Brookdale University Hospital Standardization Opportunities s1

Clinical Services

Clinical Contract Crib Sheet – November 22, 2010

 RECALL Nursing – announcement of a SIGMA Spectrum Infusion Pump Model 35700 Recall.

The SIGMA Spectrum Infusion Pump is intended for the delivery of fluids, solutions, drugs, agents, nutritionals, electrolytes, blood and blood products via parenteral, enteral, intravenous, intra-arterial, subcutaneous, epidural, or irrigation routes of administration.

These units may fail suddenly causing inaccurate flow conditions during use, ranging from back flow to over-infusion, including free flow. The pump does not issue an alarm when this occurs. These conditions could result in serious injury or death. For further details, please visit FDA's website.

 Surgical Services – announcement that Ecolab Inc. (PP-OR-534) will discontinue ENDURE 450 Waterless Hand Scrub. This will immediately affect the following product codes:

 Item # 61094501 : Endure 450 6-1000mL  Item # 61094510 : Endure 450 72-4oz  Item # 61094520: Endure 450 6-1000mL (bag)

There are several viable alternatives on Premier agreements. Refer to the Cross Reference in Supply Chain Advisor.

 Surgical Services – announcement that Covidien Price Protection on previous surgical energy agreement ends November 30, 2010. Effective December 1, 2010, pricing at Tier 1 will change and will be subject to future price increases.

Pricing is firm for the first two years, with a 2 percent increase in the third year. The agreement allows for a 5 percent increase for Tier 1 and a 3 percent increase for Tiers 2-4 in the fourth year. Today, some products at Tier 1 pricing will be lower than the higher tiers. There are no changes to Tier 2, Tier 3 and Tier 4 prices in the new surgical energy agreement, PP-OR-664.

 Surgical Services – announcement that Surgical and Specialty Blades agreements are transitioning away from BD.

In a letter dated June 8, 2010, Becton, Dickinson and Company (BD) announced its intent to sell certain assets of the BD Medical segment, including its surgical and specialty blades platforms. The surgical and specialty blades business has now been sold to Roundtable Healthcare Partners. Two of Roundtable’s

For further Clinical Services support: Contact us directly or through your client service executive to arrange for further assistance: Timothy Glennon, RN, MSN, MBA, CMRP Vice President, Clinical Services, [email protected] or (212) 506-5445, or Sandee Schoby, LVN, BA, JD, CMRP Director, Clinical Services, [email protected] or (212) 506-5521.

Clinical Services

subsidiaries, Aspen Surgical Products and Beaver-Visitec International, will assume contracts PP-OR-653 (surgical blades) and PP-OR-468 (ophthalmology) in full with no changes in terms. The contract assignment to Aspen Surgical for PP-OR-653 has been completed and the assignment to Beaver-Visitec for PP-OR-468 will be completed. Members should continue to operate as normal in regards to both agreements.

What to expect during the transition:  BD will continue servicing both agreements until the other entities assume full operation.  Distribution orders should remain seamless.  This primarily pertains to direct orders.

Current Becton, Dickinson and Company (PP-OR-468 and PP-OR-653) details are available in Premier’s electronic catalog.

 Nursing – announcement that Teleflex has added the ArrowEVOLUTION PICC to Premier agreement PP-NS-527. This new peripherally inserted catheter (PICC) is designed to provide an initial burst of chlorhexidine after insertion to protect the subcutaneous tract.

 Nursing – announcement of new agreements for Adhesive Skins Closures effective February 1, 2011. Products in this category include adhesive tape-like strips for use in supporting the closure of a skin wound/laceration such as Steri- StripTM and Butterfly strips. It also includes Tincture of Benzoin, which is often applied to skin before applying tape or other adhesive bandages

 Nursing – announcement of new agreements for Tape products and Cohesive Bandages. Tape products are strips of a variety of strong woven fabric or other materials used to bind and hold bandages in place. Cohesive bandages are self- adherent elastic wraps that function like tape but stick to themselves and not the skin.

Effective February 1, 2011 through January 31, 2014 Supplier New Contract Previous Contract 3M Company PP-NS-641 PP-NS-467 Andover Healhcare PP-NS-642 NEW Inc. (SBE)

 Nursing – announcement of new agreements for Transparent Dressings. This category includes dressings that are used predominantly to cover catheter sites and secure devices to the skin while allowing visibility of the site. These dressing provide a bacterial and viral barrier over the site.

Effective February 1, 2011 through January 31, 2014

Clinical Services

Previous Supplier New Contract Contract 3M Company PP-NS-639 PP-NS-469 AMD-Ritmed PP-NS-640 NEW Inc. (SBE)

 Recall Surgical Services – announcement that Arrow International has issued a voluntary recall for certain single shot epidural kits, basic venous access kits and arterial line kits. Some of the outer trays used in the packaging of the above products were found to have cracks. Therefore, the packaging may have been compromised, and sterility of the product cannot be guaranteed. If non-sterile product is issued, there is a potential for infection to occur. Contact your Sales Representative for details regarding lot numbers.

 Materials Management – announcement of a new agreement for Peak Use Rental Equipment with incumbent Universal Hospital Services Inc. (UHS). The agreement is effective December 1, 2010 through November 30, 2010.

Expiring contract Supplier New contract number number

UHS PP-MM-125 PP-MM-031

 Imaging – announcement that Rays (PP-IM-134) is offering promotional discounts off professional fees for teleradiology services, effective November 9, 2010 through March 1, 20ll.

 Surgical Services – announcement that Alliant has added new products to its open heart disposable supply agreement (PP-OR-379). Please refer to Supply Chain Advisor for details.

 Surgical Services – announcement of new agreements for Sterile Reprocessing have been awarded to the current incumbents, effective February 1, 2011 through January 31, 2014.

Expiring New contract Supplier contract Effective dates number number

Ascent PP-OR-712 PP-OR-434 February 1, 2011 - SterilMed PP-OR-713 PP-OR-433 January 31, 2014

Clinical Services

 Nursing - Baxter Issues final reminder regarding Certificate of Medical Necessity required for continued use of COLLEAGUE Infusion Pumps

In a letter dated October 26, 2010, Baxter states that the Certificate of Medical Necessity (CN) form must be completed and returned to Baxter by November 14, 2010, for COLLEAGUE pump customers who wish to receive continued support from Baxter and be eligible to participate in the replacement and refund programs

 Nursing – announcement that effective November 15, 2010 Bard Medical has added 41 advanced foley catheter trays to agreement PP-NS-584. These BARDEX I.C. trays are specifically designed to follow CDC guidelines for the prevention of catheter-associated urinary tract infections. See Supply Chain Advisor for details.

 Cardiology – announcement of new agreements for Diagnostic and Interventional Radiology, effective February 1, 2011 through January 31, 2011.

New Previous Supplier contract number contract number

Argon Medical Devices Inc.* PP-CA-179 NEW

Boston Scientific Corporation PP-CA-176 PP-CA-141

Cook Medical Inc. PP-CA-177 PP-CA-142

ev3 Inc. PP-CA-178 NEW

Contact your Client Services Executive for details. *Field Guide will be available December 6, 2010.

 Cardiology – announcement of new agreements for Peripheral and Biliary Stents, effective February 1, 2011 through January 31, 2013.

New Previous Suppliers contract number contract number

Abbott PP-CA-183 PP-CA-137 Laboratories Inc.,

Clinical Services

Abbott Vascular Division Boston Scientific PP-CA-180 PP-CA-138 Corporation Cook Medical Inc. PP-CA-181 NEW

ev3 Inc. PP-CA-182 PP-CA-139 Medtronic USA PP-CA-184 NEW Inc.

Contact your Client Services Executive for details. *Field Guide will be available December 1, 2010.

 Cardiology – announcement that Cardiac Science is offering a $2,000 trade- in on all stress systems, PP-CA-151. Promotion dates are November 1, 2010 through December 31, 2010. Contact your local sales representative or contact Cardiac Science directly at 800 426 0337.

 RECALL Surgical Services – announcement that Ethicon Endo-Surgery is initiating a voluntary recall on Endopath Xcel with Optiview Technology products. Effected items are contained in Avid’s contract for Custom Procedure Trays (PP-OR-483). The recall involves the potential for leaking in the effected products.

 Surgical Services – announcement that Aesculap has notified customers of a change in the sale and servicing of the SonaStar Surgical Aspiration System. All sales and servicing will now be the responsibility of Misonix Inc. effective October 18, 2010.

 Surgical Services – announcement that Stryker Instruments has notified the FDA of their request to withdraw all 510K pain pumps applications. Stryker Instruments is not currently marketing any products in the pain management market.

 Surgical Services – announcement that Premier is terminating the DePuy Spinal Implant (PP-OR-544) effective January 27, 2011.

 Surgical Services – announcement that Angiotech has added Tan EndoGlide endothelium insertion system to agreement PP-OR-469. This system is designed to assist surgeons handle and insert endothelial cell tissue with minimal cell lose.

Clinical Services

 Surgical Services – announcement that CareFusion has added products to their Surgical Hand Preps agreement, (PP-OR-533). These new products include Surgicept Waterless Surgical Hand Scrub, Triseptin Water- Aided Surgical Scrub and Triseptin Hand and Body Antiseptic. Contact your Client Services Executive for details.

 Cardiology – announcement that Abbott Vascular is offering special pricing through their DES Loyalty Program. Details below;

You must select the Loyalty Program tier commit to give Abbott greater than 70 percent of your total volume or declare Abbott the sole vendor of their Everolimus Stent total in order to receive top tier pricing on the following Premier agreements: Drug Eluting Coronary Stents (PP-CA-165) and Coronary Stents Non-Drug Eluting (PP-CA-168), and Diagnostic and Interventional Cardiology Products (PP-CA-171).

In order to be eligible for this special pricing, you must complete an A-2(b) Sellers DES Loyalty Program Participating Member Designation Form, which is located in the “details” tab in Supply Chain Advisor® for the respective agreement. Additionally, you must provide the Drug Eluting Stents total annual unit purchases for all suppliers in the “price activation comment” section of the price activation submitted.

 Women & Children – announcement of new agreement for single-use thermometers to incumbent supplier 3M Company, effective February 1, 2011 through January 31, 2014.

New contract Expiring contract Supplier Effective dates number number February 1, 2011 - 3M PP-WC-054 PP-NS-468 January 31, 2014

The category consists of non-invasive single use clinical thermometers that are sterile, non-toxic and can be used in the acute and non-acute healthcare settings with pediatrics to the adult population. These products provide temperature measurement in both internal and external body orifices.

 Surgical Services Urgent Recall – announcement that Ethicon Endo- Surgery has issued a recall on ENDOPATH XCEL with OPTIVIEW technology. Effective immediately, members should cease using all products with the affected lot numbers and associated product codes, which includes 11 mm and 12 mm trocars. This recall has been initiated as Ethicon Endo-Surgery has increasingly received reports of leaking in the ENDOPATH XCEL family of trocars. This leakage can potentially lead to loss of pneumoperitoneum during a surgical procedure, resulting in a range of potential consequences, from simple annoyance to opting to move from laparoscopic to open surgery.

Clinical Services

Suggested actions:  Stop using affected product immediately.  Quarantine and remove all stock on hand.  Arrange for product returns. Complete and return the “Business Reply Form”, attached as required by the FDA.

Contact your Client Services Executive for alternate products.

 Surgical Services Urgent Recall – announcement that Ethicon Endo- Surgery has issued a recall on REALIZE adjustable gastric banding products, including kit configurations.

E ffective immediately, products from the affected lot should not be used. This recall was initiated following reports of the tubing strain relief component of the REALIZE injection port becoming displaced from the locking connector and, in some cases, migrating from its original position on the locking connector. Displacement of the strain relief component may result in kinking of the catheter which may prevent adjustment of fluid volume, potentially rendering the product ineffective and requiring additional surgery to correct. In addition, the strain relief component may migrate and become a foreign body within the abdomen, which may require surgery to remove.

 Nursing – announcement that Kimberly-Clark is offering a conversion incentive rebate for new customers conversions on their oral care agreement (PP-NS-606). Kimberly-Clark will pay a one-time conversion rebate of 8% to customers who convert by December 31, 2010.

 Surgical Services – announcement that Stryker Orthopedics (PP-OR-455) is offering 50% off bone cement. Promotion start date October 18, 2010 through December 28, 2010.

Buy bone cement at 50 percent off current list price.  Minimum of 10 ten-packs must be purchased.  Maximum of 100 ten-packs may be purchased.  Offer valid at current list price only. Contract prices do not apply.  Only one order per hospital.

All orders must be submitted to your local Stryker Orthopedics sales representative.

 Recall Nursing – announcement that ConMed Corporation has issued a voluntary recall on ECG electrodes bearing the names Neotrode, Newtrode ll, Softrace Neonatal Pediatric and Softrace Limb Band. Recall is due to poor welding of the wire to the electrode which may lead to intermittent or poor signal quality.

Clinical Services

 Imaging – announcement Hologic’s imaging agreements expire; GE sole supplier for mammography and bone densitometry

Despite months of negotiating, Premier and Hologic were unable to come to terms regarding an extension to agreements for Mammography Products and Services (PP-IM-112) and Bone Densitometry (PP-IM-113). Like every other current contracted supplier of major imaging equipment systems (GE, Philips, Toshiba, Fujifilm, Swissray and Quantum), Hologic was offered the opportunity to extend its Premier agreements for 20 months beyond their original expiration date of September 30, 2010, but declined unless some significant changes to its agreements’ terms and conditions were made.

The requested changes included some that were a significant enough departure from Premier’s business model to make them impossible to accommodate.

Therefore, GE Healthcare is now Premier’s sole supplier of Mammography (PP- IM-090) and Bone Densitometry (PP-IM-091) systems until May 31, 2012. Premier will continue working with GE to offer periodic group buy opportunities to further enhance the value of these products, including the one currently running through the end of this year.

 Recall – announcement that Abbott Nutritional (PP-DI-571) has issued voluntary recall on certain Similac powder products. Abbott is recalling these products following an internal quality review, which detected the remote possibility of the presence of a small common beetle in the product produced in one production area in a single manufacturing facility.

To immediately find out if the product in your possession is included in this recall, parents and caregivers should visit www.similac.com/recall, and type in their lot number to determine if their product is affected, or call 800.986.8850.

 Women & Children – announcement that NK Medical (PP-WC-046) is offering savings on crib and bassinet sets. Effective October 1, 2010 through January 31, 2011.

Cribs:  Child Series Klimer Crib package: E1982CG, 30x 60 Child Series “Klimer” Crib with manually operated head fowler and knee gatch sleeping surface. Set includes C100 Superfoam Mattress, U210 under crib storage, NK’s new IV102 IV Rod and a dozen fitted crib sheets.  Child Series Standard Crib package: E1981CG, 30x 60 Child Series Standard Height Crib with manually operated head fowler and knee gatch sleeping surface. Set includes C100 Superfoam Mattress, U210 under crib storage, NK’s new IV102 IV Rod and a dozen fitted crib sheets.

Clinical Services

 Neonatal Series Cribette package: E1965CLF, 36x 24 Neonatal Series Cribette with fowler sleeping surface. Set includes C503 Mattress, U105 under crib storage, NK’s new IV102 IV Rod and a dozen fitted crib sheets.

Bassinets:  Newborn Series - x 17 package: 7028x17, all stainless steel bassinet with a 6” deep drawer, lower shelf packaged with the acrylic basket, pad and a second replacement pad.  Newborn Series - x 12 package: 7028x12, all stainless steel bassinets with a 17” closed cabinet with acrylic basket, pad and a second replacement pad.  Newborn Series - x 30 package: 7028x30, all stainless steel bassinets with a 6” deep drawer and 12” closed cabinet packaged with acrylic basket, pad and a second replacement pad.

