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Item Page # Customer Information 1
Injection Site 2
Needle-less Access Site 2
Luer Lock Cap 3
Female Luer Lock 3
Luer Lock Caps 4
Transducer Protectors 5
Transducer Protector Luer Extension 6
Date / Document Tag 6
Sterile Recirculation Sets 7
Specialty Connectors 8
Specialized Bloodline Connectors 9-10
Double Dialyzer Holder 11
Specialized Dialysate Lines 12
Dialysate Line with Flow Restrictor 13-14
Dialysate Line Recirculation Set 15
Male to Male Hansen Adapter 15
Dialyzer Holder 16
Fistula Pressure Clamp 17
Fistula Pressure Clamp ‘Ultra Grip’ Cover 18
Disposable Tube Occluding Forceps 19
Combination Towel Clamp 20
Safety Eyewear 21
Safety Face-Shield 22
Safety Glasses 23
Safety Goggles 23
Item Page # Dialyzer Pre-Rinse System 24
Barrier Adapter with Q-Seal 25
Non-Sterile Lines 26
Kidney Storage Caps 27
1/4” Quick Disconnect 28
Twist Lock ISO Fitting 28
Heavy Wall Vinyl Medical Grade Tubing 28
Female Hansen Connectors 29
High-Temp Female Hansen Connectors 30
Hansen Coupling 31
Male Hansen Connectors 32
Barbed T-Fittings 33
Dialysate Hose Clamps 33
Barb Fittings 33
Syringe Adapter 34
Din Adapters 34
Dialysate Sampling Port Kit 35
Collection Assist Device 36
EZ Grip 37
Contract Manufacturing Info 38
Custom Injection Molding and Machining Info 39
Product Sample Request Form 40
Female Luer Lock……………………………...page 2 Luer Lock Cap………………………………….page 2 Male Luer to Female Luer Connector………..page 8 Safety Eyewear, Clear Anti-Fog Lens………..page 16
New!New! Luer Lock Cap Page 4
Male to Male Luer Adapter Page 7
Safety Face-Shield with Coil Strap Page 21
Safety Goggles Page 23
Male Hansen Connector Page 32
Barbed T-Fitting Luer Connector Page 35
New Customer Setup If you are not currently a Molded Products customer, we invite you to call our Customer Service Department at (800) 435-8957, who will assist you in getting an account set up. Once this brief process has been completed, you may begin placing orders immediately. Ordering Information
Phone Orders To order by phone, call us at (800) 435-8957 and one of our Customer Service Representatives will be happy to assist you. The Customer Service Team is available Monday through Friday between the hours of 8:00AM to 4:30PM CST. Fax and E-mail Orders You may fax your orders 24 hours/day to (800) 227-7935 or e-mail orders to [email protected]. To ensure prompt order processing, please provide the following information: 1. Account Number 2. Bill-To and Ship-To Addresses 3. Purchase Order Number 4. Your name, telephone number, fax number, and e-mail address 5. Product number and description 6. Order quantity and unit of measure Payment Options
Open Account Molded Products offers open account purchases, subject to prior credit approval. To set up an account, call Customer Service at (800) 435-8957. Credit Card Molded Products accepts Visa and Mastercard. Return Goods Policy Molded Products will not accept any returns without an approved Return Goods Authorization. Requests for return must include a detailed list of items, lot numbers, and reasons for return. Returns must be made within 30 days of purchase. Returns must be shipped prepaid unless it is the result of Molded Products’ error. In the event that it is due to Molded Products’ error, merchandise may be returned, after an approved Return Goods Authorization has been is-sued. At that time, a UPS call-tag will be sent to collect the merchandise being returned. Returns are subject to a 25% restocking charge unless it’s a result of Molded Products’ error. Molded Products will only accept product with unopened, undamaged packaging for credit.
INJECTION SITE LATEX-FREE 5/8” INTERMITTENT INJECTION SITE
Phone: (800) 435-8957 • E-mail: [email protected] • www.moldedproducts.com
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The injection cap is a male luer-lock fitting with a latex-free stopper. The cap provides a self-sealing injection site for administering medications through luer-lock
catheter adapters (connectors).
The needle-less access site is a male luer-lock fitting with a self-sealing latex-free stopper. The access site can be used
to draw samples or administer medication.
NEEDLE-LESS ACCESS SITE LATEX-FREE NEEDLE-LESS ACCESS SITE
MPCMPC--100100
MPCMPC--181181
Part Number MPC-100
Luer Fitting ISO 594/1 and 594-2
Connection Standard Luer Lock
Sterile Yes
Seal Self-Sealing
Packaging Individually Packaged 300 pcs. per box or 7,500 pcs. per case
Part Number MPC-181
Luer Fitting ISO 594/1 and 594-2
Connection Standard Luer Lock
Sterile Yes
Seal Self-Sealing
Packaging Individually Packaged
50 pcs. per bag or 600 pcs. per case
Also Known As: • PRN Adapter • 5/8” Intermittent Injection Site • Heparin Lock • Catheter Cap—Injectable
• Sterile • ISO 594
• Pyrogen Free • Standard Luer Lock
• Sterile and Pyrogen Free • ISO 594/1-2
Individually Packaged 300 per box or 7,500 per case
Use to cap off syringes, replacement cap for female luer tips. The cap is a female luer-lock fitting.
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Phone: (800) 435-8957 • E-mail: [email protected] • www.moldedproducts.com
FEMALE LUER LOCK ALSO KNOWN AS: WHITE REPLACEMENT CAP
MPCMPC--115115
LUER LOCK CAP ALSO KNOWN AS: SYRINGE IV REPLACEMENT CAP
Male Luer Lock Fitting (Standard). The cap provides a non-injectable end cap. Use to cap off
female luers. These sterile caps are non-vented and do not have an access port.
Conforms to ISO 594/1 & 594-2. Sterile and Non-Pyrogenic.
Also Known As: • Dead End Cap • Syringe IV Replacement Cap • Catheter Cap—Non-injectable • Luer Lock Cap
Individually Packaged (1 pc. in 1 pouch)
300 pcs. per box or 7,500 pcs. per case
MPCMPC--124B124B
LUER LOCK CAPS ALSO KNOWN AS: DEAD END CAPS
The cap provides a non-injectable end cap. Use to cap off female luers. These sterile caps are not vented and
do not have an access port.
