Surgical Gloves - A Comprehensive Guide | Selection, Support, Solutions

SURGICAL GLOVESSelection, Support, Solutions

A C O M P R E H E N S I V E G U I D E

WHY MEDLINE SURGICAL GLOVES?

2 MEDLINE SURGICAL GLOVES

MEDLINE IS THE FASTEST GROWING SURGICAL GLOVE SUPPLIER

WHY MEDLINE SURGICAL GLOVES?

MORE tHAN A GLOVE COMPANY

For hospitals around the world, managing cost pressures while providing safe, quality health care products has become an increasing challenge. As one of the world’s largest manufacturers and distributors of medical products including major OR categories like sterile procedure trays, surgical drapes and gowns, and surgical gloves, Medline understands your challenges. With roots going back over 100 years and a dedicated sales force of over 1,100 representatives, we have the expertise to help you implement clinical solutions and supply chain efficiencies, manage costs, and improve outcomes.

In this brochure, you’ll find more than just information about our comprehensive portfolio of premium surgical gloves. You’ll also discover the latest surgical glove technologies, safety initiatives, market trends, and the educational and clinical services Medline offers. We’re more than a glove company, and we invite you to see why Medline is the fastest growing surgical glove supplier and the choice for some of the most prestigious hospitals around the world.

www.medl ine.com 3

CONtENtS

04 | INDUStRY-LEADING QUALItY Manufacturing Process

05 | CHEMICAL PERMEAtION GUIDE

06 | POWDER-FREE

Transition To Powder-Free For A Safer Operating Room Costly And Harmful Risks Of Powder A Safer Alternative To Powder

07 | ALOEtOUCH® – tHE WORLD’S FIRSt tHERAPEUtIC MEDICAL GLOVE tECHNOLOGY Innovation That Soothes Hands

08 | REAP tHE bENEFItS OF GOING LAtEx-FREE Latex Safety

09 | SENSICARE® – AS CLOSE tO LAtEx AS LAtEx-FREE CAN bE BE FREE DAY–Try SensiCare for FREE Isolex™ Raw Material — Made in USA

10 | DOUbLE-GLOVING Why Is Double-Gloving Important? How Does The Double Gloving System Work?

11 | FORMER DESIGNS Surgeon Preference Inspired Former Designs

12 | CONSULtAtIVE SOLUtIONS & CLINICAL SUPPORt Increase Efficiency And Uncover Savings With A Glove Utilization Analysis

13 | EVALUAtION & CONVERSION MANAGEMENt PROGRAM Making the Process of Switching Easier for You and Your Staff

14 | PACKAGING Visual Packaging Helps You Find The Right Glove More Quickly

15 | MEDLINE UNIVERSItY

16 | MEDLINE CARES

tAbLE OF CONtENtS

See green

for safety.

SEE GREEN

FOR SAFETY

SEE GREEN

FOR SAFETY

SEE GREEN

FOR SAFETY

SEE GREEN

FOR SAFETY

SEE

GREENFOR

SAFETY

SEE GREEN

FOR SAFETY

See green

for safety.

SEE

GREENFOR

SAFETY

SEE GREEN

FOR SAFETY

LAtEx


INDUStRY-LEADING QUALItY MEDLINE’S HIGH LEVEL OF QUALITY CONTROL MEETS FDA, ASTM, EN AND ISO STANDARDS

INDUStRY-LEADING QUALItYOur products and manufacturing facilities are subject to a high level of quality control, meeting FDA, ASTM, EN, and ISO standards as part of our continued effort to help keep patients and surgical staff safe from cross contamination, infection, and allergic reaction. Process control and quality are carefully monitored throughout every step of our manufacturing process, and our highly trained quality assurance team thoroughly inspects for dimensional consistency (thickness and length) and physical property consistency (strength and elasticity). Your surgical staff can feel confident knowing that every single surgical glove we produce is 100% inspected for pinholes, tears, visual defects and tested to an AQL of 0.65. We address type I and type IV allergies, providing gloves that are low in both latex proteins and residual chemicals thanks to our proprietary triple-stage protein and chemical leaching process.

