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Sterile. Set includes: 3-compartment tray; 1 pair gloves; 1 pre-cut gauze tracheostomy dressing; 2 polylined towel/drapes; 1 pair forceps; 3 4x4 gauze sponges; 3 pipe cleaners; 3 cotton tipped applicators; flexible nylon bristle brush; 30 twill tape.