Regulatory guidelines for sampling of drugs cosmetics and medical devices by Drugs Inspectors of Central and State Drug Authorities

REGULATORY GUIDELINES FOR SAMPLING OF DRUGS, COSMETICS & MEDICAL DEVICES BY DRUGS INSPECTORS OF CENTRAL & STATE DRUG AUTHORITIES Version 00 Central Drugs Standard Control Organization Directorate General of Health Services Ministry of Health & Family Welfare Government of India Page 1 of 27Index 1. Introduction 2. Sampling Plan 3. Selection of Sample 4. Selection of Sampling Location 5. Number of Samples 6. Quantity of Samples 7. Timelines 8. Database/ Monitoring 9. NSQ / Spurious Alerts 10. Testing Laboratories 11. Annexures 1-5 Page 2 of 271. Introduction Good quality medicines are essential for efficient disease management. Not of standard Quality (NSQ) and Spurious drugs can cause treatment failure and adverse reactions, increase morbidity and mortality, and contribute to the development of drug resistance. Vulnerable populations and patients with co-morbidities are at particular risk of being harmed from receiving substandard or spurious medicines. Poor-quality medicines also increase health care costs to both patients and the health system as a whole, wasting resources that could otherwise be used to benefit public health. Drugs regulation in India is a complex process, where one side approval of new drugs, issuance of manufacturing license, wholesale license, retail license and their renewal/ retention are carried out by central and state regulatory authorities, which involves assessment of product technical documentation, inspection to ascertain manufacturers’ compliance with the principles of Good Manufacturing Practices (GMP) and approval or issuance of approval & license as per Drugs & Cosmetics Act and Rules there under. Other side it also includes post-marketing surveillance (PMS) activities, such as maintenance of Market authorization/ registration through Post approval changes (PAC) for Biologicals, regular inspections of manufacturers, wholesalers and retailers, quality control testing, pharmacovigilance, routine sampling of products from the distribution channel and implementation of regulatory actions in the event of any quality problem reported to Drug Regulatory Authorities. In general, sampling is carried out to assess the quality of drugs, cosmetic provided to patients and generate the data that can help to formulate strategies and plans to ensure the continuous availability of good quality products in the market. Sampling also confirms that patients are receiving satisfactory products and give reassurance that the regulatory system of the country is functional, or when there is a suspicion that patients are not receiving satisfactory medicines. The Section 22 & 23 of the Drugs & Cosmetics Act 1940 prescribes the detail procedure for samples to be taken by Drugs Inspectors of Central and State drugs control as a part of routine drugs quality surveillance. Drugs sampling are costly tasks and limitations of resources may restrict the number of samples collected, parameters tested, techniques to be used for analysis or number of Drugs Inspector & Laboratory available to conduct the sampling and analysis respectively. Therefore, it is important to optimize the use of resources by focusing on parameters that pose a higher risk to patients and apply risk analysis during planning of the sampling. Page 3 of 27From the past trends it is observed that there is no defined methodology for sample selection & location of sampling etc and was done randomly with the individual knowledge of Drug Inspectors. Often it was seen that sampled drugs are from big brands and collected from urban locations or sub urban locations only. The interior locations or rural distributions are not covered and thereby quality of drugs at distant user/ last user was not being assessed. Cosmetics samples were not collected in some regions. There is no centralize database of sale outlets where NSQ / Spurious product were reported, such identified outlets are to be kept for regular vigilance. The main objective of the sampling is to check the quality & efficacy of drugs & cosmetic available in the market with their approved specifications. This involves:  Monitoring the quality of the API, Excipients and finished products of drugs, cosmetic and medical devices in all parts of the distribution chain throughout the authorised shelf-life.  Ensuring that existing control methods are satisfactory.  Investigating the Not of Standard Quality (NSQ) Product.  Identifying Unapproved Products/ Without License sales outlets.  Identifying Spurious drugs in distribution chain  Identifying sales outlets where repetitive NSQ/ Spurious drugs are reported etc. This guideline is mainly focused to utilize available information & identified risks for selection of sample & location to cover vast variety of drugs, cosmetic and medical devices moving in the market from manufacturing facility, wholesale outlet, retail outlet, government distribution channel etc. in urban, sub-urban, and rural locations. To maintain a centralized monthly NSQ/Spurious drug list and publishing on CDSCO website to avoid their further use. This guideline will be useful for effective surveillance for quality & efficacy of drugs & cosmetic available in the market by adopting uniform drug sampling methodology for drugs inspectors under drug regulatory authorities of state and central. 