RAW MAtERIAL PREPARAtION• Latex Rubber Tree Tapping & Collection • Latex Centrifuge, Processing, & Quality Control • Latex Compounding

PRODUCtION• Former Cleansing & Brushing Tank • Primary Coagulant Tank • Secondary Coagulant Tank • Latex Rubber Dip Tank • Wet Gel Protein & Chemical Leaching Tank • On-Line Polymer (or Chlorination) Tank • Automated Cuff Beading • Vulcanization Ovens • Post-Cure Residual Protein & Chemical Leaching Tank • Powder Slurry Tank • Drying Stage • Manual Former Stripping

Latex gLove Manufacturing Process

OFF-LINE PROCESSING• Dry-Film Residual Protein & Chemical Leaching Tank • Synthetic Polymer Inner Coating & Outer Surface Enhancement • Aloetouch® Therapeutic Inner Gel Coating • Drying Stage

PACKAGING AND INSPECtION• 100% Visual Inspection & Air Inflation Test • Physical Property Testing • Protein & Powder Content Testing • Packaging & Visual Seal Inspection • Final Quality Inspection • Gamma Radiation Sterilization

1 3

24

CHEMICAL PERMEAtION GUIDEIn addition to viral penetration resistance, we test the barrier properties of our gloves against a large variety of chemicals commonly used in the OR, lab, pharmacy, and sterile processing department.

INDUStRY-LEADING QUALItY

Type of Chemical Chemical Latex

Group ALatex

Group BPolyisoprene

Group APolyisoprene

Group B Neoprene

Alcohol Ethanol, 99.5% 0.0 0.0 0.0 0.0 12.3

Alcohol Isopropyl Alcohol, 70% 20.9 10.4 24.5 18.7 >480

Alcohol Methanol, 99% 17.2 17.2 11.0 4.4 267.9

Skin Cleanser Chlorhexidine Gluconate, 4% >480 >480 >480 >480 >480

Skin Cleanser Iodine, 1% >480 >480 >480 >480 >480

Skin Cleanser Povidone Iodine, 10% >480 >480 >480 >480 >480

Common Chemical Methylene Blue >480 >480 >480 >480 >480

Common Chemical Plaster of Paris (Calcined Gypsum) >480 >480 >480 >480 >480

Cleaning AgentOXIVIR TB (Accelerated Hydrogen Peroxide), > 0.5%

11.5 11.3 20.3 11.0 60.7

Cleaning Agent Acetone, 99.9% 4.0 3.8 4.0 0.0 4.0

Cleaning Agent Ammonium Hydroxide, 25% 92.8 29.2 66.2 45.2 112.5

Cleaning Agent Glutaraldehyde, 2.5% >480 >480 >480 >480 >480

Cleaning Agent Hydrogen Peroxide, 30% >480 466.2 357.8 232.6 >480

Cleaning Agent n-Hexane, 96.1% 1.9 1.9 1.8 1.9 6.5

Cleaning Agent Ortho-phthalaldehyde (OPA) - Cidex >480 >480 >480 >480 >480

Cleaning Agent Peracetic Acid, 0.35% >480 >480 >480 >480 >480

Cleaning Agent Phenol, 10% 2.2 3.2 20.5 0.8 >480

Cleaning Agent Quaternary Cleaners >480 >480 >480 >480 >480

Laboratory Chemical Acetic Acid, 4% >480 >480 >480 >480 >480

Laboratory Chemical Ethidium Bromide, 0.5ug/ml >480 >480 >480 >480 >480

Laboratory Chemical Formaldehyde, 10% >480 >480 >480 >480 >480

Laboratory ChemicalFormalin, 10% buffered (4% formaldehyde)