 Surgical Services – announcement of a new agreement for Reusable Surgical Linen and Gown Reprocessing Services with incumbent SRI (new PP- OR-718, old PP-OR-428). Effective January 1, 2011 through October 31, 2013. This product category provides sterile drapes and gowns to the surgical team for surgical procedures. The service includes the collection of soiled gowns and drapes and the delivery of sterile gowns and drapes to the operating room.

SRI Surgical offers reusable surgical gowns that have FDA 510K clearance as Level II, Level III, and Level IV gowns according to AAMI standard PB70.

 Surgical Services – announcement of new agreements for Surgical Instrument Tray Reprocessing Sterilization Services.

Supplier New contract number Expiring contract number

AES PP-OR-715 PP-OR-431

IMS PP-OR-716 New

SRI PP-OR-714 PP-OR-432

Effective January 1, 2011 through December 31, 2013

 Surgical Services – announcement that Cook Medical (PP-OR-497) is offering free Triton Balloon Replacement Gastrostomy tubes with purchase. If you buy five Triton Balloon Replacement Gastrostomy Tubes in either 20FR or 24FR inch will receive five free. This is a one-time offer and is limited to 5 free Triton Balloon Replacement Gastrostomy Tubes. Effective October 1, 2010 through April 1, 2011.

Clinical Services

 Surgical Services – announcement that Open Heart disposable supplies agreements have been extended. Termination dates is now April 30, 2011. Effected agreements are Alliant Healthcare (PP-OR-379) and Sorin Group USA (PP-OR-386).

 Surgical Services – announcement that Teleflex (PP-OR-584) is offering a “tier bump” promotion on endotracheal tubes. The “tier bump” incentive would only apply for new Teleflex customers qualifying for Tiers 1 through 4 on the endotracheal tube agreement. Movement from Tier 1, or the Access Tier, to Tier 2 will still require an 85 percent commitment level as written in the contract. Promotion effective October 1, 2010 through December 31, 2010.

 Surgical Services – announcement that Covidien has enhanced their conversion incentive with quarterly rebate payout option for early commitment to biological mesh agreements (PP-OR-689). This offer is good from October 1, 2010 through December 31, 2010.

 Surgical Services – announcement that SPI (PP-OR-711) has been added to the Sterilization Assurance portfolio effective October 1, 2010.

 Surgical Services – announcement that Stryker Orthopedics is offering 50% off on bone cement, PP-OR-455, effective October 18, 2010 through December 28, 2010. Buy bone cement at 50 percent off current list price.  Minimum of 10 ten-packs must be purchased.  Maximum of 100 ten-packs may be purchased.  Offer valid at current list price only. Contract prices do not apply.  Only one order per hospital.  All orders must be submitted to your local Stryker Orthopedics sales representative.

 Nursing – announcement of new agreements for Enterostomal Therapy products.

Supplier New Contract Previous Contract

ConvaTec Inc. PP-NS-629 PP-NS-476

Hollister Inc. PP-NS-630 New

Effective January 1, 2011 through December 31, 2013

 Nursing – announcement of new agreement for Bowel Management products with incumbent ConvaTec Inc. (new PP-NS-628, old PP-NS-476) Effective January 1, 2011 through December 31, 2013.

Clinical Services

 Nursing – announcement that Joerns Healthcare (PP-NS-580) is offering year- end savings of 10% off on positioned and stretcher pads. All Positioners expect 8801 and 4815 and all stretcher pads starting October 1, 2010 through December 31, 2010.

 Nursing Recall – announcement that Carefusion (PP-IV-010) is initiating a voluntary recall on Alaris PC unit Model 8000 because of potential risk associated with the Alaris PC unit model 8000 when used with the Alaris Pump module and Alaris syringe model. Customers with questions are encouraged to contact the CareFusion Recall Support Center at 888.562.6018.

 Nursing Recall – announcement that Carefusion (PP-IV-010) is initiating a voluntary recall on Alaris PC units Model 8015 manufactured between December 2008 and September 2009. Carefusion is conducting field corrective action to update the hardware.

 Materials Management – announcement to that current customer of Cardinal Optifreight (PP-MM-108) and HLS Medfreight (PP-MM-110) will need to execute new PMDF A-2 and Exhibit H, service agreement.

Here are the steps to activate the new pricing: 1) Print and review both the PMDF A-2 and Exhibit H. 2) Fill in required information and sign both documents. 3) Fax to Matt Sullivan at Cardinal at 614.553.9525.

(Note: You do not need to send the PMDF to Premier as you normally would)

 Surgical Services – announcement of new agreements for Surgical and Isolation Masks. Agreements effective January 1, 2001 through December 31, 2013.

New Contract Previous Contract Supplier Number Number

3M Company PP-OR- 702 PP-OR-573 AMD Ritmed Inc. PP-OR- 703 PP-OR-574 Cardinal Health 200 Inc. PP-OR- 708 PP-OR-452 Kimberly-Clark PP-OR- 706 PP-OR-453 Medline Industries PP-OR- 704 PP-OR-575 Precept Medical PP-OR- 707 PP-OR-454 Prestige Ameritech PP-OR- 705 PP-OR-577 Safe Life PP-OR- 710 NEW Surgery Dynamics PP-OR- 709 NEW

Clinical Services

 Nursing Recall – announcement that Sigma has initiated a recall on specific serial numbers ranging from 707497 to 724065 of their Spectrum Infusion Pumps Model 35700. These models were sold between October 2006 and March 2008 and were not on a Premier agreement at the time. Customers having these Pumps have been notified of this recall.

 Nursing – announcement that Kimberly-Clark KimVent Multi-Access Port Closed Suction Catheters are available on agreement PP-NS-569. Please be note that this product allows the care provider to perform diagnostic procedures or change a closed suction catheter without breaking the circuit on a ventilated in order to access the patient’s airway.

 Nursing – announcement that Baxter has implemented a temporary allocation plan for 15% amino acid products. Orders for 15% CLINISOL, 20% PROSOL, and 10% TRAVASOL products must be placed directly with Baxter at this time. These products are available through agreement PP-IV-033.

Baxter is temporarily removing order processing from wholesalers and distributors, effective September 21. This situation is projected to last for the remainder of the year and is directly related to Hospira’s shortage of amino acids.

If you have been ordering from a wholesaler or distributor, you will now need to order directly from Baxter’s Center for Service by calling 1.888.229.0001

 Recall Nursing – announcement that Hospira, Inc. issued a voluntary recall alert regarding its Symbiq™ One-Channel (list no. 16026) and Two-Channel (list no. 16027) Infusers. Hospira has received reports of unrestricted flow of medication with these devices. Unrestricted flow of medication and/or other therapy has the potential to cause life-threatening effects and/or critical patient injury, especially in specific patient groups such as critically ill patients, patients with congestive heart failure and/or neonates. This condition may occur if the administration set cassette is removed improperly. Additionally, when this condition occurs, the "Check Flow Stop" alarm, which is designed to notify users of a free flow condition, may not function as intended and may not provide appropriate warning to users. The U.S. Food and Drug Administration (FDA) have classified this Urgent Device Correction as a Class 1 recall. This recall does not require the removal or return of any Symbiq devices at this time. As part of the next software release, Hospira will be correcting the defective “Check Flow Stop” alarm by increasing the detection sensitivity when the cassette is removed prior to the cassette carriage being in the fully open position.

For additional information, contact Hospira Technical Support Operations at 1.800.241.4002.

 Women & Children – announcement of new agreements for infant diapers with incumbent Procter & Gamble (PP-WC-050) There are significant price decreases. Agreements effective January 1, 2011 through December 31, 2013. For further Clinical Services support: Contact us directly or through your client service executive to arrange for further assistance: Timothy Glennon, RN, MSN, MBA, CMRP Vice President, Clinical Services, [email protected] or (212) 506-5445, or Sandee Schoby, LVN, BA, JD, CMRP Director, Clinical Services, [email protected] or (212) 506-5521.

Clinical Services

 Women & Children – announcement of new agreements for Therapeutic Compression Garment, post surgical bras.

Agreements effective December 1, 2010, through November 30, 2013 Previous contract Supplier New contract number number The Marena Group Inc. PP-WC-052 New

Tytex Inc. PP-WC-053 New

 Surgical Services – announcement that Tronex Healthcare Industries (PP- OR-578) is offering post-pandemic savings on face masks and N95 Respirators. Promotion starts September 15, 2010 through December 31, 2010.

Products: #5040B – Face Mask Procedure w/ Earloops, Blue #5330B – Face Mask Surgical w/ Ties, Blue #536N95C – N95 Respirator Cup, Unisize #532N95F – N95 Respirator & Surgical Mask Fold Flat, Unisize

Promotion details:

Tier 1 Tier 2 Tier 3 Promotio n 5040B $22.20 $22.00 $21.80 $13.50 5330B $32.50 $32.20 $31.90 $21.50 536N95C $134.40 $133.10 $131.80 $99.00 532N95F $150.00 $148.50 $147.00 $109.00

 Recall Surgical Services – announcement that Integra NeuroSciences (PP-OR-478) has issued a FDA recall of specific lot numbers of their Neuroballoon catheters, catalog number 7CBD10. These Neuroballoon catheters have the potential to improperly inflate or deflate under certain conditions, which can be immediately observed by the physician or OR tech prior to or during use on a patient. Integra NeuroSciences is not recommending any change to the post-surgical follow-up plan for those patients.

Customers that have been shipped product from any of the affected lots have been notified of this recall.

Suggested actions:  Quarantine all stock on hand  Arrange for product returns  Complete and return the “Recall Acknowledgment and Return Form” as required by the FDA.

Clinical Services

 Surgical Services – announcement that GE (PP_OR-642) has issued a medical device correction for Avance, Amingo and Aisys anesthesia machines. Contact your local GE technical support for detailed information.

 Surgical Services – announcement that Johnson & Johnson is instituting a change to two consumable products (code #s 20398 and 22591) on its Automated Endoscopic Reprocessor contract, PP-OR-537. Effective September 10, 2010, Johnson & Johnson will sell these two codes both “direct” and “through distributors.” These codes were previously sold only “through distributors.”

 Nursing – announcement from Hospira and Smiths Medical that they have developed a comprehensive enterprise infusion safety medication management software application that will allow infusion system interoperability.

 Laboratory – announcement of new agreements for Contracted Courier Services for transporting medical material, such as blood specimens, body fluids, blood for transfusion, pharmaceuticals, etc.

Agreements effective October 1, 2010, through September 30, 2013

Dynamex Inc. PP-LA-280 NEW Guardian Medical PP-LA-281 NEW Logistics* Medical Logistic PP-LA-282 NEW Solutions Inc.**

 Cardiology – announcement that Zoll Medical Corporation is offering additional savings for their R Series Defibrillators starting August 16, 2010 through December 24, 2010. All Tier 3 members will receive an additional 2 percent discount on orders received before December 24, 2010.

 Price Increase Surgical Services – announcement that Medtronic USA Inc. has implemented an annual price increase for neurosurgical products on agreement PP-OR-477, effective September 2, 2010. Price increase impacts Tier 1, 2 and 3 at an aggregate increase of 3%.

 Recall Surgical Services – announcement that Olympus America Inc. (PP-OR-505) has recalled camera heads, OTV-S7H-1D-LO8E and OTV-S7H-1D- F08E. These camera heads have been incorrectly labeled as meeting CF type electrical safety standards.

Clinical Services

 Nursing Product Notice – announcement that Baxa Corporation (PP-IV- 041) has learned that the fill port cap on select EVA bags may have become detached.

 Nursing – announcement new agreement for Glucose Management Systems with Hospira Worldwide. This is PC-based system that provides caregivers with patient-specific insulin dosing requirements and is independent of IV pumps.

Agreement effective September 1, 2010, through August 31, 2013

Supplier New contract number Previous contract number

Hospira Worldwide PP-NS-625 New

Recall, Nursing – announcement that Cardinal Health (PP-NS-566) is recalling the Medi-Vac Non-Conductive Tubing. There is a possibility that packaging seals may be compromised. Product catalog numbers below;

Catalog numbers: N510, N512, N56A, N610, N612 N66A, N710, N712, N76A, NEX510; NEX512; NEX56A; NEX610; NEX612 NEX66A; NEX710, NEX712; NEX76A

Lot number: All lot numbers prior to Y10KXXXX

 Nursing – announcement that Carefusion (PP-IV-010) is offering a rental program and operating lease through Med One with flexible multiple options, August 1, 2010 through February 28, 2011. Program details:

Operating lease for 60 or 84 months exclusively offered to Premier Members At the end of the lease, the customer may choose from any of the following options:  Extend the lease term and continue to lease  Purchase the equipment for its fair market value  Return equipment to Med One

Rental program  Rent for 12 months with the option to go month-to-month or to purchase equipment with a credit of 50 percent of all rental paid through the date of purchase.

 Nursing – announcement that Carefusion is offering the Alaris Rapid Conversion Program for Premier Members (PP-IV-010). Promotion starts August 1, 2010 through February 29, 2011. Promotion is for members making whole

Clinical Services

house conversions with a minimum purchase of 75 PC units. Contact your Client Services Executive for details.

 Laboratory Correction – announcement that LifeScan (PP-LA-260) has issued a correction on the One Touch DataLink Data Management System. This device correction was issued to make users aware of the possibility of data loss under very specific circumstances when downloading SureStepPro or SureStepFlexx Meters to One Touch DataLink software. There is no impact on the accuracy of patient blood glucose tests.

 Recall, Women and Children – announcement that Madela Inc. has issued a recall for their hospital kit products. Medela has determined that the sterility of these products may be compromised, even though the packaging appears intact. As a precaution, they strongly recommend that you do not use these products.

Product description:

 67093S Universal Double Pumping System (Sterile)  67094S Lactina Double Pumping System (Sterile)  67099S Symphony Double Pumping System (Sterile)  67116S Symphony & Lactina Double Pumping System (Sterile)

 Nursing – announcement of new agreements for Hot and Cold packs with incumbent Cardinal Health 200 (PP-NS-626) and new supplier Hospital Marketing Services Company (PP-NS-627). Agreements effective December 1, 2010 through November 30, 2013.

 Nursing – announcement that Carefusion is offering an Alaris Rapid Conversion Program (PP-IV-010). This program is extended to facilities making whole house conversions with a minimum purchase of 75 units. Start date August 1, 2010 through February 28, 2011.

 Nursing – announcement that Ecolab (PP-NS-559) is offering 75% savings off direct orders for waterless hand sanitizers while supplies last. Promotion starts August 13, 2010 through September 17, 2010.

 Nursing – announcement that B. Braun is offering a trade-in incentive plus limited options and flexible lease plans with their Infusion Pump Transition Program and rebates with on their Disposable Program (PP-IV-012).

 Nursing – announcements of The Infusion Device RFI Tool. This is a critical for any facility looking to purchase new IV pumps. There are over 130 key questions and answers covering the full range of capabilities of the infusion devices and their dose error reduction systems. To find this tool, go to Premier For further Clinical Services support: Contact us directly or through your client service executive to arrange for further assistance: Timothy Glennon, RN, MSN, MBA, CMRP Vice President, Clinical Services, [email protected] or (212) 506-5445, or Sandee Schoby, LVN, BA, JD, CMRP Director, Clinical Services, [email protected] or (212) 506-5521.