Individually Packaged (1 pc. in 1 pouch)
300 pcs. per box or 7,500 pcs. per case
MPCMPC--125125
Packaged: 1 blue and 1 red per set
(2 pcs. in 1 pouch) 100 sets per bag or 5,500 sets per case
Phone: (800) 435-8957 • E-mail: [email protected] • www.moldedproducts.com
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MPCMPC--125Y125Y MPCMPC--125B125B MPCMPC--125R125R
• Capped—Allows product to maintain sterility after it is removed from packaging
• Fluid Path Sterile
• Non-Pyrogenic with cap in place
Special Features:
• Helps prevent blood and dialyzing fluid from damaging sensitive transducers.
• Hydrophobic membrane with 0.2 micron pore size.
• Prevents contamination of the internal pressure monitoring lines.
• Sterile, Non-Pyrogenic!
• Ridged finger grip around the outside for better grip.
• Fast response!
• Helps protect against both bacterial and viral cross-contamination!
Dimensions:
Inlet to outlet: .9” (23mm)
Diameter: .8” (20mm)
Filtration area: 1.9cm2
Materials:
Housing: Co-Polymer
Hydrophobic Membrane: PTFE (Gore-tex)
Membrane Pore Size: 0.2µm
Line side: Standard Luer Lock
Machine side: Standard Luer Lock
Pressure Limit: 35 PSI Inlet
Characteristics: High Flow / Fast Response
Connections:
Part Number Packaging
MPC-90 Bulk Packaged
300 pcs. per box 7,500 pcs. per case
MPC-90TE
Tamper Evident Individually Packaged
150 pcs. per box 3,300 pcs. per case
MPCMPC--9090
TRANSDUCER PROTECTORS IN-LINE PROTECTIVE DEVICES FOR PRESSURE MONITORS ON HEMODIALYSIS EQUIPMENT
Phone: (800) 435-8957 • E-mail: [email protected] • www.moldedproducts.com
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With over 20 years in the marketplace, the American made Molded Products’ MPC-90 Transducer Protector has a reputation for superior quality, consistency and value. In today’s economy, it’s more important than ever to look for the best value and the highest quality. With the Molded Products’ MPC-90 Transducer Protector, you get both!
Molded Products’ Transducer Protectors provide the right combination of barrier properties and airflow so they can deliver the best protection possible to everyone involved in the hemodialysis treatment.
High airflow through the MPC-90 Transducer Protector membrane also allows hemodialysis equipment to rapidly respond to changes in blood pressure so patients can receive the highest quality care.
TRANSDUCER PROTECTOR LUER EXTENSION EXTERNAL VISUAL INDICATOR FOR TRANSDUCER PROTECTOR
Instructions for Use: Piggy-back the MPC-75 indicator extension with your usual bloodline (with transducer protector) for external, visual indication of bloodline-supplied transducer protector breaches (strike-through). If your bloodline does not come equipped with transducer protectors, a sterile transducer protector must be placed between the indicator extension and the bloodline set. Immediate replacement of this product should occur if any sign of contamination (fluid or blood) is seen. Regular replacement should occur as determined by your unit administrator and unit protocols. In no event should fluid in the line be allowed to remain during treatment.
Special Features:
• Prevents blood contamination of the internal pressure monitoring lines.
• Prevents cross-contamination!
• Moves the redundant transducer protector to the outside of the machine for visual inspection.
• Gives a clear, visual indication that a strike-through has occurred.
• Can enhance ability to determine contamination problems.
MPCMPC--7575
Packaging Information:
100 pieces per box Sold with or without Date/Document Tag.
Machine Side
Bloodline Side
Strike-Through Indicator
Fluid present
when bloodline supplied
transducer protector
has breached
MPCMPC--75 Tag75 Tag
Date / Document Tag Packaged: 25 per bag
Phone: (800) 435-8957 • E-mail: [email protected] • www.moldedproducts.com
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STERILE RECIRCULATION SETS STERILE FLUID PATH - BLOOD COMPATIBLE
Special Features
• Sterile Fluid Path!
• Non-Slip Finish!
• Blood Compatible!
• End caps can be used for capping off luer lines.
• Use to connect lines or mismatched bloodlines.
Indications for Use Extension for connecting arterial and/or venous fistula connectors to the hemodialysis blood tubing. Gender Changer / Recirculation
Set / Extension Adapter for hemodialysis blood tubing.
Recirculation sets include (2) FREE end caps! When using a sterile technique the end caps
can be used to cap off luer lines during patient removal for restroom breaks, etc.
MPCMPC--150150
Individually Packaged 200 pcs. per box or 5,000 pcs. per case
Male to Male Luer Adapter
Phone: (800) 435-8957 • E-mail: [email protected] • www.moldedproducts.com
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Bulk Packaged 100 pcs. per bag or 5,000 pcs. per case
MPCMPC--140140
Female to Male Luer Adapter
MPCMPC--160160
Female to Female Luer Adapter
Individually Packaged 100 pcs. per bag or 5,000 pcs. per case
MPCMPC--155155
Male to Male Luer Adapter
A less expensive option to the MPC-150, when the yellow male
luer lock caps are not a necessity.
