PWS_Surgical_Instrument_Maintenance_Program.pdf

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PERFORMANCE WORK STATEMENT (PWS)

For

Surgical Instrumentation Maintenance Program (SIMP)

Medical Treatment Facility

David Grant Medical Center

Travis Air Force Base

25 September 2017

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Table of Contents

SECTION NO. AND TITLE PAGE NO.

1. Description of Services 3

2. Contractor Responsibilities 3

3. Services Summary 7

4. Government Furnished Property 8

5. General Information 8

6. Environmental Controls 9

7. Records, Files, Documents, and Work Papers 9

8. Federal Holidays and Down-days 10

Appendix A: Applicable Instruction, Directives, and Regulations 11

Appendix B: Container Inventory 12

Appendix C: Individual Instrument (unsterile) Inventory 41

Appendix D: Instrument Product Catalog Inventory 43

Appendix E: FY17 and FY18 Visit Schedule 89

Appendix F: Case History 90

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1. DESCRIPION OF SERVICES

1.1. The 60th Medical Group (60 MDG) is a Department of Defense (DoD), TRICARE Regional, Tertiary Care Medical Center and Lead Agency for 88, 654 beneficiaries. It provides or arranges comprehensive community and referral health care, readiness, education, research, Aeromedical staging and DoD/VA Joint Venture. It annually produces over 450,000 outpatient visits, 5,000 admissions, 3,000 surgical procedures, and 200 research protocols. DGMC needs include the service and repair of instruments that are used in (but not limited to) the following clinics and operating rooms; Ophthalmology, General Otolaryngology, Orthopedics, Urology, Laparoscopic, OB/GYN, Plastic Surgery, Oral Maxillofacial, Vascular and Cardiothoracic. An average of 100- 120 sets and individual instruments totaling 3000-4000 instruments, which require servicing each visit. The current inventory is reflected in Appendices B-E. The surgical case workload is at Appendix F.

1.2. The contractor shall provide support consistent with the policies and standards of the customer and its governing authority (e.g., DoD, Department of the Air Force, Air Mobility Command (AMC), Travis Air Force Base (TAFB), David Grant Medical Center (DGMC), Joint Commission (JC), American Associations of Medical Instrumentation (AAMI), and The International Association of Health Care Central Service Material Management (IAHCSMM). The contractor must be prepared to service a large assortment of instruments that are not limited to Minimally Invasive Surgery (MIS) instruments and micro instruments. These instruments require special expertise and a specific quality of replacement parts. Only instruments that are inspected will be listed. The Contractor shall comply with all applicable civilian, Department of Defense (DOD), Air Force, and MTF directives and instructions to include The Joint Commission (TJC) and Health Services Inspection (HSI).

2. CONTRACTOR RESPONSIBILITIES

2.1. The Contractor shall identify instruments that are defective and clearly marked with description of problem and be removed from service to avoid potential patient liability. All parts and materials used to repair equipment must be of medical grade quality. The contractor will be responsible for cleanup of any and all areas where maintenance is performed. All repairs will be conducted in the work area designated by the DGMC Sterile Processing & Distribution (SPD).

The SPD will indicate which surgical instruments, instrument sets, and power repairs will need to be serviced based on operating room needs and scheduled surgical procedures for all on-site instrument maintenance.

2.1.2. Provide continued support and repairs for obsolete equipment to maximize the life expectancy of equipment.

2.1.3. Provide Diamond dusting of microsurgical instrumentation, air hose repair, Castroviejo, needle holder, specialty locks and springs replaced, laparoscopic rebuilds, continuity testing of

4 | P a g e bipolar instrumentation and cords, and specific power equipment (Jacobs chucks, orthopedic attachments and bur guards).

2.1.4. Provide instrument taping and re-taping if necessary. Each instrument will be marked with surgical grade color-coded tape to identify which surgical specialty it belongs to. This process will become obsolete when new Censitrac software is updated.

