inentory control form: 2.4/3.0 mmset ar-8950s-01
TRANSCRIPT
Page 1 of 12
Patient Information:
Inventory Control Form: 2.4/3.0 mm—Set AR-8950S-01© 2021 Arthrex, Inc. (USA) LF1-0437-EN_I; To Order Call: 1-800-934-4404
Date:
Hospital:
Surgeon:
2.4 mm Low Profile Plates, straightQTY PRODUCT # HOLES LOT # UDI
AR-8952MS-04 4
AR-8952MS-05 5
AR-8952MS-06 6
AR-8952MS-07 7
AR-8952MS-08 8
Low Profile Plate, titanium, flatQTY PRODUCT # LOT # UDI
AR-13200M
2.4 mm X-Plate, titaniumQTY PRODUCT # SIZE LOT # UDI
AR-8952XP Small
2.4 mm Low Profile T-PlatesQTY PRODUCT # HOLES LOT # UDI
AR-8952MT-03 3
AR-8952MT-04 4
AR-8952MT-05 5
AR-8952MT-06 6
AR-8952MT-07 7
AR-8952MT-08 8
AR-8952MT-09 9
Low Profile Cotton Plates, titaniumQTY PRODUCT # HOLES LOT # UDI
AR-8948-02 2
AR-8948-04 4
AR-8948-06 6
AR-8948-08 8
Low Profile Cotton Plate, titanium, flatQTY PRODUCT # LOT # UDI
AR-8948-00
This document may contain privileged and confidential information and/or protected health information (PHI) intended solely for the use of the named recipient(s) named above. If you are not the recipient, or the employee or agent responsible for delivering this message to the intended recipient, you are hereby notified that any review, dissemination, distribution, printing, or copying of this document is strictly prohibited. If you have received this transmission in error, please notify the sender immediately and permanently delete/destroy this document.
Page 2 of 12
Date:
Hospital:
Surgeon:
Patient Information:
Inventory Control Form: 2.4/3.0 mm—Set AR-8950S-01© 2021 Arthrex, Inc. (USA) LF1-0437-EN_I; To Order Call: 1-800-934-4404
Metatarsal Opening Wedge Plates, titanium, leftQTY PRODUCT # LENGTH LOT # UDI
AR-13200M-02L 2.0 mm
AR-13200M-025L 2.5 mm
AR-13200M-03L 3.0 mm
AR-13200M-035L 3.5 mm
AR-13200M-04L 4.0 mm
AR-13200M-045L 4.5 mm
AR-13200M-05L 5.0 mm
AR-13200M-055L 5.5 mm
AR-13200M-06L 6.0 mm
AR-13200M-065L 6.5 mm
AR-13200M-07L 7.0 mm
2.4 mm Low Profile Screws, locking, cortexQTY PRODUCT # LENGTH LOT # UDI
AR-8724-08 8 mm
AR-8724-10 10 mm
AR-8724-12 12 mm
AR-8724-14 14 mm
AR-8724-16 16 mm
AR-8724-18 18 mm
AR-8724-20 20 mm
AR-8724-22 22 mm
AR-8724-24 24 mm
Metatarsal Opening Wedge Plates, titanium, rightQTY PRODUCT # LENGTH LOT # UDI
AR-13200M-02R 2.0 mm
AR-13200M-025R 2.5 mm
AR-13200M-03R 3.0 mm
AR-13200M-035R 3.5 mm
AR-13200M-04R 4.0 mm
AR-13200M-045R 4.5 mm
AR-13200M-05R 5.0 mm
AR-13200M-055R 5.5 mm
AR-13200M-06R 6.0 mm
AR-13200M-065R 6.5 mm
AR-13200M-07R 7.0 mm
2.4 mm Low Profile Screws, locking, cortexQTY PRODUCT # LENGTH LOT # UDI
AR-8724-26 26 mm
AR-8724-28 28 mm
AR-8724-30 30 mm
AR-8724-32 32 mm
AR-8724-34 34 mm
AR-8724-36 36 mm
AR-8724-38 38 mm
AR-8724-40 40 mm
This document may contain privileged and confidential information and/or protected health information (PHI) intended solely for the use of the named recipient(s) named above. If you are not the recipient, or the employee or agent responsible for delivering this message to the intended recipient, you are hereby notified that any review, dissemination, distribution, printing, or copying of this document is strictly prohibited. If you have received this transmission in error, please notify the sender immediately and permanently delete/destroy this document.