2. Sampling Plan: Each drugs inspector with consultation of his controlling authority shall prepare a sampling plan on monthly basis & annual basis for finalizing the sampling locations to cover the entire jurisdiction/ area under their office.This will avoid communication gap between the officers and optimum utilization of resource to cover the maximum territory and all kind of product category with identified risk and approached under this guidance document. Sampling plan shall include rural/ tribal areas and drugs used in areas of endemic for certain diseases, drugs for seasonal diseases etc., Page 4 of 27The annual sampling plan shall be shared with their headquarters of their offices for review and to avoid any repetitive sampling of one brand and to cover maximum variety of brand/category in proposed sampling schedule. 3. Selection of sample: The selection of sample will depend on various factors, which may indicate possible higher risk to the quality of drug. The Drugs Inspectors shall draw samples of different therapeutic categories, different formulations, and different manufacturers from a one sales outlet by applying following identified risks, it is not exhaustive and is only indicative. a. Feedback/information from citizens, Healthcare professionals. Products on which efficacy information is received during interaction with Doctors/Medical Representatives / Chemists / Pharmacists / Consumers / Media /Public Domain. b. Sampling schedule provided by CDSCO for specific therapeutic category drugs in specific months (Yearly Joint Surprise Check schedule provided by CDSCO). c. Use of Drugs Alert of CDSCO and State Drug Authorities for detail of frequent NSQ/ Spurious drugs and their manufacturing & sales outlets. d. Seasonal changes in environmental conditions may have an influence on the quality of the medicine collected. It is possible that Spurious of antimalarial are more common during the malaria season and so on. e. Brands of the same product sold at different prices and aimed at different market segments. f. Drugs found procured or sold at huge discounts (in deviation to ethical market practices) g. Products with high consumption volumes. h. Products having low potency and narrow therapeutic index. i. Drugs found with tampered label. j. Products which are sold during specific seasons or pandemic. k. Information from various disease control programmes can be used like National Programs for De-worming, Universal vaccination etc. l. Drugs manufactured by new manufacturers. m. Products which are labeled / printed in suspicious manner. e.g. lack of required details, mistakes in spelling, illegible description etc. n. Drugs with poor quality of primary packing (packing that comes indirect contact with the dosage form depending on the season and Products whose packing gives rise to suspicion of being low quality. o. Products with one or more visible defects. p. Brands which appears to be same/resemblance of other well-known or established brands. Page 5 of 27q. Drugs for which proper purchase/sale record is not maintained (No purchase bills/ Batch Number or Date of Manufacturing or Expiry does not tally with the bill/ proper sale record not maintained especially if it is a wholesale concern). r. Drugs that are usually sold/distributed to specific perceivably doctor attached counters and are not available in general counters. s. Products which are in supply chain from different route other than regular/ authorize supply chain of manufacturer i.e. Super Stockiest – Stockiest – Wholesaler – Retailer. t. Inter-State purchase by the whole seller or retailer and other than regular/ authorize supply chain of manufacturer. The Drugs Inspector shall ensure that at least all the above identified risks are utilized in his sampling activities of 06 months. Further, not more than 03 samples are collected from one sale outlet and excess sampling, if any reasons shall be recorded and approved by the controlling authority. 4. Selection of Sampling Location: The sampling location can be identified by applying following approaches; it is not exhaustive and is only indicative; a. Frequent NSQ reports b. Market complaints c. Manufacturing and sales locations not yet sampled or last sampling was done more than 01 years before by state or central drugs inspector. d. Government Medical Store Depot. e. Private/Public Sector manufacturing firms. f. State, Central Government Hospitals/Institutes having local purchase by the Hospital/Institute. g. Wholesale/Retail sales premises. h. Sale outlets having operation in morning and evening hours only. i. Sales outlet located nearby school & colleges. j. Sales outlet situated at border areas of district, state, and country. k. Prevalence of the disease in region & season for which the target medicines are indicated. l. Complexity of manufacturing, m. Stability of the medicine – risk of quality deterioration under local conditions of storage, distribution and use. n. Non-Compliance of manufacturers of the target medicines with GMP principles. Page 6 of 27o. Complexity of distribution chain for the target medicines and likelihood of non- compliance with good distribution practices (GDP) principles and approved storage conditions during distribution and storage. 