GROUP PROFILE 2014 M27135 rev 04
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GROUP PROFILE 2014 M27135 rev 04
GROUP PROFILE 2014 Gruppo Group Méditerranée France NEW FROM MEDICA LONG TERM GROUP STRATEGIES To face the challenges of a Global economy Medica is establishing cooperation and partnership in other countries strategically located to serve important markets. During 2014 Medica Group plans to open a trading company in Asia, focus will not be only on disposable device but also on assembly machine technology. Tecnoideal is expected to have strong benefits on this side. Medica Group strength is given by the 360° coverage of medical device product design, development and testing phase, regulatory affairs management and manufacturing expertise. Turnkey plants based on Tecnoideal machines complete the offer for our customers. Sales of OEM products to important players in the medical and water filtration market confirm their positive trend in 2014. Luciano Fecondini Andrea Bocchi Medolla (Italy) May 2014 MEDICA GROUP GROWTH & HYSTORICAL MILESTONES January 2012 Medica Méditerranée Medica France 31.12.2011 Menfis bioMedica has been integrated in Medica 03.08.2011 Medica SpA acquires Midial Europe and its controlled Company Midial 35 30 31.12.2009 Medica Srl becomes Medica SpA * 25 Merging of Ergotek in Tecnoideal 20 20-29 May 2012 R e s u l t s 2 0 1 2 a ff e c t e d b y earthquakes stopping operations for 3 months in Tecnoideal and for 2 months in Medica SpA. Sar-Med start-up 15 Acquisition of Ergotek 10 - Acquisition of 2013 2012 2011 2009 2010 2007 2008 2006 2004 2005 2002 2003 2001 2000 1998 1999 1996 1997 1994 1995 1993 1991 ‘85 - ‘90 only R&D activities 0 1992 Acquisition of Tecnoideal Menfis bioMedica; - Foundation of 5 TechnoMed Inc. 1990 CONSOLIDATED REVENUES MILLION € 1 Events: · Medica Water Division Products are licensed worldwide to Nephros, Inc. till 31.12.2022. • Medica Méditerranée, the major manufacturing center for disposable tubing sets, renovation to be completed in Q3-2014. • Medica France is operative since 2012 providing marketing, sales, customer support for Medica Group in France. Products: • In Q3-2014 Medica will launch a new family of plasmafilters based on its recently developed proprietary polyethersulfone membrane Versatile™-PES. · LEUKOCYTE ADSORBER LA25 is released on the market in Q1-2014 after 24 months clinical trial at Polyclinic Modena Hospital (Italy). • D025 HEMOCONCENTRATOR for bioregenerative medicine application (PRP-PPP) release expected in Q2-2014. • SFDA Registration for Chinese market to be completed in Q2-2014 for dialyzers, hemoconcentrators, hemofilters, plasmafilters. EQUAsmart CRRT machine and CARDIOsmart (treatment of Congestive Heart Failure) are already SFDA approved. GROUP STRUCTURE AND GLOBAL COMPANY ACTIVITIES Medolla (MO) - Italy 2 Méditerranée Bizerte - Tunisia Mirandola (MO) - Italy Iglesias (CI) - Italy Marseille - France Cairo - Egypt · MEDICA designs and produces a complete range of polysulfone membranes, dialysis filters, hemofilters, dialysis blood lines, infusion lines, water filters for microbiological purification. Moreover MEDICA manufactures machines for Intensive Care Units, cardiology and oncology departments. · Sar~Med is the manufacturing centre of Medica Group for polysulfone fibers, filters, tubing sets and catheters. The company has 2 production plants, in Iglesias and Villacidro, Sardinia (Italy). · MEDICA MÉDITERRANÉE , is the latest acquistion of Medica Group and it is dedicated to all production of tubing sets involving important manual assembly. In house ETO sterilization. · Tecnoideal designs and produces assembly and testing equipment as well as automatic assembly machines for manufacturers of medical products. • MEDICA France provides marketing, sales, distribution and customer support for the Medica Group in France. · MEDICA Middle East started its activity of production in early 2010 with Medica Group technology to manufacture a complete line of dialyzers, blood lines and fistula needles. Medica holds a minority partnership in MME. MEDICA S.p.A. HOLLOW FIBER MEMBRANE TECHNOLOGY 3 Thanks to its innovative fiber spinning know-how, MEDICA currently offers different types of membranes: ediSulfoneâ HF: a high flux polysulfone with excellent ÷ biocompatibility characteristics, dedicated to blood filtration treatments like hemofiltration and hemoconcentration. ÷ ediSulfoneâ UF: thanks to its 15 kDaltons cut-off, this membrane is characterized by excellent performances in microbiological purification of water based solution. ÷ Versatile™-PES for Plasmapheresis application (New!). ÷ Versatile™-PES for