Clinical Services

website, www.premierinc.com, Supply Chain Advisor and search Infusion Device RFI Baseline tool. .  Nursing - announcement that Carefusion has added Maximus IV disposable products to their infusion agreement (PP-IV-020). These products include needleless access connectors, extension sets and gravity and secondary sets.

 Nursing Recall – announcement that Hospira Inc. (PP-IV-015) has issued a voluntary recall on certain GemStar pump sets. Reason – reports of under- delivery during critical use. Contact Hospira Customer Services or your Hospira Executive Rep for details.

 Laboratory Recall – announcement that Abbott Point of Care (PP-LA-236) has initiated a recall on specific lots of i-STAT CG8+ Cartridges. Product numbers 03M86-01 and 03M86-02) lot number T10036A and on i-STAT G3+ (product numbers 06F03-1 and 06F03-2) lot number P10033. iSTAT CG8+ Cartridges and G3+ Cartridges.

 Surgical Services – announcement of new agreements for Surgical Automatice Tourniquet Systems and Accessories.

Effective November 1, 2010 through October 31, 2013. An automatic tourniquet is a device used to stop or control a patient’s blood flow during a surgical procedure

New contract Expiring contract Suppliers number number

Delfi PP-OR-686 New

Sammons Preston PP-OR-684 New

Stryker PP-OR-685 New

Zimmer PP-OR-683 PP-OR-351

 Surgical Services – announcement that Cardinal Health (PP-OR-452) will be consolidating Surgical and Isolation Mask codes starting September 1, 2010.

Clinical Services

SUBSTITUTE DISCONTINUED Product Product Code Code AT51135 AT54635 AT63001 AT70021 AT70061 AT70021 AT71061 AT71021 AT71135 AT74635 AT71311 AT74631 AT71335 AT74635 AT74435 AT74535 AT74439 AT74535 AT74835 AT74535 AT74935 AT74635 AT7511-FF AT7511 AT7511-G AT7511 AT7511-PK AT7511 AT7511-W AT7511 AT79031 AT771211 AT79035 AT771141 AT75435 AT74535

 Surgical Services – announcement of new agreements for General Orthopedic Trauma products. Effective November 1, 2010 through October 31, 2013.

New Expiring Supplier contract number contract number

DeRoyal PP-OR-690 PP-OR-651

Orthofix PP-OR-691 PP-OR-377

Trauma implants and instruments are used for the surgical treatment of fractures and deformities of the arm, legs, shoulders, hands, feet and pelvis. Products include:

 plates  screws  cannulated screws  intramedullary nails  instruments  external fixators  products for the hip and condyles

Clinical Services

 Surgical Services – announcement that a price reduction agreements with Medline has been reached for Surgeon Gloves (PP-OR- 626) and Customer Procedure Trays (PP-OR-482) for committed customers. Reduced pricing is effective August 1, 2010 and remain effective through the expiration of each agreement.  Surgeon Gloves - .25 percent line item discount  Customer Procedure Trays (CPT) .75 percent of net purchase at Tier 4, 5 and 6.

 Nursing – Certificate of Necessity now available from Baxter Forms must be completed and returned to Baxter by November 14, 2010

In a letter dated August 4, 2010, addressed to hospital administrators of facilities currently using Colleague pumps, Baxter Healthcare provided the latest information regarding the transition from Colleague pumps following the final consent decree from the U.S. Food and Drug Administration to recall these devices from the U.S. market. The communication includes a Certificate of Necessity (CN) form and instructions. All current Colleague users must complete the CN by November 14, 2010, to be able to continue using the pumps during the 24-month transition period.

It is important that this information reach all users of Colleague pumps. Your hospital administrator, CEO, COO, CMO or CNO should receive the letter by next week. Contact your local Baxter sales representative, or call Center for One Baxter at 800.422.9837 with any questions.

 Nursing – announcement that Masimo has added Rainbow SET Pulse Co- Oximetry to their agreement (PP-NS-557). This technology measures blood constituents and fluid responsiveness that previously required an invasive procedure.

 Nursing – announcement the EZ Way has added two new lifts to their agreement (PP-NS-557), Light Lift and Light Stand.

 Laboratory Recall – announcement that Cepheid (PP-LA-226) is initiating a recall on all lots of Xpert MRSA/SA BC (GXMRSA/SA-BC-10) and Xpert MRSA/SA BC CE-IVD (GXMRSA/SA-BC-CE-10). These MRSA/SA BC (GXMRSA/SA-BC-10) and Xpert MRSA/SA BC CE-IVD (GXMRSA/SA-BC-CE-10. This recall is a corrective action, which does not require return of product to the manufacturer. Customers may continue to use the product; however, when a MRSA negative/SA positive result is obtained, the result should be interpreted as "MRSA indeterminate/SA positive, antimicrobial susceptibility testing pending." Further testing should be performed using an FDA-cleared, phenotypic antimicrobial susceptibility testing method on isolated colonies recovered from the blood culture bottle, as instructed in the Corrective Action Notice dated July 1, 2010.

Clinical Services

Suggested action steps:

 Hospitals or laboratories that have purchased the Xpert MRSA/SA BC product subject to this corrective action, may continue to use all product within their inventory subject to the new instructions stated in the Corrective Action Notice as of July 1, 2010.  Customers should contact Cepheid technical support at 888.838.3222 if they have questions regarding this corrective action.

 Nursing - Please complete the short survey regarding the Colleague infusion pump. The Premier healthcare alliance wants to know how many of our members are affected by the recall of Baxter Colleague infusion pumps. Please take a few minutes to respond to this short five question survey by August 31, 2010.

 Surgical Services – announcement of new agreements for Orthopedic Autotransfusion have been awarded. Effective November 1, 2010 through October 31, 2013. These systems are used to collect and reinfuse autologous shed blood following orthopedic surgery.

Stryker PP-OR-677 PP-OR-352

 Surgical Services – announcement of new agreements for Maxillofacial Plating Systems has been awarded to incumbent Stryker Leibinger Inc. effective November 1, 2010 through October 31, 2013. These products are used for the fixation of orthagnathic or midface fractures and for the stabilization of osteotomies and bone grafts required in reconstructive surgery of the face.

 Surgical Services – announcement of new agreements for Surgical Implantable Infusion Ports has been awarded effective November 1, 2010 to October 31, 2013.

An implantable infusion port is a device used to deliver medications, (often antibiotics or chemotherapy) into the bloodstream for patients who need long- term therapy.

Clinical Services

Bard Access PP-OR-698 PP-OR-426

Medical Components PP-OR-700 New

Navilyst PP-OR-701 PP-OR-427

Smiths Medical PP-OR-699 PP-OR-425

 Surgical Services – announcement Orthopedic Total Joints and Bone Cement contracts have been extended. Pricing tiers and terms and conditions have not changed in the extended agreements for;

Advance Biomaterial Systems, Inc. (PP-OR-458) Biomet (PP-OR-442), Exactech Inc. (PP-OR-447, PP-OR-457), Stryker Orthopaedics (PP-OR-443, PP-OR-455) Zimmer US, Inc. (PP-OR-444, PP-OR-456).

All extensions are effective April 1, 2011 through March 31, 2012.

 Surgical Services – announcement of new agreements for Incise Drapes have been awarded. Effective October 1, 2010 through September 30, 2013.

Expiring contract Suppliers New contract number number

3M Company PP-OR-657 PP-OR-414

LSL Industries Inc. PP-OR-658 New supplier

 Surgical Services – announcement of new agreements for Orthopedic Helmets. Effective November 1, 2010 through October 31, 2013. These products include Surgical Helmet Systems that protect patients from surgical site contamination during lengthy, invasive surgical procedure.

Expiring contract Suppliers New contract number number

Microtek Medical Inc. PP-OR-682 PP-OR-349

Stryker Instruments PP-OR-681 PP-OR-348

Clinical Services

 Surgical Services – announcement of new agreements for Casting and Splinting products. Effective November 1, 2010 through October 31, 2013.

These products include plaster, synthetic and fiberglass materials used to form splints and cast. Also includes soft goods of sheet wadding and stockinettes.

BSN Medical Inc. PP-OR-678 PP-OR-424

3M Company PP-OR-679 PP-OR-423 SD-OR-003 *Parker Medical SEEDS™ agreement PP-OR-680 Associates added to the national contract: 10/1/09

 Surgical Services – announcement of new agreements for ENT Products. Effectives November 1, 2010 through October 31, 2013. This is product category includes products used in head and neck surgeries, otology and rhinology.

Grace Medical PP-OR-694 PP-OR-397

Gyrus ACMI PP-OR-696 PP-OR-399

SSI PP-OR-695 PP-OR-398

Stryker Corp. PP-OR-697 PP-OR-400

 Surgical Services – Reminder announcement to please submit the Exhibit N Market Share document for the second year of Medtronic’s Spinal Implant (PP-OR- 546) and Bone Tissue (PP-OR-543) contracts.

This document is required by Medtronic to be signed each year, for each contract, in order to be eligible for all “non-standard” rebates. “Non-standard” rebates include the Committed Tier and/or Market Share Growth rebates on the Spinal Implant agreement ((PP-OR-546), and the Committed Tier rebate on the Bone Tissue agreement (PP-OR-543). “Standard” rebates include the quarterly rebates for both of these contracts, and an Exhibit N does not have to be re- signed for the quarterly rebates.

Clinical Services

The second year submission period for these contracts is from 7/1/10 to 9/30/10. Exhibit N can be found in the “Attachments” section on the “Details” tab of each contract in Supply Chain Advisor®. Instructions for submitting Exhibit N can also be found on the “Details” tab. To submit for year two, please fax a completed Exhibit N to Medtronic at 901.344.1566.

 Nursing – announcement of new contract awards for IV Site Management to incumbents Cardinal Health 2000 LLC, LSL Industries Inc. and Medical Action Industries Inc. Effective December 1, 2010 through December 31, 2013.

This category of products includes IV start kits, dressing trays for central lines, PICCs and vascular access.

Previous Contract Supplier New Contract Number Number Cardinal Health PP-NS-623 PP-NS-474 200 Inc LSL Industries PP-NS-624 PP-NS-420 Inc* Medical Action PP-NS-622 PP-NS-475 Industries Inc

 Laboratory – announcement of new agreements for Automated Microbial Identification and Susceptibility Analyzers, Reagents, Consumables and Service. Effective November 1, 2010 through October 31, 2013.

bioMerieux Inc. PP-LA-278 PP-LA-218 Siemens Healthcare PP-LA-279 PP-LA-217 Diagnostics Inc.

 Laboratory – announcement of new agreements for Automated Blood Culture and Mycobacterial Recovery Analyzers, Reagents, Consumables and Service. Effective November 1, 2010 through October 31, 2013.

Becton, Dickinson and PP-LA-275 PP-LA-219 Company bioMerieux Inc. PP-LA-276 PP-LA-220

Clinical Services

TREK Diagnostic PP-LA-277 Systems Inc.* NEW

 Laboratory – announcement that Beckman Coulter is offering hematology service pricing on new instruments (PP-LA-204). Promotion starts May 1, 2010 to December 31, 2010.

 Women & Children – announcement of a contract award to Clinical Innovations LLC for its AccuCirc single action circumcision device, PP-WC-049. This contract will be co-terminus with the agreements that make-up the Disposable Labor and Delivery Product category.

Supplier Contract Number Effective Dates 8/1/2010 - Clinical Innovations LLC PP-WC-049 8/31/2011 9/1/2008 - Mabis Healthcare Inc PP-WC-017 8/31/2011 Tyco Healthcare Group LP, 9/1/2008 - PP-WC-016 Kendall LTP 8/31/2011 Electro Medical Equipment 9/1/2008 - PP-WC-018 Co. (EME)* 8/31/2011

 Recall Nursing - B. Braun announced that it is initiating a recall on their 13 mm and 20 mm addEase Binary Connectors. B. Braun has received reports of particular matter being generated upon the insertion of the B. Braun addEase Binary Connector (N7790 and N7993) into a PAB container. During this insertion, fragmentation of the PAB container stopper may occur, resulting in a small amount of visible particulates in the solution.

There is a risk of potential injection of particulates which could result in life- threatening injuries, such as pulmonary embolism, stroke, heart attack and/or death. This is available through Premier agreement PP-IV-045.

Because of this issue, B. Braun is initiating a voluntary recall for the following materials:

Catalog # Lot # Description

N7990 See attachment 20 mm addEase Binary Connector N7993 See attachment 13 mm addEase Binary Connector For further Clinical Services support: Contact us directly or through your client service executive to arrange for further assistance: Timothy Glennon, RN, MSN, MBA, CMRP Vice President, Clinical Services, [email protected] or (212) 506-5445, or Sandee Schoby, LVN, BA, JD, CMRP Director, Clinical Services, [email protected] or (212) 506-5521.

Clinical Services

 Imaging – Contrast Media announcement from Covidien, Due to the number of short-term product shortages affecting the supply of contrast media (caused by raw material shortages, manufacturing issues, and third party supplier issues, to name a few), Covidien has begun to provide status updates to its customers to keep them informed on current availability. Keep in mind that the term “supply disruption” as used in the update indicates a less than normal availability to be expected, and not total unavailability. The first notice of this kind is attached

here. Future updates will be posted in SCA under both Covidien contrast media agreements PP-IM-071 and PP-IM-072.

 Imaging - Covidien has announced the discontinuance of Xe-133 xenon gas due to diminishing customer demand and rising production cost. This product can be found on PP-IM-075, with SKU numbers N097KO and N098KO. Clinically appropriate substitutes can be found on the same agreement. Consult your Nuclear Medicine department for guidance.

 Recall Surgical Service – announcement that ConMed Linvatec (PP-OR- 630) announced they are initiating a recall of the 87000 Tube Set, Arthroscopy Cassette for use with the 87000 Pump. These products may have a breach in the seal between the Tyvek lid and tray, thereby potentially compromising the sterility of the device. This recall is being conducted to the distributor and user level. PLEASE DISCONTINUE USE OF THE IDENTIFIED PRODUCT LOT NUMBERS BEGINNING WITH 0904151 THROUGH AND INCLUDING 1005201.

 Surgical Services Price Increase – announcement that Osteotech is taking a price increase on their Bone Tissue Products (PP-OR-541) effective October 1, 2010. Increase 2% on all products.

 Recall – announcement that Baxter has been given two years to recall all Colleague Infusion Pumps and to provide refunds or replacement pumps.

Certificate of Necessity (CN) must be returned to Baxter by November 2010

In a letter dated July 13, 2010, the U.S. Food and Drug Administration (FDA) issued its final order to Baxter Healthcare Corporation regarding the recall of the Colleague volumetric infusion pumps from the domestic market. The pumps are being recalled due to persistent safety problems that have resulted in serious patient injuries and more than 500 deaths.

The FDA ordered Baxter to recall and destroy all Colleague pumps currently in use in the U.S. and provide a refund or a replacement Baxter device to all Colleague infusion pump owners with no delivery, installation or training costs to the customer. Additionally, all lessees may terminate their lease with Baxter or one of its authorized agents without penalty.

Clinical Services

Baxter has until July 14, 2012 to carry forth the actions outlined in the final order of the Consent Decree. During this transition period, customers may continue to use Colleague pumps but the FDA recommends replacement of Colleague infusion pumps as soon as practicable. Customers have until mid-November 2010 to submit the

Certificate of Necessity (CN). The CN must be returned within the specified timeframe in order for the customer to be eligible for either the refund or replacement programs.

While the FDA has set a 24-month transition period, it is imperative that members begin planning their process as soon as possible as there are some rather involved steps within the evaluation, selection and implementation phases. Premier will continue working closely with Baxter and other suppliers offering suitable alternatives to the Colleague infusion pump so expect our updates to be on-going. Baxter will publish an FDA-approved Transition Guide by September 11, 2010.

