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Sterile. Set includes: tray w/2 compartments; 1 pair gloves; 1 pre-cut gauze tracheostomy dressing; 1 polylined towel/drape; Four 4x 4 gauze sponges; 2 pipe cleaners; 3 cotton tipped applicators; flexible nylon bristle brush; 30 twill tape; 1 foam neck pad; 2 100ml packets hydrogen peroxide; 1 100ml container sterile saline solution.