nCOV Operational Support & Logistics

Disease Commodity Packages

Key outbreak control activities considered for material supply

• Supportive treatment (oxygen, antibiotics, hydration & fever/pain relief) to reduce mortality
• Personal Protective Equipment and material for the establishment of IPC measures at health care level to reduce transmission

Note: Products for Surveillance, Prevention & Control, and Case Management are undergoing rapid and continous development and refinement. For greater clarity, please refer to most recent applicable WHO technical guidance.

Quantities are based on a scenario of clusters of 100 patients.

INTERVENTION COMMODITY TECHNICAL DESCRIPTION

Guidance on regulations for Transport of
Triple packaging boxes Triple packaging boxes for transport [LINK]
Infectious Substances 2017 - 2018

Viral Transport Medium Medium for specimen to transport to laboratory

Puncture resistant container for collection and disposing of used, disposable and auto-
• WHO performance specification E10/IC.1
Sharps container boxes disable syringes, needles. 5 L capacity accommodating approximately 100 syringes.
• WHO/UNICEF standard E10/IC.2 or equivalent
Boxes prominently marked.
Sample Collection

Recommended applications
SURVEILLANCE

Respiratory, wound and skin.

All clinical Transwab® products comply with the CLSI
standard M40-A (for the Quality Control of Microbiology
Specimen Transport Devices).
Sigma Virocult®, a small vial with 1.0ml medium and a standard Sigma swab. Bud type is
Features
cellular foam.
Liquid Virocult® medium for ease of processing.
Sigma Virocult MW951S Standard Sigma swab with integral swab capture.
https://www.mwe.co.uk/microbiology-lab-supplies/culture-swabs-liquid/sigma-virocult-mini-
Compatible with molecular and cell culture techniques.
mw951s/
Benefits
Optimum recovery of viruses at ambient and refrigerated
conditions.
Ideal for molecular and cell culture systems.
Liquid phase ready for multiple aliquoting.
Diagnostics

Criteria for selection of specific diagnostic tests may include historical efficacy, adherence to any existing Target Product Profiles, ease of use, necessary throughput, distribution
and logistics requirements, and manufacturer production capacity. For some pathogens, consideration may need to be given to the presence of mutations in targeted gene
sequences or proteins. WHO can advise on the selection of tests on a case by case basis as determined by a specific event.

• EU standard directive 93/42/EEC Class I, EN 455,

Gloves, examination, nitrile, powder-free, non-sterile. Cuff length preferably reach mid-
• EU standard directive 89/686/EEC Category III, EN 374,
Gloves, forearm (eg. minimum 280mm total length. Sizes, S, M, L
• ANSI/ISEA 105-2011,
examination
• ASTM D6319-10
Gloves should have long cuffs, reaching well above the wrist, ideally to mid-forearm.
• or equivalent

EN 14683 Type IIR performance

ASTM F2100 level 2 or level 3
Prevention & Control

or equivalent;
PPE - Standard

Medical/surgical mask, high fluid resistance, good breathability, internal and external faces • Fluid resistance at minimum 120 mmHg pressure based
Mask,
should be clearly identified, structured design that does not collapse against the mouth on ASTM F1862-07, ISO 22609, or equivalent
surgical
(e.g. duckbill, cup-shaped) • Breathability: MIL–M-36945C, EN 14683 annex C, or
equivalent
• Filtration efficiency: ASTM F2101, EN14683 annex B, or
equivalent

Fit Test Kit To evaluate effectiveness of seal for tight fitting respiratory protection devices OSHA 29 CFR 1910.134 Appendix A

• Option 1: fluid penetration resistant: EN 13795 high

Single use, fluid resistant, disposable, length mid-calf to cover the top of the boots, light
Gown colours preferable to better detect possible contamination, thumb/finger loops or elastic
cuff to anchor sleeves in place.
performance, or AAMI PB70 level 3 performance or
above, or equivalent
• Option 2: blood borne pathogens penetration resistant:
AAMI PB70 level 4 performance, or (EN 14126-B) and
partial body protection ( EN 13034 or EN 14605), or
equivalent

WHO Core:
Device concentrates oxygen from ambient air. On 4 antistatic swivel castors, 2 with brakes. Integrated handle allows Concentrator, [LINK]
for easy moving and positioning. Oxygen sensing device is integrated and measures concentration at flow meter Oxygen
entrance. Four-step filtering of air-intake, including bacterial filter. All filters replaceable, coarse filter
Oxygen concentrators
washable/reusable. Continuous monitoring with visual and audible alerts, on low 'high output pressure, low oxygen
concentration, power failure and battery test. Operating conditions: Temperature between 5 to 45 degrees Celsius,
Relative humidity max. 90% without condensation. Spare parts should be required for operating at least one year. Oxygen Concentrator
[LINK]
Technical Guidelines

(Oxygen concentrator) Splitter of oxygen flow provided by an oxygen concentrator. Each flow can be adjusted individually via its flow meter, range: 0.125 to 2LPM (Liter Per
Flow splitter Minute). The output nozzle can either be fit with tubing or left blank. Input pressure: 50 to 350kPa.

OSL | Disease Commodity Packages 1 MERS-CoV

 nCOV Operational Support & Logistics
Disease Commodity Packages

Nasal prongs (nasal cannula) is a device designed for easy administration of oxygen and comfort of patient. The device consists of a plastic tube
Oxygen prongs, nasal, which fits behind the ears, and a set of two prongs which are placed in the nostrils. Soft twin prongs nasal tips to ensure equal oxygen flow to
non-sterile, single use both.Star lumen main tube to avoid accidental blockage. Adjustable, smoothly finished, nasal tips for maximum patient comfort. Soft funnel shaped
connector to facilitate easy connection to oxygen source. Oxygen tube length: approximately 2m.