5. Number of Samples: Each Drugs Inspector shall collect samples under the provision specified in the Section 22 & 23 of the Drugs & Cosmetics Act 1940. Each Drugs Inspector shall collect at least 10 samples in a month comprising of following; a. 09 samples of drugs (API, Excipient and Formulations) b. 01 sample of cosmetics/ Medical Device. 6. Quantity of samples It is important that sufficient quantity of samples are collected & forwarded to laboratory so that all the parameters are tested and re-testing, if any required by laboratory before issuing of NSQ test report. The quantity of samples also varies with type of samples like API, Formulations (Tablets, Capsules, Liquid Oral, Injectable, Large Volume Parenteral, Ointment, Lotions etc), Cosmetics, medical devices etc., Please refer Annexure 1-5 for quantity required for testing of various sample product category. Sometime, retail outlets or rural sale outlet are not having sufficient quantity for complete testing and it become challenge to divide & pack sample in four equal portions. In this situation priority shall be given for tests like identification and assay under reduced testing to rule out spurious products. In such cases the sample portion can be divided in 02 equal portion preferably both with primary/secondary labels (one portion for Government analyst and other for producing in the court) and remaining 02 portions sufficient for performing reduced testing. This information shall be recorded in respective forms under Drugs, Cosmetics & Medical Devices Rules and covering letter to respective Government Analyst, where sample is sent for testing for reduced testing i.e. identification and assay only due to non-availability of full quantity. 7. Timelines: It is important to avoid any procedure delay in testing and obtaining of test report from the laboratory, so that further use of identified NSQ products are stopped by issuing drug alert and product recall notice at the earliest for public awareness, irrespective to proceeding of Drugs Inspector as per provision under Drugs & Cosmetic Act & Rules there under. Following timelines are to be followed; Page 7 of 27a. The Drugs Inspector shall plan the sampling in such a way that samples are forwarded to laboratory on the same day of sampling. b. If delay happens due to transit from rural location or distant location to office, then sample shall be forwarded to laboratory by next day and not later than that. c. The disclosure under section 18A of Drugs & Cosmetics Act & Rules there under for Name, Address, copy of purchase invoice and other particulars of the person from whom he acquired the drug or cosmetic shall be obtained during sampling to rule out the possibility of Spurious drug. Further distribution chain establishment up to manufacturer level under section 18A of Drugs and Cosmetics Act is to be completed for all samples. This will be helpful to ensure the availability of true product in the market and also to initiate quick actions for NSQ product declared by the Government Analyst. d. The Drugs Inspector shall obtain the method of analysis & reference/working standards from manufacturer for sample belongs to patent & proprietary drugs or new drugs, without waiting for communication from laboratory and shall provide to the laboratory for timely testing of the product. e. The head of state and central laboratories shall forward NSQ reports in excel sheet format as per Para 9 with copy of test report preferably before 10th of every month for uploading at CDSCO website under Drug/Device/Cosmetic NSQ Alert for vide public awareness. f. The head of the field offices of the State and central drug authorities shall forward the monthly spurious alert as per following excel sheet format as per Para 9 for uploading at CDSCO website under Spurious Drug/Device/Cosmetic Alert for vide Public Awareness preferably before 10th of every month. NOTE: CDSCO Drug Inspectors shall use SUGAM Lab Portal for generation of Form-17/ Form-17A/ Form-18 and forwarding through online (forms only) & offline (printed forms & samples) to the concerned laboratory. 8. Database / Monitoring: Each Drugs Inspector shall maintain data of sampling and shall submit to their controlling authority on monthly basis for execution of sampling plan. The inputs from the monthly data of sampling shall be used for planning of next month’s sampling plan. Following information are to be maintained; a. Number of samples drawn and their process completion up to test report from laboratory and chain establishment up to manufacturer level. Page 8 of 27b. Number of NSQs reported by laboratory and their action taken (Drugs Alert, Product Recall, Proposal to controlling Authority for Admin/Legal Action, Completed Action like Suspension /Cancellation of license, Court Cases Number etc.) c. The cases of Spurious products reported by laboratory in test report or identified under chain establishment up to manufacturer by the Drugs Inspectors and their action taken (Drugs Alert indicating all the locations, Product Recall / Seizure, Number of Arrest, Proposal to controlling Authority for Legal Action, Court Cases No.). Each Drug Controlling office shall prepare a list on monthly basis for Wholesale/retail outlet with name of registered pharmacist and owner where Spurious products are reported/ distribution chain is broken for the provided invoice. The above list shall be shared to their head office for preparation of centralized list of wholesaler / retailer outlets revealed in sale/distribution of Spurious products and to give wide publicity for public to avoid use of purchased medicine from these outlets. 