Clinical Services

Clinical Contract Crib Sheet – December 6, 2010

Surgical Services – announcement of new agreements for Arthroscopy Fluid Waste Management has been awarded, effective March 1, 2011 through February 28, 2014.

Supplier / New contract number / Expiring contract number
Aspen / PP-OR-719 / PP-OR-441
ConMed / PP-OR-720 / PP-OR-440
LDI Corporation / PP-OR-721 / New

These products included in this category include suction devices, accessories and absorbent floor pads. These devices are used to remove fluid from the operating room floor during the surgical procedure. These products keep the area dry, prevent equipment damage, keep the area free of contamination, and help prevent staff falls on wet floors. The suction devices tubing is purchased separately and attaches to the suction canister.

Surgical Services – announcement that Davol Inc. has added Ventalight ST surgical mesh to agreement PP-OR-673. This offering for those surgeons who clinically support the need for lighter weight mesh (below 52 grams per metered square) for the repair of ventral hernias.

Surgical Services – announcement that B. Braun has been added to the Regional Anesthesia Trays and Related Products agreement effective November 22, 2010 along with Arrow International, BD and Company and Smith Medical. All agreements expire January 31, 2013.

Surgical Services – announcement that B. Braun has been added to the Pain Management – Local Anesthesia agreement effective November 22, 2010 along with Curlin Medical, I-Flow Corp, MPS Acacia and Stryker instruments. All agreements expire in May 31, 2010.

Surgical Services – announcement that AngioDynamics Inc., PP-OR-728, has been added to the Implantable Infusion Port agreement along with Bard Access Systems, Medical Components, Navilyst Medical and Smith Medical. These agreements are effective through October 31, 2013.

Nursing – announcement that the Kimberly-Clark KimVent 24-Hour Oral Care q2 and q4 kits with CHG have now been added to Premier agreements PP-NS-604 effective December 1, 2010. The Kimberly-Clark KimVent 24-Hour Oral Care q2 and q4 kits with CHG are comprehensive, flexible, easy-to-use systems that contain everything needed to clean, debride, suction and moisturize

Nursing – announcement that the Compression Therapy Concepts (CTC) VasoPress Supreme Mini pump model VP500DM has been added to agreement PP-NS-576, effective October 1, 2010. This product allows for portability and versatility of transport in a smaller battery pump.

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

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.

q  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.

q  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 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.

q  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.

q  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

q  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 Inc. (SBE) / PP-NS-642 / NEW

q  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

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

q  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.

q  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.

Supplier / New contract number / Expiring contract number
UHS / PP-MM-125 / PP-MM-031

q  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.

q  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.

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

Supplier / New contract number / Expiring contract number / Effective dates
Ascent / PP-OR-712 / PP-OR-434 / February 1, 2011 -
January 31, 2014
SterilMed / PP-OR-713 / PP-OR-433

q  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

q  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.

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

Supplier / New
contract number /
Previous
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.

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

Suppliers / New
contract number /
Previous
contract number
Abbott Laboratories Inc.,
Abbott Vascular Division / PP-CA-183 / PP-CA-137
Boston Scientific Corporation / PP-CA-180 / PP-CA-138
Cook Medical Inc. / PP-CA-181 / NEW
ev3 Inc. / PP-CA-182 / PP-CA-139
Medtronic USA Inc. / PP-CA-184 / NEW

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

q  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.

q  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.

q  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.

q  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.

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

q  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.

q  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.

q  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.

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

Supplier / New contract number / Expiring contract number / Effective dates
3M / PP-WC-054 / PP-NS-468 / February 1, 2011 -
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.

q  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.

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.

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

Effective 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.