HD 450 Thermal Disinfector. New generation.

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1 HD 450 Thermal Disinfector New generation.

2 2 Made in Baden Wurttemberg/Germany

3 Dear Physician, Your patients reply on you to be professional and dedicated, and have high expectations of your work. To provide all of this, the every-day operation of the practice must run smoothly in the background. Not only is medical knowledge essential, you are also needed as the practice manager especially when it comes to costly investments in high quality equipment for your practice. The same professionalism is required for the safe preparation of your instruments. Hello future! This is our motto in designing our products and ideas for the future. The IC Medical products combine extensive years of experience, highest quality, innovation and attractive design. This results in equipment that fulfills the highest quality demands with a reasonable cost/performance ratio. Yours, Thomas Blumenschein Manager of IC Medical GmbH 3

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5 HD 450 Injection Ecological, efficient and valid: With the use of an injection rail, the Thermal Disinfector HD 450 can process 8 or 18 hollow body instruments at a time. The flexible injection rail with 8 adapters is especially suitable for preparation of manual and angle pieces. The flexible injection rail with 18 adapters offers further options, also in connection with additional hoses e.g. for adaption of surgical vacuums. The HD 450 Injection is therefore especially suitable for: Dental ENT With our innovative water management system and pump technology ensures that the implemented hollow body instruments are thoroughly disinfected from the inside, and cleaned and disinfected from the outside. With a minimal installation depth of only 58 cm, the unit fits in preparation lines with a standard depth of 60 cm. The HD 450 Injection can thereby be installed as an integral or countertop unit. 5

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7 HD 450 Basic The Thermal Disinfector HD 450 Basic is space saving, reliable, fast and very cost effective. It can prepare up to 6 kg of instruments. The modular construction of the design meets each and every customer requirement and can be adapted to suit your individual needs. The HD 450 Basic is therefore especially suitable for: Gynecology Dermatology Podiatry ENT Proctology Dental (if hollow bodies are prepared in a different manner, e.g. with Sirona DAC) The simple operation and the space saving design are clear advantages over other cleaning and disinfection machines. With this cost-effective system, you are legally compliant and provide the highest possible standard in cleaning and disinfection for the safety of your patients and staff. 7

8 The intelligent Hygiene system The all-in-one system for your thermal disinfector! 8

9 Thermo Tabs You can happily avoid expensive dosing systems. The instrument preparation with oxide thermos tabs eases and standardizes the cleansing process with modern thermal disinfectors and cleansing machines. The consistent dosage ensures uniform concentration of the cleansing components and prevents the risk of incorrect dosing. The cleansing effect in connection with the chemicals condensed in the tabs fulfills all expectations. The necessary validation is guaranteed. Exact dosing IC ThermoTab-Sensor A decisive factor for good preparation results is an exact and valid dosing of the implemented process chemicals. The valid standard DIN EN ISO also prescribes an independent monitoring of the process chemistry. Monitoring with the IC Thermo Tab-Sensor offers significantly more safety than common measurement systems: Exact measuring of the process chemistry concentration Exact monitoring of the preparation process Reproducibility of validated processes Perfect cleansing and disinfection results Simple handling Valid method In detail: All-in-one system: Cleanser, rinsing agent, salt-replacement The rust protection prevents rust damage. The stainless-steel polish ensures the care and maintenance of the instruments. The power booster effectively assists the cleansing performance and removes heavy soiling. A special enzyme mixture as a biochemical catalyst enhances the cleansing effect in the removal of blood, protein, bone and ointment residues and similar. Bright cleansing results with the intelligent technology of the cleansing tab. Additional rinsing agents and salts are no longer necessary. Compatibility Compatible with numerous thermal disinfectors and cleansing machines with a chamber system. Approved as a class I medical product. Delivery 50 cleansing tabs per package, individually wrapped in aluminum foil. Item No.:

10 1 60 cm 2 80 cm 10

11 The Thermal Disinfector HD 450 as integral combination The Thermal Disinfector HD 450 can be used as a countertop or integral unit. The stainless-steel base cabinet for the Thermal Disinfector HD 450 series allows simple installation in an existing space in your sterilization line. You can easily store your process chemicals or a further basic basket in the base cabinet. 1 External operational unit for ergonomic application, available as a wall or standing display. Item No.: Stainless-steel base cabinet Including stainless-steel cover and telescoping lid. As storage for your process chemistry or a further basic basket. Measurements: H W D: cm Storage measurements: H W D: cm Item No.:

12 12 Secure documentation and monitoring of all process parameters with most modern technology and sensory technology.