9. NSQ / Spurious Alerts: The NSQ reports received from state and central laboratories shall be reported in following excel sheet format with copy of test report preferably before 10th of every month for uploading at CDSCO website under Drug/Device/Cosmetic NSQ Alert for vide public awareness. NSQ Alert for month……… Sr. Product B. Manufacturing Expiry Manufa NSQ Reported by CDSCO/ No. / Drug No. date Date ctured Results State Lab Name By 1. 2. The samples identified as Spurious due to distribution chain breakage or reported by the manufacturer as Spurious shall be reported in following excel sheet format with copy of Drugs Inspector report indicating distribution chain break with manufacturer response indicating how to identify original product from reported Spurious. The head of the field offices of the State and central drug authorities shall forward the monthly spurious alert as per following excel sheet format for uploading at CDSCO website under Spurious Drug/Device/Cosmetic Alert for vide Public Awareness preferably before 10th of every month. Page 9 of 27Spurious Alert for month……. Sr. Product B. Manufacturi Manufact Sale Outlets Involved Response of Reported No. / Drug No ng/Expiry ured By in distribution of Original by Name . Date as per Spurious Drug Manufacture CDSCO/ Label (Name & Address of r stating State/ outlet with Pin code how to Manufact and Pharmacist Name identify the urer with Registration original number) product from reported Spurious product 1. 1. Sampled At 2. 3. 4.Detail disclosed in Invoice is not verifiable due to non-existence of firm/address and supply chain broke. 2. 11. Testing Laboratories: Detail of Notified laboratories for Drugs, Cosmetics and Medical device at central and state level is already available in Rules and notification/ letters circulated time to time. States which are not having their own testing laboratories has notified Central Drugs Testing laboratories and Central labs are testing samples of state drugs inspectors. In some quality complaint cases where state is neither have their own laboratory nor notified central laboratory for specific product category etc. shall request the respective CDSCO field office for sampling by the CDSCO inspector for sampling. Recently, G.S.R 409(E) dated 2nd June, 2023-Medical Devices (Amendment) Rules, 2023 “State medical Devices Testing Laboratory” means a medical devices laboratory established or designated by the State Government under sub-rule (3) of rule 19”. Central Medical Device Testing Laboratory (CMDTL) for testing of Medical Devices under MDR 2017. Total 6 CMDTL are notified by MOH&FW under MDR 2017 for testing of devices in the country as per S.O 2237(E) dated 1st June 2018. Page 10 of 27S.No Name of Laboratory Category of medical device 1 The National Institute of In-Vitro Diagnostics for human Immunodeficiency Biologicals, Noida virus, Hepatitis B Surface Antigen and Hepatitis C Virus, Blood Grouping sera, Glucose Test Strip, Fully Automated Analyser Based Glucose Reagent 2 The Central Drugs Testing Condoms laboratory, Chennai 3 The Central Drugs Surgical Dressings, Surgical Cotton, Surgical Laboratory, Kolkata Bandages, Disinfectant 4 The Regional Drugs Testing Disposable Hypodermic Syringes, Disposable Laboratory (RDTL), Hypodermic Needle, Disposable Perfusion Sets, Guwahati I.V. Cannulae 5 The Central Drugs Testing Intra Uterine Devices (IUD) and Falope Rings Laboratory, Mumbai 6 The Regional Drugs Testing Disposable Hypodermic Syringes, Disposable Laboratory, Chandigarh Hypodermic Needles, Disposable Perfusion Sets, Catheters, I.V. Cannulae, Scalp Vein Set, Ligatures, Sutures, Staplers, Surgical Dressing, Umbilical Tapes.”. Page 11 of 27Annexure-1 Quantity of Drugs Sample Required For Complete Analysis S.No. Name of Drug Sample Form-18 Survey Samples Samples 1. Tablets 100 Tablets 20 Tablets 2. Capsules 100 Capsules 20 Capsules 3. Syrups / Oral Liquids/ 12 Bottles 2 Bottles Suspensions 4. Injection (Ampoule) (1-10 ml) 40 Ampoules 10 Ampoules Injection (Ampoule ) (10-100 25 Ampoules 10 Ampoules ml) 5. Large Volume Parentrals ( more 10 Bottles 2 Bottles than 100 ml ) 6. Powder for injection ( Sterile) 40 Vials 5 Vials 7. Dry Powder for Oral/ Liquid 25 Bottles 5 Bottles Suspension 8. Oral Rehydration Salt Sachets 30 Pcs 5 Pcs 9. API Drug 2 x 10 gm 5 gm 10. Ointment / Creams / Paste / Gel 12 Pcs 2Pcs (Non Sterile) Ointment / Creams / Paste / Gel 20pcs 5pcs (Sterile) 11. Eye / Ear Drops 40 Vials/ pcs 5 Vials/ pcs 12. Nasal Preparation 20 Vials 5 Vials 13. Inhalers/ Spray 40 Pcs 5 Pcs 14. Pessaries / Lozenges 60 Pcs 20 Pcs 15. Empty Gelatine Capsules 500 Capsules 100 Capsules Page 12 of 27Annexure-2 Quantity of Cosmetics Sample Required For Complete Analysis S.N Name of Cosmetic Sample Form-18 Survey Samples Samples 1. Skin Cream 3 x 50 gm 1 x 50 gm 2. Hair Cream 3 x 50 gm 1 x 50 gm 3. Shampoo 3 x 200 ml 1 x 200 ml 4. Soap 3 x 150 gm 1 x 150 gm 5. Transparent Toilet Soap 3 x 150 gm 1 x 150 gm 6. Tooth Powder 3 x 50 gm 1 x 50 gm 7. Shaving Cream 3 x 15 gm 1 x 15 gm 8. Cosmetic Pencil 20 Pencils 5 Pencils 9. Hair Dyes ( Liquid, Gel & 3 x 100 ml 1 x 100 ml Cream) 10. Powder Hair Dyes 4 x 20 gm 1 x 20 gm 11. Liquid Toilet Soap 3 x 100 ml 