Single Use Medical Examination Gloves

Single Use Instruments

Absorbents

Wipes

Woundcare

Disposable Gloves

Patient Identiﬁcation

First Aid

Cotton Wool

Personal Care Single Use Medical Examination Gloves Continence Care Contents • Readigloves • Readigloves • Choosing the Right Glove – The Facts! Explanation of Icons Used in this Catalogue • Vinoguard Vinoguard • Cyraguard Cyraguard • Nytraguard Nytraguard • Readigloves • About Robinson Healthcare Introduction Contents • Cyraguard • Nytraguard • Nytraguard • Glove Size Guide • Glove Sample Service • Vinoguard • Vinoguard • Nytraguard ® ® ® ® ® ® ® ® ® ® ® Essentials Premium Synthetic ® ® ® Essentials Premium ® free from natural rubber latex Product and packaging are For single use only lll complex design device PPE Directive, as a Category Product is certified to the Product is a medical device ChemoPure Tough SkyBlue Bluple iy lvsRange Gloves Vinyl ae lvsRange Gloves Latex – Providing Protection for People – Advice on Use – Legislation & Standards irl lvsRange Gloves Nitrile ®

EN 374-3 EN 374-2 AQL Level 2 1.5

for more details EN 374-3. Refer to manufacturer resistance as defined by Product has low chemical EN 374-2 Level 2 (AQL 1.5) Product conforms to defects in any production batch) inspected to AQL 1.5 (max 1.5% Product is manufactured and

17 16 22 21 26 28 27 25 24 18 14 2 8 4 1 D6978-05 ASTM ASTM F1342 ASTM F1671 resistance tested Product has been puncture for viral penetration Product has been tested chemotherapy drugs for permeation by Product has been tested About Robinson Healthcare

Robinson Healthcare has an established reputation as one of the leading manufacturers of healthcare products in the UK, providing medical professionals with products they can trust.

Leader of Innovation Investing for the Future – E-Commerce Founded in 1839, Robinson Healthcare has over 170 years Today, many customers have already adopted electronic trading experience of working in partnership with healthcare with Robinson Healthcare. The company has now committed professionals. Innovation remains central to the company’s significant investment in e-commerce to support new and product development plans. The introduction of Readigloves® existing business via online trading to all market sectors. follows the same philosophy, with innovative products and The Robinson Healthcare website now offers the following manufacturing techniques that set Readigloves® apart from services to all customers: Healthcare Robinson About the rest. • Streamlined order processing, incurring virtually zero UK Manufacturing Facility transactional costs • 24 hour online ordering, via account or electronic payment The majority of Robinson Healthcare products are produced in a UK manufacturing facility near Worksop in Nottinghamshire. • Live stock enquiries and allocation The company operates a large Class 7 cleanroom with sterile • Full trading history packaging facilities, two large autoclaves for product sterilisation • Order templates for regularly ordered baskets of product and on-site laboratories to support product development, production and continued compliance with standards. Core Values and Aims The new range of medical examination gloves is manufactured Robinson Healthcare is committed to meeting customers’ by partner companies in Malaysia – the global centre of glove needs. To do so, it has adopted a number of core aims and manufacturing – to Robinson Healthcare’s own rigorous values that are fundamental to the business: specification. Every batch of products undergoes full quality inspection by Robinson Healthcare’s own locally based QA staff • Create and maintain partnerships with customers to develop before leaving the factory. open, long term relationships • Have a straightforward and honest approach to business Full Compliance with Legislation and Standards • Continued investment in research and development Compliance with legislation and standards is fundamental to • Manufacture products that are safe, effective, value for Robinson Healthcare’s philosophy. In addition to certificates of money and produced in full compliance with all appropriate conformance for a wide range of medical devices, the company legislation and standards has certificates of compliance to a number of other important • Invest in maintaining manufacturing facilities that are standards: first class • BS EN ISO 9001:2008 – Quality Management System • Operate to high environmental and ethical standards • BS EN ISO 13485:2003 – Medical Devices Quality • Invest in training employees Management System • Listen to customers • BS EN ISO 14001:2004 – Environmental Management System The result is a progressive and innovative company whose name • MDD (Medical Devices Directive) – Annex V Certification can be trusted – Robinson Healthcare. • BRC (British Retail Consortium) – Global Standard for Consumer Products Understanding Customers Needs Robinson Healthcare fully understands that a consistent and reliable supply chain is critical to the smooth running of healthcare services, pharmacy and retail operations. Extensive stocks of finished goods and raw material underpin the company’s supply from stock philosophy, maintaining a world- class level of service.

1 Providing Protection for People

The use of high quality, single use medical examination gloves has played an essential part in controlling HealthCare Associated Infections (HCAI), along with correct hand hygiene policies – Introduction safeguarding both healthcare workers and patients. As a result the market has grown rapidly with a bewildering proliferation of glove types of widely varying performance and cost. Choosing the right glove, with the correct performance specification has become difficult. Consequently, many trusts now order a multitude of gloves, pushing costs up at a time when budgets are challenging.

Quality, Performance and Protection New Generation Technology Readigloves® is the new name in high quality, high The Readigloves® range features some of the latest, advanced performance single use medical examination gloves - from formula materials and manufacturing technology to deliver Robinson Healthcare. Designed to complement the extensive high quality, high performance protection without breaking range of healthcare consumables already manufactured and budget constraints. These techniques allow Robinson supplied by Robinson Healthcare, such as Instrapac® single Healthcare to offer a new generation of gloves that combine use instruments, the Readigloves® range has been carefully dexterity, tactility and comfort with strength, durability and selected to provide a solution to the overwhelming majority of chemical resistance at economical prices. examination and general purpose uses for disposable gloves The range offers gloves for all medical examination and by medical professionals. medical general purpose tasks, with a choice of materials that The result is a focused range from which it is quick and easy to meet a variety of needs. As well as being suitable for medical select the most appropriate glove, avoiding costly proliferation purposes, Readigloves® can be used for a multitude of of stock for purchasing managers, whilst providing the right everyday tasks – where the superior performance designed for choice of glove to match the task for the user. medical use is more than enough for more routine tasks. Some gloves in the range are also certified for use in laboratories. As a minimum specification, all products in the Readigloves® range are fully compliant with the Medical Devices Directive Readigloves® are constructed from the following materials: 93/42/EEC and the PPE Directive 89/686/EEC for Minimal Nitrile Risks. For more onerous or specific tasks, specialist gloves are offered to complete the range. A full explanation of regulatory Latex compliance, product standards and testing is provided on the Vinyl (synthetic stretch vinyl and standard vinyl) following pages.

® Nytraguard Nitrile Gloves

Nytraguard® is the Readigloves® brand name for nitrile It is generally assumed that because nitrile does not contain examination gloves. Nitrile is quickly becoming the material latex that it will never cause allergic reactions – but this is not of choice for many healthcare workers as it has a similar true. During the manufacture of nitrile, chemical accelerators performance to latex for many tasks, but is more durable and are used to speed up the curing process. These accelerators benefits from being free of any latex proteins, which can cause may cause a Type lV (chemical) allergic reaction in some Type l allergy problems for some individuals. Nytraguard® individuals which can lead to dermatitis. This is true of all gloves are made from a synthetic polymer – acrylonitrile standard nitrile gloves from different manufacturers. Constant butadiene – that is typically stronger and more durable than washing of hands by healthcare workers often damages the traditional latex gloves. skin, which makes the hands more susceptible to reactions from chemicals. A solution offered in the Readigloves® Nytraguard® gloves have the following features & benefits: Nytraguard® range is a ground breaking glove using the very Fingertip texturing for good grip but lower grip palms for latest generation material, which is not only accelerator free patient comfort but also sulphur free. Its name? Nytraguard® ChemoPure® High stretch and elastic properties, for superior wearer comfort Superior sensitivity and dexterity from thin, advanced technology gloves Excellent strength, toughness and durability, even though the gloves are thin High puncture resistance Excellent resistance to tearing and ripping, particularly when donning Highest resistance to chemicals, particularly cleaning chemicals and petroleum based solvents and oils Excellent barrier protection against biological organisms and viral penetration Latex free construction, to prevent Type l (latex) allergies and sensitisation Versions independently certified for laboratory use Unique sulphur free, accelerator free version for ultra low dermatitis potential

