the PDF for catalog - Impact Biomedical Corp.

RETURN AUTHORIZATION REQUESTATTN:FAX# OR E-MAILINSTRUCTIONS: YOU HAVE REQUESTED SERVICE FOR YOUR EQUIPMENT.WE NEED INFORMATION TO PROVIDE YOU A RETURN AUTHORIZATION NO.NOTE: THE FOLLOWING ITEMS MAY NOT BE COVEREDUNDER WARRANTY AND NON WARRANTY REPAIR SERVICESImpact BioMedical Corp.2408 Timberloch PlaceSuite B-3 The Woodlands, TX77380YOUR COMPANY NAME:1) SHIPPING EXPENSES2) BOXES3) CLEANING4) FILTERS5) ESTIMATE FEEA) ALL REPAIR SERVICES WILL BE APPROVED BY YOUR OFFICE BEFOREANY CHARGES APPLY.B) PLEASE ISSUE A PURCHASE ORDER NUMBER IN THE SPACE PRO-VIDEDTO ACKNOWLEDGE POSSIBLE CHARGES EXPLAINED ON 1 THRU 5FOR WARRANTY REPAIRS AND NON-WARRANTY REPAIRSC) PLEASE FILL OUT THE INFORMATION ON THIS FORMAND FAX BACK TO US AT (FAX#) 281-821-5635 (PHONE#) 281-821-5484D) NOTE: THERE IS A $50.00 ESTIMATE FEE ON ALL EQUIPMENT NOTAPPROVED FOR SERVICE(PRICING ESTIMATES NEED INSTRUCTIONS RETURNED WITHIN 15DAYS OR ESTIMATE FEE WILL BE INVOICED)PLEASE SHIP ME BOXES (CIRCLE YES OR NO)PLEASE CHANGE FILTERS (CIRCLE YES OR NO)PLEASE PICK UP EQUIP. (CIRCLE YES OR NO)P.O. NO.CONTACT FOR REPAIRSNOTE!!!!!1) ALL EQUIPMENT IS REQUIRED TO HAVE A RETURN AUTHORIZATION FROMIMPACT BIOMEDICAL CORP.2) ALL EQUIPMENT RETURNED IN NEW BOXESCUST SIGNATURE (ACKNOWLEDGEMENT)3) ALL EQUIPMENT FILTERS ARE REPLACED4) ALL EQUIPMENT LEFT WITH OUT INSTRUCTIONS FOR 45 DAYS WILL BEDISPOSED OF.PLEASE FAX BACK TO: 281-292-6927DESCRIPTIONHOURS INSERIAL NO.4 1-800-327-1823

SAMPLE PRICING ESTIMATEImpact BioMedical Corp.2408 Timberloch PlaceSuite B-3The Woodlands, TX 77380ATTN:YOUR CONTACTFAX # 281-821-5484CUST. NAMEANY RESPIRATORY EQUIPMENT CO.12345 REPAIR STREETANY PLACE, USAPLEASE FILL OUT COMPLETELYINSTRUCTIONS: PLEASE FILL OUT 1 THRU 4 ANDFAX TO 281-292-6911THE FOLLOWING EQUIPMENT HAS BEEN SENT TO US FOR SERVICE ANDREQUIRES INSTRUCTIONS. WE NEED THE FOLLOWING COMPLETEDIMMEDIATELY AND FAXED TO 281-821-5635 TO PROCESS YOUR ORDER:DATE 06/25/2003MODEL # PB590 WITH OCISERIAL # 0597G188708WRTY STATUS SIEVE BEDS ONLY1) P.O. # _____________________2) REPAIR : Y N (CIRCLE ONE) BILL CREDIT CARD Y OR N3) HOW WOULD YOU LIKE THIS RETURNED? (CIRCLE ONE)A) OUR COMPANY WILL PICK UPB) SHIP UNITC) DISPOSE OF UNITHOURS IN 23809SHIP TO LOCA-ANY PLACE4) SIGNATURE___________________________________________________NOTICE!!!ALL EQUIPMENT THAT DOES NOT RECEIVE INSTRUCTIONS ON SERVICEDESIRED WITH IN 15 BUSINESS DAYS WILL HAVE AN ESTIMSTE FEE INVOICEDDIAGITEM DESCRIPTION QTY WRTY COST TOTALDIAGNOSTICS - WORK ORDER NO.12345TECH TO PERFORM INSPECTION/TEST#1) FILTERS#2) COMPRESSOR#3) VIBRATION MOUNTS#4) TEST CYCLE PRESSURE#5) OUTLET PRESSURE#6) VALVING#7) LEAK1 N $0.00 $0.00INCIDENTAL INCIDENTAL 1 N $20.00 $20.00B-F010 INTAKE FILTER 1 N $3.75 $3.75C-F10 FOAM CABINET FILTER 1 N $0.50 $0.50F-F4 FELT PRE FILTER WITHOUT HOLE 2 N $0.32 $0.64F-F5 FELT PRE FILTER WITH HOLE 2 N $0.32 $0.64GR2V949 9 VOLT BATTERY 1 N $2.96 $2.96PW079 O-RING SIEVE BEDS 1 Y $0.00 $0.00PW095 18X18X28 BOX 1 Y $0.00 $0.00SHIP SHIPPING AND HANDLING 1 N $20.00 $20.00WL WARRANTY LABOR 1 Y $0.00 $0.00PLEASE FAX BACK TO 281-292-1-800-327-1823TOTAL $ 48.495