1 x 100 ml 12. Bathing Bar 3 x 75 gm 1 x 75 gm 13. Hair Oil 3 x 50 ml 1 x 50 ml 14. Lipstick 15 Packs 5 Packs 15. Nail Polish 15 Packs 5 Packs 16. Talcum Skin powder 3 Packs 1 Packs 17. Kajal 10 Packs 1 Packs 18. Any other cosmetic 3 Packs 1 Packs Page 13 of 27Annexure-3 Quantity of Vaccine Sample Required For Complete Analysis S.N Name of Vaccine Sample Form-18 Samples 1. Antitoxin / Anti Serum 10 ml x 10 vials / ampoules 1 ml x 50 vials / ampoules 2. Anti-Snake Venom Serum / Anti 10 ml x 5 vials / ampoules Rabies Serum 5 ml x 10 vials / ampoules 3. Bacterial Vaccine BCG 10 dose x 50 vials / ampoules/PFS 5 dose x 20 vials / ampoules 10 dose x 10 vials / ampoules 20 dose x 10 vials 10/20 dose x 40 vials 4. Viral Vaccine OPV 1 dose x 50 vials/ampoules/PFS 5 doses x 20 vials/ ampoules 10 doses x 10 vials/ampoules 20 doses x 20 vials 5. Blood Products 3 containers of 50 ml above 5 vials of 10 ml each 10 vials of 2 ml each 25 vials of 2 ml each 50 vials of 1 ml each 6. Surgical Sutures 50 Strands Page 14 of 27Annexure-4 QUANTITY OF BIOLOGICAL/ Medical Devices SAMPLES (*Note: List is for reference purpose only, however please check website of NIB, Noida for current information) NEW PRODUCT NAME QUANTITY REQUIRED/ BATCH CODE TESTING RETAINED A.1.1 Glucose Reagent- 500 ml or 1000 Nil Open Ended Tests with Chemistry accessories A.1.2 Glucose Reagent- 1000 Tests or Reagent Nil Closed Chemisty quantity enough for use System over 25 working days vis-a-vis on-board shelf life of Reagent with accessories A.2 Blood Glucose Test Strips 1200 Test Strips with 350 Test Strips with accessories accessories A.3 Glucometer Device 10 Nos. with accessories 02 Nos. with accessories B.1 ABD Pad 140 Tests 60 Tests B.2 ABO confirmation card 144 Tests 72 Tests B.3 ABO Rh Typing Card 144 Tests 72 Tests B.4 Anti D (Verification of 2 vials 1 vial Weak D by IAT) B.5 **Anti Kpb Reagent 2 vials 1 vial B.6 Anti-A (Bulk) 1vial 1 vial B.7 Anti-A (Concentrate Bulk) 1vial 1 vial B.8 **Anti-A /B / D /K / 144 Tests 72 Tests control ABO card B.9 Anti-A Monoclonal 2 vials 1 vial B.10 Anti-A (Lectin) 2 vials 1 vial 1 B.11 Anti-AB (Monoclonal) 2 vials 1 vial B.12 Anti-B ( Concentrate Bulk) 1 vials 1 vial B.13 Anti-B (Bulk) 1 vials 1 vial B.14 Anti-B (Monoclonal) 2 vials 1 vial B.15 **Anti-Cw Reagent 2 vials 1 vial B.16 Anti-D ( RH1) (Totem) 2 vials 1 vial B.17 Anti-D (IgG) Monoclonal 2 vials 1 vial B.18 Anti-D (IgM) Monoclonal 2 vials 1 vial B.19 Anti-D (IgM)( Bulk) 1vial 1vial B.20 Anti-D (IgM) 1vial 1 vial (Concentrate Bulk) B.21 Anti-D (IgM+IgG) (Bulk) 1vial 1 vial B.22 Anti-D (IgM+IgG) 1vial 1 vial (Concentrate Bulk) B.23 Anti-D (IgM+IgG) 2 vials 1 vial Monoclonal Page 15 of 27B.24 **Anti-Fya Reagent 2 vials 1 vial B.25 **Anti-Fyb Reagent 2 vials 1 vial B.26 Anti-H (Lectin) 2 vials 1 vial B.27 Anti-Human Globulin 2 vials 1 vial B.28 **Anti-Jka Reagent 2 vials 1 vial B.29 **Anti-Jkb Reagent 2 vials 1 vial B.30 **Anti-k Reagent 2 vials 1 vial B.31 **Anti-K Reagent 2 vials 1 vial B.32 **Anti-Kpa Reagent 2 vials 1 vial B.33 **Anti-Lea Reagent 2 vials 1 vial B.34 **Anti-Leb Reagent 2 vials 1 vial B.35 **Anti-M Reagent 2 vials 1 vial B.36 **Anti-N Reagent 2 vials 1 vial B.37 **Anti-P Reagent 2 vials 1 vial i B.38 **Anti-s Reagent 2 vials 1 vial B.39 **Anti-S Reagent 2 vials 1 vial B.40 Blood Grouping Cards 144 Tests 72 Tests B.41 Blood Grouping Rapid Card 144 Tests 72 Tests Test B.42 Bovine Serum Albumin 2 vials 1 vial B.43 CombiPack ABD 2 combipack 1 combipack Monoclonal Antibody B.44 **Gel Card Anti-M 144 Tests 72 Tests B.45 **Gel Card Anti-N 144 Tests 72 Tests B.46 Gel Card Anti-A (Lectin) 144 Tests 72 Tests 1 B.47 **Gel Card Antigen Profile I 144 Tests 72 Tests B.48 **Gel Card Antigen Profile II 144 Tests 72 Tests B.49 **Gel Card Antigen Profile III 144 Tests 72 Tests B.50 Gel Card Anti-H (Lectin) 144 Tests 72 Tests B.51 Gel card for Direct Anti 144 Tests 72 Tests Globulin test B.52 *Gel card for new born 144 Tests 72 Tests B.53 Gel Card forward & reverse 144 Tests 72 Tests grouping B.54 Gel Card forward grouping 144 Tests 72 Tests B.55 Gel Card Rh Subgroups 144 Tests 72 Tests B.56 *Gel Cards ABO/Rh for 144 Tests 72 Tests Newborns DVI Neg/Pos B.57 Gel Cards Anti- 144 Tests 72 Tests A/B/AB/DVI Pos/ DVI Neg/Ctl B.58 Gel Cards Anti-A/B/D/Rh 144 Tests 72 Tests subgroups B.59 **Gel Cards Anti-Cw 144 Tests 72 Tests B.60 Gel Cards Anti-D (Human) 144 Tests 72 Tests B.61 Gel Cards Anti-DVI 144 Tests 72 Tests B.62 **Gel Cards Anti Fya 144 Tests 72 Tests B.63 **Gel Cards Anti Fyb 144 Tests 72 Tests Page 16 of 27B.64 **Gel Cards Anti Jka 144 Tests 72 Tests B.65 **Gel Cards Anti Jkb 144 Tests 72 Tests B.66 **Gel Cards Anti K 144 Tests 72 Tests B.67 **Gel Cards Anti-k 144 Tests 72 Tests B.68 **Gel Cards Anti-Kpa 144 Tests 72 Tests B.69 **Gel Cards Anti-Kpb 144 Tests 72 Tests B.70 **Gel Cards Anti-Lea 144 Tests 72 Tests B.71 **Gel Cards Anti-Leb 144 Tests 72 Tests B.72 **Gel Cards Anti-Lua 144 Tests 72 Tests B.73 **Gel Cards Anti-Lub 144 Tests 72 Tests B.74 **Gel Cards Anti-Pi 144 Tests 72 Tests B.75 **Gel Cards Anti-S 144 Tests 72 Tests B.76 **Gel Cards Anti s 144 Tests 72 Tests B.77 Gel Cards Crossmatch 144 Tests 72 Tests Testing (CT) B.78 Gel Cards Neutral 144 Tests 72 Tests B.79 **Gel Cards Rh subgroups + 144 Tests 72 Tests Cw + K B.80 **Gel Cards Rh subgroups + 144 Tests 72 Tests K B.81 Gel Cards Type + Screen 144 Tests 72 Tests B.82 Microplate for forward & 