2 ® Cyraguard Latex Gloves Introduction

Cyraguard® is the Readigloves® brand name for latex One drawback to natural rubber latex is that some individuals examination gloves. Latex is the traditional material used to can develop an allergy or sensitisation to the latex proteins produce examination gloves, manufactured from natural within the material – called a Type l (Latex) allergic reaction. rubber latex (NRL) extracted from rubber trees. Latex gloves Cyraguard® latex gloves undergo special treatments during offer high performance thanks to the highly elastic properties processing to greatly reduce these proteins, but they cannot of NRL. be eradicated all together. Because of this risk and to simplify procurement, many trusts now have a ‘no latex’ glove policy. Cyraguard® gloves have the following features & benefits: However, latex gloves still remain high performance products Superior grip for precision tasks that offer the best comfort, tactility and grip. Excellent stretch and conformability, offering the very highest user comfort Superior sensitivity and dexterity as the gloves can be made thin and are close fitting High strength and durability with excellent tear resistance – even when punctured Easy and consistent donning, as the material is highly elastic and moulds very easily to the hand Excellent barrier protection against biological organisms, viral penetration and some chemicals

® Vinoguard Vinyl Gloves

Vinoguard® is the Readigloves® brand name for vinyl gloves. It should be noted that many vinyl gloves available on the Vinyl is a synthetic polymer, more commonly known as market today do not comply with the Medical Devices polyvinyl chloride (PVC). To make the rigid polymer flexible Directive. All products in the Readigloves® Vinoguard® range and suitable for use as a glove, plasticisers are added, such comply fully with the Directive and may be used for medical as phthalates. Vinyl gloves are latex free but can still cause examination purposes. The Vinoguard® range also includes dermatitis in wearers, due to the chemicals they contain. Vinyl a stretch vinyl product, often referred to as synthetic or gloves are of lower performance than both nitrile and latex but pigmentised vinyl, which is formulated to deliver improved do offer a low cost option for low risk tasks. strength and elasticity, improving comfort, fit and sensitivity in use. Vinoguard® gloves offer the following features & benefits: Smooth finish, highly suitable for washing patients or handling fragile skin Low elasticity, but strong enough to prevent ripping on donning Generally lower comfort but satisfactory if the glove is big enough Stretch synthetic vinyl versions available for improved fit and comfort Latex free construction, to prevent Type l (latex) allergies and sensitisation Basic barrier protection against biological organisms and viral penetration Minimal resistance to chemicals, suitable for non hazardous tasks only Low cost, suitable for frequent, low risk general purpose tasks

3 Legislation & Standards

Compliance with appropriate legislation and standards is fundamental to Robinson Healthcare’s philosophy in all areas of the business, including the Readigloves® range. The result is high quality products that not only exceed the necessary product and manufacturing standards, but also meet the rigorous demands of our customers. Readigloves® are covered by two main regulations and a number of product standards, which are detailed below.

Medical Devices Directive 93/42/EEC, These requirements include: Legislation & Standards & Legislation as amended by 2007/47/EC Safety of patients and users This legislation covers all products in the Readigloves® range Eliminating or addressing any risks associated with use and is the principal legislation with the exception of of the product Nytraguard® ChemoPure®, which is primarily covered by the Performance of the device, initially and over life PPE Directive. Medical devices are classified according to the Biocompatibility, toxicity and flammability inherent degree of risk to the patient or user, associated with their use and how invasive the device is during use. Elimination or reduction of any infection risk Appropriate environmentally controlled manufacturing Medical Device Classification conditions Class I Low risk (eg. Bandages; Gloves) Correct unambiguous labelling Class IIa Medium risk (eg. Single use instruments) Conformance with appropriate product standards Class IIb Medium risk, complex design (eg. Wound contact layers) The manufacturer should also operate an appropriate Class III High risk (eg. Pacemakers) quality management system - for medical devices this is ISO 13485:2003 - and be registered with the Competent Readigloves® are categorised as Class l Medical Devices as Authority responsible for regulatory compliance. In the UK this they are non-invasive and are considered a comparatively low is the Medicines and Healthcare products Regulatory Agency risk. However, the directive places legal obligations on the (MHRA). After issuing a declaration of conformity and applying manufacturer to ensure that the devices are safe and fit for a CE mark, the product may be placed on the market. The their intended purpose, such as gloves providing a suitable manufacturer must then maintain Post Market Surveillance biological barrier and retaining their integrity during use. and take corrective action where required. More detailed Every device must meet a number of “Essential Requirements” information about the Medical Devices Directive and regulatory as stated in Annex l of the Directive. Demonstration that the compliance can be found at www.robinsonhealthcare.com. device complies with these requirements forms part of the technical documentation required for all classes of device.

Personal Protective Equipment (PPE) Directive The manufacturer must compile a technical file that details 89/686/EEC the following: Full design specification of the PPE The term ‘PPE’ covers any item designed to be worn or held by an individual for protection against one or more health and List of basic health and safety requirements relating to safety hazards. This is the principal legislation for gloves that the PPE are used in a laboratory or in a clinical setting for more Details of the European standards to which the product hazardous tasks such as for the administration of is manufactured chemotherapy drugs. It is therefore the most pertinent Details of other national standards to which the product regulation for Nytraguard® ChemoPure®. is manufactured However, all gloves fall under the legislation as they may be Performance characteristics of the PPE used to handle cleaning chemicals. If the PPE is of simple design, the manufacturer can make a The Directive provides a list of ‘simple’ and ‘complex’ design self declaration of conformity to the Directive and place the PPE and the manufacturer must decide to which category an product on the market, applying the CE mark. For complex item belongs. This is defined as follows: design PPE, the manufacturer must submit the item for EC Simple Design – Protects against minimal risks. The user Type Examination by an approved, independent Notified Body. can assess the level of protection required. The effects of The manufacturing must also be subject to one of two quality the risk are gradual and can be safely identified by the user control systems, also audited by the Notified Body. An in good time. appropriate quality management system, such as ISO 9001 should be employed. If approved, the Notified Body will issue a Complex Design – Protects against mortal danger, or certificate of conformance and the manufacturer may apply the against danger that may seriously and irreversibly harm CE mark with the Body’s identification number and then market health. The user cannot identify the immediate effects in the product. sufficient time. ® ® Intermediate Design – Protection against risks that are not Nytraguard ChemoPure has been independently certified to included in the exhaustive lists of simple or complex Article 11B of the PPE Directive 89/686/EEC, as a Category lll design PPE. complex design device and has been tested for high resistance to chemotherapy drugs and viral penetration. It therefore may be used for the administration of chemotherapy drugs and for PPE Classification appropriate laboratory use. All other products in the Category Risk Example of Protection Readigloves® range conform to the Directive as Category l Simple Design Minimal Cleaning materials of weak action simple design devices for minimal risks. PPE (Category l) It is a legal requirement for all tasks that a risk assessment Intermediate Design Intermediate Not covered by simple or complex list PPE (Category ll) should be undertaken before selecting which glove should be used. This should form part of your organisation’s health and Complex Design Serious Chemical attack (limited protection) safety policies. Gloves classified for minimal risks should NOT PPE (Category lll) be used for laboratory tasks. 4 EN 455: Medical Gloves for Single Use EN 455-3: Requirements and Testing for Biological Evaluation This standard is divided into four parts to cover specific requirements: This standard includes test procedures for measuring powder residue for powder free gloves and leachable proteins in natural EN 455-1: Requirements and Testing for Freedom rubber latex gloves, to determine levels of potential allergens from Holes and to disclose information to users. Gloves that contain ≤ 2 This standard covers the requirements and testing of gloves mg/dm2 of powder may be considered powder free. It is not for freedom from holes, with regard to penetration resistance. permissible to label latex gloves as low protein. Readigloves® The standard uses a water leak test that is carried out using Cyraguard® latex gloves contain a maximum 50 mg/dm2 of AQL (Acceptable Quality Level) statistical sampling techniques latex protein. Standards & Legislation based on production batch sizes. Gloves are tested by filling EN 455-4: Requirements and Testing for Shelf Life with water and observing for leaks. To comply, an AQL of 1.5 Determination or better is required (only 1.5% or less of the batch size may have a hole present). This standard covers the protocol to be followed to evaluate the gloves shelf life by using real time studies or a suitably validated EN 455-2: Requirements and Testing for Physical Properties alternative for accelerated ageing. This also provides the user This standard covers physical properties such as dimensions with storage conditions to help maintain the integrity of the and force at break (minimum tensile strength) to ensure that the glove for the stated shelf life. gloves meet minimum strength requirements to maintain their integrity in use. Minimum requirements are shown below.