Table of Contents2) REPAIR INFORMATION3) RENTAL CONCENTRATOR, COMPRESSOR REBUILD SERVICE, TERMS AND CONTACTINFORMATION4) RETURN AUTHORIZATION FORM5) SAMPLE PRICING ESTIMATE6) TABLE OF CONTENTS7) HEPA COMPRESSOR INTAKE FILTERS AND FINAL BACTERIA FILTER FOR CONCENTRATORS8) HEPA COMPRESSOR INTAKE FILTERS AND PRE FILTER HOUSINGD9) PRE FELT AND FOAM INTAKE FILTERS10) PRE CUT FOAM CONCENTRATOR CABINET FILTERS11) PRE CUT FOAM CONCENTRATOR CABINET FILTERS12) HEPA COMPRESSOR INTAKE FILTER ASSYMBLIES13) CONCENTRATOR FILTER SERVICE PACKS14) CONCENTRATOR FILTER SERVICE PACKS15) CONCENTRATOR FILTER SERVICE PACKS AND HEPA CAPSULE FILTERS16) ASPIRATOR (SUCTION MACHINE) HYDROPHOBIC FILTERS AND NEB COMPRESSOR FILTERS17) HUMIDIFIER ADAPTERS, FLOW KNOBS, TUBING18) 2650 THOMAS STYLE COMPRESSOR PARTS19) 100 THOMAS STYLE COMPRESSOR PARTS20) GAST AND DUR-AIR STYLE COMPRESSOR SERVICE PARTS21) 2619 THOMAS STYLE COMPRESSOR PARTS22) 2618/17 THOMAS STYLE COMPRESSOR PARTS23) MOTOR MOUNTS, DIAPHRAGMS, COOLING FANS AND CAPACITORS24) REGULATOR SEALS, CYLINDER WRENCHES AND DISS CONNECTORS (CHRISTMAS TREE)25) FAX ORDER FORM26) CREDIT APPLICATION27) EQUIPMENT RECONDITIONING POINT SHEET6 1-800-327-1823

DESCRIPTION: HEPA INTAKE BACTERIA FILTERPART NO. B-FO1USE-OXYGEN CONCENTRATOR INLET FILTERINLET CONNECTION-22 mm I.D.OUTLET CONNECTION-22 mm O.D.DESCRIPTION: FINAL BACTERIA FILTERPART NO. B-FO2USE-OXYGEN CONCENTRATOR FINAL OUTLET BACTERIAFILTERINLET CONNECTION-3/16”- 1/4” STEP BARB.OUTLET CONNECTION– 3/16 - 1/4” STEP BARBPrice $3.75 eachPkg. Qty. 10FOR USE WITH OXYGEN CONCENTRATORSPrice $2.45 eachPkg. Qty. 10REDUCE COSTON INVACAREMAIN FILTERDESCRIPTION: FINAL BACTERIA FILTERPART NO. B-FO3USE-OXYGEN CONCENTRATOR FINAL OUTLETBACTERIA FILTERINLET CONNECTION-5/16” HOSE BARB.OUTLET CONNECTION– 5/16 HOSE BARBPrice $2.45 eachPkg. Qty. 10DESCRIPTION: HEPA INTAKEBACTERIA FILTERPART NO. B-FO7USE-OXYGEN CONCENTRATORCOMPRESSOR INLET FILTERINLET CONNECTION-22 mm I.D. / 3/8”FEMALE N.P.T. ADAPTEROUTLET CONNECTION-22 mm O.D.FOR USE WITH OXYGEN CONCENTRATORS$4.55Pkg. Qty. 101-800-327-18237

DESCRIPTION: EXTENDED LIFE INTAKEBACTERIA FILTERPART NO. B-FO12USE-OXYGEN CONCENTRATOR INLET FILTERINLET CONNECTION-22 mmPrice $11.88 eachPkg. Qty. 1DESCRIPTION: INLET FILTERPART NO. B-FO9USE-OXYGEN CONCENTRATOR INLET FILTERINLET CONNECTION-3/8” FEMALE N.P.T.Price $9.60 eachPkg. Qty. 1FOR USE WITH OXYGEN CONCENTRATORSDESCRIPTION: ROUND FELT PRE FILTER HOUSINGPART NO. P-FH1USE -OXYGEN CONCENTRATOR COMPRESSOR INTAKEHEPA FILTER PRE FILTRATIONPrice $1.60 eachkg. Qty. 1DESCRIPTION: SQUARE FELT PRE FILTER HOUSINGPART NO. P-FH2USE-OXYGEN CONCENTRATOR COMPRESSOR INTAKEHEPA FILTER PRE FILTRATIONPrice $2. 75 eachPkg. Qty. 18 1-800-327-1823