144 Tests 72 Tests Reverse grouping B.83 *Newborn casette for 144 Tests 72 Tests AntiA/AntiB/ Anti AB/ Anti D/ Control / Anti IgG B.84 Sera/Gel Card for AHG & 144 Tests 72 Tests C3d B.85 Gel cards for Anti-A, B, DVI- 144 Tests 72 Tests /Enzyme/AHG B.86 Gel cards for DAT Anti-IgG- 144 Tests 72 Tests Dilution B.87 Gel cards for LISS/ 144 Tests 72 Tests Coombs + Enzyme Test B.88 Gel cards for DC-Screening 144 Tests 72 Tests I B.89 Gel cards for Reverse 144 Tests 72 Tests Grouping with Antibody Screening B.90 Anti-Human Globulin IgG 2 vials 1 vial B.91 Anti-Human Globulin C3d 2 vials 1 vial B.92 Rh Phenotype Card with 144 Tests 72 Tests Anti-D B.93 Gel card for ABO/Rh for 144 Tests 72 Tests Patients B.94 **Anti-Lua Reagent 2 vials 1 vial B.95 **Anti-Lub Reagent 2 vials 1 vial B.96 Starter pack for preparing 2 Pack 1 Pack Coombs Control Cells B.97 Gel Card for DC Screening II 144 Tests 72 Tests B.98 Gel Card for ABO Sub 144 Tests 72 Tests Grouping C.1 Anti HBc IgM CLIA 150 Tests 150 Tests C.2 Anti HBc IgM ELFA 150 Tests 150 Tests Page 17 of 27C.3 Anti HBc IgM ELISA 96 Tests x 02 Kits 96 Tests x 02 Kits C.4 HBe Ag CLIA 150 Tests 150 Tests C.5 HBe Ag ELFA 150 Tests 150 Tests C.6 HBe Ag ELISA 96 Tests x 02 Kits 96 Tests x 02 Kits C.7 Anti HBs CLIA/HBs Ab CLIA 150 Tests 150 Tests C.8 Anti HBs ELFA/HBs Ab 150 Tests 150 Tests ELFA C.9 Anti HBs ELISA/HBs Ab 96 Tests x 02 Kits 96 Tests x 02 Kits ELISA C.10 Anti-HBe CLIA/ HBe Ab 150 Tests 150 Tests CLIA C.11 Anti-HBe ELFA/ HBe Ab 150 Tests 150 Tests ELFA C.12 Anti-HBe ELISA/ HBe Ab 96 Tests x 02 Kits 96 Tests x 02 Kits ELISA C.14 Dengue IgM ELISA 96 Tests x 02 Kits 96 Tests x 02 Kits C.15 HBc IgM CLIA 150 Tests 150 Tests C.16 HBc IgM ELFA 150 Tests 150 Tests C.17 HBc IgM ELISA 96 Tests x 02 Kits 96 Tests x 02 Kits HBc Total CLIA/ 150 Tests 150 Tests C.18 Anti HBc Total CLIA HBc Total ELFA 150 Tests 150 Tests C.19 / Anti HBc Total ELFA HBc Total ELISA/ 96 Tests x 02 Kits 96 Tests x 02 Kits C.20 Anti HBc Total ELISA C.21 HBe Ag-Ab CLIA 250 Tests 250 Tests C.22 HBe Ag-Ab ELFA 250 Tests 250 Tests C.23 HBe Ag-Ab ELISA 96 Tests x 03 Kits 96 Tests x 03 Kits C.24.1 700 Tests 700 Tests HBsAg CLIA C.24.2 400 Tests 400 Tests C.25.1 700 Tests 700 Tests HBsAg ELFA C.25.2 400 Tests 400 Tests C.26.1 96 Tests x 07 Kits 96 Tests x 07 Kits HBsAg ELISA C.26.2 96 Tests x 04 Kits 96 Tests x 04 Kits C.27 HBsAg Confirmatory ELISA* 100 Tests 100 Tests C.28.1 600 Tests 600 Tests HBsAg Rapid (Strip/Cassette) C.28.2 250 Tests 250 Tests {Lateral Flow (Immunochromatogr aphy)} C.29.1 700 Tests 700 Tests HCV Ab CLIA C.29.2 400 Tests 400 Tests C.30.1 700 Tests 700 Tests HCV Ab ELFA C.30.2 400 Tests 400 Tests C.31.1 96 Tests x 07 Kits 96 Tests x 07 Kits HCV Ab ELISA C.31.2 96 Tests x 04 Kits 96 Tests x 04 Kits HCV Ab 100 Tests 100 Tests C.32 Confirmatory/ Supplemental Rapid HCV Ab Rapid 600 Tests 600 Tests C.33.1 (Strip/Cassette) {Lateral Flow C.33.2 250 Tests 250 Tests (Immunochromatogr aphy)} Page 18 of 27C.34 HCV Ab RIBA 100 Tests 100 Tests HCV Ab C.35 100 Tests 100 Tests Confirmatory Western Blot C.36.1 700 Tests 700 Tests HCV Ag-Ab ELFA C.36.2 400 Tests 400 Tests C.37.1 96 Tests x 07 Kits 96 Tests x 07 Kits HCV Ag-Ab ELISA C.37.2 96 Tests x 04 Kits 96 Tests x 04 Kits C.38.1 700 Tests 700 Tests HIV 1&2 Ab CLIA C.38.2 400 Tests 400 Tests C.39.1 700 Tests 700 Tests HIV 1&2 Ab ELFA C.39.2 400 Tests 400 Tests C.40.1 96 Tests x 07 Kits 96 Tests x 07 Kits HIV 1&2 Ab ELISA C.40.2 96 Tests x 04 Kits 96 Tests x 04 Kits HIV 1&2 Ab Confirmatory/ C.41 HIV 1& 2 Ab Supplemental 100 Tests 100 Tests Rapid HIV 1&2 Ab C.42.1 600 Tests 600 Tests Rapid (Strip/Cassette C.42.2 250 Tests 250 Tests ) {Lateral Flow (Immunochromatogr aphy)} HIV 1&2 Ab Confirmatory C.43 100 Tests 100 Tests Western Blot C.46.1 700 Tests 700 Tests HIV Ag-Ab CLIA C.46.2 400 Tests 400 Tests C.47.1 700 Tests 700 Tests HIV Ag-Ab ELFA C.47.2 400 Tests 400 Tests C.48.1 96 Tests x 07 Kits 96 Tests x 07 Kits HIV Ag-Ab ELISA C.48.2 96 Tests x 04 Kits 96 Tests x 04 Kits 600 Tests 600 Tests C.49.1 HIV Ag-Ab Rapid 250 Tests 250 Tests (Strip/Cassette) C.49.2 {Lateral Flow (Immunochromatogr aphy)} C.50.1 700 Tests 700 Tests HIV TP Combo Rapid C.50.2 350 Tests 350 Tests C.51.1 700 Tests 700 Tests HIV,HCV Combo Rapid C.51.2 350 Tests 350 Tests C.52.1 800 Tests 800 Tests C.52.2 HIV,HCV,HBV Combo Rapid 450 Tests 450 Tests C.54 Paclitaxel for HIV, HBsAg, 01 Vial 01 Vial HCV Human Plasma/ Plasma C.55 03 Vials x 05 ml 03 Vials x 05 ml Pool for Fractionation as per IP C.56 Syphilis CLIA 300 Tests 300 Tests C.57 Syphilis ELISA 96Tests x 03 Kits 96Tests x 03 Kits Syphilis Rapid (Strip/Cassette) C.58 250 Tests 250 Tests {Lateral Flow (Immunochromatogr Page 19 of 27aphy)} C.59 Syphilis RPR 250 Tests 250 Tests C.60 Syphilis TPHA 250 Tests 250 Tests Infection diagnostic test #C.61 36 Tests 36 Tests for HBV (Qualitative) Infection diagnostic test #C.62 36 Tests 36 Tests for HCV (Qualitative) Infection diagnostic test #C.63 98 Tests 98 Tests for HIV-1 (Qualitative) Blood donor Screening #C.64 multiplex (HBV, HCV & 146 Tests 146 Tests HIV) Test (Qualitative) #C.65 Viral load monitoring Kit for 24 Tests 24 Tests HBV #C.66 Viral load monitoring Kit for 24 Tests 24 Tests HCV Viral load monitoring #C.67 76 Tests 76 Tests Kit for HIV-1 C.69.1 HIV, HCV, Syphilis and 600 Tests 600 Tests HBsAg Combo Rapid (Device having Four C.69.2 individual sample addition 250 Tests 250 Tests