Cascade filtration, cut-off 150, 400, 800 kDaltons (New!). MediSulfone ® is a registered trade mark of Medica SpA HEMOFILTERS & HEMOCONCENTRATORS For a proper CRRT management, MEDICA offers a complete range of Hemofilters available in different sizes and connections to cover all CRRT needs for neonates, children and adults. The range includes models based on the ® ® Medica proprietary membrane MediSulfone and models based on Purema . Furthermore MEDICA manufactures a range of hemoconcentrators for cardiosurgery for children and adults. Hemoncentrators are available pre-rinsed to avoid the priming procedure. On request Medica Hemonconcentrators can be supplied preassembled with tubing sets. Purema® is a registered trade mark of Membrana GmbH PLASMAFILTERS MEDICA offers a complete range of Plasmafilters for neonates, children and aduls in micropolyethersulfone. MEDICA can manufacture on demand customized complete tubing sets for plasmafiltration. In Q3-2014 Medica will launch a new family of plasmafilters based on its recently developed proprietary polyethersulfone membrane Versatile™-Pes. ediSulfoneâ UF ULTRAFILTERS MEDICA developed a complete range of ultrafilters covering different needs through a various range of surfaces between 0.25 m² and 2.8 m². ® The most representative models of MediSulfone UF ultrafilters range are: ÷ D150/U Ultrafilter designed for pyrogens and endotoxins removal from water solution such as replacement solutions for on-line hemodiafiltration. The pyrogen content of the initial solution is reduced by a factor of 105. ® ÷ DiaPures Ultrafilters. In medical field DiaPure ultrafilters are interposed between the hemodialysis machine and the dialysers, ensuring the dialysate purity, by a pyrogens removal factor of 105. Diapure® is a registered trade mark of Medica SpA SMARTFLUX™ DIALYSIS FILTERS SAR-MED manufactures on MEDICA design, the SMARTFLUX™(Purema®) dialysis filters which are available in two families: a low permeability filter developed for standard efficiency bicarbonate dialysis and an high permeability filter indicated for high efficiency treatments as hemodiafiltration and hemofiltration. The range of available surfaces has been tailored in order to meet the needs of modern dialysis therapy. 4 Purema® is a registered trade mark of Membrana GmbH HEMOCONCENTRATOR FOR BIOREGENERATIVE MEDICINE Concentration of hemoderivatives for small volume applications. Suitable for example for Platelet Poor Plasma concentration without centrifuge. Minimized loss of PPP inside fibers due to the extremely low priming volume. ! New Cares for your children A COMPLETE MULTITHERAPIES PRODUCT RANGE FOR LOW BODY WEIGHT PATIENTS DIALYSIS Medica’s product range for low body weight patients includes a total of four dialyser models, amongst those, two sizes are high flux and two low flux. All have been developed to obtain the lowest priming volume and provide the best patient care. PLASMA EXCHANGE To complete its current product range MEDICA has developed three new small size plasmafilters based on Micropolyethersulfone membrane. HEMOCONCENTRATORS The MEDICA “no-rinse” low priming volume hemoconcentrators can be easily inserted in the extracorporeal circuit at any time. HEMOFILTERS Hemofilters D050, D100 and D150 have been developed to ensure the best C.R.R.T. output. CARPEDIEM CARPEDIEM (CArdio-renal , Paediatric Dialysis Emergency Machine) a unique device, manufactured by MEDICA S.p.A., represents a breakthrough in the CRRT treatment of neonates and paediatric patients (new-born infants of less than 10 Kg suffering from AKI). CARPEDIEM is marketed worldwide by Bellco Srl (Mirandola - Italy). EQUAsmart 5 ® ® EQUAsmart is a fully integrated unit, developed to provide the CRRT users with the optimum solutions to their needs. EQUAsmart® includes 4 pumps for blood, dialysate, substitution and anti-coagulation, a proprietary system for ultrafiltration control, a unique trolley design and others features for both continuous renal replacement therapies and plasma treatments. ® For a quick and simple treatment set-up, EQUAsmart works with a low priming volume compact disposable cartridge which includes all the tubings and accessories. ® Moreover, EQUAsmart has been specifically developed to improve the working condition for the hemofilter, to ensure its proper function for the duration of the treatment and to avoid undesired and premature replacement. EQUAsmart® is a registered trade mark of Medica SpA CARDIOsmart CARDIOsmart is an integrated system for the treatment of patients affected by Congestive Heart Failure, such equipment is intended to be an alternative treatment method for pharmacological