Inventory Control Form - synthes.vo.llnwd.net

1 SYNTHES (USA)SYNTHES (Canada) Order: (800) 523-0322To Order: (800) 668-1119 Date:Hospital:Surgeon:Procedure:Implants Patient Information:J7889-C 2/12 Inventory Control FormTitanium Modular Mini Fragment LCP mm, mm and mm Instrument and Implant mm titanium Cortex Screws, mm titanium Locking Screws, mm titanium Cortex Screws, mm titanium Locking Screws, mmSynthes is a trademark of Synthes, Inc. or its (cont d) Inventory Control FormJ7889-C 2 mm titanium Cortex Screws, mm titanium Locking Screws, 10 mm titanium LCP 38 mm titanium LCP Condylar PlateSHAFT mm titanium LCP T-Plate, 3 head holesSHAFT mm titanium LCP T-Plate, 2 head holesSHAFT mm titanium LCP Y-Plate, 3 head holesSHAFT mm titanium LCP Adaption PlateSHAFT mmSynthes is a trademark of Synthes, Inc.

2 Or its (cont d) titanium Modular Mini Fragment LCP mm, mm and mm ImplantsJ7889-C 2 mm titanium LCP mm titanium LCP Condylar PlateSHAFT mm titanium LCP T-Plate, 3 head holesSHAFT mm titanium LCP T-Plate, 2 head holesSHAFT mm titanium LCP Y-Plate, 3 head holesSHAFT mm titanium LCP Adaption PlateSHAFT mm titanium LCP 40 mm titanium LCP L-Plates, 2 head holesSHAFT mm titanium LCP L-Plates, oblique, 2 head holesSHAFT mm titanium LCP Condylar PlateSHAFT mm titanium LCP Adaption PlateSHAFT mmSynthes is a trademark of Synthes, Inc. or its (cont d)InstrumentsInventory Control FormJ7889-C 2 mm titanium LCP T-Plate, 2 head mm titanium LCP L-Plates, oblique, 2 head holesSHAFT HOLESSHAFT HOLESSHAFT mm titanium LCP L-Plates, 2 head holesSynthes is a trademark of Synthes, Inc. or its mm100 mm65 mm96 mm110 mm100 mmKirschner Wires, Trocar Point (10/pkg.)

3 Mm70 mm150 mm150 mm150 mm150 mm140 mm