DESCRIPTION: FELT PRE FILTER WITH HOLEEXTENDED LIFEPART NO. F-F5USE -OXYGEN CONCENTRATOR PRE FILTRATIONEXTENDS HEPA LIFE AND RESONATES INTAKEPrice .32¢ eachPkg. Qty. 50DESCRIPTION: FELT PRE FILTEREXTENDED LIFEPART NO. F-F4USE -OXYGEN CONCENTRATOR PRE FILTRATIONEXTENDS HEPA LIFE AND RESONATES INTAKEPrice .32¢ eachPkg. Qty. 50DESCRIPTION: ROUND FELT PRE FILTER 3/8”PART NO. F-F3USE -OXYGEN CONCENTRATOR PRE FILTRATIONEXTENDS HEPA LIFE AND RESONATES INTAKEPrice .32¢ eachPkg. Qty. 50DESCRIPTION: FOAM PRE FILTER(RESONATOR)PART NO. B-R1USE -OXYGEN CONCENTRATOR PRE FILTRATIONEXTENDS HEPA LIFE AND RESONATES INTAKEPrice .60¢ eachPkg. Qty. 101-800-327-18239

DESCRIPTION: FOAM CABINET FILTERPART NO.C-F10PRE CUT FILTER FOR OUTSIDE CABINET ON INTAKEOF (PB) MALLINKCRODT CONCENTRATORPrice .60¢ each Pkg. Qty. 10DESCRIPTION: FOAM CABINET FILTERPART NO. C-F5PRE CUT FILTER FOR OUTSIDE CABINET ON INTAKE OFALLIANCE CONCENTRATORPrice .60¢ each Pkg. Qty. 10DESCRIPTION: FOAM CABINET FILTERPART NO. C-F6PRE CUT FILTER FOR OUTSIDE CABINET ON INTAKEINVACARE CONCENTRATORDESCRIPTION: FOAM CABINET FILTERPART NO. C-F9PRE CUT FILTER FOR OUTSIDE CABINET ON INTAKEINVACARE PLATINUM CONCENTRATORPrice .60¢ each Pkg. Qty. 10 Price .60¢ each Pkg. Qty. 10DESCRIPTION: FOAM CABINET FILTERPART NO. C-F1PRE CUT FILTER FOR OUTSIDE CABINET ON INTAKEAIRSEP CONCENTRATORPrice .60¢ each Pkg. Qty. 10DESCRIPTION: FOAM CABINET FILTERPART NO. C-F14PRE CUT FILTER FOR OUTSIDE CABINET ONINTAKE MILLENNIUM CONCENTRATORPrice .60¢ each Pkg. Qty. 1010 1-800-327-1823

DESCRIPTION: FOAM CABINET FILTERPART NO. C-F11PRE CUT FILTER FOR OUTSIDE CABINET ON INTAKESOLARIS 5 CONCENTRATORPrice .60¢ each Pkg. Qty. 10DESCRIPTION: FOAM CABINET FILTERPART NO. C-F12PRE CUT FILTER FOR OUTSIDE CABINET ON INTAKESOLARIS 3 CONCENTRATORPrice .60¢ each Pkg. Qty. 10DESCRIPTION: FOAM CABINETFILTERPART NO. C-F3PRE CUT FILTER FOR OUTSIDE CABINETON INTAKE DEVILBISS MC44, MC64,MC84 , PVO2, CONCENTRATORPrice .60¢ each Pkg. Qty. 10DESCRIPTION: FOAM CABINET FILTERPART NO. C-F18PRE CUT FILTER FOR OUTSIDE CABINET ON INTAKESEQUAL CONCENTRATORPrice .60¢ each Pkg. Qty. 10DESCRIPTION: FOAM CABINET FILTERPART NO. C-F4PRE CUT FILTER FOR OUTSIDE CABINET ON INTAKE OFNIDEK NUVO CONCENTRATORPrice .60¢ each Pkg. Qty. 10DESCRIPTION: FOAM CABINET FILTERPART NO. C-F7PRE CUT FILTER FOR OUTSIDE CABINET ON INTAKENIDEK MARK 5 CONCENTRATORPrice $5.40 each Pkg. Qty. 101-800-327-182311

DESCRIPTION: 6 PIECE ASSEMBLY– INTAKEBACTERIA FILTER W/EXTENDED LIFE PRE FILTERSAND HOUSINGPART NO. i-A1DESCRIPTION: 3 PIECE ASSEMBLY-INTAKEBACTERIA FILTER W/ROUND PRE FILTER ANDHOUSINGPART NO. i-A2Price $ 7.78 each Pkg. Qty. 1 Price $ 5.67 each Pkg. Qty. 1DESCRIPTION: 2 PIECE ASSEMBLY-INTAKEBACTERIA FILTER W/FOAM PRE FILTERPART NO. i-A3Price $ 4.35 each Pkg. Qty. 1DESCRIPTION: 5 PIECE ASSEMBLY-EXTENDEDLIFE PRE FILTERS AND HOUSINGPART NO. i-PFA1Price $ 4.03 each Pkg. Qty. 112 1-800-327-1823

