Alternatives* to Polyvinyl Chloride (PVC) and Di(2-Ethylhexyl) Phthalate (DEHP) Medical Devices
Products detailed in this publication include: Ambulatory Products Bedding Products Blood Bags: ■ fresh frozen plasma ■ packed red blood cells ■ platelets ■ platelet rich plasma Body Bags Breast Pump Collection Kits ■ tubing Central Line Catheters and PICC Lines ■ central venous catheters ■ introcan safety catheters ■ midline catheters ■ percutaneous catheter introducers ■ peripherally-inserted central catheters (PICC) Compression Devices Dialysis Peritoneal ■ Cruz catheters ■ rigid dialysate containers ■ peritoneal catheters Enteral Feeding Sets ■ bags and tubing ■ extension sets Enteral Feeding Nasogastric Tubes ■ gastrostomy tubes ■ nasoenteric tubes ■ nasogastric tubes ■ nasojejunal tubes ■ pediatric clear straight catheters ■ PEG tubes Epidural Catheters
Pub 3-05 This publication is part of Going Green: A Resource Kit for Pollution Prevention in Health Care. For additional copies of this or other publications included in the kit, or to find out how to get a complete kit, visit Health Care Without Harm on the Web at www.noharm.org/goinggreen. This version: April 7, 2004
Gloves, Examination Intravenous (IV) Products ■ administration sets ■ anti-coring needles ■ IV bags ■ IV tubing
Irrigation/Drainage drains ■ irrigation containers ■ mediastinal catheter ■ nephrostomy catheters ■ surgical and wound drains ■ thoracic catheters ■
Patient ID Bracelets Plastic Wrap Respiratory Therapy Products ■ Berman airways ■ Cricothyrotomy kits ■ endotracheal tubes ■ epistaxis catheters ■ intubation sets ■ laryngectomy tubes ■ masks, aerosol and oxygen ■ nasal and turbinate stents ■ oxygen hoods ■ Replogle suction catheter ■ sleep apnea tubes ■ tracheostomy tubes ■ voice prosthesis products Saliva Ejector Shower Curtains Splints Sterilization Bags ■ pouches Sump Tubes ■ Salem sump tube ■ Replogal sump tube Total Parenteral Nutrition ■ bags ■ catheters ■ tubing Tubing ■ IV tubing ■ medical and surgical Umbilical Vessel Catheters Urinary Drainage Catheters ■ Foley catheters ■ urethral catheters for pediatrics ■ urinary catheters
* Health Care Without Harm does not endorse any of these products, has not tested them for safety or efficacy, and does not take responsibility for the accuracy of the information or product performance. Listing here is based solely on information provided by the manufacturer. Non-PVC products may contain much smaller amounts of DEHP. Flexible PVC-free products still must be tested to ascertain whether they are in fact DEHP-free. Products that contain latex and chlorine are excluded from this table: latex products because of concerns over latex allergies and chlorine containing products because of concerns over lifecycle hazards. Exceptions are made for the few PVC products for which few or no non-PVC products are available. In those cases non-DEHP products are identified. This table is a work-in-progress. Sources: Sustainable Hospitals Project, 2000, “Alternative Products,” see http://sustainablehospitals.org (Lowell: Sustainable Hospitals Project, UMass Lowell); and Tickner, Joel, et al, 1999, The Use of Di2-Ethylhexyl Phthalate in PVC Medical Devices: Exposure, Toxicity, and Alternatives (Lowell: Lowell Center for Sustainable Production, UMass Lowell). All information was verified through telephone contacts with manufacturer representatives or review of manufacturer website information.
603.330.0700 800.847.0670
LASAN Plastics, Inc.
Precision Dynamics Corp.
Compression Devices
Central Line Catheters and PICC Lines
Breast Pump Collection Kits
Body Bags
Blood Bags
800.377.3449
Children's Medical Ventures
Bedding Products
800.533.4984 800.544.4907 800.544.4907
Utah Medical Products, Inc.