While not all-inclusive, the document will provide guidance for minimizing disruption and patient risk, offer suitable FDA approved or cleared alternatives to the Colleague infusion pumps and give greater detail on the refund and replacement programs. Until the guidance document is available, members are encouraged to review all of the information that is currently available through the resources below.

Recommended actions:

 Thoroughly read through all available information from the FDA and Baxter  Begin taking inventory of all Colleague pumps, batteries, spare parts and consumables. This should include required information for the CN: serial number, model, owned/leased status, leasing company, and details of other large volume infusion pumps currently used at the facility.  Complete the CN no later than mid-November 2010. The CN form will be available when the Transition Guide is published no later than September 11, 2010.

Sources: FDA Q&A about the Baxter Colleague Recall, Refund, and Replacement Action: http://www.fda.gov/MedicalDevices/Safety/AlertsandNotices/ucm210768.htm FDA's Final Order to Baxter to Recall, Refund, or Replace the Colleague Infusion Pumps: http://www.fda.gov/MedicalDevices/Safety/AlertsandNotices/ucm218753.htm FDA News Release: http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm218889.ht m Baxter Press Release: http://www.baxter.com/press_room/press_releases/2010/07_13_10_colleague.ht ml

 Nursing Price Increase – announcement that Edwards Lifesciences (PP- NS-526) has implemented a price increase for their Central Venous Access For further Clinical Services support: Contact us directly or through your client service executive to arrange for further assistance: Timothy Glennon, RN, MSN, MBA, CMRP Vice President, Clinical Services, [email protected] or (212) 506-5445, or Sandee Schoby, LVN, BA, JD, CMRP Director, Clinical Services, [email protected] or (212) 506-5521.

Clinical Services

agreement, effective August 1, 2010. Increase is on all tiers and is a weighted average of 3% increase.

 Imaging – announcement that Konica Minolta (PP-IM-133) is offering $3,000 rebate for converting to a Konica Minolta digital solution.

 Cardiology – announcement that CardiacAdvisor has been updated to assist with purchasing decisions related to Core Cardiology; Drug Eluting Coronary Stents, Non-Drug Eluting Coronary Stents and Diagnostic and Interventional Cardiology Products.

 Nursing – announcement of a SEEDS contract launch for Soaps, Lotions, and Waterless Hand Rinses with Research Technologies (SD-NS-003). Research Technologies Inc. is a minority-owned business (MBE) that specializes in packaging and private labeling of instant hand sanitizers and anti-microbial soap. This 51-month contract is effective July 1, 2010, through September 30, 2014. Pricing is firm throughout the term of the agreement.

 Materials Management - announcement of a SEEDS contract launch for Medical and Surgical Products Distribution contract with Van Zandt Distributing Inc. (SD-DS-004). Van Zandt Distributing Inc. is a minority-owned business (MBE), headquartered in North Saint Paul, MN. Van Zandt Distributing Inc. offers products to continuum of care facilities which include: hospitals, surgery centers and alternate care sites. The 18-month agreement is effective July 1, 2010, through December 31, 2011. Pricing is firm throughout the term of the agreement.

 Cardiology – announcement that St. Jude (PP-CA-161) is offering a $1000 rebate for ICD or CRT-D high voltage generator implant swap.

 Cardiology – announcement that Gambro CHF Solutions (PP-CA-130) is extending their Aquapheresis therapy promotion for two more weeks. The offer is 35% off list price.

 Surgical Services – announcement of new agreements awarded for Instrument Cleaners and Enzymatics. Effective October 1, 2010 through September 30, 2013.

Suppliers New Contract Number Expiring Contract Number

Cardinal CareFusion PP-OR-661 PP- OR- 410

Clinical Services

New Case PP-OR-663

Ecolab PP-OR-662 New

Getinge PP-OR-660 PP- OR - 411

Steris PP-OR-659 PP- OR- 413

 Surgical Services – announcement of new agreements for Surgical Blades effective October 1, 2010 through September 30, 2010.

Becton, Dickinson PP-OR-653 PP-OR-407 and Company (BD) DeRoyal Industries PP-OR-654 PP-OR-190

MYCO Medical PP-OR-656 New Supplies Inc.* Sklar Surgical PP-OR-655 New Instruments*

 Surgical Services Price Increase – announcement that Musculoskeletal Transplant Foundation (MTF) is taking a price increase on their Bone Tissue products (PP-OR-542), effective August 1, 2010.

 Surgical Services – announcement that Johnson & Johnson is instituting a change to two consumable products (code #s 20398 and 22591) on its Automated Endoscopic Reprocessor contract, PP-OR-537. Effective July 1, 2010, Johnson & Johnson will sell these two codes through distributors. These codes were previously sold “Direct” only.

 Surgical Services – announcement for new agreements for Surgical Energy Products. The previous product category for these products was Electrosurgical Units. Effective September 1, 2010 through August 31, 2015.

 Surgical Services – announcement of new agreements for Surgical and Biological Mesh. Effective October 1, 2010 through September 30, 2013. Field Guide is available upon request.

Previous New Contract Category Supplier Contract Number Number

Clinical Services

PP- Atrium PP-OR-670 OR-363 Surgical Covidien PP-OR-672 NEW (Synthetic) Mesh Davol PP-OR-673 PP-OR-365 Medline PP-OR-674 NEW Biological Cook PP-OR-687 NEW Mesh Covidien PP-OR-689 NEW Davol PP-OR-688 NEW

 Nursing – announcement of new agreements for Bandages, Dressings and Gauze Effective October 1, 2010 through September 30, 2013.

Suppliers New Contract Number Expiring Contract Number AMD-Ritmed PP-NS-608 New -SBE Tyco Healthcare Group, LP PP-NS-605 PP-NS-496 (dba Covidien) Medi-Tech International PP-NS-607 New Corp - SBE/WBE Tetra Medical Supply Corp. - PP-NS-606 PP-NS-497 WBE Tytex, Inc. PP-NS-609 New

 Nursing – announcement of new agreements for Standard Hypodermics, Safety Hypodermics and Safety IV Catheters have been awarded. This is a portfolio offering, effective October 1, 2010 through September 30, 2013.

New Previous Effective Category Supplier Contract Contract Dates Becton Dickinson and PP-NS-618 PP-NS-460 Standard Company Hypodermics Tyco Healthcare PP-NS-619 PP-NS-462 (Kendall brand) Includes PP-WC-43 saline and 10/1/10 Medefil Inc.* PP-NS-621 Pediatric Flush heparin flush - Syringe syringes 9/30/13 NeoMed Inc.* PP-NS-620 New Safety Becton Dickinson and PP-NS-614 PP-NS-461 (36 months) Hypodermics Company Tyco Healthcare PP-NS-615 PP-NS-463 (Kendall brand) Retractable PP-NS-617 PP-NS-466 For further Clinical Services support: Contact us directly or through your client service executive to arrange for further assistance: Timothy Glennon, RN, MSN, MBA, CMRP Vice President, Clinical Services, [email protected] or (212) 506-5445, or Sandee Schoby, LVN, BA, JD, CMRP Director, Clinical Services, [email protected] or (212) 506-5521.

Clinical Services

Technologies Inc.* Smiths Medical ASD PP-NS-616 PP-NS-465 B Braun Medical Inc. PP-NS-611 PP-NS-471 Becton Dickinson and PP-NS-610 PP-NS-472 Safety IV Company Catheters Retractable PP-NS-613 New Technologies Inc.* Smiths Medical ASD PP-NS-612 PP-NS-473

 Laboratory – announcement of new agreements for Clinical Reference Laboratory Testing Services has been awarded to incumbents ARUP Laboratories, Lab Corporation of America (LabCorp) and Quest Diagnostics. Effective October 1, 2010 through September 30, 2015.

Previous contract Supplier New contract number number

ARUP Laboratories PP-LA-272 PP-LA-215

Laboratory Corp (LabCorp) PP-LA-273 PP-LA-216

Quest Diagnostics PP-LA-274 PP-LA-214

 Laboratory – announcement of agreements for point of care coagulation meters, reagents, consumables and services with incumbent International Technidyne Corporation (ITC), PP-LA-271. Effective September 1, 2010 through August 31, 2013.

 Core Cardiology – announcement of contract awards for Core Cardiology. Contract categories consist of Drug Eluting Coronary Stents (DES), Non-Drug Eluting Coronary Stents (Non-DES) and Diagnostic and Interventional Cardiology Products (DIC). Agreements are effective September 1, 2010 through August 31, 2012.

Contact your Client Services Executive for details. Field Guide is available upon request.

Previous New contract Category Supplier contract number number Abbott Laboratories Inc., Abbott Vascular PP-CA-165 PP-CA-144 Drug Eluting Division Coronary Boston Scientific PP-CA-166 NEW Stents Corporation Medtronic USA Inc. PP-CA-167 NEW

Clinical Services

Abbott Laboratories Inc., Abbott Vascular PP-CA-168 PP-CA-124 Non-Drug Division Eluting Boston Scientific Coronary PP-CA-169 NEW Stents Corporation Medtronic USA Inc. PP-CA-170 PP-CA-123 Abbott Laboratories Inc., Abbott Vascular PP-CA-171 PP-CA-117 Division Boston Scientific PP-CA-172 NEW Diagnostic and Corporation Interventional Johnson & Johnson Cardiology Healthcare Systems PP-CA-173 PP-CA-120 Products Inc./Cordis Medtronic USA Inc. PP-CA-174 NEW Merit Medical PP-CA-175 PP-CA-122 Systems Inc.

 Cardiology – announcement that HemCon (PP-CA-156) is offering free patches for new and existing customers. Promotion started July 1 through September 30, 2010.

 Recall – announcement that Medivators Reprocessing Systems announced that is it initiating a recall involving the use of the Medivators DSD-110- HU0109 Endoscope Hookup to connect the Pentax EG-3630U Ultrasound Endoscope to a Medivators DSD endoscope reprocessor or Medivators Scope Buddy Endoscope Flushing Aid. These hookups are available through Premier agreement PP-OR-517, Automated Endoscopic Reprocessors. This recall has been initiated due to a misprinted DSD Hookup Application Guide (MG04-0001 revision M) that recommended the use of the DSD-110-HU0109 instead of the DSD-110-HU0144 and CLM-110HU0145 hookups.

Use of the DSD-110-HU0109 for reprocessing of the Pentax EG-3630U Ultrasound Endoscope in conjunction with the DSD may result in inadequate high-level disinfection of either the balloon filling channel or the elevator wire channel depending on the method of connection.

Suggested action steps:

 Immediately examine your Pentax EG-3630U Ultrasound Endoscope hookup, and inform all staff of this notice to ensure that the DSD- 110-HU0109 is not used with the Pentax endoscope.  Return of the DSD-HU0109 hookup is not being requested, and customers can continue to use the DSD-110-HU0109 hookup except where the Pentax EG-3630U Ultrasound Endoscope is concerned.

 Smoke Evacuation Systems and Related Products – announcement that a agreement has been awarded to incumbents Buffalo Filter and Microtek and a new Supplier Medline Industries Inc.

Clinical Services

Effective September 1, 2010 through August 31, 2013.

Buffalo Filter PP-OR-667 PP-OR-383

Medline PP-OR-669 New

Microtek PP-OR-668 PP-OR-385

 Surgical Services – announcement of a new agreement for Sterilization Pouches. The agreement has been awarded to incumbent Cardinal Health 200, LLC. (PP-OR-675) effective October 1, 2010 through September 30, 2013.

 Surgical Services – announcement that BD is selling certain assets including surgical blades and scalpels. The assets include their Ophthalmic Systems business unit and surgical blades, critical care and extended dwell catheter product platforms. The Bard-Parker™ surgical blades and scalpels products, currently available on Premier agreement (PP-OR-407), will be acquired by Aspen Surgical Products. BD anticipates closing this transaction by September 30, 2010. Members may continue purchasing these products from BD exactly as they do currently.

 Surgical Services – announcement that Ecolab (PP-NS-559) is offering a program with conversion incentives, free installation plus 15% of opening order. Contact you local Representative or Client Services Executive for details.

 Nursing – announcement of an annual price increase from Johnson & Johnson for their Anti-infection Site Disc Dressing (PP-NS-549), effective August 1, 2010. Price increase of 2.9% is per line item.

 Nursing – announcement of price increase from Edwards Lifesciences Corporation on their Hemodynamic Monitoring Products and Accessories (PP-NS- 508), July 1, 2010. Average price increase is 3% on all tiers.

 Surgical Services – announcement of a new agreement for Sterilization Assurance has been awarded to incumbent 3M Company (PP-OR-652). Effective October 1, 2010 through September 30, 2013.

 Surgical Services – announcement of new agreement for Incise Drapes have been awarded. Effective October 1, 2010 through September 30, 2013.

Clinical Services

3M Company PP-OR-657 PP-OR-414

LSL Industries Inc. PP-OR-658 New supplier

 Surgical Services – announcement that Datex-Ohmeda, (PP-OR-642) has been added to the Anesthesia Equipment portfolio effective July 1, 2010.

 Surgical Services – announcement of a pending price increase from Musculoskeletal Transplant Foundation (MTF) for their Bone Tissue (PP-OR-542). The increase will start August 1, 2010. Increase is on all tiers, 3.5%.

 Clinical Laboratory – announcement of a SEEDS agreement for Rapid Diagnostic Test Kits with MedGyn (SD-LA-001), effective June 1, 2010 through October 31, 2012.

 Surgical Services – In recognition of National TIME OUT Day, June 16, Sandel Medical Industries (PP-OR-552) is offering 10 percent off customers’ first order of the Non-Woven TIME OUT Beacon sterile (Reorder # 811-E), a disposable, biodegradable, economical way to remind your whole team to implement the Universal Protocol and help prevent wrong-site surgery.

 The special savings is offered on up to five cases.  This promotion is only valid when ordering direct from Sandel Medical. o This product was recently added to the Premier agreement. o Pricing is available in Supply Chain Advisor.

 Nursing – announcement, Smiths Medical (PP-NS-465) is offering a conversion promotion for TB and insulin safety syringes, “Fix Your Savings: Save on Fixed Needles”. Product numbers on the promotion: 4425-TB, 4426-TB, 4427-TB, 4428-1, 4428-5, 4429-1, 4429-5, 4429-3, 4430-5, 4430-3. Promotion dates, June 1, 2010 through September 30, 2010.

 Materials Management – announcement, Hill-Rom (PP-MM-082) is offering trade-ins for bed frames and surfaces during a limited time “Cash for Crankers II” promotion. Promotion dates, May 1, 2010 through May 31, 2010.

 Lab – announcement of a contract awards for;

o Hematology Analyzers, Automation, Reagents, Consumables and Services. o Hemostasis Analyzers, Reagents, Consumables and Services o Urinalysis Analyzers, Reagents, Consumables and Services

Agreement effective August 1, 2010 through July 31, 2013. For further Clinical Services support: Contact us directly or through your client service executive to arrange for further assistance: Timothy Glennon, RN, MSN, MBA, CMRP Vice President, Clinical Services, [email protected] or (212) 506-5445, or Sandee Schoby, LVN, BA, JD, CMRP Director, Clinical Services, [email protected] or (212) 506-5521.

