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					 Central Sterile Supply / Distribution Order Form


Date:                           Requested By:                                                           Issued By:


Requestor Code:                 Requesting Area:                                                        Received By:


  LAWSON             MANUF                     DESCRIPTION                                      QUANTITY REQUESTED         ISSUE UOM
123828            0409-1583-02     0.9% SODCHL 250ML                                                                     EA
123824            0409-7418-03     10% LMD 5% DEX                                                                        EA
123817            PS-360/10        152CM PUMP TUBING SET                                                                 EA
123823            0409-1535-03     20% DEX INJ 500ML                                                                     EA
123826            0409-1522-02     5% DEX INJ 250ML                                                                      EA
123827            0409-1522-03     5% DEX INJ 500ML                                                                      EA
123466            BG-006-01        6 LOW VOLUME MINIBORE                                                                 BX
123452            22660            ADAPTER EKG ALLIGATOR CLIP GRN                                                        EA
107718            2000E            ADAPTER IV MALE LL W/FILTER                                                           BX
100199            2C0471           ADAPTER TBG SPK VNT AUTOMIX                                                           EA
110731            8881225257       ADAPTER TUBE MNJCT LL                                                                 BX
123664            7331             ADAPTER UROSTOMY DRAIN TUBE                                                           BX
100615            AQ109-05         AEROCEL ORIG CYTOLOGY FIX                                                             EA
123467            121901           AIRWAY BERMAN 40 MM                                                                   BX
123468            121902           AIRWAY BERMAN 60 MM                                                                   BX
123469            121904           AIRWAY BERMAN 90 MM                                                                   EA
100610            3786-50#5        AIRWAY BERMAN LG ADLT SZ 5                                                            EA
100612            3786-10#4        AIRWAY BERMAN MED ADT SZ 4                                                            EA
123808            128020           AIRWAY LMA UNIQUE SIZE 2                                                              BX
123470            123324           AIRWAY NASAL 24 FR 6.0 ID                                                             BX
123471            123326           AIRWAY NASO PVC 26FR 8MM STL                                                          BX
123472            123328           AIRWAY NASO PVC 28FR                                                                  BX
123473            123330           AIRWAY NASO PVC 30FR                                                                  BX
123474            123332           AIRWAY NASO PVC 32FR 8MM STL                                                          BX
123475            123334           AIRWAY NASO PVC 34FR 8.5MM                                                            BX
123476            121903           AIRWAY ORAL BERMAN 80MM DISP                                                          EA
123477            123312           AIRWAY PVC NASAL 12F                                                                  BX
123478            123314           AIRWAY PVC NASAL 14F                                                                  BX
123481            123320           AIRWAY PVC NASAL 20F                                                                  BX
123482            123322           AIRWAY PVC NASAL 22F                                                                  BX
123812            128050           AIRWAYS LMA-UNIQUE SIZE 5                                                             BX
123833            66020093         ALLEVYN DRESSING 6X6                                                                  BX
100639            9799             ANCHOR ENDOTRAC TUBE ATTACH                                                           BX
123754            22-9588          APPLICATOR 6IN COTTON 1 TIP RE                                                        BX
123751            18696-11-MPG     ARMBOARD 3IN X 17.5IN DISP                                                            EA
123790            18697-11-MPG     ARMBOARD 3IN X 17-1/2IN DISP                                                          EA
106356            45003-11-MPF     ARMBOARD IV INF 9X2IN SM CMFT                                                         EA
123483            MI00775          ARMBOARD PED 1.625 X3.875                                                             CA

                                        Please Fax Completed Order to CSS Distribution 718-270-4206
                        Please direct all inquiries via email: CSSDistribution@downstate.edu or call directly ext.4009
 Central Sterile Supply / Distribution Order Form

  LAWSON        MANUF                     DESCRIPTION         QUANTITY REQUESTED                                       ISSUE UOM
116135       N0101             ASPIRATOR RESPIRATORY CLR THB                                                         EA
123231       3698073           AUTOCOVER NOVOFINE 30GX8MM                                                            BX
123687       MER20MCC          BAG BODY BLACK 36X90 20M F/500                                                        EA
123688       MER8BBC           BAG BODY WHITE 36X90 8M                                                               EA
123758       5C4519            BAG DIALYSIS DRAINAGE 2000ML                                                          CA
123311       5C4145P           BAG DRAIN 15L PRTNL CYCLER SET                                                        EA
107707       INS8700           BAG DRAIN CSF EXT REPLACE                                                             EA
100328       154004A           BAG DRAINAGE URINE 2 L W/IC                                                           EA
113807       5C4476            BAG DRN 150ML PRTNL DLYS                                                              EA
113808       153214A           BAG DRN BARD URMTR INFCT CNTRL                                                        EA
110752       145540            BAG ENM 60IN 24FR TUBE CSTL                                                           EA
101827       33500             BAG ICE PACK STAY-DRY LG                                                              BX
105223       150103            BAG LEG URINARY LG DISP 32OZ                                                          EA
105224       150102            BAG LEG URINARY MED DISP 19OZ                                                         EA
105225       150101            BAG LEG URINARY SML DISP 9OZ                                                          EA
119429       3807              BAG OST CPLK STD 1.5IN 2 PC                                                           BX
119426       3554              BAG OST KR 5 MN FLTR CLS END                                                          BX
110753       9766              BAG OST PCHKN 2IN 2 PC DRN CTF                                                        BX
107749       18004             BAG OSTOMY 2-3/4 CLEAR                                                                BX
101924       49-98             BAG SPECIMEN 6X9 ZIP-CLOSE 100                                                        PK
102070       841-16-PDJ        BAND ID ADULT/PED RED                                                                 BX
123738       1950033           BANDAGE BUTTERFLY CLOS ADH MED                                                        BX
123663       3616BX            BANDAGE BUTTERFLY CLOSURE LGE                                                         BX
100536       502LF             BANDAGE ELASTIC LATEX FREE                                                            BX
100534       506LF             BANDAGE ELASTIC LATEX FREE                                                            BX
123454       503LF             BANDAGE ELASTIC LATEX FREE 3"                                                         BX
123455       504LF             BANDAGE ELASTIC LATEX FREE 4"                                                         BX
101952       NON25501          BANDAGE SPOT 7/8 IN                                                                   BX
100424       9797565           BANDAIDS SHEER 3/4X4IN                                                                BX
123254       86036             BARDEX DRAIN (MALECOT) 36 FR                                                          EA
107748       14203             BARRIER SKIN FLANGE 3-1/4IN                                                           BX
101932       H300-10           BASIN EMESIS 8.5 IN ROSE                                                              EA
101920       H362-10           BASIN WASH 7.4QT RECTANGLE 1/E                                                        EA
101933       H990-10           BATH SITZ W/H2O BAG 2000ML                                                            EA
101926       H111-10           BEDPAN COMMODE ROSE                                                                   EA
101936       H100-10           BEDPAN FRACTURE ROSE W/HANDLE                                                         EA
101929       H120-10           BEDPAN PONTOON 2 QT ROSE                                                              EA
102231       TGBB              BELT BUTTON HOLE                                                                      EA
123852       1096697           BETADINE SWAB STICK                                                                   PK
100645       7350              BINDER FLEXITONE DUO 26-64                                                            BX
100644       7364              BINDER FLEXITONE DUO 48-64                                                            BX
123399       3152              BIO-PATCH ANTI-MICROBIAL DR                                                           BX
100214       371210            BLADE #10 STAIN STEEL STER                                                            BX
100213       371215            BLADE #15 STAIN STEEL STER                                                            BX

                                    Please Fax Completed Order to CSS Distribution 718-270-4206
                    Please direct all inquiries via email: CSSDistribution@downstate.edu or call directly ext.4009
 Central Sterile Supply / Distribution Order Form

  LAWSON        MANUF                     DESCRIPTION                                       QUANTITY REQUESTED         ISSUE UOM
100014       9670              BLADE CLIPPER SURG FIXED BLK                                                          EA
100257       371211            BLADE SCALPEL SZ 11 S S STER                                                          BX
100258       371220            BLADE SCALPEL SZ 20 S S S                                                             BX
123836       4-320             BLADE SURGICAL #20 SS STL                                                             EA
123272       SW-2001           BLANKET ADULT LARGE                                                                   EA
123485       DHP810            BLANKET HYPERTHERMIA 25X64                                                            EA
123704       10015414          BLOOD SET 15 DROP NON VENTED                                                          EA
101748       2231              BNDG STRETCH CONFORM 2IN X 4YD                                                        BX
101749       2232              BNDG STRETCH CONFORM 3IN X 4YD                                                        BX
101728       2236              BNDG STRETCH CONFORM 4IN X 4YD                                                        BX
101719       2238              BNDG STRETCH CONFORM 6INX4.5YD                                                        BX
100076       80002             BOGONS BABY BLUE STRIPE                                                               PK
100077       80001             BOGONS BABY PINK STRIPE                                                               PK
123486       1254B             BOOK STERILIZATION LOG                                                                EA
101935       2090              BOTTLE COLLECTION 3000ML 24HR                                                         EA
100376       456540            BOTTLE IRRIG PERINEAL 8OZ                                                             EA
102238       10-2008           BOTTLE PERINEAL 8OZ                                                                   EA
123702       8004              BOUFFANT CAPS                                                                         BX
123240       2791              BP DURA-CUFF ADL SZ XL                                                                BX
100571       17101             BREAST PUMP KIT HYG                                                                   EA
100570       17150             BREAST PUMP KIT HYG BPA FREE                                                          EA
100359       4457A             BRUSH SCRUB SURG PCMX                                                                 BX
123401       PG50-5056         CANISTER EXPRESS 3000CC                                                               EA
100280       484410            CANISTER SUCT SYS11 1200 CC                                                           EA
100282       424410            CANISTER SUCT SYS111 800 CC                                                           EA
123400       PG50-5054         CANNISTER 1200CC SOLIDIFIER                                                           EA
123336       44-2710           CANNULA CPAP INCA NEONATE 10FR                                                        EA
123337       44-2712           CANNULA CPAP INCA NEONATE 12FR                                                        EA
123335       44-2715           CANNULA CPAP INCA NEONATE 15FR                                                        EA
123334       44-2709           CANNULA CPAP INCA NEONATE 9FR                                                         EA
100410       44-2707           CANNULA O2 NASAL INF 7.5FR                                                            BX
123229       4DIC              CANNULA TRACH INNER DIC#4 10/B                                                        BX
105744       6DIC              CANNULA TRACH INNER DISP SZ 6                                                         BX
105745       8DIC              CANNULA TRACH INNER DISP SZ 8                                                         BX
113877       5C4212P           CAP DLYS PRTNL DSCNCT                                                                 EA
102043       4241              CAP OR W/FAB GRN                                                                      BX
123223       R2000B            CAP SYRINGE LUER RED                                                                  BX
123804       SCV11CADME        CARDIAC CATH (CADMD)111                                                               EA
123397       10118             CASSETTE STERILIZ STERRAD 200                                                         CA
109746       7369              CAST GRN 5YDX5IN SPCLST PLSTR                                                         DZ
123458       9052              CAST PADDING SOF-ROL 2"X4YD                                                           BX
123463       9033              CAST PADDING SOF-ROL 3"X4YD                                                           BX
123457       9034              CAST PADDING SOF-ROL 4"X4YD                                                           BX
123462       7362              CAST PLASTER SPECIALIST X-FST                                                         BX

