This Dynarex Tracheostomy Care Kit is sterile and comes with the following items: One Plastic Tray with 3 Compartments; Two 6-inch Cotton Tipped Applicators; One Trachea Tube Brush; One Pre-cut Drain Sponge; One 30-inch Length of Twill Tape; Four 4 Inch x 4 Inch Non-woven Sponges; One Pair of Sterile, Powder-free Vinyl Gloves; Two Pipe Cleaners; and One Waterproof Drape.