wells) C.70.1 600 Tests 600 Tests HIV 1&2 Ab Rapid (Strip/Cassette) C.70.2 250 Tests 250 Tests {Vertical Flow (Immunofiltration)} C.71.1 600 Tests 600 Tests HIV 1+2 (Immunodot C.71.2 Test/ Dot Immuno 250 Tests 250 Tests Assay) C.72.1 600 Tests 600 Tests HIV Ag-Ab Rapid (Strip/Cassette) C.72.2 250 Tests 250 Tests {Vertical Flow(Immunofiltration)} C.73.1 600 Tests 600 Tests HCV Ab Rapid C.73.2 250 Tests 250 Tests (Strip/Cassette) {Vertical Flow (Immunofiltration)} C.74 HBsAg Confirmatory CLIA** 100 Tests 100 Tests D.1.1 Anti-D Immunoglobulin for 110 vials 60 vials D.1.2 Intravenous use 55 vials 30 vials D.2.1 Anti-D (Rho) 50 vials 25 vials D.2.2 100 vials 50 vials Immunoglobulin (Intramuscular) D.3 10 vials 05 vials Anti-Inhibitor Coagulant Page 20 of 27Complex D.5.1 70 vials 40 vials Hepatitis B D.5.2 33 vials 25 vials D.5.3 Immunoglobulin 18 vials 12 vials (Intramuscular) D.5.4 Hepatitis B 70 vials 50 vials Immunoglobulin (subcutaneous) D.6.1 Hepatitis B 110 vials 60 vials D.6.2 55 vials 30 vials Immunoglobulin D.6.3 05 vials 02 vials (Intravenous) D.7 Human Albumin 04 Bottles 02 Bottles D.8 Human Coagulation Factor - 06 vials 04 vials IX D.9 Human Coagulation 06 vials 02 vials Factor - IX (recombinant) D.10.1 Human Coagulation 08 vials 04 vials Factor - VIII (Dried Human Antihaemophilic Fraction) D.10.2 Human Coagulation Factor - VIII (without vWF) (Dried Human Antihaemophilic Fraction) D.11 Human Normal 10 vials 05 vials Immunoglobulin (IM) D.12 Human Normal 04 Bottles 02 Bottles Immunoglobulin (Intramuscular) (Bulk) D.13.1 Human Normal 03 Bottles 02 Bottles D.13.2 10 Bottles 08 Bottles Immunoglobulin for D.13.3 03 Bottles 02 Bottles Intravenous use D.14 Human Plasma Protein 04 Bottles 02 Bottles Fraction D.15 Human Prothrombin 10 Bottles 05 Bottles Complex (PTC) D.16 Human 03 Bottles 03 Bottles Normal/Specific Immunoglobulin (IV) (Bulk) D.17 Rabies Immunoglobulin 20 vials 10 vials D.18 Human Coagulation 06 vials 02 vials Factor-VIII (recombinant) D.19 Tetanus 50 vials 25 vials Immunoglobulin (Intramuscular) D.20 Tetanus 04 Bottles 02 Bottles Immunoglobulin (Intramuscular) (Bulk) D.21 Human Fibrinogen 05 vials 02 vials Page 21 of 27D.22 Human Normal 04 bottles 02 Bottles Immunoglobulin (IgG) (subcutaneous administration) D.23.1 Fibrin Sealant Kit D.23.2 Fibrin Sealant Kit 06 Kits 02 Kits (without F- XIII) D.23.3 Fibrin Sealant Kit (without Fibrinogen) D.24 Anti-T Lymphocyte 10 vials 10 vials Immunoglobulin for Human Use, Animal (lyophilized) D.25 Antihemophilic 10 vials 10 vials Factor VIII (Recombinant PEGylated) D.26 Anti-D 50 vials 25 vials Immunoglobulin (Intramuscular) Freeze Dried E.1 Heparin Sodium injection 08 vials 06 vials E.2 Human Chorionic 0.2g x 1 vial & 5mg x 5 Nil Gonadotropin (HCG) vials Bulk *Sample is required in separate vials containing quantity as mentioned above E.3.1 Human Chorionic 08 vials 06 vials E.3.2 Gonadotropin (HCG) 10 vials 07 vials injection E.4 Menotropin (Human 2mg x 4 vials, 4mg x 1 vial Nil Menopausal & 5mg x 2 vials *Sample is Gonadotropin) Bulk required in separate vials containing quantity as mentioned above *E.5.1 17 vials 14 vials *E.5.2 14 vials 14 vials Menotropin (Human Menopausal *E.5.3 12 vials 10 vials *E.5.4 Gonadotropin) injection 12 vials 10 vials E.6.1 Enoxaparin Sodium Injection 20 vials 20 vials E.6.2 18 vials 18 vials E.7.1 E.7.2 E.7.3 Recombinant Human 12 vials 10 vials E.7.4 Growth E.7.5 Hormone/Somatropin E.7.6 E.7.7 injection 12 PFS/Vial 10 PFS/Vial E.8. Recombinant Streptokinase 12 vials 10 vials injection E.9 Recombinant Human 10 PFS 10 PFS Page 22 of 27Follicle Stimulating 10 vials 10 vials Hormone Injection E.10 Streptokinase Bulk 25mg x 3 vials, 5mg x 5 Nil vials, 10mg x 2 vials & 15mg x 1 vial *Sample is required in separate vials containing quantity as mentioned above * E.11.1 Streptokinase injection 10 vials 08 vials * E.11.2 09 vials 08 vials # E.12.1 Tenecteplase for 6 vials 2 vials # E.12.2 6 vials 2 vials injection (TNK-TPA) # E.12.3 6 vials 2 vials E.13 Urofollitropin Bulk 5mg x 3 vials & 2mg x 2 Nil vials *Sample is required in separate vials containing quantity as mentioned above # E.14.1 Urofollitropin injection 11 vials 08 vials # E.14.2 11 vials 08 vials E.15 Urokinase Bulk/Final 05mg x 8 vials *Sample is Nil required in separate vials containing quantity as mentioned above # E.16 Urokinase injection 11 vials 08 vials # E. 17 Elaprase Injection 04 vials 04 vials # E.18 VPRIV Injection 06 vials 06 vials # E. 19 Replagal Injection 04 vials 04 vials E.20 Human C1-Esterase 13 vials 08 vials Inhibitor F.1.1 Biphasic Isophane Insulin 25 10 (25/75) F.1.2 Biphasic Isophane Insulin 15 10 (25/75) F.1.3 Biphasic Isophane Insulin 25 10 (30/70) F.1.4 Biphasic Isophane Insulin 15 10 (30/70) F.1.5 Biphasic Isophane Insulin 25 10 (50/50) F.1.6 Biphasic Isophane Insulin 15 10 (50/50) F.2 Dulaglutide 25 5 F.3 Exenatide 25 5 F.4.1 Filgrastim Injection (rh. 15 5 F.4.2 15 10 GCSF) F.5 Insulin Aspart bulk 2g x 2 aliquotes Nil F.6.1 Insulin Aspart 25 10 F.6.2 15 10 F.7.1 Insulin Aspart & Insulin 25 10 aspart protamine suspension Mixed in 30/70 mix Page 23 of 27F.7.2 Insulin Aspart & Insulin 25 10 aspart protamine suspension Mixed in 50/50 mix F.8 Insulin Degludec 20 10 F.9 Insulin Degludec / Insulin 30 10 Aspart F.10 Insulin Detemir 20 10 F.11.1 Insulin Glargine 25 10 F.11.2 25 10 F.11.3 15 10 F.12.1 Insulin Glulisine 25 10 F.12.2 15 10 F.13 Insulin Lispro