                                    Please Fax Completed Order to CSS Distribution 718-270-4206
                    Please direct all inquiries via email: CSSDistribution@downstate.edu or call directly ext.4009
 Central Sterile Supply / Distribution Order Form

  LAWSON        MANUF                     DESCRIPTION                                       QUANTITY REQUESTED         ISSUE UOM
123392       82002B            CASTING FIBERGLASS BL 2INX4YD                                                         EA
123393       82003B            CASTING FIBERGLASS BL 3INX4YD                                                         EA
123394       82004B            CASTING FIBERGLASS BL 4INX4YD                                                         EA
123388       82001             CASTING FIBERGLASS WHT 1INX4YD                                                        CA
100308       7363              CASTING PLASTER XFAST 3IN                                                             BX
101772       36524             CATH SUCTION 5FR PED SAFE-T                                                           EA
101705       35402             CATH 14FR W/RAPPED GLOVE VINYL                                                        EA
123296       56300             CATH ACCUTRACE INTRAUTERINE PR                                                        BX
121116       006896            CATH ANGIO ANG PGTL 145 6FR                                                           PK
100118       AK-04510          CATH ARTERIAL KIT 20G X 5 IN                                                          EA
123323       FA04020           CATH ARTERIAL RADIAL SET 20G                                                          EA
123487       FA-04018          CATH ARTERIAL SET 18GX4 1/4                                                           EA
123488       IAB-05840-U       CATH BALLOON KIT 40CC 8FR 6IN                                                         EA
100562       93600             CATH COLD INJECT SYS CO-SET                                                           EA
123644       AK-25703          CATH CVC KIT 3 LUMEN 7FR 20CM                                                         EA
123489       8888257527        CATH DELEE & TRAP                                                                     EA
101718       8888568006        CATH DRAIN PARACENTES 8FRX12CM                                                        EA
116453       INS-4500          CATH DRN 35CM 2.9MM 1.6MM LG                                                          EA
123497       0100L18           CATH FOLEY 18FR 30CC COUDE                                                            EA
123499       0100L20           CATH FOLEY 20FR 30CC COUDE                                                            EA
123503       0168L24           CATH FOLEY 24FR 5CC 2WAY                                                              EA
123707       0167SI26          CATH FOLEY 26FR LATEX 3 WAY                                                           EA
105226       0167SI16          CATH FOLEY 3WAY 16FR 30CC                                                             EA
105227       0167SI18          CATH FOLEY 3WAY 18FR 30CC                                                             EA
105228       167SI20           CATH FOLEY 3WAY 20FR 30CC                                                             EA
105229       0167SI22          CATH FOLEY 3WAY 22FR 30CC                                                             EA
123714       0168SI14          CATH FOLEY COUDE 14FR 2 WAY                                                           EA
105236       0168SI16          CATH FOLEY COUDE LUB 16FR                                                             EA
105237       0168SI18          CATH FOLEY COUDE LUB 18FR                                                             EA
105238       0168SI20          CATH FOLEY COUDE LUB 20FR                                                             EA
105239       0168SI22          CATH FOLEY COUDE LUB 22FR                                                             EA
105240       0168SI24          CATH FOLEY COUDE LUB 24FR                                                             EA
123831       165808            CATH FOLEY PED ALL SILICONE                                                           EA
100324       900018A           CATH FOLEY TRAY 18F W/IC                                                              PK
123508       8887605163        CATH FOLY SILICON 5CC 16FR                                                            CT
123724       CS-12122-F        CATH HEMODIALYSIS 12FRX16                                                             EA
123509       N701              CATH HOLDER UMBILICAL NEO SML                                                         CA
105242       0165SI10          CATH IC FOLEY LATEX 10FR 5CC                                                          EA
105244       0165SI12          CATH IC FOLEY LATEX 12FR 5CC                                                          EA
105245       0166SI14          CATH IC FOLEY LATEX 14FR 30CC                                                         EA
105246       0165SI14          CATH IC FOLEY LATEX 14FR 5CC                                                          EA
105247       0166SI16          CATH IC FOLEY LATEX 16FR 30CC                                                         EA
105248       0165SI16          CATH IC FOLEY LATEX 16FR 5CC                                                          EA
105250       0165SI18          CATH IC FOLEY LATEX 18FR 5CC                                                          EA

                                    Please Fax Completed Order to CSS Distribution 718-270-4206
                    Please direct all inquiries via email: CSSDistribution@downstate.edu or call directly ext.4009
 Central Sterile Supply / Distribution Order Form

  LAWSON        MANUF                     DESCRIPTION                                       QUANTITY REQUESTED         ISSUE UOM
105249       0166SI18          CATH IC FOLEY LATEX 18R 30CC                                                          EA
105252       0165SI20          CATH IC FOLEY LATEX 20FR 5CC                                                          EA
105253       0166SI22          CATH IC FOLEY LATEX 22FR 30CC                                                         EA
105254       0165SI22          CATH IC FOLEY LATEX 22FR 5CC                                                          EA
105255       0166SI24          CATH IC FOLEY LATEX 24FR 30CC                                                         EA
105256       0165SI24          CATH IC FOLEY LATEX 24FR 5CC                                                          EA
105257       0166SI26          CATH IC FOLEY LATEX 26FR 30CC                                                         EA
105258       0165SI26          CATH IC FOLEY LATEX 26FR 5CC                                                          EA
105259       0166SI28          CATH IC FOLEY LATEX 28FR 30CC                                                         EA
105261       0166SI30          CATH IC FOLEY LATEX 30FR 30CC                                                         EA
105241       0165SI08          CATH IC FOLEY LATEX 8FR 5CC                                                           EA
114018       306501            CATH IV 18GA 1.25IN PCTV++                                                            EA
114020       306001            CATH IV 22GA 1IN RADOPQ SFSHLD                                                        BX
123329       335304            CATH IV ACUVANCE 24G X 5/8IN                                                          BX
123330       306801            CATH IV PROTECT PLUS 14GX1.25                                                         BX
123331       306201            CATH IV PROTECT PLUS 16GX1.25                                                         EA
102131       3065              CATH IV PROTECTIVE 18G X 1.25                                                         EA
102122       306601            CATH IV PROTECTIVE 20G X 1.25                                                         BX
102121       306001            CATH IV PROTECTIVE 22G X 1.5                                                          BX
102137       306301            CATH IV PROTECTIVE 24G X .25                                                          BX
123318       AK-16553          CATH KIT TRIPLE LUMEN PED BL                                                          EA
100339       86028             CATH MALECOT 28FR LTX ST                                                              EA
100340       86030             CATH MALECOT 30FR LTX ST                                                              EA
100341       86032             CATH MALECOT 32FR LTX ST                                                              EA
105267       086034            CATH MALECOT 34FR                                                                     EA
123289       86040             CATH MALECOT 40FR STER                                                                EA
123453       8888160333        CATH POLY UMBIL 3.5F URETHANE                                                         EA
123511       1261.20           CATH PREMI 1FR INTRODUCERSTL                                                          BX
100119       RA-04020          CATH RADIAL ART 20G X 1.75 IN                                                         EA
105270       056112            CATH RED URETHAL TIP 12FR                                                             EA
105272       056116            CATH RED URETHAL TIP 16FR                                                             EA
105273       056118            CATH RED URETHAL TIP 18FR                                                             EA
105274       056120            CATH RED URETHAL TIP 20FR                                                             EA
105275       056122            CATH RED URETHAL TIP 22FR                                                             EA
105278       056128            CATH RED URETHAL TIP 28FR                                                             EA
105279       056130            CATH RED URETHAL TIP 30FR                                                             EA
100336       0561 10           CATH ROBIN RED LTX ST 10FR                                                            EA
114024       35802             CATH SCT 18FR CNTRL VLV 2 GLV                                                         EA
100337       0561 14           CATH STRAIT STER LTX 14FR                                                             EA
105280       008154P           CATH TEMP PACING ELECTRODE                                                            EA
123419       884-730300        CATH TEXAS INDIVID PKG W/1"STR                                                        EA
107702       831HF75P          CATH THERMODIL SWAN-GANZ 7.5F                                                         EA
107703       931HF75           CATH THERMODIL SWAN-GANZ 7.5F                                                         EA
123822       1245-24           CATH THORACIC 24FR R ANGLE STL                                                        EA

                                    Please Fax Completed Order to CSS Distribution 718-270-4206
                    Please direct all inquiries via email: CSSDistribution@downstate.edu or call directly ext.4009
 Central Sterile Supply / Distribution Order Form

  LAWSON        MANUF                     DESCRIPTION                                       QUANTITY REQUESTED         ISSUE UOM
123821       1245-32           CATH THORACIC 32FR R ANGLE STL                                                        EA
123376       8128              CATH THORACIC RT ANG 28FR                                                             EA
123820       DRAC-36S          CATH THORACIC RT ANG 36FR 21IN                                                        EA
123513       8888570523        CATH THORACIC ST 20FR X 6.7MM                                                         EA
123514       8888570556        CATH THORACIC ST 32FR X10.7MM                                                         EA
101818       22556             CATH TRACH CARE 16F WET PACK                                                          EA
123515       7717305           CATH TRAY 3FR GROSHONG SGL                                                            EA
123516       7617405           CATH TRAY 4FR GROSHONG SGL                                                            EA
123517       G04235            CATH TRAY DBL LUMEN CENTRAL                                                           EA
123320       ASK-45703-        CATH TRIPLE LUMEN W/RAULERSONA                                                        EA
             PSUN
123518       8888561019        CATH TROCAR 10FR 9"L                                                                  EA
123519       8888561027        CATH TROCAR 12FR 9"L                                                                  EA
123520       8888560805        CATH TROCAR 8FR 9"L                                                                   EA
100413       316               CATH TUBE HOLDER LEG                                                                  EA
101756       8888160341        CATH UMBILICAL POLY 5FR                                                               EA
105284       055014            CATH URETHAL WHISTLE TIP 14FR                                                         EA
105285       055016            CATH URETHAL WHISTLE TIP 16FR                                                         EA
105286       055018            CATH URETHAL WHISTLE TIP 18FR                                                         EA
105287       055020            CATH URETHAL WHISTLE TIP 20FR                                                         EA
105288       055022            CATH URETHAL WHISTLE TIP 22FR                                                         EA
105289       055024            CATH URETHAL WHISTLE TIP 24FR                                                         EA
105281       055008            CATH URETHAL WHISTLE TIP 8FR                                                          EA
100325       772414            CATH URETHRAL STR TRAY 14F                                                            EA
123317       AK-15402          CATHETER DOUBLE LUMEN 4FRX8CM                                                         EA
123286       900016A           CATHETER FOLEY TRAY 16FR W/ IC                                                        EA
123327       RA04122           CATHETER RADIAL ARTERY 18GA                                                           EA
123328       AK09817S          CATHETER RADIAL ARTERY 22G                                                            EA
123326       RA04018           CATHETER SET RADIAL ARTERY                                                            EA
100564       260449            CHLORAPREP APPLICATOR .67M                                                            BX
100565       260299            CHLORAPREPAPPLICATOR 1.5ML                                                            BX
119202       5C4527            CLAMP DLYS SHRT NOSE OTLT PORT                                                        CA
107740       8770              CLAMP POUCH DRAIN BEIGE                                                               BX
101972       776416            CLEANER ENZYME METRISPONGE                                                            BX
101761       2057              CLEANER MED CURITY                                                                    BX
123521       10-870-00         CLINIC DROPPER STL IND WRAP                                                           PK
102113       9705              CLOTH PREP W/2% CHG                                                                   BX
101913       EASYCAP II        CO2 DETECTOR END-TIDAL                                                                EA
100637       9821              COLLECTOR FECAL INCONTINENCE                                                          BX
114150       5C4215P           CONNECTOR DLYS PRTNL SHLD STRL                                                        EA
123522       50508000          CONNECTOR ST 1/2IN STERI                                                              CA
107744       8888270207        CONNECTOR TBG SIMS 3/16 X 7/16                                                        CA
107745       8888271007        CONNECTOR TBG SUCT STR3/16IN                                                          CA
116705       EC2130S           CONNECTOR Y STRAIGHT 3/8 IN                                                           EA

