Patient Charge/Inventory Control Sheet - SternaLock® Blu...SternaLock ® Blu SternaLock ® Blu...

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Hospital: Date: Street: Patient Data – For charge use City: State: Zip: Name: Patient Charge/Inventory Control Sheet To Order: 800.874.7711 • 904.741.4400 • To Fax: 904.741.3059 www.biometmicrofixation.com Primary Closure System Items not to scale SternaLock ® Blu SternaLock ® Blu Items not to scale 73-2622 4-Hole Box Plate Qty Item # Description 73-2643 4-Hole L Plate, 100° Qty Item # Description 73-2645 8-Hole JL Plate Qty Item # Description 73-2623 8-Hole X Plate Qty Item # Description 73-2634 12-Hole Wide Ladder Plate Qty Item # Description 73-2632 12-Hole Ladder Plate Qty Item # Description 73-2636 4-Hole Straight Plate Qty Item # Description 73-1191 73-1194 Power Driver Blade Standard Blade Qty Item # Description Blades 0086 50-1010 Power Driver Battery Qty Item # Description Battery 2.4mm Diameter Cancellous Self-Drilling Locking Screws (Gold) Qty Description 2.4mm x 8mm 2.4mm x 10mm 2.4mm x 12mm 2.4mm x 14mm 2.4mm x 16mm 2.4mm x 18mm 2.4mm x 20mm Part # 73-2408 73-2410 73-2412 73-2414 73-2416 73-2418 73-2420 2.7mm Diameter Cancellous Locking Screws (Magenta) Qty Description 2.7mm x 8mm 2.7mm x 10mm 2.7mm x 12mm 2.7mm x 14mm 2.7mm x 16mm 2.7mm x 18mm 2.7mm x 20mm Part # 73-2708 73-2710 73-2712 73-2714 73-2716 73-2718 73-2720 73-1952 8-Hole Straight Plate Qty Item # Description

Transcript of Patient Charge/Inventory Control Sheet - SternaLock® Blu...SternaLock ® Blu SternaLock ® Blu...

Page 1: Patient Charge/Inventory Control Sheet - SternaLock® Blu...SternaLock ® Blu SternaLock ® Blu Items not to scale 73-2622 4-Hole Box Plate Qty Item # Description 73-2643 4-Hole L

Hospital: Date:

Street: Patient Data – For charge use

City: State: Zip: Name:

Patient Charge/Inventory Control Sheet

To Order: 800.874.7711 • 904.741.4400 • To Fax: 904.741.3059 www.biometmicrofixation.com

Primary Closure System

Items not to scale

SternaLock® Blu

SternaLock® Blu

Items not to scale

73-2622 4-HoleBox Plate

Qty Item # Description

73-2643 4-HoleL Plate, 100°

Qty Item # Description

73-2645 8-Hole JL Plate

Qty Item # Description

73-2623 8-Hole X Plate

Qty Item # Description

73-2634 12-Hole WideLadder Plate

Qty Item # Description

73-2632 12-HoleLadder Plate

Qty Item # Description

73-2636 4-HoleStraight Plate

Qty Item # Description

73-119173-1194

Power Driver™ BladeStandard Blade

Qty Item # DescriptionBlades

0086

50-1010 Power Driver™

Battery

Qty Item # DescriptionBattery

2.4mm DiameterCancellous Self-DrillingLocking Screws (Gold)

Qty Description

2.4mm x 8mm

2.4mm x 10mm

2.4mm x 12mm

2.4mm x 14mm

2.4mm x 16mm

2.4mm x 18mm

2.4mm x 20mm

Part #

73-2408

73-2410

73-2412

73-2414

73-2416

73-2418

73-2420

2.7mm DiameterCancellous LockingScrews (Magenta)

Qty Description

2.7mm x 8mm

2.7mm x 10mm

2.7mm x 12mm

2.7mm x 14mm

2.7mm x 16mm

2.7mm x 18mm

2.7mm x 20mm

Part #

73-2708

73-2710

73-2712

73-2714

73-2716

73-2718

73-2720

73-1952 8-Hole Straight Plate

Qty Item # Description