4
1.2MM SELF-TAPPING SCREWS, GOLD (Order Qty: Pkg of 5) Product No. Description Qty Par Level 50-12003 1.2x3mm 50-12004 1.2x4mm 50-12005 1.2x5mm 50-12006 1.2x6mm 50-12008 1.2x8mm 50-12010 1.2x10mm 50-12012 1.2x12mm Upper-Face / Mid-Face 1000-910-000 Rev. J 1.2MM SELF-DRILLING SCREWS, SILVER (Order Qty: Pkg of 5) Product No. Description Qty Par Level 50-12903 1.2x3mm 50-12904 1.2x4mm 1.4MM EMERGENCY SCREWS, PURPLE (Order Qty: Pkg of 5) Product No. Description Qty Par Level 50-14003 1.4x3mm 50-14005 1.4x5mm 50-14007 1.4x7mm (Optional) 50-14009 1.4x9mm (Optional) UPPER FACE FIXATION MODULE Product No. Description Qty Par Level 29-12002 Upper Face Fixation Module, empty without inlay 29-12003 Inlay for Upper-Face plates 29-12017 Inlay for 3D Orbital Floor Plates TWIST DRILLS FOR 1.2MM SCREWS (Single use only) (Order Qty: Pkg of 1) Product No. Description Qty Par Level 60-09504 1.0 x 46mm, 4mm working length, Stryker End 60-10506 1.0 x 50mm, 6mm working length, Stryker End 60-10512 1.0 x 54mm, 12mm working length, Stryker End INVENTORY CONTROL Patient Information: Hospital: ___________________________________ Surgeon: __________________________________ Date: _____________________________________ Purchase Order No.: ___________________________ Sales Representative: __________________________ COLORADO MICRODISSECTION NEEDLE ® (Single Use Only) (Order Qty: Pkg of 1) Product No. Description Qty N103A 3cm Length, Straight N104A 4cm Length, Straight N117 45˚ Angle E1034 4” Straight Sleeve, 1cm Needle E1174 4” Straight Sleeve, 1cm Needle, 45˚ Angle Other OPTIONAL ITEMS Product No. Description Qty Par Level 29-12345 Screw Disc For 1.2mm selftapping or selfdrilling screws 01-01820 Plate Holding Forcep - 3D Orbital Plate 01-02395 Globe Retractor, Adjustable Upper-Face 1.2 Stryker Craniomaxillofacial Kalamazoo, MI 49002 USA t: 269 324 5346 toll free: 800 962 6558 f: 877 648 7114

Hospital: Surgeon: Date: Purchase Order No.: · 1000-910-000 Rev. J 1.2MM SELF-DRILLING SCREWS, SILVER (Order Qty: Pkg of 5) Product No. Description Qty Par Level 50-12903 1.2x3mm

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Page 1: Hospital: Surgeon: Date: Purchase Order No.: · 1000-910-000 Rev. J 1.2MM SELF-DRILLING SCREWS, SILVER (Order Qty: Pkg of 5) Product No. Description Qty Par Level 50-12903 1.2x3mm

1.2MM SELF-TAPPING SCREWS, GOLD(Order Qty: Pkg of 5)Product No. Description Qty Par Level

50-12003 1.2x3mm

50-12004 1.2x4mm

50-12005 1.2x5mm

50-12006 1.2x6mm

50-12008 1.2x8mm

50-12010 1.2x10mm

50-12012 1.2x12mm

Upper-Face / Mid-Face

1000-910-000 Rev. J

1.2MM SELF-DRILLING SCREWS, SILVER(Order Qty: Pkg of 5)Product No. Description Qty Par Level

50-12903 1.2x3mm50-12904 1.2x4mm

1.4MM EMERGENCY SCREWS, PURPLE (Order Qty: Pkg of 5)Product No. Description Qty Par Level

50-14003 1.4x3mm

50-14005 1.4x5mm

50-14007 1.4x7mm (Optional)

50-14009 1.4x9mm (Optional)

UPPER FACE FIXATION MODULEProduct No. Description Qty Par Level

29-12002 Upper Face Fixation Module, empty without inlay

29-12003 Inlay for Upper-Face plates

29-12017 Inlay for 3D Orbital Floor Plates

TWIST DRILLS FOR 1.2MM SCREWS(Single use only) (Order Qty: Pkg of 1)Product No. Description Qty Par Level

