Low Profile Balloon Button Gastrostomy Tube Kit MiniONE® 14 Fr. 1.5 cm Tube Silicone Sterile UOM:EA (1) 2 Inch Conforming Gauze

(1) 2 Inch Conforming Gauze Roll Contents 2

Provides approximately 1 cup equivalent of fruits and vegetables per 1000 mL

Moldable form requires zero cutting

Manufacturer # 89511 Brand Premier™ Manufacturer Hollister Country of Origin Unknown Application Ostomy Pouch Barrier Style Trim to Fit Barrier Type CeraPlus Extended Wear Color Beige Drain Type Drainable Filtered Pouch Yes HCPCS A5057 (Disclaimer) Is a Kit No Is_Active_Vendor Y Is_DSCSA N Is_Discontinued N Is_Medical_Device N Length 12 Inch Length Lot_Tracking_Flag N On_Allocation N Sterility NonSterile Stoma Opening Size Up to 2-1/8 Inch Stoma Supplier_ID 487722 System Type One-Piece System UNSPSC Code 42312105

Protects the skin over extended wearing time from irritating discharge

Low Profile Balloon Button Gastrostomy Tube Kit MiniONE® 14 Fr. 1.5 cm Tube Silicone Sterile UOM:EA (1) 2 Inch Conforming GauzeManufacturer # M1 5 1415 I Country of Origin United States Application Low Profile Balloon Button Gastrostomy Tube Kit Contents 1 (1) Device, (1) Bolus Extension Set, (1) Y port Extension Set, (1) 5cc 10cc Balloon Syringe, (1) 35cc Bolus Syringe, Optional Introducer Stiffener (12Fr. To 18Fr. only), Gauze, (1) Water Soluble Lubricant HCPCS B4088 (Disclaimer) Is_Active_Vendor Y Is_DSCSA N Is_Discontinued N Is_Medical_Device Y Lot_Tracking_Flag N