therapy (use of diuretics), based on the removal of excessive fluids from the patient's blood. DECAPsmart® Plus DECAPsmart® Plus provides enhanced CO2 removal therapies by combining oxigenation and ultrafiltration to patients affected by respiratory problems in ICU. The therapy obtains a significant reduction of PaCO2 using low blood flow ® rates if compared with other techniques. DECAPsmart Plus will be marketed in Italy by Aferetica under the name ApherCap. DECAPsmart® is a registered trade mark of Medica SpA AFERsmart AFERsmart is an integrated unit to perform blood depuration treatments like Plasma-Adsorption Double Filtration, Selective Apheresys, Double Filtration Adsorption. AFERsmart is based on the ® same platform architecture of CARDIOsmart and DECAPsmart Plus AFERsmart will be available during Q3-2014 and will be marketed in Italy by Aferetica under the name Plasmapher. FLOWSMART State of the art hemoperfusion pump specifically developed for executing extracorporeal blood circulation with specific sorbent cartridges. Flowsmart is easy to operate, compact and easily transportable due to the low weigth. 6 ® EXIPER ® EXIPER is a compact unit for oncologic locoregional normo/hyperthermia chemo-perfusion treatments like STOP FLOW, HIPP/HIPT (Abdominal or thoraxic intracavitary hyperthermic chemo-perfusion), IPL/IOP (Isolated limbs/organs hyperthermic chemo-perfusion). The patented heating system made up of a high thermal efficiency heater and a miniaturised heat exchanger, enables the temperature set to be reached very rapidly and maintained at the standard required thus guaranteeing appreciable reduction in the duration of the procedures. Moreover, the unit, with three integrated peristaltic pumps, manages the fluid dynamics of the different therapies maintaining a constant hydro-hematological balance using continuous weight control. EXIPER® is a registered trade mark of Medica SpA LEUKOCYTE ADSORBER and LEUKOSMART ™ Leukocyte Apheresis for Autoimmune Diseases such us Ulcerative Colites, Chron Disease, Rheumatic Arthritis and others Medica’ s Leukosyte Adsorbers columns for therapeutic ® apheresis are based on MediSulfone membrane to ensure effective removal of leukocyte and platelets with excellent biocompatibility. Treatment is performed by LEUKOSMART™, a dedicated automatic apheresis unit, specifically developed for executing extracorporeal blood circulation with specific sorbent cartridges. LEUKOSMART™ is equipped with a peristaltic blood pump, an anticoagulant reinfusion pump and all relevant safety devices to control the blood circulation efficiently and safely. MediSulfone® is a registered trade mark of Medica SpA Méditerranée Medica Méditerranée manufactures, on Medica design, a wide range of disposables. From the choice of raw materials to sterilization, Medica Méditerranée masters the entire production process. Manufacturing is carried out in clean-room facilities and every production batch undergoes a rigorous series of quality checks. The selection of medical grade materials, the accuracy and quality in moulding components, in extruding tubing, in assembling products and in their packaging and sterilization allow Medica Méditerranée to manufacture high quality and price competitive medical disposables. 7 Medica Méditerranée manufactures two main lines of product. BLOOD LINES FOR HEMODIALYSIS Medica Méditerranée manufactures blood lines for the main dialysis machines in use. Blood lines manufactured in Medica Méditerranée factories are marketed either under Medica brand or under our customers’ brand name. VITALFLOW - IV SETS AND ACCESSORIES Vitalflow is Medica’ s infusion line of products. It includes sets and accessories for intravenous and transfusion therapies, nutrition, bladder and arthroscopic irrigation, aspiration, thorocentesis and paracentesis. Medica’s Eco -Alternatives ÷ PVC FREE & PVC FREE INNER LAYER PATHWAY SETS PVC is employed in a greatest number of medical disposables. Nevertheless, some kinds of medicines cause chemical reactions when they get in touch with the PVC present in the infusion lines. For the administration of these medicines Medica offers two alternatives ÷ DEHP FREE SETS Group M E D I C A W A T E R MEDICA WATER DIVISION D I V I S I O N MEDICA water-filter products are based on its MediSulfones UF ultrafiltration membrane. MediSulfones UF is developed to meet the increasing demand of wide spectrum filtration membranes for water and water-based solutions. Its superior filtration capabilities derives from the structure of the membrane: the internal skin (1 micron thickness) has a high density of small pores (nominal size 0,005 