PAIN MANAGEMENT PRODUCTS M O S T P R O D U C T S I N S TO C K A N D AVA I L A B L E FO R I M M E D I AT E S H I P P I N G
1
Fill in quantity column and contact info on last page
SPINAL NEEDLES QTY ______ ______ ______ ______
2
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Fax completed order form to 800.359.8807
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3
Spend $99+ and request FREE popcorn
ITEM #
DESCRIPTION
UOM
DBU SQ2290LC
Quincke Tip, 22G x 3.5”
25/BX
DBU SQ2590LC
Quincke Tip, 25G x 3.5”
25/BX
DBU SQ22125LC
Quincke Tip, 22G x 5”
25/BX
DBU SQ25125LC
Quincke Tip, 25G x 5”
25/BX
DBU SQ22180LC
Quincke Tip, 22G x 7”
25/BX
BBR 333320 BBR 333315
®
50/CS
®
50/CS
®
Spinocan Quincke, 22G x 3.5”, Clear Hub Spinocan Quincke, 22G x 4.75”, Procedural
BBR 333313
Spinocan Quincke, 25G x 3.5”, Clear Hub
50/CS
BBR 333308
Spinocan® Quincke, 25G x 4.75”, Procedural
50/CS
BEC 405181
Quincke, 22G x 3.5”, Black, Sterile
100/CS
BEC 405180
Quincke, 25G x 3.5”, Blue, Sterile
25/BX
EPIDURAL NEEDLES QTY ______ ______ ______ ______ ______ ______ ______ ______ ______ ______
ITEM #
DESCRIPTION
UOM
DBU ET1890LC
Tuohy Tip, 18G x 3.5”, Fixed Wing
25/BX
DBU ET2090LC
Tuohy Tip, 20G x 3.5”, Fixed Wing
25/BX
DBU ET18155LC
Tuohy Tip, 18G x 6”, Fixed Wing
25/BX
DBU ET20155LC
Tuohy Tip, 20G x 6”, Fixed Wing
25/BX
DBU ET1890DLC
Tuohy Tip, 18G x 3.5”, Detachable Wing
25/BX
DBU ET2090DLC
Tuohy Tip, 20G x 3.5”, Detachable Wing
25/BX
DBU ET17125DLC
Tuohy Tip, 17G x 5”, Detachable Wing
25/BX
DBU ET18125DLC
Tuohy Tip, 18G x 5”, Detachable Wing
25/BX
BBR 332160
Perifix® Tuohy, 18G x 6”, Clear Hub & Wings
25/CS
POR 491122
Portex® Tuohy, 22G x 3.5”, Clear Hub & Wings
10/BX
HYPODERMIC NEEDLES QTY ______
ITEM #
DESCRIPTION
UOM
BEC 305109
PrecisionGlide®, 27G x 0.5”, Gray Hub, Sterile
100/BX
PAGE 1
PHONE: 800.331.2716 | FA X: 800.359.8807 | WEB: MERCEDESMEDICAL.COM
PAIN MANAGEMENT PRODUCTS PROCEDURE TRAYS QTY
ITEM #
DESCRIPTION
UOM
DBU DYNDA1791
Includes: (1) 4x4” 4-Ply Gauze, (1) 25G x 1.5” Needle, (1) 18G x 1.5” Needle, (1) Pouch, (1) 3mL Syringe, (1) 5mL Syringe, (1) 10mL Syringe, (1) CSR Wrap, (1) Instrument Tray
20/CS
DBU DYNJRA0483A
Includes: (3) 4x4” Gauze, (1) 25G x 1.5” Needle, (2) 18G x 1.5” Needle, (1) 6” Extension Set, (1) Pouch, (2) 3mL Syringe, (1) 5mL Syringe, (1) 10mL Syringe, (1) Foam Needle Pad, (1) Towel, (1) CSR Wrap, (1) Fenestrated Drape, (1) Instrument Tray
20/CS
DBU PAIN0575A
Includes: (3) 2x2” Gauze, (1) 25G x 1.5” Needle, (1) 18G x 1.5” Needle, (1) Foam Needle Pad, (1) Pouch, (1) 3mL Syringe, (1) 5mL Syringe, (1) 10mL Syringe, (1) 7mL Plastic LOR Syringe, (1) 20G x 3.5” Tuohy Epidural Needle w/Detachable Wing, (1) CSR Wrap, (1) Fenestrated Drape, (1) Instrument Tray
20/CS
DBU PAIN0998
Includes: (3) 2x2” Gauze, (1) 25G x 1.5” Needle, (1) 18G x 1.5” Needle, (1) Foam Needle Pad, (1) Pouch, (1) 3mL Syringe, (1) 5mL Syringe, (1) 10mL Syringe, (1) 5mL Glass Luer-Slip LOR Syringe, (1) 20G x 3.5” Tuohy Epidural Needle w/Detachable Wing, (1) CSR Wrap, (1) Fenestrated Drape, (1) Instrument Tray
20/CS
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RF ELECTRODES QTY ______ ______ ______
(STERILE)
(REUSABLE)
ITEM #
DESCRIPTION
UOM
DBU RE2750RLC*
50mm x 27G
EA
DBU RE27100RLC*
100mm x 27G
EA
DBU RE27150RLC*
150mm x 27G
EA *Only compatible with Neurotherm generators.
