e re/eor oro ee 1 - Zimmer Biomet€¦ · e re/eor oro ee 1 SPL S lease ll in te lan NAME: DATE: L...

Items not to scale

Patient Charge/Inventory Control Sheet 1.5mm

HOSPITAL:

NURSE/TECH (please fill in the blank)

NAME:

DATE:

DELIVERY TO LOCATION: SURGERY

Lorenz® Plating System Neuro 1.5mm

800.874.7711 • 904.741.4400Fax: 904.741.3059www.biometmicrofixation.com

BUYER (please fill in the blank)

P.O. #:

ORDER DATE:

INITIALS:

DescriptionPart # Qty

4-Hole Square Plate

4 Hole, 12mm01-7131

4-Hole Wide Strut Square Plate

4 Hole, 12mm01-7357

Rectangle Plate

2 x 3 Hole, 18mm

2 x 4 Hole, 25mm

01-7136

01-7137

Neuro Rectangle Plate

01-7359 4 Hole, 18mm

Burr Hole Plate

13mm

18.5mm

22mm

25mm

01-7306

01-7308

01-7309

01-7310

Shunt Plate

18.5mm01-7305

DescriptionPart #

1.5mm PlatesQty

2-Hole Straight Plates

Medium, 12mm

Long, 16mm

01-7345

01-7347

4-Hole Straight Plates

Regular, 16mm

Medium, 17mm

Long, 19mm

X-Long, 20mm

01-7040

01-7045

01-7047

01-7048

Straight Plates

6 Hole, Regular, 24mm

16 Hole, Regular, 64mm

01-7050

01-7066

Orbital Plates

01-7126 6 Hole, 24mm

5-Hole Y Plates

Regular, 16mm

Long, 18mm

X- Long, 19mm

01-7100

01-7102

01-7104

6-Hole Double Y Plates

Regular, 15mm

Long, 16mm

X- Long, 18mm

01-7110

01-7112

01-7114

Double T Plates

Medium, 15mm

Long, 18mm

01-7092

01-7093

4-Hole X Plate

Regular, 12mm01-7120

Triangle Plate

3 Hole, 14mm01-7132

Panels/Sheet

01-7185

01-7182

01-7188

01-7180

01-7340

01-7341

DescriptionPart #

1.5mm Panels/MeshQty

85mm x 53mm, 0.3mm Thick


100mm x 100mm, 0.3mmThick




1/3

Items not to scale


HOSPITAL:


NAME:

DATE:





P.O. #:

ORDER DATE:

INITIALS:

8-Hole Sub-Temporal Plates

Small, 38mm

Regular, 52mm

01-7361

01-7363

6-Hole Gap Plates

25mm

35mm

45mm

01-7351

01-7353

01-7355

DescriptionPart #

Gap/Sub-Temporal PlatesQty

DescriptionPart #

1.5mm Panels/MeshQty

Contourable Mesh

85 x 55mm, 0.3mm Thick




SP-1841

01-7249

01-7250

01-7251

Ultra Pre-Contoured Mesh





01-7019

01-7017

01-7065

01-7069 Side profile

2/3

DescriptionPart #

BatteriesQty

PowerDriver™ Battery50-1010

iQ™ Driver Battery72-1010

DescriptionPart #

Center-Drive ScrewsQty

1.5mm Self Drilling Center-Drive Screws (Green)

3.5mm

4mm

5mm

99-7283

99-7284

99-7285

3.5mm

5mm

Emergency 1.8mm Center-Drive Screws (Magenta)

99-7223

99-7225

DescriptionPart #

HT X-Drive ScrewsQty

1.5mm Self-Drilling HT X-Drive Screws (Green)

3.5mm

4mm

5mm

91-6103

91-6104

91-6105

3.5mm

5mm

Emergency 1.8mm HT X-Drive Screws (Magenta)

91-1803

91-1805

DescriptionPart #

Twist DrillsQty

1.1 x 50mm J-Notch Twist Drill

3.5mm Stop

5mm Stop

01-7141

01-7142

5mm Stop

1.1 x 43mm iQ Drill

72-2011

1.1 x 67mm Hand Drill, Hex

3.5mm Stop

5mm Stop

15-1723

15-1725

Items not to scale


HOSPITAL:


NAME:

DATE:





P.O. #:

ORDER DATE:

INITIALS:

Part #Qty Description

Specialty Plates

SP-1343

SP-2082

Small, 42mm x 30mm

Large, 55mm x 38mm

SP-2281 Triangle, 43mm x 48mm

SP-1528

SP-2321

18.5mm, 0.5mm Thick

25mm, 0.5mm Thick

Chiari Plates 0.6mm Thick

Shunt Plates

3/3

Qty Part # Description

Additional

SP-1842

SP-1798

Small, 45mm x 37mm

Large, 54mm x 45mm

Specialty PlatesPart #Qty Description

Translabyrinthine Plates

Small, 52mm x 40mm

Retrosigmoid Plates 0.3mm Thick

SP-1836

SP-2090

SP-1796

0.3mm Thick

0.3mm Thick, Malleable

0.6mm Thick

Large, 59mm x 45mm

SP-1837

SP-2087

SP-1797

0.3mm Thick

0.3mm Thick, Malleable

0.6mm Thick

Left

Righ t

Small, 41mm x 39mm

SP-2250

SP-2249

Left

Righ t

SP-2139

SP-2138

Left

Righ t

Medium, 48mm x 45mm

Large, 53mm x 48mm

SP-2136

SP-2135

Retromastoid Plates 0.3mm Thick

DescriptionPart #

BatteriesQty

PowerDriver™ Battery50-1010

iQ™ Driver Battery72-1010

Date post:	31-May-2020
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e re/eor oro ee 1 - Zimmer Biomet€¦ · e re/eor oro ee 1 SPL S lease ll in te lan NAME: DATE: L...

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