dick Pre-assembled Test Packs, 30 test packs/case $159.00/cs $154.00/cs $149.00/cs Vertos introduces new developments in Bowie-Dick testing based on the advanced lead and heavy metal free ink formulation. The pack demonstrates exceptional performance and features an unmatched reduction of environmental impact and hazardous substances. Eco-Friendly Non-toxic, no environmental pollutants Manufactured without lead & heavy metals Latex Free & biodegradable Best-in-Class Performance Reveals leaks, residual air & non-condensable gases Detects low temperature/pressure conditions, wet & superheated steam Guaranteed distinct color change Processed test sheets will not revert INTERPRETATION GUIDE: NOTE: Due to printing variances, colors below may not be exact. The indicator must show a uniform color change once exposed to saturated steam at 132 C (273 F) for 3.5 minutes. Bowie-Dick Record keeper 1 EACH 2 EACH 3+ EACH LRB-BD Record keeper Binder 1 each $39.00/ea $34.00/ea $29.00/ea LRB-BDSK LRB-BDGC Green Card Record Keeper Start-Up Kit Green Card Bowie- Dick Protector Sheets 50 Sheets, Binder & Interpretation Guide 10 test inserts/sheet, 50 sheets/bx ATS, INC. EXCLUSIVE! Try our unique record keeper for storing the results of the Green Card Bowie-Dick test cards. Never be disorganized for a health inspection! KEY FEATURES: Interpretation guide helps you determine a pass or failed test Laminated sheet protectors allow the test results to be viewed front & back Keeps results in date order and organized Test results do not fall out of sleeve - uses slip-resistant technology Fully enclosed and secure - helps protect records from water and air contamination Bowie-Dick Green Card Test Record Keeper $49.00/kit $44.00/kit $39.00/kit $25.00/bx $23.00/bx $20.00/bx Lock keeps record keeper closed and secure! Protector holds test results in date order The perfect record keeping solution for your Bowie-Dick Green Card Test Results! Toll Free 877/

22 Class 5 Integrators for Steam Sterilization Moving-Front Class 5 Integrators The moving-front indicator provides clear and obvious results. During sterilization, the dark colored bar migrates along a paper wick through PASS and FAIL areas, indicating whether the sterilization conditions were met. Moving Front Class 5 Integrator Unprocessed CLASS 5 AS LOW AS $.14 EACH SterileCheck5 Integrator 1-4 BAGS 5-9 BAGS 10+ BAGS C5-SC5 Class 5 Integrator, 250/bag $40.00/bg $38.00/bg $35.00/bg Process Reject Process Accept These integrators are approx. 4½ long and are preferred by the operator as they are easy to find in the sterilizer and will not clog sterilizer drains. Size: 3/4 x 4½ (1.9cm x 11.43cm) STOCK UP & SAVE take advantage of quantity pricing! Vapor Line Moving Front Class 5 Integrator Unprocessed Process Reject Vapor Line Integrator 1-4 BAGS 5-9 BAGS 10+ BAGS C5-V100 Class 5 Integrator, 100/bag $25.00/bg $23.00/bg $20.00/bg C5-V250 Class 5 Integrator, 250/bag $45.00/bg $43.00/bg $40.00/bg C5-VE250 Class 5 Integrator WITH extender, 250/bag CLASS 5 AS LOW AS $.16 EACH $55.00/bg $53.00/bg $50.00/bg Process Accept The Vapor Line integrator is for monitoring the essential conditions of steam sterilization processes - saturated steam, temperature, and time in gravity displacement and pre-vacuum sterilizers operating in the C ( F) temperature range. Size: 2 x 7/8 (5.1cm x 2.2cm) The Vapor Line extender is recommended as an aid for secure sterile presentation. The right end of the extender contains a color reactive ink imprint. This end is left protruding from the contents. After processing, when the pack is opened for use, the indicator color change can be seen if it changed to dark. The entire integrator may then be removed safely and examined to see if the dark column has migrated into the PASS area before the pack is disassembled. Size: 9 x 7/8 (22.9cm x 2.2cm) Color-Changing Class 5 Integrator Unprocessed Process Reject Process Accept CLASS 5 AS LOW AS $.12 EACH Color-Changing Integrator 1-4 BOXES 5-9 BOXES 10+ BOXES C5-EXT Color-Changing Class 5 Integrator, 250/bag $35.00/bx $33.00/bx $30.00/bx The ProChem EXT s are class 5 integrators with extended timing beyond what is required for biological spore kill. The 2 bar changes to solid black after sufficient exposure to three critical parameters: steam, time and temperature. Clear non-reversible color change in 7 minutes at 135 C (275 F) and at 20 minutes at 121 C (250 F). Size: 4 x 3/4 (10.2cm x 1.9cm) 22