AR-89
30AR-87
24L
AR-87
24AR-89
33L
AR-89
33AR-87
30AR-89
31AR-89
35L
AR-89
35AR-89
40AR-87
40PT
S
Page 3 of 12
Date:
Hospital:
Surgeon:
Patient Information:
Inventory Control Form: 2.4/3.0 mm—Set AR-8950S-01© 2021 Arthrex, Inc. (USA) LF1-0437-EN_I; To Order Call: 1-800-934-4404
2.0 mm QuickFix™ Screws, titaniumQTY PRODUCT # LENGTH LOT # UDI
AR-8930-10 10 mm
AR-8930-11 11 mm
AR-8930-12 12 mm
2.4 mm VAL Screws, titaniumQTY PRODUCT # LENGTH LOT # UDI
AR-8724V-08 8 mm
AR-8724V-10 10 mm
AR-8724V-12 12 mm
AR-8724V-14 14 mm
AR-8724V-16 16 mm
AR-8724V-18 18 mm
AR-8724V-20 20 mm
AR-8724V-22 22 mm
AR-8724V-24 24 mm
QTY PRODUCT # LENGTH LOT # UDI
AR-8930-13 13 mm
AR-8930-14 14 mm
QTY PRODUCT # LENGTH LOT # UDI
AR-8724V-26 26 mm
AR-8724V-28 28 mm
AR-8724V-30 30 mm
AR-8724V-32 32 mm
AR-8724V-34 34 mm
AR-8724V-36 36 mm
AR-8724V-38 38 mm
AR-8724V-40 40 mm
AR-8930
AR-8724L
AR-8724
AR-8933L
AR-8933
AR-8730
AR-8931
AR-8935L
AR-8935
AR-8940
AR-8740PTS
This document may contain privileged and confidential information and/or protected health information (PHI) intended solely for the use of the named recipient(s) named above. If you are not the recipient, or the employee or agent responsible for delivering this message to the intended recipient, you are hereby notified that any review, dissemination, distribution, printing, or copying of this document is strictly prohibited. If you have received this transmission in error, please notify the sender immediately and permanently delete/destroy this document.
AR-87
24V-22
AR-89
33V-22
Page 4 of 12
Date:
Hospital:
Surgeon:
Patient Information:
Inventory Control Form: 2.4/3.0 mm—Set AR-8950S-01© 2021 Arthrex, Inc. (USA) LF1-0437-EN_I; To Order Call: 1-800-934-4404
2.4 mm DisposablesQTY PRODUCT # DESCRIPTION LOT # UDI
AR-13226 BB-Tak, qty. 4
AR-13226T BB-Tak Threaded, qty. 4
AR-8724W Washer, 6 mm (for 2.0/2.4 mm screws), qty. 4
AR-8737-04 Guidewire w/ Trocar Tip, .045 in (1.1 mm), graduated, qty. 6
AR-8737-05 Guidewire w/ Trocar Tip, threaded, .045 in (1.1 mm) graduated, qty. 6
AR-8930D-13 Drill Bit, 1.3 mm
AR-8916-14 Drill Bit, 1.7 mm, qty. 2
AR-4160-24 Drill Bit, 2.4 mm
This document may contain privileged and confidential information and/or protected health information (PHI) intended solely for the use of the named recipient(s) named above. If you are not the recipient, or the employee or agent responsible for delivering this message to the intended recipient, you are hereby notified that any review, dissemination, distribution, printing, or copying of this document is strictly prohibited. If you have received this transmission in error, please notify the sender immediately and permanently delete/destroy this document.