2.1.5. Test electrosurgical insulation of scopes/endoscopic instrumentation and repair any items that do not meet minimal manufacture and safety requirements.

2.1.6. Provide computerized tray tracking with print-outs for the customers records.

2.1.7. Provide quarterly inspections on back-up instruments.

2.1.8. Track the frequency of repair for all surgical instruments in order to report repair trends to the Government. Report shall be provided annually by the 15th of September of each year.

2.1.9. Perform maintenance of surgical instruments in accordance with manufacturer requirements.

2.1.10. Provide advice to the Government on ways to improve processes and reduce the costs based on the on-site inspection.

2.2. On-site Maintenance Service: On-site repair services and customer support should be available between the hours of 0730 to 1630, Monday – Friday, excluding weeks when federal holidays occur or are observed. The contractor is responsible for providing on-site visits once a month to perform instrument maintenance to include repair, sharpening and cleaning services on the surgical instruments. All surgical instrument maintenance services must be accomplished within the Monday – Friday work week. See Appendix F for the visit schedule. Deviations must be approved by the Operating Room (OR) Flight Commander.

2.2.1. Within two (2) weeks of completion of on-site surgical instrument maintenance, the contractor shall provide a summary report documenting work performed and results, to include digital pictures of at least 250X magnification Spectra-ScanTM or equivalent, detailing their findings of the damage, wear, tear and overall condition of the instrument. Verbal daily updates should be provided to SPD staff providing feedback on what was found and what SPD staff could do to improve results. An informal out brief with the OR Flight Commander or their designee shall be provided at the end of each weekly visit.

2.3. Off-Site Maintenance Services: In the rare occasion an instrument cannot be repaired onsite, during the monthly service visit, the contractor will receive written approval with a hand receipt

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Instruments will be repaired and returned within 7 calendar days.

2.3.1. Each item is to be repaired or replaced with surgical grade instruments at the current market value and will require coordination with the COR. SPD will not accept any instruments manufactured by Pakistan or any inferior instrumentation. Once repairs are completed, the instruments shall to be returned to DGMC SPD Department. If the item is replaced, both the new and old items shall be returned.

2.3.2. Contractor shall be responsible for shipping costs for scopes sent off-site for maintenance or repair.

2.3.3. Contractor shall provide loaners when necessary during repairs.

2.3.4. Contractor shall cover up to $9400 per instance when the contractor must use an original equipment manufacturer to assist with a repair.

2.4. Comprehensive Training Program: The contractor shall provide comprehensive, real-time, focused training resulting from the maintenance services of each on-site visit. The purpose of the training is to educate the surgical staff about proper use of the surgical instruments to prevent or reduce the need for maintenance services. Training curriculum shall be developed from the findings of the on-site inspection. The contractor will provide all staff with a one-on-one educational training for surgical technicians and nurses. Customized educational modules shall be developed to educate the operating room staff on how to better care, clean and maintain instruments. Modules shall incorporate the use of visual mediums, such as digital mapping or other technology that allow trainees to view microscopic defects leading to required maintenance.

Standards used will meet the manufacturer’s specifications as outlined in, “Inspecting Surgical Instruments, an Illustrated Guide”, written by Rick Schultz.

2.4.1. This training should include information on proper inspection, care and handling, and critical factors pertinent to patient safety. This training includes (but is not limited to);

2.4.2. Minimum of five Educational Programs per year. Training shall be developed and approved IAW State of California/IAHCSMM continuing education requirements so training will result in Continuing Education Units (CEU) for nurses/technicians.

2.4.3. A minimum of 1 training session that offers a certificate of training. (Annually).

2.4.4. Proper diagnosis of specific instrument malfunctions and how to identify usage patterns that cause extensive equipment damage.

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2.4.5. Identify the difference between economy and surgical grade instruments.