DESCRIPTION: 3 PIECE FILTER SERVICEPACKPART NO. S-P7SOLARIS 5 CONCENTRATORPrice $ 4.67 eachPkg. Qty. 1DESCRIPTION: 3 PIECE FILTER SERVICEPACKPART NO. S-P6SOLARIS 5 CONCENTRATORPrice $ 4.67 eachPkg. Qty. 1DESCRIPTION: 3 PIECE FILTER SERVICEPACK (PART NO. S-P9SOLARIS 3 CONCENTRATORDESCRIPTION: 3 PIECE FILTER SERVICEPACKPART NO. S-P8SOLARIS 3 CONCENTRATORPrice $ 4.67 eachPkg. Qty. 1Price $ 4.67 eachPkg. Qty. 1DESCRIPTION: 3 PIECE FILTERSERVICE PACKPART NO. S-P11DEVILBISS PVO2-MC44-MC64-MC84Price $ 4.67 eachPkg. Qty. 1DESCRIPTION: 3 PIECE FILTERSERVICE PACKPART NO. S-P12DEVILBISS PVO2-MC44-MC64-MC84Price $ 4.67 eachPkg. Qty. 11-800-327-182313

DESCRIPTION: 6 PIECE FILTER SERVICEPACKPART NO. S-P1PB CONCENTRATORDESCRIPTION: 3 PIECE FILTERSERVICE PACKPART NO. S-P2PB CONCENTRATORPrice $ 5.63 eachPkg. Qty. 1Price $ 4.67 eachPkg. Qty. 1DESCRIPTION: 3 PIECE FILTER SERVICEPACKPART NO. S-P3ALLIANCE CONCENTRATORPrice $ 4.95 eachPkg. Qty. 1DESCRIPTION: 3 PIECE FILTERSERVICE PACKPART NO. S-P13MILLENNIUM CONCENTRATORPrice $ 4.95 eachPkg. Qty. 1DESCRIPTION: 3 PIECE FILTER SERVICEPACKPART NO. S-P5H300 & BX5000 CONCENTRATORDESCRIPTION: 4 PIECE FILTER SERVICEPACKPART NO. S-P4INVACARE CONCENTRATORPrice $ 12.48 eachPrice $ 8.35 eachPkg. Qty. 114 1-800-327-1823

DESCRIPTION: 4 PIECE FILTERSERVICE PACKPART NO. S-P10INVACARE IRC5LX CONCENTRATORPrice $ 13.40 eachPkg. Qty. 1DESCRIPTION: 4 PIECE FILTERSERVICE PACKPART NO. S-P11INVACARE IRC5LXPLATINUMCONCENTRATORPrice $ 13.40 eachPkg. Qty. 1DESCRIPTION: 1 PIECE ELEMENT FILTERPART NO. NT-002NIDEK CONCENTRATORDESCRIPTION: 2 PIECE FILTERSERVICE PACKPART NO. S-P16NIDEK CONCENTRATORPrice $ 6.58 eachPkg. Qty. 1Price $ 13.06 eachPkg. Qty. 1Price $ 16.50 eachPkg. Qty. 1Price $ 16.50 eachPkg. Qty. 1DESCRIPTION: 6” HEPA CAPSULE FILTERPART NO. i-H3USE -OXYGEN CONCENTRATOR INTERNAL IN LINEFILTRATIONINLET CONNECTION - 3/8” FEMALE THREADEDOUTLET CONNECTION - 3/8” FEMALE THREADEDEFFICIENCY - >99.97 @ 0.3 MICRONMAXIMUM OPERATING TEMPERATURE - 212F@ 0 PSIDESCRIPTION: 3” HEPA CAPSULE FILTERPART NO. i-H2USE -OXYGEN CONCENTRATOR INTERNAL IN LINEFILTRATIONINLET CONNECTION - 3/8” FEMALE THREADEDOUTLET CONNECTION - 3/8” FEMALE THREADEDEFFICIENCY - >99.97 @ 0.3 MICRONMAXIMUM OPERATING TEMPERATURE - 212F@ 0 PSI1-800-327-182315