Page 5 of 12
Date:
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Surgeon:
Patient Information:
Inventory Control Form: 2.4/3.0 mm—Set AR-8950S-01© 2021 Arthrex, Inc. (USA) LF1-0437-EN_I; To Order Call: 1-800-934-4404
MTP InstrumentsQTY PRODUCT # DESCRIPTION LOT# UDI
AR-8944MC-16 Circular Reamer, 16 mm
AR-8944MC-18 Circular Reamer, 18 mm
AR-8944MC-20 Circular Reamer, 20 mm
AR-8944MC-22 Circular Reamer, 22 mm
AR-8944MR-14 Metatarsal Reamer, 14 mm
AR-8944MR-16 Metatarsal Reamer, 16 mm
AR-8944MR-18 Metatarsal Reamer, 18 mm
AR-8944MR-20 Metatarsal Reamer, 20 mm
AR-8944MR-22 Metatarsal Reamer, 22 mm
AR-8944PR-14 Phalangeal Reamer, 14 mm
AR-8944PR-16 Phalangeal Reamer, 16 mm
AR-8944PR-18 Phalangeal Reamer, 18 mm
AR-8944PR-20 Phalangeal Reamer, 20 mm
AR-8944PR-22 Phalangeal Reamer, 22 mm
3.0 mm Proximal Opening Wedge Plates, locking, titaniumQTY PRODUCT # LENGTH LOT # UDI
AR-8953-00 00 mm
AR-8953-02 2.0 mm
AR-8953-025 2.5 mm
AR-8953-03 3.0 mm
AR-8953-035 3.5 mm
AR-8953-04 4.0 mm
QTY PRODUCT # LENGTH LOT # UDI
AR-8953-045 4.5 mm
AR-8953-05 5.0 mm
AR-8953-055 5.5 mm
AR-8953-06 6.0 mm
AR-8953-065 6.5 mm
AR-8953-07 7.0 mm
This document may contain privileged and confidential information and/or protected health information (PHI) intended solely for the use of the named recipient(s) named above. If you are not the recipient, or the employee or agent responsible for delivering this message to the intended recipient, you are hereby notified that any review, dissemination, distribution, printing, or copying of this document is strictly prohibited. If you have received this transmission in error, please notify the sender immediately and permanently delete/destroy this document.
Page 6 of 12
Date:
Hospital:
Surgeon:
Patient Information:
Inventory Control Form: 2.4/3.0 mm—Set AR-8950S-01© 2021 Arthrex, Inc. (USA) LF1-0437-EN_I; To Order Call: 1-800-934-4404
3.0 mm Low Profile T-Plates, titaniumQTY PRODUCT # HOLES LOT # UDI
AR-8952TT-02 2
AR-8952TT-03 3
AR-8952TT-04 4
3.0 mm X-Plates, titanium
3.0 mm Low Profile Straight PlatesQTY PRODUCT # HOLES LOT # UDI
AR-8952TS-02 2
AR-8952TS-04 4
AR-8952TS-05 5
QTY PRODUCT # SIZE LOT # UDI
AR-8952XM M
AR-8952XL L
Low Profile MTP Plates, straight, titaniumQTY PRODUCT # LENGTH LOT # UDI
AR-8944-P Short
AR-8944-S Standard
AR-8944-L Long
Low Profile MTP Plates, contoured, left, titaniumQTY PRODUCT # LENGTH LOT # UDI
AR-8944CL-P Short
AR-8944CL-S Standard
AR-8944CL-L Long
Low Profile MTP Plates, contoured, right, titaniumQTY PRODUCT # LENGTH LOT # UDI
AR-8944CR-P Short
AR-8944CR-S Standard
AR-8944CR-L Long
This document may contain privileged and confidential information and/or protected health information (PHI) intended solely for the use of the named recipient(s) named above. If you are not the recipient, or the employee or agent responsible for delivering this message to the intended recipient, you are hereby notified that any review, dissemination, distribution, printing, or copying of this document is strictly prohibited. If you have received this transmission in error, please notify the sender immediately and permanently delete/destroy this document.
Page 7 of 12
Date:
Hospital:
Surgeon:
Patient Information:
Inventory Control Form: 2.4/3.0 mm—Set AR-8950S-01© 2021 Arthrex, Inc. (USA) LF1-0437-EN_I; To Order Call: 1-800-934-4404
3.0 mm Low Profile Screws, cortical, titaniumQTY PRODUCT # LENGTH LOT # UDI
AR-8933-10 10 mm
AR-8933-12 12 mm
AR-8933-14 14 mm
AR-8933-16 16 mm
AR-8933-18 18 mm
AR-8933-20 20 mm
AR-8933-22 22 mm
AR-8933-24 24 mm
AR-8933-26 26 mm
AR-8933-28 28 mm
AR-8933-30 30 mm
AR-8933-32 32 mm
AR-8933-34 34 mm
AR-8933-36 36 mm
AR-8933-38 38 mm
AR-8933-40 40 mm
3.0 mm Low Profile QuickFix™ Screws, cancellous, partially threaded, titaniumQTY PRODUCT # LENGTH LOT # UDI
AR-8730-10PT 10 mm
AR-8730-12PT 12 mm
AR-8730-14PT 14 mm
AR-8730-16PT 16 mm
AR-8730-18PT 18 mm
AR-8730-20PT 20 mm
AR-8730-22PT 22 mm
AR-8730-24PT 24 mm
AR-8730-26PT 26 mm
AR-8730-28PT 28 mm
AR-8730-30PT 30 mm
AR-8730-32PT 32 mm
AR-8730-34PT 34 mm
AR-8730-36PT 36 mm
AR-8730-38PT 38 mm
AR-8730-40PT 40 mm
AR-89
30AR-87
24L
AR-87
24AR-89
33L
AR-89
33AR-87
30AR-89
31AR-89
35L
AR-89
35AR-89
40AR-87
40PT
S
This document may contain privileged and confidential information and/or protected health information (PHI) intended solely for the use of the named recipient(s) named above. If you are not the recipient, or the employee or agent responsible for delivering this message to the intended recipient, you are hereby notified that any review, dissemination, distribution, printing, or copying of this document is strictly prohibited. If you have received this transmission in error, please notify the sender immediately and permanently delete/destroy this document.
