Low Profile Gastrostomy Tube Kit Mic-Key® 16 Fr. 2.5 cm Tube Silicone Sterile Kits and Trays Manufacturer # 0124-24 Country of

Manufacturer # 0124-24 Country of Origin Mexico Application Bolus Enteral Feeding Extension Tube Set FSA Eligible - Primary UOM Yes For Use With For For use with MIC-Key Low-Profile Gastrostomy

Manufacturer 16-47220 Country of Origin China Application Medical Tape Color Transparent Color Range Clear/Transparent Color Family Dimensions 2 Inch X 10 Yard HCPCS A4450 (Disclaimer) Is_Active_Vendor Y Is_DSCSA N Is_Discontinued N Is_Medical_Device N Length 7 to 11 Yard Length Lot_Tracking_Flag N Material Plastic Material Range Plastic On_Allocation N Sterility NonSterile Supplier_ID 488035 UNSPSC Code 42311552 Width 2 Inch Width Latex Free Indicator Not Made with Natural Rubber Latex

HCPCS A4351 (Disclaimer) Is_Active_Vendor Y Is_DSCSA N Is_Discontinued N Is_Medical_Device Y Length 13 Inch Lot_Tracking_Flag N Material Hydrophilic Coated Polyurethane On_Allocation N Securing Method Without Balloon Sterility Sterile Style Straight Tip Supplier_ID 488040 UNSPSC Code 42142702

HCPCS A4353 (Disclaimer) Is_Active_Vendor Y Is_DSCSA N Is_Discontinued N Is_Medical_Device Y Length 14 Inch Lot_Tracking_Flag N Material Hydrophilic Coated Polyurethane On_Allocation N Securing Method Without Balloon Sterility Sterile Style Straight Tip Supplier_ID 488040 UNSPSC Code 42142702

(1) Tool Module with (1) Penlight

Low Profile Gastrostomy Tube Kit Mic-Key® 16 Fr. 2.5 cm Tube Silicone Sterile Kits and Trays Manufacturer # 0124-24 Country ofManufacturer # 8140 16 2. 5 Country of Origin Mexico Application Low Profile Gastrostomy Tube Kit Contents 1 MIC KEY Low Profile Gastrostomy Feeding Tube with ENFit Connectors, Insertion Stylet, Water soluble Lubricant, Continuous Feed Extension Set with ENFit Connector, 12 inch, Bolus Feed Extension Set with ENFit Connector, 12 inch, 6 mL Luer Slip Syringe, 35 mL ENFit Enteral Feeding Syringe, Gauze Pad HCPCS B4088 (Disclaimer) Is_Active_Vendor Y