DESCRIPTION: HYDROPHOBIC BACTERIA FILTERPART NO. B-FO4USE - ASPIRATORS (SUCTION MACHINES) VACUUMINLETINLET CONNECTION - 3/8” THREADED MALE NPTOUTLET CONNECTION - 3/16” - 1/4” STEP BARBPrice $ 2.60 eachPkg. Qty. 10DESCRIPTION: HYDROPHOBIC BACTERIA FILTERPART NO. B-FO5USE - ASPIRATORS (SUCTION MACHINES) VACUUMINLETINLET CONNECTION - 3/8” THREADED MALE NPTOUTLET CONNECTION - 31/4” - 5/16” STEP BARBPrice $ 2.60 eachPkg. Qty. 10DESCRIPTION: HYDROPHOBIC BACTERIA FILTERPART NO. B-FO6USE - ASPIRATORS (SUCTION MACHINES) VACUUM INLETINLET CONNECTION - 3/16” STEP BARBOUTLET CONNECTION - 3/16” - STEP BARBDESCRIPTION: HYDROPHOBIC BACTERIA FILTERPART NO. B-FO8USE - ASPIRATORS (SUCTION MACHINES) VACUUM INLETINLET CONNECTION - 3/8” THREADED MALE NPTOUTLET CONNECTION - 3/16” - STEP BARBPrice $ 2.60 eachPkg. Qty. 10DESCRIPTION: NEBULIZER COMPRESSOR INTAKEFILTER INSPIRATION 929 & 626PART NO. N-929FPrice $ .58¢ eachPkg. Qty. 50DESCRIPTION: NEBULIZER COMPRESSOR INTAKEFILTER FOR INSPIRATION 323PART NO. N-323FPrice $ 1.14 eachPkg. Qty. 50Price $ 2.60 eachPkg. Qty. 10DESCRIPTION: NEBULIZER COMPRESSOR INTAKEFILTER FOR PULMOMATEPART NO. N-PM1Price $ .35¢ eachPkg. Qty. 50DESCRIPTION: NEBULIZER COMPRESSOR INTAKEFILTER FOR PULMOAIDEPART NO. N-PM2Price $ .5¢ eachPkg. Qty. 50DESCRIPTION: NEBULIZER COMPRESSOR INTAKEFILTER FOR AEROMAX, SPORT NEB, INVACAREPASSPORT & SCHUCOPART NO. N-AF1Price $ .10¢ eachPkg. Qty. 5016 1-800-327-1823

DESCRIPTION: CLEAR 6” TUBE WITH PLASTICHUMIDIFIER ADAPTERPART NO. H-A6USE - OXYGEN CONCENTRATOR HUMIDIFIER ADAPTERPrice $ 2.50 each Pkg. Qty. 10DESCRIPTION: 2” CHROME HUMIDIFIER ADAPTERPART NO. H-A2USE - HUMIDIFIER ADAPTERPrice $4.50 each Pkg. Qty. 10DESCRIPTION: CLEAR 3” TUBE WITH PLASTICHUMIDIFIER ADAPTERPART NO. H-A4USE - OXYGEN CONCENTRATOR HUMIDIFIER ADAPTERPrice $ 2.50 each Pkg. Qty. 10DESCRIPTION: PLASTIC HUMIDIFIER ADAPTERPART NO. H-PB21USE - OXYGEN CONCENTRATOR HUMIDIFIER ADAPTERPrice $ 4.50 each Pkg. Qty. 10DESCRIPTION: FLOW METER KNOBPART NO. F-MK1Price $ 3.20 each Pkg. Qty. 10DESCRIPTION: PLASTIC HUMIDIFIER ADAPTERWITH OUT HOSEPART NO. IT025Price $ 1.50 each Pkg. Qty. 10DESCRIPTION: OXYGEN OUTLET SPOUTPART NO. H-PB4USE -OXYGEN CONCENTRATOR OUTLET FORHUMIDIFIER ADAPTERPrice $ 4.80 each Pkg. Qty. 1DESCRIPTION: OXYGEN OUTLET INVACAREPART NO. H-INV8USE -OXYGEN CONCENTRATOR OUTLET FOR HUMIDIFIERADAPTERPrice $ 3.75 each Pkg. Qty. 10DESCRIPTION: VINYL TUBING 1/2” O.D. X 1/4” I.D. 1/8” WALL X 100’ ROLLPART NO. RHR-001USE -OXYGEN CONCENTRATOR OUTLET FOR HUMIDIFIER ADAPTER CONNECTIONSPrice $ 45.00 each Pkg. Qty. 100 FT. ROLL1-800-327-182317

2650 THOMAS STYLE COMPRESSOR SERVICEPARTSDESCRIPTION: 2650 STYLE COMPRESSOR TOP END REBUILD KITPART NO. T-2650USE - OXYGEN CONCENTRATOR COMPRESSOR MAINTENANCE:KIT INCLUDES-2 PISTON CUPS, 2 “H” GASKATS, 4 FLAPPER VALVES, 2 SLEEVE O-RINGS, 2 RESTRAINTSPrice $ 25.20 eachPkg. Qty. 1 KITDESCRIPTION: 2650 STYLE COMPRESSOR PISTON CUP SEALPART NO. T-18USE - OXYGEN CONCENTRATOR COMPRESSOR MAINTENANCE:SOLD AS EACHPrice $ 5.05 eachPkg. Qty. 1DESCRIPTION: 2650 STYLE COMPRESSORFLAPPER VALVEPART NO. T-2Price $ 1.40 eachDESCRIPTION: 2650 STYLE COMPRESSORFLAPPER VALVE RESTRAINTPART NO. T-6Price .55¢ eachDESCRIPTION:2650 STYLE COMPRESSOR “H”GASKETPART NO. T-19Price $ 2.96 eachDESCRIPTION:2650 STYLE COMPRESSOR PISTONSLEEVE O-RINGPART NO. T-16Price $ 2 .60 eachDESCRIPTION: 2650 STYLECOMPRESSOR PISTON SLEEVEPART NO.Price $ 7.00 eachDESCRIPTION: 2650 STYLECOMPRESSOR ECCENTRICBEARINGPART NO. T-8Price $ 5.60 each18 1-800-327-1823