Vygon
Vygon
800.962.9888
210.696.4061
Klein-Baker Medical
Kendall Health Care
800.472.5221
Horizon Medical Products
800.526.8785
201.847.6800
Becton Dickinson
Aircast (Venaflow)
800.227.2862
800.492.1088
CAMP (Expressly Yours)
B. Braun
800.492.1088
314.429.1000 ext. 22
ICP Medical
CAMP (Expressly Yours)
603.330.0700
800.766.1077
Baxter Healthcare
LASAN Plastics, Inc.
800.766.1077
Baxter Healthcare
815.678.3388
Many Manufacturers, including: Merry Walker Corp.
Ambulatory Products
Telephone
Manufacturer
Products
www.kendallhq.com
www.aircast.com
www.vygonusa.com
www.vygonusa.com
www.utahmed.com
www.neocare.com
www.hmpvascular.com
www.bd.com
www.bbraunusa.com
www.expresslyyours.net
www.expresslyyours.net
www.icpproducts.com
www.lasan.com
www.baxter.com
www.baxter.com
www.pdcorp.com
www.lasan.com
www.childmed.com
www.merrywalker.com
Webpage
Polyolefins
Polyurethane, polyester, rayon
Polyurethane
Polyurethane or Silicone
Silicone
Silicone
Silicone
Silicone, Polyurethane or Teflon
Polyurethane or Teflon
Silicone
Silicone
Polyethylene
Polyethylene/Polypropylene blend
Non-DEHP PVC
Polyolefin
Polyethylene
Polyethylene
Polyurethane
Steel
Material
Sequential compression device
Intermittent pneumatic compression device
Mid-line catheters - pediatrics and adults
Peripherally inserted central catheter - adults and neonates
Peripherally-inserted central catheter - neonates (PICC-Nate)
Peripherally-inserted central catheter - neonates
Central venous catheter, Peripherally-inserted central catheter
Peripherally-inserted central catheter, Midline catheter
Central venous catheter, Introcan safety catheter, Peripherallyinserted central catheter
Tubing
Collection kit
Bags for packed red blood cells
Bags for platelets, platelet rich plasma and fresh frozen plasma
Disposable mattress and pillow covers, draw sheets
Bedding materials
Soft Gel pillow - neonates
Merry Walker
Comments
Alternatives to Polyvinyl Chloride (PVC) and Di(2-Ethylhexyl) Phthalate (DEHP) Medical Devices (Part 1 of 7)
Enteral Feeding – Nasogastric (NG) Tubes 800.323.6305 800.545.0890 800.962.9888 800.962.9888 800.962.9888 800.524.3557 210.696.4061 800.231.3330
CORPAK MedSystems
C.R. Bard, Inc.
Kendall Healthcare (Tyco)
Kendall Healthcare (Tyco)
Kendall Healthcare (Tyco)
Kimberly-Clark (Ballard Medical Devices)
Klein-Baker Medical
Ross (Abbott Laboratories)
800.962.9888
Kendall Healthcare (Tyco) 800.323.6305
800.323.6305
CORPAK MedSystems
CORPAK MedSystems
800.323.6305
800.462.2563
Phoenix Biomedical Corp.