µm), determining a molecular weight cut-off of 15kDa, meanwhile the rest of the structure has a finger-like configuration consisting of macrovoids with mainly structural and adsorbent functions. Thanks to its extremely low cut-off and to the adsorption capability of the polymeric surface, the MediSulfone® UF membrane is characterized by excellent performance in the purification of water based solutions from bacteria, viruses and endotoxins. Starting from April 2012, Medica Water Division products are licensed worldwide to Nephros, Inc. (www.nephros.com) till December 31, 2022. Nephros, Inc., headquartered in River Edge, New Jersey, is a medical device company developing and marketing filtration products for therapeutic application, infection control and water purification. IWP - INDIVIDUAL WATER PURIFIER IWP are portable devices to generate a microbiologically safe drinking water from surface water sources. Filters are designed on US Army requirements and can be used as Inline Purifier (to be installed inside a hydration carrier with CPC quick-connectors) or Point-of-Use Purifier. MEDiaPure™ SSU and DSU Filters One of the main application is in the dialysis field where purified water plays a major role. MEDiaPure™ filters can be used as the last component in the water purification process before going out to the dialysis stations to ensure ultrapure water for dialysis. DSU guarantee even higher purification performance thanks to its patented Double Stage Ultrafiltration in a single device. MEDiaPure™ SSU Point of Use Filters Point of use filtration is the safest solution against Legionella and other pathogenic agents. SSU filters are clinically tested for complete protection against bacteria, virus and endotoxins contained in tap water and they guarantee a long -lasting protection with high flows. MWD-I large size Filters Medica solution for applications where ultrapure water is required at high flow (from 2 to 6 m³/h) as in centralized water treatment plants for medical, industrial (food & beverage) and pharmaceutical applications. MediSulfone® is a registered trade mark of Medica SpA 8 MENFIS DIVISION URODYNAMICS PICO FLOW 2 9 Pico Flow2 is a double-channel system for Uroflowmetry and Electromyography examinations of the Pelvic Floor. Main features include: 2 channels (1 uroflow, 1 EMG optional), large graphic touch-screen display, on-line showing-up of traces upon the screen with the possibility to change their scale, built-in thermal printer, storage of tests on 64 MB memory card with capability of 50 examinations, optional software package for Windows based PC, high precision flow transducer based on a load cell which ensures a prolonged accuracy of measurements. Pico Flow2 is suitable for stationary and domiciliary uroflowmetry. FLOW ZIG Flow Zig is Medica Wireless Uroflowmetry with proprietary ZigBee protocol. Main features are: low power consumption, band 2.4 Ghz, micro-receiver for any USB port, compatible with any Laptop or Desk Top working with Window XP or XP embedded. Also compatible with Pico Compact, Pico Smart and Pico Bright. PICO SMART Pico Smart is based on an new developed acquisition board called ACQ3000 that offers advanced capabilities. PICO Smart can either be based on one trolley (all-inone system) or upon 2 units connected by an Ethernet cable or through a wireless device. It is designed to perform all the urodynamic testing and it can be expanded with GI manometry, cavernosometry, biofeedback, neurophysiology. The uroflowmeter is connected to the acquisition board by means of either a cable 8 m long or a wireless module so that it can be put in a private place to make the patient more comfortable. Additional features are: 12 universal channels with plugand-play function, capability to connect more modules so to double or triple the number of channels, ETHERNET connectivity WiFi capability. URODYNAMIC,GASTROENTEROLOGY & MANOMETRY CATHETERS Urodynamic & Gastroenterology Catheters are made of PVC and PEBAX, a polyether-amide copolymer combining surface smoothness with high mechanical performances, allowing reduced wall thickness of the catheter. Manometry Catheters are supplied sterile and for single-use to prevent cross contamination and failure of the mechanical performances that sometimes are involved when re-usable catheters are utilised. The single-use approach is supported by a very competitive price. We manufacture a full range of manometry catheters for oesophageal and anorectal application. GASTROENTEROLOGY LINE In this area we produce systems for manometry examinations along with dedicated catheters and systems for prolonged oesophageal and gastric pHmetry. BLU