Tube used to deliver oxygen through the nose. Material: PVC. Automatic, open distal (patient) end, with 6 to 12 lateral eyes. Proximal end with
Oxygen tube, extension connector enabling the tube to be connected to an oxygen supply tube of any diameter (e.g. serrated male conical tip). Sterile, for single patient use.
Diameter: CH 10. Length: 40cm

a) Tidal volume up to 1,000 mL.

b) Pressure (inspiratory) up to 80 cm H20
c) Volume (inspiratory) up to 120 L/min
d) Respiratory rate: up to 60 breaths per minute.
Supportive Treatment

e) SIMV Respiratory Rate: up to 40 breaths per minute.

• ISO 13485:2003 Medical devices -- Quality management
f) CPAP/PEEP up to 20 cm H2O.
systems -- Requirements for regulatory purposes
g) Pressure support up to 45 cm H2O.
(Australia, Canada and EU)
h) FiO2 between 21 to 100 %
• ISO 14971:2007 Medical devices -- Application of risk
i) Inspiratory and expiratory times up to at least 2 sec and 8 sec respectively
management to medical devices IEC 60601-1:2012
j) I:E Ratio at least from 1:1 to 1:3.
Medical electrical equipment - Part 1: General
2 Modes of ventilation:
requirements for basic safety and essential performance
a) Volume controlled.
• IEC 60601-1-1:2000 Medical electrical equipment - Part
b) Pressure controlled.
Portable ventilator 1-1: General requirements for safety - Collateral standard:
c) Pressure support.
Safety requirements for medical electrical systems
d) Synchronized intermittent mandatory ventilation (SIMV) with pressure support.
• IEC 60601-1-2:2007 Medical electrical equipment - Part
e) Assist / control mode
1-2: General requirements for basic safety and essential
f) CPAP/PEEP
performance - Collateral standard: Electromagnetic
Alarms required: FiO2, minute volume, pressure, PEEP, apnoea, occlusion, high
compatibility - Requirements and tests
respiration rate, disconnection
• ISO 80601-2-12:2011 Medical electrical equipment --
System alarms required: power failure, gas disconnection, low battery, vent inoperative,
Part 2-12: Particular requirements for basic safety and
self diagnostics
essential performance of critical care ventilators
If alarm silencing feature is incorporated, it must be temporary and clearly displayed when
activated
Air and externally supplied oxygen mixture ratios fully controllable
Inlet gas supply (O2) pressure range at least 35 to 65 psi
Medical air compressor integral to unit, with inlet filter

Compact portable device measures arterial blood oxygen saturation (SpO2), heart rate
and signal strength. Measuring range: SpO2 30 to 100% (minimum graduation 1%), Heart
Pulse Oximeter ISO 80601-2-61:2011or equivalent
rate 20 to 250 bpm (minimum graduation 1bpm). Line-powered, or Extra-
batteries/rechargeable batteries are required at least one year.

Antibiotics According to national guidelines and clinical presentation

Compound Sodium
Compound solution of sodium lactate (Ringer's lactate), injection solution, w/o IV set and needle, 1000ml
Lactate Solution

Infusion giving set Infusion giving set, with airinlet and needle, sterile, single-use

Paracetamol Paracetamol, 500mg, tablets

• EU standard directive 93/42/EEC Class I, EN 455,

Gloves, examination, nitrile, powder-free, non-sterile. Cuff length preferably reach mid-
• EU standard directive 89/686/EEC Category III, EN 374,
Gloves, forearm (eg. minimum 280mm total length. Sizes, S, M, L
• ANSI/ISEA 105-2011,
examination
• ASTM D6319-10
Outer glove should have long cuffs, reaching well above the wrist, ideally to mid-forearm.
• or equivalent
CASE MANAGEMENT

• EU standard directive 93/42/EEC Class I, EN 455,

Gloves, surgical, length to Gloves, surgical, nitrile, powder-free, single use.
• ANSI/ISEA 105-2011,
forearm large (longer than
• ASTM 6319-10
examination gloves) Gloves should have long cuffs, reaching well above the wrist, ideally to mid-forearm.
• or equivalent

Made of clear plastic and provides good visibility to both the wearer and the patient,
• EU standard directive 86/686/EEC, EN 166/2002,
Adjustable band to attach firmly around the head and fit snuggly against the forehead, Fog
Face shield • ANSI/ISEA Z87.1-2010,
resistant (preferable), Completely cover the sides and length of the face, May be re-
or equivalent
usable (made of robust material which can be cleaned and disinfected) or disposable.

Fit Test Kit To evaluate effectiveness of seal for tight fitting respiratory protection devices OSHA 29 CFR 1910.134 Appendix A

"Surgical N95 respirator" cleared by the US FDA and

Fluid resistant particulate respirator. Surgical N95 respirator or higher
Face mask, NIOSH, or equivalent
High fluid resistance, Good breathability, Internal and external faces should be clearly
particulate respirator, • Fluid resistant surgical N95 respirator with minimum 80
identified, Structured design that does not collapse against the mouth (e.g. duckbill, cup-
grade N95 or higher mm Hg pressure based on ASTM F1862, ISO 22609 , or
shaped)
equivalent

OSL | Disease Commodity Packages 2 MERS-CoV

acilities
 nCOV Operational Support & Logistics
Disease Commodity Packages

EN 14683 Type IIR performance

ASTM F2100 level 2 or level 3
or equivalent;
Medical/surgical mask, high fluid resistance, good breathability, internal and external faces • Fluid resistance at minimum 120 mmHg pressure based
Mask,
should be clearly identified, structured design that does not collapse against the mouth on ASTM F1862-07, ISO 22609, or equivalent
surgical
(e.g. duckbill, cup-shaped) • Breathability: MIL–M-36945C, EN 14683 annex C, or
equivalent
• Filtration efficiency: ASTM F2101, EN14683 annex B, or
equivalent
PPE Health Care Facilities

Scrubs, tops Tunic/tops, woven, scrubs, reusable or single use, short sleeved (tunic/tops), worn underneath the coveralls or gown.