2.4.6. Instrument care and handling tips

Post Operation Care of instruments Ultrasonic cleaning Staining How to inspect surgical instruments How and where to use Instrument Tip Protectors Surgical Instrument repair process Repair Testing Standards Laparoscopic Instrument Inspection Proper care and preventative maintenance scheduling

2.4.7. Training shall be accomplished after completion of each visit. All training will be conducted in the SPD. The contractor shall schedule all education training sessions through the SPD Department at 707-423-3980 or 707-423-5370.

2.5. Scheduling:

2.5.1. Both the contractor and the customer have the right to suggest a schedule shift based on the interests of either party, but both the contractor and customer must agree to the change and that there will be no additional cost to the Government before implementing the change. The Government reserves the right to establish specific days and times for performance of any work under this contract. To minimize disruption to end-users, occasional work may be required during non-core hours (mornings/evenings/weekends). When this is required, the COR shall coordinate with the contractor. All visits will be scheduled during full work weeks and not during a Federal Holiday week.

3. SERVICE SUMMARY

The contractor service requirements are summarized into performance objectives that relate directly to mission essential items. The performance threshold briefly describes the minimum acceptable levels of service required for each requirement. These thresholds are critical to mission success.

Performance Objective Reference Performance Threshold

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1. Repair, clean and sharpen surgical instruments performed in accordance with manufacturer standards

2.1. 99% of the time

2. Complete scheduled on-site service within 5 days

2.2. 1 monthly service visit can deviate from the 5 days within the year but cannot be shorter than 4 days.

3. Test electrosurgical insulation of scopes/endoscopic instrumentation and repair any items that do not meet minimal manufacture and safety requirements

2.1.5. 99% of the time.

4. All instruments identified on scheduled service visit must be serviced.

2.1. No more than 3 instruments per

monthly service visit.

5. Customized education modules shall be provided to the CPD no later than two weeks after the on-site visit.

2.4 - 2.4.7. 1 session training can be delayed per year but cannot be omitted. (80% of training must be on time)

6. Outbrief: Summary Report documenting the work performed and results of each on-site visit. The report will include digital pictures of at 250x magnification and details of the findings of damage, wear, tear and overall condition of instruments.

2.2.1. 100% of the time this report shall be provided.

7. Frequency of Repair Report shall be provided annually, in arrears, by 15 September of each year.

2.1.8. 100% of the time.

3.1. Inspection/Acceptance: The Contractor shall only tender for acceptance of those items that conform to the requirements of this contract. The Government reserves the right to inspect or test any supplies or services that have been tendered for acceptance.

4. GOVERNMENT-FURNISHED PROPERTY AND SERVICES

4.1. Property and Services: The Government will furnish facilities at the MTF for the Contractor to effectively perform services in accordance with the PWS. The Contractor shall have the use of the following facilities for performance under this contract only:

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4.2. Security Forces and Fire Protection: Phone Numbers: Non-Emergency Fire Department: 424- 3683; Non-Emergency Security Police: 424-3293. Emergencies (all): 911.

4.3. Utilities: The government will provide gas, electricity, sewage disposal, and water.

5. GENERAL INFORMATION

5.1. Contractor Employees shall present a neat appearance and be easily recognized as Contractor employees.

5.2. Contracting Officer’s Representative: Should a repair/maintenance problem arise that requires action from the COR, the contractor shall be responsible for ensuring that the problems are not placed in regular inventory. A brief explanation of the nature of the problem shall be provided to the COR or designated representative in writing.

5.3. Continuation of Essential DoD Contractor Services During Crisis. None of the services required by this contract as identified are essential as defined and described in DoD Instruction

3020.37 Continuation of Essential DoD Contractor Services During Crises.

5.4. Quality Control Program: The contractor is responsible for the quality of services under the terms of this contract. To ensure that requirements are met, the contractor shall implement an effective, economical quality control program to ensure satisfactory performance of objectives listed in the SS and to identify, prevent, and insure non-recurrence of unsatisfactory performance.