13 Legal compliance In the case of an accusation following a medical treatment, the so-called reversal of the burden of proof clause applies, meaning that the treatment provider must prove that the instruments were hygienically prepared (backdated up to 30 years). The secure process documentation of the HD 450 provides you with legal security and fulfills the RKI (Robert Koch Institute) guidelines and the Medical Device Directive. With continuous and transparent documentation of the hygiene measures, as provided by our HD 450, this proof can easily be provided and respective accusations eliminated. The documentation of all process parameters is stored in the unit as a protocol. The HD 450 has a standard network interface and USB port for accessing the process documentation. Reading out of the protocol is performed with the documentation software included in delivery, either conveniently via the practice network, PC or via USB stick. The ongoing process documentation extensively evaluates parameters, which offers the perfect security for tracking processes of actual and target values. This includes the A0 value, tab monitoring, conductivity and spray arm monitoring as well as temperature curves. IC Rotor sensor For consistent and safe cleansing and disinfection results, the spray pressure must always be optimal. The rotational speed of the spray armis monitored to this end. You can also continue to use your present practice computer and digitally archive the protocols. Interfaces are available for Segosoft and DOCma (DIOS). The rotational speed of the spray arm must not fall below a minimum value, and is an important indicator for the exact reproducibility of a valid process. As a user, this new technology offers you an enormous increase in the safety of automated preparation: Continuous monitoring of the spray arm rotational speed Control of water pressure IC Conductivity sensor The integrated IC conductivity sensor and the continuous measurement of conductivity are monitored by the values defined by the standard so that no residues are left on the instruments and no risk is present for the patient. Furthermore, documentation of the conductivity throughout the entire process offers additional assurance in the exact reproduction of validated processes: Dosage monitoring, independent of temperature IC Hot drying method The IC hot drying method provides optimal drying results. During the drying phase, the high hygiene standards are maintained through innovative technology, since a very high level of air purity is guaranteed in the cleansing chamber at 90 C. The IC hot drying system provides you with exact information on when the unit should be opened. High measurement precision Apart from this toxicological safety, maintaining the value of the instruments is a further significant advantage. 13

14 The economical all-round solution for valid water quality. You purchase a cartridge and we take care of the rest! 14

15 IC Ion replacement cartridges This is how simple it is Including other units When you purchase a complete desalination cartridge from IC Medical, the connection charges are already included* 2. Simply call out IC Medical service department and arrange a connection appointment. We take care of the rest. You can include further units, such as your sterilizer/autoclave, in the desalination system. For this purpose, all units are connected to the cartridge. The HD 450 Thermal Disinfector monitors the water quality Travel Connection Starting operation Our complete desalination (VE) cartridges work according to the principle of ion exchange. For this purpose, the water is led from the top to the bottom of a mixed bed-ion exchangeresin filling. The salts as well as carbon and silicic acid are nearly completely removed by being exchanged with H+ and OH-. The result is a pure, fully desalinated water. Low investment costs Simple handling Remaining salt content of <0.1 mg/l, conductivity <0.2 μs/cm No further hardware is necessary The IC touch control display of your IC Medical Thermal Disinfector informs you if the performance of your desalination cartridge is exhausted. This information is also available in your batch protocol. After this message from your HD 450, depending on the amount of use and water quality, you have approximately 14 days to have the cartridge regenerated by our ion exchange express service. Performance The generated water fulfils the chemical-physical requirements of the European Pharmacopeia, USP and ASTM type 1 and 2. Cartridge 445 Performance (l/h) Capacity at 10 dh in liter* Pressure resistance max. (bar) Cartridge 490 Operational temperature max. ( C) Measurements in mm (diameter H) Weight (kg) Connection set 3/4 3/4 Cartridge material Service V4A-Stainlesssteel V4A-Stainlesssteel If the desalination cartridge needs to be regenerated, a phone call is sufficient. Within a short time, the IC Medical ion exchange express will come out to replace the used ion exchange resins with regenerated ion exchange resins on site. Quick, easy and CO2 neutral No annoying shipping and handling costs No waiting time High capacity with tested, certified quality * 1 The capacity can vary up or down depending on the properties of the water; * 2 The price includes travel and work time for connecting the ion exchange cartridge to your present system. If necessary, additional work and connection materials will be invoiced separately. 15