CORPAK MedSystems
800.472.5221
Horizon Medical Products
800.323.6305
800.962.9888
Kendall Healthcare (Tyco)
CORPAK MedSystems
401.658.0130
Degania Silicone
800.377.3449
800.323.6305
CORPAK MedSystems
Children's Medical Ventures
800.621.0445
B. Braun
Enteral Feeding Sets
800.621.0445
B. Braun
Dialysis, Peritoneal
Telephone
Manufacturer
Products
Silicone
Polypropylene/Polyethylene comonomer
Material
Non-DEHP PVC
Silicone
Silicone
Silicone
Silicone
Non-DEHP PVC
www.ross.com
www.neocare.com
www.kchealthcare.com
www.kendallhq.com
www.kendallhq.com
www.kendallhq.com
www.bardmedical.com
Polyurethane
Silicone
Silicone
Silicone
Silicone
Polyurethane
Polyurethane
www.corpakmedsystems.com Polyurethane
www.corpakmedsystems.com Silicone
www.kendallhq.com
www.corpakmedsystems.com Silicone
www.corpakmedsystems.com Nylon, Ethylene vinyl acetate, Polypropylene
www.corpakmedsystems.com Nylon, Ethylene vinyl acetate, Polypropylene
www.childmed.com
www.shunt.com/biomedical
www.hmpvascular.com
www.kendallhq.com
www.deganiasilicone.com
www.corpakmedsystems.com Polyurethane
www.bbraunusa.com
www.bbraunusa.com
Web Page
Gastrostomy tube, Nasoenteric feeding tube, Nasojejunal feeding tube
Feeding tube for neonates
PEG feeding tube, Gastrostomy feeding tube, Jejunal feeding tube
Gastrostomy tube
Replacement skin level g-tube
Nasogastric tube, PEG tube, Nasojejunal
Pediatric clear straight catheter
PEG tube, Nasoenteric feeding tube, Jejunal tube - neonates and adult
Gastrostomy tube - neonates and adults
Non-DEHP bag & tube
Cubby button gastrostomy device (CorFlo)
Farrell valve for enteral gastric pressure relief: PVC-free bag with tubing made from PVC with DEHP
Enteral feeding bag
Enteral set
Peritoneal catheter - neonatal to adult
Peritoneal catheter
Peritoneal catheter
Peritoneal catheter
Cruz catheter
Peritoneal catheter - infants and adults
Rigid peritoneal dialysate container
Comments
Alternatives to Polyvinyl Chloride (PVC) and Di(2-Ethylhexyl) Phthalate (DEHP) Medical Devices (Part 2 of 7)
Intravenous (IV) Products
Gloves, Examination
800.227.2862 800.227.2862 800.227.2862
B. Braun
B. Braun
800.445.683
Tillotson
B. Braun
800.822.8956
SmartCare Inc.
800.227.2862
800.462.9993
Safeskin Corporation
B. Braun
800.727.7951
Maxxim Medical
800.227.2862
800.668.5289
ECI Medical Technologies
B. Braun
800.241.0323
Best Manufacturing Co.
800.222.6883
800.321.9752
Ansell-Perry
Abbott Laboratories
800.964.5227
Allegiance Healthcare Corp.
800.544.4907
800.970.2337
Zevex
Vygon
800.970.2337
Zevex
800.227.2862
800.544.4907
Vygon
B. Braun
800.533.4984
Utah Medical Products Inc.