Dimensions of examination gloves Force at break of examination gloves

Size Median length (mm) Median width* (mm) Type Before ageing (Newons) After ageing (Newtons) Extra Small > 240 < 80 Nitrile > 6 > 6 Small > 240 80 + 10 Natural Rubber Latex > 6 > 6 PVC (Vinyl) > 3.6 > 3.6 Medium > 240 95 + 10 Large > 240 110 + 10 Extra Large > 240 > 110

* width across palm

EN 374: Protective Gloves Against Chemicals EN 374-3: Determination of Resistance to Permeation and Micro-organisms by Chemicals This section describes the method of testing to determine This standard covers the requirements for gloves to protect the resistance to penetration by solid or liquid chemicals. The user against chemicals and/or micro organisms. This standard current standard is limited in that the test only refers to 12 is divided into 3 parts: chemicals. To comply with the standard, the glove must have EN 374-1: Terminology and Performance Requirements a breakthrough time of at least 30 minutes for a minimum of This section covers the performance requirements, marking 3 of the 12 chemicals, which should be indicated on the of gloves and information to be supplied by the manufacturer. packaging. If the glove is required to have resistance to It does not specify requirements for protection against any chemicals other than the 12 listed in EN 374-3, the user should mechanical hazards. refer to the manufacturer for evidence of testing against the required chemicals. EN 374-2: Determination of Resistance to Penetration This section describes the method of testing to determine resistance to penetration by micro organisms by way of a water leak test and, if practicable, an air leak test. To comply with the standard, the glove must achieve an AQL of 1.5 (see also EN455-1).

5 Legislation & Standards (Cont)

ASTM D6978-05: Resistance of Medical Gloves to Permeation by Chemotherapy Drugs This standard, issued by ASTM International (American Society for Testing and Materials) specifically covers resistance to permeation by chemotherapy drugs and is more rigorous than the European standard EN 374-3 as it classifies breakthrough at a much lower permeation level. The standard measures the resistance by actual breakthrough detection time of a mandatory list of seven drugs, plus two more of the manufacturer’s choice. Legislation & Standards & Legislation ASTM F1671: Resistance of Protective Clothing to Penetration by Blood-Borne Pathogens This standard is more rigorous than EN 455-1 and EN 374-2 as it measures resistance to penetration to blood borne pathogens, specifically Hepatitis B and C and the HIV virus, using a surrogate microbe. This more closely reproduces the action of micro organisms than using water or air leak tests and is therefore a higher standard for laboratory use where resistance to micro organisms is required. ASTM F1342: Test Method for Protective Clothing Material Resistance to Puncture This standard specifically measures a material’s resistance to puncturing, using a probe of specific dimensions. This is used to simulate as closely as possible the action of pointed objects coming into contact with the glove.

EN 420: Protective Gloves: General Requirements and Test Methods This standard covers the requirements for protective gloves and includes: glove design; sizing; construction; innocuousness; comfort and efficiency; marking and information to be supplied. If the glove has been independently certified as complex or intermediate design, the Notified Body identification number should appear. Otherwise, the markings should clearly state that it is for ‘Minimal Risks’ only.

AQL (Acceptable Quality Level) AQL is a method for determining the performance of a product against set quality assessment criteria using statistical sampling techniques based on production batch sizes. It measures the maximum number of defective goods considered acceptable in a sample size. An AQL of 1.5, which is generally applicable to medical examination gloves, infers that statistically up to 1.5% of the batch may be defective, which is an excellent standard for mass production, low cost gloves with their inherent characteristics.

6 Legislation & Standards & Legislation

7 Choosing the Right Glove The Facts!

Choosing the correct gloves to provide protection during various tasks is not always straightforward. Some tasks require greater dexterity and tactility, as small objects need to be handled. Others require superior grip characteristics to securely hold items such as instruments. Whatever the task, gloves should fit well, be comfortable and not cause hand fatigue. Nitrile, latex and vinyl gloves all have their own characteristics which means that their performance rating varies depending on the Choosing the Right Glove Right the Choosing task to be performed and the individual needs of the person using the gloves. Therefore, we have created a performance guide for each glove in the Readigloves® range, to help you select the most appropriate product based upon the characteristics of the glove rather than the specific task. The table on page 11 provides guidance on the performance of each glove against each characteristic. An explanation of each characteristic is provided below.

Biological Barrier

This is probably the most critical consideration for any glove. Medical examination gloves were originally invented to create a physical barrier, reducing the chance of cross infection between healthcare worker and patient. This is still paramount. Once this barrier is breached, the consequences can be serious, particularly if exposure to blood or other body fluids is likely. The molecular composition of the glove is critically important. Many materials contain microscopic pores, which can let micro-organisms pass through, creating a biohazard and cross contamination risk. Generally latex and nitrile gloves offer exceptionally high micro-organism barrier characteristics. Some – such as Nytraguard® Chemopure® - have been extensively tested and achieve an extremely high barrier performance. Vinyl gloves offer a much lower barrier performance even though they may comply with the appropriate standards. Manufacturing gloves is a complex process and failure in any part of that process can lead to a poor quality glove. The material formulation has to be consistent and each production stage carefully controlled. If this is done, a glove of the correct weight, thickness, elongation, strength, durability and puncture resistance will be produced and it is this combination of features that ensure that the gloves provide an effective biological barrier.

Durability and Strength

It is essential that gloves retain their integrity during use. Gloves are subject to abrasion and wear during use, such as handling instruments, unscrewing bottle caps etc. This can cause the glove material to tear or puncture, leading to a cross infection risk or ingress of chemicals if in a laboratory setting. Nitrile and latex are much more durable than vinyl gloves due to their molecular composition. When comparing gloves made from the same material, it is usual that heavier weight gloves are more durable. The underlying concept of the Readigloves® range is that different thicknesses of gloves are offered in every material type. This enables the user to choose a glove exactly tailored to the task at hand. If you need more durability - go thicker. If you need more tactility and comfort – go thinner. This is only a rule of thumb, so we have provided a comparison chart on page 11 to help you. Note that an important exception to this is Nytraguard® Bluple®, which is made from an advanced formula of nitrile that makes it very durable, comfortable and tactile – a unique combination of features.

Puncture Resistance

It is vital that a glove does not puncture if it is snagged or caught when handling any object. Once punctured, the glove fails to provide protection to the user or patient. For example, manipulating sharp instruments or moving apparatus may snag the glove on a sharp edge or trap the material. Even fingernails can cause punctures, so it is recommended that nails are kept short and jewellery removed. This risk can be minimised by selecting a glove material that is more resistant to puncturing. Nitrile is significantly the most resistant material to puncturing from contact with pointed implements, but it should be noted that when punctured a tear develops quickly. Latex offers less resistance to puncturing, but once punctured does not tear as quickly as nitrile. Vinyl is the least resistant to puncturing. The molecular composition of stretch vinyl however, such as Vinoguard® Synthetic, does provide added resistance compared to standard vinyl. When comparing gloves made from the same material, heavier weight gloves perform better in this regard.

Tear Resistance

How often have you tried to use a glove, only to find that it rips and tears as you pull it on? Some gloves can tear during donning or during use. This can be costly, as a damaged glove has to be discarded, Glove Right the Choosing not to mention the loss of protection. Reducing the possibility of tearing can be achieved by selecting the correct type of glove and also buying a better quality glove – gloves are most definitely not made equal. It is more cost effective to purchase a material that is less prone to rip and is manufactured to a higher quality, than to waste gloves by throwing them away. Again, the more ‘stretchy’ a glove is, the less likely it is to rip. Latex gloves offer excellent tear resistance due to their molecular structure. Nitrile also offers good tear resistance. Vinyl is the most likely to tear (usually during donning), though stretch vinyl will provide improved tear resistance, as it is more elastic and a heavier weight than standard vinyl.

Grip and Texturing

The requirement for grip varies with the task being performed. For example, when manipulating an instrument during a surgical procedure, it is critical that the glove provides a firm and reliable grip of the instrument. This is even more important if the gloves are wet. However, for tasks such as washing a patient, or holding an elderly person it is more important that there is a lower level of grip, so as not to cause pain or damage fragile skin. The level of grip is determined by two factors – the molecular construction of the material and whether the surface has a texture applied. Latex offers the maximum grip. It is naturally ‘grippy’ and also tends to have an all over micro-textured finish to increase this further. Nitrile has moderate natural grip characteristics and generally has a textured finger tip finish to offer high grip for procedures such as holding or manipulating instruments, but moderate grip on the palm for patient comfort. Vinyl offers the least grip. It naturally has a smooth, slippery finish and does not normally have any texturing applied. This makes vinyl ideal for personal hygiene tasks but poor for more critical tasks. Vinyl is ideal for care of the elderly and is comfortable for the patient when washing the body, particularly the hair.

