inventoRy ContRoL foRm - DePuy Synthes

inventoRy ContRoL foRm. 3.5 mm Variable Angle LCP® Medial Column. Fusion Plating System. Date: hospital: Surgeon: Procedure: 14-digit code: Patient In...

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Inventory Control Form 3.5 mm Variable Angle LCP® Medial Column Fusion Plating System Patient Information:

Synthes, Inc.

Synthes (Canada) Ltd.

To order: (800) 523–0322

To order: (800) 668–1119

Date: Hospital: Surgeon: Procedure: 14-digit code:

implants 3.5 mm VA-LCP Medial Column Fusion Plates◊

Right

Left length

02.211.416

02.211.417

78 mm

3.5 mm VA-LCP Medial Column Fusion Plates, Talus Extension◊

Right

Left length

02.211.420

02.211.421

3.5 mm Variable Angle Locking Screws, self-tapping, T15 StarDrive length

length

02.127.112 02.127.114 02.127.116 02.127.118 02.127.120 02.127.122 02.127.124 02.127.126 02.127.128 02.127.130

02.127.132 02.127.134 02.127.136 02.127.138 02.127.140 02.127.142 02.127.144 02.127.146 02.127.148 02.127.150

12 14 16 18 20 22 24 26 28 30

mm mm mm mm mm mm mm mm mm mm

32 34 36 38 40 42 44 46 48 50

mm mm mm mm mm mm mm mm mm mm

3.5 mm Cortex Screws, Low-Profile Head, self-tapping, T15 StarDrive

95 mm

3.5 mm VA-LCP Medial Column Fusion Plantar Plates◊

Right

Left length

02.211.418

02.211.419

78 mm

length

length

02.206.212 02.206.214 02.206.216 02.206.218 02.206.220 02.206.222 02.206.224 02.206.226 02.206.228 02.206.230

02.206.232 02.206.234 02.206.236 02.206.238 02.206.240 02.206.242 02.206.244 02.206.246 02.206.248 02.206.250

12 14 16 18 20 22 24 26 28 30

mm mm mm mm mm mm mm mm mm mm

32 34 36 38 40 42 44 46 48 50

mm mm mm mm mm mm mm mm mm mm

Inventory Control Form 3.5 mm Variable Angle LCP® Medial Column Fusion Plating System Instruments 2.8 mm Compression Wires, 200 mm

Thread Length 03.118.015 15 mm 03.118.020 20 mm 03.118.025 25 mm 03.118.030 30 mm 03.118.035 35 mm 03.118.040 40 mm

Drill Bits, quick coupling

310.288

2.8 mm Drill Bit, quick coupling, 165 mm

310.23 2.5 mm Drill Bit, quick coupling, gold, 180 mm

310.35

3.5 mm Drill Bit, quick coupling, 110 mm

1.6 mm Kirschner wires

292.16  1.6 mm Kirschner Wire with trocar

point, 150 mm

◊Available nonsterile or sterile-packed. Add “S” to catalog number to order sterile product. Synthes is a trademark of Synthes, Inc. or its affiliates.

© DePuy Synthes Trauma, a division of DOI 2014. All rights reserved. DSUS/TRM/0714/0173 7/14 DV