Division (1) Annex II to Directive 92/29/EEC is replaced by the following:

‘ANNEX II

MEDICAL SUPPLIES (NON-EXHAUSTIVE LIST) (*)

(Article 1(d))

(*) In light of Article 2(1)(a) Member States may, under exceptional circumstances, consider the use of alternative medicines or medical equipment for objectively justified reasons.

I.

MEDICINES

	Categories of vessels
	A	B	C
1. Cardiovascular
(a) Cardio-circulatory sympathomimetics	x	x
(b) Anti-angina preparations	x	x	x
(c) Diuretics	x	x
(d) Anti-haemorrhagics including uterotonics if there are women on board	x	x
(e) Anti-hypertensive	x	x
2. Gastro-intestinal system
(a) Medicines for gastric and duodenal disorders
— Medicine for treatment of stomach ulcer and gastritis	x	x
— Anti-acid mucous dressings	x	x
(b) Anti-emetics	x	x
(c) Laxatives	x
(d) Anti-diarrhoeals	x	x	x
(e) Haemorrhoid preparations	x	x
3. Analgesics and anti-spasmodics
(a) Analgesics, anti-pyretics and anti-inflammatory preparations	x	x	x
(b) Powerful analgesics	x	x
(c) Spasmolytics	x	x
4. Nervous system
(a) Anxiolytics	x	x
(b) Neuroleptics	x	x
(c) Seasickness remedies	x	x	x
(d) Anti-epileptics	x	x
5. Anti-allergics and anti-anaphylactics
(a) Anti-histaminics	x	x
(b) Glucocorticoids	x	x
6. Respiratory system
(a) Bronchiospasm preparations	x	x
(b) Anti-tussives	x	x
(c) Medicines used for colds and sinusitis	x	x
7. Anti-infection
(a) Antibiotics (at least two classes)	x	x
(b) Anti-parasitics	x	x
(c) Anti-tetanus vaccines and immunoglobulins	x	x
(d) Anti-malaria medicines, carriage shall be dependent upon operational area	x	x
8. Compounds promoting rehydration, caloric intake and plasma expansion	x	x
9. Medicines for external use
(a) Skin medicines
— Antiseptic solutions	x	x	x
— Antibiotic ointments	x	x
— Anti-inflammatory and analgesic ointments	x	x
— Anti-mycotic skin creams	x
— Burn preparations	x	x	x
(b) Eye medicines
— Antibiotic and anti-inflammatory	x	x
— Anaesthetic drops	x	x
— Saline solution for eyewash	x	x	x
— Hypotonic myotic drops	x	x
(c) Ear medicines
— Anaesthetic and anti-inflammatory solutions	x	x
(d) Medicines for oral and throat infections
— Antiseptic mouthwashes	x	x
(e) Local anaesthetics
— Local anaesthetics using freezing	x
— Local anaesthetics given by subcutaneous injection	x	x

II.

MEDICAL EQUIPMENT

Under the conditions of use prescribed by national laws and/or practices
	Categories of vessels
	A	B	C
1. Resuscitation equipment
— Ambu bag (or equivalent); supplied with large, medium and small masks	x	x
— Appliance for the administration of oxygen with pressure-reducing valve such that ship’s industrial oxygen can be used, or oxygen containerf1	x	x
— Mechanical aspirator to clear upper respiratory passages	x	x
2. Dressing and suturing equipment
— Tourniquets	x	x	x
— Disposable suture stapler or suture kit with needles	x	x
— Adhesive elastic bandage	x	x	x
— Gauze strips	x	x
— Tubular gauze for finger bandages	x
— Sterile gauze compresses	x	x	x
— Sterile sheet for burns victims	x	x
— Triangular sling	x	x
— Disposable gloves	x	x	x
— Adhesive dressings	x	x	x
— Sterile compression bandages	x	x	x
— Adhesive sutures or zinc oxide bandages	x	x	x
— Non-absorbable sutures with needles	x
— Vaseline gauze	x	x
3. Instruments
— Disposable scalpels	x
— Instrument box made of suitable material	x	x
— Scissors	x	x
— Dissecting forceps	x	x
— Haemostatic clamps	x	x
— Needle forceps	x
— Disposable razors	x
4. Examination and monitoring equipment
— Disposable tongue depressors	x	x
— Reactive strips for urine analysis	x
— Temperature charts	x
— Medical evacuation sheets	x	x
— Stethoscope	x	x
— Sphygmomanometer	x	x
— Medical thermometer	x	x
— Hypothermic thermometer	x	x
— Quick malaria test, carriage shall be dependent upon operational area	x	x
5. Equipment for injection, perfusion, puncture and catheterisation
— Bladder drainage equipment (suitable for men and women)	x
— Intravenous infusion set	x	x
— Disposable syringes and needles	x	x
6. General medical equipment
— Personal protective medical and nursing equipment	x	x
— Bedpan	x
— Hot-water bottle	x
— Urine bottle	x
— Ice bag	x
7. Immobilisation and setting equipment
— Set of splints of different sizes for the extremities	x	x
— Collar for neck immobilisation	x	x
8. Disinfection, disinsectisation and prophylaxis
— Water-disinfection compound	x
— Liquid insecticide	x
— Powder insecticide	x

III.

ANTIDOTES

1. Medicines

— General

— Cardio-vascular

— Gastro-intestinal system

— Nervous system

— Respiratory system

— Anti-infective

— For external use

2. Medical equipment

— Necessary for the administration of oxygen (including maintenance requisites)

Note:

For the detailed implementation of Section III, Member States may refer to the IMO Medical First Aid Guide for use in accidents involving dangerous goods (MFAG) contained in the 1990 consolidated edition of the IMO International Maritime Dangerous Goods Code, as amended.

Any adaptation of Section III in implementation of Article 8 may take account, inter alia, of any updating of the MFAG.’