Scrubs, pants Trouser/pants, woven, scrubs, reusable or single use, short sleeved (tunic/tops), worn underneath the coveralls or gown

• Option 1: fluid penetration resistant: EN 13795 high

Single use, fluid resistant, disposable, length mid-calf to cover the top of the boots, light
Gown colours preferable to better detect possible contamination, thumb/finger loops or elastic
cuff to anchor sleeves in place.
performance, or AAMI PB70 level 3 performance or
above, or equivalent
• Option 2: blood borne pathogens penetration resistant:
AAMI PB70 level 4 performance, or (EN 14126-B) and
partial body protection ( EN 13034 or EN 14605), or
equivalent

Good seal with the skin of the face, Flexible PVC frame to easily fit with all face contours
with even pressure, Enclose eyes and the surrounding areas, Accomodate wearers with • EU standard directive 86/686/EEC, EN 166/2002,
Goggles, prescription glasses, Clear plastic lens with fog and scratch resistant treatments, • ANSI/ISEA Z87.1-2010,
protective Adjustable band to secure firmly so as not to become loose during clinical activity, Indirect or equivalent
venting to avoid fogging, May be re-usable (provided appropriate arrangements for
decontamination are in place) or disposable.

Alcohol-based hand rub Bottle of 100ml

Disposal bag for bio-hazardous waste, 30x50cm, with "Bio Hazard" print, autoclavable polypropylene.
Bio-hazardous bag
50 or 70 micron thickness

Made of linear enforced, U-shape zipper and 2 zipper pulls with tie ribs.
adult size 250x120cm
Protector Body Bag specifications:
• 6 handles
• Impermeable, linear reinforced LLDPE, LDPE, EVA, PEVA, (avoid PVC), minimum thickness 400 microns;
• Should be able to hold 100-125 kilos (200-250 lbs),
• Should contain no chlorides: burning of chlorides pollute the environment and can cause damage to retort chambers. Body bags should be non
Body bag
carcinogenic to health of funeral workers when used for cremations.
• At least 6 handles included in the body bag to allow burial team to hand carry it safely
• Heat-sealed: insure superior strength and safety,
• Provide full containment of blood borne pathogens
• Cracking point of 25 - 32 degrees below zero
• Shelf life: minimum 10 years
• Bag and hands should be white color

Chlorine NaDCC, granules, 1kg, 65 to 70% + dossage spon

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 Novel Coronavirus (nCoV) v3 Operational Support & Logistics
Disease Commodity Packages

Agent's Biosafety Level: (to be confirmed): BSL2, Virus culture BSL3 Related links: MERS-CoV [LINK]
Epidemic Potential: Under investigation Last Update: 7 February 2020 Managing Epidemics Handbook (MERS) [LINK]
SURVEILLANCE Sample Collection Diagnosis

Polymerase Chain Reaction (PCR) Immunoassay Culture

Laboratory confirmation of a nCoV case will trigger an
thorough investigation. Because there currently is not a PCR
test commercially available, testing may take several days or Upper and lower respiratory samples no commercial rRT-PCR kits yet
longer. WHO's recommended strategy is to begin an (nasophyrangeal and sputum samples) available; see interim nCoV Viral transport
investigation immediately, thus requiring immediate Not yet available
laboratory guidance medium
operational support and supplies.

Note: Many diagnostics supplies are also used for Case Management purposes, but have been included only in Surveillance.

Laboraroty Testing for a novel Coronvavirus is in development

PREVENTION & CONTROL Travel & Trade Vaccine Infection Protection & Control (IPC)

Based on current information it is assumed that nCoV is a

Standard precautions with an emphasis on hand and
zoonotic dissease with human-to-human transmission through
respiratory hygiene, plus additional precautions
droplets or contact. This human-to-human tranmission may
Several vaccine candidates for specifically droplet and contact. Airborne precautions for
occur due to breaches in IPC practices. Thus, a central focus Animal source has not yet been identified
MERS-CoV are in development. aerosolyzed generating procedures only. Personal
of any prevention/control strategy is protecting healthcare
Protective Equipment (PPE) for screening and
workers with appropriate IPC supplies and ensuring basic
for at-risk HCWs at health facilities
health logistics at responding facilities.

Please see WHO MERS guidance [LINK]

R&D Blueprint [LINK]

CASE MANAGEMENT Treatment Personal Protective Equipment (PPE)

Aetiological Supportive

Several candidates under PPE for at-risk health facilities

There is no specific treatment or vaccines for the nCoV,
consideration for evaluation.
however there are ongoing R&D efforts for MERS-CoV. See
On outbreak-specific basis, the
WHO current guidance on case management for MERS.
Monitored Emergency Use of
Guidance on case management for the nCoV from Wuhan is
Unregistered Interventions
in development.
(MEURI) may be considered.
Intubation, ICU, ECMO requried for
Please refer to most recent
WHO guidance.
Oxygen Therapy Respiratory (standard, droplet IPC); Airborn
Mechanical Ventilation of severe precautions for aerosolyzed generating
cases (40%) procedures,
Antibiotics,
Use of Oximeter highly Possibly Home Care Kits for home isolation
Pain/Fever
recommended of asymptomatic cases or mildly symptomatic
(in the case of a large outbreak)
severe patients

Key outbreak control activities considered for material supply

• Supportive treatment (oxygen, antibiotics, hydration & fever/pain relief) to reduce mortality
• Personal Protective Equipment and material for the establishment of IPC measures at health care level to reduce transmission

Note: Products for Surveillance, Prevention & Control, and Case Management are undergoing rapid and continous development and refinement. For greater clarity, please refer to most recent applicable WHO technical guidance.