Individually Packaged 100 pcs. per bag or 5,000 pcs. per case
MPCMPC--865865
Part Number MPC-855 MPC-860 MPC-865 MPC-870
Description DIN Adapter Male Luer Lock
Fitting to Female DIN Connector
Female Luer Lock Fitting to Male DIN
Connector
Male Luer to Female Luer Connector
Connectors (1) Barb fitting and (1) Female
DIN Fitting
(1) Male luer lock fitting and (1)
Female DIN Fitting
(1) Female luer lock fitting
and (1) Male DIN Connector
(1) Female luer lock and (1)
Rotating Male Luer Lock Connector
Overall Length 1-5/8" 4.5" 4.5" 12”
Ends Capped NO YES YES YES
Packaging
10 sets per bag (2) pcs. per set
or 50 sets per case
Individually Packaged
25 pcs. per bag or 50 pcs. per case
Individually Packaged
25 pcs. per bag or 50 pcs. per case
Individually Packaged
25 pcs. per bag or 750 pcs. per case
Possible Use
DIN Adapter - fits 3/16" to 1/4” (6mm) ID tubing
Recirculation Set Extension Adapter
Recirculation Set Extension Adapter
Bloodline Extension
SPECIALTY CONNECTORS FLUID PATH STERILE & BLOOD COMPATIBLE
Phone: (800) 435-8957 • E-mail: [email protected] • www.moldedproducts.com
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MPCMPC--870870
MPCMPC--855855
MPCMPC--860860
Part Number Connectors Overall Length
Sampling Port
Present Packaging
MPC-850 (2) DIN Connectors 12.5" NO
Individually Packaged 25 pcs. per bag or 750 pcs. per case
MPC-850-16 (2) DIN Connectors 16.25” NO
Individually Packaged 25 pcs. per bag or 750 pcs. per case
SPECIALIZED BLOODLINE CONNECTORS NO ETO RESIDUALS, FLUID PATH STERILE, BLOOD COMPATIBLE
MPCMPC--850850--SPSP
MPCMPC--850 and 850 and MPCMPC--850850--1616
MPCMPC--800 and 800 and MPCMPC--800800--55
MPCMPC--875875
MPCMPC--660S660S
Phone: (800) 435-8957 • E-mail: [email protected] • www.moldedproducts.com
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MPC-850-SP (2) DIN Connectors 12.5" YES
Individually Packaged 25 pcs. per bag or 750 pcs. per case
MPC-800
(2) DIN Connectors and (1) DIN
Adapter
10" NO Individually Packaged
25 pcs. per bag or 750 pcs. per case
MPC-800-5
(2) DIN Connectors and (1) DIN
Adapter
11.25" NO Individually Packaged
25 pcs. per bag or 750 pcs. per case
MPC-875
(1) DIN Connector and (1) DIN
Adapter
12.25" NO Individually Packaged
25 pcs. per bag or 750 pcs. per case
MPC-660S (2) DIN Connectors 36.5" YES
Individually Packaged 25 pcs. per bag or 400 pcs. per case
Phone: (800) 435-8957 • E-mail: [email protected] • www.moldedproducts.com
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Phone: (800) 435-8957 • E-mail: [email protected] • www.moldedproducts.com
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MPCMPC--790 Double Dialyzer Holder790 Double Dialyzer Holder
Use to position two dialyzers side by side during Tandem Dialysis.
Use for either Parallel or In-Series configurations.
MPC-790 Double Dialyzer Holder
shown in an In-Series configuration
MPC-790 Double Dialyzer Holder
shown in a Parallel configuration
• Adjustable to fit a variety of dialyzers • Manufactured from durable materials • Friction Pads - keep dialyzers in place
Packaged Individually or 20 pcs. per case
DOUBLE DIALYZER HOLDER ADJUSTABLE FOR IN-SERIES OR PARALLEL CONFIGURATION
Phone: (800) 435-8957 • E-mail: [email protected] • www.moldedproducts.com
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MPCMPC--750A750A SetSet
SPECIALIZED DIALYSATE LINES CUSTOM LENGTHS AVAILABLE
Picture depicts patented products
MPCMPC--725A725A
MPC-725A-R MPC-725A-W MPC-725A-B MPC-750A
Configuration Straight Line Straight Line Straight Line "Y" Line
Components (2) Female
Hansen Connectors
(2) Female Hansen
Connectors
(2) Female Hansen
Connectors
(2) Female Hansen Connectors and (1) Male Hansen
Connector
Color Red White Blue Red/Blue
Packaging Individually Packaged
Individually Packaged
Individually Packaged
One Set Per Package
For more information on Tandem Dialysis please see the following studies:
• Improving Adequacy of Dialysis: Using In-Series Dialyzers: www.moldedproducts.com/anna.htm
• A comparison of dual dialyzers in parallel and series to improve urea clearance in large hemodialysis patients: www.ajkd.org/article/PIIS0272638603001987/abstract
• Improved urea reduction ratio and KT/V in large hemodialysis patients using two dialyzers in parallel: www.moldedproducts.com/univofvastudy.htm
• Improving URR's in the Dialysis Unit: www.moldedproducts.com/ImprovingURR.pdf
• Hemofiltration and double high flux dialysis: risks and benefits: www.ncbi.nlm.nih.gov/pubmed/9864659
• Clinical use of high-efficiency hemodialysis treatments: long-term assessment: www.ncbi.nlm.nih.gov/pubmed/16441831
When the flow restrictor is engaged, the dialysate flow through the restrictor provides the pressure differential for large ultrafiltration in dialyzer # 1, yielding additional convective removal of middle weight molecules. As the flow resistance of the MPC-728 is increased, the dialysate pressure in the dialysate compartment of dialyzer # 2, is at a very high rate while the dialysate pressure in the dialysate compartment of dialyzer # 1 is at a very low rate, thus permitting an increase in fluid ultrafiltration from the blood to the dialysate in dialyzer # 1 and backfiltration of dialysate to the blood in dialyzer # 2. The quantity of fluid ultrafiltered in dialyzer # 1 is compensated for by backfiltration of dialysate into dialyzer # 2. Therefore mimicking the natural kidney. The volumetric control in the dialysis machine will ensure the balance of fluid, accounting for proper removal of fluid gained by the patient since the preceding dialysis. Since it will be possible to variably control the rate of ultrafiltration and backfiltration by adjusting the flow restrictor, it will be possible to apply this treatment to a larger number of patients with a wide range of attainable blood flows. This also provides a method for individualizing the treatment for each patient’s needs.
Picture depicts patented product
MPCMPC--728728
DIALYSATE LINE WITH FLOW RESTRICTOR ENABLES THE PHYSICIAN TO PRESCRIBE TREATMENT SPECIFIC TO THE INDIVIDUAL
Part Number MPC-728
Configuration Straight Line w/ Flow Restrictor
Components (2) White Female Hansen
Connectors and (1) Flow Restrictor
Use In-Series Tandem Dialysis
Packaging Individually Packaged
The flow restrictor gives the physician the ability to prescribe treatment specific to the individual.
The flow restrictor can be used to progressively vary the flow resistance and the rate of dialysate flow through the system. The positioning of the flow restrictor should be based on the readings provided by indicators associated with the dialysis machine. The flow restrictor will remain in whatever position it is placed in by the operator.
Phone: (800) 435-8957 • E-mail: [email protected] • www.moldedproducts.com
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The flow restrictor of the MPC-728 enables the user to adjust the flow upon evaluating the TMP (Transmembrane Pressure) levels. As the flow restrictor is engaged it gradually reduces the flow through the tubing, thus altering the pressures which enhance ultrafiltration and convective removal of middle molecular weight solutes.
Phone: (800) 435-8957 • E-mail: [email protected] • www.moldedproducts.com
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When set to maximum, the flow restrictor still allows for a minimum flow path with a fixed flow resistance. This serves to prevent the triggering of machine alarms and the clotting of the blood flow circuit of the dialyzer due to excessive ultrafiltration.
