All items must be disinfected before shipment. This certificate serves as proof of disinfection. Any items arriving to Sentec Authorized Technicians, Sentec representatives, or Sentec AG without this certificate or with an improperly issued certificate will be disinfected at the sender's expense without prior notice. The sender will be held liable for any harm attributed to improper disinfection. Contact Sentec before you return any material to obtain a Return Goods Authorization (RGA) number. For disinfection instructions please refer to sub-section “Cleaning and Disinfection” in the corresponding Instructions for Use [1]. [1] The Instructions for Use for the LuMon™ System provides detailed information on the LuMon™ System for health care practitioners. It is available in several languages and can be downloaded from Sentec's EIT Resources and Product Support webpage: https://www.sentec.com/product-support/eit/ □ LuMon™ Monitor SN: REF: (label on rear panel) □ LuMon™ Connector SN: REF: (label on MatchBox) Complete this table to identify the items that have been disinfected. Item(s) in shipment □ LuMon™ Monitor General observations/comments:

Certificate of Disinfection filled in by: Organization providing service: Location: Disinfected by (name): Place, date: Sentec AG | www.sentec.com | [email protected]