RUNNER Blu Runner is a flexible device designed for prolonged ambulatory recording (days) of pH Pressure, flow, EMG signals up to 8 channels. It can be easily converted in a stationary system. Applications in Gastroenterology: oesophageal manometry and pHmetry combined or separate, small bowel manometry, colon manometry, anorectal manometry, EMG free or combined, recorder for Operating theatre. Applications in Urodynamics: bladder pressure, urethral pressure, abdominal pressure, flow, volume, EMG free or combined, recorder for operating theatre. DYNO COMPACT Dyno Compact is a computerised system for GI motility evaluations which can record gastrointestinal pressures, electromyography signals, detect breath and swallow. Its advanced software is able to build up a 3D picture of the pressure values measured along the sphincter, the so-called Sphincter Vector Volume. Video-manometry is a special feature of this system. DYNO SMART Dyno Smart is a new system for GI manometry. Dyno Smart uses the same platform of the Pico Smart so that the two systems are interchangeable. With this equipment the doctor can perform all the gastrointestinal motility testing and can add new modules to expand the diagnostic capabilities as with the Pico Smart. 10 TECNOIDEAL S.r.l. 11 Tecnoideal is leader in the development of product and innovative solutions for production, assembly and final testing of medical devices. Impressive know-how generated in more than 30 years of experience enables the group to offer a huge range of standard and personalized equipment for bio-medical industry. Always searching for new ideas, solutions and proposals, creating customized products, tailored to the needs of your company - all this for Tecnoideal is a challenge. This is why its products have become the first choice among an informed and demanding national and international clientele. Safety and quality must always be at the service of clients - and this is the intrinsic value of our production. Tecnoideal supplies a range of standard and customised solutions for the assembly of medical devices designed to optimize operator yield and product quality, such as: tube cutting machines, solvent distributors, final testing equipment, tube winding and banding solutions, automatic assembly systems and extrusion lines. CUTTING MACHINES Tecnoideal offers a wide range of tube cutters for medical and industrial fields. Our solutions are able to work the hose reel or directly from the extrusion line. Our solutions are particularly indicated to work tube used in medical fields where the precision of length, accuracy of cut and quality of materials in contact with the tube are of utmost importance. READYcut READYcut lite TECNOcut ROTOcut LEAK & OBSTRUCTION TESTERS P-TEST series is the new generation of electropneumatic testing equipment for air pressure decay leak and obstruction testing . Some of P-TEST series features are: · Automatic, self adjusting test pressure up to 9000 hPa · High pressure decay resolution accuracy up to 0.01 hPa · Wide range of testing conditions, that can be recorded · Suitable for QA /R&D validation and routine tests · Graphic LCD display, user friendly interface. SOLVENT DISPENSERS Tecnoideal produces a complete range of Solvent Dispensers known as the “state of the art” technology. The dispensers are compatible with all the solvents used in the medical industry and provide a safe, reliable, rapid and consistent solvent bonding procedure. The special shape of the dispensing bushes allows the solvent dispensing on the internal or external surface of tubings, conical surfaces, soft and rigid drip chambers, needles and various types of connectors and components. A new family of solvent dispenser is offered to the market . Main innovative features are the bigger capacity of solvent reservoir, i.e. 850 ml and a key-system that allows the installation of only predefined and validated bushings on its holder. ERGOLINE SYSTEM 2 ERGOLINE System 2 is the production system designed to reach high productivity in the manufacture of assemblies such as blood lines for hemodialysis and generally for the assembly of medical products with the following characteristics : · Multiple tubing lengths and diameters · Complex tubing configurations with several components or sub-assemblies · Multiple assembly steps · Coiling of finished tubing · In-line integrity testing. CCB The CCB machine automatically cuts tubing from reel, coils and bands with cohesive tape. • Cut: the machine cuts a piece of tubing at the preset length. • Coil: tube is coiled at the preset dimensions and for the numbers of coils. Position and length of the free tubing ends are programmable. •Band: the coil is banded with cohesive tape, in 3 different configurations, as shown here below. Tecnoideal also offers a complete range of assembly equipment, such as tubing coiler, tubing expander, semiautomatic assembly workstations, and customised testing devices. 