Inventory Control Form Titanium Cannulated Lateral Entry Femoral Recon Nails-EX

Patient Information: Synthes (USA) Synthes (Canada) Ltd. To Order: (800) 523-0322 To Order: (800) 668-1119

Date:

Hospital:

Surgeon:

Procedure:

Implants

Titanium Cannulated Lateral Entry Titanium Cannulated Lateral Entry Femoral Recon Nail-EX, sterile Femoral Recon Nail-EX, sterile (cont’d)

9 mm diameter 11 mm diameter LENGTH LENGTH LENGTH LENGTH 04.003.240S 300 mm, right 04.003.260S 400 mm, right 04.003.440S 300 mm, right 04.003.460S 400 mm, right 04.003.241S 300 mm, left 04.003.261S 400 mm, left 04.003.441S 300 mm, left 04.003.461S 400 mm, left 04.003.244S 320 mm, right 04.003.264S 420 mm, right 04.003.444S 320 mm, right 04.003.464S 420 mm, right 04.003.245S 320 mm, left 04.003.265S 420 mm, left 04.003.445S 320 mm, left 04.003.465S 420 mm, left 04.003.248S 340 mm, right 04.003.268S 440 mm, right 04.003.448S 340 mm, right 04.003.468S 440 mm, right 04.003.249S 340 mm, left 04.003.269S 440 mm, left 04.003.449S 340 mm, left 04.003.469S 440 mm, left 04.003.252S 360 mm, right 04.003.272S 460 mm, right 04.003.452S 360 mm, right 04.003.472S 460 mm, right 04.003.253S 360 mm, left 04.003.273S 460 mm, left 04.003.453S 360 mm, left 04.003.473S 460 mm, left 04.003.256S 380 mm, right 04.003.276S 480 mm, right 04.003.456S 380 mm, right 04.003.476S 480 mm, right 04.003.257S 380 mm, left 04.003.277S 480 mm, left 04.003.457S 380 mm, left 04.003.477S 480 mm, left

10 mm diameter 12 mm diameter LENGTH LENGTH LENGTH LENGTH 04.003.340S 300 mm, right 04.003.360S 400 mm, right 04.003.540S 300 mm, right 04.003.560S 400 mm, right 04.003.341S 300 mm, left 04.003.361S 400 mm, left 04.003.541S 300 mm, left 04.003.561S 400 mm, left 04.003.344S 320 mm, right 04.003.364S 420 mm, right 04.003.544S 320 mm, right 04.003.564S 420 mm, right 04.003.345S 320 mm, left 04.003.365S 420 mm, left 04.003.545S 320 mm, left 04.003.565S 420 mm, left 04.003.348S 340 mm, right 04.003.368S 440 mm, right 04.003.548S 340 mm, right 04.003.568S 440 mm, right 04.003.349S 340 mm, left 04.003.369S 440 mm, left 04.003.549S 340 mm, left 04.003.569S 440 mm, left 04.003.352S 360 mm, right 04.003.372S 460 mm, right 04.003.552S 360 mm, right 04.003.572S 460 mm, right 04.003.353S 360 mm, left 04.003.373S 460 mm, left 04.003.553S 360 mm, left 04.003.573S 460 mm, left 04.003.356S 380 mm, right 04.003.376S 480 mm, right 04.003.556S 380 mm, right 04.003.576S 480 mm, right 04.003.357S 380 mm, left 04.003.377S 480 mm, left 04.003.557S 380 mm, left 04.003.577S 480 mm, left

J8014-D 5/09 Inventory Control Form

Implants (cont’d)

