Sterile. Set includes:3 compartment tray; 1 pair gloves; 1 pre-cut gauze tracheostomy dressing; 2 polylined towel/drapes; 4 4x4 gauze sponges, 6 pipe cleaners, 2 cotton tipped applicators; flexible nylon bristle brush; 30 twill tape.- Tracheostomy Care Set, Extra Towel & 2 Extra Pipe Cleaners, 24/cs 14-21 Days