12 AUTOMATIC ASSEMBLY MACHINES Client satisfaction is our first, true company patrimony. Tecnoideal internally manages research, development and production activities in the determination to offer superior services and assistance, with staff able to ensure on-site technical assistance. 13 Over time, the company has managed to achieve a fine reputation in the sector, especially as a technological innovator, with avant-garde products studied to meet your specific requirements. Our Experience includes: cutting and coiling of tube, assembly of components, solvent applying, paper banding/wrapping of finished product, leak test, flow test, check of components insertion by means of vision systems, ultrasonic welding, others. DIALYZER PRODUCTION AND ASSEMBLY PLANT Customized manufacturing and assembly machines are designed for an automated and reliable production process, with minimal manpower needs. “In process” quality control assures complete traceability of each dialyzer produced. The complete assembly line is composed of four equipment stations: 1) Pre-potting operations 2) Potting operations 3) PUR cutting and final assembly 4)Filter wetting, leak test, water removal and weight check. DIALYSIS FIBER SPINNING LINE Tecnoideal can design and build Polyethersulfone spinning lines for low flux and high flux hemodialyzers, based on Medica R&D know-how on fiber spinning. The size of the spinning line can be adjusted to the customer requirement, starting from a basic spinning module of 2 million km/year and with increments of 2 million km/year. & Sar-Med S.r.l. SAR-MED s.r.l. has been founded by Medica, in Iglesias, Sardinia, Italy. The company has started operation in mid2004. Its commitment to the Group is the production of disposables and the spinning of membrane for Medica filters. I 2 ² In addition to 3600 m plant, a 5000 m plant in Villacidro is dedicated to moulding and automatic assembly. The total area of the two cleanroom facilities is 40 00m 2 , operating to 100.000 class cleanroom standards and is equipped with stateoftheart assembly and testing technology. In order to provide its customers with competitive solution to their manufacturing needs, SARMED has access to the knowhow and the resources of the Medica Group and can count on the support and expertise of Engineering team of Medica and Tecnoideal. MEDICA OWN BRAND PRODUCTS SarMed is the manufacturing center of dialysers, hemofilters, hemoconcentrators, ultrafilters, water filters and tubing sets for electromedical equipment. Moreover the facilities are the ® production site of MediSulfone hollow fiber membrane. MediSulfone® is a registered trade mark of Medica SpA OEM PRODUCTS Within the most important OEM Products manufactured in SarMed, we can list: • Crit-line® blood chamber, for FMC (U.S.A) • Oxygen Humidifiers, for Vapotherm Inc (U.S.A) • Catheters for MMS (The Netherlands) • Mid Dilution Dialysers for Bellco and Nephros Inc. ® Crit-Line is a registered trade mark of Fresenius Medical Care North America 14 Gruppo Group MEDICA S.p.A Via Degli Artigiani 7 41036 Medolla, Modena - ITALY Tel. +39 0535 51159 Fax +39 0535 52605 e-mail : info@medica.it home page : www.medica.it Méditerranée Medica Méditerranée s.a.r.l. Zone Industrielle Menzel Jemil, Lot n° 53/bis B.P. 87 - 7080 Menzel Jemil Bizerte Tunisie Tel. +216 72499034 Fax +216 72490475 TECNOIDEAL s.r.l. Via Lea Cazzuoli, 43 41037 Mirandola Modena - ITALY Tel. +39 0535 23653 Fax +39 0535 27443 E-mail: sales@tecnoidealsrl.com Home page: www.tecnoidealsrl.com SAR-MED s.r.l. Località Sa Stoia 09016 Iglesias ITALY Tel. +39 0781 260079 / 260082 Fax +39 0781 260080 E-mail: info@sarmed.it Home page: www.sarmed.it France Medica France SARL 10, Rue de la Republique 13001 Marseille - France Tel. +33 491905436 Fax +33 491908037 E-mail: commercial.fr@medica.it 29 Ahmad Fakhry Street Nasr City Cairo - EGYPT Tel. +20 2 22703372 Fax. +20 2 22704795 E-mail: info@medica-me.com Home page: www.medica-me.com Tecnoideal Agents : UK and Ireland: Mr. Paul Gilbert Tel. 00353 469240195 E-mail: pmorgil11@gmail.com U.S.A., Canada, Mexico, Caribbeans: Mrs. JO ANN PATTI Tel. 001 910 789 0021 E-mail : jpatti@ix.netcom.com Brasil: Mr. Alfieri Alessandro ALVIMED Ltda São Paulo SP - Brasil Tel. 0055 (0) 11 3717 2006 E-mail: info@alvimed.com.br M27135 rev.04 mod ME160514B
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