Epidural Catheters
800.231.3330
Ross (Abbott Laboratories)
Enteral Feeding – Nasogastric (NG) Tubes (continued)
Telephone
Manufacturer
Products
www.bbraunusa.com
www.bbraunusa.com
www.bbraunusa.com
www.bbraunusa.com
www.bbraunusa.com
www.abbott.com
www.thcnet.com
www.smartcare.com
www.safeskin.com
www.maxximmedical.com
www.ecimedical.com
www.bestglove.com
www.ansellhealthcare.com
www.allegiance.net
www.vygonusa.com
www.bbraunusa.com
www.zevex.com
www.zevex.com
www.vygonusa.com
www.utahmed.com
www.ross.com
Web Page
Polyethylene, Polypropylene, Foil, and other special barriers
Polypropylene/ Polyethylene copolymer
Polypropylene/ Polyethylene copolymer
Polypropylene/ Polyethylene copolymer, Polyester, Elastomer laminate
Polypropylene/ Polyethylene copolymer, Polyester, Elastomer laminate
Non-DEHP PVC
Nitrile
Nitrile
Nitrile
Polyurethane
Styrene isoprene styrene
Nitrile
Nitrile
Nitrile
Polyethylene, Polyamide (nylon) or Polyurethane
Polyamide (nylon)
Silicone
Polyurethane
Polyurethane
Silicone
Silicone
Material
Two-chamber bag - one chamber antibiotic powder, the other diluent (Duplex)
Pre-mixed drug solutions in PVCfree partial additive bag (PAB)
IV solutions in PVC-free partial additive bag (PAB)
Pre-mixed drug solutions in PVCfree bag (Excel)
IV solutions in PVC-free bag (Excel)
IV administration and extension sets
Epidural vessel catheter
Epidural catheter
Gastrostomy tube
Nasoenteric feeding tube
Gastric feeding tube for infants, Nasojejunal tube
Nasogastric and nasoenteric feeding tubes (Gesco Nutri-cath)
Gastrostomy tube -- adult and pediatric, PEG tube
Comments
Alternatives to Polyvinyl Chloride (PVC) and Di(2-Ethylhexyl) Phthalate (DEHP) Medical Devices (Part 3 of 7)
800.533.4984
847.482.2000
Pactiv
Utah Medical Products, Inc.
909.594.3660
Natvar
800.962-9888
800.848.1757
Medex, Inc.
Kendall Healthcare (Tyco)
800.848.1757
Medex, Inc.
401.658.0130
800.486.6677
MPS Acacia
Degania Silicone
800.529.2786
Kawasumi
800.545.0890
800.529.2786
Kawasumi
C.R. Bard
800.472.5221
Horizon Medical Products
972.2.586.1322
714.893.2200
Curlin Medical
Biometrix
864.433.2000
Cryovac
800.227.2862
800.377.3449
Children's Medical Ventures
B. Braun
800.569.1620
Budget Medical Products
800.528.7486
972.2.586.1322
Biometrix
Atrium Medical Corporation
800.227.2862
B. Braun
Irrigation/Drainage
800.227.2862
B. Braun
Intravenous (IV) Products (continued)
Telephone
Manufacturer
Products
www.utahmed.com
www.kendallhq.com
www.deganiasilicone.com
www.bardmedical.com
www.biometrix.co.il
www.bbraunusa.com
www.atriummed.com
www.pactiv.com
www.natvar.com
www.medexmed.com
www.medexmed.com
www.mpsacacia.com
www.kawasumiamerica.com
www.kawasumiamerica.com
www.hmpvascular.com
www.curlinmedical.com
www.cryovac.com
www.childmed.com
www.icumed.com
www.biometrix.co.il
www.bbraunusa.com
www.bbraunusa.com
Web Page
Silicone
Silicone
Silicone
Silicone
Silicone
Polyethylene/Polypropylene copolymer
Silicone
Polypropylene
Polyurethane
Polyethylene
Polyurethane
Non-DEHP PVC
Non-DEHP PVC (TOTM)
Non-DEHP PVC (TOTM)
Non-DEHP PVC
Non-DEHP PVC
Polyolefins
Non-DEHP PVC
Non-DEHP PVC
Polyethylene
Non-DEHP PVC
Ethylene vinyl acetate with polyethylene lining
Material
Thoracic catheter
Mediastinal catheter, Thoracic catheter
Surgical and wound drains, Thoracic catheter, Nephrostomy catheter - may fit neonates
Drains
Drains
Containers for irrigation/urology solutions (PIC)
Thoracic catheter
IV Bag
Multi-layer IV tubing (BioPath)
IV tubing
IV extension set
IV tubing
Gravity IV administration sets
Port access infusion sets
Anti-coring needles
Infusion tube, Extension sets
IV Bag
IV administration sets
IV tubing
IV sets
IV administration and extension set
IV administration and extension set (limited application)
Comments
Alternatives to Polyvinyl Chloride (PVC) and Di(2-Ethylhexyl) Phthalate (DEHP) Medical Devices (Part 4 of 7)
Web Page www.pdcorp.com www.wristbandsupply.com www.glad.com www.dhd.com www.kendallhq.com www.laerdal.com www.portexusa.com www.portexusa.com www.portexusa.com www.portexusa.com www.portexusa.com www.portexusa.com www.portexusa.com www.portexusa.com www.portexusa.com www.portexusa.com www.ruschinc.com www.ruschinc.com www.utahmed.com www.utahmed.com www.vital-signs.com www.vital-signs.com
Telephone 800.847.0670 800.940.3993 800.835.4523 800.847.8000 800.962.9888 800.431.1055 800.258.5361 800.258.5361 800.258.5361 800.258.5361 800.258.5361 800.258.5361 800.258.5361 800.258.5361 800.258.5361 800.258.5361 800.553.5214 800.553.5214 800.533.4984 800.533.4984 800.932.0760 800.932.0760
Manufacturer
Precision Dynamics Corp.
