Foam Dressing PolyMem® 7.2 X 7.8 Inch Sacral Sterile UOM:CASE Manufacturer # 15634 Brand SenSura®

Manufacturer # 15634 Brand SenSura® EasiClose™ Manufacturer Coloplast Country of Origin Costa Rica Application Ostomy Pouch Barrier Style Convex Light

1 Black Nylon Stocking Dimensions 2-9/10 Yard X 4 Inch / 4 Inch X 5-1/10 Yard HCPCS A6454 (Disclaimer) Is_Active_Vendor Y Is_DSCSA N Is_Discontinued N Is_Medical_Device N Length Multiple Lengths Lot_Tracking_Flag N Material Foam / Elastic On_Allocation N Sterility NonSterile Supplier_ID 92585267 UNSPSC Code 42311506 Width 2 Inch Width

HCPCS A4353 (Disclaimer) Is_Active_Vendor Y Is_DSCSA N Is_Discontinued N Is_Medical_Device Y Length 16 Inch Lot_Tracking_Flag N On_Allocation N Securing Method Without Balloon Sterility Sterile Style Closed System / Coude Tip Supplier_ID 487722 UNSPSC Code 42142715

Manufacturer # 00798716162302 Country of Origin Unknown Administration Method Tube Application Tube Feeding Formula Calories per Serving 500 Calories Calories per Serving Range 401 to 500 Calories Container Type Carton Container Type Range Cartons & Pouches Dietary Restrictions Galactosemia Flavor Unflavored Flavor Range Unflavored HCPCS B4152 (Disclaimer) Ingredients WATER

and become irreversibly bound to the dressing fibers

Foam Dressing PolyMem® 7.2 X 7.8 Inch Sacral Sterile UOM:CASE Manufacturer # 15634 Brand SenSura®5 per box, 4 boxes per case