INTERVENTION COMMODITY TECHNICAL DESCRIPTION

Guidance on regulations for Transport of
Triple packaging boxes Triple packaging boxes for transport [LINK]
Infectious Substances 2017 - 2018

Viral Transport Medium Medium for specimen to transport to laboratory

Sample Collection

Puncture resistant container for collection and disposing of used, disposable and auto-
• WHO performance specification E10/IC.1
Sharps container boxes disable syringes, needles. 5 L capacity accommodating approximately 100 syringes.
SURVEILLANCE

• WHO/UNICEF standard E10/IC.2 or equivalent

Boxes prominently marked.

Comply with the CLSI standard M40-A (for the Quality

Control of Microbiology Specimen Transport Devices).
Viral Transport Medium Viral Transport Medium with Swab., Medium 3 ml
Compatible with molecular and cell culture techniques.
Diagnostics

Criteria for selection of specific diagnostic tests may include historical efficacy, adherence to any existing Target Product Profiles, ease of use, necessary throughput, distribution
and logistics requirements, and manufacturer production capacity. For some pathogens, consideration may need to be given to the presence of mutations in targeted gene
sequences or proteins. WHO can advise on the selection of tests on a case by case basis as determined by a specific event.

• ISO 80601-2-56:2017
Electronic thermometers that assess the temperature by determining the intensity of • (EN 12470-5)
infrared light emission. These thermometers consist of an infrared probe, electronic • ISO 80601-2-59 Ed. 1.0:2017
IR thermometer circuitry, and a display. These thermometers take a sample of the thermal radiation, • ASTM E1104-98(2016)
usually without contact with the measured object, and display the temperature within a few • ASTM E1965-98(2016)
seconds. • ASTM E1112-00(2018)
• JIS T 4207:2005)

• EU MDD (directive) 93/42/EEC Class I,

• EU PPE Regulation 2016/425 Category III, , CE
Notifiying Body must be declared
Gloves, Gloves, examination, nitrile, powder-free, non-sterile. (eg. minimum 230mm total length. • FDA Class 1
examination Sizes, minimum thickness 0.05mm, S, M, L • EN 455,
• EN 374,
• ASTM D6319,
or equivalent set of standards
riage / Screening

PPE

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 Novel Coronavirus (nCoV) v3 Operational Support & Logistics
Disease Commodity Packages
Triage / Screening

• EU MDD (directive) 93/42/EEC Class I,

• EU PPE Regulation 2016/425 Category III, CE Notifiying
PPE

Body must be declared

Mask, medical
Medical mask, good breathability, internal and external faces should be clearly identified • FDA Class 2
Healthcare worker
• EN 14683 Type II, IIR
• ASTM F2100 minimum Level 1
or equivalent

• EN 14683 any type including Type I

Mask, medical
Medical mask, good breathability, internal and external faces should be clearly identified • ASTM F2100 any Level
patient
or equivalent;

WHO Core:
Device concentrates oxygen from ambient air. On 4 antistatic swivel castors, 2 with brakes. Integrated handle allows Concentrator, [LINK]
for easy moving and positioning. Oxygen sensing device is integrated and measures concentration at flow meter Oxygen
entrance. Four-step filtering of air-intake, including bacterial filter. All filters replaceable, coarse filter
Oxygen concentrators
washable/reusable. Continuous monitoring with visual and audible alerts, on low 'high output pressure, low oxygen
concentration, power failure and battery test. Operating conditions: Temperature between 5 to 45 degrees Celsius,
Relative humidity max. 90% without condensation. Spare parts should be required for operating at least one year. Oxygen Concentrator
[LINK]
Technical Guidelines

(Oxygen concentrator) Splitter of oxygen flow provided by an oxygen concentrator. Each flow can be adjusted individually via its flow meter, range: 0.125 to 2LPM (Liter Per
Flow splitter Minute). The output nozzle can either be fit with tubing or left blank. Input pressure: 50 to 350kPa.

Nasal prongs (nasal cannula) is a device designed for easy administration of oxygen and comfort of patient. The device consists of a plastic tube
Oxygen prongs, nasal, which fits behind the ears, and a set of two prongs which are placed in the nostrils. Soft twin prongs nasal tips to ensure equal oxygen flow to
non-sterile, single use both.Star lumen main tube to avoid accidental blockage. Adjustable, smoothly finished, nasal tips for maximum patient comfort. Soft funnel shaped
connector to facilitate easy connection to oxygen source. Oxygen tube length: approximately 2m.