Wristband & Medical Specialty Products
Glad
DHD Healthcare
Kendall Healthcare
Laerdal
Portex, Inc. (Bivona)
Portex, Inc. (Bivona)
Portex, Inc. (Bivona)
Portex, Inc. (Bivona)
Portex, Inc. (Bivona)
Portex, Inc. (Bivona)
Portex, Inc. (Bivona)
Portex, Inc. (Bivona)
Portex, Inc. (Bivona)
Portex, Inc. (Bivona)
Rusch
Rusch
Utah Medical Products, Inc.
Utah Medical Products, Inc.
Vital Signs
Vital Signs
Products
Patient ID Bracelets
Plastic Wrap
Respiratory Therapy Products
Polyester/Polyurethane
Polyester
Polyethylene terephthalate glycol
Co-polyester - Polyethylene foam and Polypropylene
Polyethylene
Red rubber or Silicone
Silicone
Silicone
Silicone
Silicone
Silicone
Silicone
Silicone
Silicone
Silicone
Silicone
Silicone
Polyurethane
Silicone
Polyethylene
Tyvek®
Tyvek®
Material
Mask
Oxygen or aerosol applications Aero2Mask
Disposable Infant Oxygen Hood (Disposa-Hood)
Disposable infant oxygen hood
Berman Airways
Reusable endotracheal tube
Laryngoscopy tubing
Bronchoscopy tubing
Emergency circothyrotomy kits pediatric and adult
Voice prosthesis products
Nasal and turbinate stents adult
Epistaxis catheters
Endotracheal tubing - neonate, pediatric, and adult
Sleep apnea tubing - adult
Laryngectomy tubing - adult
Tracheostomy tubing - neonatal, pediatric, and adult
Mask - infant and adult
Replogle suction catheter
Aerosol mask
Wrap (Glad Cling Wrap)
Appropriate for short stays
Appropriate for short stays
Comments
Alternatives to Polyvinyl Chloride (PVC) and Di(2-Ethylhexyl) Phthalate (DEHP) Medical Devices (Part 5 of 7)
800.544.4907
Vygon
Umbilical Vessel Catheters
Tubing – Medical and Surgical
Total Parenteral Nutrition (TPN)
800.962.9888
Kendall Healthcare (Tyco)
Sump Tubes
800.962.9888 210.696.4061 800.533.4984 800.544.4907
Klein-Baker Medical
Utah Medical Products, Inc.
