Inventory Control Form - Limelight Networks

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Date:Hospital:Surgeon:Procedure:Implants Patient Information:J3925-K 6/11Inventory Control FormLocking Small Fragment mm Cortex Screws, 10 12 14 16 18 20 22 24 26 28 30 32 34 36 38 40 45 50 55 mm Locking Screws,self-tapping, with StarDrive mm Cortex Screws, 10 12 14 16 18 20 22 24 26 28 30 32 34 36 38 40 42 44 45 46 48 50 55 60 mm Cortex Screws,self-tapping, with T15 StarDrive recess mmSynthes (USA)Synthes (Canada) Order: (800) 523-0322To Order: (800) mm Shaft 16 18 20 22

Date: Hospital: Surgeon: Procedure: Implants Patient Information: J3925-K 6/11 Inventory Control Form Locking Small Fragment–LCP 2.7 mm Cortex Screws,

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