RF CANNULAS QTY ______ ______ ______ ______ ______ ______ ______ ______ ______
ITEM #
DESCRIPTION
UOM
DBU S50522LC
Straight Sharp Tip, 22G x 5cm x 5mm
25/BX
DBU S51020LC
Straight Sharp Tip, 20G x 5cm x 10mm
25/BX
DBU C50520LC
Curved Sharp Tip, 20G x 5cm x 5mm
25/BX
DBU C51020LC
Curved Sharp Tip, 20G x 5cm x 10mm
25/BX
DBU C1010S22LC
Curved Sharp Tip, 22G x 10cm x 10mm
25/BX
DBU C1010S20LC
Curved Sharp Tip, 20G x 10cm x 10mm
25/BX
DBU C1010S18LC
Curved Sharp Tip, 18G x 10cm x 10mm
25/BX
DBU C1510S20LC
Curved Sharp Tip, 20G x 15cm x 10mm
25/BX
DBU C1510S18LC
Curved Sharp Tip, 18G x 15cm x 10mm
25/BX
ITEM #
DESCRIPTION
UOM
DBU RFDGPSLC
Grounding Pad, Disposable, Corded
40/BX
NIK 2407
ESU Grounding Pad, Non-Woven, No Cable
100/BX
GROUNDING PADS QTY ______ ______
PAGE 2
PHONE: 800.331.2716 | FA X: 800.359.8807 | WEB: MERCEDESMEDICAL.COM
PAIN MANAGEMENT PRODUCTS INJECTABLES QTY
ITEM #
DESCRIPTION
UOM
BEC 306545
BD ® Posiflush™ Sodium Chloride, 0.9% Prefilled Syringe, IV Flush Solution, 5mL (PF)
30/BX
NDC# 50419018837
Magnevist® (Gadopentetate Dimeglumine), Prefilled Syringe, 469.01mg/mL, 15mL
5/BX
NDC# 00517560125
Hydroxyzine HCl, 50mg/mL, 1mL (SDV)
EA
NDC# 00409427902
Lidocaine HCl 1%, 10mg/mL, 30mL (SDV) (PF)
25/BX
NDC# 63323049527
Xylocaine® – MPF 2%, 20mg/mL, 2mL (SDV) (PF)
25/BX
NDC# 00409115902
Bupivacaine HCl 0.25%, 2.5mg/mL, 30mL (SDV) (PF)
25/BX
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NDC# 00641610325
Robaxin (Methocarbamol), 100mg/mL, 10mL (SDV) (PF)
EA
NDC# 25021066205
Rocuronium Bromide, 10mg/mL, 5mL (MDV) (PF)
EA
NDC# 00143978410
Flumazenil, 0.1mg/mL, 5mL (MDV)
10/BX
NDC# 00409469930
Propofol 1%, 10mg/mL, 20mL (SDV)
5/BX
NDC# 00641149635
Promethazine HCl, 50mg/mL, 1mL (Ampule)
EA
NDC# 24208000202
Vitrase® Enzyme Hyaluronidase, Ovine, 200 units/mL, 1.2mL (SDV) (PF)
EA
NDC# 63323050601
Dexamethasone Sodium Phosphate, Corticosteroid, 10mg/mL, 1mL (MDV) (PF)
25/PK
NDC# 00409379601
Ketorolac Tromethamine, 30 mg/mL, 2mL (SDV) (PF)
25/PK
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NDC# 00270131525
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®
Isovue -300 61% (Iopamidol), 30mL ®
Omnipaque 240 (Iohexol), 240mg/mL, +PlusPak Polymer Bottle, 50mL
10/BX
NDC# 00085432001
Celestone® Soluspan®, 6mg/mL, 5mL (MDV)
EA
NDC# 00009307303
®
Depo-Medrol , 40mg/mL, 1mL (SDV) ®
SDV = Single Dose Vial MDV = Multi Dose Vial PF = Preservative Free
10/BX
NDC# 00407141230 ______ ______
®
25/BX
NDC# 00003029328
Kenalog -40, 40mg/mL, 10mL (MDV)
EA
NDC# 00409121501
Naloxone HCl, 0.4mg/mL, 10mL (SDV)
10/PK
NOTE: ALL RX SALES ARE SUBJECT TO STATE LICENSE APPROVAL BY U.S. LAW
IV QTY ______ ______ ______ ______ ______ ______ ______ ______ ______ ______ ______
ITEM #
DESCRIPTION
UOM
MDL DYNDTN1002
Minibore IV Extension Set, Luer Lock, 6” Tubing
100/CS
®
MDL BD381457
BD Peripheral Venous Catheter, 16G x 1.77”
200/CS
MDL DYNDTN0529