The contractor shall provide a copy of its quality control procedures to the government within 30 days of contract start date.

6. ENVIRONMENTAL CONTROLS

6.1. Compliance with Laws and Regulations. The Contractor shall be knowledgeable of and comply with all applicable Local, State, and Federal requirements regarding environmental protection. In the event environmental laws/regulations change during the term of this contract, the contractor is required to comply as such laws come into effect. If there is an increase or decrease in cost as a result of the change, the Contractor shall inform the Contracting Officer pursuant to notice requirements and negotiate a modification to the contract.

6.2. Environmental Management System (EMS). Contractors shall perform work under this contract in a manner that is consistent with Travis AFB EMS and conforms to all applicable environmental laws, regulations and policies. Upon awarding of the contract, the Contracting Officer's Representative will direct the Contractor to review and post the Travis EMS Environmental Policy Letter in the workplace and review the EMS Awareness Training slide presentation; both items are located at the Travis AFB Environmental website at http://www.travis.af.mil/enviro. Within seven business days of the start date, the Contractor shall provide the Contracting Officer with a list of names of all employees who viewed the applicable training as well as the date training was completed. The Contractor shall provide information when necessary to demonstrate written conformance with these requirements upon request.

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7. RECORDS, FILES, DOCUMENTS, DATA, AND WORK PAPERS.

All records, files, documents, data and work papers provided by the Government remain Government property. The FRED will provide guidance to the HCW who shall maintain and dispose of these records, files and documents in accordance with Air Force Manual 33-363 and IAW applicable HIPAA requirements as stated in the HIPAA clause. HCWs will comply with all Air Force Medical System (AFMS) requirements for safe keeping, handling, release and disposal of any of the above information.

These AFMS requirements shall include, but are not limited to: limiting access to government data, tracking information for origin to disposal, removal of personal identifiers and thoroughly destroying information when work is completed in accordance with Federal Law and DoD Regulations.

8. FEDERAL HOLIDAYS AND DOWN-DAYS

Federal Holidays New Year’s Day Martin Luther King, Jr Birthday Washington’s Birthday *Memorial Day *Independence Day *Labor Day Columbus Day Veterans Day *Thanksgiving Day *Christmas Day

* The Commander for Air Mobility Command may declare a down day in conjuction with these federal holidays.

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APPENDIX A

Applicable Instructions, Directives and Regulations

Publications and forms applicable to this Performance Work Statement (PWS) are listed below, and are mandatory. The contractor shall follow those publications coded as mandatory to the extent (that is, the specific procedure in a paragraph, section, chapter or volume) specified, to meet requirements in this PWS. Applicable publications are located at http://www.e-publishing.af.mil/pubs. The Government may issue supplements or amendments to listed publications from any organizational level during the life of the contract. The contractor shall keep all issued publications up-to-date. The contractor shall immediately implement those changes in publications that result in a decrease or no change in the contract price. Before implementing any such revision, supplement, or amendment that will result in an increase in contract price, the contractor shall submit to the contracting officer a price proposal for approval. Price proposals shall be submitted within 30 calendar days from the date the contractor receives notice of the revision, supplement, or amendment-giving rise to the increase in cost of performance. The Government and the contractor will negotiate the changes into the contract under provisions of the Changes clause. The Government will continue to supply the Government forms needed for daily operations. Upon completion of the contract, the contractor shall return to the Government all issued publications and unused forms.

Publications Code:

AFI--Air Force Instruction AFMAN—Air Force Manual DoD—DoD Instruction

DEPARTMENT OF DEFENSE and AIR FORCE PUBLICATIONS:

Number Title of Directive Para/Chapter

DoD5400.7-R Freedom of Information Act Chapter 4 Para, C.4.2.1, C.4.4, C3.2.1.2 - C3.2-1.9

DoD 6025.18-R Health Information Privacy Regulation

AFMAN17-1201 User Responsibilities and Guidance for Information Systems Para 3

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AFI 33-332 Air Force Privacy Act Information Chapters 1, 3, 7, 9 and 10

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APPENDIX B

Container Inventory

Attached is an initial inventory list of sets by service. This is an estimated count to show the scope of what David Grant Medical Center has. The vast majority of instruments are in these sets. This list is current as of 25 February 2016. This list does not include number of items in a set or individual instruments not in sets.