Fit, Conformability and Comfort

Everybody has different shape hands and fingers. This can present problems when trying to find a glove to fit well, so that the task can be more easily performed and the glove is comfortable to wear. For tasks where this is important, the glove should stretch to produce a good fit and mould, or conform, to the shape of the hand. It should also be tight enough, but not so tight that it takes more effort to bend the fingers, which causes fatigue. Thicker, heavier weight gloves tend to cause more finger fatigue as they take more force to stretch the material. Materials with high stretch or elongation properties, such as latex and nitrile, conform well to the hand. Stretch also improves resistance to ripping or tearing, particularly during donning. This conformability also improves dexterity, which is essential for complex tasks. Vinyl – and even stretch vinyl - have lower levels of stretch than nitrile or latex. Therefore, sometimes a larger glove has to be selected to ensure a comfortable fit and minimise ripping when donning. This can lead to a baggy fit. Stretch is generally less critical however, when performing personal hygiene or janitorial tasks.

Tactility and Sensitivity

When performing complex tasks it is usually essential that sensitivity of touch is maintained. This is especially true if handling small objects, or holding delicate items. Thin walled, close fitting gloves offer the best sensitivity and tactility, but they must also have a high stretch performance so that the hand can move easily enough, without feeling tight and causing fatigue. Latex offers superior performance for sensitivity, followed closely by the latest technology thin walled nitrile gloves like Nytraguard® Bluple®. Increasing the thickness and weight of both latex and nitrile gloves decreases the sensitivity, but they are still significantly better than the best vinyl gloves. Vinyl does not stretch well and thin wall construction versions are not very strong, leading to easy ripping and tearing, particularly during donning.

9 Choosing the Right Glove - The Facts! (Cont)

Resistance to Chemicals

When tasks involve the handling of, or contact with chemicals, the glove should be chosen with great care. A risk assessment of the task should be undertaken before selecting which glove should be used. This is a legal requirement for all tasks, whether they involve contact with chemicals or not and should form part of your organisation’s health and safety policies. The primary legislation is the PPE Directive 89/686/EEC, rather than the Medical Devices Directive. Many tasks are assessed as minimal risk and commonly referred to as ‘simple design PPE’. This includes gloves that are used for cleaning tasks using diluted, mild detergents. If the task is more onerous then ‘complex design PPE’ must be used and the law requires that a

Choosing the Right Glove Right the Choosing certificate of conformity is issued by an independent Notified Body. This includes gloves used for the handling of specific chemicals used in laboratories, or the administration of cytotoxic drugs during chemotherapy. The user should always obtain a copy of the manufacturer’s certificate of conformance to ensure the chemicals being handled are covered by the scope of the certificate. Nitrile gloves generally offer excellent resistance to chemicals. Latex also provides good performance, but is poor with petroleum based chemicals and oils. Generally vinyl gloves offer the least chemical resistance but are suitable for use with diluted detergent solutions.

Allergenic Potential

Anyone who wears gloves can suffer from a glove-associated irritation. Some individuals can also have Allergy an allergic reaction to specific allergens within the gloves. Repeated exposure by wearing gloves regularly can increase the person’s sensitisation to the point where a reaction occurs and symptoms are displayed. Safe Latex Allergy - The most publicised, because of its potentially serious nature, is a Type l Natural Rubber Latex (NRL) Protein Allergy – often referred to as latex allergy. Latex contains a naturally occurring protein, which to some individuals is an allergic compound. Symptoms can vary from itchy or runny eyes and facial swelling up to more serious conditions such as anaphylactic shock or cardio- respiratory arrest. Users must stop using latex gloves if they experience any symptoms. If patients have an allergy, healthcare workers must use an alternative glove type. Latex gloves from the Cyraguard® range are specially treated so that most of the proteins are removed, but individuals who develop a sensitisation to the material should still avoid latex. Contact Dermatitis - The most common, but least publicised allergy is a Type lV Chemical Allergy, which is often referred to as contact dermatitis due the symptoms that are displayed. It is believed that this type of allergy is caused by contact with the residues of chemical accelerators and sulphur used in the vulcanisation process of acrylonitrile butadiene gloves. Symptoms of contact dermatitis include itchy and reddened skin, blistering, cracking and open lesions, which can be very painful for sufferers. Irritation - Sweating inside the glove, not allowing the skin to breathe or friction from tight gloves can cause irritation. Dermatitis is also commonly experienced in sensitive individuals using vinyl gloves. To help avoid allergies, the Readigloves® range includes Nytraguard® ChemoPure®. This is a nitrile glove that has been manufactured free of accelerators and sulphur to produce a glove that is both latex free and presents an ultra low dermatitis risk. This glove is the ideal choice for users or individuals that have Type l and Type lV allergic reactions. Please refer to the performance table on the opposite page to help select the correct glove for you and the task.

Ease of Donning

Some gloves are simply harder to don, or put on, than others. This is affected by a number of factors. These include the size and shape of your hand, the size of the glove, how easily the glove stretches, the thickness (or weight) of the glove and its strength. If the optimum size, stretch and thickness is not selected, the glove can be very difficult to don and will easily tear during the attempt. Having wet or damp hands also makes gloves more difficult to don. Generally, latex gloves are the easiest to put on as the material is strong, stretches and conforms to the hand and is resistant to tearing. Nitrile gloves also perform very well, particularly the new advanced materials such as Bluple®. Both Cyraguard® latex and Nytraguard® nitrile glove ranges have an advanced internal treatment to make the glove easier to slip on. Vinyl generally is the most difficult to don due to the more rigid nature to the material. To overcome this, a larger size may be selected, but the glove will probably be baggier when worn. IMPORTANT NOTE – Robinson Healthcare offer a sample service for the entire Readigloves® range. This is the best way to check which size you need before purchasing bulk stock, as one manufacturer’s size is sometimes different to the ‘same size’ from another supplier. See page 27 for more details.

10 Powder Content

The addition of powder used to be a popular method to aid the donning of gloves and is still used by some manufacturers today. However, powder presents a cross infection risk through direct contact or aerosolisation (dispersal in air) when removing the glove. It can also be an irritant and can trigger an allergic reaction. For this reason, all products in the Readigloves® range are supplied powder free. Instead, our Cyraguard® latex and Nytraguard® nitrile glove ranges have a special internal treatment that makes the interior surface of the glove more slippery and therefore easier to don. Choosing the Right Glove Right the Choosing

Glove Selection & Performance Indication Guide

This table shows a relative evaluation of glove performance.

Nitrile Latex Vinyl

Nytraguard® Cyraguard® Vinoguard®

Characteristic Bluple® SkyBlue Tough ChemoPure® Premium Essentials Synthetic Premium Essentials

Biological Barrier 9910 10 10 9543

Durability & Strength 8910 997543

Puncture Resistance 8910 976432

Tear Resistance 9910 9 10 7432

Frip & Texturing 888 8 10 10 222

Fit, Conformability & Comfort 987 8 910 432

Tactility & Sensitivity 987 8 910 423

Resistance to Chemicals* 8910 10 77 222

Latex Allergy Latex Free 55 Latex Free

Contact Dermatitis 77710 77 666

Ease of Donning 998 9 99 532

Powder Content Powder Free Powder Free Powder Free

Scale: 1 = Worse/Very Poor Performance, 10 = Best/Excellent Performance. Note* - Actual performance is dependant on the chemical

11 Advice on Use

Suggested ‘dos and don’ts’ when using gloves Before using a medical examination glove you should think carefully about which glove to use, the task you need to perform and how the glove should be used, including any precautions to maintain the integrity of the glove. Here is our suggested list of ‘dos’ and ‘don’ts’: Advice on Use on Advice

Do…. Don’t…. …follow your organisation’s health and safety policy …store gloves under high ambient temperatures, (or conduct a risk assessment) near direct heat, in direct sunlight or exposed to fluorescent lighting …ensure hands are properly washed and thoroughly dried before donning gloves …use the same gloves for multiple tasks if cross infection is possible …if you have a Type l (latex) or Type lV (chemical) allergy, select an appropriate glove …wear gloves in between tasks/procedures …choose the correct size glove to minimise tearing …continue to use if exposed to biological hazards and maximise dexterity for prolonged periods of time …select the correct glove according to performance …handle equipment or stationery whilst wearing gloves, characteristics for the intended task to avoid contamination …keep fingernails short and remove jewellery before …macerate after use donning to prevent puncturing …dispose of gloves carelessly …adhere to your organisation’s infection control guidelines …replace good hand washing/hygiene with gloves during use …replace gloves if they are torn or punctured …dispose of gloves immediately after use in accordance with your organisation’s waste policies …always wash your hands after removing gloves

Choosing a glove by application The previous section of this catalogue details the most appropriate way to select the correct product based upon the characteristics of the glove rather than the specific task. However, for a quick and simple guide to the most likely glove type required for various tasks, please use the suggestions below.