IV Administration Set, 92” Tubing, (1) Y-Site, 60DRP
50/CS
MDL DYND11216
Coude-Tip Foley Catheter, Latex, 16FR, 10mL Balloon
12/CS
DBU DYND74271
IV Start Kit with Prevantics® Prep Pad
100/CS
MDL TMOSV25BLK
Surflo® Winged Infusion Set, 25G x ¾”, 12” Tubing, No Port
200/CS
MDL DYNDTN1545
IV Administration Set, 109” Tubing, (3) Needle Free Y-Sites
50/CS
BBR 415110
®
Ultrasite Luer Access Device, Sterile ®
100/CS
BBR 425160102
Introcan Safety Peripheral IV Catheter, Yellow, 24G x ¾”
200/CS
BBR 473042
Extension Set, 13” Tubing, 0.45mL, 1 Port
100/CS
BBR 471954
Extension Set, 4” Tubing, 0.1mL, 1 Port
100/CS
PAGE 3
PHONE: 800.331.2716 | FA X: 800.359.8807 | WEB: MERCEDESMEDICAL.COM
PAIN MANAGEMENT PRODUCTS SYRINGES QTY
ITEM #
DESCRIPTION
UOM ®
BEC 309574
PrecisionGlide Syringe w/Detachable Needle, 3mL, 22G x 1.5”, Black, Sterile, Luer-Lock Tip
100/BX
POR 4905
Portex® Pulsator ® LOR (Loss-of-Resistance) Syringe, 7mL, Plastic, Luer Lock Tip, Sterile, Latex-Free
50/BX
BBR 332156
LOR (Loss-of-Resistance) Glass Syringe, 5mL, Sterile, Luer Slip Tip, Disposable, No Safety
10/CS
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DRUG TESTING QTY
ITEM #
DESCRIPTION
UOM
TNR CDOA6125
12-Panel BluRapids® Drug Cup, CLIA Waived: AMP/BAR/BUP/BZO/COC/mAMP (MET)/MDMA/ MTD/OPI-300 (MOP)/OXY/PCP/THC
25/BX
TNR CDOA6125M
12-Panel BluRapids® Concise Drug Cup, CLIA Waived: AMP/BAR/BUP/BZO/COC/mAMP (MET)/MDMA/ MTD/OPI-300 (MOP)/OXY/PCP/THC
25/BX
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PERSONAL PROTECTION QTY
ITEM #
DESCRIPTION
UOM
KEN 1545
SureCare™ Underpad, 17” x 24”, Light Blue, Disposable, Light Absorbency, Fluff Core Material
36/BG
GOJ 363912MC
Purell® Advanced Hand Sanitizer with Aloe, Alcohol (Ethyl), 12oz Gel Pump Bottle
EA
FIS 1916755
High Five™ NEOGARD™ Chloroprene Exam Gloves, X-Large, Green, Powder-Free, Latex, Beaded Cuff
100/PK
INN 133
DermAssist® Surgical Gloves, Powder-Free, Latex, Sterile, Sizes Available: 6.5/7.0/7.5/8.0, 50/Box
2000/CS
TNR 700
BluTouch™ Nitrile Gloves, Powder-Free, Latex-Free, Blue, Sizes Available: XS/S/M/L/XL
100/BX
MEX 8705
Multi-Purpose Sharps® Container, 8GL, Red
EA
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THR 15271
______ ______
®
3M Transpore Surgical Tape, 1” x 10 yd, Non-Sterile ®
®
12/BX
THR 1583A
3M Coban Cohesive Bandages, 3” x 5yd, Latex, Non-Sterile, Self-Adherent Closure, Non-Woven, 2 Rolls Each - Red, Blue, Green, Yellow, White, Tan
12/CS
PRA P157115
Gauze, 2” x 2”, Non-Sterile, 8-Ply
200/SLV
PRA P157114
Gauze, 4” x 4”, Non-Sterile, 12-Ply
200/SLV
MDL MDS093943
Povidone Iodine 10% Prep Solution, 8oz
24/CS
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®
EQUIPMENT QTY ______ ______ ______ ______
ITEM #
DESCRIPTION ®
UOM
RIT 250002
Ritter 250 LED Exam Light
EA
WEL 63XXXXB
Welch Allyn® Connex 6300 Vital Signs Monitor
EA
WEL 4200BE1
Welch Allyn® Spot Vital Signs® Monitor
EA
ZOL 21000010102011010
