NeoConnect is the ideal ENFit product portfolio for use in all care environments. Pharmacy Adult ICUs PICU/NICU Home Care Alternate Care

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1 NeoConnect is the ideal ENFit product portfolio for use in all care environments Pharmacy Adult ICUs PICU/NICU Home Care Alternate Care

2 What do ENFit compliant NeoConnect syringes and accessories deliver to each of these care environments? FDA cleared for direct oral administration and enteral delivery ENFit Low Dose Tip () syringes in sizes from 0.5 ml to 6 ml to ensure low volume dosing accuracy Hands-free tip cap promotes aseptic technique Over 50 issued and pending patents and other forms of intellectual property protecting NeoMed s unique features and accessories And more... Pharmacy NICU/PICU DoseMate and DoseMate DL* accessories for oral delivery Off-set tip and solid plunger design helps maximize nutrition delivery NeoConnect syringes are validated in popular Smiths/Medfusion, BBraun, and ABC pumps GravityPro syringes Available in purple or orange gradients *Coming Soon Bulk clear, bulk amber, or sterile amber syringes ENFit pharmacy bottle caps ENFit accessories All syringes are metric only, meeting ISMP Best Practices #5* *Institute for Safe Medication Practices Targeted Medication Safety Best Practices for Hospitals. Alternate Care, Home Care, and Physician Office Bulk clear, bulk amber, or sterile amber syringes ENFit pharmacy bottle caps ENFit accessories Adult ICU Bulk or sterile options 2

3 What are the regulatory and clinical guidelines targeting ENFit products? Eliminate the use of temporary adapters as soon as possible. Don t force connections, and avoid workarounds. Forced connections or workarounds could indicate that the connection should not be made. The Joint Commission Sentinel Event Alert. Managing Risk During Transition to New ISO Tubing Connector Standards. August The authors concluded that the adherence to strict aseptic technique is the key to prevention of contamination during the filling process. Bankhead R, Boullata J, Brantley S, et al. Enteral Nutrition Practice Recommendations. The Journal of Parenteral and Enteral Nutrition. American Society for Parenteral and Enteral Nutrtiion. 2009; 20:1-46. A wide variety of organisms was recovered from neonatal feeding tubes in studies by Juma and Forsythe... System design has been suggested to play an important role in reducing bacterial contamination. Boullata J, Carrera A, Harvey L, et al. ASPEN Safe Practices for Enteral Nutrition Therapy. Journal of Parenteral and Enteral Nutrition (American Society for Parenteral and Enteral Nutrition) NeoMed is proud to be a recognized leader that provides an ENFit solution compliant with recommendations from The Joint Commission, ASPEN, ADA, GEDSA, and ECRI. To ensure small volume dosing accuracy, syringe sizes of 5 ml or smaller may require an ENFit Low Dose Tip Syringe design. Global Enteral Device Supplier Association (GEDSA). GEDSA Guidance Supporting ISO ENFit. July Because this change impacts the entire enteral feeding system across all health care settings, a careful and methodical transition to these new safer connectors is recommended, globally throughout 2016 and Syringes for flushing, hydration, bolus feeding and enteral administration of medication are critical to support the introduction of feeding tubes with the ENFit connectors in healthcare settings. GEDSA. GEDSA Position Statement Supporting ISO ENFit Enteral Connectors and Low Dose Medication Solutions. November GEDSA and its supporting organizations including The Joint Commission, ISMP, ASHP, ASPEN, NHS, and EPSG encourage manufacturers to introduce enteral devices with ENFit connectors, and healthcare facilities to adopt feeding systems with ENFit connectors as soon as possible. GEDSA. GEDSA Position Statement Supporting ENFit Low Dose Tip Syringe. August Syringe sizes of 5 ml or smaller may require one of these connectors to ensure small-volume dosing accuracy. GEDSA encourages manufacturers to introduce, and healthcare facilities to adopt ENFit tip syringes and feeding tubes as soon as possible to meet the California mandate. ECRI Institute. Implementing the ENFit initiative for preventing enteral tubing misconnections. Health Devices Mar 29. American Dietetic Association To prevent contamination of milk during preparation, aseptic technique in handling milk should be used. ADA Infant Feedings: Guidelines for Preparation of Human Milk and Formula in Healthcare Facilities. American Dietetic Association

4 What questions should every hospital or care center ask ENFit syringe vendors? Does your ENFit pharmacy supplier offer syringes and accessories through pharmacy wholesalers including McKesson, ABC, and others? NeoMed supplies major pharmacy wholesalers including Amerisource Bergen, McKesson, Cardinal, Morris-Dickson, and others. Does the ENFit syringe supplier offer FDA clearance for direct oral administration and enteral feeding delivery? Our ENFit compliant NeoConnect syringes received FDA clearance for all patient populations and care environments. What brands of syringe pumps are the ENFit vendors syringes validated for? NeoConnect syringes are validated in popular Smiths/Medfusion, BBraun, and ABC pumps. NeoMed is committed to help hospitals, home care, and other patient care populations transition to NeoConnect. Proven Performance Track Record Successful ENFit transitions Established base of succesful ENFit pharmacy-to-nicu customers Transitioned ENFit customers in community hospitals, children s hospitals, specialty hospitals, and hospital networks (IDNs) Transition Support Committed to ENFit product availability Secure supply chain integrity ENFit protocol support Staff training support GO LIVE planning support Service commitment Online ENFit training videos 4