Application First Choice Alternative Choice

Hospital – clinical procedures Cyraguard® range Nytraguard® range

Hospital - routine patient care Nytraguard® range Vinoguard® Synthetic

Hospital – administration of Nytraguard® ChemoPure® N/A chemotherapy drugs

Emergency services Nytraguard® range Cyraguard® range

Dental clinics Cyraguard® range Nytraguard® range

GP surgeries Nytraguard® Bluple® Vinoguard® Synthetic

Community nurses Nytraguard® range Cyraguard® range

Laboratories Nytraguard® ChemoPure® N/A

Care homes Vinoguard® Synthetic Vinoguard® range

Nursing homes Nytraguard® Bluple® Vinoguard® range

Community care Nytraguard® Bluple® Vinoguard® Synthetic

Councils/Social services Nytraguard® Bluple® Vinoguard® range

General cleaning/janitorial Nytraguard® range Vinoguard® range

Food & catering Nytraguard® Bluple® Vinoguard® range (non fatty foods only)

HM Customs/Airlines Nytraguard® range Cyraguard® range

Motor vehicle garages Nytraguard® range Vinoguard® range

Hair & beauty salons Vinoguard® range Nytraguard® Bluple

Notes 1. These suggestions are purely for guidance only. The exact choice of glove is subject to your organisation’s health and safety policy, or alternatively by conducting a risk assessment and selecting the glove based upon specification and performance. 2. Where a specific Readigloves® range product is not specified and a ‘range’ is suggested, the most appropriate glove should be more closely identified by performance characteristics, shown on the individual product pages and summarised on page 11. 12 Nytraguard®

Nitrile Gloves

Bluple® SkyBlue Tough ChemoPure® ®

® ® Bluple

® Nytraguard Bluple

Nitrile Gloves Nytraguard Nytraguard® Bluple® is no ordinary glove. It is the very latest innovation for high performance nitrile gloves, combining light weight, high comfort and great sensitivity with toughness – an unbeatable combination. Bluple® is perfect for the majority of tasks in a healthcare setting but can also be used for a huge variety of general tasks requiring hand protection.

Bluple® Less is more Bluple® Dependable, durable and versatile The heart of a Bluple® glove is its state of the art Critically, any glove must offer protection. In a clinical acrylonitrile butadiene polymer formula, allowing a high setting this is not just for the clinician but also to prevent strength, high stretch, thin wall construction that was not cross infection to the patient. The advanced material of possible until now. This delivers incredible benefits. Bluple® gloves, coupled with state of the art manufacturing plants and regular production quality checks in factory Bluple® Thin wall technology based laboratories, ensures that Bluple® is produced Sensitivity and dexterity are the most critical attributes without microscopic holes that would otherwise lead to required for a medical glove – and this is where Bluple® viral penetration and tearing. really excels. Even the smallest objects can be felt through Durability is also extremely important. Not only are Bluple® the thin walls for optimum sensitivity. Bluple® also delivers gloves strong, they are specially treated inside so that they dexterity because the combination of thin walls with high slip onto the hand with the minimum of drag, reducing the stretch means that it is very easy to move the hand with chance of ripping. Bluple® gloves are also manufactured as minimal effort. The glove also conforms beautifully to the standard with a textured fingertip finish to provide hand and has the benefit of being extremely comfortable dependable grip during precision tasks and aiding wet grip. to wear with minimum hand fatigue. Bluple® is also flexible, Palms and the lower finger area have a matt finish – making it very easy to put on and remove, whilst the thin to provide grip without causing discomfort when holding walls reduce hand heat and so reduces sweating. a patient’s skin. These features are just not possible with Bluple® gloves are powder free, eliminating skin irritation conventional nitrile gloves. and infection risk from organisms being carried in powder. Additionally, as the gloves are manufactured from acrylonitrile butadiene they do not contain latex, making them safe to use by individuals who are sensitive to latex.

Technical Performance

Classification: Single use, Non sterile Class I Medical Device Materials: Acrylonitrile butadiene; Does not contain latex Does not contain styrene; Powder free Design: Ambidextrous, finger textured outer surface, beaded cuff Inspection Criteria: AQL 1.5 Shelf Life: 3 years Regulatory Principal legislation: Medical Devices Directive 93/42/EEC Compliance: Other legislation: PPE Directive 89/686/EEC Minimal Risks Product: EN 455-1; EN 455-2; EN 374-2 Level 2 Production: ISO 13485; ISO 9001 Applications: Medical examination; medical general purpose; routine patient care; care of the elderly; professional care in the home; general tasks; food preparation 14 ® Bluple ® Nytraguard Bluple® Meets all health and safety and legal requirements Bluple® Economical and better for the environment Bluple® is a Class l Medical Device for Medical Examinations. Bluple® is economical with the materials it uses and the cost This means that it is suitable for a huge variety of clinical tasks in use. The new material means that the gloves can be made in hospitals, community clinics, GP surgeries, dentistry clinics, thinner, but actually perform better than thicker gloves. More ambulances, nursing and care homes. Bluple® also conforms to gloves can also be fitted into a box, reducing packaging and the the PPE Directive for minimal risk tasks, making it an excellent room taken up in transport – thus reducing the carbon footprint. choice for general purpose tasks. It is great for cleaning where it The savings made in using less material and lower transport is important that a single use glove is used for infection control costs make Bluple® economically priced – as these savings are reasons – perfect in a clinical setting. Its durability means that passed on to you, the user! Bluple® is also available in cartons the gloves will last without the need for frequent changing. of 200 gloves in addition to the standard 100. This offers Bluple® is also suitable for food preparation, where it is critical additional savings is use, by reducing labour required to replace that the food is not contaminated – particularly in a hospital empty boxes in high use applications. setting. It offers a much higher level of performance than Once again – the use of new technology proves that “less really vinyl gloves – giving better dexterity and better durability. is more”. Bluple® truly means less material, more benefits for the environment and more savings for you.

Bluple® Main features and benefits Safe Dependable Sensitive Durable Strong Economical Comfortable Environmentally conscious Dexterous

Product Code Size Gloves per Carton Unit of Sale 9535 Extra Small 100 10 Cartons 9536 Small 100 10 Cartons 9537 Medium 100 10 Cartons 9538 Large 100 10 Cartons 9539 Extra Large 100 10 Cartons 9545 Extra Small 200 10 Cartons 9546 Small 200 10 Cartons 9547 Medium 200 10 Cartons 9548 Large 200 10 Cartons 9549 Extra Large 200 10 Cartons

EN 374-2 EN 374-3 AQL 1.5 Level 2 15 ® SkyBlue

® Nytraguard SkyBlue

Nitrile Gloves

Nytraguard Nytraguard® SkyBlue is a high quality nitrile glove that is the perfect choice where light weight, high comfort and high levels of sensitivity are paramount. It complements perfectly the other gloves in the Nytraguard® range, as it permits excellent dexterity but still offers high strength.

High sensitivity and comfort – Yet dependable SkyBlue – Ticking all the legal boxes SkyBlue benefits from a thin wall lightweight construction It is absolutely essential that a glove must offer protection and so is ideal for most tasks in a healthcare environment, to both healthcare worker and patient, preventing cross particularly medical examinations. The thin wall delivers infection. SkyBlue passes the test within EN 455-1, freedom exceptional levels of comfort as the glove stretches easily from holes, with flying colours – eliminating microscopic and conforms to the hand. Movement and manipulation of holes that would otherwise allow viral penetration. It also the hand takes minimal effort, reducing hand fatigue so that passes all other tests within the standards so that it fully the user can use gloves throughout the day without tiring. meets the requirements as a Class l Medical Device for medical examinations. SkyBlue also conforms to the PPE However, don’t let the light weight construction fool you Directive for minimal risk tasks and as it is manufactured into thinking that SkyBlue is not strong. It has a high level from acrylonitrile butadiene, it does not contain latex; safe of resistance and can easily withstand the abrasion received for users or individuals who are sensitive to latex. when handling apparatus or instruments. SkyBlue is strong and durable and is certainly up to the task. The textured The result is a high performance glove that is equally at fingertips assist both a sensitive and sure grip of small home for clinical tasks in hospitals, GP surgeries, dentists objects, whilst the matt finish on the palms and lower and care homes as it is for general tasks such as cleaning. fingers ensure that even patients with fragile skin are securely held without causing any discomfort during SkyBlue Main features and benefits the procedure. Lightweight Strong Sensitive Safe Comfortable Dependable Dexterous Latex Free

Technical Performance

Product Code Size Gloves per Carton Unit of Sale 9525 Extra Small 100 10 Cartons 9526 Small 100 10 Cartons 9527 Medium 100 10 Cartons 9528 Large 100 10 Cartons 9529 Extra Large 100 10 Cartons

EN 374-2 EN 374-3 AQL 1.5 16 Level 2 ® Tough Nytraguard Tough ®

Nitrile Gloves Nytraguard When the going gets tough - reach for Nytraguard® Tough. Designed for extra safety and optimum durability, Tough is a heavy gauge acrylonitrile butadiene glove and the automatic first choice when security and protection is the prime concern. Whatever the task, Tough is equal to it.

