Inventory Control Form Patient Information: Synthes/MTF® Order Desk To order: (800) 522-9069 Make P.O. payable to MTF DBX® Demineralized Bone Matrix Date: Hospital: Implants DBX Paste 028005 028010 028050 028100 0.5 cc 1 cc 5 cc 10 cc DBX Putty 038005 038010 038025 038050 038100 0.5 cc 1 cc 2.5 cc 5 cc 10 cc DBX Mix 058025 058050 058100 058200 2.5 cc 5 cc 10 cc 20 cc DBX and MTF are trademarks of the Muscular Transplant Foundation J6775-D 1/09
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