Vygon
800.798.1544
Tygon, Saint-Gobain Performance Plastics
Kendall Healthcare (Tyco)
800.798.1544
Tygon, Saint-Gobain Performance Plastics
800.544.4907
Vygon
909.594.3660
972.2.586.1322
Biometrix
Natvar
800.227.2862
B. Braun
401.658.0130
800.227.2862
B. Braun
Degania Silicone
800.766.1077
Baxter Healthcare, Fenwal Division
888.871.8565
General Econopak
Sterilization Bags
440.285.4020
Faretec
Splints
Many manufacturers
Brookstone
Shower Curtains
800.846.3000
46.42.295500
Vygon
J.H. Orsing AB
800.544.4907
Vygon
Saliva Ejector
800.932.0760
Vital Signs
Respiratory Therapy Products (continued)
Telephone
Manufacturer
Products
www.vygonusa.com
www.utahmed.com
www.neocare.com
www.kendallhq.com
www.tygon.com
www.tygon.com
www.natvar.com
www.deganiasilicone.com
www.vygonusa.com
www.biometrix.co.il
www.bbraunusa.com
www.bbraunusa.com
www.baxter.com
www.vygonusa.com
www.kendallhq.com
www.generaleconopak.com
www.faretec.com
www.brookstone.com
www.orsing.se
www.vygonusa.com
www.vital-signs.com
Web Page
Polyurethane
Silicone, Tecoflex, Polyurethane
Silicone or Polyurethane
Polyurethane
Silicone
Polyurethane
Polyurethane
Silicone
Polyurethane
Ethylene vinyl acetate
Glass container
Polypropylene/Polyethylene copolymer, Polyester, Elastomer laminate
Ethylene vinyl acetate
Polyurethane
Silicone
Polyolefin/Kraft paper
Aluminum and Epoxy
Nylon
Tyvek®
Polyethylene and Polypropylene
Ethylene vinyl acetate
Polypropylene
Material
Umbilical vessel catheter
Umbilical vessel catheter neonates (Umbili-cath)
Umbilical vessel catheter
Umbilical vessel catheter
Medical and surgical tubing
Medical and surgical tubing
Multi-layer IV tubing (BioPath)
Medical tubing
Catheter for parenteral nutrition and mid/long-term IV therapy (see PICC lines above)
TPN bag
TPN solution in glass container
Bag for sterile water (Excel)
TPN bag
Sump tubes
Salem sump tubes
Sterilization pouches
Various splints
Saliva Ejector
Oropharygeal airway - pediatric
Optional tubing
Comments
Alternatives to Polyvinyl Chloride (PVC) and Di(2-Ethylhexyl) Phthalate (DEHP) Medical Devices (Part 6 of 7)
401.658.0130 800.962.9888 800.962.9888 210.696.4061 800.243.3315 800.533.4984
Degania Silicone
Kendall Healthcare (Tyco)
Kendall Healthcare (Tyco)
Klein-Baker Medical
Rochester Medical
Utah Medical Products, Inc.
www.utahmed.com
www.rocm.com
www.neocare.com
www.kendallhq.com
www.kendallhq.com
www.deganiasilicone.com
www.bardmedical.com
www.bardmedical.com
Web Page
The PCF certification mark and term are the sole property of the Chlorine Free Products Association and are only used by authorized and certified users.
This publication is part of Going Green: A Resource Kit for Pollution Prevention in Health Care. For additional copies of this or other publications included in the kit, or to find out how to get a complete kit, visit Health Care Without Harm on the Web at www.noharm.org/goinggreen.
800.545.0890
C.R. Bard
1755 S Street, NW Suite 6B Washington, DC 20009 Phone: 202.234.0091 Fax: 202.234.9121 www.noharm.org
[email protected]
800.545.0890
C.R. Bard
Urinary Catheters
Telephone
Manufacturer
Products
Silicone
Silicone
Silicone
Polyurethane
Silicone
Silicone
Silicone
Polyurethane
Material
Urinary catheter (Uri-cath)
Foley catheter (pediatric and adult)
Urinary drainage catheter neonates
Pediatric urinary catheter
Foley catheter
Foley catheter
Foley catheter
Urethral catheter - pediatrics
Comments
Alternatives to Polyvinyl Chloride (PVC) and Di(2-Ethylhexyl) Phthalate (DEHP) Medical Devices (Part 7 of 7)