bulk 2g x 2 aliquotes Nil F.14.1 Insulin Lispro 25 10 F.14.2 15 10 F.15.1 Insulin Lispro & Insulin 25 10 Lispro Protamine Suspension (Mixed in 25/75 Mix) F.15.2 Insulin Lispro & Insulin 25 10 Lispro Protamine Suspension Mixed in 50/50 Mix F.16 Interferon alpha 2b injection 15 10 F.17.1 Isophane insulin (NPH) 25 10 F.17.2 15 10 F.18 Liraglutide 20 10 (Glucagon like Peptide-1) F.19 Peg Filgrastim Injection 20 5 (PegGCSF) F.20 Peg Interferon alpha 2b inj 15 10 F.21 Peg Interferon Beta 1a inj 25 5 F.22 rh – Insulin bulk 2g x 2 aliquotes Nil F.23 rh- Erythropoietin bulk 2g x 2 aliquotes Nil F.24.1 rh. Erythropoietin injection 15 5 F.24.2 20 5 F.25 rh. Interferon beta 1a 30 5 Injection F.26.1 Soluble insulin (Regular) 25 10 F.26.2 15 10 F.27 Teriparatide (rh. Para 15 10 Thyroid Hormone- PTH) F.28 Xultophy (Liraglutide & 30 10 Degludec) F.29 Peg Erythropoietin 20 10 F.30.1 Peg Interferon Beta 1a inj 30 5 F.30.2 30 5 F.31 Insulin Glargine Bulk 2g x 2 aliquotes Nil F.32 Recombinant interferon 20 vials 5 vials beta 1b injection 250 µg/ ml F.33 Darbepoetin Alpha Injection 25 vials 5 vials H.1 Cell Culture Rabies vaccine 21 vials 10 vials H.2.1 Hepatitis A 20 vials Page 24 of 2720 vials H.2.2 12 vials 12 vials H.3.1 Hepatitits B 20 vials 20 vials H.3.2 12 vials 12 vials H.3.3 12 vials 12 vials H.4 Japanese Encephalitis 20 vials 20 vials Vaccine (Human) H.5.1 Measles Mumps & Rubella 20 vials 20 vials H.5.2 14 vials 14 vials Vaccine H.6.1 Measles Vaccine 20 vials 20 vials H.6.2 14 vials 14 vials H.7.1 Rubella vaccine 20 vials 20 vials H.7.2 14 vials 14 vials H.8 Bacillus Calmette Guerin 57 vials 57 vials (BCG) Vaccine H.9.1 Haemophilus Influenzae 55 vials 55 vials Type-b- (Hib)-TT H.9.2 18 vials 18 vials Conjugate Vaccine H.10 Oral Cholera Vaccine 20 vials 20vials H.11 Oral Polio Vaccine 10 vials 10 vials H.12.1 40 vials 20 vials H.12.2 COVID-19 Vaccines 10 vials 5 vials (Covishield, Covaxin, H.12.3 ZyCoV-D) 10 vials 5 vials H.13 20 vials 10 vials Rabies Immunoglobulin (Equine) H.14 Human Papilloma Virus 30 vials 15 vials Vaccine (r-DNA) J.1.1 Adalimumab 10 PFS 10 PFS J.1.2 11 PFS 11 PFS J.1.3 10 PFS 10 PFS J.2.1 Bevacizumab 5 vials 5 vials J.2.2 5 vials 5 vials J.3 Etarnercept 9 PFS 9 PFS J.4 Pertuzumab 5 vials 5 vials J.5.1 Ramucirumab 5 vials 5 vials J.5.2 5 vials 5 vials J.6 Ranibizumab 16 vials 16 vials J.7.1 Rituximab 5 vials 5 vials J.7.2 5 vials 5 vials J.8.1 Trastuzumab 6 vials 6 vials J.8.2 6 vials 6 vials J.9.1 Anti-D 33 vials 33 vials J.9.2 36 vials 36 vials Immunoglobulin, I.M (Monoclonal) J.10.1 50 vials 50 vials J.10.2 33 vials 33 vials Human Hepatitis B J.10.3 18 vials 18 vials Immunoglobulin J.10.4 13 vials 13 vials (Intramuscular) J.10.5 6 vials 6 vials J.10.6 (Monoclonal) 3 vials 3 vials J.12.1 Tetanus 33 vials 33 vials J.12.2 18 vials 18 vials Immunoglobulin (Monoclonal), Tetclone J.13 Obinutuzumab 4 vials 4 vials J.14 Omalizumab 9 vials 9 vials Page 25 of 27J.15 Natalizumab 4 vials 4 vials J.16 Pembrolizumab 4 vials 4 vials J.17 Infliximab 10vials 10Vials J.18 Mepolizumab 10vials 10Vials J.19 Recombinant Anti 100 vials 100 vials Rho-D Immunoglobulin Injection J.20 Vedolizumab 09 vials 09 vials J.21.1 05 vials 05 vials Transtuzumab Emtansine J.21.2 05 vials 05 vials Inotuzumab Ozogamicin J.22 10vials 10Vials (Powder for solution for infusion) J.23.1 12 PFS 12 PFS Denosumab J.23.2 12 vials 12 vials J.24 Benralizumab 12 PFS 12 PFS J.25.1 Durvalumab 09 vials 09 vials J.25.2 05 vials 05 vials J.26 Tocilizumab 05 vials 05 vials J.27 Cetuximab 05 vials 05 vials J.28 Brentuximab Vedotin 09 vials 09 vials J.29 Evolocumab Injection 15 PFS 15 PFS J.30 Nivolumab 09 vials 09 vials J.31 Secukinumab 15 vials 15 vials K.1 RT-PCR Kits for 160 Tests 160 Tests Diagnosis of COVID-19 (Validation) K.2 RT-PCR Kits for 50 Tests 50 Tests Diagnosis of COVID-19 (Batch Testing) K.3 RNA Extraction Kits for 50 Tests 50 Tests Diagnosis of COVID-19 (Validaton) K.4 RNA Extraction Kits for 30 Tests 30 Tests Diagnosis of COVID-19 (Batch Testing) K.5 VTM for Diagnosis of 20 Tests 20 Tests COVID-19 (Validation) K.6 VTM for Diagnosis of 10 Tests 10 Tests COVID-19 (Batch Testing) K.7 COVID Ab kit (IgG to S 250 Tests 250 Tests Protein) Rapid K.8 COVID Ab kit (IgG to S 400 Tests 400 Tests Protein) CLIA K.9 COVID Ab kit (IgG to N 250 Tests 250 Tests Protein) Rapid K.10 COVID Ab kit (IgG to N 400 Tests 400 Tests Protein) CLIA K.11 RT-LAMP Kit for 160 Tests 160 Tests Diagnosis of COVID-19 (Validation) K.12 RT-LAMP Kit for 50 Tests 50 Tests Diagnosis of COVID-19 (Batch Testing) Page 26 of 27Annexure-5 Quantity required for Complete Analysis of Medical Device Samples S.No. Name of Medical Device Form-18 Survey Samples Samples 1. Hypodermic Syringe 50pcs 10 pcs 2. Hypodermic Needle/Disposable 50 pcs 10 pcs Syringe Needles 3. Infusion Set/Transfusion Set 50 pcs 10 pcs 4. IV Cannulas 50 pcs 10 pcs 5. Roll Bandage/Surgical Dressings 20 pcs 10 pcs 6. Sterile Gauze Swab 50 pcs 10 pcs 7. Surgical Suture (absorbable) 50 pcs 30 pcs 8. Surgical Suture (Non-absorbable) 50 pcs 30 pcs 9. Medicated Tape (Band-aid) 100 pcs 20 pcs 10. Absorbent Cotton Wool I.P. 200gm 100gm 11. Catheter or Ryles Tube 30 pcs 10 pcs 12. Tubing for Micros-surgery or 50 pcs 10 pcs Endoscope 13. Male Rubber Latex Condoms 100 pcs 100 pcs 14. Copper T 120 pcs 20 pcs 15. Tubal Rings 100 pcs 20 pcs 16. Blood Bags 10bags 5bags 17. Absorbent Sponge 50 pcs 5 pcs *********** Page 27 of 27