Livingstone Gowns: Premium Protection and Comfort for Every ProGowns White Pages

1. LIVINGSTONE ISOLATION GOWNS Hospital-acquired infections (HAIs) pose a significant risk to patients during their hospital stay, impacting the quality of care and length of stay. This results in a staggering annual cost of $686 million to Australia's healthcare system. A study by Lydeamore et al. (2022) revealed that HAIs in Australia differ from European data, with a higher number of reports of bloodstream infections and healthcare-associated pneumonia. The financial burden of HAIs on the healthcare system is substantial, highlighting the urgent need for continued investment in HAI prevention measures such as personal protective equipment (PPE). The hands are the most susceptible to transmitting diseases from staff to patients and vice versa. To tackle this issue, Livingstone International has developed an innovative isolation gown design that provides enhanced protection to the wearer by reducing the potential for pathogen transmission. The thumb loop design allows the gown to extend to the base of the fingers, creating a seamless transition from the gloves to the gown. This lowers the risk of pathogens contaminating the wrist and lower arm when interacting with infected patients. Lydeamore, M, Mitchell, G, Bucknall, T. et al. Burden of five healthcare associated infections in Australia. Antimicrob Resist Infect Control 11, 69 (2022). https://doi.org/10.1186/s13756-022-01109-8 1 livingstone.com.au sales@livingstone.com.au 1300 883 733

2. Correct personal protective equipment (PPE) usage is essential in minimising the spread of infections. Ensuring proper donning and doffing procedures is vital, as improper handling of PPE can lead to contamination and the transmission of pathogens. Donning involves carefully putting on PPE correctly to create a barrier between the healthcare worker and potential infections. At the same time, the doffing process requires removing PPE in a specific sequence to avoid self-contamination. Australian Hospital Safety and Quality Over the Years 2 In 2022–23: One or more Healthcare-acquired complications (HACs) were recorded in 115,000 hospitalisations in public hospitals (2.0% of hospitalisations), and 34,200 hospitalisations in private hospitals (0.8% of hospitalisations) The most recorded type of complication was Healthcare-associated infection (37%), followed by Delirium (13%) and Cardiac complications (12%). 2 Australian Institute of Health and Welfare, 2024, ‘Hospital Safety and Quality’, https://www.aihw.gov.au/reports- data/myhospitals/themes/hospital-safety-and-quality 2 livingstone.com.au 1300 883 733 sales@livingstone.com.au

3. AAMI GOWN LEVELS The critical zones typically have four different areas that must pass. The Association for the Advancement of Medical Instrumentation (AAMI) requires protective apparel to pass ASTM F1670 and ASTM F1671 in all critical zones to classify as level 4 protection. Livingstone's Thumb Loop Isolation Gown meets AATCC 127 and ASTM F1670 and ASTM F1671 testing in critical zones A, C, and D, thus reaching Level 3 protection. SGS Australia tested Livingstone's thumb loop design, a leading third-party quality testing facility, to ensure the thumb loop gown complies with AAMI gown standards. The AAMI (Association for the Advancement of Medical Instrumentation) standards are a set of guidelines and criteria designed to ensure the safety, efficacy, and quality of medical devices and healthcare equipment. These standards cover a broad range of healthcare practices, including the design, performance, and testing of medical devices, infection control, and sterilisation procedures. By adhering to AAMI standards, healthcare providers can ensure that their equipment meets rigorous safety and performance requirements, thereby enhancing patient care and reducing the risk of healthcare-associated infections. The standards play a crucial role in maintaining high-quality care and safeguarding both patients and healthcare professionals. The Association for the Advancement of Medical Instrumentation (AAMI) Standards Critical Zone A: Critical Zone - Front B: Critical Zone - Sleeve C: Front D: Back Level 4 Level 3 Moderate fluid barrier protection Level 2 Level 1 Highest fluid and viral barrier protection Low fluid barrier protection Minimal fluid barrier protection ANSI/AAMI Test Level Requirments Rank Test Criteria AATCC 42 < = 1.0 g Level 3 AATCC 127 > = 50 cm (4.90 kPa) ASTM F1670 pass 2 psi (13.8 kPa) Level 4 ASTM F1671 pass 2 psi (13.8 kPa) AATCC 127: Measures resistance of fabric to the penetration of water under hydrostatic pressure ASTM F1670: Standard Test Method for Resistance of Materials Used in Protective Clothing to Penetration by Synthetic Blood. ASTM F1671: Standard Test Method for Resistance of Materials Used in Protective Clothing to Penetration by Blood- Borne Pathogens Using Phi-X174 Bacteriophage Penetration as a Test System 3 1300 883 733 livingstone.com.au sales@livingstone.com.au

4. LIVINGSTONE THUMB LOOP ISOLATION GOWNS AAMI LEVEL 3 PROTECTION Passed ASTM Standard F1670, F1671 and AATCC 127 Resistance to synthetic blood (in critical zones A, C, D) Resistance to blood borne diseases (in critical zones A, C, D) Resistance to Water (Hydrostatic Head) Long sleeve with open back and waist tie Thumb loop design to create seamless protection between gloves and gowns for the user Easy doffing to assist correct removal technique and reduced contaimination risk to the wearer 4 livingstone.com.au sales@livingstone.com.au 1300 883 733

5. ALTERNATE LIVINGSTONE ISOLATION GOWNS ELASTIC CUFF AAMI LEVEL 1 PROTECTION Individually packed Made of non-woven Polypropylene For patient use One size with waist ties ELASTIC CUFF - ONCOLOGY AAMI LEVEL 2 PROTECTION Individually packed Protects against contamination of cytotoxic bodily fluids from patients One size with waist ties KNITTED WRIST AAMI LEVEL 3 PROTECTION Spunbond Polypropylene laminated with Polyethylene film Waterproof Property AQL 4%: Spray impact = 1.0g Hydrostatic Resistance AQL 4%: = 50cm H2O With tie on neck, waist area and full back Knitted wrist cuffs to reduce possible contamination This white paper is intended for informational purposes only and should not be construed as medical advice or a substitute for professional medical consultation. Contact Livingstone: 1300 LIV BUY (1300 548 289) Livingstone.com.au sales@livingstone.com.au While the information presented is based on research and testing, individual results may vary. Always consult with a healthcare professional before using any cleaning or disinfectant product, especially if you have any underlying health conditions. The information contained herein does not constitute any guarantee or warranty, expressed or implied, regarding the product's efficacy or safety. Livingstone International assumes no liability for any damages arising from the use of the information provided in this white paper. Copyright Notice: All rights reserved. No part of this white paper may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of Livingstone International. 5