AR-8930
AR-8724L
AR-8724
AR-8933L
AR-8933
AR-8730
AR-8931
AR-8935L
AR-8935
AR-8940
AR-8740PTS
Page 8 of 12
Date:
Hospital:
Surgeon:
Patient Information:
Inventory Control Form: 2.4/3.0 mm—Set AR-8950S-01© 2021 Arthrex, Inc. (USA) LF1-0437-EN_I; To Order Call: 1-800-934-4404
3.0 mm QuickFix™ Screws, titaniumQTY PRODUCT # LENGTH LOT # UDI
AR-8931-13 13 mm
AR-8931-15 15 mm
3.0 mm VAL Screws, titaniumQTY PRODUCT # LENGTH LOT # UDI
AR-8933V-10 10 mm
AR-8933V-12 12 mm
AR-8933V-14 14 mm
AR-8933V-16 16 mm
AR-8933V-18 18 mm
AR-8933V-20 20 mm
AR-8933V-22 22 mm
AR-8933V-24 24 mm
QTY PRODUCT # LENGTH LOT # UDI
AR-8931-17 17 mm
AR-8931-19 19 mm
QTY PRODUCT # LENGTH LOT # UDI
AR-8933V-26 26 mm
AR-8933V-28 28 mm
AR-8933V-30 30 mm
AR-8933V-32 32 mm
AR-8933V-34 34 mm
AR-8933V-36 36 mm
AR-8933V-38 38 mm
AR-8933V-40 40 mm
This document may contain privileged and confidential information and/or protected health information (PHI) intended solely for the use of the named recipient(s) named above. If you are not the recipient, or the employee or agent responsible for delivering this message to the intended recipient, you are hereby notified that any review, dissemination, distribution, printing, or copying of this document is strictly prohibited. If you have received this transmission in error, please notify the sender immediately and permanently delete/destroy this document.
AR-89
30AR-87
24L
AR-87
24AR-89
33L
AR-89
33AR-87
30AR-89
31AR-89
35L
AR-89
35AR-89
40AR-87
40PT
S
AR-87
24V-22
AR-89
33V-22
Page 9 of 12
Date:
Hospital:
Surgeon:
Patient Information:
Inventory Control Form: 2.4/3.0 mm—Set AR-8950S-01© 2021 Arthrex, Inc. (USA) LF1-0437-EN_I; To Order Call: 1-800-934-4404
3.0 mm DisposablesQTY PRODUCT # DESCRIPTION LOT # UDI
AR-8737-04 Guidewire w/ Trocar Tip, .045 in (1.1 mm), graduated, qty. 6
AR-8737-05 Guidewire w/ Trocar Tip, threaded, .045 in (1.1 mm), graduated, qty. 6
AR-8950-06 Guidewire w/ Double Trocar Tip, .045 in (1.1 mm), graduated, qty. 3
AR-8941K Guidewire w/ Trocar Tip, .062 in (1.6 mm), qty. 6
AR-8941KT Guidewire w/ Trocar Tip, threaded, .062 in (1.6 mm), qty. 6
AR-13226 BB-Tak, qty. 2
AR-13226T BB-Tak, threaded, qty. 2
AR-8730W Washer, Ti, 6.5 mm, qty. 4
AR-8944-22 Drill Bit, 2 mm, qty. 2
AR-8933-20C Drill Bit, cannulated, 2 mm
AR-8950-05 Drill Bit, 3 mm
This document may contain privileged and confidential information and/or protected health information (PHI) intended solely for the use of the named recipient(s) named above. If you are not the recipient, or the employee or agent responsible for delivering this message to the intended recipient, you are hereby notified that any review, dissemination, distribution, printing, or copying of this document is strictly prohibited. If you have received this transmission in error, please notify the sender immediately and permanently delete/destroy this document.