60-09504 1.0 x 46mm, 4mm working length, Stryker End

60-10506 1.0 x 50mm, 6mm working length, Stryker End

60-10512 1.0 x 54mm, 12mm working length, Stryker End

INVENTORY CONTROLPatient Information:

Hospital: ___________________________________

Surgeon: __________________________________

Date: _____________________________________

Purchase Order No.: ___________________________

Sales Representative: __________________________

COLORADO MICRODISSECTION NEEDLE®

(Single Use Only) (Order Qty: Pkg of 1) Product No. Description Qty

N103A 3cm Length, StraightN104A 4cm Length, StraightN117 45˚ AngleE1034 4” Straight Sleeve, 1cm NeedleE1174 4” Straight Sleeve, 1cm Needle, 45˚ AngleOther

OPTIONAL ITEMSProduct No. Description Qty Par Level

29-12345 Screw Disc For 1.2mm selftapping or selfdrilling screws

01-01820 Plate Holding Forcep - 3D Orbital Plate01-02395 Globe Retractor, Adjustable

Upper-Face1.2

Stryker Craniomaxillofacial Kalamazoo, MI 49002 USA t: 269 324 5346toll free: 800 962 6558 f: 877 648 7114

Page 2: Hospital: Surgeon: Date: Purchase Order No.: · 1000-910-000 Rev. J 1.2MM SELF-DRILLING SCREWS, SILVER (Order Qty: Pkg of 5) Product No. Description Qty Par Level 50-12903 1.2x3mm

1.2MM MALLEABLE PLATES, BLUE(Order Qty: Pkg of 1)Product No. Description Qty Par Level

55-04424 Straight Plate, condensed, 24 Hole

55-04218 Straight Plate, 18 Hole

55-04231 3-D Plate, 2x2 Hole

55-04233 3-D Plate, 6x2 Hole

55-04235 3-D Plate, 6x6 Hole

55-04237 3-D plate, 10x10 Hole

55-04250 Orbital plate, 10 Hole

55-04240 Double Y Plate, 7 Hole

55-06376 Burr Hole Cover, 7mm Diam.

55-06374 Burr Hole Cover, 10mm Diam.

55-06373 Burr Hole Cover, 14mm Diam.

55-06371 Burr Hole Cover, 20mm Diam.

1.2MM STANDARD PLATES, GOLD(Order Qty: Pkg of 1)Product No. Description Qty Par Level

55-06208 Straight Plate, 8 Hole

55-06224 Straight Plate, 24 Hole

55-06250 Orbital Plate, 10 Hole

55-06254 Orbital Plate, 4 Hole

55-06260 L Plate 90° Left, 8 Hole

55-06261 L Plate 90° Right, 8 Hole

55-06270 T Plate, 7 Hole

55-06240 Double Y Plate, 7 Hole

55-06231 3-D Plate, 2x2 Hole

55-06233 3-D Plate, 6x2 Hole

55-06235 3-D Plate, 6x6 Hole

55-06237 3-D Plate, 10x10 Hole

54-03003 Orbital Floor Plate, Isolated, small, 0.3mm

54-03002 Orbital Floor Plate, Basic, medium, 0.3mm

54-04002 Orbital Floor Plate, Basic, medium, 0.4mm

54-03000 Template Combined, Orbital Floor Plate,

Small/medium

54-03001 Orbital Floor Plate, Complex, Large, 0.3mm

54-04001 Orbital Floor Plate, Complex, Large, 0.4mm

54-04000 Template, Orbital Floor Plate, Large

54-04004 3D Orbital Floor Plate, Right, Small

54-04005 3D Orbital Floor Plate, Right, Large

54-04006 3D Orbital Floor Plate, Left, Small

54-04007 3D Orbital Floor Plate, Left, Large

55-06375 Burr Hole Cover, 7mm Diam.

55-06372 Burr Hole Cover, 10mm Diam.

55-06370 Burr Hole Cover, 14mm Diam.