MPC 728
MPC-850 Series
D I A L
Y Z E R
# 2
D I A L Y Z E R
# 1
Bloodline to Patient
Backfiltration of dialysate to
the blood
Ultrafiltration from blood to the dialysate
Machine Dialysate Line
(Dialysate to the machine)
Dialysis Machine with Volumetric
Control
= Dialysate Flow = Blood Flow
Bloodline from Patient
Volumetric Control properly ensures the quantity of dialysate entering the dialyzers is equal to that leaving the dialyzers, plus a defined quantity of excess fluid.
Fluid loss that occurs through ultrafiltration in Dialyzer # 1 is compensated for in Dialyzer # 2 by backfiltration of
the dialysate to the blood.
Machine Dialysate Line (Dialysate from
machine)
DIALYSATE LINE RECIRCULATION SET SPECIALIZED DIALYSATE RINSE LINE
MPCMPC--740740
Phone: (800) 435-8957 • E-mail: [email protected] • www.moldedproducts.com
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May be used as a recirculation connector: Connect both dialysis machine dialysate lines together
for rinsing when dialyzer is not present.
Packaged 10 pcs. per bag or 160 pcs. per case
MALE TO MALE HANSEN ADAPTER RELIABLE QUALITY
Special Features:
• Excellent Chemical Resistance!
• Durable!
• Cost efficient alternative to other products currently on the market.
• An easy to use product for dialysate recirculation.
• ISO 8637 fitting. MPCMPC--741741
Packaged 10 pcs. per bag or 100 pcs. per case
May be used as a recirculation connector—Connecting dialysate lines with female hansen connectors together for rinsing when the dialyzer is not present. Gender Changer or Recirculation Adapter for dialysate tubing.
Phone: (800) 435-8957 • E-mail: [email protected] • www.moldedproducts.com
Special Features:
• Use to easily attach dialyzer to dialysis machine.
• Attaches easily to 3/4” (18mm) to 1-1/8” (28mm) IV Pole.
• Adjustable to fit a variety of dialyzers.
• Stainless steel - won’t rust out.
• Includes Drip Chamber Post.
• May be cleaned with soap and water or a disinfectant approved for use by your unit’s protocols.
• Can be easily sanitized using your unit’s disinfectant protocols.
MPCMPC--14001400
Configuration Pole Size
MPC-1400A 18mm—22mm or 0.708”—0.866”
MPC-1400B (for Fresenius machines)
22mm—28mm or 0.866”—1.102”
DIALYZER HOLDER COMPARABLE TO MOST OEM DIALYZER CLAMPS
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Individually Packaged Sold Individually
• Used to provide consistent pressure to the fistula after dialysis treatment.
• Constructed of durable plastic!
• Stainless steel spring - won’t rust out!
• Comfortable!
• Lightweight!
• Safe & Effective!
• Reliable!
• Designed to cradle patient’s arm, without pinching.
• Easy to use!
• Arms remain aligned when applying pressure.
• Smooth surfaces won’t damage or pull patient’s skin.
• May be cleaned with soap and water or a disinfectant approved for use by your unit’s protocols.
MPCMPC--250250
Packaged 10 pcs. per bag or 300 pcs. per case
FISTULA PRESSURE CLAMP ADJUSTABLE TO FIT MOST SIZE ARMS
Phone: (800) 435-8957 • E-mail: [email protected] • www.moldedproducts.com
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Molded Products’ MPC-250 Fistula Pressure Clamp pictured with the ‘Ultra Grip’ cover in place.
COMPARABLE TO:
RPC® PART # 7001-3955 MINNTECH® PART # 78398-044
DAYSPRING® PART# FCD1 B. BRAUN® PART# S12100
Phone: (800) 435-8957 • E-mail: [email protected] • www.moldedproducts.com
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One Step Assembly!
Just slip the ‘Ultra Grip’ cover over the pressure pad of the
fistula pressure clamp and it’s ready to use!
Note: This product has only been tested to be used in conjunction with the Molded Products’ Mid-America Brand MPC-250 Fistula Pressure
Clamp. This product is not recommended for use with fistula pressure clamps not manufactured by
Molded Products, Inc.
The MPC-255 is manufactured with medical grade materials resistant to
Renalin, formaldehyde, alcohol, Betadine and chlorine.
The ‘Ultra Grip’ is compatible with: 3% Hydrogen
Peroxide, 4% Formaldehyde, 0.05% Sodium Hypochlorite, 0.8% Diacide (Glutaraldehyde),
4% Renalin (Peroxyacetic Acid).
Special Features:
• Comfortable!
• Easy to Use!
• Safe & Effective!
• Can be easily sanitized using your unit’s disinfectant protocols.
• Gives you the flexibility you need in access care.
The ‘Ultra Grip’ is a flexible cover designed to be applied to our Fistula Pressure Clamp. When used in conjunction with our Fistula
Clamp, the ‘Ultra Grip’ is an excellent solution in alleviating slide-off issues that occur when using a fistula clamp/gauze or a fistula clamp/
Super Stopper® combination.
MPCMPC--255255
The ‘Ultra Grip’ is an excellent solution when using a fistula
pressure clamp / Super Stopper® combination.
FISTULA PRESSURE CLAMP ‘ULTRA GRIP’ COVER ONE STEP ASSEMBLY
Part Number: MPC-255
Description: Fistula Pressure
Clamp ‘Ultra Grip’ Cover
Compatibility: Used in conjunction
with gauze or a Super Stopper®
Packaged: 25 pcs. per bag or 300 pcs. per case
Phone: (800) 435-8957 • E-mail: [email protected] • www.moldedproducts.com
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Part Number MPC-200
Length 11.3 cm (4.4375 in.) 12.4 cm (4.875 in.)
Finger Hole Diameter 2.5 cm (1.00 in.) 2.858 cm (1.125 in.)
Available Colors
MPC-200 Blue MPC-225 Blue
MPC-200-R Red MPC-225-R Red
MPC-200-W White MPC-225-W White
MPC-200-Y Yellow
MPC-200-G Green
MPC-200-LB Light Blue
Packaging 100 pcs. per bag or 1,600 pcs. per case
100 pcs. per bag or 1,000 pcs. per case
MPC-225
DISPOSABLE TUBE OCCLUDING FORCEPS SUPERIOR MAXI-LOCK SYSTEM
Equipped with a deep grooved superior maxi-lock system that will not come off the line unless you take it off. This exclusive maxi-lock system ensures you a secure
and durable hold every time! Occludes tubing 1 mm—8mm.
MPC-200-Y-1 Individually packaged yellow tube occluding forceps. Packaged 100 pcs. per box
• Holds Color - Will Not “Chalk-Out”.
• Easy to use!
• Lightweight!
• Latex-Free!
• X-Ray Detectable.