                                    Please Fax Completed Order to CSS Distribution 718-270-4206
                    Please direct all inquiries via email: CSSDistribution@downstate.edu or call directly ext.4009
 Central Sterile Supply / Distribution Order Form

  LAWSON        MANUF                     DESCRIPTION         QUANTITY REQUESTED                                       ISSUE UOM
101793       2300SA            CONT SPECIMAN 5OZ STR                                                                 EA
101707       17000             CONT SPECIMEN 4.5 OZ STER W/SC                                                        EA
101740       8985              CONTAINER CHEMO SHARPS YELLOW                                                         EA
101967       300112            CONTAINER TRANS STOOL LV-PVA                                                          PK
111660       7527              CONTAINER UBG 100ML 24 HR POR                                                         EA
111661       7537              CONTAINER UBG 100ML 24HR POR                                                          EA
111662       7533              CONTAINER UBG 200ML 24 HR POR                                                         EA
111663       7523              CONTAINER UBG 200ML 24HR POR                                                          EA
114170       7525              CONTAINER UBG NS 100ML POR                                                            EA
111664       7535              CONTAINER UBG STRL 100ML POR                                                          EA
107394       70550-01          CONTROL PRECISION HI LO SOLN                                                          EA
107759       40546             COUPLER EAR ALGO PAK                                                                  EA
101823       69571             COVER SHOE FULL HI-GUARD REG                                                          BX
101822       89601             COVER,MAYO STND REINF 23X54                                                           CA
123829       SE1220            COVERS SELF SEAL DUST PROTECT                                                         EA
123525       5-10316           CUFF 8.0MM STD MURPHY                                                                 CT
123236       2774              CUFF ADULT B.P. DBL                                                                   BX
123661       002779            CUFF BLD PRESS ADULT DBL NYL                                                          BX
123659       002780            CUFF BLD PRESS CHILD SGL NYL                                                          BX
123526       2644              CUFF BP SOFT-CUF LG ADL LNG                                                           BX
123408       5102              CUFF DISP NEO-NATE BLD PRES-1                                                         BX
100567       5103              CUFF NEONATE BP DISP STER SZ3                                                         BX
123417       5104              CUFF NEO-NATE DISP BP 1-TUBE                                                          BX
101956       DYND80000         CUP MED PLASTIC 1 OZ                                                                  SL
100122       VAC-6000S         CUP PRO-VACCUUM EXTRACTION                                                            EA
101893       SCC 050           CUP SOUFFLE PAPER 0.5OZ                                                               SL
100123       VAC-6000M         CUP VACUUM DELY SYSTEM                                                                CA
123842       4312              DEPRESSOR TONGUE 6 INCH NON                                                           BX
100555       4314              DEPRESSOR TONGUE 6IN STER                                                             PK
101904       PEDICAP 6         DETECTOR ETCO2 PED                                                                    EA
123528       5105              DISP BLOOD PRESSURE CUFF                                                              EA
102488       52400             DISPENSER OTOSCOPE SPECULA                                                            BG
105292       0918010           DRAIN PENROSE 18 X 1/4 IN                                                             BX
105290       0918070           DRAIN PENROSE 18 X 1IN                                                                BX
123529       0912010           DRAIN X-RAY PENROSE OPAQ 12"                                                          EA
123530       0912030           DRAIN X-RAY PENROSE OPAQ 12"                                                          EA
123531       0912050           DRAIN X-RAY PENROSE OPAQ 12"                                                          EA
123271       S110008LF         DRAINAGE CHEST SYSTEM L/F                                                             EA
123533       D1020             DRAPE APERATURE SML SURGICAL                                                          BX
123534       07-CA104          DRAPE C-ARM 42X72                                                                     EA
123535       89101             DRAPE HALF 60X44                                                                      EA
101821       89121             DRAPE LARGE 60X76                                                                     CA
123782       STK0225           DRAPE SURG STOCKINETTE 25X2IN                                                         CA
123783       STK1325           DRAPE SURG STOCKINETTE 25X3IN                                                         CA

                                    Please Fax Completed Order to CSS Distribution 718-270-4206
                    Please direct all inquiries via email: CSSDistribution@downstate.edu or call directly ext.4009
 Central Sterile Supply / Distribution Order Form

  LAWSON        MANUF                     DESCRIPTION                                       QUANTITY REQUESTED         ISSUE UOM
123784       STK1425           DRAPE SURG STOCKINETTE 25X4IN                                                         EA
123536       89241             DRAPE SURGICAL REINF TUBE                                                             CA
123798       6358DRP1001       DRAPE TOWEL 18X26 WHT STL                                                             BX
100556       IMC-4410          DRAPE TOWEL ST NON-FEN PLAIN                                                          BX
101824       89131             DRAPE X LARGE 76X100                                                                  CA
107733       5111              DRESSING ADHESIVE SURG 4X8IN                                                          BX
101724       5112              DRESSING PAD TELFA 4 X 6                                                              PK
123671       8884-433301       DRESSING PETRO XEROFORM 1 X 8                                                         BX
101881       89221             DRP LAP W/ARMS FEN 120INX104IN                                                        EA
123407       66000321          DSG ABSORBENT 11.75X4                                                                 BX
123406       66000318          DSG ABSORBENT PRIMAPORE 6 X 3                                                         BX
100535       5590              DSG CELLULOSE COMBINE 5X9IN                                                           BX
100386       403326            DSG DUODERM SIGNAL 4 X 4                                                              BX
101753       8884423600        DSG GAUZE PETROLATUM 3 X 9                                                            BX
101752       8884421600        DSG GAUZE PETROLATUM 5 X 72                                                           BX
123832       66000714          DSG OPSITE POST-OP 10X4IN                                                             BX
101741       1238              DSG PAD TELFA 8 X 3                                                                   BX
101754       8884433605        DSG PETROLATUM 5 X 9                                                                  BX
123834       8884425600        DSG PETROLATUM GAUZE 3X36IN                                                           EA
123853       8884427601        DSG PETROLATUM GAUZE S 1X8IN                                                          EA
100552       30116             DSG STOCKINETTE 6INX25YDS                                                             RL
100043       B1551             DSG STR CLOS SKIN TON 1/4X3                                                           BX
100042       R1547             DSG STRIP STERI 1/2 X 4 IN                                                            BX
100041       R1541             DSG STRIP STERI 1/4 IN X 3 IN                                                         BX
123390       R1542             DSG STRIP STERI 1/4 X 1/2 IN                                                          BX
123396       R1546             DSG STRIP STERI 1/4 X 4 IN                                                            BX
123395       R1540             DSG STRIP STERI 1/8 X 3 IN                                                            BX
111991       1169              DSG TELFA NON-ADH 3X6 STER                                                            BX
123304       1050              DSG TELFA PAD 4X3" STERILE                                                            EA
100007       1622W             DSG TRANS TEGADERM 1.5 X 1.5                                                          BX
100000       1624W             DSG TRANS TEGADERM 2 3/8X 2.75                                                        BX
100002       1626W             DSG TRANS TEGADERM 4 X 4.75                                                           BX
100024       1628              DSG TRANS TEGADERM 6 X 8                                                              PK
100020       1629              DSG TRANS TEGADERM 8 X 12 IN                                                          BX
123857       58079             DSG TUBEGAUZE ELAS SZ 7                                                               RL
123856       58079             DSG TUBEGAUZE ELAS SZ 9                                                               RL
123238       E-2770            DURA-CUFF ADL 23-33CM 1 TUBE                                                          BX
123239       2790              DURA-CUFF ADL LG 1-TUBE                                                               BX
123297       7868              EKG PAPER Z FOLD FOR 350 UNIT                                                         CA
102251       E7507             ELECTRODE ADL REM LATEX FREE                                                          EA
123382       47029             ELECTRODE CARDIOSENSE ULTRA                                                           BX
123802       9803137631        ELECTRODE FETAL SCALP SGL                                                             CA
123385       4800S             ELECTRODE KLEAR TRACE                                                                 EA
100378       1700-003          ELECTRODE MONITORING TAB GEL                                                          BX

                                    Please Fax Completed Order to CSS Distribution 718-270-4206
                    Please direct all inquiries via email: CSSDistribution@downstate.edu or call directly ext.4009
 Central Sterile Supply / Distribution Order Form