23 Class 4 Indicators for Steam Sterilization CLASS 4 AS LOW AS $.04 EACH Twindicator Indicators 1-4 BOXES 5-9 BOXES 10+ BOXES C4-TWIN Class 4 Indicators, 500/box (250 perforated strips) $25.00/bx $23.00/bx $20.00/bx Twindicator Class 4 Indicators Unprocessed Process Reject Twindicator is an indicator designed for monitoring all critical parameters of steam sterilization cycles at 250 F (121 C) and 273 F (134 C). Twindicator adds extra flexibility in sterilization monitoring: each 8 (20cm) strip is perforated to allow for two 4 (10cm) strips. The color change is easily observed on both 8 and 4 strips and indicates PASS when it turns uniformly black on the entire length of the strips. Use the 8 strip for verifying sterilization in larger pouches and the 4 strips to verify pouches 6½ or smaller. NOTE: 250 strips - each strip can be divided into 2, for a total of 500 indicators! Process Accept CLASS 4 AS LOW AS $.06 EACH Cross-Checks Indicators 1-4 BAGS 5-9 BAGS 10+ BAGS C4-111 Class 4 Indicators, 250/bag $20.00/bg $18.00/bg $15.00/bg Cross-Checks Class 4 Indicators Unprocessed Economical, inside-the-pack indicator to check proper time and temperature of steam sterilizers. Indicator has a plastic laminate to protect sterilized items from potential ink transfer. White-to-black arrow provides easy to interpret results. Process Reject Process Accept No ink transfer - laminated strips! Chemical Indicator Pen 1-4 BOXES 5-9 BOXES 10+ BOXES C1-PEN Chemical Indicator Pen, 1/box $20.00/bx $18.00/bx $15.00/bx Chemical Indicator Pen Chemical indicator pen allows users to identify and monitor items that are steam processed. Ink changes color from purple to green when processed. Works great on non-porous surfaces (i.e. metal, glass or plastic). Solvent based no heavy metals. ISO : Class 5 grade ink. Ink Changes from Purple to Green when Sterilized! Toll Free 877/

24 Chemical Indicators for Steam & EO Gas Sterilization Steam Indicator Adhesive Dots Steam-Dot Blu Indicators 1-4 BOXES 5-9 BOXES 10+ BOXES C1-SDBL 1/2 (1.3cm) Steam-Dot Blu, 1000/roll CLASS 1 AS LOW AS $.05 EACH $59.00/bx $54.00/bx $49.00/bx Steam Dot Blu utilizes the latest in environmentally friendly inks: the Blu ink technology. All products made with Blu inks are free of all heavy metals, including lead. Environmentally-Friendly Technology: Manufactured without lead & heavy metals Latex free & biodegradable Components are non-toxic and pose no health concerns or environmental pollutants Top Quality Performance: Ink is designed to cover cycles 121 C (250 F), 132 C (270 F), 133 C (272 F) & 135 C (275 F) Indicators differentiate between processed and unprocessed packs Distinct color change for immediate identification (Full compliance with all requirements of: AAMI/ISO :2010, Class 1) Steam Indicator Adhesive Dots Steam Dot Indicators 1-4 BOXES 5-9 BOXES 10+ BOXES C1-SDL 3/4 (1.9cm) Steam-Dot, 1000/roll CLASS 1 AS LOW AS $.03 EACH $39.00/bx $34.00/bx $29.00/bx Self-adhesive Steam-Dot Indicators offer a fast, obvious visual check on items that were sterilized by steam. Ethylene Oxide Indicator Adhesive Dots EO Gas Steri-Dot Indicators 1-4 BOXES 5-9 BOXES 10+ BOXES C1-EOL916 C1-EOL1 9/16 (1.4cm) wide Steri-Dot Labels, 2000/roll 1 (2.5cm) wide Steri-Dot Labels, 1000/roll CLASS 1 AS LOW AS $.02 EACH $59.00/bx $54.00/bx $49.00/bx $49.00/bx $44.00/bx $39.00/bx Self-adhesive Steri-Dot Indicators offer a fast, and accurate visual check on items that were sterilized by Ethylene Oxide gas. They also display a Red for Stop, Green for Go color scheme. A red Steri-Dot indicates that the package or load has not yet passed through sterilization - green indicates that it has. As an additional safeguard, in the absence of adequate humidity, the color change to green will not occur. for CHEMICAL INDICATOR TAPE See Steam & Ethylene Oxide chemical indicator tape on page