• Comfortable oval finger holes accommodate gloved hands.
• Smooth jaws won’t damage occluded tubing.
• Jaws remain aligned when tubing is occluded.
• Safe & Effective!
• For Blood Collection or Dialysis.
COMBINATION TOWEL CLAMP SECURES DRAPES & TOWELS AND OCCLUDES TUBING
Phone: (800) 435-8957 • E-mail: [email protected] • www.moldedproducts.com
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Superior Maxi-Lock System: Our combination towel clamp and tube occluding forceps are equipped with a superior maxi-lock system which will not come off unless you take it off. This exclusive maxi-lock system ensures you a secure and durable hold every time.
Special Feature: Our MPC-275 is the most versatile combination towel clamp / tube occluding forceps available on the market today. In addition to securing drapes, bedding, towels, sponges, and other materials gathered around tubes and leads, the MPC-275 can be used to occlude tubing. This combination makes the MPC-275 extremely useful and cost efficient.
MPCMPC--275275
Packaged 100 pcs. per bag or 1,000 pcs. per case
Super Grip: The jaws on our MPC-275 have a distinctive offset grooved surface, which ensures super gripping action.
• Heavy Duty! • Reliable! • Easy To Use!
• Exclusive Maxi-Lock System means it won’t come off unless you take it off!
• In addition to being a towel clamp the MPC-275 totally occludes tubing from
monitor lines to pump segments.
• Large, comfortable finger holes!
SAFETY FACE-SHIELD ANTI-GLARE AND ANTI-FOG
Phone: (800) 435-8957 • E-mail: [email protected] • www.moldedproducts.com
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04/0
8
Our reusable visors are comfortable,
lightweight and fit a variety of head sizes.
COMPARABLE TO:
THE ORIGINAL OP-D-OP®
• Latex-Free!
• Lightweight!
• Comfortable!
• Shields are easy on and easy off.
• Visor fits a variety of head sizes without discomfort.
• Replacement face-shields can be purchased separately, so you only pay for what you need.
MPCMPC--300 Elastic Strap300 Elastic Strap
MPCMPC--301301 No StrapNo Strap
Visor Available in Red, White or Blue
MPCMPC--303 Coil Strap303 Coil Strap
The coil strap allows the wearer to adjust the visor to their unique
comfort level. The adjustable coil stays clean longer than
typical elastic straps and is easy to clean!
Part Number Strap Description Packaging
MPC-300 Set Elastic Strap 1 Visor (red, white or blue),
1 clear 6” disposable face-shield and 1 clear 7” disposable face-shield
Set
MPC-300 CP6 Elastic Strap 3 Visors (red, white or blue) and 10 clear 6” disposable face-shields
Combo Pack
MPC-300 CP7 Elastic Strap 3 Visors (red, white or blue) and 10 clear 7” disposable face-shields
Combo Pack
MPC-301 Set No Strap 1 Visor (red, white or blue),
1 clear 6” disposable face-shield and 1 clear 7” disposable face-shield
Set
MPC-301 CP6 No Strap 3 Visors (red, white or blue) and 10 clear 6” disposable face-shields
Combo Pack
MPC-301 CP7 No Strap 3 Visors (red, white or blue) and 10 clear 7” disposable face-shields
Combo Pack
NEW! MPC-303 Set Coil Strap
1 Visor (red, white or blue), 1 clear 6” disposable face-shield and
1 clear 7” disposable face-shield Set
NEW! MPC-303 CP6 Coil Strap 3 Visors (red, white or blue) and
10 clear 6” disposable face-shields Combo Pack
NEW! MPC-303 CP7 Coil Strap 3 Visors (red, white or blue) and
10 clear 7” disposable face-shields Combo Pack
MPC-310 N/A Clear 6” disposable replacement face-shields 10 per bag
MPC-320 N/A Clear 7” disposable replacement face-shields 10 per bag
Phone: (800) 435-8957 • E-mail: [email protected] • www.moldedproducts.com 22
Patented No Fog
Anti-Glare Shield
Our visors and face-shields are also available in a combo pack. Each
combo pack includes three reusable visors (your choice of red, white or blue)
and ten ( 6” or 7” ) disposable face-shields.
MPCMPC--290 290 Clear Lens Clear Lens MPCMPC--295 295 Clear AntiClear Anti--Fog LensFog Lens
Phone: (800) 435-8957 • E-mail: [email protected] • www.moldedproducts.com
SAFETY GLASSES SAFETY EYEWEAR—EYE PROTECTION
Special Features: • Exclusive Duramass® scratch-resistant lens
coating • Strong, lightweight polycarbonate lens • Anti-Glare Lens • Gel nosepiece • Gel temple sleeve • Near total seal of eye orbit assures the
highest level of protection • Filters 99% of U.V. radiation • Meets or exceeds ANSI Z87.1 safety
standards
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The highest levels of comfort, protection, performance and sleek styling now combined with an over-the-glass prescription eyewear
option. Uvex Stealth® OTG goggles offer a modern design, technology and materials coupled with premier performance, comfort and adjustability features. Ideal for impact, dust and
airborne particles, chemical splash and UV radiation.
Individually packaged 12 per box
SAFETY GOGGLES SAFETY EYEWEAR—EYE PROTECTION
• Low profile, wrap-around design fits comfortably over most prescription eyewear
• Pivoting headband clip and wide adjustable slide headband provides a range of adjustability and all day comfort
• Dura-streme Anti-Fog/Anti-Scratch lens coating • High Impact protection certified to ANSI Z87.1-2003
and CSA Z94.3
Part Number Description Packaging
MPC-285 S3970D Safety Goggles (Navy w/ Clear Lens and Neoprene Headband) Each
MPC-286 S740D Replacement Lens (Clear) 10 pcs. per bag
MPC-287 S830 Replacement Neoprene Headband 25 pcs. per bag
Crews CK2® Safety Glasses with Clear Lens provide maximum style and protection at minimum cost. These new trend-setting safety glasses
are among the most popular on the market.
Phone: (800) 435-8957 • E-mail: [email protected] • www.moldedproducts.com
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Barrier Adapter w/ Q-Seal
MPCMPC--670 Dialyzer670 Dialyzer PrePre--Rinse SystemRinse System
Barrier Adapter
with Q-Seal
Dialyzer Pre-Rinse Drain Line with Colder® Fitting (Part# APC17004)
Dialysate Port to Blood Port
Circulation Line with Adjustable Pulse Control
RO Water Line
Colder® Fitting (Part# APC17004)
Phone: (800) 435-8957 • E-mail: [email protected] • www.moldedproducts.com
DIALYZER PRE-RINSE SYSTEM QUICKLY PRE-CLEANS DIALYZERS USING VARIABLE PRESSURE-PULSES
Always use clean, sanitized barrier adapters to eliminate the potential of contamination from dialyzer to dialyzer.