>480 >480 >480 >480 >480

Laboratory Chemical Hydrochloric Acid, 37% 90.7 72 148.1 119.3 >480

Laboratory Chemical Osmium Tetroxide, 2% >480 >480 >480 >480 >480

Laboratory Chemical Potassium Hydroxide, 45% >480 >480 >480 >480 >480

Laboratory Chemical Sodium Hydroxide, 50% >480 >480 >480 >480 >480

Laboratory Chemical Sodium Hypochlorite, 10-13% >480 >480 >480 >480 >480

Performance Level Chemical Permeation Time Manufacturer Recommendation Rating

6 ≥ 480 Minutes Safest Option with Best Rating Excellent

5 ≥ 240 Minutes Change After 4 Hours Very Good

4 ≥ 120 Minutes Change After 2 Hours Good

3 ≥ 60 Minutes Change After 1 Hour Fair

2 ≥ 30 Minutes Change After 30 Minutes Poor

1 ≥ 10 Minutes Splash Protection Only Very Poor

0 < 10 Minutes Not Recommended Dangerous

Chemical Testing References: PN 103063A, B, C, D, E, June 2012, Akron Rubber Development Laboratory, USA Gloves tested: Triumph LT (Latex Group A), Aloetouch Micro (Latex Group B), Aloetouch Ortho (Latex Group B), SensiCare with Aloe (PI Group A), SensiCare LT with Aloe (PI Group A), SensiCare LT with Aloe Custom Fit (PI Group A) SensiCare Micro (PI Group B), SensiCare Ortho (PI Group B), Neolon® 2G (Neoprene)

It is recommended that this permeation guide be used as a reference tool to help aid your decision making process. Actual workplace conditions may vary from a controlled testing environment. Testing data for additional gloves and chemotherapy drugs available on request. Please contact your Medline Representative for specific testing information. Evaluation samples are also available to ensure our products meet you specific safety requirements.

www.medl ine.com 5

CH

AR

t K

EY

Chemical permeation test results according to EN374-3 standard.


POWDER-FREE MEDLINE’S SYNTHETIC POLYMER COATINGS ELIMINATE THE NEED FOR POWDER

COStLY AND HARMFUL RISKS OF POWDERDespite being easy to don and low in price, research has uncovered numerous risks and complications associated with powdered gloves. Powder easily detaches from the surface of gloves, acting as a vehicle for bacteria and latex proteins. This contaminated powder can easily find its way to the patient. Documented risks and complications related to powder include:

• Adhesions

• Anaphylaxis

• Asthma

• Blocked Vessels

• Conjunctivitis

• Contact Dermatitis

• Delayed Wound Healing

• Enhanced Bacteria Growth

• Granulomas

• Instrument Contamination

• Joint Inflammation

• Scarring

• Surgical Site Infections

tRANSItION tO POWDER-FREE FOR A SAFER OPERAtING ROOMYears ago, surgical gloves dusted with medical grade powder were the only option. The powder coating would act like millions of miniature ball bearings, allowing the glove to easily slide over the hand. As the only option for decades, surgeons around the world became accustomed to using powdered latex gloves.

A CHANGE FOR tHE bEttER Today, the market continues to evolve with new powder-free technology. Powdered surgical gloves are banned in many hospitals around the world and countries including Germany, Finland, Sweden, Norway, and the UK are almost entirely powder-free. The use of powdered medical gloves around the world continues to decrease every year, substituted by safer powder-free options. One study concluded that the cost of washing the powdered gloves prior to use is at least seven times higher than the cost of using powder-free gloves.1

A SAFER ALtERNAtIVE tO POWDERMedline offers a comprehensive range of powder-free gloves with synthetic polymer coatings that bond to the inner surface of the glove and create a smooth surface for effortless dry or damp hand donning. They also undergo additional protein and chemical leaching stages, decreasing the sensitizing potential compared to powdered latex gloves.

Organizations advocating the use of powder-free gloves

• American College of Surgeons

• Association of PeriOperative Registered Nurses

• Centers for Disease Control and Prevention

• American Nurses Association

• National Institute of Occupational Safety & Health

• Health and Safety Executive United Kingdom

“the cost of washing the powdered gloves prior to use has been reported as being at least seven times higher than the cost of using powder-free gloves.”1

ALOEtOUCH

In 1999, Medline changed the industry by patenting a process to bring the moisturizing properties of aloe vera to medical gloves.