  LAWSON        MANUF                     DESCRIPTION                                       QUANTITY REQUESTED         ISSUE UOM
123538       1620-003          ELECTRODE PED TRANSPARNT TAPE                                                         PK
123386       4810S             ELECTRODE PEDIATRIC                                                                   EA
116883       E2515H            ELTRD ESURG 15FT PNCL HNDSWH                                                          CA
123851       1295716           EMOLLIENT VITAMINS A&D 5GM UNG                                                        EA
123540       2841              EYE PAD STL 1 7/8 X 2 3/4                                                             BX
123404       70-8771           EYE PADS OVAL 1-5/8X2-5/8                                                             BX
123845       158100            FACE MASK INF UNSCENTED CLEAR                                                         BX
123629       260604            FEEDING TUBE ARGYLE 8FRX16IN                                                          EA
123370       US751             FILTER ROUND W/INDICATOR 7.5IN                                                        CA
123819       62486             FILTERLINE HEAD SET INFANT NEO                                                        EA
123542       8887630187        FOLY CATH SLCON 30CC 18FR                                                             EA
123706       8887630203        FOLY CATH SLCON 30CC 20FR                                                             EA
123544       8887605148        FOLY CATH SLCON 5CC 14FR                                                              EA
123545       8887605189        FOLY CATH SLCON 5CC 18FR                                                              EA
123546       8887605205        FOLY CATH SLCON 5CC 20FR                                                              EA
123547       8887605221        FOLY CATH SLCON 5CC 22FR                                                              EA
123548       8887605247        FOLY CATH SLCON 5CC 24FR                                                              EA
123398       32-121            GAUZE 4 X 8 12PLY N/S                                                                 CA
123306       8884-412600       GAUZE VASELINE STERILE 1X36"                                                          BX
123307       8884-424600       GAUZE VASELINE OVERWRAP 3X18"                                                         EA
101775       8884-417601       GAUZE VASELINE STL 1 X 8 IN                                                           PK
101957       CRR101080         GEL SPRAY CARRASYN 8OZ.                                                               EA
101955       MDS092005         GEL ULTRASOUND TRANSMISION 8.5                                                        EA
102047       30475             GLOVE BIOGEL SURG PF SZ 7.5                                                           BX
102049       30485             GLOVE BIOGEL SURG PF SZ 8 1/2                                                         BX
123356       30490             GLOVE BIOGEL SURG PF SZ 9.0                                                           BX
123619       55088             GLOVE EXAM LG STERLING NITRILE                                                        EA
101851       55087             GLOVE EXAM MD STERLING NITRILE                                                        EA
123620       55086             GLOVE EXAM SM STERLING NITRILE                                                        BX
123347       2D72NS60          GLOVE PROTEGR SMT PF SZ 6                                                             BX
100356       2D72NS65          GLOVE PROTEGR SMT PF SZ 6.5                                                           BX
100357       2D72NS70          GLOVE PROTEGR SMT PF SZ 7                                                             BX
100352       2D72NS75          GLOVE PROTEGR SMT PF SZ 7.5                                                           BX
100360       2D72NS80          GLOVE PROTEGR SMT PF SZ 8                                                             BX
123360       2D72NS85          GLOVE PROTEGR SMT PF SZ 8.5                                                           BX
123737       376070            GLOVE SURG 7 STRL EDRMC PF                                                            BX
123801       MSG2060           GLOVE SURG EUDERMIC PF SZ 6.0                                                         BX
123353       376075            GLOVE SURG EUDERMIC PF SZ 7.5                                                         BX
123354       376080            GLOVE SURG EUDERMIC PF SZ 8.0                                                         BX
123355       376085            GLOVE SURG EUDERMIC PF SZ 8.5                                                         BX
123800       MSG2065           GLOVE SURG EUDERMIC PF SZ6.5                                                          BX
123550       MDS108075         GLOVE SURG PF SZ 7.5 TRIUMPH                                                          BX
123551       MSG1075           GLOVE SURG SENSICARE SZ 7.5                                                           CA
123552       MSG1070           GLOVE SURG SENSICARE P/F SZ 7                                                         CA

                                    Please Fax Completed Order to CSS Distribution 718-270-4206
                    Please direct all inquiries via email: CSSDistribution@downstate.edu or call directly ext.4009
 Central Sterile Supply / Distribution Order Form

  LAWSON        MANUF                     DESCRIPTION                                       QUANTITY REQUESTED         ISSUE UOM
101960       MDS104060         GLOVE SURG STER LTX PWD SZ 6                                                          BX
101953       MDS104065         GLOVE SURG STER LTX PWD SZ 6.5                                                        BX
101950       MDS104070         GLOVE SURG STER LTX PWD SZ 7                                                          BX
101951       MDS104075         GLOVE SURG STER LTX PWD SZ 7.5                                                        BX
101954       MDS104080         GLOVE SURG STER LTX PWD SZ 8                                                          BX
101959       MDS104085         GLOVE SURG STER LTX PWD SZ 8.5                                                        BX
123854       MSG1065           GLOVE SURGICAL 6.5 SENSICARE                                                          BX
123357       377065            GLOVE SURGICAL PF NL 6.5 SENSI                                                        BX
123349       377080            GLOVE SURGICAL PF NL 8.0 SENSI                                                        BX
123350       377085            GLOVE SURGICAL PF NL 8.5 SENSI                                                        BX
101814       95111             GOWN IMPERVIOUS LARGE W/TOWEL                                                         EA
100528       301BL             GOWN ISOLATION BLUE                                                                   BG
101949       NONLV350XL        GOWN ISOLATION WHITE XL                                                               EA
101808       95211             GOWN SMS LARGE W/TOWEL                                                                CA
101812       95221             GOWN SMS X LARGE W/TOWEL                                                              CA
116956       39049             GOWN SRG XL XLNG IMPRV BRTHBL                                                         CA
101887       95231             GOWN XXLG. SURGICAL SMS                                                               CA
101927       H970-00           GRADUATE TRIANGLE PLASTIC 100                                                         EA
123815       13060             HEAVY DUTY SLING                                                                      BX
100449       M190FF-24         HEEL PROTECTOR FOAM                                                                   EA
123628       56225             HEMOSTAT KELLY CURVED NICKEL                                                          BX
123835       56224             HEMOSTAT MOSQUITO CURV NICKEL                                                         BX
123554       H84102401         HOLDER TRACHEOSTOMY TUBE BLU                                                          EA
123333       42-2540           HOLDER TUBE NEONATAL GRIP PLAS                                                        EA
123840       4734              HOLDERPOSEY LIMB CHILD FOAM                                                           BX
123270       4242              HOOD SURG BARRIER BLU                                                                 BX
123555       876               HYPERTHERMIA BLANKET ADL                                                              CT
123232       841-13-PDJ-1      ID BANDS ADL PRE-DYN CARD-BLU                                                         BX
123556       MI00850           IMMOBILIZER BABY B 6203                                                               CT
100460       79-84347          IMMOBILIZER SHOULD ECON LG                                                            EA
100459       79-84345          IMMOBILIZER SHOULD ECON MED                                                           EA
100458       79-84343          IMMOBILIZER SHOULD ECON SM                                                            EA
123557       5101              INFANT BLOOD PRESSURE CUFF                                                            BX
123722       684-00-0479-      INTRA-AORTIC CATH 7.5 FR 34CC                                                         EA
             01
123715       0684-00-0480-     INTRA-AORTIC CATH 7.5 FR. 40CC                                                        EA
             02
100242       406999            INTRO CATH SPINAL DISP STL                                                            BX
123560       7371.19           INTRODUCER MICROFLASH 2FR STL                                                         BX
123456       68806             IV PREP START KIT                                                                     EA
100127       340-4126          IV PUMP SET EPIDURAL NON VENT                                                         CA
100129       340-4114          IV PUMP SET MICROBOR NON VENT                                                         CA
107708       INSHITH           KIT ACCESS CRANIAL 5.31MM BIT                                                         EA
114511       2C6714            KIT ADM 10 GTT 170-260UM 100IN                                                        EA
123319       AK-26702          KIT CATH BL FLEXTIP ARROWGARD                                                         EA
                                    Please Fax Completed Order to CSS Distribution 718-270-4206
                    Please direct all inquiries via email: CSSDistribution@downstate.edu or call directly ext.4009
 Central Sterile Supply / Distribution Order Form

  LAWSON        MANUF                       DESCRIPTION                                     QUANTITY REQUESTED         ISSUE UOM
101722       34602             KIT CATHETER SUCTION 6FR PED                                                          EA
101715       34802             KIT CATHETER SUCTION 8FR PED                                                          EA
112367       145617            KIT DCHE SMLS VAG PE FLPTP BG                                                         EA
123316       AK-01500          KIT DRAIN PNEUMOTHORAX TRAY                                                           EA
101921       69189             KIT DRESSING CENTRAL LINE                                                             EA
101714       4090SA            KIT MIDSTREAM URINE COLL. KIT                                                         EA
119428       7721              KIT OST IRR 1 STMA CONE CONN                                                          BX
114514       AK-14402          KIT PED 5 1/8IN 4FR .018IN 2                                                          EA
101751       CT4004            KIT SPILL CHEMOTHERAPY                                                                EA
123563       2650SA            KIT SPUTUM COLLECTION                                                                 EA
112397       4043-2            KIT SYR LRDTC ABG 3ML DISP DRY                                                        EA
123315       AK-01000-T        KIT THORACENTESIS TEFLON                                                              EA
101833       22012356          KIT TRACH CARE WET PACK SWIVEL                                                        EA
101832       22056             KIT TRACH CARE WET PACK T-PIEC                                                        EA
123564       42590-05          KIT TRANSPAC IV TRIFURCATED                                                           EA
123632       1257W             LABEL WHITE LOAD 5/8 X 1 1/8                                                          RL
100217       368101            LANCET QUIKHEEL INFANT 1.0MM                                                          BX
100216       368100            LANCET QUIKHEEL PREEMIE 0.85MM                                                        BX
102143       1020              LANCET SAFETY LOW FLOW 25G                                                            BX
102141       1025              LANCET SAFETY MICRO FLOW 28G                                                          BX
123344       EMARMATTE1        LASER BAND W/LABEL MATTE WHTE                                                         EA
123710       50108             LEG/ARM STRAP SET (SET OF 4)                                                          EA
123227       89408             LEGGING STERILE 31X48 W 6IN/CU                                                        BX
100524       HL02              LOTION HAND W/DISPENSER CAP                                                           EA
123565       4302C             LUMBAR PUNCTURE PED 22GX1.5                                                           CA
123566       4301C             LUMBAR PUNCTURETRAYADL 20G                                                            BX
123567       8881230935        M230 SENSI-TCH 19X3-1/2                                                               BX
123568       8881230034        M230 SENSI-TCH 20X3-1/2                                                               BX
123569       8881230216        M230 SENSI-TCH 22X1-1/2                                                               BX
123570       8881230232        M230 SENSI-TCH 22X3-1/2                                                               BX
123571       8881230539        M230 SENSI-TCH 25X3-1/2                                                               BX
100434       26-003            MARKER SKIN STD TIP W/LABEL                                                           BX
123847       ?001206           MASK AEROSOL ADULT DISP                                                               EA
123848       1220              MASK FACE TENT DISP                                                                   EA
123843       1203              MASK OXYGEN ADT HI-CON N/REBR                                                         EA
101830       46827             MASK RESPIRATOR L/F PFR SMALL                                                         BX
101891       46727             MASK RESPIRTOR MED PFR95                                                              EA
101810       48207             MASK SURG FLUID RESIST PLEATED                                                        BX
101829       48297             MASK SURG FLUID RESIST PLEATED                                                        BX
101809       48247             MASK SURG FLUID RESIST W/VISOR                                                        BX
123572       48296             MASK SURG PLEATED FILTRATION                                                          BX
105566       259789            MEDIA BOT CULT BACT/ALERT AERO                                                        CA
105567       259790            MEDIA BOT CULT BACT/ALERT SN                                                          CA
103476       Y-318             MEDIA CONT OMNIPAQUE 150ML/BT                                                         BX

                                    Please Fax Completed Order to CSS Distribution 718-270-4206
                    Please direct all inquiries via email: CSSDistribution@downstate.edu or call directly ext.4009
 Central Sterile Supply / Distribution Order Form