Tough by name – Tough by nature Nytraguard® Tough also benefits from a sure grip as the fingertips are textured, keeping a firm hold on instruments, Nitrile gloves are already strong and durable, thanks to the apparatus and medical equipment. As you would expect from strong bonds in the molecular structure of nitrile. Nytraguard® such a dependable glove, Tough passes all the requirements to Tough takes this durability to the next level as it is manufactured be designated a Class l Medical Device for medical from a thicker, heavier gauge of material. Tough is a medical examinations. It also conforms to the PPE Directive for minimal examination glove that is suitable for heavy duty tasks, such as risks, ensuring it is equally at home in handling detergents and the handling of medical apparatus, as the risk of ripping or retaining its integrity during more onerous cleaning and janitorial tearing is significantly reduced. For other tasks, including tasks. In fact – whatever the task, Tough is the glove you can cleaning, Tough is actually more cost effective than inferior and depend on and trust. cheaper gloves. This is because Tough is more durable, lasts longer and avoids frequent changes to complete the task. Tough Main features and benefits Despite the thicker glove wall, Tough is still very flexible and is comfortable to wear. The glove has excellent stretch Heavy gauge Extra durable characteristics and conforms well to the hand, with only a Extra safe Ultra dependable minimal reduction in dexterity and sensitivity for the majority of clinical tasks. Extra strong Latex Free Extra tough Tough – The glove you can trust The most critical feature of a medical examination glove is biological barrier protection and Nytraguard® Tough does not disappoint in this respect. This is where Tough excels, as the heavy gauge material provides exceptional puncture resistance, preventing viral penetration and offering complete peace of mind for the clinician and the patient. For example, Tough is less likely to be damaged, compared to ordinary gloves, if snagged on an instrument. This makes Tough the perfect choice where an increased biohazard risk exists, such as contact with blood or body fluids.

Technical Performance

Product Code Size Gloves per Carton Unit of Sale 9530 Extra Small 100 10 Cartons 9531 Small 100 10 Cartons 9532 Medium 100 10 Cartons 9533 Large 100 10 Cartons 9534 Extra Large 100 10 Cartons

EN 374-2 EN 374-3 AQL 1.5 Level 2 17 ® Nytraguard ® ChemoPure® ChemoPure ® Accelerator Free Nitrile Gloves

Nytraguard® ChemoPure® is a ground breaking glove. It is the first in a new generation of extra high specification, highly versatile medical gloves that provide protection in both a clinical and

Nytraguard laboratory environment, whilst guarding the user against the risk of contact dermatitis – a common problem for wearers of nitrile gloves. This is a unique combination and in a league above ordinary gloves. But as you will read below, thanks to independent testing and certification you don’t just have to take our word for it.

ChemoPure® Extending the technology boundary Complex design PPE, such as ChemoPure®, has to undergo a type examination by an independent Notified Body, who The key to ChemoPure® gloves is a breakthrough in new checks the test results that back up the product’s generation nitrile film formulation, taking glove manufacturing performance claims. The manufacturing facility has to to the next level. Never before has a glove been able to be regularly audited and approved to ensure the gloves deliver advanced protection to chemical permeation and viral continue to be manufactured in conformance to the directive. penetration, plus ultra low dermatitis potential at the same time as high comfort, sensitivity, tactility and strength – Whilst minimal risks gloves simply protect against dilute making ChemoPure® ideal for the vast majority of clinical cleaning solutions, ChemoPure® is “intended to protect the tasks, plus laboratory use. wearer against mortal danger, or against dangers that may seriously and irreversibly harm health, the immediate effects ChemoPure® Independently certified complex of which the designer assumes that the user cannot identify design PPE in sufficient time”. Which glove would you trust when Thanks to this advanced film formulation, the first big performing high risk tasks? difference you will notice about ChemoPure® is that it has ChemoPure® Advanced chemotherapy drug resistance been independently certified to Article 11B of the PPE Directive 89/686/EEC, as a Category lll complex design One of the most hazardous tasks for a clinician is the device. This is quite different to the minimal risks claimed administration of highly toxic chemotherapy drugs. As the by other gloves, which is a self declaration. European standard, EN 374-3, does not directly address the resistance to cytotoxic drugs, ChemoPure® has been independently tested to the more rigorous ASTM (American Society for Testing and Materials) standard D6978-05. This standard measures the breakthrough resistance to a mandatory list of seven drugs, plus two more of the manufacturer’s choice. ChemoPure® performs extremely well, even against the most aggressive drugs, Carmustine and ThioTEPA. The performance of ChemoPure® is provided in the table opposite. It is a legal requirement for all tasks that a risk assessment should be undertaken before selecting which glove should be used, whether they involve contact with chemicals or not. This should form part of your organisation’s health and safety policies. If you are using another glove for the administration of chemotherapy drugs, how easily can you check the performance test results? Which glove would you trust?

Technical Performance

Classification: Single use, Non sterile Class I Medical Device Materials: Acrylonitrile butadiene; Accelerator and sulphur free; Does not contain latex; Does not contain styrene; Powder free Design: Ambidextrous, finger textured outer surface, beaded cuff Inspection Criteria: AQL 1.5 Shelf Life: 3 years Regulatory Principal legislation: PPE Directive 89/686/EEC Category Compliance: lll Complex Design to Article 11B Other legislation: Medical Devices Directive 93/42/EEC Product: EN 455-1; EN 455-2; EN 374 (Excl. Pt 1 5.3.2); EN 420; ASTM D6978-05; ASTM F1671; ASTM F1342 ISO 13485; ISO 9001 Applications: Laboratory use (personal protection from specific chemicals); administration of chemotherapy drugs; medical examination; medical general purpose; routine patient care; care of the elderly; professional care in the home; general tasks, food preparation 18 ®

ChemoPure® Advanced viral penetration performance ChemoPure® Durable, comfortable, sensitive and versatile ChemoPure® already passes the EN 455-1, freedom from holes You may think that ChemoPure® is a specialist glove that should standard, which is used to determine whether a glove is an only be used for administering chemotherapy drugs, in effective biological barrier. However, to prove resistance to viral laboratories or if you have contact dermatitis. But you would be penetration, ChemoPure® has also been tested to and passes wrong - ChemoPure® is also a Class l Medical Device for ChemoPure ASTM D1671. This standard is designed to more rigorously test medical examinations. ® the glove against penetration by blood borne pathogens, The glove is very flexible, has high strength, high stretch and specifically Hepatitis B and C and the HIV virus. This makes conforms beautifully to the hand, with the resulting benefit of ChemoPure® not only highly suitable, but also permissible for being extremely comfortable to wear with minimum hand use in laboratories. Remember, PPE minimal risk gloves should fatigue. This combination also delivers great dexterity and NOT be used in a laboratory – don’t take risks, choose ® excellent sensitivity, vital for more complex tasks as even small

ChemoPure . Nytraguard and delicate objects can be distinguished through the glove. ChemoPure® gloves are also specially treated internally so that ChemoPure® Pure, for protection against dermatitis risk they slip easily onto the hand, reducing the chance of ripping. ChemoPure® has been specially formulated to produce a glove Advanced design delivers all of these benefits in one glove, with an ultra low dermatitis risk for the wearer. The potential of at only a marginally higher cost than standard nitrile gloves. an allergic reaction to the latex proteins in latex gloves is well ChemoPure® really is a versatile glove that pushes the documented. However, the potential of a Type lV Chemical boundaries of glove technology. Allergy is much higher. Standard nitrile gloves contain sulphur and chemical accelerators to assist the manufacturing process. ChemoPure® is made from a special formulation that is tested ChemoPure® Main features and benefits and proven to be free of these chemicals. This makes Safe High sensitivity ® ChemoPure the perfect choice for latex allergy sufferers who and strength also have a high potential for sensitisation to accelerators and Certified PPE for laboratory use ® Comfortable sulphur. ChemoPure is the PURE glove. Chemotherapy drug resistance tested Dexterous Pure – sulphur and accelerator free Dependable Ultra low dermatitis risk Durable Viral penetration performance Latex free tested

Chemotherapy Drug Resistance Performance ChemoPure® has been tested for permeation to ASTM D6978-05 for the chemotherapy drugs listed below. It is highly resistant to the aggressive Carmustine and ThioTEPA drugs. Warning: Please note breakthrough time. In the event of accidental spillage of Carmustine and ThioTEPA we recommend glove removal within 15 minutes.