Tube used to deliver oxygen through the nose. Material: PVC. Automatic, open distal (patient) end, with 6 to 12 lateral eyes. Proximal end with
Oxygen tube, extension connector enabling the tube to be connected to an oxygen supply tube of any diameter (e.g. serrated male conical tip). Sterile, for single patient use.
Diameter: CH 10. Length: 40cm

a) Tidal volume up to 1,000 mL.

b) Pressure (inspiratory) up to 80 cm H20
c) Volume (inspiratory) up to 120 L/min
d) Respiratory rate: up to 60 breaths per minute.
e) SIMV Respiratory Rate: up to 40 breaths per minute.
• ISO 13485:2003 Medical devices -- Quality management
f) CPAP/PEEP up to 20 cm H2O.
systems -- Requirements for regulatory purposes
g) Pressure support up to 45 cm H2O.
(Australia, Canada and EU)
h) FiO2 between 21 to 100 %
• ISO 14971:2007 Medical devices -- Application of risk
i) Inspiratory and expiratory times up to at least 2 sec and 8 sec respectively
management to medical devices IEC 60601-1:2012
j) I:E Ratio at least from 1:1 to 1:3.
Medical electrical equipment - Part 1: General
2 Modes of ventilation:
requirements for basic safety and essential performance
a) Volume controlled.
• IEC 60601-1-1:2000 Medical electrical equipment - Part
b) Pressure controlled.
Portable ventilator 1-1: General requirements for safety - Collateral standard:
c) Pressure support.
Safety requirements for medical electrical systems
d) Synchronized intermittent mandatory ventilation (SIMV) with pressure support.
• IEC 60601-1-2:2007 Medical electrical equipment - Part
e) Assist / control mode
1-2: General requirements for basic safety and essential
f) CPAP/PEEP
performance - Collateral standard: Electromagnetic
Alarms required: FiO2, minute volume, pressure, PEEP, apnoea, occlusion, high
compatibility - Requirements and tests
respiration rate, disconnection
• ISO 80601-2-12:2011 Medical electrical equipment --
System alarms required: power failure, gas disconnection, low battery, vent inoperative,
Part 2-12: Particular requirements for basic safety and
self diagnostics
essential performance of critical care ventilators
If alarm silencing feature is incorporated, it must be temporary and clearly displayed when
activated
Air and externally supplied oxygen mixture ratios fully controllable
Inlet gas supply (O2) pressure range at least 35 to 65 psi
Medical air compressor integral to unit, with inlet filter

Compact portable device measures arterial blood oxygen saturation (SpO2), heart rate
and signal strength. Measuring range: SpO2 30 to 100% (minimum graduation 1%), Heart
Pulse Oximeter ISO 80601-2-61:2011or equivalent
rate 20 to 250 bpm (minimum graduation 1bpm). Line-powered, or Extra-
batteries/rechargeable batteries are required at least one year.

A hand-held device (i.e., non-endoscopic rigid type) intended to be used by

anaesthesia/emergency service personnel to manipulate the tongue, preventing it from
obstructing the oropharynx and enabling a clear view of the trachea for the insertion of an
endotracheal (ET) tube prior to the delivery of inhalation anaesthesia and/or ventilation. It
has a handle containing batteries to power its light (a small built-in light bulb or fibre-optic
light) for airway illumination, and a curved or straight blade of various designs and lengths ISO 7376:2009
that can be hinged/interchanged or integral. Some types can be magnetic resonance Anaesthetic and respiratory
Laryngoscope WHO [LINK]
imaging (MRI) compatible. This is a reusable device to improve respiratory status of a equipment — Laryngoscopes for
patient, and to help in the treatment evaluation of patients suffering from chronic tracheal intubation
respiratory disorders (e.g., asthma, emphysema).
• Large hollow, cylindrical, slightly ribbed handle
• Handle made of either chromium-plated or stainless steel
• Can be opened to insert two batteries (type LR14, size C, 1.5 V)
• Stud contact, fitting various sizes and types of depressors

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 Novel Coronavirus (nCoV) v3 Operational Support & Logistics
Disease Commodity Packages

Miller type:
• Straight Nr 1, length approx. 100 mm
Set of stainless steel MacIntosh type:
depressors • Curved Nr 2, length approx. 110 mm
• Curved Nr 3, length approx. 135 mm
• Curved Nr 4, length approx. 155 mm

• Open distal end and Magill-type point with oral angle of 37.5º.
• Standard connector (ext. Ø 15mm) at the proximal end enabling the tube to be
connected to the ventilation system.
• Radio opaque mark.
• With Murphy's eye.
Endotracheal tube, without • Graduations.
cuff • Endotracheal tube without cuff.
• Size: Ø internal 3mm or 3.5mm
• Material: Polyvinyl chloride (PVC).
• Disposable.
Supportive Treatment

• Sterile.
• Initial sterilisation method: Ethylene oxide gas or Gamma radiation.

• Open distal end and Magill-type point with oral angle of 37.5º.
• Standard connector (ext. Ø 15mm) at the proximal end enabling the tube to be
connected to the ventilation system.
• Radio opaque mark.
• With Murphy's eye.
Endotracheal tube, with • Graduations.
cuff • Endotracheal tube without cuff.
• Size: Ø internal 6.5mm, 7mm, 7.5mm or 8mm
• Material: Polyvinyl chloride (PVC).
• Disposable.
• Sterile.
• Initial sterilisation method: Ethylene oxide gas or Gamma radiation.

