URINARY TRANSFER SYSTEMS GROUP, LLC. INCOTOVAC TM Tactical Support

1. URINARY TRANSFER SYSTEMS GROUP, LLC.INCOTOVAC TM Tactical Support • Sales Protocols • Patient Requirements • INCONTOVAC TM Operational Benefits • Sales Strategies

2. URINARY TRANSFER SYSTEMS GROUP, LLC.Sales Recommended Protocols Our product is intended for use by patients in multiple environments: 1. Hospitals (Primary Target) Do to recent Medicare legislation regarding Iantrogenicurinary tract infections. 2. Nursing Homes (Medicare A/Skilled Beds) Cost Covered by Nursing Home, not patient. 3. Home Patients / Home Health Care Agencies

3. Patient with Limited Mobility to maintain the appliance in place (stabilization). Hospital Patients who have indwelling catheters for convenience due to their inability to go to a bathroom or successfully handle a urinal. Here are a few examples: Patients following operative procedures that preclude them from being ambulatory for several days or weeks. Organ recipients, pneumothorax (collapsed lung), post laminectomy patients who must maintain a posture for several days, Patients with paralysis that are able to urinate: multiple sclerosis, Huntington chorea, cerebral vascular accidents (strokes), severe Parkinsonism’ disease, brain injuries, failed orthopedic procedures, various neurological conditions, etc. The hospital would purchase the units and replacement accessory packs for additional patient utilization with the same motor, remote and stabilization device which would be autoclaved. Accessory Pack: Urinal, tubing and reservoir. URINARY TRANSFER SYSTEMS GROUP, LLC.Patient Requirements (1):

4. Nursing Home patients who are in Medicare A/ Skilled Beds. Basically, patients who have severe movement disorders that precludes them from getting out of their bed or limited to a Geri chair or Barton Chair. In this instance, the nursing home would purchase the units and put the cost in their cost report for reimbursement through their per deim payment under PPS. For patients in private beds covered under part B Medicare, Medicaid or other insurance, the patient would have to pay for the unit and then submit to their insurance for reimbursement using a miscellaneous code for everything but the urinal and reservoir which is currently coded an approved by Medicare. They would have to submit a letter of medical necessity from their physician and narrative from us for reimbursement. Reimbursement would be based on a case by case submission and review. URINARY TRANSFER SYSTEMS GROUP, LLC.Patient Requirements (2):

5. Home patients who have severe movement disorders similar to nursing home patients would purchase the unit and turn it in to their insurance for reimbursement. In addition, to those severely compromised, patients with Parkinsonism or general debility (arthritis) with low vision, may benefit from the Incontovac at night since their condition limits their movement to and from the bathroom and often the use of a urinal. Many of these patients awake their spouses to assist with a urinal only to find that the timing is inadequate and they experience a urinary accident or attempt to transverse to the bathroom or bedside commode and experience a fall. URINARY TRANSFER SYSTEMS GROUP, LLC.Patient Requirements (3):

6. URINARY TRANSFER SYSTEMS GROUP, LLC.INCONTOVACTM Operational Benefits • It is important to review the operational benefits of our device: • Remote control activation: all remotes are on the same frequency to enable a nurse to walk down the hall and remotely activate all units on one floor or for a patient to activate the unit immediately after urination. • The motor is activated for 60 seconds and has an automatic shut off and reset in 30 seconds for reactivation to prevent the unit from overheating should the patient activate the unit and be unable to shut it off. • The reservoir has an automatic pop up valve to prevent urine from spilling out if the reservoir is knocked over as well as to prevent urine from being drawn into the motor. • The tubing is color coded with the urinal and reservoir for proper insertion and depth markings as well as quick release fitting on both the urinal and reservoir for easy release and insertion. • The stabilization device is made of plastic and to be covered with a towel between the device and the patient’s legs to prevent moisture and promote comfort. In addition, a comfort pack is available with a high quality cushion produced by the Roho Company and padded urinal for additional comfort.

7. URINARY TRANSFER SYSTEMS GROUP, LLC.INCONTOVACTMSales Strategies • The recommended strategy would be to first visit our best target market the physicians. This would include those physicians that have a high volume of patients that would benefit from the Incontovac. Visiting first neurologists, physiatrist (Dr. of Physical Medicine), surgeons, urologist and then the internist. If they feel the product would benefit their patients, they could recommend the use of the Incontovac for their hospital patients. This would be the easiest way to get into the hospital. • Visitation to the hospital may be difficult since they don’t have an • Physicians aware of our product, however; the cost savings would be the • avenue to proceed with respect to cost savings with iatrogenic, institutional urinary tract infections that Medicare would not pay for secondary to extended stays. • 3. Nursing Homes with those patient in skilled or Medicare Part A beds since their cost is related incontinence and maintenance of urinary incontinence. You will need to reference the article with respect to costs for patients with urinary accidents and complications associated with urinary incontinence, secondary to skin break down, resultant ulcerations and urinary tract infections.