Special Features:
• Clean Line - Stays Clean!
• Reduction in Chemical Expenses!
• Reduction in Capital Expenses! No Expensive machines to purchase or to maintain.
• Easy, time saving, cost efficient alternative to expensive machines and methods currently available.
System Includes:
(1) RO Water Line
(1) Dialyzer Pre-Rinse Drain Line
(1) Dialysate Port to Blood Port Circulation Line with adjustable pulse control
(50) Barrier Adapters with Q-Seal
Phone: (800) 435-8957 • E-mail: [email protected] • www.moldedproducts.com
25
BARRIER ADAPTER WITH Q-SEAL EASILY CONNECT AND DISCONNECT
THEIRS OURS
• Contaminants are notorious for becoming trapped under O-rings. • No O-ring for contaminants to
hide under!
• O-ring generated seal. Requires removal and replacement for disinfection.
• Built in Q-Seal. No removal, no replacement, no worry!
• Manufactured with PVC Material. (PVC material is known to contain DEHP and Phthalates)
• Manufactured from a Patented Medical Grade Material that is Latex Free, DEHP Free, PVC Free, and Phthalate Free!
-- LatexLatex--FreeFree -- PVC FreePVC Free
-- DEHP FreeDEHP Free -- Phthalate FreePhthalate Free
MPC-35 Colder® Fitting (Part# APC17004)
Packaged 50 pcs. per bag or 200 pcs. per case
Guidelines to Optimal Performance
Step 1: Twist the DIN end of the MPC-700 into the blood port of the dialyzer.
Step 2: Push the Colder® fitting end of the MPC-700 into the Renatron® machine connection.
That’s it! The MPC-700 is a very easy to use, cost efficient alternative to other products on the market. The Barrier Adapter with Q-Seal helps ensure patient safety from cross-contamination during reprocessing. This system easily connects and disconnects, which means no more fumbling with extra pieces and extensions.
MPCMPC--700700
MPC-700
MPCMPC--825825
MPCMPC--742742
MPCMPC--671671
MPCMPC--875NS875NS
MPCMPC--665665
Part Number Description Connectors Tubing
ID Length Packaging
MPC-665 Drain Line (1) DIN Connector 3/16” 25.0”
25 pcs. per bag or 400 pcs. per case
MPC-671
Dialysate Port to Blood Port Circulation Line with Adjustable Pulse
Control
(1) Female Hansen Connector
(1) Quick Disconnect 3/16” 26.25"
Sold Individually or 20 pcs. per case
MPC-742
Male Hansen Connector
to Female Quick Disconnect Adapter
(1) Quick Disconnect (1) Male Hansen
Connector 1/4” 4.75"
10 pcs. per bag or 160 pcs. per case
MPC-825 Male to Male Recirculation
Connector
(2) Male DIN Adapters 3/16” 4.5"
25 pcs. per bag or 150 pcs. per case
MPC-875NS Non-Sterile DIN to Male DIN Connector
(1) DIN Connector and (1) DIN Adapter 3/16” 12.25"
25 pcs. per bag or 750 pcs. per case
Phone: (800) 435-8957 • E-mail: [email protected] • www.moldedproducts.com
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NON-STERILE LINES DEHP FREE MEDICAL GRADE CLASS VI TUBING
Phone: (800) 435-8957 • E-mail: [email protected] • www.moldedproducts.com
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Molded Products’ disposable storage caps were designed with your patients’ safety in
mind. In order to ensure contaminant-free storage of your dialyzers, our storage
caps are: Latex Free, DEHP Free, PVC Free, and
Phthalate Free.
Part No: Description Style Vented Packaging Bag / Case
MPC-40 Blood Port Cap Twist On No 200 / 10,000
MPC-50DV Dialysate Port Cap Push On Yes 200 / 4,000
MPC-60B Blood Port Cap Push On No 200 / 20,000
MPC-60D Dialysate Port Cap Push On No 200 / 4,000
KIDNEY STORAGE CAPS LATEX FREE, DEHP FREE, PVC FREE AND PHTHALATE FREE
These caps are compatible with: 3% Hydrogen Peroxide, 4% Formaldehyde, 0.05% Sodium Hypochlorite, 0.8% Diacide (Glutaraldehyde), 4% Renalin (Peroxyacetic Acid).
Storage Caps are made of medical grade materials resistant to Renalin, formaldehyde, alcohol, Betadine & chlorine.
MPC MPC--4040 MPCMPC--60B60B MPC MPC--60D60D MPC MPC--50DV50DV
Automatic Venting…
simply install caps and store in
an upright position
Automatic Venting…Automatic Venting… Simply install caps and store in Simply install caps and store in an upright position, as shown.an upright position, as shown.
MPCMPC--60B Blood Port Caps and MPC60B Blood Port Caps and MPC--65V 65V Vented Dialysate Port Caps shows.Vented Dialysate Port Caps shows.
TWIST LOCK ISO FITTING BLOOD PORT CAP
Features: • Tubing size: 1/4" ID
• Pressure: Vacuum to 120 psi, 8.3 bar
• Temperature: -40°F to 180°F continuous -40°C to 82°C continuous
MPCMPC--3535
Colder® Fitting (Part# APC17004)
HEAVY WALL VINYL MEDICAL GRADE TUBING CLASS VI MEDICAL GRADE
Part Number ID OD Wall
MPC-730-T .375 .625 .125
MPC-731-T .250 .437 .094
MPC-732-T .180 .260 .040
Special Features:
• Custom Lengths Conveniently Available!
• Class VI Medical Grade
MPCMPC--730730--TT
MPCMPC--731731--TT
MPCMPC--732732--TT
Phone: (800) 435-8957 • E-mail: [email protected] • www.moldedproducts.com
28
Packaged 10 pcs. per bag or 200 pcs. per case
Minimum Order: 25 ft. Available in rolls of up to 100 ft.
