DBX® Demineralized Bone Matrix ICP

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