• Disposable
Carbon dioxide detector • Colorimetric
• Sizes compatible with child and adult endotracheal tube

High performance ultrasound scanner

System integrates scanner, 2 probes, matching trolley and video-printer
Compact and lightweight, easy to transport and position
Alphanumeric keyboard with trackball and time gain control (TCG)
Piezoelectric probes, electronically scanned: convex and linear
Imaging display modes: B, dual B, M, B and M
Adjustable field-of-view, 6 level zoom
Imaging technologies: dynamic frequency imaging, multi-stage focusing, aperture control
Depth range selection: convex sector image and linear image, 3 steps
Image orientation: lateral and vertical inversion (in B mode)
Freeze function with storage of approx. 25 images
Measurements and analysis:
Calibre control: trackball
B-mode image: distance, area and circumference by ellipse and trace method, volume,
Portable ultrasound
ratio, gestational age, foetal weight, angle
scanner
Gestational table: user programmable
M-mode: velocity, time interval, depth, heart rate, LV function
Alpha-numerics & graphics:
Text annotations and body markers
Automatic display of: date and time, focal point setting, image orientation indicator, image
scrolled position, distance scale mark, M-mode time mark, grey scale for calibration
High resolution B/W monitor, approx. 25 cm diagonal (across), equals to 10 inch, fit with
reflection filter
Image grey scale: 256 levels
Video output: 625 lines/frame
Two transducer ports leave 2 probes permanently available, electronic switch between
probes
Data communication interface: RS232, BNC, IEEE, USB or equivalent
Power supply: 220 V / 50 Hz

Portable ultrasound Convex abdominal probe, frequency range: 2.5 / 3.5 / 5.0 MHz
probes, included with
scanner
CLINICAL MANAGEMENT

Resuscitator, adult
Resuscitator to ventilate adult (body weight over 30kg), with compressible self-refilling
ventilation bag, capacity: 1475-2000ml
Resuscitator operated by hand,
Ventilation with ambient air, ISO10651-4: Lung ventilators - Part 4: Particular
Resuscitator shall be easy, to disassemble and reassemble, to clean and disinfect, and be requirements for operator-powered resuscitators;
autoclavable.
All parts must be manufactured from high-strength, long-life materials and require no
special maintenance or storage conditions.

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 CLINICAL MANAGEMENT

Novel Coronavirus (nCoV) v3 Operational Support & Logistics

Disease Commodity Packages

Resuscitator, child
Resuscitator to ventilate child (body weight 7-30kg),
With compressible self-refilling ventilation bag, child, capacity: 500-700ml and non-
rebreathing valve with pressure limiting valve, patient connector
Resuscitator operated by hand,
ISO10651-4: Lung ventilators - Part 4: Particular
Ventilation with ambient air,
requirements for operator-powered resuscitators;
Resuscitator shall be easy, to disassemble and reassemble, to clean and disinfect, and be
autoclavable.
All parts must be manufactured from high-strength, long-life materials and require no
special maintenance or storage conditions.

Airway, Guedel, sterile, Child sizes: 00, 0, 1; Adult sizes: 2, 3, 4

single use (range of sizes) • Oro-pharyngeal airway, Guedel type.
• Semi-rigid, transparent.
• Proximal (or buccal) end straight and reinforced.
• Flange colour coded and/or marked with corresponding size number.
• Size: Airway Guedel, size 00, approximately 40mm; size 0, approx. 50mm; size 1,
approx. 60 mm; size 2, approx. 70mm; size 3 approx. 80 mm; size 4 approx. 90mm
• Material: Polyethylene/vinyl acetate (EVA) - Polyvinyl chloride (PVC).
• Sterile, single patient use.
• Initial sterilisation method:
• Ethylene oxide gas or gamma radiation.

Compound Sodium
Compound solution of sodium lactate (Ringer's lactate), injection solution, w/o IV set and needle, 1000ml
Lactate Solution

Infusion giving set Infusion giving set, with airinlet and needle, sterile, single-use

Paracetamol Paracetamol, 500mg, tablets

• EU MDD (directive) 93/42/EEC Class I,

• EU PPE Regulation 2016/425 Category III, CE Notifiying
Gloves, examination, nitrile, powder-free, non-sterile. Cuff length preferably reaching Body must be declared
Gloves, above the wrist, minimum thickness 0.05mm. Sizes, S, M, L • FDA Class 1
examination • EN 455
• EN 374
• ASTM D6319
• or demonstrate equivalent set of standards

• EU MDD (directive) 93/42/EEC Class IIa,

• EU PPE Regulation 2016/425 Category III, CE Notifiying
Body must be declared
Gloves, surgical, latex, sterile, powder-free, single use.
Gloves, surgical, length to • FDA Class 1
forearm large (longer than • EN 455
Gloves should have long cuffs, reaching well above the wrist, ideally to mid-forearm.
examination gloves) • ASTM D3577
minimum thickness 0.10mm. Sizes ranging 5.0 - 9.0
• Sterility according to USP
• EN ISO 11607
or demonstrate equivalent set of standards

• EU PPE Regulation 2016/425, CE Notifiying Body must

Made of clear plastic and provides good visibility to both the wearer and the patient,
be declared
Adjustable band to attach firmly around the head and fit snuggly against the forehead, Fog
Face shield • EN 166,
resistant (preferable), Completely cover the sides and length of the face, May be re-
• ANSI/ISEA Z87.1,
usable (made of robust material which can be cleaned and disinfected) or disposable.
or demonstrate equivalent set of standards

Fit Test Kit To evaluate effectiveness of seal for tight fitting respiratory protection devices OSHA 29 CFR 1910.134 Appendix A

• EU PPE Regulation 2016/425 Category III, CE Notifiying

Body must be declared
• EU MDD (directive) 93/42/EEC Class I,
N95 or FFP2 respirator, or higher
Particulate respirator, • FDA Class 2
Good breathability with design that does not collapse against the mouth (e.g. duckbill,
grade N95/FFP2 or higher • Minimum "N95" respirator according to, under NIOSH 42
cup-shaped)
CFR 84,
• Mnimum "FFP2" according to EN 149
or demonstrate equivalent set of standards

• EU PPE Regulation 2016/425 Category III, CE Notifiying

Body must be declared
• EU MDD (directive) 93/42/EEC Class I,
Mask,
Medical mask, good breathability, internal and external faces should be clearly identified • FDA Class 2
medical
• EN 14683 Type II, IIR
• ASTM F2100 minimum level 1
or equivalent;

Scrubs, tops Tunic/tops, woven, scrubs, reusable or single use, short sleeved (tunic/tops), worn underneath the coveralls or gown.