Clinical Services

New contract Previous Category Supplier number contract number

Hematology Abbott Laboratories PP-LA-263 PP-LA-205 Analyzers, Inc. Automation, Beckman Coulter Inc. PP-LA-264 PP-LA-204 Reagents, Consumables Sysmex America Inc. PP-LA-265 PP-LA-203 and Service Hemostasis Beckman Coulter Inc. PP-LA-266 PP-LA-207 Analyzers, Siemens Healthcare Reagents, PP-LA-267 PP-LA-206 Diagnostics Inc. Consumables and Service Diagnostica Stago Inc.* PP-LA-268 PP-LA-208

Urinalysis Iris Diagnostics* PP-LA-269 PP-LA-210 Analyzers, Reagents, Siemens Healthcare Consumables PP-LA-270 PP-LA-209 Diagnostics Inc. and Service

 Imaging – Premier has announced a Radiation Oncology portfolio. The first categories to be included in the portfolio are brachytherapy systems, external beam radiation therapy systems, radiation oncology information systems, and radiation treatment planning systems. Individual category launch summaries containing products, financial and contract information is available in Supply Chain Advisor. Agreements effective May 15, 2010 through February 28, 2013.

 Surgical Services Recall – announcement that Olympus America Inc. has initiated a recall of Electrosurgical Snares, PP-OR-505. Inspect snare inventory and identify. If snare is one of the lot numbers, discard and contact Olympus Customer Center.

 Surgical Services – announcement that Mallinckrodt has discontinued its earlier generation of Hi-Lo Evac Endotracheal tubes (124160, 124165, 124170, 124175, 124180, 124185 and 124190) effective July 1, 2010. The Mallinckrodt TaperGuard Evac or TaperGuard endotracheal tubes are suggested replacements for the discontinued products. All aforementioned products are available through Premier agreement PP-OR-582.

Hospitals should begin to shift to the TaperGuard Evac and TaperGuard tubes prior to the discontinuation date of the Hi-Lo Evac tube. For further Clinical Services support: Contact us directly or through your client service executive to arrange for further assistance: Timothy Glennon, RN, MSN, MBA, CMRP Vice President, Clinical Services, [email protected] or (212) 506-5445, or Sandee Schoby, LVN, BA, JD, CMRP Director, Clinical Services, [email protected] or (212) 506-5521.

Clinical Services

Size Mallinckrodt Hi-Lo Mallinckrodt TaperGuard Mallinckrodt (ID) Evac tube Evac tube TaperGuard tube 6.0 mm 124160 18860 18760 6.5 mm 124165 18865 18765 7.0 mm 124170 18870 18770 7.5 mm 124175 18875 18775 8.0 mm 124180 18880 18780 8.5 mm 124185 18885 18785 9.0 mm 124190 18890 18790

 Surgical Services – announcement that Ansell Healthcare (PP-OE-626) is offering free product for evaluation and conversion to Derma Prene synthetic surgical gloves.

 Nursing – announcement that Innovation Healthcare Corporation (IHC) Exam Gloves are now available through Cardinal Healthcare, (PP-NS-594).

 Nursing – announcement that Joerns Healthcare is offering 1 month free supply of Bio-Clinic Positioners with a year’s commitment conversion. PP-NS- 580. Effective April 30, 2010 thru June 30, 2010.

 Imaging – announcement that GE is offering member discounted pricing options on selected radiography, R&F and mammography systems based on LOPs received by GE, PP-IM-087, PP-IM-090, GB-IM-087F and GB-IM-090C.

 General Orthopedic Trauma – announcement that DeRoyal Industries Inc. has been added to this agreement, effective May 15, 2010.

 STERIS – announcement that Healthcare facilities using the STERIS System 1 processors (SS1) must submit a completed Certificate of Medical Necessity (CN) for each facility to STERIS on or before June 18, 2010. Certificate is available on the STERIS website.

Clinical Services

 The CN must be signed by one of the following: Head of Institutional Review Board, CEO, President, Chief Operating Officer or Chief Medical Officer.  The CN must include a brief statement of your need for continued use (e.g., maintain patient care as complete transition to legally marketed alternative devices, etc.).

 The number of System 1 units in your facility.  Hospital/facility information.

Members/customers must obtain the Certificate of Medical Necessity to get parts, components, accessories and service during the transition period which ends August 2, 2011.

 Surgical Services – announcement that the Anthroscopy contract launch material have been modified to reflect changes in the Smith and Nephew agreement.

 Nursing – announcement of new agreements for Oral Care with incumbent Sage Products Inc. and new Supplier Kimberly Clark Global Sales LLC, effective August 1, 2010 through July 31, 2013.

Ventilator Acquired Pneumonia (VAP) has been on the Centers for Medicare and Medicaid (CMS) list of proposed “never events” and continues to be monitored as a candidate for modified payment.

New Previous Supplier Contract Number Contract Number Kimberly-Clark Global PP-NS-604 New Sales LLC Sage Products Inc.* PP-NS-603 PP-NS-458

 Kimberly-Clark is the new low-cost supplier with a full line of products launched in 2008. The new Kimberly-Clark agreement offers significant price savings and a time-sensitive conversion incentive.

 Sage has taken its first limited price increase in 9 years, with an aggregate 2.5 percent increase.

All pricing is firm for the term of the new agreements.

 Nursing – announcement that Tronex Healthcare Industries (PP-NS-597) has decreased prices on their Exam Gloves, 10-15%.

 Surgical Services - announcement of new agreement for Instrument Containers, effective August 1, 2010 through January 31, 2013.

Clinical Services

New Expiring Supplier contract contract number number Aesculap PP-OR-647 PP-OR-314

CareFusion PP-OR-646 PP-OR-315 Case PP-OR-649 PP-OR-316 Medical Medline PP-OR-648 PP-OR-317

SSI PP-OR-650 New

 Recall – announcement that Smith & Nephew endoscopy division has recalled certain lots of EndoFemoral Aimers (sizes 3mm, 4mm, 5mm, 6mm and 7mm. Products are on PP-OR-632). Refer to your Smith & Nephew representative for further information.

 Price Increases – announcements of price increases; o Biomet Inc. Orthopedic Total Joints (PP-OR-442) effective May 1, 2010. The price increase impacts all tiers primary implants, 3% and 6% for revisions. o EV3 Neurovascular Inc. (PP-OR-480) effective June 1, 2010. Increase on all tiers, 1.6%.

 Recall Reminder – announcement Baxter Healthcare Corporation will recall its Colleague infusion pumps from the domestic market. Members using Baxter’s Colleague pumps will receive further instruction and information for Baxter and the FDS regarding the transition.

 Surgical Services Recall – announcement that ConMed (PP-OR-388) has is initiated a recall on its Goldline Rocker Switch Pencils. The pencil has the potential for the pencil’s activation switch to remain in the “on” position. Affected catalog numbers;

130301A 130304A 130307A 130319A 130327A 130337A 130339A 131307A 131319A 131327A 60-6829-001A 60-6829-005A

 Reprocessing Services – announcement that SterilMed, PP-OR-433, is offering customized savings guarantee promotion including conversion and volume incentives. Effective April 15, 2010 through January 31, 2011. Contact Sandra Carter at SterilMed for questions and forms.

Clinical Services

 Product Alert – announcement that Hospira (PP-IV- 015) has issued an alert regarding Symbiq infuser pumps, #16026 and #16027. These pumps are not detecting air in the line at the end of an infusion.  Avoid over-programming the volume to be infused by relying on “Air in Line” alarm to indicate the end infusion.  Use an administration set or extension set with an air eliminating filter where clinically acceptable.

 Endotracheal Tube – announcement that in a letter dated April 1, 2010, Covidien informed Premier that they are discontinuing the earlier-generation Mallinckrodt Hi-Lo Evac Endotracheal tube (124160, 124165, 124170, 124175, 124180, 124185 and 124190) effective July 1, 2010. The Mallinckrodt TaperGuard Evac or TaperGuard endotracheal tubes are suggested replacements for the discontinued products. All aforementioned products are available through Premier agreement PP-OR-582. Hospitals should begin to shift to the TaperGuard Evac and TaperGuard tubes prior to the discontinuation date of the Hi-Lo Evac tube.

 Surgical Services – announcement of new agreements for OR Equipment Drapes. Effective April 1, 2010 through March 31, 2013.

Awarded New contract number Previous contract number supplier Microtek PP-OR-586 PP-OR-354 Medical SEEDS awarded New contract number Previous contract number supplier Advance Medical SD-OR-010 PP-OR-355 Designs(SBE) Contour Fabricators SD-OR-011 New Inc.(VET) Preferred Surgical SD-OR-012 New Services(WBE)

 Surgical Services – announcement of a new product category for disposable wound protection retractor. Allied Medical (PP-OR-606) has awarded a three year contract, effective May 1, 2010 through April 30, 2013.

 Surgical Services – announcement that Midbrook (SD-OR-007) has been added to the Washer and Decontaminators portfolio. Effective May 1, 2010 through February 29, 2012. This organization is a minority business enterprise.

 Imaging – announcement that due to the challenges in supplying Molybdenum-99 anticipated throughout the month of May, Covidien (PP-IM-075) For further Clinical Services support: Contact us directly or through your client service executive to arrange for further assistance: Timothy Glennon, RN, MSN, MBA, CMRP Vice President, Clinical Services, [email protected] or (212) 506-5445, or Sandee Schoby, LVN, BA, JD, CMRP Director, Clinical Services, [email protected] or (212) 506-5521.

Clinical Services

has decided to postpone the sale of its radiopharmacies to Triad Isotopes Inc. until late May. Originally scheduled to close on April 23, the delay will allow both organizations to focus on patient needs during this trying time.

 Continuum of Care – announcement of two new agreements for Non- invasive ventilators. Effective July 1, 2010 through June 30, 2013

Expiring Contract Supplier New Contract Number Number Respironics California PP-MM-101 PP-MM-027 Inc. (Philips) Allied Healthcare PP-MM-102 New Products Inc. *

 Cardiology – announcement that Gambro CHF Solutions Inc. is offering 35% off list price for a limited time and limited supply of Aquapheresis therapy products. Contact CHF Solutions customer service at 1.886.709.4030 for details.

 Ophthalmology – Abbott Medical Optics has announced that they will be changing their packaging and product labeling to reflect their name change from Advanced Medical Optics to Abbott Medical effective February 26, 2009. These products are found on PP-OR-467.

 Rental Beds, Mattresses and Therapeutic Surfaces – announcement that ArjoHuntleigh (PP-MM-085) is offering a special promotion to new and existing customers who are willing to commit all their rental volume to them. During this same period the Group Buy savings of 5 % off the national award will be extended. Notify your ArjoHuntleigh Rep if interested

 Reprocessing Services – announcement that Sterilmed is offering customized savings guarantee promotion including conversion and volume incentives (PP-OR-433). Promotion starts March 1, 2010 through January 31, 2011.

o Conversion incentive — 5 percent rebate on purchases. o Total savings guarantee — $550 per bed annual savings o Volume incentive — 3 percent rebate on all purchases

 Recall – announcement that Covidien, Nellcor Puritan Bennett Inc. has initiated a voluntary recall of specific lots of cuffed Shiley tracheostomy products (PP-OR-633).

Clinical Services

The recall applies to the 62 product codes. Lot numbers are configured as follows – YYMMXXXXXX where YY is the year, MM is the month, XXXXXX is a sequential number. Action Steps;

 Review inventory and segregate any product with the affected lot numbers.  Return unused affected product according to the directions in the attachment.  Replace cuffed Shiley tracheostomy tube from an affected lot already in use in a patient with a tube that is not included in the affected lots as soon as the patient’s physician determines it is clinically appropriate.  If the physician advises leaving the tracheostomy tube in place for any period of time, it is strongly advised that the frequency and intensity of monitoring the cuff inflation system be increased.  Please do not return product without an RGA number, as it may delay providing issuance of credit to your facility.  If product was purchased from a distributor, please contact your provider for their return process.

 Recall – announcement that ConMed is initiating a recall on their GoldLine rocker switch pencil. Some of affected items are contained in the Avid contract for custom procedure packs (PP-OR-483). The recall involves the potential for the pencil’s activation switch to remain “on”. Action steps:

. Discontinue use of device . Review you inventory for affected devices . Complete and return Business Reply Foam to ConMed.

 Nursing - Members converting from liquid soap to foam products may save as much as 40 percent. Category Soaps, lotions and waterless hand rinse products. Suppliers Ecolab Inc (PP-NS-559), Medline Industries (PP-NS-560). Duration of contracts 5 years: 10/1/09-9/30/14.

Ecolab and Medline both offer tremendous conversion incentives and support, including programs to cover costs for dispensers and installation as well as hand hygiene compliance programs.

Ecolab also offers universal backplates with pre-drilled holes that match up to existing industry dispensing options, allowing for easier conversion.

 Imaging – announcement, new Brachytherapy Seeds agreement awarded to incumbents Best International Inc. and Oncura Inc. and new Supplier IsoAid LLC. Effective August 1, 2010 through July 31, 2013. Pricing firm.

New Expiring Supplier Contract Number Contract Number

Best PP-IM-082 PP-IM-148 Medical PP-IM-081* For further Clinical Services support: Contact us directly or through your client service executive to arrangeIsoAid for further assistance:PP-IM-149 Timothy Glennon, RN, MSN, MBA,NEW CMRP Vice President, Clinical Services, [email protected] or (212) 506-5445, or Sandee Schoby, LVN, BA, JD, CMRP Director, Clinical Services, [email protected] or (212) 506-5521. Oncura PP-IM-150 PP-IM-080

Clinical Services

 Price Increase – announcement that KCI USA, Inc. will implement a price increase for on their Negative Pressure Wound Therapy (PP-NS-438) products effective May 1, 2010. Increase on all tiers is 2.6% by line item.

 Women and Children – announcement of a new contract category launch, Simulation Training Equipment and Centers. Agreement has been awarded to Laerdal Medical Corporation, PP-WC-048. Effective April 1, 2010 through November 30, 2012.

 Price Increase – announcement of a Biomet Inc. annual price increase for Orthopedic Total Joints (PP-OR442), effective May 1, 2010. Average increase for primary implants in 3% and an average of 6% for revision.

 Automated Endoscopic Reprocessors – announcement that the current Johnson & Johnson agreement PP-OR-537 has been extended to April 30, 2011. The overall price increase for all tiers is 1.14%

 External Defibrillators and Related Products – announcement of new agreements with incumbents Medtronic and Zoll Medical and new Supplier Philips Healthcare. Effective June 1, 2010 through May 31, 2013.

Medtronic, USA Inc. PP-CA-162 PP-CA-110 (Physio Control) Philips Healthcare PP-CA-163 NEW

Zoll Medical Corporation PP-CA-164 PP-CA-111

 Auditory Products and Related Accessories – announcement of new agreements with incumbent suppliers, effective May 1, 2010 through April 30, 2013.

New Previous Supplier contract number contract number PP-WC-001 Natus Medical Inc.* PP-WC-044 Natus / Algo products PP-WC-002 For further Clinical Services support: Contact us directly or through your client service executive to arrange for further assistance: Timothy Glennon, RN, MSN, MBA, CMRP Vice President, Clinical Services, [email protected] or (212) 506-5445, or Sandee Schoby, LVN, BA, JD, CMRP Director, Clinical Services, [email protected] or (212) 506-5521.

Clinical Services

Bio-Logic / ABaer products

Otodynamics Ltd. PP-WC-047 New

 Bone Tissue Synthetic Implantable Products - announcement that MTF (PP-OR-542) has added three new products categories to their contract. Categories are Core Tissue products, Sports Medicine products, and Trinity Evolution (stem cell based allograft) products. Participating members must sign a PMDF with these new categories to be eligible for these new products.