INNOVAtION tHAt SOOtHES HANDSHealthcare providers must constantly wash their hands and wear gloves as an infection control measure. Repeated glove use and exposure to harsh chemicals can lead to skin irritation. Glove powder can dry out skin and make these problems even worse. Lotions and creams can help, but many health care workers must visit occupational health and dermatologists, and may be forced to take time off to allow their skin condition to improve, costing hospitals money. Thankfully, there’s another way to keep your hard working hands healthy.

How it worksIn 1999, Medline changed the industry by patenting a process to bring the moisturizing properties of aloe vera to medical gloves. Aloetouch technology works by extracting 100% pure organic aloe vera gel directly from the plant, freeze-drying it, and evenly applying it to the inner surface of the glove. The glove wearer’s body heat activates the aloe coating to create a therapeutic moisturizing experience.

the preferred glove of hospitalsIn hospital surveys, respondents preferred Aloetouch gloves to their current glove and noticed a significant difference in how their hands felt after the trial period.2 Independent clinical studies have also proven the efficacy of aloe coated gloves in moisturizing and improving skin condition.3 Today, Medline is the world’s leader in therapeutic medical gloves, with billions of aloe-coated exam and surgical gloves used since their introduction in 1999.

(Patent No. 6,274,154 & 6,423,328 & 6,630,152 & 6,953,582)

ALOEtOUCH® – tHE WORLD’S FIRSt tHERAPEUtIC MEDICAL GLOVE tECHNOLOGY

7www.medl ine.com


LAtEx SAFEtY MEDLINE IS THE ONLY SURGICAL GLOVE COMPANY TO MAKE IT’S OWN RAW MATERIAL POLYISOPRENE

It is estimated that as many as 17% of healthcare workers may be allergic to latex compared to 1 to 6% of the general population.

REAP tHE bENEFItS OF GOING LAtEx-FREEConcern over the complications of latex allergies is driving many healthcare facilities to eliminate the latex products, particularly gloves in their hospitals. Although powder-free latex gloves can help avoid many complications, even low-protein powder-free latex gloves are not completely safe. the only way to truly eliminate latex-related risks is to avoid using latex entirely and switch to synthetics. When all of the risks, commonly overlooked hidden costs, and the latest synthetic options are considered, implementing a 100% latex-free environment is easier to justify than you think.

Get the Facts About Latex Allergies

• As a healthcare worker, continued exposure to latex increases your risk of developing the allergy and there is no cure.

• It is estimated that as many as 18% of healthcare workers may be allergic to latex compared to 1 to 6% of the general population.

• In addition to healthcare workers, children with spina bifida, people with urinary tract abnormalities, and people who undergo multiple surgeries or medical procedures are more likely to develop a latex allergy due to more frequent exposure.

• Symptoms include watery or itchy eyes, runny nose, sneezing, wheezing, hives, welts, rashes, itching, and swelling.

• Severe reactions (anaphylactic shock) can cause breathing problems, chest tightness, swelling of the throat or tongue, and other health risks.

• Powder-free latex gloves may be low in proteins but can still cause reactions and should never be used on anyone with a latex allergy.

the Hidden Costs Of Latex

• Additional OR teardown costs

• Contaminated disposable products and implants

• Idle OR time while room is decontaminated

• Re-sterilization for reusable products

• Occupational health visits and medical treatment for staff

• Worker’s compensation claims

LAtEx

SENSICARE

9www.medl ine.com

Today, the SensiCare portfolio continues to evolve with standard and specialty options to suit virtually any clinical tasks. With so many choices, going latex-free is easier than ever before. In fact, the average clinical acceptance rate for SensiCare is over 95%. It’s no wonder that SensiCare continues to outgrow the latex-free market segment and is used by some of the most prestigious hospitals in the world.

ISOLEx™ RAW MAtERIAL — MADE IN USA Medline is the only surgical glove company that manufactures its own raw material polyisoprene. Unlike other companies who rely on third party suppliers for their polyisoprene needs, Medline’s advantage is its control over research and development, quality, supply, and cost as a result of vertical integration.