Titanium Cannulated Lateral Entry Titanium End Cap, T40 StarDriveछ Femoral Recon Nail-EX, sterile (cont’d) EXTENSION 13 mm diameter 04.003.000 0 mm LENGTH LENGTH 04.003.640S 300 mm, right 04.003.660S 400 mm, right 04.003.641S 300 mm, left 04.003.661S 400 mm, left 04.003.644S 320 mm, right 04.003.664S 420 mm, right 04.003.645S 320 mm, left 04.003.665S 420 mm, left 04.003.648S 340 mm, right 04.003.668S 440 mm, right 04.003.649S 340 mm, left 04.003.669S 440 mm, left 04.003.652S 360 mm, right 04.003.672S 460 mm, right 12 mm Titanium End Caps, T40 StarDriveछ 04.003.653S 360 mm, left 04.003.673S 460 mm, left 04.003.656S 380 mm, right 04.003.676S 480 mm, right EXTENSION EXTENSION 04.003.657S 380 mm, left 04.003.677S 480 mm, left 04.003.001 5 mm 04.003.003 15 mm 04.003.002 10 mm 04.003.004 20 mm 14 mm diameter LENGTH LENGTH 04.003.740S 300 mm, right 04.003.760S 400 mm, right 16 mm Titanium End Caps, T40 StarDriveछ 04.003.741S 300 mm, left 04.003.761S 400 mm, left 04.003.744S 320 mm, right 04.003.764S 420 mm, right EXTENSION EXTENSION 04.003.745S 320 mm, left 04.003.765S 420 mm, left 04.003.006 5 mm 04.003.008 15 mm 04.003.007 10 mm 04.003.009 20 mm 04.003.748S 340 mm, right 04.003.768S 440 mm, right 04.003.749S 340 mm, left 04.003.769S 440 mm, left 04.003.752S 360 mm, right 04.003.772S 460 mm, right 04.003.753S 360 mm, left 04.003.773S 460 mm, left

04.003.756S 380 mm, right 04.003.776S 480 mm, right 5.0 mm Titanium Locking Screws, 04.003.757S 380 mm, left 04.003.777S 480 mm, left with T25 StarDrive recessछ 15 mm diameter LENGTH LENGTH LENGTH LENGTH 04.005.516 26 mm 04.005.548 58 mm 04.003.840S 300 mm, right 04.003.860S 400 mm, right 04.005.518 28 mm 04.005.550 60 mm 04.003.841S 300 mm, left 04.003.861S 400 mm, left 04.005.520 30 mm 04.005.552 62 mm 04.003.844S 320 mm, right 04.003.864S 420 mm, right 04.005.522 32 mm 04.005.554 64 mm 04.003.845S 320 mm, left 04.003.865S 420 mm, left 04.005.524 34 mm 04.005.556 66 mm 04.005.526 36 mm 04.005.558 68 mm 04.003.848S 340 mm, right 04.003.868S 440 mm, right 04.005.528 38 mm 04.005.560 70 mm 04.003.849S 340 mm, left 04.003.869S 440 mm, left 04.005.530 40 mm 04.005.562 72 mm 04.003.852S 360 mm, right 04.003.872S 460 mm, right 04.005.532 42 mm 04.005.564 74 mm 04.003.853S 360 mm, left 04.003.873S 460 mm, left 04.005.534 44 mm 04.005.566 76 mm 04.005.536 46 mm 04.005.568 78 mm 04.003.856S 380 mm, right 04.003.876S 480 mm, right 04.005.538 48 mm 04.005.570 80 mm 04.003.857S 380 mm, left 04.003.877S 480 mm, left 04.005.540 50 mm 04.005.575 85 mm 04.005.542 52 mm 04.005.580 90 mm 16 mm diameter 04.005.544 54 mm 04.005.585 95 mm LENGTH LENGTH 04.003.940S 300 mm, right 04.003.960S 400 mm, right 04.005.546 56 mm 04.005.590 100 mm 04.003.941S 300 mm, left 04.003.961S 400 mm, left 04.003.944S 320 mm, right 04.003.964S 420 mm, right 04.003.945S 320 mm, left 04.003.965S 420 mm, left 04.003.948S 340 mm, right 04.003.968S 440 mm, right 04.003.949S 340 mm, left 04.003.969S 440 mm, left 04.003.952S 360 mm, right 04.003.972S 460 mm, right 04.003.953S 360 mm, left 04.003.973S 460 mm, left 04.003.956S 380 mm, right 04.003.976S 480 mm, right 04.003.957S 380 mm, left 04.003.977S 480 mm, left