AED Plus Automatic External Defibrillator
EA
PAGE 4
PHONE: 800.331.2716 | FA X: 800.359.8807 | WEB: MERCEDESMEDICAL.COM
PAIN MANAGEMENT PRODUCTS EXAM ROOM QTY ______ ______ ______ ______
ITEM #
DESCRIPTION
UOM
PRA P754048
Drape Sheet, 40” x 48”, 2-Ply, White
100/CS
PRA P750018
Table Paper, Smooth, White, 18” x 225’
12/CS
PRA P750021
Table Paper, Smooth, White, 21” x 225’
12/CS
PRA 75900
Applicator Stick, 6” x 1⁄12”, Wooden, Non-Sterile
1000/BX
PRA 76200
Cotton Tipped Applicator, 6” x 1⁄12”, Wooden Shaft, Non-Sterile
1000/BX
PRA 76701
Cotton Tipped Applicator, 6” x 1⁄10”, Plastic Shaft, Sterile
100/BX
PRA 76900
Tongue Depressor, Adult, 6” x 11⁄16”, Sterile
100/BX
PRA P750013
Exam Cape, 30” x 21”, White
100/CS
PRA P750333
Exam Gown, 3-Ply, 30” x 42”, White
50/CS
ASO CBD2019
Sheer Bandage, 1” x 3”
100/BX
ASO CBD4019
Fabric Bandage, 1” x 3”
100/BX
ASO CBD4022
Fabric Spot Bandage, ⅞”
100/BX
PRA P157022
Gauze Sponge, 2” x 2”, Sterile
30/TR
PRA P157024
Gauze Sponge, 4” x 4”, Sterile
25/TR
PRA P230023
Pillowcase, 21” x 30”, White
100/CS
PRA P301008
Ultrasound Gel, 8.5oz
12/CS
DESCRIPTION
UOM
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FRONT OFFICE QTY ______ ______ ______ ______ ______
ITEM #
KIM 17713
®
Cottonelle Bathroom Tissue, 451 Sheets/Roll ®
60 RL/CS
KIM 21400
Kleenex Facial Tissue, White, 100/Box
3600/CS
PLW 6
Emesis Basin, 10oz, Stainless Steel
EA
CUM 1000033127
Isopropyl Alcohol 70%, 16oz
EA
MET 131024
Cavicide® Surface Disinfectant, 24oz
EA
DISCLAIMER: The names of various manufacturers and their products referred to herein may be protected by trademark or other law, and are used herein solely for purpose of reference. Mercedes Medical expressly disclaims any affiliation with or sponsorship by the companies referred to herein. All trademarks and brands are the property of their respective owners. While every effort has been made to ensure that the material contained herein is accurate at the time of publication, Mercedes Medical is not responsible for typographical or photographic errors, inaccuracies or misprints. Availability and pricing of all products is subject to change or discontinuation at any time without prior notice. Mercedes Medical reserves the right to change prices, or not sell an item, due to error in pricing.
Contact Information Name of Facility ______________________________________________________________________________________ Contact Person _______________________________________________ Customer Number (If Known) ______________ Phone _______________________ Fax __________________________ E-mail __________________________________ Address _____________________________________________________________________________________________ City _____________________________________________________ State __________ Zip Code ___________________
PHONE: 800.331.2716 | FA X: 800.359.8807 | WEB: MERCEDESMEDICAL.COM 68319 • REV021918