In an effort to create awareness for the latex allergy, Medline offers its BE FREE DAY. At no cost to the facility, we’ll provide a day’s worth of SensiCare surgical gloves. This is a no pressure opportunity to introduce surgeons and staff to the latest latex-free surgical glove technology.

“Isolex™ Polyisoprene – A nearly identical molecular structure to natural rubber latex except for one key component – the latex proteins”

BE FREE DAYTry SenSiCare for free

76% of nurses surveyed say that SensiCare feels better that their current latex glove.** Independent survey of 1,418 nurses at AORN 2007

SENSICARE® – AS CLOSE tO LAtEx AS LAtEx-FREE CAN bEIn the late 1990s, SensiCare revolutionized the industry as the first synthetic Polyisoprene surgical glove in the world. Compared to first generation synthetic gloves made from Neoprene which are commonly used only for patients and staff with documented latex allergies, Medline’s proprietary Isolex™ formulation provides exceptional comfort and performance to natural rubber latex. For the first time in history, hospitals searching for an alternative to latex surgical gloves were able to achieve an important safety initiative while satisfying the clinical requirements of the surgical staff.


DOUbLE-GLOVINGDECREASE CROSS CONTAMINATION RISKS DURING

SURGERY WITH UNDERGLOVES FROM MEDLINE

WHY IS DOUbLE-GLOVING IMPORtANt?

The risk of exposure to bloodborne pathogens is a major concern for surgeons and operating room staff. Although often undetectable to the human eye, even microperforations in surgical gloves are large enough to allow pathogens to pass between the glove wearer and the patient and cause infection. A recent study reported that over 80% of all surgical glove perforations go unnoticed.4 Another study showed that the incidence of glove microperforations increased with duration of wear.5 A proven method to reduce these risks is to double glove with a dark colored underglove.

Medline Underglove Features & Benefits:• Low-protein latex and synthetic polyisoprene options available • Powder-free and coated with pure aloe vera to moisturize skin • Synthetic polymer coating for effortless damp hand donning and double gloving • Constructed on our surgeon preference-inspired formers to minimize hand fatigue • Thinner than standard gloves to enhance sensitivity

HOW DOES tHE DOUbLE GLOVING SYStEM WORK?

• The wearer dons the specially designed darker colored underglove as the first layer in protection followed by a light colored or translucent overglove.

• In the event that the outer glove is breached during surgery, blood and other fluids seep between the two glove layers, and the contrasting color of the dark green underglove alerts the wearer to change gloves.

• Changing gloves immediately following the breach minimizes the risk of transmission of pathogens between the wearer and the patient.8

bEttER PROtECtION. FAStER IDENtIFICAtION.

• A study by the American College of Surgeons showed double gloving reduces the risk of exposure to patient blood by as much as 87% when the outer glove is punctured.6

• According to a clinical study in the AORN Journal, when using a contrasting color underglove, 84% of perforations were recognized in an average of 22 seconds, whereas 8% of perforations were identified in 47 seconds when using a single glove.7

See green for safety.

SEE GREEN FOR SAFETY




SEE GREEN

FOR SAFETY


See green for safety.

SEE GREEN

FOR SAFETY


www.medl ine.com 11

FORMER DESIGNS

Smooth, micro-roughened, and

textured grip options

Anatomical design replicates the natural, curved shape of

the hand to minimize resistance

Wider palm dimension to accommodate overlapping surgical gown material and double

gloving without leading to hand fatigue

Tapered, beaded cuff design reduces rolldown, while extra length provides total coverage and

protects from strikethrough

Reinforced cuff material reduces tearing

SURGEON PREFERENCE INSPIRED FORMER DESIGNS

In order to provide comfort throughout long procedures, surgical gloves must have a precise fit, like a second layer of skin. Our former designs are the result of surgeon feedback and analysis of other popular glove brands from all over the world.

No matter what the hand’s shape, Medline has a glove that fits.

