[Federal Register Volume 78, Number 172 (Thursday, September 5, 2013)]
[Notices]
[Pages 54731-54733]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2013-21590]



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DEPARTMENT OF THE TREASURY

Office of Foreign Assets Control


Update to the List of Basic Medical Supplies

AGENCY: Office of Foreign Assets Control.

ACTION: Notice, publication of updated list of items defined as basic 
medical supplies.

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SUMMARY: The Department of the Treasury's Office of Foreign Assets 
Control (``OFAC'') is publishing an updated list of items defined as 
basic medical supplies under section 560.530(a)(3)(ii) of the Iranian 
Transactions and Sanctions Regulations, 31 CFR part 560 (``ITSR''), and 
generally licensed for exportation or reexportation to Iran pursuant to 
Sec.  560.530(a)(3)(i), to include additional items.

DATES: Effective Date: July 25, 2013.

FOR FURTHER INFORMATION CONTACT: Assistant Director for Sanctions 
Compliance & Evaluation, tel.: 202-622-2490, Assistant Director for 
Licensing, tel.: 202-622-2480, Assistant Director for Policy, tel.: 
202-622-2746, Assistant Director for Regulatory Affairs, tel.: 202-622-
4855, Office of Foreign Assets Control, or Chief Counsel (Foreign 
Assets Control), tel.: 202-622-2410, Office of the General Counsel, 
Department of the Treasury, Washington, DC 20220 (not toll-free 
numbers).

SUPPLEMENTARY INFORMATION: 

Electronic and Facsimile Availability

    This document and additional information concerning OFAC are 
available from OFAC's Web site (www.treasury.gov/ofac). Certain general 
information pertaining to OFAC's sanctions programs also is available 
via facsimile through a 24-hour fax-on-demand service, tel.: 202-622-
0077.

Background

    On October 22, 2012, OFAC published a final rule in the Federal 
Register (77 FR 64664) changing the heading of the Iranian Transactions 
Regulations, 31 CFR part 560, to the Iranian Transactions and Sanctions 
Regulations, 31 CFR part 560 (the ``ITSR''), amending the renamed ITSR, 
and reissuing them in their entirety, to implement Executive Order 
13599 of February 5, 2012 (``E.O. 13599''), and sections 1245(c) and 
(d)(1)(B) of the National Defense Authorization Act for Fiscal Year 
2012 (Pub. L. 112-81). As part of those revisions, OFAC amended section 
560.530 to add a general license, in new paragraph (a)(3), authorizing 
the exportation or reexportation of medicine and basic medical supplies 
to Iran. The term basic medical supplies is defined in paragraph 
(a)(3)(ii) to mean those medical devices, as defined in paragraph 
(e)(3) of section 560.530, that are included on the List of Basic 
Medical Supplies on the OFAC Web site (www.treasury.gov/ofac) on the 
Iran Sanctions page, but not including replacement parts.
    As highlighted in the note to paragraph (a)(3)(ii) of section 
560.530 of the ITSR, the List of Basic Medical Supplies is maintained 
on OFAC's Web site and will be published in the Federal Register, as 
will any changes to the list. On October 22, 2012, OFAC posted the 
following List of Basic Medical Supplies on its Web site:

Adhesive, surgical
Bandages (all)/Gauze/First aid dressings
Beds, hospital
Bed pans
Blood lancets
Blood collecting tubes
Burn dressings
Canes
Cannulae
Carts, all
Casts
Catheters, all
Chair, dental
Clips, surgical
Coils, guidewire
Contact Lenses, corrective
Cotton swabs
Crutches
Forceps
Glasses, corrective
Gloves, medical exam, surgical
Guidewires, all
Limb prosthesis
Medicine cup holder
Meter, portable (temperature/pH)
Monitor, glucose management
Needles, all
Padding, under cast
Pads, elbow & foot
Patient gowns, underpads, under garments
Pouches, urostomy
Scale, chair
Scalpels, disposable
Scrubs
Splints
Staples, surgical
Stents, all
Suture removal kits
Syringes
Thermometers, mercury for measuring human body temperature
Tongue depressors
Tube, drainage
Walkers
Wash basin, plastic
Wound drainage tubes
Wrist band, patient I.D.
    On July 25, 2013, OFAC updated the List of Basic Medical Supplies 
on its Web site to read as follows:

General Medical Equipment and Supplies

     Syringes, cannulas, and needles--all sizes and types; 
including kits
     Catheters--all sizes and types; including kits
     Coils, guidewire
     Guidewires, all
     Medical tubing or hoses less than 2'' diameter; including 
associated adaptors, connectors, caps, clamps, retainers, brackets, 
valves, washers, vents, stopcocks, or flow sensors; and peristaltic 
pumps with flowrates of less than 600 liters/hr for such tubing (note: 
does not include tubing made of butyl rubber or greater than 35% 
fluoropolymers)
     Endoscopic devices including laryngoscopes, laparoscopes, 
anascopes, proctoscopes, arthroscopes, sinuscopes, dematoscopes, 
ophthalmoscopes, sigmoidscopes, otoscopes, retinoscopes, or colposcopes
     Blood pressure monitors, gauges, cuffs, aneroids, or 
infusors
     Monitor for glucose management
     Medical defibrillators
     Medical lavage systems
     IV sets, bags, and armboards
     Medical penlights
     Stethoscopes
     Speculums
     Medical scissors
     Forceps
     Single-use medical procedure trays and kits
     Medical diagnostic kits, point-of-care; including EAR99 
reagents
     Reflex hammers
     Blood lancets
     Ear plugs and muffs
     Otology sponges
     Ear syringes
     Ear wax removers
     Clinical swabs, applicators, specimen collectors, sponges, 
pads, tongue depressors, wooden spoons, cotton balls, or cotton rolls
     Antiseptic wipes for human use (including alcohol, 
antimicrobial, benzalkonium, betadine, iodine, and witch hazel)
     Splints
     Canes, crutches, walkers, rollators
     Patient wheelchairs, chairs, gurneys, stretchers, mats, 
and cots
     Patient transfer chairs, lifts, benches, boards, slides, 
discs, slings, and sheets
     Safety poles, rails, handles, benches, grab bars, commode 
aids, and shower aids
     Patient vital-sign monitoring devices

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     Limb prosthesis devices
     Orthopedic supports, braces, wraps, shoes, boots, or pads
     Medical casts, padding; and casting and removal equipment
     Orthopedic traction devices and tables
     Human body positioners including pads, wedges, cradles, 
pillows, rests, straps, supports, and holders
     Human specimen collectors and containers (e.g., urine, 
blood, tissue)
     Medical bandages, gauze, dressings, tape, swabs, sponges, 
and burn dressings
     Surgical sutures and staples; and removal kits
     Tourniquets
     Thermometers for measuring human body temperature
     Clinical basins, bowls, baths, pans, urinals, bags, and 
buckets; and holding devices for such items
     Medical carafes, cups, containers and tumblers
     Medicine cups
     Syringe aspirators
     Medical bags for medical supplies and equipment; including 
pre-packed bags
     Condoms
     Medical labels, labellers, stickers, forms, charts, 
signage, tags, cards, tape, wrist bands, documents, brochures, and 
graphics
     Non-electronic patient medical record file systems and 
organizers
     Beds: hospital beds, cribs, or bassinets; including 
mattresses, overlays, pillows, and bumpers
     Medical linens (e.g., blankets, sheets, pillow cases, 
towels, washcloths, drapes, covers)
     Chairs: exam, treatment, surgical, dental, or phlebotomy
     Stools: designed for clinical use
     Stands: IV, instrument, solution, or hamper
     Carts: medical, medical utility, medical supply, food 
service, or hospital laundry carts
     Tables: operating, exam, therapy, overbed, treatment, 
medical utility, or medical instrument
     Jars and containers designed for medical supplies and 
instruments less than 5 L internal volume
     Privacy screens and curtains
     Cabinets: medical supply or pharmaceutical
     Floor mats: safety, anti-fatigue or special-purpose 
medical floor mats
     Hydrocollator heating units
     Warmers: bottle, gel, lotion, or blanket
     Patient heating and cooling devices: pads, packs, bottles, 
bags, warmers, blankets, patches, lamps, bags
     Paraffin baths
     Lights and lamps: surgical, or medical exam, magnifying
     Scales, stadiometers, rulers, sticks, tapes, protractors, 
volumeters, gauges, or calipers designed for human measurement
     Patient safety devices including vests, aprons, finger 
mitts, limb or body holders, jackets, belts, restraints, cuffs, straps, 
or protectors
     Human body or cadaver bags and shrouds
     Adhesive designed for human use
     Adhesive remover designed for human use
     Telemetry pouches designed for human use

Anaesthesiology

     Air bags and tidal volume bags
     Air bellows
     Anaesthesia circuits
     Anaesthesia machines, vaporizers, nebulizers, and inhalers 
designed for individual human use
     Anaesthesia masks (including laryngeal)
     Anti-siphon equipment
     Block and epidural trays packaged for individual use
     Endotrach tubes
     Head straps and harnesses
     Hyperinflation systems
     In-line filters and cartridges, thermometers, 
CO2 detectors, sodalime canisters, and temperature and 
moisture exchangers (note: gas mask canisters, other than sodalime 
canisters designed for anaesthesia systems, require a specific license)
     Intubation sets, probes and related equipment
     Anaesthesiometers
     Oral airways
     Peripheral nerve stimulators
     Anaesthesia pressure tubes and controllers
     Cardiopulmonary resuscitation (CPR) training manikins and 
lung bags
     Vibration dampening mounts

Apparel

     Medical gowns, scrubs, aprons, uniforms, lab coats, and 
coveralls; only those without integrated hoods
     Patient clothing including gowns, slippers, underpads, or 
undergarments
     Head or beard covers and nets
     Medical shoe and boot covers
     Surgical sleeve protectors
     Ventilated Safety eyeshields and goggles (does not include 
full face shield or indirectly-vented goggles)
     Disposable latex, nitrile, polyethylene, vinyl gloves/
finger cots or other medical gloves
     Surgical face or dust masks (does not include masks with 
respirators)

