1. Cost Benefit Analysis Using SteriTite ® Containers & MediTray ® Inserts Copyright 2003, Revised 2013

2. Sterilization Trends Higher value instrumentation –More complex devices, including endoscopes, power equipment and robotics Inventory control & materials planning Reduction in labor Reduction of costs in Central Processing Rapid turns and volume

3. Industry Trends Muslin Wrap to Disposable Wrap to Sealed Containers EO Gas to STERRAD Sterilization Single Use Devices to Re-usable Devices Plastic Custom Trays to Aluminum Trays and Sealed Containers Temperature and moisture sensitive devices, new sterilization modalities and packaging compatibility.

4. Benefits Case Medical Universal Containers –Using one case for all saves inventory costs –Can protect valuable instrumentation –Contributes to surgeon satisfaction –Compatible with all devices and sterilization modalities Container organizer systems will reduce instrument loss and damage and be seen as a value by the customer. –Reusable components are cost effective. –Instrument protection reduces costs for repair and replacement.

5. 12/24/2015 SteriTite ®, the Universal Container Compatible with every major sterilization method including STERRAD ®, V-Pro, and EO Filter-less option for “Flash” High durability with corrosion resistant seal Flexible design reduces affiliate costs and protects devices Ideal for containerizing loaners

6. 12/24/2015 Utilization Operating Room Flash: pre-vac & gravity Central Processing Steam: pre-vac & gravity, EO, STERRAD Instrument Safety Personalized Organized Inventory Savings Reduced Costs per Use Productivity Increase Reduced Labor Reduced Disposables Quicker Turns Reduced Reprocessing

7. Customer Gains Value In steam sterilization –Instrument protection –Event related storage –Cost savings in labor and processing In EO/STERRAD ® and V-Pro ® Sterilization –Reduced instrument loss, damage –Reduced handling costs –Universal container that can go to third-party processors and/or STERRAD ® Processing –Ability to sterilize flexible endoscopes

8. Savings Over the Other Brand With 1/3 more interior volume, the number of containers needed is reduced. Lower profile container reduces weight and addresses ergonomic issues. Ability to stack inner trays within container keeps the set together for surgery and reduces inventory/shelf space. Ability to stack containers in the autoclave. –Saves energy and processing costs.

9. Savings Over the Other Brand Sealed immediate use (flash) container reduces infection rates from cross contamination and staff injuries due to burns. Durable construction increases useful life of product and avoids added expense of repair or replacement. Corrosion-resistant, anodized seal provides 10x more useful life and reduces surgical site infections from galvanic reaction. Unconditional warranty for manufacturer’s defects avoids service charges.

10. Savings Over the Other Brand SteriTite for multiple methods of sterilization avoids unnecessary inventory duplication. –Avoid multiple wrapped trays or different containers for each process or set. SteriTite cleared for 35 lbs. total weight. –22 lbs. of instruments and all types of devices reduces stock. Dry loads avoid reprocessing costs.

11. Savings Over the Other Brand Utilizing a lower profile container addresses ergonomic issues and reduces total weight. Interchangeable components reduces stock. Off-set filter retention plate: –Reduces time needed to inspect filter integrity in the OR. –Eliminates need for a secondary lid, which adds cost and weight to container.

12. The SteriTite ® Container System on a Per Cycle Basis Customer pays a similar price on a per use basis as cost for wrap –Customer saves on wrap, tape, absorbent liners, and other accessories. –Avoids damage and reprocessing costs. Lease or pay as you go option. Expense avoids a capital purchase. Utilize and reduce budget for wrap.

13. Additional Costs to Consider: Cost of tray liners Cost of peel pouches Cost of corner protectors Cost of dust covers Re-sterilization due to tears Disposable Wrap System Costs Per Use:

14. Linen Wrap Cost Per Use Additional Costs Include: Labor for inspecting wrap Re-sterilization due to tears Poor barrier for sterility maintenance Contributes to surgical site infections

15. Savings Include: Eliminates Rips and Tears 80% Disposable Cost Savings 28% Lower Labor Costs (1/3 of time to wrap) Greatly Reduced Reprocessing SteriTite ® Sealed Container Costs Per Use: * Average number of filters used in perforated bottom universal container. ** The cost per use for the container amortized over a 3 year term.

16. Pricing and Value Strategy Value per cycle to customer = cost of inventory for duplicate containers + cost of inventory for multiple wrapped trays + cost of wrap or cost of washing linen + cost of inspection/repair/or multiple wrap in linen due to damage of linen + cost of disposal of single use wraps + reprocessing costs due to short shelf life + hidden cost of instrument damage + hidden cost of instrument loss + personal pride in instrument

17. Save a minimum of 20% over competitive brands by eliminating the cost of additional containers for low temperature sterilization modalities or sealed immediate-use sterilization. Reduce container inventory by 1/3 with SteriTite ® containers which provide added internal space and stacking capability. Save 25% on energy and reprocessing costs with stackable, low profile containers in the autoclave. Additional Savings

18. Save an additional 25% in repair and sharpening costs using MediTray ® inserts. Save $3,600 a year adapting an event- related sterility policy using SteriTite ® containers. Save up to $200.00 per container in refurbishing costs. Additional Savings

19. Reduce the Cost of Instrument Repair with MediTray ® Protective Inserts Instrument Repair & Sharpening Expense Reduce other hidden costs: Labor costs searching for replacement instruments Excess inventory and duplication Cost of delay and lost billings Cost of OR suite and staff time and labor Re-sterilization and reprocessing Note: Above data based on information provided by hospitals in PA, TX and FL

20. Reduce The Cost Of Instrument Repair With MediTray ® Endo Trays and Inserts Scope Repair and Sharpening Expense Reduce other hidden costs: Increase in laparoscopic procedures along with rising expense for repair as well as replacement costs of scopes and endoscopic instruments. *(25% savings by reducing repair and sharpening costs based on using MediTray product in FL, PA)

21. Based on labor and repair cost savings, SteriTite ® containers can fully justify initial investment within one to two years. The Value of SteriTite ® Containers and MediTray ® Inserts SteriTite ® sealed containers and MediTray ® protective inserts provide a simple, cost-effective system for the sterilization, transport and storage of operating room instruments.

22. Contact your Case Medical, Inc. ® representative or visit http://www.casemed.com/ for more information about the entire MediTray ® line of sterilization products. Thank you