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17 Air 90 The compressor with HEPA filter H12 for your instruments For a valid preparation process......instruments must be dried with medical pressurized air especially hollow instruments after cleansing and disinfection. The Air 90 offers the solution with its compact design. It is the first compressor with a HEPA filter for your hygiene room. The integrated HEPA filter H12 ensures pure medical pressurized air and thereby fulfils the requirements of DIN EN 1822:2011 (European standard for the classification of high efficiency submicron particulate air filters). Manufacturers of hollow instruments prescribe drying with medical pressurized air. [...] the final rinsing and drying must be performed under conditions that rule out recontamination of the disinfected medical products. The use of medical pressurized air for drying is recommended due to the good and quick effects. [...] Federal Health Bulletin Medical Research Health Protection The oil free compressor aggregate combines quiet technology with high performance. The specially developed air pressure jet additionally offers simple and ergonomic handling. Ergonomic handle and 3m hose allow convenient use of the instruments during the preparation cycle In detail: Compact design fits in any hygiene room, also under the table Hygienic for drying instruments after disinfection HEPA filter H12 absorbs up to 99.5% of all particles >0.003 mm from the air Single handed operation ergonomic handle simple handling Oil free, minimal maintenance Complies with DIN EN 1822:2011 Corrosion resistant inner coating of the pressurized air container 17

18 Dirk H. Zipprich, dentist, regarding the Thermal Disinfector HD 450 Why does a practice manager choose the HD 450 and how does he rate its routine use? What is his opinion? We spoke with the dentist, Dirk H. Zipprich from Aschaffenburg. About Mr. Zipprich Dirk H. Zipprich has been working as a resident dentist in Aschaffenburg since He has many years of experience with his main focus on microscopic dentistry, endodontology and implantology. He is one of the few practitioners in Germany to rely on precise diagnostics under the dental microscope for maximum precision and nearly pain-free intervention. Apart from his dedication to various scientific organizations, Dirk H. Zipprich in an international expert for endodontics, implantology and practice organization. 18

19 Praxistest IC Medical: Mr. Zipprich, what demands must a thermal disinfector fulfil in your practice? Dirk H. Zipprich: We face two factors: an extreme amount of instruments our practice consists of one dentist and three dental hygienists and limited space for preparation. Our old units couldn t keep up anymore. Therefore, I started looking for a solution that saves space and has high performance at the same time.... which is why you purchased two units? Dirk H. Zipprich: Exactly. Both are installed in the hygiene room, on top of each other, and are controlled with an external operating element. While one unit is in operation, the other is filled, always alternating. A great relief for the entire team. The HD 450 is the only thermal disinfector that uses tabs. How was the change to this principle? What do you consider to be the greatest advantage of the unit? Dirk H. Zipprich: The HD 450 is like an iphone: intuitive. The processes follow a clear and user-friendly logic. This all sounds very positive... Dirk H. Zipprich: My employees and myself are very satisfied. I have also told colleagues about it in the quality group. Naturally not everything always runs smoothly. One of the units had difficulties in the beginning, but we received good and quick support. In the mean-time, the two HD 450s run without limitations. Finally, can you please summarize, Mr. Zipprich? Dirk H. Zipprich: The HD 450 is a compact, efficient unit that I can recommend. What sets IC Medical apart is its flexibility and service an innovative problem solver for the dental practice. Dirk H. Zipprich: Dirk H. Zipprich: At first I was skeptical, but in the daily routine it proved to be more than worthwhile. Apart from that, it is very pleasant to no longer deal with the large chemical canisters and hose systems. 19

20 Efficient automatic cleansing and disinfection of medical instruments Address of the author: Dr. Markus Th. Firla Hauptstrasse Hasbergen-Gaste A valuable report on the use of the innovative cleansing and disinfection unit HD 450 Injection from IC Medical Author: Dr. Markus Th. Firla Dr.Firla@t-online.de Note: The entire report can be found on the website 20