Test Chemotherapy Drug Average Breakthrough Detection Time (mins)

Carmustine (BCNU), 16.70 3.3mg/ml (3,300 ppm) Cisplatinum, No Breakthrough Up To 240 min 1.0 mg/ml (1,000 ppm) Cyclophosphamide, (Cytoxan) No Breakthrough Up To 240 min 20.0 mg/ml (20,000 ppm) Dacarbazine, (DTIC), No Breakthrough Up To 240 min 10.0 mg/ml (10,000 ppm) Doxorubicin Hydrochloride, No Breakthrough Up To 240 min 2.0 mg/ml (2,000 ppm) Etopside, (Toposar) No Breakthrough Up To 240 min 20.0 mg/ml (20,000 ppm) 5 - Fluorouracil, No Breakthrough Up To 240 min 50.0 mg/ml (50,000 ppm) Paclitaxel, (Taxol), No Breakthrough Up To 240 min 6.0 mg/ml (6,000 ppm) ThioTEPA, 72.36 10.0 mg/ml (10,000 ppm)

Product Code Size Gloves per Carton Unit of Sale 9540 Extra Small 100 10 Cartons 9541 Small 100 10 Cartons 9542 Medium 100 10 Cartons 9543 Large 100 10 Cartons 9544 Extra Large 100 10 Cartons

EN 374-2 EN 374-3 AQL ASTM ASTM ASTM 1.5 D6978-05 F1671 F1342 Level 2 19 Cyraguard®

Latex Gloves

Premium Essentials ®

Premium Premium Cyraguard ® Latex Gloves

High quality latex gloves have long been considered the gold standard for medical examination Cyraguard use. Cyraguard® Premium is no exception, delivering outstanding performance in the critical areas of barrier protection, grip, comfort and sensitivity of touch and feel, matched closely for clinical use by only the latest, advanced formula nitrile gloves such as Bluple®.

Premium – When only the best will do Of course, latex gloves do contain latex proteins. This can cause sensitisation and an allergic reaction in some individuals. Cyraguard® Premium is manufactured to stringent quality levels Premium features the latest manufacturing techniques and an in a state of the art manufacturing plant that employs regular advanced treatment to minimise the latex protein content to as production quality checks, ensuring the glove performs as it low a level as it possible. If a latex allergy already exists, we promises. Too often, cheaper latex gloves are made to lower would however recommend the use of nitrile gloves. standards on ageing machines, resulting in sub standard performance with potentially serious consequences. As a Class l Medical Device for medical examinations, Premium Premium is quite different and is a glove you can trust. is ideally suited to many clinical tasks in hospitals, clinics and community care. It also conforms to the PPE Directive for Manufactured from a slightly heavier, premium gauge minimal risk tasks, so is suitable for general purpose tasks. of material, Premium delivers optimal biological barrier protection, preventing viral penetration when it matters. Despite this heavier gauge, Premium still conforms beautifully to the Safe High sensitivity hand and stretches to provide an exceptionally close fit. Even Premium gauge High tactility small and delicate objects can be easily felt and distinguished through the glove wall, for superior sensitivity. High grip micro Close fit and conformability textured surface Special advanced treatment Premium - Getting a firm grip on the matter High comfort to improve donning and Latex is naturally a ‘grippy’ material, but to ensure optimum reduce leachable proteins performance for complex tasks and procedures, Premium features a micro textured outer surface. This delivers outstanding performance when manipulating small, smooth instruments and offers complete peace of mind for the clinician. This grip is superior to all other gloves. Premium is also very resistant to tearing and rarely rips during donning.

Technical Performance

Classification: Single use, Non sterile Class I Medical Device Materials: Natural rubber latex – special treatment for low protein performance. Does not contain styrene; Powder free Design: Ambidextrous, micro textured outer surface, beaded cuff Latex Protein Maximum 50 micrograms/dm2. Content: Low level of leachable proteins Inspection Criteria: AQL 1.5 Shelf Life: 3 years Regulatory Principal legislation: Medical Devices Directive 93/42/EEC Compliance: Other legislation: PPE Directive 89/686/EEC Minimal Risks Product: EN 455-1; EN 455-2; EN 455-3; EN 455-4; EN 374-2 Level 2 Production: ISO 13485; ISO 9001 Applications: Medical examination; medical general purpose; routine patient care; care of the elderly; professional care in the home; general tasks; food preparation

Product Code Size Gloves per Carton Unit of Sale 9505 Extra Small 100 10 Cartons 9506 Small 100 10 Cartons 9507 Medium 100 10 Cartons 9508 Large 100 10 Cartons 9509 Extra Large 100 10 Cartons

EN 374-2 EN 374-3 AQL 1.5 Level 2 21 ® Essentials Essentials Cyraguard ® Latex Gloves

Cyraguard® Essentials offers a regular gauge alternative to its slightly heavier gauge sister – Cyraguard Cyraguard® Premium. This reduction in material gauge does not mean a reduction in quality – indeed Essentials outperforms Premium in a number of key areas to match the choice of this glove very closely to the task at hand.

Cyraguard® Essentials – As the glove is put on, it stretches and conforms to the Essential for optimum sensitivity shape of the hand. The elasticity means that Essentials is resistant to ripping during this procedure, minimising waste Essentials’ regular gauge material means the glove wall is and therefore is actually more cost effective than cheaper thinner, which offers exceptional sensitivity of touch and gloves, such as vinyl. feel. This makes Essentials the perfect choice for complex, delicate procedures where high tactility is critical, such as Like Premium, Cyraguard® Essentials gloves contain latex the use and manipulation of fine instruments. The high proteins, which can cause sensitisation and an allergic stretch material also provides a close fit, with the glove reaction in some individuals. Essentials features the same, conforming readily to the hand, almost like a second skin. advanced manufacturing techniques and advanced This also makes the glove really comfortable, as minimal treatment, which significantly reduces the latex protein effort is required to bend the fingers or manipulate the content and reduces potential sensitisation. If a latex allergy hand, reducing fatigue during use. already exists, we would however recommend the use of nitrile gloves. The high quality, state of the art manufacturing process ensures that Essentials still offers excellent barrier Essentials is a Class l Medical Device for medical protection. Production is carefully controlled to result in examinations, particularly suitable for numerous clinical latex that is free of microscopic holes, preventing viral tasks in hospitals, clinics and community care. It may also penetration. In fact, Essentials is the perfect balance of be used for many general purpose tasks as it conforms to strength, sensitivity, comfort and protection, for finer the basic health and safety requirements of the PPE clinical tasks. Directive for minimal risk tasks. No fuss donning Safe High sensitivity Latex gloves are easier to don thanks to their combination of high strength and high stretch – and Essentials is no Regular gauge High tactility exception. Despite having a thin wall, the glove has great High grip micro Special advanced treatment strength due to its molecular composition. textured surface to improve donning and reduce leachable proteins High comfort

Technical Performance

Product Code Size Gloves per Carton Unit of Sale 9500 Extra Small 100 10 Cartons 9501 Small 100 10 Cartons 9502 Medium 100 10 Cartons 9503 Large 100 10 Cartons 9504 Extra Large 100 10 Cartons

EN 374-2 EN 374-3 AQL 1.5 22 Level 2 Vinoguard®

Vinyl Gloves

Synthetic Premium Essentials ®

Synthetic Vinoguard Synthetic ® Stretch Vinyl Gloves

Vinoguard Vinoguard® Synthetic is in a different league to most vinyl gloves. Think of vinyl gloves and often poor fitting, difficult to don, easy to rip gloves come to mind. This is not the case with Vinoguard® Synthetic, thanks to careful manufacturing and an improved formulation that delivers a superior vinyl glove. This type of glove is often referred to as pigmentised vinyl, as the glove has a creamy appearance unlike the translucent appearance of a standard vinyl glove.