Scrubs, pants Trouser/pants, woven, scrubs, reusable or single use, short sleeved (tunic/tops), worn underneath the coveralls or gown
PPE Health Care Facilities

OSL | Disease Commodity Packages 7 MERS-CoV

 PPE Health Care Facilities Novel Coronavirus (nCoV) v3 Operational Support & Logistics
Disease Commodity Packages

Straight apron with bib,

Acceptable standards
Fabric: 100% polyester with PVC coating, or 100% PVC, or 100% rubber, or other fluid
• EN ISO 13688
resistant coated material,
Apron, • EN 14126-B and partial body protection (EN 13034 or
Waterproof, Sewn strap for neck and back fastening
heavy duty EN 14605)
Minimum basis weight: 300g/m2
• EN 343 for water and breathability
covering size: 70-90 cm (width) X 120-150cm (height)
or equivalent
Reusable (provided appropriate arrangements for decontamination are in place)

• EU PPE Regulation 2016/425 Category III, CE Notifiying

Body must be declared
• EU MDD (directive) 93/42/EEC Class I
Gown Single use, non-sterile, disposable, length mid-calf. • FDA class 1,
• EN 13795 any performance level, or
• AAMI PB70 all levels acceptable, or
• ASTM F3352

• EU PPE Regulation 2016/425 Category III, CE Notifiying

Body must be declared
• EU MDD (directive) 93/42/EEC Class I
• FDA class 2,
Gown, surgical Single use, disposable, length mid-calf.
or equivalent
• EN 13795 any performance level, or
• AAMI PB70 all levels acceptable,
• ASTM F2407

Good seal with the skin of the face, Flexible PVC frame to easily fit with all face contours • EU PPE Regulation 2016/425 Category III, CE Notifiying
with even pressure, Enclose eyes and the surrounding areas, Accomodate wearers with Body must be declared
Goggles, glasses prescription glasses, Clear plastic lens with fog and scratch resistant treatments, • EN 166,
protective Adjustable band to secure firmly so as not to become loose during clinical activity, Indirect • ANSI/ISEA Z87.1,
venting to avoid fogging, May be re-usable (provided appropriate arrangements for or equivalent
decontamination are in place) or disposable.

Required
• ASTM E2755, or
• EN 1500
Alcohol-based hand rub Bottle of 100ml & 500ml, at least 80% ethanol or 75% isopropyl alcohol (v/v)
Optional:
• ASTM E1115, or
• ASTM E1174

• EN 1499
Handwash Bottle of 100ml & 500ml
• ASTM E1174

Disposal bag for bio-hazardous waste, 30x50cm, with "Bio Hazard" print, autoclavable polypropylene.
Bio-hazardous bag
50 or 70 micron thickness

SAFETY BOX, needles/syringes, 5l, cardboard for incineration, box-25

Safety Box Biohazard Label as per WHO PQS E010/011

Soap Liquid (prefered), powder and bar

Outer glove should have long cuffs, reaching well above the wrist, ideally to mid-forearm.
Gloves,
Cuff length preferably reach mid-forearm (eg. minimum 280mm total length. Sizes, S, M, Pouncture resistant, FDA compliant
Cleaning
L).Reusable

Hand drying tissue 50 to 100m roll

Chlorine NaDCC, granules, 1kg, 65 to 70% + dossage spon

OSL | Disease Commodity Packages 8 MERS-CoV

 type of device Description

Electronic thermometers that assess the temperature by determining

the intensity of infrared light emission. These thermometers consist
screen

of an infrared probe, electronic circuitry, and a display. These

IR thermometer
thermometers take a sample of the thermal radiation, usually without
contact with the measured object, and display the temperature within
a few seconds.

Gloves, Gloves, examination, nitrile, powder-free, non-sterile. (eg. minimum

examination 230mm total length. Sizes, minimum thickness 0.05mm, S, M, L

Mask, medical
Medical mask, good breathability, internal and external faces should
PPE

Healthcare
be clearly identified
worker

Mask, medical Medical mask, good breathability, internal and external faces should
patient be clearly identified

Gloves, examination, nitrile, powder-free, non-sterile. Cuff length

preferably reaching above the wrist, minimum thickness 0.05mm.
Gloves,
Sizes, S, M, L
examination
Gloves, surgical,
Gloves, surgical, latex, sterile, powder-free, single use.
length to forearm
large (longer than
Gloves should have long cuffs, reaching well above the wrist, ideally
examination
to mid-forearm. minimum thickness 0.10mm. Sizes ranging 5.0 - 9.0
gloves)

Made of clear plastic and provides good visibility to both the wearer
and the patient, Adjustable band to attach firmly around the head
and fit snuggly against the forehead, Fog resistant (preferable),
Face shield
Completely cover the sides and length of the face, May be re-usable
(made of robust material which can be cleaned and disinfected) or
disposable.