Service Container

CARDIAC Axillary Cannulation Set 1

CARDIAC Axillary Cannulation Set 2

CARDIAC CHEST TUBE INSERTION TRAY CVICU CL 1

CARDIAC CHEST TUBE INSERTION TRAY CVICU CL 2

CARDIAC CORONARY SET 1

CARDIAC CORONARY SET 2

CARDIAC CORONARY SET 3

CARDIAC COSGROVE/MITRAL VALVE RETRACTOR 1

CARDIAC CVICU STAT STERNAL RE‐ENTRY SET 1

CARDIAC EDWARDS MAGNA AORTIC VALVE SIZER 1

CARDIAC EDWARDS MAGNA AORTIC VALVE SIZER 2

CARDIAC EDWARDS MAGNA MITRAL EASE SIZERS 1

CARDIAC EDWARDS MAGNA MITRAL EASE SIZERS 2

CARDIAC EDWARDS MITRAL RING SIZER 1

CARDIAC EDWARDS PHYSIO II MITRAL RING SIZER 1

CARDIAC EDWARDS PHYSIO MITRAL RING 1252 1

CARDIAC EDWARDS TRICUSPID RING SIZER 1

CARDIAC EDWARDS TRICUSPID RING SIZER 2

CARDIAC EMERGENT STERNAL RE‐ENTRY SET 1

CARDIAC EMERGENT STERNAL RE‐ENTRY SET 2

CARDIAC EMERGENT STERNAL RE‐ENTRY SET 3

CARDIAC ESTECH ASSIST ARM 1

CARDIAC ESTECH ASSIST ARM 2

CARDIAC Estech Rigid Table Mount Instrument Holder 1

CARDIAC ESTECH VALVE ASSIST 1

CARDIAC ESTECH VALVE ASSIST 2

CARDIAC FREESTYLE AORTIC VALVE SET 1

CARDIAC FREESTYLE AORTIC VALVE SET 2

CARDIAC HEART SET A 1

CARDIAC HEART SET A 2

CARDIAC HEART SET A 3

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CARDIAC HEART SET B 1

CARDIAC HEART SET B 2

CARDIAC HEART SET B 3

CARDIAC KLS MARTIN TALON SET 1

CARDIAC MEDTRONIC FREESTYLE VALVE SIZERS 1

CARDIAC MEDTRONIC FREESTYLE VALVE SIZERS 2

CARDIAC MINIMALLY INVASIVE AORTIC SET 1

CARDIAC MINIMALLY INVASIVE ATRIAL RETRACTOR SET 1

CARDIAC MINIMALLY INVASIVE MITRAL SET 1

CARDIAC OCTOBASE RETRACTOR 1

CARDIAC OCTOBASE RETRACTOR 2

CARDIAC OCTOBASE RETRACTOR 3

CARDIAC ON‐X PROSTHETIC HEART VALVE SIZERS 1

CARDIAC PHLEBECTOMY HOOK SET 1

CARDIAC RULTRACT ACCESSORIES 1

CARDIAC RULTRACT IMA RETRACTOR 1

CARDIAC RULTRACT IMA RETRACTOR 2

CARDIAC SJ MASTERS MECHANICAL VALVE SIZER 1

CARDIAC SJ MASTERS MECHANICAL VALVE SIZER 2

CARDIAC SJ TRIFECTA VALVE SIZER 1

CARDIAC SORIN GROUP MEMO 3D MITRAL RING SIZER 1

CARDIAC SORIN MITROFLOW VALVE SIZERS 1

CARDIAC SORIN MITROFLOW VALVE SIZERS 2

CARDIAC ST JUDE REGENT MECH VALVE SIZERS 1

CARDIAC ST JUDE REGENT MECH VALVE SIZERS 2