1/4" QUICK DISCONNECT EASILY CONNECT AND DISCONNECT
Packaged 200 pcs. per bag or 10,000 pcs. per case
• Twist Lock ISO Fitting • Blood Port Cap
MPCMPC--4545
FEMALE HANSEN CONNECTORS AVAILABLE IN RED, WHITE OR BLUE
MPC MPC--761 Series761 Series MPCMPC--762 and 762 and MPCMPC--763 Series763 Series
MPCMPC--764 764 MPCMPC--766 Series766 Series
MPCMPC--767767 Available in White OnlyAvailable in White Only
SNAP TO LOCK
Part Number Configuration Size
MPC-761 Barbed Fits 3/8" ID Tubing
MPC-762 Angled Barb Fits 1/4" ID Tubing
MPC-763 Angled Barb Fits 3/8" ID Tubing
MPC-764 Straight Glue - On Fits 1/4" OD Tubing
MPC-766 Straight Glue - On Fits 7/16" OD Tubing
MPC-767
Dead End aka Plugged or Occluded Hansen N/A
Phone: (800) 435-8957 • E-mail: [email protected] • www.moldedproducts.com
29
Packaged 10 pcs. per box or 100 pcs. per case
HIGH-TEMP FEMALE HANSEN CONNECTOR ALSO KNOWN AS DIALYZER PORT QUICK DISCONNECTS
MPCMPC--771 and 771 and MPCMPC--772 Series772 Series
MPCMPC--773 and 773 and MPCMPC--774 Series774 Series
AVAILABLE IN RED, WHITE
OR BLUE
Phone: (800) 435-8957 • E-mail: [email protected] • www.moldedproducts.com
30
HIGH TEMP HANSEN CONNECTORS
FOR USE WITH MACHINES USING
HEAT STERILIZATION, INCLUDING FRESENIUS®
AND AKSYS®
Packaged 10 pcs. per box or 80 pcs. per case
Part Number Configuration Size MPC-771 Barbed Fits 1/4" ID Tubing
MPC-772 Barbed Fits 5/16" ID Tubing
MPC-773 Angled Barb Fits 1/4" ID Tubing
MPC-774 Angled Barb Fits 5/16" ID Tubing
MPC-776 Threaded 3/8-18 NPT Male
MPC-777 Threaded 1/4-18 NPT Male
MPC-779 Threaded (Internal) 1/2-14 NPT Female
MPCMPC--776 and 776 and MPCMPC--777 Series777 Series MPCMPC--779 Series779 Series
Socket Body Sleeve Back-Up Ring Plug Body
Valve Locking Balls O-Ring
Valve Sleeve Spring
Part Number Thread Size A B C D E Hex
MPC-786 1/4-18 NPT - - 1.65 1.01 0.67 0.88
MPC-787 1/4-18 NPT 2.38 1.45 - - - 0.88
Intended for use with air, water and various chemicals at low pressure. The Hansen Coupling
is designed for use where an economical, light weight, corrosion resistant coupling is desired. All components except springs and seals are natural polypropylene. Valve springs are 316
Stainless steel and seals are Viton.
HANSEN COUPLING ECONOMICAL, LIGHTWEIGHT AND CORROSION RESISTANT
Packaged 10 pcs. per bag or 80 pcs. per case
MPCMPC--787787
SocketSocket
MPCMPC--786786
PlugPlug
Phone: (800) 435-8957 • E-mail: [email protected] • www.moldedproducts.com
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MALE HANSEN CONNECTORS EASY TO USE AND RELIABLE QUALITY
Temperature* PSI BAR
75° 110 8
200° 30 2
*235°F maximum sterilization temperature
Rated Pressure
Dimensions Part Number MPC-769 MPC-770 MPC-780 MPC-785 MPC-781
Material PVDF Polypropylene
Configuration Fits 1/4” ID Tubing
Fits 3/8” ID Tubing
3/8-18 NPT Male
1/4-18 NPT Male
1/4-18 NPT Female
C 2.08 2.12 1.70 1.70 1.70
D 0.79 0.79 0.79 0.79 0.79
Hex 0.68 0.68 0.68 0.68 0.68
Polypropylene
MPCMPC--770770
MPCMPC--780780 -- -- --
MPCMPC--785785
MPCMPC--769769
• MPC-769/MPC-770: Single barbed fittings minimize leaks by having a smoother sealing surface than multi-barbed fittings.
• MPC-769: For use with all machines using heat sterilization. Maximum
sterilization temperature 282°F.
• Lightweight! • Low Cost! • Excellent Chemical
Resistance!
Packaged 10 pcs. per bag or 200 pcs. per case
Phone: (800) 435-8957 • E-mail: [email protected] • www.moldedproducts.com
32
DIALYSATE HOSE CLAMPS INSTALLS IN SECONDS
MPCMPC--735735 Special Features:
• Easy to Apply! Installs in seconds. • Lightweight! • Won’t cut into hose or tubing. • Resistant to most chemicals. • Temperature range is –25° to +275°F.
Special Features:
• Single-barbed fittings minimize leaks by having a smoother sealing surface than multi-barbed fittings.
• Excellent Chemical Resistance!
• Temperature range is 36° to 175°F.
Packaged 10 pcs. per bag or 150 pcs. per case
Details: Range: 19/32” - 21/32”
Band Width: 0.22” Band Thickness: 0.07”
MPCMPC--765765
Fits 3/8” ID Tubing
Max Pressure: 125 PSI at 70°F
BARBED T-FITTINGS SMOOTH SEALING SURFACE
Phone: (800) 435-8957 • E-mail: [email protected] • www.moldedproducts.com
33
Packaged 10 pcs. per bag or 200 pcs. per case
BARB FITTING CONNECTS TUBING TO TUBING
Special Features:
• Repair split or cut tubing!
• Fits 3/16” ID
• Excellent Chemical Resistance!
Packaged 50 pcs. per bag or 800 pcs. per case
MPCMPC--775775
Part Number MPC-855NS MPC-855NS-.250 MPC-855NS-.375
Material Polypropylene PVDF PVDF
Configuration Fits 3/16” to 1/4” (6mm) ID tubing Fits 1/4” ID tubing Fits 3/8” ID tubing
Chemical Resistance Excellent Excellent Excellent
Heat Resistant Up to 175°F Up to 282°F Up to 282°F
Minimum Order 200 pcs. 100 pcs. 50 pcs.
Special Features:
• Reduce contamination by flushing out machine fittings and lines per your unit protocols.
• Semi-Transparent fluid path allows easy viewing.
• Compatible with most syringes!
• Gender Changer - Male to Female!
• Excellent Chemical Resistance!
SYRINGE ADAPTER FLUSH OUT MACHINE FITTINGS AND LINES
Phone: (800) 435-8957 • E-mail: [email protected] • www.moldedproducts.com
34
MPCMPC--145145
Packaged 100 pieces per bag or 2,000 pieces per case
DIN ADAPTER NON-STERILE FEMALE DIN TO BARB FITTING
MPCMPC--855NS855NS--.375.375 • Excellent Chemical Resistance!