 Spinal Implant and Related Products Price Increase – announcement that Medtronic (PP-OR-546) will implement an annual price increase effective May 1, 2010. The increase affects only Mastergraft Ceramic Granules, Mastergraft Matrix and Mastergraft Putty products. Increase of .13 % effects tiers 1 through 3 only.

 Annual Price Increases – Zimmer US Inc. has announced the following price increases; o Surgical Automatic Tourniquet Systems – (PP-OR-351), effective April 1, 2010. Prices increase is for all tiers and is 2% per line item. o Bone Cement and Accessories and Pulse Lavage – (PP-OR-456), effective April 1, 2010. Price increase is for all tiers and is 2% per line item. o Orthopedic Total Joints – (PP-OR-444), effective April 1, 2010. Price increase is for all tiers. 4% for Hips and Knees and 2% for Extremities.

 Tracheostomy Tubes – announcement that effective May 1, 2010 Smiths Medical pricing on contracts PP-OR-585 & AS-OR-585 will change to reflect the multi-source award.

o Smiths will honor the current sole pricing for any member who executes a PMDF or price activation by April 30, 2010. o All PMDFs / PAs executed prior to May 1 will get/keep sole pricing. o As of May 1, 2010, pricing across all tiers will increase by an average of 4% - including the ASCEND agreement. All activations on or after this date will get the new pricing.

Contact your Client Services Executive to assist with your activations .

 Surgical Mesh – announcement that the FDA identified specific types of counterfeit flat sheets of polypropylene surgical mesh labeled C. R. Bard/Davol. These meshes are NOT Bard-manufactured. Check the identified lot numbers below; Product Lot 0112650 – Bard Flat Mesh 2" x 4" Lot 48HVS036 Lot 43APD007 For further Clinical Services support: Contact us directly or through your client service executive to arrange for further assistance: Timothy Glennon, RN, MSN, MBA, CMRP Vice President, Clinical Services, [email protected] or (212) 506-5445, or Sandee Schoby, LVN, BA, JD, CMRP Director, Clinical Services, [email protected] or (212) 506-5521.

Clinical Services

0112660 – Bard Flat Mesh 10" x 14" Lot HUSD0629 Lot HURL0336 0112680 – Bard Flat Mesh 3" x 6" Lot 43HPD027 Lot 43HPD032 Lot HUSG0540 Lot 43HDP027 Lot HUSE0532 Lot 43LPD507 Lot HUSF0763 Lot 43IOD011 Lot 43IPD038 0112720 – Bard Flat Mesh 6" x 6" Lot 43FQD327

Contact Bard at 1.800.556.6275, if you have one of these products.

 Surgical Services – announcement that ConMed has issued a corrective action regarding their video carts with AC power cord reels and cord reel accessories/replacements, PP-OR-370. The FDA has issued a safety alert. Contact your local ConMed Sales Representative for suggested next steps.

 Huber Needle Extension Sets – announcement that Baxter Healthcare Corporation has discontinued their INTERLINK System Huber Needle Extension Sets, PP-IV-023.

o Product codes 2N3707, 2N3709, 2N3710, 2N3712 and 2N3714 will not be sold in the U.S. after Monday, June 7, 2010.

o Distributors may continue to sell their inventories until depleted. These five products are in addition to the five (2N3700, 2N3703, 2N3706, 2N3708 and 2N3716) communicated in November and, together, constitute Baxter's entire portfolio of Huber needle extension sets.

 Laboratory – announcement that Beckman Coulter has initiated a product corrective action on UniCel DXC Systems, PP-LA-198. This issue is excessive build-up of protein, bacteria and sample tube additives in the ISE flow cell that may cause erroneous sodium, protein, chloride and calcium test results. Questions should be address by contacting your Sales Representatives.

 Laboratory – announcement that Beckman Coulter, sole source in the Flow Cytometry category, will not be submitting a new bid. Therefore, agreement PP- LA-213 will not be sourced again. Current agreement expires 6/30/10.

 Price Increases – announcement that Zimmer US Inc. has exercised its right to the following increases;

Clinical Services

o Surgical automatic tourniquet systems (PP-OR-351), effective April 1, 2010, all tiers 2% increase. o Bone Cement and Accessories and Pulse Lavage Products (pp-OR-456), effective April 1, 2010, all tiers 2% increase. o Orthopedic Total Joints (PP-OR-444), effective April 1, 2010, all tiers 4% increase for hips and knees and 2% for extremities.

 Patient Cleansing and Skin Care – announcement of new agreement in two categories; Patient Cleansing and Skin Care and Traditional and Patient Cleansing and Skin Care-bag based. Effective June 1, 2010 through May 31, 2013.

Previous New Contract Category Supplier Contract Number Number Patient ConvaTec Inc. PP-NS-600 PP-NS-450 Cleansing Geritrex PP-NS-602 New and Skin Corporation* Care Smith & Nephew PP-NS-601 PP-NS-452 - Traditional Inc. Patient Sage Products Inc.* PP-NS-598 PP-NS-440 Cleansing and Skin Innovative Care – Bag- Healthcare PP-NS-599 New Based Company (IHC)*

 Exam Gloves and Surgeon Gloves – announcement of new agreements effective May 1, 2010 through April 30, 2013. The Exam Gloves category provides a special Sourcing to Specification tier offering up to 32 % savings in aggregate compared with current Premier pricing. (contact your Client Services Executive for details)

New Previous Effective Category Supplier Contract Contract Dates Number Number Cardinal PP-NS-591 PP-NS-442 Digitcare PP-NS-596 PP-NS-444 May 1, Innovative 2010 Healthcare PP-NS-594 NEW through Exam Corporation April 30, Gloves Kimberly-Clark PP-NS-592 PP-NS-445 2012 Medgluv PP-NS-595 PP-NS-446 (24 Medline PP-NS-593 PP-NS-447 months) Tronex PP-NS-597 NEW Surgeon Ansell PP-OR-626 PP-OR-359 May 1,

Clinical Services

Cardinal PP-OR-627 PP-OR-360 2010 Medline PP-OR-628 PP-OR-361 through April 30, Gloves 2013 Molnlycke PP-OR-629 PP-OR-362 (36 months)

 Recall – announcement that Baxter Healthcare Corporation is initiating a voluntary recall Renamin (Amino Acid) for injection. This product is available on agreements PP-IV-033 and PP-IV-043.

 Cardiology – announcement that Physio-Control Inc., Medtronic, has improved its quality system and has meant FDA requirements. Therefore, will now resume shipment of its external defibrillator. (PP-CA-110).

 SEEDS Contract Launches – announcement that SEEDS (Sourcing Education and Enrichment for Diverse and Small Suppliers) have been added to OR Accessory Products portfolio, Mectra Labs, Inc. (SD-OR-008) and Room Turnover Products portfolio, Preferred Surgical Products LLC (SD-OR-009). Both agreements are effective March 1, 2010 through July 31, 2012.

 Product Recall – 3M has issued a voluntary recall of Micropore surgical tape, both single rolls and bulk packaged. This recall with effect Avid custom procedure trays used in hemodialysis centers. Lots effected;

AVID number 3M # Description 510792 1530-136 TAPE, MICROPORE 1 X 36 512499 1530-154 TAPE, MICROPORE 1X54 5301247 1530-118 TAPE, MICROPORE 1"X18" ROLL 992532 1530-12Y TAPE, MICROPORE, 1 IN X 72 IN

 Laparoscopic Suction and Irrigation Products – announcement of new agreements with incumbents and a new Supplier. Agreements effective May 1, 2010 through April 30, 2013. These instruments are used in Laparoscopic procedures to suction and remove fluid, remove smoke from the surgical field, cauterize tissue and irrigate the surgical field.

New Previous Supplier contract number contract number Cardinal PP-OR-635 PP-OR-356

ConMed PP-OR-634 New

Clinical Services

Genicon PP-OR-637 PP-OR-358 Stryker PP-OR-636 PP-OR-357

 Arthroscopy Supplies – announcement of new agreements with incumbent suppliers. Agreements effective May 1, 2010 through April 30, 2013. Product category includes arthroscopes, instrumentation, power equipment, implants and disposable supplies.

ConMed PP-OR-630 PP-OR-370 Smith & PP-OR-632 PP-OR-372 Nephew Stryker PP-OR-631 PP-OR-371

 Orthopedic Power Tools and Accessories – announcement of new agreements with incumbent suppliers. Agreements effective May 1, 2010 through April 30, 2013. This products category includes battery, electric or nitrogen-driven equipment that assist Surgeons during orthopedic, neurological and spine procedures.

New Current Awarded supplier Contract Number Contract Number Brasseler USA PP-OR-638 PP-OR-373 ConMed PP-OR-639 PP-OR-374 MicroAire Surgical PP-OR-640 PP-OR-375 Stryker Instruments PP-OR-641 PP-OR-376

 Backorder – announcement that Teleflex Medical has issued a backorder for item numbers A-6020-08LF and A-6002-08L, Pleur-evac chest drainage products (PP-OR-514). Both items affected represent infant units. Backorder may exist until mid-March.

 Polysomnography, Neurological Equipment and Accessories – announcement of new agreements with incumbents Cadwell Laboratories Inc. (PP-MM-097), CareFusion 209 Inc. (PP-MM-099) and Nihon Kohden America Inc. (PP-MM-098) and new Supplier Embla Systems Inc. (PP- MM-100). Agreement effective May 1, 2010 through April 30, 2013. For further Clinical Services support: Contact us directly or through your client service executive to arrange for further assistance: Timothy Glennon, RN, MSN, MBA, CMRP Vice President, Clinical Services, [email protected] or (212) 506-5445, or Sandee Schoby, LVN, BA, JD, CMRP Director, Clinical Services, [email protected] or (212) 506-5521.

Clinical Services

 Urgent Medical Device Correction – Lifescan (PP-LA-196, PP-LA- 260) has notified the FDA of customer complaints concerning their blood glucose products; SureStep®Pro®, SureStep®Flexx® or OneTouch® SureStep®. The complaint is that the meter may provide a false low instead of “High” reading. Reach out to your local LifeScan Representative for details.

 Cardiac Rhythm Management – announcement that effective February 1, 2010 through January 31, 2012. Deadlines for Participating Member Designation Forms (PMDFs) are below;

 Biotronik (PP-CA-159) – Members who wish to take advantage of the DRG Rebate Program have until February 19, 2010 (extended from January 22) to submit a PMDF.  Medtronic (PP-CA-160 - Members on current tiers have until March 31 to submit a PMDF designating a tier.  St. Jude (PP-CA-161) - Members on current tiers have until March 1 to submit a PMDF designating a tier

PMDFs for all suppliers are available in Supply Chain Advisor. Contact your Client Services Executive or Clinical Services for any questions or assistance.

 Sterrad Technology – announcement that J & J is offering several equipment promotions (PP-OR-526). Products include; STERRAD® NX™ System, EVOTECH® ECR, STERRAD® 100NX™ System, STERRAD® 100S System, or STERRAD® 200 System. Promotion dates are February 8, 2010 through June 30, 2010.

o For complete offer details and program guidelines, please contact your Premier corporate accounts director, Kit Schumaker, via e-mail at [email protected] o For specific assistance, each member hospital should contact their ASP account executive or GNYHA Client Services Executive.

 Surgical Incontinence Products – announcement that C. R. Bard has added an Adjustable Single-Incision Sling to PP-OR-538.

 Surgical Endoscopy and Video Equipment – announcement that Olympus America Inc. with implement an annual price increase effective April 1, 2010 (PP-OR-505). The impact is 2.91% increase on all tiers.

 Nursing – announcement that Hospira has developed a website, www.HospiraAdvanceWithUs.com, to inform their customers of product

Clinical Services

retirement and migration for products such as specialty injectables and medication management systems and technologies.

 Imaging – announcement that Covidien has a new sourcing agreement with the Institute of Atomic Energy in Poland to gain access to medical isotopes. This is an additional source for Molybdenum 99 (PP-IM-075).

 Group Buy – announcement for Infant Care Capital Equipment with Draeger Medical Inc. Products include incubators, warmers, transport systems and jaundice management. Group buy begins February 15, 2010 through May 15, 2010. More information can be found at www.premierinc.com/groupbuy (GB-WC-036A).

 Price Increase – announcement that Olympus America Inc. will implement an annual price increase for their Surgical Endoscopy products on agreement PP-OR-508, effective April 1, 2010.

 Voluntary Recall – announcement that on February 8, 2010 United States Surgical (Covidien) issued a recall on their ProTrak fixation device (PP-OR-341). The impacted lot numbers for product number 174006, include batch numbers P9M0113, P9M0312, P9M0515, P9M0516, P9M0647, P9M0696, P9M0771 and P9M0816.

 Urgent Recall – announcement that Becton, Dickinson and Company has initiated a recall for products on agreement PP-NS-472, Nexiva Closed IV Catheter System which includes the Q-Syte devices. Devices may not function properly due to a manufacturing deviation

 Trade-In Program – announcement that Medrad Interventional/Possis, (PP- CSA-155) is offering a trade-in allowance for any member that owns an AngioJet drive unit, #101973-001. You will receive a credit towards the purchase of an AngioJet Ultra Console, # 105650-001. All purchase orders must be received by end of business on Monday, March 29, 2010, to qualify.

 Cardiology Recall – announcement that Bard Electrophysiology (PP-CA- 135) has issued a recall for their Channel FX Transseptal Sheath Kit, lots XD25200, XD252501, XD252502, XD252503, XD252504, XD252505, XD252506, XD252507, XD252508, XD252509. The transseptal introducer sheath radiopaque/soft tip may fracture or detach in vivo use, resulting in a device fragment that can pass into the systemic arterial circulation and lead to an embolic event.

 Tracheostomy Tubes and Related Products – announcement that because the Premier Surgical Services Sourcing Committee has determined that this product category is classified as “physician preference”.

Clinical Services

Therefore, a sole source contract cannot be awarded. Nellcor Puritan Bennett has been added to the portfolio with incumbent Smiths Medical. Effective January 1, 2010 through December 31, 2012.

Nellcor PP-OR-633 PP-OR-306

Smiths Medical PP-OR-585 PP-OR-307

The category includes the following tracheostomy tubes; cuffed fenestrated, cuffed non-fenestrated, uncuffed fenestrated, uncuffed non-fenestrated and foam cuffed.

 Gas Plasma Sterilization – announcement that the Johnson & Johnson Health Care Systems Inc., (PP-OR-526) has been extended until February 28, 2011. Contract was to expire February 28, 2010.

 Sterilization of Packaging Systems – announcement that Kimberly- Clark Health Care received an updated 510(k) clearance to market the KC300 KimGuard One-Step for pre-vacuum steam sterilization (K091685). The FDA now required directions for use to be included each case of KimGuard product. (PP- OR-471)

o The new language in the directions for use is in the “sterility maintenance” section and reads as follows: “Healthcare facilities may use established protocols to monitor sterility maintenance of packages wrapped with the KimGuard* and KimGuard One-Step* Sterilization Wraps in accordance with acceptable standards of practice. Real-time testing simulating clinical use supports maintenance of package sterility for at least 30 days; however, this time-point does not prevent facilities from continuing to use established healthcare facility protocols.”

 FDA Grants 18-month extension to facilities transitioning from STERIS System 1 to an alternative device.

 Imaging – announcement that Afga Healthcare has reduced list price of its CR 85- X, CR 35-X and CR 30-X computed radiography system packages on PP-IM-131.

 Reposable Surgical Instruments – announcement of new agreements with incumbents Suppliers, ConMed, Genicon and Microline and a new Supplier Surgical

Clinical Services

Innovation. Effective April 1, 2010 through March 31, 2012. These agreements will be co-terminus with Endomechanical Products.