Raising the bar on performance The performance benefits don’t end there. The formulation delivers a higher strength glove that is more durable and Start to put on a Vinoguard® Synthetic glove and you will offers improved protection. If a glove rips easily, the barrier immediately notice how it differs from standard, cheap vinyl protection is lost immediately. So a glove that maintains its alternatives. Firstly the glove has a much softer and more integrity is safer to use. It is also more cost effective in the flexible feel. This makes donning significantly easier without long run as a damaged glove has to be replaced, adding having to select a larger size than you would otherwise additional costs. need, which would produce a baggy fit. Unlike standard vinyl, Synthetic also has improved stretch qualities that aids Feeling the quality the donning process and feels more comfortable during use. The material stretches as you flex the hand and bend Gloves intended for medical examinations also need to offer fingers, making manipulation of items much more natural the user tactility and sensitivity of touch. Whilst not having and minimising hand fatigue. the exceptional performance of nitrile and latex gloves, Vinoguard® Synthetic is an excellent and viable alternative where the clinical task is less critical, but still requires good levels of sensitivity and dexterity. This level of performance is just not possible with standard vinyl gloves due to their more rigid construction. This is complemented by a smooth surface finish, ideal for holding patients with fragile skin without causing pain. Vinoguard® Synthetic is a Class l Medical Device that is a cost conscious alternative to nitrile and latex gloves for low risk medical and general purpose tasks, particularly where frequent glove changes are required. Typically the glove is suitable for use in outpatient clinics, GP surgeries, nursing and care homes.

Advanced vinyl performance Smooth finish Improved strength Latex Free Improved comfort Cost conscious option Improved sensitivity

Technical Performance

Classification: Single use, Non sterile Class I Medical Device Materials: Polyvinyl chloride; Does not contain latex Does not contain styrene; Powder free Design: Ambidextrous, smooth outer surface, beaded cuff Inspection Criteria: AQL 1.5 Shelf Life: 3 years Regulatory Principal legislation: Medical Devices Directive 93/42/EEC Compliance: Other legislation: PPE Directive 89/686/EEC Minimal Risks Product: EN 455-1; EN 455-2 Production: ISO 13485; ISO 9001 Applications: Medical examination; routine patient care; care of the elderly; professional care in the home; nursing and care homes; general tasks

Product Code Size Gloves per Carton Unit of Sale 9590 Extra Small 100 10 Cartons 9591 Small 100 10 Cartons 9592 Medium 100 10 Cartons 9593 Large 100 10 Cartons 9594 Extra Large 100 10 Cartons

AQL 1.5 24 ®

Vinoguard Premium Premium ®

Vinyl Gloves

All vinyl gloves are not made equal. Vinoguard® Premium offers the user a high quality alternative Vinoguard to the many cheap vinyl gloves available today that just do not deliver on performance or real cost savings. Instead, Vinoguard® Premium is manufactured from a heavier, premium gauge of polyvinyl chloride (PVC) that delivers genuine improvements in performance at a cost conscious price level.

Cost conscious – cost effective Making the grade on standards When budgetary constraints dictate the use of a more Vinoguard® Premium is not only cost effective; it also does competitively priced glove, Vinoguard® Premium is not found not compromise on quality standards. Premium fully conforms wanting. Low unit purchasing costs do not automatically mean a to the European harmonised product standards EN 455-1 cost effective product. If more gloves have to be used because and EN 455-2: Medical Gloves for Single Use and is a Class l they rip easily on donning or puncture and tear during use, any Medical Device (Medical Devices Directive 93/42/EEC) for cost savings are wiped out. This is where selecting Premium medical examinations. It also conforms to the basic health pays dividend. Thanks to the premium vinyl grade used, and safety requirements of the PPE Directive 89/686/EEC Premium provides the purchasing team with savings whilst still for minimal risks. providing the users with a glove that has good integrity and so When you need a competitively priced vinyl glove that you meets their needs for protection during general tasks, such as can be certain will deliver good performance and the assurance routine patient care or cleaning work. that it meets the legal requirements and standards, make the Premium is intended for low risk medical and general informed choice - Vinoguard® Premium. applications. The smooth surface finish makes it ideal for patient personal hygiene tasks, as the glove will not snag or grip when washing hair and skin. A glove with a high grip could cause discomfort for elderly patients who may have fragile skin, when they are being held or aided with mobility. In these situations, Vinoguard® Premium offers a superb alternative to nitrile and latex gloves.

Premium gauge Smooth finish Latex Free Cost conscious

Technical Performance

Product Code Size Gloves per Carton Unit of Sale 9585 Extra Small 100 10 Cartons 9586 Small 100 10 Cartons 9587 Medium 100 10 Cartons 9588 Large 100 10 Cartons 9589 Extra Large 100 10 Cartons

AQL 1.5 25 Vinoguard ® Essentials Essentials ® Vinyl Gloves

Vinoguard In today’s economy, the push for savings is greater than ever. But care needs to be exercised to ensure that the savings are genuine and legal requirements are not compromised. This is where Vinoguard® Essentials fits into the Readigloves® range. When cost is the prime concern Essentials offers a quality vinyl glove that genuinely complies with the Medical Devices Directive and is a Class l Medical Device for medical examination use.

Regulatory compliance is not just an option Durable and smooth Vinoguard® Essentials is manufactured from a regular gauge Cheaper gloves are often made using a very light gauge of polyvinyl chloride (PVC) and has been fully tested to of PVC. This reduces their strength and durability. Try the conform to the European harmonised product standards weight test – compare the weight of Essentials with other, EN 455-1 and EN 455-2: Medical Gloves for Single Use. cheaper gloves and compare Essentials’ value for money When selecting Essentials this compliance is backed up with them. The regular gauge of Essentials performs by the well established and trusted name of Robinson significantly better than lighter gloves as it has added Healthcare, for complete peace of mind that you are strength and durability. Essentials last longer before needing purchasing a product that does what it says on the box. to be changed and rip far less often during donning. Buying cheap really is a false economy. This is an essential requirement to ensure the safety of barrier protection, preventing cross infection between The gloves have a smooth surface finish that is ideal for clinician and patient. Cheap gloves are not cost effective patient personal hygiene tasks, as the glove will not snag if they have to be replaced due to poor integrity in use. or grip when washing hair and skin, or cause discomfort to Essentials is competitively priced without compromising fragile skin. It is also suitable for low risk medical and on delivering value during use. general applications. When you need a combination of competitive pricing, regulatory compliance and value for money, choose Vinoguard® Essentials.

Regular gauge Smooth finish Latex Free Cost conscious

Technical Performance

Product Code Size Gloves per Carton Unit of Sale 9580 Extra Small 100 10 Cartons 9581 Small 100 10 Cartons 9582 Medium 100 10 Cartons 9583 Large 100 10 Cartons 9584 Extra Large 100 10 Cartons

AQL 1.5 26 Glove Sample Service

Robinson Healthcare offers a fast and efficient samples service.

To request samples - Tel: 01909 735010 or Email: [email protected]

Please remember to include the following details: The name of the glove you require; e.g. Nytraguard® Bluple® The size(s) required e.g. Medium and Large Your name and job role Company name and address A contact number (in case we have a question)

27 Glove Size Guide

This sizing chart is provided for guidance only. Actual fit varies depending on the material and thickness (weight). To determine the most suitable size for any particular range of gloves, we recommend that you trial samples of 2 or more sizes. For details of our Glove Sample Service, please see page 27. Glove Size Guide Size Glove Extra Small Extra Small Medium Large Large Extra

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28 March 2013 Publication Ref: MEG01/13/5K or superior to that originally specified. construction of any of its products and to substitute material equal to and reserves the right to change, discontinue or modify the design and Robinson Healthcare Ltd. operates a policy of continuous improvement should not rely solely on the information contained herein. view of the possibility of typing, printing or other errors, the reader Every care has been taken in compiling this catalogue. However, in the prior permission of Robinson Healthcare Ltd. electronic, mechanical photocopying, recording or otherwise without stored in a retrieval system or transmitted in any form or by any means, All rights reserved. No part of this publication may be reproduced, Robinson Healthcare Ltd. © Copyright 2013 of sale, which are available on request. All goods are supplied subject to the company’s general conditions Conditions of sale

Conditions of Sale Robinson Healthcare Ltd Lawn Road Carlton-in-Lindrick Worksop S81 9LB Tel: +44 (0)1909 735000 Email: [email protected] www.robinsonhealthcare.com