100 THOMAS STYLE COMPRESSOR SERVICEPARTSDESCRIPTION: 100 STYLE COMPRESSOR TOP END REBUILD KITPART NO. T-100USE - OXYGEN CONCENTRATOR COMPRESSOR MAINTENANCE:KIT INCLUDES– 1 PISTON CUP, 1 HEAD GASKET, 3 FLAPPER VALVES, 1CYLINDER SLEEVE, 1 O-RING FILTER COVER, 1 O-RING CYLINDER SLEEVE, 1FELT FILTER, 1 GASKET RETAINER, 2 VALVE STOP, 2 FLAPPER VALVE SCREW,4 RETAINER SCREW, 1 RETAINER ASSEMBLY, 1 VALVE KEEPER, 1 IN LINEMUFFLERPrice $ 36.75 eachPkg. Qty. 1DESCRIPTION:100 STYLE COMPRESSOR PISTONSLEEVE O-RINGPART NO. T-25Price $ 2.90 each Pkg. Qty. 1DESCRIPTION: 100 STYLECOMPRESSOR PISTON CUPSEALPART NO. T-29Price $ 9.30 each Pkg. Qty. 1DESCRIPTION:100 STYLE COMPRESSOR HEADO-RINGPART NO. T-26Price $ 3.36 each Pkg. Qty. 1DESCRIPTION: 100 STYLECOMPRESSOR PISTON SLEEVEPART NO. T-30Price $ 10.00 eachDESCRIPTION: 100 STYLECOMPRESSOR FELT INTAKEFILTERPART NO. T-28DESCRIPTION: 100 STYLECOMPRESSOR INLINE MUFFLERPART NO. T-27Price .50 each Pkg. Qty. 1Price $ 27.50 each Pkg. Qty. 11-800-327-182319

GAST STYLE COMPRESSOR SERVICE PARTSDESCRIPTION:GAST STYLE COMPRESSOR “H”GASKETPART NO. SWC002Price $3.26 eachDESCRIPTION:GAST STYLE COMPRESSORPISTON CUP SEALPART NO. T-17Price $ 9.50 eachDESCRIPTION: GAST STYLECOMPRESSOR PISTON SLEEVE O-RINGPART NO. SWC001Price $ 2.60 eachDESCRIPTION: GAST STYLECOMPRESSOR PISTON SLEEVEPART NO. T-32Price $ 10.00DURA-AIR STYLE COMPRESSOR SERVICEPARTSDESCRIPTION: DURA AIR STYLE COMPRESSOR TOP END REBUILD KITPART NO. MC-001USE - OXYGEN CONCENTRATOR COMPRESSOR MAINTENANCE:KIT INCLUDES-2 PISTON CUPS, 2 “H” GASKETS, 4 FLAPPER VALVES, 4 TUBEO-RINGS, 2 SLEEVE O-RINGSPrice $ 33.33 eachPkg. Qty. 1DESCRIPTION: DURA-AIR STYLE COMPRESSOR PISTON CUP SEALPART NO. T-31USE - OXYGEN CONCENTRATOR COMPRESSOR MAINTENANCE:SOLD AS EACHPrice $ 7.70 each Pkg. Qty. 120 1-800-327-1823

2619 STYLE THOMAS COMPRESSOR SERVICEPARTSDESCRIPTION: 2619 STYLE COMPRESSOR TOP END REBUILD KITPART NO. T-2619USE - OXYGEN CONCENTRATOR COMPRESSOR MAINTENANCE:KIT INCLUDES-2 PISTON CUPS, 2 “H” GASKATS, 4 FLAPPER VALVES, 4 TUBE ORINGS,2 SLEEVE O-RINGS, 2 RESTRAINTSPrice $ 15.00 eachPkg. Qty. 1 KITDESCRIPTION: 2619 STYLE COMPRESSOR PISTON CUP SEALPART NO. T-1USE - OXYGEN CONCENTRATOR COMPRESSOR MAINTENANCE:SOLD AS EACHPrice $ 2.05 eachPkg. Qty. 1DESCRIPTION: 2619 STYLE COMPRESSORFLAPPER VALVEPART NO. T-2DESCRIPTION: 2619 STYLE COMPRESSORFLAPPER VALVE RESTRAINTPART NO. T-6DESCRIPTION: 2619 STYLE COMPRESSORCROSSOVER TUBE O-RINGPART NO. T-5Price $ 1.40 eachPrice .55¢ eachPrice .05¢ eachDESCRIPTION:2619 STYLE COMPRESSOR “H”GASKETPART NO.T-3DESCRIPTION:2619 STYLE COMPRESSOR PISTONSLEEVE O-RINGPART NO. T-4Price $ 1.50 eachPrice .70¢ eachDESCRIPTION: 2619 STYLEPISTON SLEEVEPART NO. T-24Price $ 7.00 eachDESCRIPTION: 2619 STYLECOMPRESSOR ECCENTRICBEARINGPART NO. T-8Price $ 5.60 each1-800-327-182321