21 Review No, this is not a discussion about the pros and cons of automated preparation of medical instruments since according to the RKI or KRINKO guidelines, hollow spaces are viewed unfavorably. This report should provide assistance in the selection of a cleansing and disinfection unit that is suitable for the practice and purpose. Features and properties According to the opinion of the author, the exceptional properties of the cleansing and disinfection unit described here are the significantly advantageous user friendly and simple operation options. Since there is only one process program, which can also be followed visually during the process of cleansing and disinfection in the touch field for operating the unit, there are no disturbances in the operation of the unit. IC Medical intentionally eliminated complex and complicated programming of various preparation variations. The innovative universal adaptors for rinsing hollow instruments are especially beneficial and useful,and have been developed and patented by the manufacturer. Documentation This leaves no questions open: The digital documentation of batch protocols can with the help of the specially designed USB stick included in the unit price and delivery also be printed in DIN A4 format. Apart from all officially required batch characteristics, the protocol not only provides an exact qualitative and chronological course of the individual process steps, but also provides information on the chemical-physical water composition (Mikro Siemens value) and the advantage of disinfection with hot, moist air (A0-value)! Proven facts, that have been shown to be extremely useful in the random visitation from the trade supervisory board in Oldenburg on April 21st of this year in the scope of the inspection of the author s practice with regard to the medical products operator ordinance (MPGBetriebV) as well as 26 Medical Products Law. Programs, run times, use Also here, the observed cleansing and disinfection unit was second to none in comparison to the competition: only 12 liters of water were required per preparation process. If it can be ensured that the water hardness is below 21 dh, then the correct cleansing and disinfection function of the unit does not require specially pre-treated water. The addition of an oxide thermos tab in the door dispenser of the units is sufficient for one preparation cycle. Validation This point also only has positive results to report: The unlimited validation of the HD 450 Injection only incurs initial costs of approximately 750 Euros for the first validation (reg. IC Medical: Please ask for costs directly from the validation company). The prices for revalidation, based on the abovementioned study, are approximately 500 Euros. It is especially positive that the maintenance of the unit by IC Medical is not prescribed by definite, automatic work cycle figures. Basic maintenance work merely involves the annual (unit-year) exchange of the spray arm and the filter in the unit sump. Conclusion In the author s experience, the HD 450 Injection from IC Medical is a beneficial cleansing and disinfection unit for automatic preparation which is second to none. Not only does it carry an unbeatable purchase price, it is also connected with innovative unit functionality for flawless hygienic effectiveness compliant with RKI guidelines for all dental instruments, including ultrasonic attachments and hand and angle pieces, and the simple operation makes it one of the top candidates for modern and efficient hygienic equipment. The relatively low costs for initial and re-validations compared with other devices of this kind, combined with the very reliable, efficient functionality ensure that the HD 450 Injection comes highly recommended! 21

22 Loading examples #1 Loading example dental injection #2 Loading example dental basic Qty. Title Item-No. Qty. Title Item-No. 1 Flexio basic basket Flexio injection bar 8 adapter Flexio adapter for air scalers Flexio inlay basic basket Flexio basket open Flexio instrument holder Flexio Impression tray carrier Flexio holder small part box MONO Flexio small part box fine-meshed Flexio basic basket Flexio inlay basic basket Flexio basket open Flexio instrument holder Flexio holder small part box MONO Flexio small part box fine-meshed Flexio system carrier for 5 connector systems 1 Flexio Plug-in System for 7 rotating instruments (5 pieces) 1 Flexio Impression tray carrier

23 Loading examples #3 Loading example ENT injection #4 Loading example gynecology basic Qty. Title Item-No. Qty. Title Item-No. 1 Flexio basic basket Flexio injection bar 18 adapter Flexio medicinal silicone tube 2 m Flexio inlay basic basket Flexio basket open Flexio instrument holder Flexio nasal specula holder Flexio system carrier for 10 connector systems 2 Flexio Plug-in System for 4 ear trumpets (5 pieces) Flexio basic basket Flexio inlay basic basket Flexio universal holder for 8 specula oder 21 forceps

24 Loading examples #5 Loading example dermatology basic #6 Loading example flexio injection Qty. Title Item-No. Qty. Title Item-No. 1 Flexio basic basket Flexio inlay basic basket Flexio instrument holder Flexio universal holder for specula oder 21 forceps 1 Flexio basic basket Flexio inlay basic basket Flexio injection bar 18 adapter Flexio medicinal silicone tube 2 m Flexio-Pins according to your needs, for example: 1 Flexio-Pin 1 (5 pieces) Flexio-Pin 4 (5 pieces)