  LAWSON        MANUF                     DESCRIPTION         QUANTITY REQUESTED                                       ISSUE UOM
107756       365974            MICROTAINER W/MICROGUARD                                                              BX
107755       365963            MICROTAINER WITH HEPARIN                                                              EA
100375       413               MOUTHRINSE BEFRESH 4OZ BLUE                                                           EA
123699       695               N-95 PARTICULATE RESPIRATOR MA                                                        EA
123818       100/105/055       NASAL ENDOTRACHEAL TUBES 5.5MM                                                        BX
100361       2N2702X           NDL BIOPSY 14G X 4.50 IN                                                              EA
100362       2N2704X           NDL BIOPSY TRU CUT 14GX 6 IN                                                          EA
123574       900013B01         NDL GUIDE KIT 21G                                                                     BX
123575       8881225121        NDL HOLDER BLOOD SHIELD DISP                                                          BX
123624       56230             NDL HOLDER WEBSTER 5IN STER                                                           EA
101755       8881850115        NDL HYPO SAFE 21G X 1-1/2 IN                                                          BX
123639       SN7015X           NDL JAMSHI BONE BIOPSY 15GX70                                                         EA
123641       SN7017X           NDL JAMSHI BONE BIOPSY 17GX70                                                         EA
123642       DJ4011X           NDL JAMSHI BONE MARROW 11GX4                                                          EA
123577       DJ6011X           NDL JAMSHI BONE MARROW 11GX6                                                          EA
101731       8881850015        NDL SAFETY 20GX1-1/2IN                                                                BX
101735       8881850915        NDL SAFETY 19GX1-1/2IN                                                                BX
101734       8881850215        NDL SAFETY 22GX1-1/2IN                                                                BX
101727       8881850310        NDL SAFETY 23GX1IN                                                                    BX
101721       8881850558        NDL SAFETY 25GX5/8IN                                                                  BX
123267       21-2765-24        NDL SAFETY GRIPPER 19GX1-1/4IN                                                        EA
123266       21-2764-24        NDL SAFETY GRIPPER 19GX1IN                                                            BX
123264       21-2762-24        NDL SAFETY GRIPPER 20GX1IN                                                            BX
123269       21-2869-24        NDL SAFETY Y-SITE 19GX1IN                                                             BX
123268       21-2868-24        NDL SAFETY Y-SITE 19GX3/4IN                                                           BX
123705       8881230026        NDL SPINAL 20GA X2 1/2IN DISP                                                         BX
123627       8881-220076       NDL SPINAL 220 22X1-1/2 D P                                                           BX
100225       405149            NDL SPINAL 22G X 7 IN                                                                 BX
123711       8881230224        NDL SPINAL 22GA X2 1/2IN STER                                                         BX
112470       8881220084        NDL SPNL 2.5IN 22FR DMD PT                                                            EA
112471       8881230836        NDL SPNL 3.5IN 18GA SHWD ANES                                                         BX
102125       4140              NDL VENIPUNCTURE NEEDLE PRO                                                           BG
123846       1882              NEBULIZER MICRO MIST TUBING                                                           EA
123672       8881216041        NEEDLE BLD VACUTAINER 21GX1.5                                                         BX
101706       8881850815        NEEDLE SAFETY MAGELLAN 18G X 1                                                        BX
123781       SH3300            NEEDLE SET HUBER 22GX1IN SMART                                                        EA
123579       1252.31           NUTRILINE 2FR                                                                         EA
123321       AO-09000          OBTURATOR HEMOSTASIS VALVE 8F                                                         EA
123580       121905            OROPHARYNGEAL AIRWAYS CODED                                                           PK
107752       3806              OSTOMY DRAIN POUCH 4"                                                                 BX
107741       7767              OSTOMY LOOP BRIDGES                                                                   BX
107751       3706              OSTOMY SKIN BARRIER 4"                                                                BX
101813       88161             PACK BASIC V EA                                                                       CA
100012       1233              PACK BOWIE-DICK TEST                                                                  CA

                                    Please Fax Completed Order to CSS Distribution 718-270-4206
                    Please direct all inquiries via email: CSSDistribution@downstate.edu or call directly ext.4009
 Central Sterile Supply / Distribution Order Form

  LAWSON        MANUF                     DESCRIPTION         QUANTITY REQUESTED                                       ISSUE UOM
100433       89-6246           PACK C-SECTION CUSTOM DMC001                                                          CA
101815       88241             PACK LAPARORTOMY IV                                                                   CA
100437       89-6247           PACK OB CUSTOM DMC001 3EA/CA                                                          CA
123301       7833              PACKING STRIP IODOFORM 1"                                                             EA
123300       7832              PACKING STRIP IODOFORM 1/2"X5Y                                                        EA
123299       7831              PACKING STRIP IODOFORM 1/4"X5Y                                                        BX
123302       7834              PACKING STRIP IODOFORM 2"X5YRD                                                        EA
100430       7632              PACKING STRIP PLAIN 1/2IN X                                                           RL
100429       7631              PACKING STRIP PLAIN 1/4IN X                                                           RL
100431       7633              PACKING STRIP PLAIN 1IN X )                                                           CA
100432       7634              PACKING STRIP PLAIN 2IN X                                                             BX
123581       2630              PAD CONTOUR BREAST                                                                    BX
102503       8900-4003         PAD DEFIB ADULT                                                                       CA
101716       2022              PAD MATERNITY STERILE SINGLE                                                          PK
102099       C69900            PAD PREP ALCOHOL LG STL                                                               BX
100288       14-3250-40        PAD WITCH HAZEL 40                                                                    EA
112491       9036              PADDING 4YDX6IN SNTH RYN SFRL                                                         EA
123583       6691              PAIL COMMODE W/COVER                                                                  EA
123584       7G30601440        PAPER CHART 2.450INX160FT                                                             BX
123585       7G30535085        PAPER CHART SIS 8.425INX330FT                                                         PD
123586       007868            PAPER ECG MULTICHANNEL                                                                PK
101720       30015682          PAPER ECG TELEM 1 CHAN 50MM                                                           BX
100344       7983              PAPER EKG                                                                             PK
102060       M1910A            PAPER RECORD FETAL ORN 150MM                                                          EA
123765       8000-0300         PAPER RECORDER 80MM FAN FOLD                                                          EA
107711       11000             PERCUSSOR NEONATAL PULMONARY                                                          EA
112511       9601              PERFORATOR 10IN AMNIO MEMBR                                                           BX
101925       H210-10           PITCHER WATER W/COVER 1 QT                                                            EA
100212       367341            PLASMA COLL W/PUSH BUTTON                                                             BX
100211       367344            PLASMA COLL W/PUSH BUTTON                                                             BX
100210       367342            PLASMA COLL W/PUSH BUTTON 23X                                                         BX
123464       7367              PLASTER BANDAGE SPECIALIST X-F                                                        BX
123465       7368              PLASTER BANDGE SPECIALIST X-FA                                                        BX
123343       A1650             PORT INFUS HEMOFILTRATION SET                                                         EA
123588       3604              POUCH CLSD 2X12IN TRANSPARENT                                                         BX
123416       18003             POUCH DRAINAGE 2-1/4                                                                  BX
123410       18132             POUCH LOCK-N-ROLL 1-3/4" GREEN                                                        BX
123415       3796              POUCH PEDS TRANSPARENT 1-/12                                                          BX
107734       655               POUCH SELF SEAL 5-1/4X10                                                              EA
107737       660               POUCH SELF SEAL 7 1/2X13                                                              BX
107735       520               POUCH STERILE S/SEAL 3.5 X 9                                                          BX
107736       525               POUCH STERILE S/SEAL 5.24 X 10                                                        BX
101836       71825             POUCH TELEMETRY                                                                       PK
107743       650               POUCH TYVEK SELF SEAL 3 1/2X9                                                         EA

                                    Please Fax Completed Order to CSS Distribution 718-270-4206
                    Please direct all inquiries via email: CSSDistribution@downstate.edu or call directly ext.4009
 Central Sterile Supply / Distribution Order Form

  LAWSON        MANUF                      DESCRIPTION        QUANTITY REQUESTED                                       ISSUE UOM
107750       18422             POUCH UROSTOMY 1-3/4" GREEN                                                           BX
123409       18423             POUCH UROSTOMY 9 2-1/4 FLANGE                                                         BX
100636       14204             POUCHES FLEXWEAR W/TAPE 70MM                                                          BX
100638       3778              POUCHES NEWBORN 7/8                                                                   BX
101930       545               POUCHSTERILIZE SELF-SEAL 7.5X1                                                        PK
123590       MU06933           PREMIE SKIN PROBE DISP                                                                BX
100348       8750              PREP PAD 24X44 9IN CUFF                                                               EA
107704       D98100H           PROBE PACE TRANSLUM 7MM                                                               EA
123759       6600-0196-700     PROBE SKIN TEMPERATURE DISP LA                                                        BX
123369       MU11228           PROBE THERMOMETER PREMIE SKIN                                                         BX
123813       NON27375          PROCEDURE MASK W/EAR LOOPS                                                            EA
123839       4645              PROTECTOR POSEY EYE PREEMIE                                                           BX
123841       4644              PROTECTOR POSEY EYE SM/PREEMIE                                                        BX
100025       5192              RECTAL THERM TEMPA-DOT                                                                BX
123591       680               REEL TYVEK 8IN 200 FEET                                                               CA
123592       42325-02          SAFESET KIT 10ML LINE                                                                 EA
100218       372610            SCALPEL SAFETY LOCK DISP SZ 10                                                        BX
100219       372611            SCALPEL SAFETY LOCK DISP SZ 11                                                        BX
100220       372615            SCALPEL SAFETY LOCK DISP SZ 15                                                        BX
100228       372620            SCALPEL SAFETY LOCK DISP SZ 20                                                        BX
123384       4452B             SCRUB BRUSH PVP IODINE 15ML                                                           BX
101900       MAXA              SENSOR SPO2 ADHES ADLT 18IN                                                           EA
101902       MAXI              SENSOR SPO2 ADHES INF 18IN                                                            EA
101901       MAXN              SENSOR SPO2 ADHES NEO 18IN                                                            EA
101906       MAXP              SENSOR SPO2 ADHES PED 18IN                                                            EA
107762       40587             SENSORS JELLY TAB                                                                     EA
105731       SH3007003         SERA DEFINED FBS 500ML                                                                EA
107720       20037E            SET 6.5 MINIDRIP                                                                      BX
115825       CS-04700          SET 8IN 14GA .032IN 1 LUM                                                             EA
115826       2C7565            SET ADM 17IN 150ML IV INTLNK                                                          EA
123858       20039E            SET ADM EXT NDL FR LL                                                                 EA
115827       5C4469            SET ADM HMCHC CYCLR 4 PR MNFLD                                                        EA
119198       5C4446            SET ADM PRTNL DLYS 5 PR MNFLD                                                         CA
123646       2N3346            SET ADMIN EXT H/F W/MALE LUER                                                         EA
123314       5C8302            SET ADMIN LOW RECIRCULATION W/                                                        CA
123647       5C4366            SET ADMIN ULTRA DSP DISC Y-SET                                                        CA
123649       2C8700            SET ADMIN. BLOOD Y TYPE INJ                                                           EA
123332       4000507           SET ADMINS DIALYNATE PED 150ML                                                        EA
107732       30914             SET EXTENSION LL                                                                      EA
107699       52048             SET FD EZFD PTRL PRATCH PMP BG                                                        EA
107698       52040             SET FD PRC PIN PMP TPFL PATROL                                                        EA
123630       2C5643            SET IV EXTENSION 15IN LL/SLIP                                                         EA
123374       70500             SET PLASMA EXCHANGE                                                                   EA
113153       4323A             SET PRC 3.5IN 18GA SF-T-MYELO                                                         EA