2617/18 THOMAS STYLE COMPRESSOR SERVICEPARTSDESCRIPTION: 2617/18 STYLE COMPRESSOR TOP END REBUILD KITPART NO. T-2617USE - OXYGEN CONCENTRATOR COMPRESSOR MAINTENANCE:KIT INCLUDES-2 PISTON CUPS, 2 “H” GASKATS, 4 FLAPPER VALVES, 4 TUBE ORINGS,2 SLEEVE O-RINGS, 2 RESTRAINTSPrice $ 23.08 eachPkg. Qty. 1 KITDESCRIPTION:2617/18 STYLE COMPRESSOR PISTON CUP SEALPART NO. T-12Price $ 4.05 eachPkg. Qty. 1DESCRIPTION: 2617/18 STYLECOMPRESSOR FLAPPER VALVEPART NO. T-2 Price $ 1.40 eachDESCRIPTION: 2617/18 STYLECOMPRESSOR FLAPPER VALVERESTRAINTPART NO. T-6DESCRIPTION: 2617/18 STYLECOMPRESSOR CROSSOVER TUBE O-RINGPART NO. T-5Price .55¢ eachPrice .05¢ eachDESCRIPTION:2617/18 STYLE COMPRESSOR “H”GASKETPART NO.T-13DESCRIPTION:2617/18 STYLE COMPRESSORPISTON SLEEVE O-RINGPART NO. T-14Price $ 2.70 eachPrice $ 1.24 eachDESCRIPTION:2617/18 STYLE PISTON SLEEVEPART NO. T-34Price $ 10.00 eachDESCRIPTION:2617/18 STYLE COMPRESSORECCENTRIC BEARINGPART NO. T-8Price $ 5.60 each22 1-800-327-1823

DESCRIPTION: DIAMOND STYLEMOTOR MOUNTPART NO. M-M2USE-ISOLATES VIBRATION OFCOMPRESSORDESCRIPTION: SQUARE STYLEMOTOR MOUNTPART NO. M-M3USE-ISOLATES VIBRATION OFCOMPRESSORPrice $ 2.50 eachPkg. Qty. 1Price $ 3.50 eachPkg. Qty. 1DESCRIPTION: POST STYLE MOTORMOUNTPART NO. M-M1USE-ISOLATES VIBRATION OFCOMPRESSORDESCRIPTION: BUBBLE STYLE MOTORMOUNT 6 LB. & 9 LB.PART NO. M-M4USE-ISOLATES VIBRATION OFCOMPRESSORPrice $ 2.50 eachPkg. Qty. 1Price $ 4.80 eachPkg. Qty. 1DESCRIPTION: DIAMOND STYLEMOTOR MOUNT(SMALL)PART NO. M-M6USE-ISOLATES VIBRATION OFCOMPRESSORPrice $ 3.50 eachPkg. Qty. 1DESCRIPTION: FRONT SOLIDDIAPHRAGMPART NO. GDP-1PB CONCENTRATORDESCRIPTION: FRONT SOLIDDIAPHRAGMPART NO. GDA-1ALLIANCE CONCENTRATORPrice $ 3.50 eachPkg. Qty. 1DESCRIPTION: REARPERFERATED DIAPHRAGMPART NO. GDP-2PB CONCENTRATORDESCRIPTION: REARPERFERATED DIAPHRAGMPART NO. GDA-2ALLIANCE CONCENTRATORPrice $ 3.50 eachPkg. Qty. 1DESCRIPTION: COOLING FANPART NO. T-FNUSE-OXYGEN CONCENTRATORCOOLING FANPrice $23.00 eachPkg. Qty. 1DESCRIPTION:CAPACITOR 7.5MFPART NO. R-C3DESCRIPTION:CAPACITOR 15MFPART NO. R-C2DESCRIPTION:CAPACITOR 7MFPART NO. R-C1Price $ 7.85 eachPkg. Qty. 1Price $19.50 eachPkg. Qty. 1Price $ 9.95 eachPKG. QTY. 11-800-327-182323

DESCRIPTION: YOKE SEAL -PLASTICDESCRIPTION: TAMPER EVIDENT WRAP & LOCKDUST COVERPART NO. W-001Price .10¢ eachPkg. Qty. 50COLORS:WHITEPART NO. W-006COLORS:YELLOWGREENPrice .10¢ eachPkg. Qty. 50COLORS:GREENREDBLACKDESCRIPTION: ECONOMY CYLINDER POSTVALVE WRENCHPART NO. W-003Price .45¢ eachPkg. Qty. 50DESCRIPTION: YOKE SEAL –BRASS WITHRUBBER O-RINGPART NO. W-RS2USE -OXYGEN REGULATOR SEALPrice .45¢ eachPkg. Qty. 50DESCRIPTION: ECONOMY CYLINDER POST VALVEWRENCH WITH CHAINPART NO. W-007Price .60¢ eachPkg. Qty. 100COLORS:GREENREDBLACKDESCRIPTION: GREEN PLASTIC DISSCONNECTORPART NO. H-DC1USE– OXYGEN CONNECTOR-ETC.Price .45¢ eachPkg. Qty. 5024 1-800-327-1823