छAvailable nonsterile or sterile-packed. Add “S” to number to order sterile product. J8014-D 5/09 Titanium Cannulated Lateral Entry Femoral Recon Nails-EX

Implants (cont’d)

6.5 mm Titanium Recon Screws, 6.0 mm Titanium Locking Screws, छ with T25 StarDrive recessछ with T25 StarDrive recess LENGTH LENGTH 04.005.616 26 mm 04.005.644 54 mm LENGTH LENGTH 04.005.618 28 mm 04.005.646 56 mm 04.003.022 60 mm 04.003.030 100 mm 04.005.620 30 mm 04.005.648 58 mm 04.003.023 65 mm 04.003.031 105 mm 04.005.622 32 mm 04.005.650 60 mm 04.003.024 70 mm 04.003.032 110 mm 04.005.624 34 mm 04.005.654 64 mm 04.003.025 75 mm 04.003.033 115 mm 04.005.626 36 mm 04.005.658 68 mm 04.003.026 80 mm 04.003.034 120 mm 04.005.628 38 mm 04.005.662 72 mm 04.003.027 85 mm 04.003.035 125 mm 04.005.630 40 mm 04.005.666 76 mm 04.003.028 90 mm 04.003.036 130 mm 04.005.632 42 mm 04.005.670 80 mm 04.003.029 95 mm 04.005.634 44 mm 04.005.675 85 mm 04.005.636 46 mm 04.005.680 90 mm 04.005.638 48 mm 04.005.685 95 mm 04.005.640 50 mm 04.005.690 100 mm Instruments 04.005.642 52 mm Drill Bitsछ

03.010.061छ 4.2 mm Three-Fluted Drill Bit, 330 mm, calibrated 03.010.062छ 5.0 mm Three-Fluted Drill Bit, 330 mm, calibrated 6.0 mm Titanium Locking Screws, with hexagonal recessछ 03.010.101छ 4.2 mm Three-Fluted Drill Bit for Radiolucent Drive LENGTH LENGTH 03.010.102छ 5.0 mm Three-Fluted Drill Bit for Radiolucent Drive 450.873 30 mm 450.866 70 mm 450.874 35 mm 450.867 75 mm 03.010.104छ 4.2 mm Three-Fluted Drill Bit, 145 mm 450.875 40 mm 450.868 80 mm 03.010.105छ 5.0 mm Three-Fluted Drill Bit, 145 mm 450.861 45 mm 450.869 85 mm 450.862 50 mm 450.870 90 mm 03.010.165छ 15.0 mm Cannulated Flexible Drill Bit 450.863 55 mm 450.871 95 mm large, quick coupling, 310 mm 450.864 60 mm 450.872 100 mm 03.010.167छ 17.0 mm Cannulated Flexible Drill Bit 450.865 65 mm large, quick coupling, 310 mm

2.5 mm Reaming Rods with Ball Tip, sterile 5.0 mm Titanium Locking Screws, LENGTH with hexagonal recessछ 351.706S 950 mm LENGTH LENGTH 351.708S 1150 mm 458.926 26 mm 458.954 54 mm 458.928 28 mm 458.956 56 mm 351.707S and extension, 950 mm 458.930 30 mm 458.958 58 mm 458.932 32 mm 458.960 60 mm 458.934 34 mm 458.964 64 mm 3.0 mm Reaming Rods 458.936 36 mm 458.968 68 mm 458.938 38 mm 458.972 72 mm LENGTH छ 458.940 40 mm 458.976 76 mm 351.71 950 mm, with offset ball tip छ 458.942 42 mm 458.980 80 mm 351.76 950 mm, with straight ball tip 458.944 44 mm 458.985 85 mm 458.946 46 mm 458.990 90 mm 458.948 48 mm 458.995 95 mm Guide Rods 458.950 50 mm 458.999 100 mm 355.042 2.5 mm Guide Rod with Smooth Tip, 950 mm 458.952 52 mm 355.041 3.0 mm Guide Rod with Smooth Tip, 950 mm

Guide Wire 357.399 3.2 mm Guide Wire, 400 mm

छAvailable nonsterile or sterile-packed. Add “S” to number to order sterile product. J8014-D 5/09