INVENTORY CONTROL 1.2mm Upper-Face System ImplantsLEIBINGER Universal Trauma

(PLATES NOT ACTUAL SIZE)

Upper-Face Inlay

Upper-Face Bottom Module

DYNAMIC & MICRO MESH(Order Qty: Pkg of 1)Product No. Description Qty Par Level

54-00340 1.0/1.2 Dynamic Mesh, Malleable, 40x40x.3mm54-00342 1.0/1.2 Dynamic Mesh, Malleable, 85x85x.3mm54-00343 1.0/1.2 Dynamic Mesh, Malleable, 120x120x.3mm54-00642 1.0/1.2 Dynamic Mesh, Standard, 90x90x.6mm54-00643 1.0/1.2 Dynamic Mesh, Standard, 120x120x.6mm54-00641 1.0/1.2 Dynamic Mesh, Standard, 200x200x.6mm54-00260 Micro Mesh, Malleable, 120x120x.1mm54-00261 Micro Mesh, Malleable, 120x60x.1mm54-00262 Micro Mesh, Malleable, 60x60x.1mm54-00270 Micro Mesh, Standard, 120x120x.2mm54-00271 Micro Mesh, Standard, 120x60x.2mm54-00272 Micro Mesh, Standard, 60x60x.2mm

Upper-Face1.2

3D Orbital Floor Inlay

Page 3: Hospital: Surgeon: Date: Purchase Order No.: · 1000-910-000 Rev. J 1.2MM SELF-DRILLING SCREWS, SILVER (Order Qty: Pkg of 5) Product No. Description Qty Par Level 50-12903 1.2x3mm

1.7MM SELF-TAPPING SCREWS, GOLD(Order Qty: Pkg of 5)Product No. Description Qty Par Level

50-17003 1.7x3mm

50-17004 1.7x4mm

50-17005 1.7x5mm

50-17006 1.7x6mm

50-17008 1.7x8mm

50-17010 1.7x10mm

50-17012 1.7x12mm

1.7MM SELF-DRILLING SCREWS, SILVER(Order Qty: Pkg of 5)Product No. Description Qty Par Level

50-17903 1.7x3mm

50-17904 1.7x4mm

50-17905 1.7x5mm

50-17906 1.7x6mm

1.9MM EMERGENCY SCREWS, PURPLE(Order Qty: Pkg of 5)Product No. Description Qty Par Level

50-19003 1.9x3mm

50-19005 1.9x5mm

50-19007 1.9x7mm (Optional)

50-19009 1.9x9mm (Optional)

1.7MM LOCKING SCREWS, GREY(Order Qty: Pkg of 5)Product No. Description Qty Par Level

50-17504 1.7x4mm

50-17505 1.7x5mm

50-17506 1.7x6mm

TWIST DRILLS FOR 1.7MM SCREWS(Single use only) (Order Qty: Pkg of 1)Product No. Description Qty Par Level

60-13505 1.35 x 50mm, 5mm working length, Stryker End

60-13506 1.35 x 50mm, 6mm working length, Stryker End

60-14008 1.4 x 54mm, 8mm working length, Stryker End

60-13512 1.4 x 54mm, 12mm working length, Stryker End

60-13570 1.3 x 79mm, 12mm working length, Stryker End

INVENTORY CONTROL 1.7mm Mid-Face System ImplantsLEIBINGER Universal Fixation System

DYNAMIC & MICRO MESH(Order Qty: Pkg of 1)Product No. Description Qty Par Level

54-00344 1.7mm Dynamic Mesh, Malleable, 40x40x.3mm54-00346 1.7mm Dynamic Mesh, Malleable, 90x90x.3mm54-00345 1.7mm Dynamic Mesh, Malleable, 120x120x.3mm54-00646 1.7mm Dynamic Mesh, Standard, 90x90x.6mm54-00645 1.7mm Dynamic Mesh, Standard, 120x120x.6mm54-00647 1.7mm Dynamic Mesh, Standard, 200x200x.6mm54-00260 Micro Mesh, Malleable, 120x120x.1mm54-00261 Micro Mesh, Malleable, 120x60x.1mm54-00262 Micro Mesh, Malleable, 60x60x.1mm54-00270 Micro Mesh, Standard, 120x120x.2mm54-00271 Micro Mesh, Standard, 120x60x.2mm54-00272 Micro Mesh, Standard, 60x60x.2mm

UPPER FACE/MIDFACE INSTRUMENTSProduct No. Description Qty Par Level

62-12170 1.2/1.7mm Screwdriver Blade

62-20285 Screwdriver Handle, Metal

(PLATES NOT ACTUAL SIZE)