DISPOSABLE GLOVES ARE ONE OF THE HIGHTEST VOLUME SUPPLIES FOR HOSPITALS


CONSULtAtIVE SOLUtIONS & CLINICAL SUPPORt

Disposable gloves are one of the highest volume supplies for hospitals. With various departments, clinical tasks, and individuals all requiring different types and sizes of gloves, the amount of SKUs and suppliers can add up fast.

Before you know it, managing the inventory can become a challenge. As a worldwide leader in exam and surgical gloves, Medline can help you optimize your selection. Following a paper audit and an on-site walk-through of your facility, we’ll provide you with a detailed analysis of your current glove usage along with opportunities for SKU reduction/elimination, vendor standardization, and cost savings. We’ll also point out opportunities to implement newer or safer glove options.

Contact your Medline sales representative or call 1-800-MEDLINE to get started.

INCREASE EFFICIENCY AND UNCOVER SAVINGS WItH A GLOVE UtILIzAtION ANALYSIS

www.medl ine.com 13

EVALUAtION & CONVERSION MANAGEMENt PROGRAM

MAKING tHE PROCESS OF SWItCHING EASIER FOR YOU AND YOUR StAFFWe understand that surgical gloves are a clinically sensitive, surgeon-preference product and that change can be difficult. If you’re willing to evaluate and consider switching to our gloves, we believe we should make the process as simple as possible for you and your surgical staff. Our Evaluation & Conversion Management Program is an organized approach that combines the planning, communication, clinical support and education you deserve.

Your Medline sales representative meets with key decision makers to provide an overview including:

• Surgical glove portfolio

• Samples

• Literature

• Customized cross-reference including powder-free and latex-free options

• Cost analysis showing the impact of switching to Medline

the objective is to understand and align each other’s goals and expectations to ensure a positive outcome for both parties.

Medline provides customized letters and posters to properly communicate the evaluation.

Medline hosts a “glove preview” day to introduce the options before the evaluation to identify any special needs.

Your Medline sales representative and glove specialist will be on-site during the entire evaluation to:

• Detail the clinical advantages of our portfolio

• Assist in sizing and selection

• Educate the staff on recent glove safety trends and technological improvements

• Address any questions or concerns.

throughout the evaluation, we will update key department heads and collect evaluation forms. the feedback we receive allows us to work with anyone in your facility who has not been able to find a suitable glove option.

At the conclusion of the evaluation, Medline will present your key decision makers with copies of the evaluation forms, a summary of the results, and an action plan for conversion.

StEP 1: OVERVIEW

StEP 2: OBJECTIVE

StEP 3: COMMUNICATION

StEP 4: GLOVE PREVIEW

StEP 5: EVALUATION

StEP 6: FEEDBACK

StEP 7 : ACTION PLAN


PACKAGING

VISUAL PACKAGING HELPS YOU FIND tHE RIGHt GLOVE MORE QUICKLY

Non-folded polyethylene pouch ensures product sterility during transport and storage and allows for aseptic donning

Unique horizontal bar color scheme makes it easy for staff to identify the correct glove no matter how they’re stored

Product name, material and description are highlighted front and center with large and readable text

Dispenser label clearly identifies additional important information including glove size, reorder number, barcode, lot number and manufacturing/expiration dates

Latex or Latex-free symbol ensures staff selects the correct glove depending on patient or staff allergies

Easy access triangular dispenser opening with large pull tabs for unobstructed access

Medline recognizes and is concerned with how our products and operations affect the local, regional and global environment. To this end, we are committed to continuously improving our environmental performance. Local environmental laws and regulations are be regarded as the minimum level of environment performance for our organization. We understand that a key element of our corporate environment strategy is waste management and therefore recognize the need to use materials derived from sustainable sources and to use recyclable packaging materials wherever possible. We optimize the dimensions and weight of our packaging to increase the transportation efficiency and thereby help to reduce the product’s carbon footprint.

www.medlineuniversity.com

Join 300,000 other nurses for free CE courses at www.medlineuniversity.com

• 220 courses

• 22 curriculum tracks

• Interactive competencies

• Flexible access: PC, iPhone, iPad

• Free registration

MEDLINE UNIVERSItY®

Medline United States Medline Canada Medline México1-800-MEDLINE (633-5463) 1-800-396-6996 01-800-831-0898www.medline.com | [email protected] www.medline.ca | [email protected] www.medlinemexico.com | [email protected]