                                    Please Fax Completed Order to CSS Distribution 718-270-4206
                    Please direct all inquiries via email: CSSDistribution@downstate.edu or call directly ext.4009
 Central Sterile Supply / Distribution Order Form

  LAWSON        MANUF                      DESCRIPTION                                      QUANTITY REQUESTED         ISSUE UOM
115836       5C4483            SET TRNSF XSH 4IN DLYS XTD                                                            EA
100523       MS02              SHAMPOO / BODY BATH 2OZ FLIP                                                          EA
100117       CP-07611          SHEATH INTRODUCER HEMOS VAL 6F                                                        EA
100121       AK-11142          SHEATH INTRODUCER KIT 9F                                                              EA
123594       23-505            SHIELD EYE Z NONSTL ASSEMBLED                                                         CA
123277       9321              SHOE CAST SPECIAL POST-OP MENS                                                        EA
123278       9322              SHOE CAST SPECIAL POST-OP MENS                                                        EA
123273       9310              SHOE CAST SPECIAL POST-OP WMN                                                         EA
123275       9312              SHOE CAST SPECIAL POST-OP WMN                                                         EA
100530       350               SHOE COVERS NON-SKID BLU                                                              BX
123259       727               SHROUD KIT X-LG                                                                       PK
123700       1270.08           SINGLE LUMEN CATH 8FR 40CM                                                            BX
103672       DVT20             SLEEVE SCD CALF LG DISP                                                               EA
123460       80189             SLIPPER CARE STEPS SM AD/CHILD                                                        EA
123459       80102             SLIPPER CHILD CARE-STEP YLW NO                                                        EA
100073       80104             SLIPPER MEN BGE NON SKID LRG                                                          PR
101928       99949R            SLIPPER UNIVERSAL TRED RED                                                            EA
100075       80103             SLIPPER WOMAN BLUE NON SKID                                                           PR
100074       80106             SLIPPER X-LGE GRAY NON-SKID                                                           PR
100525       SP10              SOAP 1OZ FACIAL IND WRAPPED                                                           EA
115860       5B5163            SOL 1.5% DEX 1L SGL BG DNL                                                            CA
115862       5B5166            SOL 1.5% DEX 2L SGL BG DNLPD2                                                         CA
115868       5B9776            SOL 2.5% DEX 132 MEQ NA 5B9776                                                        CA
115870       5B5177            SOL 2.5% DEX 2L SGL BG DNLPD2                                                         CA
123310       5B9798P           SOL 4.25% DEX 2.5L PRTNL DLYS                                                         CA
115874       5B5187            SOL 4.25% DEX 2L SGL BG DNLPD2                                                        CA
123389       9200              SOL ANTISEPTIC AVAGARD SCRUB                                                          CA
115877       2F7123            SOL IRR 0.9% NACL PLS PR BTL                                                          EA
115878       2F7124            SOL IRR 0.9% NACL PLS PR BTL 1                                                        EA
115879       2F7114            SOL IRR H2O 1L PLS PR BTL STRL                                                        EA
115880       2F7113            SOL IRR H2O 500ML PLS PR BTL                                                          EA
123718       2F7125            SOL IRRIG SODIUM CHLORID 0.9%                                                         EA
115881       2B1314X           SOL IV 0.45% NACL 1L 2B1314X                                                          EA
115882       2B0064X           SOL IV 0.5% DEX 1L VFLX LF                                                            EA
115883       2B1307            SOL IV 0.9% NACL 100ML 1 PK                                                           EA
115884       2B1321            SOL IV 0.9% NACL 150ML VFLX LF                                                        EA
115885       2B1324X           SOL IV 0.9% NACL 1L 2B1324X                                                           EA
115887       2B1322Q           SOL IV 0.9% NACL 250ML VFLX LF                                                        EA
119193       2B1323Q           SOL IV 0.9% NACL 500ML VFLX LF                                                        EA
119197       2B1301X           SOL IV 0.9% NACL 50ML QP VFLX                                                         EA
115891       2B0164X           SOL IV 10% DEX 1L VFLX 2B0164X                                                        EA
115892       2B0162Q           SOL IV 10% DEX 250ML VFLX LF                                                          CA
115893       2B0163Q           SOL IV 10% DEX 500ML VFLX LF                                                          EA
115894       4B7891X           SOL IV 1L PLS CNTNR                                                                   CA

                                    Please Fax Completed Order to CSS Distribution 718-270-4206
                    Please direct all inquiries via email: CSSDistribution@downstate.edu or call directly ext.4009
 Central Sterile Supply / Distribution Order Form

  LAWSON        MANUF                      DESCRIPTION        QUANTITY REQUESTED                                       ISSUE UOM
123309       2D5632Q           SOL IV 20% OSMITROL MANN 250ML                                                        CA
119196       2B1353Q           SOL IV 3% NACL 500ML VFLX LF                                                          CA
115904       2B1092Q           SOL IV 5% DEX 0.2% NACL 250ML                                                         EA
115905       2B1093Q           SOL IV 5% DEX 0.2% NACL 500ML                                                         EA
115906       2B1083Q           SOL IV 5% DEX 0.33% NACL 500ML                                                        EA
115907       2B1074X           SOL IV 5% DEX 0.45% 1L 2B1074X                                                        EA
122937       2B1072Q           SOL IV 5% DEX 0.45% NACL 250ML                                                        EA
115908       2B1073Q           SOL IV 5% DEX 0.45% NACL 500ML                                                        EA
122939       2B1062Q           SOL IV 5% DEX 0.9% NACL 250ML                                                         EA
115909       2B1063Q           SOL IV 5% DEX 0.9% NACL 500ML                                                         EA
115911       2B0061            SOL IV 5% DEX 150ML VFLX LF                                                           EA
115913       2B0062Q           SOL IV 5% DEX 250ML VFLX LF                                                           EA
115915       2B0063Q           SOL IV 5% DEX 500ML VFLX LF                                                           EA
115916       2B2074X           SOL IV 5% DEX LR 1L 2B2074X                                                           EA
115917       2B2073Q           SOL IV 5% DEX LR 500ML VFLX LF                                                        CA
115918       2B1373Q           SOL IV 5% NACL 500ML VFLX LF                                                          CA
123717       2B1094X           SOL IV DEXTROSE 5%-0.2% 1000ML                                                        CA
123716       2B1064X           SOL IV DEXTROSE 5%-0.9% 1000ML                                                        EA
123623       2B0081            SOL IV DEXTROSE/WATER 5% 50ML                                                         EA
123423       10019-999-59      SOL IV HETASTARCH 6% SOD CHL                                                          EA
119191       2B2324X           SOL IV LR 1L VFLX LF                                                                  EA
115920       2B2322Q           SOL IV LR 250ML VFLX LF                                                               EA
115921       2B2323Q           SOL IV LR 500ML VFLX LF                                                               EA
115922       2B2544X           SOL IV VFLX 1L LF 2B2544X                                                             EA
101699       20390             SOL OPA CIDEX .55% GAL                                                                EA
123621       2C6700            SOL SET BLOOD ST CHAMBER PUMP                                                         EA
123622       2C8720            SOL SET BLOOD Y-TYPE STANDARD                                                         EA
122946       41550             SOL SRGSCRB BRN EZ SCRB PVP                                                           CA
123284       1583-02           SOLUTION .9% SODIUM CHLORIDE                                                          EA
123281       7418-03           SOLUTION IV 10% LMD 5% DEX                                                            EA
123282       1522-02           SOLUTION IV DEX .5% 250 ML                                                            EA
123654       2B7127            SOLUTION IV SOD CHL 9% 3000ML                                                         EA
123655       2B0304X           SOLUTION IV STERILE WATER INJ                                                         CA
101791       2500SA            SPECIMEN MEASURE COMMODE 800M                                                         EA
123383       82331             SPECULA VAGINAL SANI-SPEC LG                                                          BG
100409       82330             SPECULUM VAGINAL SANI-SPEC MED                                                        BG
100408       82329             SPECULUM VAGINAL SANI-SPEC SM                                                         BG
115928       5C4530            SPIKE TBG IV PRTC STRL                                                                CA
100318       401               SPONGE BOWL STERILE 35OZ                                                              CA
101730       7086              SPONGE DRAIN EXCILON 6-PLY 4X4                                                        BX
101746       2259              SPONGE GAUZE 12 PLY 4X8 IN 2'S                                                        BX
100532       6208              SPONGE GAUZE 2X2 STERILE                                                              BX
100529       6412              SPONGE GAUZE 4X4 12PLY STER                                                           BX
101743       7317              SPONGE X-RAY DETECT 16 PLY4 X                                                         CA

                                    Please Fax Completed Order to CSS Distribution 718-270-4206
                    Please direct all inquiries via email: CSSDistribution@downstate.edu or call directly ext.4009
 Central Sterile Supply / Distribution Order Form

