SYMMETRY ANTIMICROBIAL FOAMING HANDWASH with 0.3% PCMX Technical Data

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408 SYMMETRY ANTIMICROBIAL FOAMING HANDWASH with 0.3% PCMX Technical Data Physical Properties Active Ingredient: Chloroxylenol (PCMX) 0.3% Appearance: Clear, Amber Solution Fragrance: Floral Form: Liquid ph: 8.9 + 0.5 Preservative Testing Determination of the effectiveness of the preservative system against repeated bacterial, yeast, and mold challenges. United States Pharmacopeia/ National Formulary Antimicrobial Effectiveness (Preservative) Test <51> bacteria, yeast, and mold to confirm the preservative system will kill these contaminants. The USF/NF protocol was modified to include repeat challenges. The study included all appropriate sterility and neutralization controls. Test Organisms: Staphylococcus aureus ATCC 6538 Escherichia coli ATCC 8739 Pseudomonas aeruginosa ATCC 9027 Candida albicans ATCC 10231 Aspergillus niger ATCC 16404 (continued on back of page) Clinical Research Laboratories, Inc. (Piscataway, NJ) Met and exceeded USP/NF performance requirements after each challenge.

Repeat Insult Patch Test Determination of potential for dermal irritation or sensitization. Repeat Insult Patch Test Shelanski Method Nine applications of product were conducted during the Induction Phase. Applications included applying the product to the same skin site of at least 50 human subjects for 24 hours. Sites were evaluated for irritation throughout the study. After a 10-14 day rest period, product application was repeated on a new skin area to assess the potential for sensitization. Clinical Research Laboratories, Inc. (Piscataway, NJ) No irritation or sensitization reactions were observed throughout the study. Antimicrobial Effectiveness Studies Laboratory: Evaluation of antimicrobial effectiveness when challenged with a broad spectrum of microorganisms. American Society of Testing & Materials E2315 Standard Guide for Assessment of Microbiocidal Activity Using a Time-Kill Procedure microorganisms to confirm kill rates after 15 and 30 second contact. Studies included all appropriate sterility and neutralization controls. ATS Labs 1285 Corporate Center Drive, Suite 110 Eagan, MN 55121 877-287-8378

Microorganism Identification No. Percent Reduction 15 Seconds 30 Seconds Acinetobacter baumannii ATCC 19606 >99.9999 >99.9999 Clostridium difficile ATCC 9689 >99.9489 >99.9489 (vegetative) Enterococcus faecalis ATCC 29212 99.7135 99.9912 Entercoccus faecalis ATCC 51299 99.4928 99.9275 Vancomycin resistant (VRE) [1] Escherichia coli ATCC 11229 94.9541 98.9174 Haemophilus influenzae ATCC 10211 >99.9999 >99.9999 Listeria monocytogenes ATCC 19117 99.5060 99.9540 Pseudomonas aeruginosa ATCC 15442 99.9936 >99.9998 Salmonella typhimurium ATCC 14028 98.2759 99.7655 Staphylococcus aureus MRSA [2] ATCC 33592 99.8430 99.8605 Staphylococcus aureus CA- MRSA [3] (Community Acquired MRSA) Streptococcus pneumoniae PRSP Streptococcus pyogenes (Group A) NARSA NRS123 (USA400) 99.3237 99.0751 ATCC 700677 >99.0654 >99.0654 ATCC 19615 >99.9999 >99.9999 ATCC - American Type Culture Collection NARSA - Network on Antimicrobial Resistance in Staphylococcus aureus repository [1] This test strain was confirmed resistant to Vancomycin, Quinupristin and Dalfopristin. [2] This test strain was confirmed resistant to Methicillin, Clindamycin, Erythromycin, Oxacillin, Penicillin, and Tetracycline. [3] This test strain was confirmed resistant to Methicillin, Oxacillin, and Penicillin. (continued on back of page) American Society of Testing & Materials E1052 Standard Test Method for Efficacy of Antimicrobial Agents Against Viruses in Suspension microorganisms to confirm kill rates after 15 and 30 second contact. Studies included all appropriate sterility and neutralization controls.

Laboratory: ATS Labs 1285 Corporate Center Drive, Suite 110 Eagan, MN 55121 877-287-8378 Microorganism Identification No. Percent Reduction 15 Seconds 30 Seconds Herpes Simplex Virus ATCC VR-733 99.9982 99.999 Type 1 HIV-1 HTLV-III B Strain* 99.99 99.9437 Influenza A/Hong Kong ATCC VR-544 99.99 99.9968 Respiratory Syncytial ATCC VR-26 99.9 99.9822 Virus (RSV) Rotavirus WA Strain** 99.99 99.9822 Swine Influenza A (H1N1) virus ATCC VR-333 ATCC - American Type Culture Collection *Advanced Biotechnologies, Columbia, MD **University of Ottawa Detection of Holes in Medical Gloves To determine compatibility of the hand soap with latex, vinyl, and nitrile gloves. Detection of Holes in Medical Gloves (ASTM D5151) One hundred gloves of each of the three types were conditioned in the soap for 2 hours and then examined for leaks. Control gloves (one hundred of each type) that had not been exposed to product were also checked for leaks. 4

Smithers Rapra Inc. (Akron, OH) No statistically significant difference in performance was found between the gloves exposed to the hand soap and the untreated control gloves. ISSUED: 8/15/14 Supersedes 2/14/11 5