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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
85mm x 53mm, 0.6mm Thick
100mm x 100mm, 0.3mmThick
80mm x 53mm, 0.6mm Thick
85mm x 50mm, 0.2mm Thick
203mm x 127mm, 0.2mm Thick
1/3
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:
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
100 x 100mm, 0.6mm Thick
206 x 123mm, 0.3mm Thick
206 x 123mm, 0.6mm Thick
SP-1841
01-7249
01-7250
01-7251
Ultra Pre-Contoured Mesh
40 x 40mm, 0.3mm Thick
40 x 40mm, 0.6mm Thick
163 x 115mm, 0.3mm Thick
163 x 115mm, 0.6mm Thick
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
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:
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