• Heat Resistant! • Special Order Items! Call Customer
Service for more details.
MPCMPC--855NS855NS--.250.250
MPCMPC--855NS855NS
Leak Free!Leak Free!
Use our self-sealing Dialysate Sampling Port Kit within the dialysate fluid pathway of your dialysis machine for a fast, safe
and reliable means of drawing your dialysate test samples! Compatible with all standard dialysis germicides.
Instructions for Use:
1. Place Barbed T-Fitting Luer Connector into dialysate line in which samples are to be drawn.
2. Twist access site onto the luer connector of the Barbed T-Fitting inserted into line; turn clockwise to form a secure connection.
3. Sanitize access site using your approved unit protocols regarding injection site preparation.
4. Attach lever lock cannula to syringe.
5. Push the syringe cannula into the access site and advance.
6. Extract desired amount of sample and withdraw the cannula. The access site will seal automatically.
MPC-180 Kit Includes:
• (2) Sterile Access Sites
• (1) Barbed T-Fitting Luer Connector
• (2) Lever Lock Cannulas
DIALYSATE SAMPLING PORT KIT USE TO DRAW A DIALYSATE TEST SAMPLE
MPCMPC--180180 Lever Lock Cannula
Access Site
Barbed T-Fitting Luer Connector
IN OUT
Fits 1/4” ID Tubing
Regular replacement of access site should occur per your approved unit protocols.
Trouble Free!Trouble Free!
Phone: (800) 435-8957 • E-mail: [email protected] • www.moldedproducts.com
35
Low Cost Low Cost Replacement PartsReplacement Parts
• MPC-181 Replacement Needle-Less Access Sites
• MPC-182 Replacement
Lever Lock Cannulas • MPC-184 Barbed T-Fitting
Luer Connector
Special Features: • Sterile • ISO 8637 Fitting—compatible with standard OEM female
hansen ports located on hemodialysis machines
• Pyrogen-Free—will not interfere with endotoxin results • The Collection Assist Device gives the sample a clean path to
travel from the fluid path of the hansen port to the point of sample collection, through bypassing the problem areas associated with contaminants such as the hansen port o-ring, balls and mechanisms that can be impossible to disinfect.
• Allows the capture of sample as it would be going to the
dialyzer, without interference.
• E-Z open packaging
Phone: (800) 435-8957 • E-mail: [email protected] • www.moldedproducts.com
36
MPCMPC--745745
Individually Packaged 100 pcs. per box or 2,500 pcs. per case
The Collection Assist Device provides a means of collecting a clean sample from the female hansen port of a
hemodialysis machine.
COLLECTION ASSIST DEVICE PROVIDES MEANS OF COLLECTING CLEAN SAMPLES
The EZ Grip: • Is an economical, multifunctional
gripping tool.
• Helps utilize the power of the entire
hand, not just the thumb and forefinger.
• Is ideal for individuals with limited hand,
finger strength & limited dexterity.
• Can help open jars, cans, bottles, and
grip knobs.
• Has adjustable jaws that slide apart to
adapt to large and small items.
• Is made of high strength injection
molded plastic.
• Is easy to clean; cleans up with soap &
water.
A lightweight and easy to use “poly-grip-like” tool for a firmer grip and more power when pulling, pushing, picking, turning, squeezing, holding, etc.
Can be used with either hand.
MPCMPC--950950
Individually Packaged Sold Individually or 100 pcs. per case
Product Specifications Length 6”
Weight 2.03 oz.
Grip Range 0-3”
EZ GRIP A LIGHTWEIGHT TOOL FOR PEOPLE WHO HAVE DIFFICULTY WITH GRASPING & HOLDING
37
Phone: (800) 435-8957 • E-mail: [email protected] • www.moldedproducts.com
38
• Design Assistance • Contract Packaging
• Contract Assembly • Custom Labeling
• Ultrasonic Welding/Pressing
Services Available:
• Component Manufacturing
Contact one of our knowledgeable representatives today to see how we can help reduce your cost and time to market.
An ISO Company
39
Molded Products specializes in producing quality products for the medica l , commerc ia l , and industrial fields. Located in Southwest Iowa, Molded Products is close to transit routes enabling quick delivery times to all parts of the world. We maintain a complete tooling facility for moldmaking, machining and 24 hour a day injection molding.
Inspection… In-process and final inspections are conducted on each product lot manufactured. This constant attention to quality control further ensures that the customer’s requirements are continually being met and adhered to.
Production… Molded Products is a leading manufacturer of high-quality injection molded products. We utilize various sizes of injection molding machines as well as an excellent group of experienced toolmakers. When our 21-injection molding machines are at full production, they can produce up to 50 million parts a month.
Design… By utilizing state of the art technology for design, we have the ability to develop the product not only from a print but also from a model or sample. This technique allows for design flexibility, elimination of costly errors and a reduction in time to market.
We are committed to high-quality products, affordable pricing and on time delivery.
Molded Products, Inc. Custom Injection Molding, Moldmaking & Machining
1112 Chatburn Avenue Harlan, Iowa 51537
Molded Products Inc.
NAME______________________________________________________ TITLE_______________________________________________________ COMPANY___________________________________________________ ADDRESS____________________________________________________ CITY_______________________ STATE___________ ZIP CODE______ PHONE________________________ FAX_________________________ EMAIL________________________ WEBSITE______________________
ALL SAMPLES ARE SHIPPED FREE. FOR FASTER DELIVERY PLEASE PROVIDE YOUR ACCOUNT INFORMATION BELOW:
FEDEX ACCT.#________________________
□ PRIORITY OVERNIGHT □ SECOND-DAY □ GROUND UPS ACCT.#_________________________
□ NEXT DAY □ 2ND DAY □ 3RD DAY □ GROUND PLEASE SEND ME THE FOLLOWING FREE SAMPLES: PART #___________________ PART #___________________ PART #___________________ PART #___________________ PART #___________________ PART #___________________
1112 CHATBURN AVENUE, HARLAN, IOWA 51537 PHONE: (800) 435-8957 FAX: (800) 227-7935
EMAIL: [email protected]
WE ARE HAPPY TO SEND YOU FREE PRODUCT SAMPLES. COPY & FAX US THIS FORM TO (800) 227-7935 OR
CALL A CUSTOMER SERVICE REPRESENTATIVE AT (800) 435-8957 FOR PERSONALIZED ASSISTANCE.
MPC-200 See Page 19.
MPC-125 See Page 4.
MPC-50DV See Page 27.
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