Medline Industries, Inc.One Medline PlaceMundelein, IL 60060

Some products may not be available for sale in all countries. Please contact your local Medline sales representative, customer service, or authorized Medline distributor for availability. We reserve the right to correct any errors that may occur within this brochure. © 2012 Medline Industries, Inc. All rights reserved. Aloetouch®, Medline®, Neolon®, SensiCare® and Medline University® are registered trademarks and Isolex™ is a trademark of Medline Industries, Inc., One Medline Place, Mundelein, IL 60060

MKT1331034/LIT295/5M/SG/4

References

1. Edelstam, J. et al. Glove powder in the hospital environment – consequences for healthcare workers. Int. Arch. Environ. Health 2002; vol. 75: 267-271. 2. Korniewicz, Denise M., and Maher El Masri. “Effect of Aloe Impregnated Gloves on Hand Hygiene Attitudes of Health Care Workers.” MEDSURG Nursing 16.4 (2007): 247-52. Print. 3. Mitchell, H. “Evaluation of Aloe Vera Gel Gloves in the Treatment of Dry Skin Associated with Occupational Exposure.” American Journal of Infection Control 31.8 (2003): 516. Print. 4. Edlich R, Wind T, Hill L, Thacker J 2005 Resistance of double glove hole puncture indication systems to surgical needle puncture Journal of Long-term Effects of Medical Implants 15(2) 85-90 5. Partecke, Lars Ivo, Anna-Maria Goerdt, Inga Langner, Bernd Jaeger, Ojan Assadian, Claus-Dieter Heidecke, Axel Kramer, and Nils-Olaf Huebner. “Incidence of icroperforation for Surgical Gloves Depends on Duration of Wear.” Infection Control and Hospital Epidemiology 30.5 (2009): 409-14. Print. 6. Berguer R & Heller PJ. Preventing sharps injuries in the operating room. Journal of the American College of Surgeons. 2004; (199)3:462-467. 7. Korniewicz D & El-Masri M. Exploring the benefits of double gloving during surgery. AORN Journal. 2012; 95(3):328-336. 8. Thomas-Copeland, Do Surgical Personnel Really Need to Double-Glove? AORN Journal, FEBRUARY 2009, VOL 89, NO 2; page 327.

NORtH AMERICA

GLObAL HEADQUARtERS | MANUFACtURING FACILItY | DIStRIbUtION bRANCHES

EUROPE

Runcorn, UK

Basingstoke, UK

Glasgow, UK

Kleve, DESwinoujscie, PL

Sollentuna, SE

Vilvoorde, BE

Chateaubriant, FR

Rolle, CH

Florence, IT

Troyes, FRVoisins, FR

Madrid, ES

PACIFIC RIM

Shanghai, CN

Phnom Penh, KH

Melbourne, AU

Perth, AU

Auckland, NZ

Christchurch, NZ

Tokyo, JPNagoya, JP

Osaka, JP

Saijo, JPAisai, JP

Fukuoka, JP

Sapporo, JP

Sydney, AU

Brisbane, AU

Townsville, AU

Vancouver, CA

Mexico City, MXCampeche, Calkini & Merida, MX

Monterrey, MXNuevo Laredo, MX

Honea Path, SC

Guadalajara, MX

Toronto, CAU.S. Facilities32 Distribution centers8 Manufacturing sitesNot shown: Puerto Rico, Hawaii

Manufacturing DistributionCorporate Headquarters Isolex Manufacturing Plant Office

Medline is a global company that donates much needed medical supplies, including surgical gloves, each year to disaster relief, mission trips, and underprivileged areas and to promote healthcare education.

MEDLINE CARES

Surgical Gloves - A Comprehensive Guide | Selection, Support, Solutions

Education

key decision

powdered gloves

health care

medline sales

natural rubber

powdered latex

surgical glove

medline surgical