25 Components, consumables, connection material, accessories Flexio basic basket 1 for thermal-disinfectors HD 450 basic and HD 450 Injection holds up to 4 baskets L W H: 44.5 x 47 x 6.5 cm Flexio adapter for hollow body instruments with 23 mm outer diameter specially for ENT Set of 2 adapter Flexio injection bar 8 adapter for thermal-disinfector HD 450 with adapter system Flexio universal tube adapter 4-6mm (4 pieces) for silicon tube, to adapt universal chirogic instruments (only HD 450 Injection) Flexio injection bar 18 adapter for thermal-disinfector HD 450 with adapter system Flexio medicinal silicone tube 2 m inner diameter: 4-6mm Flexio inlay basic basket grid for Flexio basic basket Flexio sieve cage basket for holding small part containers or instrument holders ENT L W H: cm Flexio inlay basic basket grid for Flexio basic basket Flexio basket open basket for holding depositors, Flexio instrument holder or Flexio universal holder L W H: cm Flexio inlay basic basket grid for Flexio basic basket Flexio deposit fine-sieve 2,5 2,5 for Flexio basket open L W H: cm Flexio adapter for air scalers holds up to 6 air scalers for Flexio injection bar 8 adapter Flexio instrument holder upright, for holding up to 72 instruments. An additional 8 larger compartments for storing aspirators or forceps etc. L W H: cm Flexio adapter for hollow body instruments with 22 mm outer diameter Set of 2 adapter Flexio instrument holder ENT 16 for holding up to 16 ENT instruments, e.g. ear specula L W H: cm 25

26 Components, consumables, connection material, accessories Flexio system carrier for 10 connector systems L W H: cm for Flexio Plug-in System , Flexio universal holder for 8 specula oder 21 forceps holds up to 8 specula or 21 forceps L W H: cm Flexio system carrier for 5 connector systems L W H: cm for Flexio Plug-in System , Flexio holder small part box DUO holder for small part box fine- and coarse meshed L W H: cm Flexio Plug-in System for 7 rotating instruments (5 pieces) W H: cm Flexio holder small part box MONO holder for small part box fine- and coarse meshed L W H: cm Flexio Plug-in System for 4 ear trumpets (5 pieces) W H: cm Flexio small part box finemeshed with flap closure inner diameter: 8.5 cm mesh size: 0.7 mm Flexio nasal specula holder for up to 60 utilities L W H: cm Flexio small part box coarse-meshed with bayonet closure inner diameter: 10.4 cm mesh size: 1.2 mm Flexio drill holder 39 4 holder (à 39 drills) + 1 carrier Flexio salver holder holds up to 9 salvers; for salvers up to 2.5 cm thickness L W H: cm Flexio Impression tray carrier for holding up to 16 pieces L W H: cm Flexio tray holder 7 holds up to 7 trays; for trays up to 4.5 cm thickness L W H: cm Flexio universal holder for 4 specula oder 11 forceps holds up to 4 specula or 11 forceps L W H: cm Flexio-Pin 1 (5 pieces) for fixing instruments on the Flexio inlay basic basket ( ) 26

27 Components, consumables, connection material, accessories Flexio-Pin 2 (5 pieces) for fixing instruments on the Flexio inlay basic basket ( ) System separator for securing drinking water systems against return flow, as per DIN EN Flexio-Pin 3 (5 pieces) for fixing instruments on the Flexio inlay basic basket ( ) Aqua stop for protecting your equipment against overflow length: 2 m Flexio-Pin 4 (5 pieces) for fixing instruments on the Flexio inlay basic basket ( ) Injection filter 15 pack Spare filter for the HD 450 Injection contains 15 filter fig. similar to original product Flexio-Pin 5 (5 pieces) for fixing instruments on the Flexio inlay basic basket ( ) Base cabinet For an easy installation of your HD450 into an exisiting gap 60 x 80cm of your sterilization line. For details see page 10. H W D: cm Protection tank for save standing and protection aganinst condensation H W D: cm longlife filter for Flexio injection bar 8 adapter and 18 adapter, for save and legal compliant processing of hollow body instruments for production series from 2/2016 reprocessable mash size: 65 µm length: 45 cm diameter: 1.5 cm Cleaning brush set (6 pieces) External control element Wall display or stand display for ergonomic purposes W H: 13.2 x 9 cm connection cable length: 2.3 m Art.-No. on demand Service kit for HD 450 / HD450 Injection for yearly maintenance; consists of spraying arm and microfilter 27