Page 10 of 12
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Hospital:
Surgeon:
Patient Information:
© 2021 Arthrex, Inc. (USA) LF1-0437-EN_I; To Order Call: 1-800-934-4404
This document may contain privileged and confidential information and/or protected health information (PHI) intended solely for the use of the named recipient(s) named above. If you are not the recipient, or the employee or agent responsible for delivering this message to the intended recipient, you are hereby notified that any review, dissemination, distribution, printing or copying of this document is strictly prohibited. If you have received this transmission in error, please notify the sender immediately and permanently delete/destroy this document.
Inventory Control Form: 3.0 mm—Hybrid Screw Set - AR-8950S-06
3.0 mm Low Profile Screws, cortical, hybridQTY PRODUCT # LENGTH LOT # UDI
AR-8933HY-10 10
AR-8933HY-12 12
AR-8933HY-14 14
AR-8933HY-16 16
AR-8933HY-18 18
AR-8933HY-20 20
AR-8933HY-22 22
AR-8933HY-24 24
AR-8933HY-26 26
AR-8933HY-28 28
AR-8933HY-30 30
AR-8933HY-32 32
AR-8933HY-34 34
QTY PRODUCT # LENGTH LOT # UDI
AR-8933HY-36 36
AR-8933HY-38 38
AR-8933HY-40 40
AR-8933HY-42 42
AR-8933HY-44 44
AR-8933HY-46 46
AR-8933HY-48 48
AR-8933HY-50 50
AR-8933HY-52 52
AR-8933HY-54 54
AR-8933HY-56 56
AR-8933HY-58 58
AR-8933HY-60 60
Page 11 of 12
Date:
Hospital:
Surgeon:
Patient Information:
© 2021 Arthrex, Inc. (USA) LF1-0437-EN_I; To Order Call: 1-800-934-4404
This document may contain privileged and confidential information and/or protected health information (PHI) intended solely for the use of the named recipient(s) named above. If you are not the recipient, or the employee or agent responsible for delivering this message to the intended recipient, you are hereby notified that any review, dissemination, distribution, printing or copying of this document is strictly prohibited. If you have received this transmission in error, please notify the sender immediately and permanently delete/destroy this document.
Inventory Control Form: 3.0 mm—Hybrid Screw Set - AR-8950S-06
3.0 mm Low Profile VAL Locking Screws, hybridQTY PRODUCT # LENGTH LOT # UDI
AR-8933HV-10 10
AR-8933HV-12 12
AR-8933HV-14 14
AR-8933HV-16 16
AR-8933HV-18 18
AR-8933HV-20 20
AR-8933HV-22 22
AR-8933HV-24 24
AR-8933HV-26 26
AR-8933HV-28 28
AR-8933HV-30 30
AR-8933HV-32 32
AR-8933HV-34 34
QTY PRODUCT # LENGTH LOT # UDI
AR-8933HV-36 36
AR-8933HV-38 38
AR-8933HV-40 40
AR-8933HV-42 42
AR-8933HV-44 44
AR-8933HV-46 46
AR-8933HV-48 48
AR-8933HV-50 50
AR-8933HV-52 52
AR-8933HV-54 54
AR-8933HV-56 56
AR-8933HV-58 58
AR-8933HV-60 60
DisposableQTY PRODUCT # DESCRIPTION LOT # UDI
AR-8933HD Drill Bit, hybrid, 2.5 mm
Page 12 of 12
Date:
Hospital:
Surgeon:
Patient Information:
© 2021 Arthrex, Inc. (USA) LF1-0437-EN_I; To Order Call: 1-800-934-4404
This document may contain privileged and confidential information and/or protected health information (PHI) intended solely for the use of the named recipient(s) named above. If you are not the recipient, or the employee or agent responsible for delivering this message to the intended recipient, you are hereby notified that any review, dissemination, distribution, printing or copying of this document is strictly prohibited. If you have received this transmission in error, please notify the sender immediately and permanently delete/destroy this document.
Inventory Control Form: 3.0 mm—CFS Additional Plates Caddy - AR-8950C-35
Dorsal Midfoot Fusion PlatesQTY PRODUCT # SIZE LOT # UDI
AR-8952DFS Small
AR-8952DFM Medium
AR-8952DFL Large
Plantar 1st Metatarsal Osteotomy PlatesQTY PRODUCT # DESCRIPTION LOT # UDI
AR-8952PPL Petite, left
AR-8952PPR Petite, right
AR-8952PSL Standard, left
AR-8952PSR Standard, right