1.5 mm LCP Modular Mini Fragment System Inventory Control Form

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J9514-C 9/12. Inventory Control Form. 1.5 mm LCP Modular Mini Fragment System. 1.5 mm Locking Screws, self-tapping, with T4 Stardrive recess. LENGTH.

Inventory Control Form 1.5 mm LCP Modular Mini Fragment System Synthes (USA) To Order: (800) 523-0322

Patient Information:

Synthes (Canada) Ltd. To Order: (800) 668-1119

Date: Hospital: Surgeon: Procedure:

Implants 1.5 mm LCP Plates

1.5 mm Locking Screws, self-tapping, with T4 Stardrive recess LENGTH

02.214.006 02.214.007 02.214.008 02.214.009 02.214.010 02.214.011 02.214.012 02.214.013

6 mm 7 mm 8 mm 9 mm 10 mm 11 mm 12 mm 13 mm

LENGTH

02.214.014 02.214.015 02.214.016 02.214.018 02.214.020 02.214.022 02.214.024

14 mm 15 mm 16 mm 18 mm 20 mm 22 mm 24 mm

HOLES

02.114.002 02.114.004

1.5 mm LCP Adaption Plates HOLES

02.114.003 02.114.005

1.5 mm Cortex Screws, self-tapping, with T4 Stardrive recess 6 mm 7 mm 8 mm 9 mm 10 mm 11 mm 12 mm 13 mm

6 12

1.5 mm LCP T-Plates

LENGTH

02.214.106 02.214.107 02.214.108 02.214.109 02.214.110 02.214.111 02.214.112 02.214.113

4 6

LENGTH

02.214.114 02.214.115 02.214.116 02.214.118 02.214.120 02.214.122 02.214.124

14 mm 15 mm 16 mm 18 mm 20 mm 22 mm 24 mm

02.114.006 02.114.007

3 hole head, 8 hole shaft 4 hole head, 8 hole shaft

1.5 mm LCP Extended H-Plates 02.114.009 02.114.010

left right

1.5 mm LCP Y-Plate

02.114.013

3 hole head, 8 hole shaft

1.5 mm LCP Condylar Plate

02.114.014

Synthes is a trademark of Synthes, Inc. or its affiliates.

J9514-C

9/12

Inventory Control Form 1.5 mm LCP Modular Mini Fragment System Implants (cont’d)

Instruments

1.5 mm LCP Plates, with pre-loaded drill guides

Drill Bits

HOLES

02.114.502 02.114.504

4 6

310.141 317.338 03.114.007

1.5 mm Drill Bit, mini quick coupling 1.1 mm Drill Bit, mini quick coupling, 110 mm 1.1 mm Drill Bit, mini quick coupling, 75 mm

1.5 mm LCP Adaption Plates, with pre-loaded drill guides HOLES

02.114.503 02.114.505

6 12

1.5 mm LCP T-Plates, with pre-loaded drill guides 02.114.506 02.114.507

3 hole head, 8 hole shaft 4 hole head, 8 hole shaft

1.5 mm LCP Extended H-Plates, with pre-loaded drill guides 02.114.509 02.114.510

left right

1.5 mm LCP Y-Plate, with pre-loaded drill guides 02.114.513

3 hole head, 8 hole shaft

1.5 mm LCP Condylar Plate, with pre-loaded drill guides 02.114.514

Synthes is a trademark of Synthes, Inc. or its affiliates.

J9514-C

9/12

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