  LAWSON        MANUF                     DESCRIPTION         QUANTITY REQUESTED                                       ISSUE UOM
100015       SR-1              STAPLE REMOVER PRE DISP                                                               BX
100010       3995              STAPLER SKIN VISA                                                                     EA
123596       IV0506            STATLOCK IV PEDS MICRO 4IN                                                            BX
123855       IV0565            STATLOCK IV SELECT SM BOR 6IN                                                         BX
123805       IVK0106           STATLOCK IV ULTRA NEO PNK KIT                                                         CA
123777       IVK0105           STATLOCK IV ULTRA PED BL START                                                        BX
123816       50504000          STERILE CONNECTORS 1/4 X 1/4                                                          EA
123597       665Y-10           STETHOSCOPE SPU YEL DISP                                                              BX
100093       558-03            STOCKING ANTI EMB LG/LONG                                                             EA
100102       573-03            STOCKING ANTI EMB LG/LONG                                                             EA
100090       553-03            STOCKING ANTI EMB LG/REG                                                              EA
100100       573-01            STOCKING ANTI EMB LG/SHORT                                                            EA
100089       553-02            STOCKING ANTI EMB MD/REG                                                              EA
100097       568-01            STOCKING ANTI EMB MD/SHORT                                                            EA
100099       568-03            STOCKING ANTI EMB MED/LONG                                                            EA
100098       568-02            STOCKING ANTI EMB MED/REG                                                             EA
100088       553-01            STOCKING ANTI EMB SM L/S                                                              EA
100096       563-02            STOCKING ANTI EMB SM/REG                                                              EA
100095       563-01            STOCKING ANTI EMB SM/SHORT                                                            EA
100087       473-05            STOCKING ANTI EMB XL/LONG                                                             EA
100094       558-04            STOCKING ANTI EMB XL/LONG                                                             EA
100086       473-04            STOCKING ANTI EMB XL/REG                                                              EA
100091       553-04            STOCKING ANTI EMB XL/REG                                                              EA
100092       558-02            STOCKING ANTI EMB MED X LENG                                                          EA
123638       558-01            STOCKING ANTI EMB SM X LENG                                                           EA
123222       DVT10             STOCKING COMPRESSION CALF LENG                                                        EA
123721       563-03            STOCKING NYLON THIGH SM LG                                                            BX
100125       456020            STOPCOCK 4WAY DISPOSABLE                                                              BX
118921       70015003          STOPCOCK ANGIO 200 PSI 3W Y FX                                                        BX
123598       46-5129           STRAP MONTGOMERY NONSTL                                                               BG
101828       54800             STRAP OR TABLE / STRETCHER 60I                                                        EA
123345       80063-02          STRIP BLOOD GLUC PCX+ 100TESTS                                                        BX
105748       85865             STYLET INTBT 14FR PLS AL                                                              BX
100380       36540             SUCTION TUBE CONNECT STR 20IN                                                         EA
100379       34870             SUCTION YANKAUER W/O CONTROL                                                          EA
100145       201255            SUPPORT ATHLETIC MENS LG                                                              EA
100143       201352            SUPPORTER W/BAND L/STRAP XLG                                                          EA
100144       201161            SUPPORTER W/LEG STRAP MED                                                             EA
123850       1058080           SURGI LUBE 144X5G MUD FOUGERA                                                         EA
100797       943H              SUT CHROME GUT 2.0 V-34                                                               BX
100861       G122H             SUT CHROMIC GUT 3.0 SH                                                                BX
101024       VCP344H           SUT COA VIC PLUS VL BR 3.0                                                            BX
101036       VCP945H           SUT CTD VICRYL PLUS 2-0 CT-1                                                          BX
100940       J635H             SUT CTD VICRYL VIOL BRD 2.0                                                           BX

                                    Please Fax Completed Order to CSS Distribution 718-270-4206
                    Please direct all inquiries via email: CSSDistribution@downstate.edu or call directly ext.4009
 Central Sterile Supply / Distribution Order Form

  LAWSON        MANUF                      DESCRIPTION                                      QUANTITY REQUESTED         ISSUE UOM
123762       697G              SUT ETHIL BLK MONO 6-0 P-1                                                            BX
100671       1696G             SUT ETHILON BLK MONO 7.0 P-1                                                          BX
100714       635H              SUT GUT CHROMIC 4-0 FS-2                                                              BX
100804       A306H             SUT HAND SILK BLK BRD 0                                                               BX
100803       A305H             SUT HAND SILK BLK BRD 2-0                                                             BX
100823       C013D             SUT HAND SILK BLK BRD 3-0 SH                                                          EA
100956       K802H             SUT HAND SILK BLK BRD 6-0 BV-1                                                        BX
100991       RS22              SUT MERS 5MM CTX 12IN WVN TPE                                                         BX
123728       Y397H             SUT MONOCRYL 2/0 36IN VIO                                                             BX
123789       Y398H             SUT MONOCRYL ABS 0 VL CTX 36IN                                                        BX
123437       Y399H             SUT MONOCRYL ABS 1 VL CTX 36IN                                                        BX
101666       Y427H             SUT MONOCRYL U/D 3-0 PS-2 27"                                                         BX
123752       1895G             SUT NYL BLK MONO 5-0 PC-5                                                             BX
100977       PDP880G           SUT PDS PLUS ANTIBACT VL LOOP                                                         BX
100965       LA55G             SUT PERM HAND SLK BLK BRD 2                                                           BX
100964       LA54G             SUT PERM HAND SLK BLK BRD 3                                                           BX
100865       G322H             SUT PLAIN GUT 3.0 SH                                                                  BX
100754       8424H             SUT PROL BL MONO 0 CT-1                                                               BX
100784       8718H             SUT PROL BL MONO NON 6.0 C-1                                                          BX
100782       8706H             SUT PROL BL MONO NON 6.0 C-1                                                          BX
100727       685G              SUT SILK BLK BRD 2-0 FS                                                               EA
100709       623H              SUT SILK BLK BRD 2-0 KS                                                               EA
100725       684G              SUT SILK BLK BRD 3-0 FS-1                                                             BX
100726       684H              SUT SILK BLK BRD 3-0 FS-1                                                             BX
100708       622H              SUT SILK BLK BRD 3-0 KS                                                               EA
100724       683G              SUT SILK BLK BRD 4-0 FS-2                                                             BX
100723       682G              SUT SILK BLK BRD 5-0 FS-2                                                             EA
123440       J959H             SUT VCL ABS U/D BR 1 CT 36IN                                                          BX
123444       J206G             SUT VIC ABS VL BRD 2-0 54IN                                                           BX
123445       J207G             SUT VIC ABS VL BRD CTD 2-0 54I                                                        BX
123443       VCP370H           SUT VIC PLUS 0 BRD VI CTX 36I                                                         BX
123439       VCP376H           SUT VIC PLUS S-0 BR UR-5 27IN                                                         BX
123436       JB978             SUT VIC U/D 0 BR CTX-B 36IN                                                           BX
101031       VCP615H           SUT VICR PLUS COA VL BRD 2.0                                                          BX
123726       J334H             SUT VICRYL 0 27IN VIOLET                                                              BX
123727       J762D             SUT VICRYL 2/0 8X18IN UNDYED                                                          BX
101028       VCP417H           SUT VICRYL PLUS U/D 2-0 SH                                                            BX
101026       VCP346H           SUT VICRYL PLUS VL BR 0 CT-1                                                          BX
100883       J281H             SUT VICRYL U/D BRD 1CT                                                                BX
100905       J415H             SUT VICRYL U/D BRD 4-0 SH                                                             BX
100891       J315H             SUT VICRYL VIOL BRD 4.0 SH                                                            BX
100310       718               SUTURE REMOVAL KIT STL                                                                EA
123600       J323H             SUTURE VICRYL 2/0 27IN VIOLET                                                         BX
100151       220117            SWAB CULT AMIES GEL W/O CHAR                                                          EA

                                    Please Fax Completed Order to CSS Distribution 718-270-4206
                    Please direct all inquiries via email: CSSDistribution@downstate.edu or call directly ext.4009
 Central Sterile Supply / Distribution Order Form

  LAWSON        MANUF                      DESCRIPTION                                      QUANTITY REQUESTED         ISSUE UOM
102112       6513              SWAB SUCTION ORAL SYSTEM                                                              EA
102235       10-4101           SWABSTICK POVIDINE 7.5% SGL                                                           BX
102134       4041-2            SYR ABG 1CC W/LIQ HEPARIN                                                             EA
123602       10010483          SYR ADAPTER SET VENTED DEHP                                                           CA
101729       1186000444        SYR CATH TIP 60CC                                                                     BX
100313       142               SYR EAR STL 2OZ                                                                       EA
101710       1181200777        SYR HYPO LL 12CC                                                                      BX
101711       1182000777        SYR HYPO LL 20CC                                                                      BX
101708       1180300777        SYR HYPO LL 3CC                                                                       BX
101709       1180600777        SYR HYPO LL 6CC                                                                       BX
101725       8881511110        SYR INSULIN SAFETY                                                                    EA
101736       1180100777        SYR INSULIN W/TIP CAP 1CC                                                             BX
107754       1186600777        SYR LUER LOCK BALLY 60CC                                                              EA
107758       1186000555        SYR LUER LOCK REG 60CC                                                                BX
107753       1183500777        SYR LUER LOCK TIP 35CC                                                                EA
107757       309628            SYR LUER LOCK W/O NDL 1CC                                                             BX
123837       8881570300        SYR PREFILL 9% NACL 2.5ML                                                             BX
101726       8881511201        SYR TB SAFE 1CC 28G X 1/2IN                                                           BX
100350       2280-0000         SYRINGE GEMI V ADM SET                                                                EA
123838       8881570121        SYRINGE SALINE 12CC                                                                   BX
123633       2950-1            TAPE CLOTH ADH SURG 1IN X10YD                                                         BX
123635       2950-3            TAPE CLOTH ADH SURG 3IN X10YD                                                         BX
100040       1538-5            TAPE DURAPORE .5INX10YD                                                               BX
100001       1538S-1           TAPE DURAPORE 1INX1.5YD                                                               BX
100005       1538S-2           TAPE DURAPORE 2INX1.5YD                                                               BX
100013       1538-3            TAPE DURAPORE 3INX10YD                                                                BX
107266       14202             TAPE INDICATOR CHEM STERRAD                                                           BX
100595       1335              TAPE MEASURE INFANT PAPER                                                             PK
123603       1527-154          TAPE MEDICAL 1IN X11/2YD BULK                                                         BX
100009       1530S-1           TAPE MICROPORE 1INX1.5YD                                                              BX
100039       1530S-2           TAPE MICROPORE PAPER 2 X 1.5YD                                                        BX
100037       1530-2            TAPE MICROPORE PAPER 2 X 10YD                                                         BX
100038       1530-3            TAPE MICROPORE PAPER 3 X 10YD                                                         BX
123604       2963              TAPE SURG CLOTH 3.0IN X 10.0YD                                                        RL
123803       8884662035        TAPE SURG ELASTIC 4.0INX 5.0YD                                                        BX
100008       1527-1            TAPE TRANSPORE 1 IN X 10 YD                                                           BX
101015       U12T              TAPE UMBILICAL COT 1/8X36IN                                                           BX
116073       5C4464P           TBG 12FT EXT SET DLYS STRL APD                                                        CA
107374       2260-0500         TBG ADMIN PUMP N/PRT 20D 105IN                                                        EA
107714       BG00703           TBG EXT IV MINI FILTER .2MCN                                                          BX
107730       C20028            TBG IV EXTENSION                                                                      EA
107722       42293E            TBG IV MACRODRIP W/CHECK VALVE                                                        EA
107721       42133E            TBG IV MINIDROP                                                                       EA
107727       2441-0600         TBG IV PUMP BURETTE                                                                   EA

                                    Please Fax Completed Order to CSS Distribution 718-270-4206
                    Please direct all inquiries via email: CSSDistribution@downstate.edu or call directly ext.4009
 Central Sterile Supply / Distribution Order Form