ConMed PP-OR-622 PP-OR-345 Genicon PP-OR-623 PP-OR-346 Microline PP-OR-624 PP-OR-347 Surgical PP-OR-625 New Innovations

 OR Equipment Drapes – announcement of new agreement with incumbent Microtek Medical – PP-OR-586, Old PP-OR-354. Effective April 1, 2010 through March 31, 2013.

 Surgical Patient Prep Products – announcement of new agreements with incumbents 3M Industries Inc. and CareFusion 2200 Inc. Effective April 1, 2010 through March 31, 2013.

3M PP-OR-620 PP-OR-308 CareFusion PP-OR-621 PP-OR-309

 Price Increase – announcement that Baxa Corporation will exercise its right to implement an annual price increase. (PP-IV-041). Effective February 1, 2010.

 IV Pump Promotion – announcement from Baxa Corporation (PP-IV-041) 099 Repeater Pumps. Promotion February 1, 2010 through April 30, 2010. For details contact April Hixson at 301.617.2101 or [email protected].

 Support Services Outsourcing – Facilities Operations – announcement of new agreements with incumbents Crothall Services Group and Hospital Housekeeping Systems (HHS) and a new Supplier, HHA Services. Effective April 1, 2010 through March 31, 2013.

New Previous Supplier contract contract number number Crothall PP-MM-094 PP-MM-021 Services For further Clinical Services support: Contact us directly or through your client service executive to arrange for further assistance: Timothy Glennon, RN, MSN, MBA, CMRP Vice President, Clinical Services, [email protected] or (212) 506-5445, or Sandee Schoby, LVN, BA, JD, CMRP Director, Clinical Services, [email protected] or (212) 506-5521.

Clinical Services

Group, d/b/a Crothall Healthcare Inc., Crothall Facilities Management Inc., and Crothall Laundry Services HHA Services PP-MM-095 NEW Hospital Housekeeping PP-MM-096 PP-MM-022 Systems

 Group Buy – announcement a group buy opportunity for Patient Lifts with EZ Way Inc. from November 15, 2009 through February 14 2010. Product and pricing information is also available in Supply Chain Advisor; contract number GB-NS-557A.

 Cribs, Bassinets, and Youth Beds – announcement of new agreements have been awarded to Homewood Health Care Products Inc. (PP- WC-045) and NK Medical Products (PP-WC-046) effective April 1, 2010 through March 31, 2013.

 Surgical Mesh – announcement that Davol Inc. (PP-OR-365) is discontinuing Composix Mesh products effective March 31, 2010.

 Recall – announcement that Bard Access Systems, Inc. (PP-OR-426) has issued a recall on their 19 g, 1 inch HuberPlus Non-Coring Needle Safety Infusion sets. Specific lot numbers;

RETK0229 Huber Plus™, 19g, 1 inch, Needless Y-site, product code 011901NY RETJ0655 Huber Plus™, 19g, 1 inch, Needless Y-site, product code 011901NY RETJ0656 Huber Plus™, 19g, 1 inch, product code 011901

The reason for the recall is because after activation of the safety mechanism, the tip of the needle protrudes from the safety sheath creating the potential for needlestick injury, which can result in the transmission of blood borne pathogens.

 Endomechanical, Suture and Topical Wound Sealant – announcement that these agreements were set to expire March 31, 2010, Sourcing Committee, Premier and Suppliers have decided to extend all agreements for an additional two-year term, effective April 1, 2010 through March For further Clinical Services support: Contact us directly or through your client service executive to arrange for further assistance: Timothy Glennon, RN, MSN, MBA, CMRP Vice President, Clinical Services, [email protected] or (212) 506-5445, or Sandee Schoby, LVN, BA, JD, CMRP Director, Clinical Services, [email protected] or (212) 506-5521.

Clinical Services

31, 2012. Applied Medical, Ethicon and U.S. Surgical are the only suppliers to have pricing tiers and terms and conditions changes for the two-year extension.

Pricing tiers and terms and conditions have not changed in the extended agreements for Aesculap, ConMed, Genicon, Patton and Teleflex. All extended agreements are effective April 1, 2010 through March 31, 2012. Notify your Client Services Executive or Clinical Services if you have questions.

 IV Therapy Price Increase – announcement that Baxter Healthcare Corporation will exercise their contractual right to increase prices effective February 1, 2010. Baxter is capping its increase at 3 percent. Tiers 1 through 5 will have a 3 percent increase and pricing will increase by 1.5 percent in Tiers 6- 8.

 Hospira Empty Evacuation Containers – announcement that Hospira requested a price increase in September on their empty evacuation containers available through Premier agreement PP-IV-045 (TPN compounders, filling devices, elastomeric pumps, and admixture products).

While there was a price increase in the market, Premier denied the requested price change. The price increase imposed through other group purchasing organizations’ contracts does not apply to the Premier contract.

 Women and Children Recall – announcement that Encompass Group is voluntarily recalling the Thermoflect product line for relabeling. Product is available on PP-WC-042.

 Recall – announcement that Baxter Healthcare Corporation is initiating a voluntary recall on Y – Type Blood Solution Sets, product code 2C8750. These sets are available on PP-IV-023.

 Imaging – announcement of price increase on Covidien Radiopharmaceutical Distribution agreement PP-IM-075. As provided in the agreement, Covidien will soon begin implementing two pricing initiatives for select radiopharmaceutical products. The price increase for radiopharmaceuticals involves third party manufactured products and Covidien manufactured products. These increases will become effective March 1, 2010 instead of January 1, 2010.

 IV Therapy Group Buy – announcement of a group buy with CareFusion for Alaris IV pumps, December 15, 2009 through March 31, 2010. This is an opportunity to purchase Alaris PC Unit hardware and Guardrails software for the PC unit for $2900.

The $2,900 price represents the following additional discount compared with Premier national agreement pricing:

Clinical Services

Group Buy Additional Discounts over National Agreement Pricing Tier 1 Tier 2A Tier 2B Tier 3A Tier 3B Tier 4A Tier 4B Tier 5 18.2% 13.9% 12.8% 12.8% 11.0% 11.0% 6.3% 3.4% additional additional additional additional additional additional additional additional discount discount discount discount discount discount discount discount

 DePuy Spinal Implants – announcement that DePuy (PP-OR-544) has agreed not to increase prices on January 1, 2010 for members that have sign PMDF.

 Recall – Encompass Group has announced a voluntary recall of their Thermoflect product line (PP-WC-042). They are in the process of sending labels to customers to be attached to blankets to customers that this product line should not be used in the MR environment.

 Endotracheal Tubes – announcement of new agreements with incumbents Nellcor Puritan Bennett and Smiths Medical and new Supplier Teleflex Medical. Effective with firm pricing January 1, 2010 through December 31, 2012.

Nellcor PP-OR-582 PP-OR-305 Puritan Smiths PP-OR-583 PP-OR-304 Medical Teleflex PP-OR-584 New

 Blood Glucose Meters, Reagents, Consumables and Services – announcement of new agreements with Johnson & Johnson Systems Inc. (LifeScan), Nova Biomedical Corporation and Roche Diagnostics Corporation. Effective March 1, 2010 through February 28, 2013.

New Supplier Previous contract number contract number Johnson & Johnson Healthcare Systems, PP-LA-260 PP-LA-196 Inc. (LifeScan) Nova Biomedical PP-LA- 261 New Corporation For further Clinical Services support: Contact us directly or through your client service executive to arrange for further assistance: Timothy Glennon, RN, MSN, MBA, CMRP Vice President, Clinical Services, [email protected] or (212) 506-5445, or Sandee Schoby, LVN, BA, JD, CMRP Director, Clinical Services, [email protected] or (212) 506-5521.

Clinical Services

Roche Diagnostics PP- PP-LA-262 Corporation LA-195

 Cardiac Rhythm Management Deadlines – new agreements are effective February 1, 2010 through January 31, 2012. Deadlines for Participating Member Designation Forms (PMDFs) are below;

 Biotronik – Members who wish to take advantage of the DRG Rebate Program have until February 19, 2010 (extended from January 22) to submit a PMDF.  Medtronic - Members on current tiers have until March 31 to submit a PMDF designating a tier.

 St. Jude - Members on current tiers have until March 1 to submit a PMDF designating a tier PMDFs for all suppliers are available in Supply Chain Advisor. Contact your Client Services Executive or Clinical Services for any questions or assistance.

 Imaging Group Buy – announcement that Toshiba America Medical Systems beginning January 1, 2010 through March 31, 2010 is offering an opportunity that provides additional value above the Premier contracted price;

Modalities Contract Number Group Buy Value-add* Computed Tomography GB-IM-107C Discount dollars and software General Radiography GB-IM-108C Discount dollars Cardiovascular Imaging GB-IM-109C Discount dollars Ultrasound Radiology GB-IM-110C Discount dollars and probe Magnetic Resonance GB-IM-111C Discount dollars, table and Imaging software

 General Urologicals – announcement of new agreements with incumbents C.R. Bard, Covidien and Rochester Medical Corporation. Effective March 1, 2010 through February 28, 2013.

New Previous Supplier contract contract number number C.R. Bard Inc. – Bard Medical PP-NS-584 PP-NS-409 Division Rochester Medical PP-NS-585 Corporation PP-NS-411 Covidien PP-NS-583 PP-NS-412

NOTE: Field Guide will be available on request. For further Clinical Services support: Contact us directly or through your client service executive to arrange for further assistance: Timothy Glennon, RN, MSN, MBA, CMRP Vice President, Clinical Services, [email protected] or (212) 506-5445, or Sandee Schoby, LVN, BA, JD, CMRP Director, Clinical Services, [email protected] or (212) 506-5521.

Clinical Services

 Instrument Containers – announcement that agreements with Aesculap Inc, (PP-OR-314), CareFusion (PP-OR-315), Case Medical (PP-OR-316) and Medline Industries Inc. (PP-OR-317) have been extended to July 31, 2010.

 Surgical Patient Preps – announcement that CareFusion is consolidating codes on agreement PP-OR-309. The prep tray offering is now consolidated into six standard configurations. Contact your CareFusion Representative for details.

 Surgical Instruments – announcement of new agreements with incumbent and a new Supplier. Effective February 1, 2010 through January 31, 2013. Current agreement with Teleflex/Pilling-Weck (PP-OR-332) expires January 31, 2010.

Aesculap PP-OR-614 PP-OR-329 CareFusion PP-OR-615 PP-OR-330 Jarit PP-OR-616 PP-OR-331 Spectrum PP-OR-617 New

 Laparoscopic Surgical Instruments – announcement of new agreements with incumbents and new Suppliers. Effective February 1, 2010 and January 31, 2013. Current agreement with Teleflex/Pilling-Weck (PP-OR-321) expires January 31, 2010.

Aesculap PP-OR-608 PP-OR-318 CareFusion PP-OR-609 PP-OR-319 Genicon PP-OR-610 New Jarit PP-OR-611 PP-OR-320 Instruments National Advance PP-OR--613 New Endoscopy

Clinical Services

Surgical New PP-OR-612 Innovations

 Recall – announcement that B. Braun has issued a voluntary recall of its Horizon/Outlook IV Pump Sets due to reports of System Error 9 alarms. A system Error 9 alarm indicates a potential pressure loss in the pump cassette delivery chamber.

This alarm is generated during the pump initiation sequence and will not allow the set to be utilized. This requires a new set to be obtained, thus creating a potential for delay in therapy.

 Labels, Identification bands – announcement of updated financial information for the new agreement with St. John (PP-MM-092), effective February 1, 2010. Savings on all tiers.

 Patient Beds and Stretchers – announcement that of new agreements in three categories: Patient Beds, Mattresses and Therapeutic Surfaces – Purchase, Patient Beds, Mattresses and Therapeutic Surfaces – Rental, Stretchers. Agreements effective March 1, 2010, through February 29, 2010.

Note: The following agreements expire on February 28, 2010: SIZEwise Rentals LLC (PP-NS-359) for specialty beds, SpanAmerica (PP-NS-431) and EHOB (PP- NS-432) for mattress overlay products and replacement mattresses.

Category Supplier New Contract Expiring Contract PP-MM-079 ArjoHuntleigh New frames and surfaces PP-NS-433 PP-MM-080 Encompass mattress overlay / surfaces only replacement Patient Beds, PP-NS-434 PP-MM-081 Mattresses Gaymar* mattress overlay / surfaces only and replacement Therapeutic Surfaces – PP-MM-082 PP-NS-354 Purchase Hill-Rom Company frames and surfaces patient beds PP-MM-083 PP-NS-358 KCI USA Inc. Surfaces only specialty beds PP-MM-084 Stryker Medical PP-NS-355 frames and surfaces ArjoHuntleigh PP-MM-085 New Patient Beds, PP-NS-357 Mattresses Hill-Rom Company PP-MM-086 and specialty beds Therapeutic KCI USA Inc. PP-MM-087 PP-NS-358 Surfaces – specialty beds

Clinical Services

Universal Hospital PP-MM-088 New Rental Services Inc. (UHS) Hill-Rom Company PP-MM-089 New Stretchers Stryker Medical PP-MM-090 PP-NS-351 TransMotion Medical* PP-MM-091 New

 Reprocessing – announcement that Stryker Corporation announced it has a definitive agreement to acquire privately held Ascent Healthcare Solutions Inc. (PP-OR-434) before the close of 2009. Ascent will keep its name and become the reprocessing and remanufacturing division of Stryker.

 Price Increase – announcement that Olympus America Inc. (PP-OR-492) will increase pricing 5% on products IS72025 and IS72010 and a pending 3.73 percent increase in pricing on IS72009. The prices of products IS72037 and IS72015 will be decreased by 14 percent and 24 percent, respectively.

 FDA Notification and Recommendations – announcement that in a notice dated December 3, 2009, the FDA notified healthcare facility administrators and infection control healthcare professionals of important information regarding the regulatory status of the STERIS System 1 processor (SS1) used in surgical and endoscopy suites for reprocessing, i.e., sterilizing or disinfecting, medical devices.

STERIS has significantly modified the SS1 and the FDA has not approved or cleared this modified product. Thus, the FDA has not determined whether the SS1 is safe or effective for its labeled claims, including claims that it sterilizes medical devices. Use of a device that is promoted to sterilize or disinfect a medical or surgical device, but that does not properly perform these functions, poses risks to patients and users. Improperly disinfected or sterilized instruments may transmit pathogens to patients and healthcare staff, or expose them to hazardous chemicals. Improper sterilization or disinfection may also adversely affect the quality and functionality of reprocessed instruments.

The FDA recommends that if a facility has an acceptable alternative to the SS1 to meet sterilization and disinfection needs, the facility should transition to that alternative as soon as possible to ensure continued patient safety. If an acceptable alternative to the SS1 is not available, the facility should promptly assess its patient care needs and sterilization and disinfection requirements, and take steps to obtain legally marketed substitutes for the SS1.

 Recall – announcement that BD has initiated a recall on 30 mil Luer-Lok syringes, lot number 9175046, found on PP-NS-460. A small number of unit packages may have open seals.

 Sterling Nitrile Exam Gloves – Kimberly-Clark in a letter dated Dec 8, 2009 announced a backorder and revised allocations of their Sterling silver Nitrile products (PP-NS-445). This will affect the timing of order fulfillment and shipment.

Clinical Services

 Skin Breakdown Prevention Products – announcement of new agreements awarded to DeRoyal Industries Inc., Gaymar Industries Inc., Joerns

Healthcare Inc., Medline Industries Inc. and Sage Products Inc. Effective March 1, 2010, through February 28, 2013.