To evaluate effectiveness of seal for tight fitting respiratory

Fit Test Kit
protection devices

Particulate
N95 or FFP2 respirator, or higher
respirator, grade
Good breathability with design that does not collapse against the
N95/FFP2 or
mouth (e.g. duckbill, cup-shaped)
higher

Mask, Medical mask, good breathability, internal and external faces should
medical be clearly identified

Scrubs, tops Tunic/tops, woven, scrubs, reusable or single use, short sleeved (tunic/tops), worn und
 Scrubs, pants Trouser/pants, woven, scrubs, reusable or single use, short sleeved (tunic/tops), worn

Straight apron with bib,

Fabric: 100% polyester with PVC coating, or 100% PVC, or 100%
rubber, or other fluid resistant coated material,
Apron, Waterproof, Sewn strap for neck and back fastening
heavy duty Minimum basis weight: 300g/m2
covering size: 70-90 cm (width) X 120-150cm (height)
Reusable (provided appropriate arrangements for decontamination
are in place)
PPE Health Care Facilities

Gown Single use, non-sterile, disposable, length mid-calf.

Gown, surgical Single use, disposable, length mid-calf.

Good seal with the skin of the face, Flexible PVC frame to easily fit
with all face contours with even pressure, Enclose eyes and the
surrounding areas, Accomodate wearers with prescription glasses,
Goggles, glasses Clear plastic lens with fog and scratch resistant treatments,
protective Adjustable band to secure firmly so as not to become loose during
clinical activity, Indirect venting to avoid fogging, May be re-usable
(provided appropriate arrangements for decontamination are in
place) or disposable.

Alcohol-based Bottle of 100ml & 500ml, at least 80% ethanol or 75% isopropyl
hand rub alcohol (v/v)
Handwash Bottle of 100ml & 500ml

Disposal bag for bio-hazardous waste, 30x50cm, with "Bio Hazard" print, autoclavable
Bio-hazardous bag
50 or 70 micron thickness

SAFETY BOX, needles/syringes, 5l, cardboard for incineration, box-25

Safety Box

Soap Liquid (prefered), powder and bar

Outer glove should have long cuffs, reaching well above the wrist,
Gloves,
ideally to mid-forearm. Cuff length preferably reach mid-forearm (eg.
Cleaning
minimum 280mm total length. Sizes, S, M, L).Reusable

Hand drying tissue 50 to 100m roll

Chlorine NaDCC, granules, 1kg, 65 to 70% + dossage spon
 STANDARDS

• ISO 80601-2-56:2017
• (EN 12470-5)
• ISO 80601-2-59 Ed. 1.0:2017
• ASTM E1104-98(2016)
• ASTM E1965-98(2016)
• ASTM E1112-00(2018)
• JIS T 4207:2005)

• EU MDD (directive) 93/42/EEC Class I,

• EU PPE Regulation 2016/425 Category III, , CE Notifiying Body must be declared
• FDA Class 1
• EN 455,
• EN 374,
• ASTM D6319,
or equivalent set of standards

• EU MDD (directive) 93/42/EEC Class I,

• EU PPE Regulation 2016/425 Category III, CE Notifiying Body must be declared
• FDA Class 2
• EN 14683 Type II, IIR
• ASTM F2100 minimum Level 1
or equivalent

• EN 14683 any type including Type I

• ASTM F2100 any Level
or equivalent;

• EU MDD (directive) 93/42/EEC Class I,

• EU PPE Regulation 2016/425 Category III, CE Notifiying Body must be declared
• FDA Class 1
• EN 455
• EN 374
• ASTM D6319
• or demonstrate equivalent set of standards
 • EU MDD (directive) 93/42/EEC Class IIa,
• EU PPE Regulation 2016/425 Category III, CE Notifiying Body must be declared
• FDA Class 1
• EN 455
• ASTM D3577
• Sterility according to USP
• EN ISO 11607
or demonstrate equivalent set of standards

• EU PPE Regulation 2016/425, CE Notifiying Body must be declared

• EN 166,
• ANSI/ISEA Z87.1,
or demonstrate equivalent set of standards

OSHA 29 CFR 1910.134 Appendix A

• EU PPE Regulation 2016/425 Category III, CE Notifiying Body must be declared

• EU MDD (directive) 93/42/EEC Class I,
• FDA Class 2
• Minimum "N95" respirator according to, under NIOSH 42 CFR 84,
• Mnimum "FFP2" according to EN 149
or demonstrate equivalent set of standards

• EU PPE Regulation 2016/425 Category III, CE Notifiying Body must be declared

• EU MDD (directive) 93/42/EEC Class I,
• FDA Class 2
• EN 14683 Type II, IIR
• ASTM F2100 minimum level 1
or equivalent;

eeved (tunic/tops), worn underneath the coveralls or gown.

t sleeved (tunic/tops), worn underneath the coveralls or gown

Acceptable standards
• EN ISO 13688
• EN 14126-B and partial body protection (EN 13034 or EN 14605)
• EN 343 for water and breathability
or equivalent

• EU PPE Regulation 2016/425 Category III, CE Notifiying Body must be declared

• EU MDD (directive) 93/42/EEC Class I
• FDA class 1,
• EN 13795 any performance level, or
• AAMI PB70 all levels acceptable, or
• ASTM F3352

• EU PPE Regulation 2016/425 Category III, CE Notifiying Body must be declared

• EU MDD (directive) 93/42/EEC Class I
• FDA class 2,
or equivalent
• EN 13795 any performance level, or
• AAMI PB70 all levels acceptable,
• ASTM F2407

• EU PPE Regulation 2016/425 Category III, CE Notifiying Body must be declared

• EN 166,
• ANSI/ISEA Z87.1,
or equivalent

Required
• ASTM E2755, or
• EN 1500
Optional:
• ASTM E1115, or
• ASTM E1174
 • EN 1499
• ASTM E1174

Hazard" print, autoclavable polypropylene.

Biohazard Label as per WHO PQS E010/011

Pouncture resistant, FDA compliant