Inventory Control Form 3.5 mm LCP Proximal Tibia Plating Systems Synthes (USA) To Order: (800) 523-0322 Patient Information: Synthes (Canada) Ltd. To Order: (800) 668-1119 Date: Hospital: Surgeon: Procedure: Implants 3.5 mm Shaft Screws 4.0 mm Cancellous Screws, fully threaded LENGTH 204.216 204.218 204.220 204.222 204.224 204.226 16 mm 18 mm 20 mm 22 mm 24 mm 26 mm LENGTH 204.228 204.230 204.232 204.234 204.236 204.238 28 mm 30 mm 32 mm 34 mm 36 mm 38 mm 204.830 204.832 204.834 204.836 204.838 204.840 204.845 204.850 204.855 204.860 30 mm 32 mm 34 mm 36 mm 38 mm 40 mm 45 mm 50 mm 55 mm 60 mm LENGTH 206.010 206.012 206.014 206.016 206.018 206.020 206.022 206.024 206.026 10 mm 12 mm 14 mm 16 mm 18 mm 20 mm 22 mm 24 mm 26 mm LENGTH 206.028 206.030 206.035 206.040 206.045 206.050 206.055 206.060 28 mm 30 mm 35 mm 40 mm 45 mm 50 mm 55 mm 60 mm 207.028 207.030 207.035 207.040 207.045 207.050 207.055 207.060 28 mm 30 mm 35 mm 40 mm 45 mm 50 mm 55 mm 60 mm 3.5 mm Cortex Screws, self-tapping LENGTH 204.810 204.812 204.814 204.816 204.818 204.820 204.822 204.824 204.826 204.828 10 mm 12 mm 14 mm 16 mm 18 mm 20 mm 22 mm 24 mm 26 mm 28 mm LENGTH Synthes is a trademark of Synthes, Inc. or its affiliates. 4.0 mm Cancellous Bone Screws, partially threaded LENGTH 207.010 207.012 207.014 207.016 207.018 207.020 207.022 207.024 207.026 10 mm 12 mm 14 mm 16 mm 18 mm 20 mm 22 mm 24 mm 26 mm LENGTH J4785-J 3/13 Inventory Control Form 3.5 mm LCP Proximal Tibia Plating Systems Implants (cont’d) 3.5 mm Locking Screws, self-tapping, with StarDrive recess 3.5 mm LCP Medial Proximal Tibia Plates LENGTH 212.101 212.102 212.103 212.104 212.105 212.106 212.107 212.108 212.109 212.110 212.111 212.112 212.113 212.114 212.115 212.116 212.117 212.118 10 mm 12 mm 14 mm 16 mm 18 mm 20 mm 22 mm 24 mm 26 mm 28 mm 30 mm 32 mm 34 mm 35 mm 36 mm 38 mm 40 mm 42 mm LENGTH 212.119 212.121 212.122 212.123 212.124 212.125 212.126 212.127 212.128 212.129 212.130 212.131 212.134 212.136 02.212.054 02.212.056 02.212.058 45 mm 50 mm 52 mm 55 mm 60 mm 65 mm 70 mm 75 mm 80 mm 85 mm 90 mm 95 mm 44 mm 46 mm 54 mm 56 mm 58 mm HOLES LENGTH 239.954 239.955 4 4 93 mm 93 mm right left 239.956 239.957 6 6 119 mm 119 mm right left 239.958 239.959 8 8 145 mm 145 mm right left 239.960 239.961 10 10 171 mm 171 mm right left 239.962 239.963 12 12 197 mm 197 mm right left 239.964 239.965 14 14 223 mm 223 mm right left 239.966 239.967 16 16 249 mm 249 mm right left 239.968 239.969 18 18 275 mm 275 mm right left 239.970 239.971 20 20 301 mm 301 mm right left 3.5 mm Conical Screws, self-tapping, fully threaded LENGTH 212.317 212.319 212.321 212.323 212.324 212.325 40 mm 45 mm 50 mm 55 mm 60 mm 65 mm LENGTH 212.326 212.327 212.328 212.329 212.330 212.331 70 mm 75 mm 80 mm 85 mm 90 mm 95 mm 3.5 mm Conical Screws, self-tapping, partially threaded LENGTH 212.417 212.419 212.421 212.423 212.424 212.425 40 mm 45 mm 50 mm 55 mm 60 mm 65 mm LENGTH 212.426 212.427 212.428 212.429 212.430 212.431 Synthes is a trademark of Synthes, Inc. or its affiliates. 70 mm 75 mm 80 mm 85 mm 90 mm 95 mm 3.5 mm LCP Proximal Tibia Plates HOLES LENGTH 239.934 239.935 4 4 81 mm 81 mm right left 239.936 239.937 6 6 107 mm 107 mm right left 239.938 239.939 8 8 133 mm 133 mm right left 239.940 239.941 10 10 159 mm 159 mm right left 239.942 239.943 12 12 185 mm 185 mm right left 239.944 239.945 14 14 211 mm 211 mm right left 239.946 239.947 16 16 237 mm 237 mm right left J4785-J 3/13 Inventory Control Form 3.5 mm LCP Proximal Tibia Plating Systems Implants (cont’d) Instruments 3.5 mm LCP Proximal Tibia Plates, low bend Drill Bits, quick coupling HOLES LENGTH 02.124.200 02.124.201 4 4 76 mm 76 mm right left 02.124.204 02.124.205 6 6 102 mm 102 mm right left 02.124.208 02.124.209 8 8 128 mm 128 mm right left 02.124.212 02.124.213 10 10 154 mm 154 mm right left 02.124.216 02.124.217 12 12 180 mm 180 mm right left 02.124.220 02.124.221 14 14 206 mm 206 mm right left 02.124.224 02.124.225 16 16 232 mm 232 mm right left DIAMETER LENGTH 310.25 310.288 310.35 324.214 324.211 03.122.002 2.5 mm 2.8 mm 3.5 mm 2.8 mm 2.8 mm 2.8 mm 110 mm, gold 165 mm 110 mm 200 mm, 100 mm calibration 300 mm, 200 calibration 248 mm, 95 mm calibration 311.32 311.34 for 3.5 mm Cortex Screws, 110 mm for 4.0 mm Cancellous Bone Screws, 110 mm Taps Bending Template 3.5 mm LCP Posteromedial Proximal Tibia Plates HOLES 02.120.701 02.120.702 02.120.704 02.120.706 02.120.708 02.120.710 1 2 4 6 8 10 329.903 for 3.5 mm Proximal Tibia Plates LENGTH 69 mm 79 mm 105 mm 131 mm 157 mm 183 mm Miscellaneous Implants 219.98 Washer, 7.0 mm 292.20 2.0 mm K-wire, 150 mm, 10/pkg. Synthes is a trademark of Synthes, Inc. or its affiliates. J4785-J 3/13
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