Supplier New contract number Previous contract number DeRoyal PP-NS-578 PP-NS-429 Industries Gaymar PP-NS-434 Industries PP-NS-579 mattress overlay products Inc. Joerns Healthcare PP-NS-580 New Inc. Medline PP-NS-581 PP-NS-430 Industries Sage PP-NS-582 New Products

 Annual Price Increases – announcement that the following companies have announced price increases;

o Intregra LifeSciences (PP-OR-478) neurological products effective January 1, 2010. Increase impacts all tiers at an aggregate of 3%. o DePuy Spine (PP-OR-544) effective January 1, 2010. Increase impacts all tiers at an aggregate of 6%. o Olympus America, Inc. for surgical endoscopy and video equipment (PP-OR-505) effective January 1, 2010. Increase impacts all tiers at an aggregate of 5%.

 Product Notice – CareFusion (PP-OR-303 and PP-OR-533) has announced that they are experiencing production delays that affect its iodine- based prep trays, bulk bottle solutions and surgical scrub brush product lines. Production will be suspended until maintenance activities are completed.

 OR Lights and Booms – announcement of new agreements with incumbent suppliers Berchtold Corporation, Maquet Inc., Skytron, Steris Corporation and Stryker Instruments and new suppliers Amico Clinical Solutions, Nuvo Inc. and Trumpf Medical Systems Inc. Effective February 1, 2010, through January 31, 2013.

Clinical Services

Amico PP-OR-599 New Berchtold PP-OR-594 PP-OR-322 Maquet PP-OR-593 PP-OR-233 Nuvo* PP-OR-597 New Skytron PP-OR-598 PP-OR-323 Steris PP-OR-595 PP-OR-324 Stryker PP-OR-596 PP-OR-325 Trumpf PP-OR-600 New

 OR Tables – announcement of new agreements to incumbent Suppliers Maquet Inc., Skytron and Steris Corporation and new suppliers Berchtold Corporation, Nuvo Inc. and Trumpf Medical Systems Inc. Pricing will remain firm for duration of contract. Effective February 1, 2010, through January 31, 2013.

Berchtold PP-OR-590 New Maquet PP-OR-587 PP-OR-326 Nuvo PP-OR-591 New Skytron PP-OR-588 PP-OR-327 Steris PP-OR-589 PP-OR-328 Trumpf PP-OR-592 New

 Patient Prep Clippers and Blades – announcement of new agreements with incumbents, CareFusion 2200, Inc. and Medline Industries and new Supplier 3M industries. Effective February 1, 2010 through January 31, 2013.

3M PP-OR-602 NEW

CareFusion PP-OR-603 PP-OR-310

Medline PP-OR-604 PP-OR-311

Clinical Services

 Regional Anesthesia Trays and Related Products – announcement of new agreements have been awarded to incumbent Supplier, Smiths Medical and two new Suppliers, Arrow International, Inc. and Becton Dickinson. Effective February 1, 2010 through January 31, 2013. Note – B. Braun agreement PP-OR-312 expires January 31, 2010.

Arrow PP-OR-607 New BD PP-OR-605 New Smiths PP-OR-606 PP-OR-313

 Recall – announcement that Smiths Medical ASD Inc. has initiated a voluntary recall on a limited number of Medfusion syringe infusion pumps, models 3010A and 3500 manufactured between August 1, 2008 and June 10, 2009 (PP-IV-018). There has been an increased trend in reports of “Motor Not Running” (MNR) and “Motor Rate Error” (MRE) alarm message events with certain Medfusion syringe infusion pumps. When a MNR/MRE alarm message event occurs, the pump is prevented from delivering fluids.

 Product Stockout - announcement that Baxter Healthcare Corporation has extended the stockout of Heparin Sodium in 5% Dextrose Injection liquid premix products (PP-IV-033). Effected products codes are 2B0807, 2B0802 and 2B0808. Baxter does not know when manufacture of Heparin Sodium in 5% Dextrose will resume.

 Recall – announcement that Baxa Corporation issued recall letters on specific lots of their ExactaMix TPN bags (PP-IV-041). The failure is limited to specific lots of the 500mL (Baxa Item #738), 1000mL (Baxa Item # 739), and 2000mL (Baxa Item # 740). Failure may result in a port becoming loose or disengaging from the bag which may result in a leak.

 Product Notice – Philip/Respironics has issued a voluntary field action on their Respironics V60 ventilator (PP-MM-027). Issue is with a component of the ventilator power management (PM) printed circuit board (PCB). This issue was noted in ventilators shipped before August 5, 2009

 Laboratory Reprocessed Disposables – announcement that incumbent Supplier Environmental Support Systems Inc. (L.E.S.S). Agreement

Clinical Services

covers the reprocessing services for disposable cuvettes, sample cups, and other disposable plastic products for medical laboratories. Effective March 1, 2010 through February 28, 2013.

 Syringe Pump Promotion – announcement that Smiths Medical (PP-IV- 018) is offering a $500 trade-in or trade-up promotions toward Medfusion 3500 syringe pumps with v5 software. Promotion started November 15, 2009 and ends January 25, 2010.

 Bedside Procedure Trays and Needles – announcement that new agreements have been awarded to incumbents CareFusion 2200 Inc. and Covidien as well as Supplier, Busse Hospital Disposables. Agreements effective February 1, 2010 through January 31, 2013.

Busse Hospital PP-NS-590 New Disposables* PP-NS-427 CareFusion 2200, Inc. PP-NS-588 (fka Cardinal) Tyco Healthcare Group LP PP-NS-589 PP-NS-428 dba Covidien

 Recall – announcement of a voluntary Recall of AMO Tecnis 1-Piece Intraocular Lens. This recall only affects specific lot numbers of unused product. These products on are contract PP-OR-467).

 Surgical Instrument and Scope Repair – announcement of new agreements have been awarded to current incumbents and new a new Supplier. Agreements effective February 1, 2010 through January 31, 2013.

Previous Previous New contract number contract Supplier contract number Surgical Instrument number Repair Scope Repair

IMS PP-MM- 075 PP-MM-007 PP-MM-049

Mobile Instrument PP-MM- 076 PP-MM-006

Spectrum PP-MM- 077 PP-MM-004 US Medical PP-MM-078 New New Systems

Clinical Services

 Imaging – Update, because of Covidien’s exit from the barium contract media market globally they will discontinue shipments of all barium products to U.S. distributors effective January 15, 2010. Covidien will honor the current Premier contract (PP-IM-073) pricing through June 2010. Contact Covidien’s Product Monitoring Group at [email protected] or 1.800.778.7898. For a product cross reference.

 Nursing/Surgical – announcement that Sage Products is offering a limited- time, free trial of Sage 2% Chlorhexidine Gluconate Cloths Preoperative Skin Preparation (PP-NS-440). Promotion starts November 1, 2009 and ends January 30, 2010.

 Imaging – announcement that new agreement are computed radiography with incumbents Agfa HealthCare Corporation and FujiFilm Medical Systems USA Inc. new Supplier, Konica Minolta Medical Imaging USA Inc. Agreements effective January 1, 2010 through December 31, 2012.

Agfa HealthCare PP-IM-131 PP-IM-079 Corp. FujiFilm Medical Systems USA PP-IM-132 PP-IM-078 Inc. Konica Minolta Medical Imaging PP-IM-133 New USA Inc.

 Ultra Thrombectomy – announcement that Medrad Interventional/Possis (PP-CA-155) is offering a trade-in allowance for any member that currently owns an Angio-Jet drive unit, item 101973-001. Contact your Client Services Executive or call the Medrad Hotline at 800.810.7677.

 Temperature Monitoring – announcement that an agreement has been awarded to incumbent Smiths Medical. Effective January 1, 2010 through December 31, 2012. Products in this category included esophageal stethoscopes, myocardial, tympanic and general purpose probes, foley catheters, skin sensors and neonatal products. Current agreement with DeRoyal (PP-OR-301) and Nellcor Puritan Bennett (PP-OR-303) expire December 31, 2009

 Tracheostomy Tubes – announcement that a new agreement has been awarded to incumbent Smiths Medical (new PP-OR-585, previous PP-OR-307). The category includes cuffed fenestrated, cuffed non-fenestrated, uncuffed fenestrated, uncuffed non-fenestrated and foamed cuffed. Effective January 1, 2010 through December 31, 2012.

Clinical Services

 High Level Disinfection Reprocessing – announcement that new agreements with incumbents Hygia Health Services and ReNu Medical Inc. has been awarded. Effective January 1, 2010 through December 21, 2012.

o Hygia Health Services – New, PP-NS-587 Previous, PP-FA-061 o ReNu Medical, Inc. – New, PP-NS-586 Previous, PP-FA-062

High level disinfection is an environmentally friendly and clinically safe method for reprocessing a wide range of semi-critical and non-critical single use devices.

Products that are reprocessed through high level disinfection include: o Blood pressure cuffs o DVT compression garments o Stethoscopes o Fetal monitoring belts o Pressure infuser bags o Pneumatic tourniquet cuffs o Air cushion masks o Pulse oximeter probes o Splints

 Teleradiology Services – announcement of a new category for teleradiology services. Theses services are for reading and/or consultation services offered by remote radiologists who are able to view the radiologic images via electronic transmission. This category is open to acute and continuum of care members. Effective dates November 1, 2009 – October 31, 2012.

New Previous Supplier contract numbers contract numbers

NightRays PP-IM-134 New

Quality NightHawk PP-IM-135 New

Templeton Reading, PP-IM-136 New LLC.

US Radiology PP-IM-137 New

 Cardiology – announcement that Bard Electrophysiology is offering over 45% off list price for Stringer Ablation catheters (PP-CA-135). This promotion starts November 1, 2009 and ends December 31, 2009.

Clinical Services

 Surgical Gowns – announcement that Cardinal Health (PP-OR-481) has extended their promotion for 5 to 10 free cases of SmartGown surgical gowns with conversion after complimentary evaluation of the gown. Offer extended to December 31, 2009.

 Barium – announcement that Covidien has made the announcement to exit barium business globally. Covidien will discontinue shipments of all barium products to U.S. distributors effective January 15, 2010. No orders will be processed after that date. Covidien’s entire line of barium sulfate products, accessories and related products is impacted by this discontinuation. Covidien- supplied distributors should continue to place orders through your normal distribution channel. Your specific distributor may have barium products in stock beyond the January 15 date, therefore you should check with them on availability of any given product.

Covidien anticipates most distributors will carry approximately 30 days of inventory, with some carrying 60 days. With respect to pricing, Covidien will honor the current contract (PP-IM-073) pricing through June 2010.

Premier is currently evaluating what actions to take in response to this announcement and will provide more information in short time.

 Bone Cement - announcement that Stryker Orthopedics (PP-OR-455) is offering a 50% off bone cement starting October 19, 2009 through December 28, 2009.

o Buy bone cement at 50 percent off current list price. o Minimum of 10 ten-packs must be purchased. o Maximum of 100 ten-packs may be purchased. o Offer valid at current list price only. Contract prices do not apply. o Only one order per hospital

 Surgical and Isolation Mask Update – announcement that the Premier member Surgical Services Committee voted to add new suppliers to the portfolio. Joining Cardinal, Kimberly-Clark and Precept in the portfolio are 3M Company, AMD-Ritmed Inc, Dukal Corporation, Medline Industries, Inc, Prestige Ameritech and Tronex Healthcare Industries. All new agreements will be effective October 1, 2009, except 3M, which will become effective November 1, 2009.

All contracts in the portfolio will be effective through December 31, 2010. The new, complete supplier matrix is shown below.

Clinical Services

New Previous Contract effective dates Supplier contract number contract number

3M November 1, 2009 through PP-OR-573 New Company December 31, 2010 AMD October 1, 2009 through PP-OR-574 New Ritmed¹ December 31, 2010 Cardinal April 1, 2008 through N/A PP-OR-452 Health December 31, 2010 October 1, 2009 through Dukal PP-OR-576 New December 31, 2010 Kimberly- April 1, 2008 through N/A PP-OR-453 Clark December 31, 2010 October 1, 2009 through Medline PP-OR-575 New December 31, 2010 Precept April 1, 2008 through N/A PP-OR-454 Medical December 31, 2010 Prestige October 1, 2009 through PP-OR-577 New Ameritech² December 31, 2010 October 1, 2009 through Tronex³ PP-OR-578 New December 31, 2010

 Smith Medical Ambulatory Infusion System – announcement of savings from 4% to 48% off CADD-Solis Ambulatory Infusion System (PP-IV-018) depending on Tier level from September 21, 2009 through January 15, 2010. There are also financing options from MedOne Capital.

 BD Safety Hypodermic Products – announcement from Becton, Dickinson and Company that they are experiencing supply challenges due to unprecedented demand for safety hypodermic syringes and needles associated with early flu vaccination season and their commitment to the U.S. government for mass H1N1 supplies. Contact your Supply Chain Executive and BD Rep for alternative products.

 Diagnostic and Interventional – announcement that agreements with C. R. Bard, Inc. (PP-CA-140), Boston Scientific Corporation (PP-CA-141) and Cook incorporated (PP-CA-142) have been extended to January 31, 2011.

 Peripheral and Biliary Stents – announcement that agreements with Abbott Vascular (PP-CA-137), Boston Scientific Corporation (PP-CA-138) and ev3 Endovascular, Inc. (PP-CA-139) have been extended to January 31, 2011.

 Group Buy – announcement of a GE Imaging Group Buy. Savings up to 25% from October 1, 2009 through December 31, 2009. Products include diagnostic imaging products across nine modalities and also includes extended warranty and additional discounts for service and maintenance agreements purchased along with specific equipment.

Clinical Services

 Bausch & Lomb – announcement that Bausch & Lomb has added the 2 millimeter micro-incision cataract surgery platform to its agreement (PP-OR-466).

 SureTemp Plus Thermometers – announcement that Welch Allyn is offering $40 savings on minimum purchase orders of SureTemp Plus thermometers starting October 1, 2009 through December 31, 2009.

 Osteotech bone tissue and synthetic implants products – announcement, please note that this agreement (PP-OR-541) effective July 1, 2009 is not requiring signature of PMDF’s for existing customers. However, note pricing change and load into your data system.

 Vascular Compression Therapy – announcement of new agreements in two categories with pump devices and sleeves found in the category titled Vascular Compression Therapy. Agreements are awarded to Covidien Healthcare (old PP-NS-388, new PP-NS-575) and new Supplier Compression Therapy Concepts (new PP-NS-576). Agreements effective December 1, 2009 through November 30, 2012.

 Disposable Non-Sterile Personal Protection apparel – announcement of new agreements with incumbents Cardinal Health (old PP-NS- 383, new PP-NS-571) and Medline Industries (old PP-NS-384, new PP-NS-572) and new Supplier AllCare Inc., (PP-NS-570). This category now includes products previously found in the categories titled Disposable Personal Protection Attire and Caps and Shoe Covers. Agreements effective December 1, 2009 through November 30, 2012.

 Vascular Compression Therapy Anti-Embolism stockings – announcement that of new contract awards in two categories with stockings found in VCT Anti-Embolism Stockings. Awarded suppliers for anti-embolism stocking are Covidien Healthcare (old PP-NS-396, new PP-NS-573) and Carolon Company (new PP-NS-574). Agreements effective December 1, 2009 through November 30, 2012.

 Invasive Cardiology Equipment – announcement that Philips Medical Systems has been added to this portfolio, PP-CA-147. Agreement effective September 1, 2009 through February 29, 2012. Product line includes two subcategories:

o Cath lab hemodynamic monitoring systems o Electrophysiology monitoring systems