Sterile. Set includes: tray w/2 compartments; 1 pair gloves; 1 pre-cut gauze tracheostomy dressing; 1 polylined towel/drape; Four 4”x 4” gauze sponges; 2 pipe cleaners; 3 cotton tipped applicators; flexible nylon bristle brush; 30” twill tape; 1 foam neck pad; 2 100ml packets hydrogen peroxide; 1 100ml container sterile saline solution.