5 Oral/Enteral Syringes NeoConnect Syringes Adult ICU, NICU/PICU, Alternate Care, and Home Care Sterile Orange NeoConnect Oral/Enteral Syringes NM-S1NC 1 ml 200 Sterile Purple NeoConnect Oral/Enteral Syringes PNM-S1NC 1 ml NM-S3NC 3 ml NM-S6NC 6 ml PNM-S3NC 3 ml PNM-S6NC 6 ml NM-S12NC 12 ml PNM-S12NC 12 ml NM-S20NC 20 ml PNM-S20NC 20 ml NM-S20NCV 20 ml PNM-S20NCV 20 ml NM-S35NC 35 ml PNM-S35NC 35 ml NM-S60NC 60 ml NM-S100NCV 100 ml 40 Oral/Enteral Syringes Low Dose Tip () ENFit solution for low dose volume accuracy (5 ml and less) Accurate across a wide spectrum of care environments 1 ml to 6 ml sizes Reduces dead space and potential dosing error Tab helps mitigate endotracheal tube misconnections Oral/Enteral Syringes Self-rights Hands-free Promotes aseptic technique Click-to-close feature means no twisting required Secure tab clips Minimizes process cycle times NeoSecure Tip Caps Smooth shape for tamper evident tape Oral/Enteral Syringes NeoConnect GravityPro Sterile Orange NeoConnect GravityPro NM-S100NCV 100 ml NM-S20NCV 20 ml PNM-S60NC 60 ml PNM-S100NCV 100 ml 40 Adult ICU, Pharmacy, NICU/PICU, Alternate Care, and Home Care Adult ICU, Pharmacy, NICU/PICU, Alternate Care, and Home Care NeoConnect NeoSecure Tip Caps Item # Product Code Product Description QTY PNS-TCNC Non-Sterile, Purple, Bulk PNM-TCNC Sterile, Purple 200 Adult ICU, NICU/PICU, Alternate Care, and Home Care Sterile Purple NeoConnect GravityPro PNM-S100NCV 100 ml PNM-S20NCV 20 ml 100 NICU Oral/Enteral Syringes 5

6 Oral/Enteral Pharmacy Syringes Oral/Enteral Pharmacy Syringes Bulk NeoConnect Pharmacy Syringes Clear Barrel with Purple Gradient Markings BP-S05NC 0.5 ml BP-S1NC 1 ml BP-S3NC 3 ml BP-S6NC 6 ml BP-S12NC 12 ml BP-S20NC 20 ml BP-S35NC 35 ml BP-S60NC 60 ml 200 *ISMP Targeted Medication Safety Best Practices for Hospitals Amber Oral/Enteral Pharmacy Syringes Bulk NeoConnect Pharmacy Syringes, Amber Barrel with White Gradient Markings Metric gradients only* Sizes 0.5 ml to 60 ml Clear with purple gradients or amber with white gradients Sterile NeoConnect Pharmacy Syringes, Amber Barrel with White Gradient Markings BA-S05NC 0.5 ml BA-S1NC-S 1 ml BA-S1NC 1 ml BA-S3NC 3 ml BA-S3NC-S 3 ml BA-S6NC-S 6 ml BA-S6NC 6 ml BA-S12NC-S 12 ml BA-S12NC 12 ml 500 Pharmaceutical BA-S20NC 20 ml BA-S35NC 35 ml BA-S60NC 60 ml 200 Available in bulk and sterile Helps protect light-sensitive medications* For sterile compounding *NeoMed amber syringes block 63% of light from wavelength nm 6

7 NeoConnect Pharmacy Bottle Caps Pharmacy, Alternate Care, and Home Care NeoConnect Pharmacy Bottle Caps Promotes dosing accuracy Sizes 18 mm to 38 mm For rapid filling operations Minimizes impact to process flow Tethered cap for secure closure PC-ANC Size A, 18mm PC-BNC Size B, 20mm PC-CNC Size C, 22mm PC-DNC Size D, 24mm PC-ENC Size E, 28mm PC-GNC Size G, 33mm PC-INC Size I, 38mm 25 Tamper Evident Cap* Helps reduce touch contamination Provides evidence of access Fill Cap Coupler Item # Product Code Description QTY PNS-TENC Non-sterile 1000 *510(k) pending Tamper Evident Cap* Accessories Allows ENFit syringes to connect with current oral press-in bottle adapters and other legacy bottle adapters Promotes aseptic technique Minimizes change from current processes Easy to use for home care Allows continued use of standard childproof bottle caps DoseMate/DoseMate DL Available in two sizes Regular: Promotes improved patient acceptance during direct oral administration *Long: Directional Long (DL) for dosing meds to the back of the mouth Fill Cap Coupler Item # Product Code Description QTY PC-EONC Non-sterile 150 DoseMate Oral Administration Tip (Sterile) Item # Product Code Description QTY POA-TNCL* DoseMate Directional Long (DL) POA-TNC DoseMate 50 *Coming Soon DoseMate DL* DoseMate Pharmaceutical NICU 7

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