Cardiology

     Electrocardiography machines

Dental Equipment and Supplies

     Dental instruments--all types and sizes
     Dental instrument cases, trays, mats or tray liners, 
racks, covers, wraps, stands, holders, stringers, or protectors
     Dental and oral implants or devices
     Tooth and denture brushes
     Denture and temporary oral device containers
     Yankauers

Gynecology & Urology

     Bladder scanners
     Pouches, urostomy
     Bladder control pads, briefs, liners, underwear, pants and 
diapers
     Feminine hygiene products
     Fecal/stool management devices, kits, and catheters
     Enema sets

Laboratory

     Laboratory balances and scales not to exceed 10 Kg
     Patient blood gas analyzers
     Medical specimen centrifuges
     Automated clinical chemistry analyzers for patient care
     Coagulation analyzers
     Co-oximeters for haemoglobin analysis
     Medical bone densitometers
     Medical differential counters
     Bench-top dry bath incubators
     Electrolyte analyzers
     Hematology analyzers
     Histology and cytology strainers and tissue baths
     Laboratory hot plates with less than 1.0 sq. ft. heating 
surface
     Clinical immunoassay analyzers
     Luminometers
     Laboratory pH meter (with or without temperature probe)
     Automated blood culture systems
     Microplate readers/washers
     Light microscopes
     Osmometers
     Pipettes
     Medical refrigerators and freezers with less than 5.0 cu. 
ft. internal volume
     Spectrophotometers, photometers, and colorimeters designed 
for clinical use
     Urinalysis analyzers
     Clinical laboratory water baths less than 10 liter

Nephrology

     Hemodialysis machines; and dialysis filters designed for 
such machines (Note: Other dialysis equipment, filters, and parts not 
used for hemodialysis require a specific license and may be controlled 
under 15 CFR, part 774, supp. 1, ECCN 2B352.d)
     Hemodialysis connection or tubing kits

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Neurology

     Electroencephalography machines

Obstetrics and Maternity Care

     Umbilical cord clamps

Ophthalmology and Optometry

     Contact Lenses, corrective
     Contact Lens cleaning solutions
     Glasses, corrective
     Eyecharts

Physical and Occupational Therapy

     Parallel bars
     Exercise bars
     Hand bars
     Mat Platforms
     Exercise table
     Medical Whirlpools
     Mobility platforms, parallel bars, ladders, stairs
     Balance pads, platforms, and beams
     Cognitive measuring devices and equipment
     Manipulation boards
     Dining aids
     Hydraulic dynamometer
     Scoliometer
     Goniometers
     Pedometers
     Ergometers
     Rulonmeters
     Fine motor assessment equipment designed for human use
     Tactile sensation, sensitization, and desensitization 
equipment
     Rehabilitation exercise, weights, band, balls, boards, and 
mobility equipment
     Therapeutic putty
     Aquatic floats and training devices
     Protective headgear
     Electrotherapy, muscle stimulators, and tens units
     Ultrasound stimulators
     Massaging equipment

Radiology

     Medical ultrasound machines

Sterilization

     Aseptic, germicidal, or disinfectant wipes or clothes for 
medical equipment, devices or furniture
     Ready-to-use disinfectant in 32 oz. containers or less
     Aseptic, germicidal, or medical-grade soap, detergent, 
pre-soak, or rinse in 1 gallon containers or less
     Hand sanitizer, lotion, soap, scrub, wash, gel, or foam; 
including dispensing devices
     Medical cleaning brushes for equipment, patients, and 
furniture
     Sterilization or disinfection indicator strips, tape, or 
test packs
     Medical instrument sterilization pouches, mats, protector 
guards, or tubing
     Sterilization containers or cases less than 0.3 cu. ft.
     Autoclaves with chamber sizes less than 0.3 cu. ft.; 
including trays, containers, cassettes, cases, and filters for such 
systems.

Surgery

     Surgical clips
     Surgical instruments--all types and sizes
     Surgical instrument cases, trays, mats or tray liners, 
racks, covers, wraps, stands, holders, stringers, or protectors
     Stents--all types and sizes
     Surgical linens, drapes, or covers
     Chest drains
     Surgical case carts
     Blood transfusion equipment
     Surgical clean-up kits
     Wound drainage equipment
     Stockinettes
     Surgical mesh
     Surgical smoke evacuators and specialized supporting 
equipment
     Electrosurgery devices and supporting equipment
     Lubricant specially-formulated for surgical equipment in 1 
gallon containers or less
    EAR99-classifed components, accessories, and optional equipment 
that are designed for and are for use with an EAR99-classified medical 
device included elsewhere on the list.
    With this notice, OFAC is publishing the updated list of items 
defined as basic medical supplies in the Federal Register.

    Dated: August 29, 2013.
Adam J. Szubin,
Director, Office of Foreign Assets Control.
[FR Doc. 2013-21590 Filed 9-4-13; 8:45 am]
BILLING CODE 4810-AL-P