COMPANY NAME_____________________________PHONE NO.___________________________________CONTACT:________________________________P.O. #____________________________Impact BioMedical Corp.2408 Timberloch PlaceSuite B-3The Woodlands ,TX 77380Item # Description Qty. Price SubtotalOrder total:FAX ORDER FORM (FAX NO.) 281-292-69271-800-327-182325

CREDIT APPLICATIONCOMPANY FULL LEGAL NAME:_________________________________________________________________ADDRESS:__________________________________________________________________________________PHONE#__________________________________________FAX#_____________________________________MAILING ADDRESS:__________________________________________________________________________CITY:__________________________________STATE:____________________________ZIP:_______________YEARS IN BUSINESS______________ CREDIT REQUESTED_________________(U.S. DOLLARS)BUSINESS STRUCTURE–CORPORATION ( ) / PARTNERSHIP ( ) / PROPRIETORSHIP ( ) / OTHER ( )NAME / TITTLECOMPANY PRINCIPALS RESPONSIBLE FOR BUSINESS TRANSACTIONSADDRESS / CITY / STATE / ZIPBANK REFERENCESINSTITUTION NAME ACCOUNT NO. CONTACT NAME PHONE # FAX #TRADE REFERNCESCOMPANY NAME CONTACT NAME PHONE # FAX # ACCOUNT #CONFIRMATION OF INFORMATION ACCURACY AND RELEASE OF AUTHORITY TO VERIFYI HEREBY CERTIFY THAT THE INFORMATION IN THIS ACCOUNT APPLICATION IS CORRECT. THE INFORMATION IN THIS ACCOUNT APPLICATION IS FOR USE BY IMPACT BIO-MEDICAL, INC. IN DETERMINING THE AMOUNT AND CONDITIONS OF CREDIT TO BE EXTENDED. I UNDERSTAND THAT TMR COMPANIES INC. MAY ALSO UTILIZE THE OTHERSOURCES OF CREDIT WHICH IT CONSIDERS NECESSARY IN MAKING THIS DETERMINATION. FURTHER, I HEREBY AUTHORIZE THE BANK AND TRADE REFERENCES LISTED INTHIS ACCOUNT APPLICATION TO RELEASE THE INFORMATION NECESSARY TO ASSIST IMPACT BIOMEDICAL, NC. IN ESTABLISHING A LINE OF CREDIT.SIGNATUREDATETITTLEPHONE # 281-292-69111-800-327-182326 FAX # 281-292-6927

WE SELL ALLMODELS OFRECONDITIONEDOXYGENCONCENTRATORS,REGULATORS ANDLIQUID OXYGENSYSTEMS!!!!!SAVE!!!!!RECONDITIONEDEQUIPMENT FORSALE$$$$$WE PURCHASE$$$$$OXYGENCONCENTRATORS,REGULATORS ANDLIQUID OXYGENSYSTEMS1—QUALITYTo provide a safe and reliable productImpact BioMedical Corp. does not “modify” (cuttingtop and refilling) sieve beds eliminating possibleliability due to altering original factory design.2—LICENSEDImpact BioMedical Corp. is properly licensed torecondition respiratory equipment through theTDH Bureau of Food and Drug Safety3—RECONDITIONING EXPERIENCEWe have serviced over 100,000 oxygen systems since1989. We recondition equipment with procedures andstandards for the professional that requires quality andvalue.4—WARRANTYWARRANTY: 1 YEAR STANDARD-ADDITIONALWARRANTY CAN BE PURCHASED/**CALL FORMODELS AND AVAILABILITY**CALL FORAVAILABILITY &PRICING1-800-327-182327

Impact Biomedical Corp.2408 Timberloch Place Suite B-3The Woodlands ,TX 77380Phone 800-327-1823 Fax 281-292-6927WE PURCHASEOXYGENEQUIPMENTWE STOCK A FULL LINE OF FILTERS AND REPLACEMENT PARTS• HEPA INTAKE BACTERIA FILTERS• FINAL BACTERIA FILTERS• PRE FILTER HOUSINGS• FOAM PRE FILTERS• PRE CUT CABINET FILTERS• INTAKE BACTERIA FILTER ASSEMBLIES• CONCENTRATOR FILTER SERVICE PACKS• INLINE HEPA FILTER CAPSULES• SUCTION MACHINE (ASPIRATORS) HYDROPHOBIC BACTERIA FILTERS• NEBULIZER COMPRESSOR FILTERS• COMPRESSOR KITS AND PARTS• COOLING FANS• COMPRESSOR VIBRATION MOUNTS (MOTOR MOUNTS)• MOTOR (COMPRESSOR) RUN CAPACITORS• OXYGEN CONCENTRATOR HUMIDIFIER ADAPTERS AND CONNECTORS• OXYGEN OUTLETS AND CYLINDER WRENCHES• CYLINDER SEALS AND CAPS• RECONDITIONED EQUIPMENT• COMPRESSOR AND EQUIPMENT REPAIR SERVICES• AUTHORIZED WARRANTY REPAIRCUSTOM BOXES FOR ALL MODELS OF CONCENTRATORS $25.88 EACH28 1-800-327-1823