Dynamic Mesh Micro Mesh

Mid-Face1.7

Page 4: Hospital: Surgeon: Date: Purchase Order No.: · 1000-910-000 Rev. J 1.2MM SELF-DRILLING SCREWS, SILVER (Order Qty: Pkg of 5) Product No. Description Qty Par Level 50-12903 1.2x3mm

INVENTORY CONTROL 1.7mm Mid-Face System ImplantsLEIBINGER Universal Fixation System

Mid-Face Bottom Module

1.7MM MIDFACE PLATES(Order Qty: Pkg of 1)Product No. Description Qty Par Level

1.7mm Malleable Plates, Blue55-04724 Straight Plate, condensed, 24 Hole

55-04720 Straight Plate, 20-Hole

55-03731 3-D Plate, 2x2 Hole

55-03733 3-D Plate, 6x2 Hole

1.7mm Standard L Plates, Gold55-06760 L Plate, 2mm Bar, 100° Left, 5 Hole

55-06761 L Plate, 2mm Bar, 100° Right, 5 Hole

55-06762 L Plate, 5mm Bar, 100° Left, 5 Hole

55-06763 L Plate, 5mm Bar, 100° Right, 5 Hole

55-06764 L Plate, 8mm Bar, 100° Left, 6 Hole

55-06765 L Plate, 8mm Bar, 100° Right, 6 Hole

55-06766 L Plate, 12mm Bar, 100° Left, 6 Hole

55-06767 L Plate, 12mm Bar, 100° Right, 6 Hole

1.7mm GSP L Plates, Gold55-07760 L Plate, 2mm Bar, 100 ° Left, 5 Hole

55-07761 L Plate, 2mm Bar, 100° Right, 5 Hole

55-07762 L Plate, 5mm Bar, 100° Left, 5 Hole

55-07763 L Plate, 5mm Bar, 100° Right, 5 Hole

55-07764 L Plate, 8mm Bar, 100° Left, 6 Hole

55-07765 L Plate, 8mm Bar, 100° Right, 6 Hole

55-07766 L Plate, 12mm Bar, 100° Left, 6 Hole

55-07767 L Plate, 12mm Bar, 100° Right, 6 Hole

1.7mm Malleable L Plates, Blue55-04760 L Plate, 2mm Bar, 100 ° Left, 5 Hole

55-04761 L Plate, 2mm Bar, 100° Right, 5 Hole

55-04762 L Plate, 5mm Bar 100° Left, 5 Hole

55-04763 L Plate, 5mm Bar, 100° Right, 5 Hole

55-04764 L Plate, 8mm Bar, 100° Left, 6 Hole

55-04765 L Plate, 8mm Bar, 100° Right, 6 Hole

55-04766 L Plate, 12mm Bar, 100° Left, 6 Hole

55-04767 L Plate, 12mm Bar, 100° Right, 6 Hole

1.7mm Standard Plates, Gold55-06704 Straight Plate with Bar, 4 Hole

55-06708 Straight Plate, 8 hole

55-06724 Straight Plate, 24 Hole

55-05188 Curved Plate, 6 hole, with bar

55-06754 Curved Plate, 4 Hole with bar

55-06750 Curved Plate, 10 Hole

55-06771 T Plate, 5 Hole

55-06731 3-D Plate, 2x2 Hole

55-06733 3-D Plate, 6x2 Hole

55-05151 Y Plate 4mm Bar, 5 Hole

55-05164 Double Y Plate,7 Hole

1.7mm Locking Plates, Grey55-05716 Straight Plate, 16 Hole

55-05758 Curved Plate, 8 Hole

55-05731 3-D Plate, 2x2 Hole

55-05733 3-D Plate, 6x2 Hole

55-05751 Y Plate, 8mm Bar, 5 Hole

55-05752 Y Plate, 12mm Bar, 5 Hole

55-05742 Double Y Plate, 7 Hole

55-05779 Y Plate, 8 Hole

55-05761 L Plate, 2mm Bar, 5 Hole

55-05763 L Plate 5mm Bar, 5 Hole

55-05765 L Plate 8mm Bar, 6 Hole

55-05767 L Plate 12mm Bar, 6 Hole

Mid-Face Inlay

(PLATES NOT ACTUAL SIZE)

OPTIONAL ITEMSProduct No. Description Qty Par Level

60-20012 Repositioning Pin Twist Drill, 2.0mm dia.62-32440 Bone Repositioning Pin29-17345 Screw Disk for 1.7mm Self Tapping or Self Drilling Screws

Mid-Face1.7