  LAWSON        MANUF                     DESCRIPTION                                       QUANTITY REQUESTED         ISSUE UOM
107726       2430-0500         TBG IV PUMP FILTER                                                                    EA
107731       10014914          TBG IV PUMP MICROBORE W/ PRESS                                                        EA
107725       2420-0500         TBG IV PUMP PRIMARY                                                                   EA
107723       72213N            TBG IV SECONDARY                                                                      EA
100642       42584-05          TBG TRANSDUCER MACRODRIP 48IN                                                         BX
100641       42634-05          TBG TRANSDUCER NEONATAL 30ML                                                          EA
107378       2477-0000         TBG, ADMIN PUMP Y BLOOD 1 PRT                                                         EA
123825       0409-1593-04      THAM SOLUTION                                                                         EA
123606       5192R             THERMOMETER RCTL FAHRENHEIT                                                           BX
100051       5001              THERMOMETER STRIP TEMP-A-DOT                                                          BX
100003       5122              THERMOMETER STRIP TEMP-A-DOT                                                          BX
100016       5532              THERMOMETER STRIP TEMP-A-DOT                                                          BX
123701       4313              TONGUE DEPRESSOR JUNIOR 5-1/2"                                                        BX
100527       TB30              TOOTHBRUSH 30 TUFT IVORY                                                              EA
102111       6173              TOOTHBRUSH SUCTION ORAL                                                               EA
100526       TP06              TOOTHPASTE 0.6OZ REDI-WASH                                                            EA
102173       4410              TOURNIQUET ADULT VELCRO 14X1"                                                         BX
101948       DYND75020         TOURNIQUET L/F 18 X 1 IN BL                                                           CA
101919       724-B             TOWEL OR STL BL 17X26                                                                 PK
123830       100/166/070       TRACHEAL TUBE SEAL-CUFF 7.0MM                                                         EA
123720       42582-05          TRANSPAC IV 12 IN CABLE                                                               EA
123247       542.1             TRAP MUCAID 10F                                                                       EA
100312       406               TRAP SPECIMEN MUCOUS 40CC                                                             EA
101745       97051             TRAY AMNIOCENTESIS                                                                    CA
101792       8881847167        TRAY BIOPSY 16G BONE MARROW                                                           EA
101750       8888160424        TRAY CATH INSERTION UMB 3.5FR                                                         EA
101757       8888160432        TRAY CATH INSERTION UMB 5FR                                                           EA
101738       35002             TRAY CATH SUCTION W/GLOVE 10 F                                                        EA
100126       333194            TRAY EPIDURAL PED PERIFIX                                                             EA
101712       67803             TRAY IRRIGATION W/BULB SYR20/C                                                        EA
101931       61280             TRAY LACERATION                                                                       EA
123753       2184.NT           TRAY NEONATAL CATHETER INSERTI                                                        BX
101961       DYND70822         TRAY SHAVE PREP DISP                                                                  EA
113687       7039              TRAY SPNL 2.5IN 22GA INF CRTY                                                         EA
113688       1032              TRAY SPNL 3.5IN 20GA ADLT CRTY                                                        EA
100311       715               TRAY TRACH CARE STER W/GAUZE                                                          EA
101713       41591             TRAY WET SKIN SCRUB STERILE                                                           EA
107713       BG00402           TRIFURCATED EXTENSION SET                                                             BX
123693       100/166/085       TUBE ENDO CUFFED MAGILL 8.5MM                                                         BX
123608       100/199/090       TUBE ENDO CUFFED XL 9.0M                                                              BX
123609       100/199/070       TUBE ENDO CUFFED XL 7.0M                                                              BX
123610       100/141/025       TUBE ENDO UNCUFFED BLU 2.5MM                                                          BX
123611       100/141/065       TUBE ENDO UNCUFFED BLU 6.5MM                                                          BX
123695       100/141/060       TUBE ENDO UNCUFFED BLUE 6MM                                                           BX

                                    Please Fax Completed Order to CSS Distribution 718-270-4206
                    Please direct all inquiries via email: CSSDistribution@downstate.edu or call directly ext.4009
 Central Sterile Supply / Distribution Order Form

  LAWSON         MANUF                    DESCRIPTION                                       QUANTITY REQUESTED         ISSUE UOM
123613       100/199/065       TUBE ENDO XL CUFFED 6.5MM BLU                                                         BX
123248       516.2             TUBE ENDOTRACH PEDS 10F                                                               EA
123249       516.25            TUBE ENDOTRACH PEDS 12F                                                               CA
123250       516.3             TUBE ENDOTRACH PEDS 14F                                                               EA
123251       516.35            TUBE ENDOTRACH PEDS 15F                                                               EA
123614       516.40            TUBE ENDOTRACH PEDS 17F                                                               EA
123615       100180035         TUBE ENDOTRACHEAL ORAL 3.5MM                                                          BX
102129       100/199/075       TUBE ET ORAL/NASAL 7.5 MM                                                             BX
102130       100/199/080       TUBE ET ORAL/NASAL 8 MM                                                               BX
102142       100/141/035       TUBE ET W/O CUFF BLUE 3.5MM                                                           BX
102139       100/141/040       TUBE ET W/O CUFF BLUE 4.0MM                                                           BX
102138       100/141/045       TUBE ET W/O CUFF BLUE 4.5MM                                                           BX
102145       100/141/050       TUBE ET W/O CUFF BLUE 5.0MM                                                           BX
102146       100/141/055       TUBE ET W/O CUFF BLUE 5.5MM                                                           BX
123616       36410             TUBE FEED 8FR 15INCH LNG STL W                                                        BX
123698       310.10            TUBE FEEDING 10FR NEONATE                                                             EA
123252       310.06            TUBE FEEDING 6FR 40CM NEONATE                                                         EA
100071       V-310.06          TUBE FEEDING 6FR 40CM NEONATE                                                         EA
100072       929-310.08        TUBE FEEDING 8FR NEONATE                                                              EA
123253       310.08            TUBE FEEDING 8FR NEONATE                                                              EA
123449       8888260802        TUBE FEEDING ARG PVC 5FRX16IN                                                         EA
107701       00476             TUBE FEEDING NG 10F 45IN                                                              EA
107700       00473             TUBE FEEDING NG 8F                                                                    EA
123656       2C4041            TUBE IRRIGATION Y-TYP TUR/BLAD                                                        CA
123713       0110-12LV         TUBE MIC BOLUS GASTRO 12FR                                                            EA
100222       365978            TUBE MICROTAINER AMB 400-600UL                                                        BX
100221       365967            TUBE MICROTAINER GLD 400-600UL                                                        BX
116122       20-8366           TUBE NG 36IN 6FR ENTRL FD STY                                                         BX
123420       8888-266106       TUBE SALEM SUMP 10FR                                                                  EA
123421       8888-266114       TUBE SALEM SUMP 12FR                                                                  EA
123422       8888-266122       TUBE SALEM SUMP 14FR                                                                  EA
101732       8888266130        TUBE SALEM SUMP W/VALVE 16FR                                                          EA
101733       8888266148        TUBE SALEM SUMP W/VALVE 18FR                                                          EA
100187       236500            TUBE SPEC VACUTAINER ANAER                                                            BX
123723       AN-11             TUBE SUMP GASTIC 10FR PED STL                                                         BX
101908       6LPC              TUBE TRACH NON-FENES                                                                  EA
101911       6FEN              TUBE TRACH FEN CUFFED SZ 6.0                                                          EA
101905       4FEN              TUBE TRACH FEN LPC SZ 4                                                               EA
105750       FEN10             TUBE TRACH FENESTRATED #10                                                            BX
105746       6DCT              TUBE TRACH INNER CANN SZ 6                                                            BX
105747       8DCT              TUBE TRACH INNER CANN SZ 8                                                            BX
101912       8FEN              TUBE TRACH LPC FEN SZ 8                                                               EA
105751       3.0 NEO           TUBE TRACH NEONATAL SZ. 3.0                                                           BX
105752       3.5 NEO           TUBE TRACH NEONATAL SZ. 3.5                                                           BX

                                    Please Fax Completed Order to CSS Distribution 718-270-4206
                    Please direct all inquiries via email: CSSDistribution@downstate.edu or call directly ext.4009
 Central Sterile Supply / Distribution Order Form

  LAWSON         MANUF                    DESCRIPTION                                       QUANTITY REQUESTED         ISSUE UOM
105753       4.0 NEO           TUBE TRACH NEONATAL SZ. 4.0                                                           BX
107747       3.5PED            TUBE TRACH PEDI 3.5 16FR                                                              EA
105759       4.0 PED           TUBE TRACH PEDIATRIC SZ. 4.0                                                          BX
105760       5.0 PED           TUBE TRACH PEDIATRIC SZ. 5.0                                                          BX
107742       3.0PED            TUBE TRACH UNCUFF PED SZ 3.0                                                          EA
107746       4.5PED            TUBE TRACH UNCUFF PED SZ 4.5                                                          EA
105761       10LPC             TUBE TRACH, REGULAR #10                                                               BX
105762       4LPC              TUBE TRACH, REGULAR #4                                                                BX
105763       8LPC              TUBE TRACH, REGULAR #8                                                                BX
123709       5.5PED            TUBE TRACHEOSTOMY PED 5.5                                                             EA
100236       364888            TUBE VACUTAINER MULTI-SAM                                                             BG
103503       C-ACT             TUBES CELITE ACT REAG HAMA                                                            BX
123451       8888260208        TUBES FEEDING XRAY OPAQU 10FR                                                         EA
101788       8888280610        TUBING NON-CONDUCT N/S 9/32 IN                                                        CA
123844       1301              TUBING OXYGEN 7 VINYL TIPPED                                                          EA
100377       36480             TUBING SUCTION STER 3/16 X 6                                                          EA
123617       8888230201        TUBING UNIVERSAL BUBBLE 100 FT                                                        RL
123218       H250-10           TUMBLER GRAD 9OZ ROSE 25X20/C                                                         SL
123411       7540              U-BAG PREMI STERILE                                                                   BX
101922       H140-01           URINAL MALE TRANS W/LID 1QT                                                           EA
123412       7531              URINE COLLECTOR PED STRILE                                                            EA
100281       3002055           VACUMN SYS SEP T 11 3000ML                                                            CA
123849       96200             VALVE ONE WAY DISP                                                                    EA
123618       6600-0461-200     VEST DISPPHOTOTHERAPY                                                                 CT
123730       021712            WAFER OSTOMY BARRIER SKIN 4 X                                                         BX
123731       021715            WAFER OSTOMY BARRIER SKIN 8 X                                                         BX
101744       MH00002T          WARMER HEEL INFANT W/TABS                                                             CA
102110       7943              WASHCLOTH CLEAN-UP COMFORT                                                            EA
102109       7818              WASHCLOTH COMFORT BATH DEOD                                                           CA
101969       13-1150           WIPE DISINFECTANT XL CAVIWIPE                                                         EA
102120       420400            WIPE SKIN PROTECTIVE BARRIER                                                          BX
101819       62145             WRAP STERILE 1 STEP HVY 45X45                                                         CA
101811       62154             WRAP STERILE 1STEP HVY 54X54IN                                                        CA
101852       62130             WRAP STERILIZATION 30 X 30 120                                                        PK
123814       62036             WRAP STERILIZATION 36X36 REG                                                          EA
101834       62172             WRAP STERILIZATION 54X72                                                              CA




                                    Please Fax Completed Order to CSS Distribution 718-270-4206
                    Please direct all inquiries via email: CSSDistribution@downstate.edu or call directly ext.4009

				
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