28 Components, consumables, connection material, accessories Oxides ThermoTabs Process chemicals for a thorough preparation of your instrumentarium. MP Class I; Contents: 50 pieces IRA Salz Water softener salt, from 21 dh, contents: 5kg Service Tabs Cleaning Care for thermal-disinfectors Contents: 20 pieces IC Medical white oil care and polishing for active instruments contents: 100 ml IRA Klar rinsing agent for mechanized preparation if instruments 1 liter IC Polishing Wipes special wipes for polishing medical instruments contents: 600 wipes, size: cm 28

29 Components, consumables, connection material, accessories Cartridge Shut-off valve for water desalination Performance (l/h): 300 (l/h) size (d h): 239 mm 445 mm ca. 15 kg Cartridge 490 for water desalination Performance (l/h): 300 (l/h) size (d h): 239 mm 490 mm ca. 17 kg Quick coupling (Set) for easy substitution Stainless steel cap Rubber tube set Check valve incl. backflow preventer and seal Stainless steel tube set incl. backflow preventer and seal Additional tube with nozzle incl. connection fittings and wall mounting T-piece to attach 2 thermal disinfector oder 1 thermal disinfector and 1 autoclave 29

30 Technical data HD 450 the basic model, space-saving, safe, quick HD 450 Injection suitable for the preparation of up to eight straight and contra-angle handpieces Type designation HD 450 HD 450 Injection Item Number Device dimensions (HxWxD) 45 x 55.5 x 50 cm 45 x 55.5 x 58 cm Outreach (A) 37 cm 37 cm Washing chamber (HxWxD) 33.5 x 49.5 x 45 cm 33.5 x 49.5 x 45 cm H = maximum loading height D = maximum loading depth Weight (empty) 18 kg 24 kg Floor loading approx N/m² approx N/m² Washing chamber volume Electrical connection Max. sound power (cleaning) Heat loss 74 litres V, 50/60Hz; 16 A; 2,4 KW 58 dba Ambient temperature C 0.55 kw/h (2.7 MJ/h) Relative humidity 30-60% Max. installation altitude 2000 m Installation category 2 Air pressure 75 kpa 106 kpa Cold water / demineralised water connection 3/4 Wastewater connection DN21 ensure minimum drinking water quality in accordance with the Drinking Water Ordinance (TrinkW2001) and Water quality local regulations Minimum flow pressure 150 kpa (1.5 bar) Recommended flow pressure 250 kpa (2.5 bar) Maximum water pressure 1000 kpa (10 bar) Minimum rinsing pressure 140 mbar Max. wastewater temperature 93 C Wastewater volume per hour approx. 20 l (in shorter intervals) Capacity of the dewatering pump max. 30 l/min. (volume in the wastewater hose) Length of the run-off and supply hoses Cold water inlet / wastewater: 1.80 m / demineralised water inlet: 1.60 m Length of the power cable 2 m Internal storage Up to 3000 cycles Interfaces USB, network (RJ45) Contamination level Category 2 Enclosure specification (in accordance with IEC 60529) IP20 CE marking 0297 Conforming with the standards DIN EN ISO /2; EN

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32 The solution for dental and specialist practices Dental and specialized medical practices demand high quality instrument preparation. This should be safe, absolutely reliable and cost efficient. We offer the perfect solution: The Thermal Disinfector HD 450 the new and innovative countertop or integral unit for cleansing and disinfection of your instruments. IC Medical is a certified company according to EN DIN for medical products, based in Rudersberg-Steinenberg in Baden-Wurttemberg, Germany. We have been developing innovative units and accessories for 25 years. Our products are characterized by a high level of user friendliness and clear design and have already won several innovation and design prizes. We are essentially guided by the needs of our customers and would like to assist you in the optimization of your processes for ensuring hygiene and of course, to keep the costs within an acceptable range. Our products are produced at our location in Baden- Wurttemberg. IC Medical GmbH Schorndorfer Str Rudersberg-Steinenberg Deutschland info@icmedical.de , V6.2_EN, No liability accepted for printing mistakes, errors, technical alterations or changes to prices and availability.

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