CARDIAC Sternal Zip Fix 1

CARDIAC STERNALOCK BLU 1

CARDIAC STRYKER 4207 STERNAL SAW 1

CARDIAC STRYKER 4207 STERNAL SAW 2

CARDIAC STRYKER 7 STERNAL SAW 1

CARDIAC STRYKER 7 STERNAL SAW 2

CARDIAC ULTRAVISION LIGHTED CHEST RETRACTOR 1

CARDIAC VALVE SET 1

CARDIAC VALVE SET 2

CARDIAC VEIN HARVEST SET 1

CARDIAC VEIN HARVEST SET 2

CARDIAC ZOLL DEFIBRILLATOR ADULT PADDLES 1

CARDIAC ZOLL DEFIBRILLATOR ADULT PADDLES 2

CARDIAC Zoll Pedi Defibrillator Paddles 1

CARDIAC Zoll Pedi Defibrillator Paddles 5

CRASH

CART

ER Adult Zoll Defibrillator 1

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CRASH

CART

ER Pedi Zoll Defibrillator 1

CRASH

CART

ICU Adult Zoll defibrillator Paddles 3

CRASH

CART

ICU Pedi Zoll Defibrillator 1

CRASH

CART

LABSHE KNIFE & MALLET 1

ENT ANSPACH EMAX2 1

ENT ANTERIOR SKULL BASE SET 1

ENT BRAIN LAB SET ENT 1

ENT BROWLIFT BONE BRIDGE SYSTEM 1

ENT BROWLIFT BONE BRIDGE SYSTEM 2

ENT CALDWELL LUC & NASAL ANTROSTOMY 1

ENT CAMERA & SINUS SCOPE SET 1 ( Camera only)

ENT CAMERA & SINUS SCOPE SET 2 (Camera only)

ENT CAMERA & SINUS SCOPE SET 3 (Camera only)

ENT EAR SPECULUM HOLDER 1

ENT ENDOSCOPIC BROWLIFT 1

ENT ENDOSCOPIC BROWLIFT 2

ENT ENT HARMONIC SCALPEL 1

ENT ENT HARMONIC SCALPEL 2

ENT ENT HARMONIC SCALPEL 3

ENT ENT HARMONIC SCALPEL 4

ENT ENT PLASTIC SET 1

ENT FESS SET 1

ENT FESS SET 2

ENT HEAD AND NECK SET 1

ENT HEAD AND NECK SET 2

ENT HEAD AND NECK SET 3

ENT HEAD AND NECK SET 4

ENT HEAD AND NECK SET 5

ENT L/Olympus Thunderbeat Transducer 1

ENT L/Olympus Thunderbeat Transducer 2

ENT LASER MICRO INSTRUMENTS 1

ENT LEFT SINUS SCISSOR 1

ENT MAJOR EAR PICKS 1

ENT MAJOR EAR PICKS 2

ENT MAJOR EAR SET 1

ENT MAJOR EAR SET 2

ENT MAXILLARY SINUS TREPHINATION 1

ENT MAXILLARY SINUS TREPHINATION 2

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ENT MICROFRANCE SATALOFF LARYNGEAL INST 1

ENT MICROFRANCE SATALOFF LARYNGEAL INST 2

ENT MICROFRANCE WORMALD SUCTION BIPOLAR FCP 1

ENT MIDDLE EAR SET 1

ENT MONTGOMERY THYROPLASTY SYSTEM 1

ENT MYRINGOTOMY SET 1

ENT MYRINGOTOMY SET 2

ENT MYRINGOTOMY SET 3

ENT MYRINGOTOMY SET 4

ENT MYRINGOTOMY SET 5

ENT OLYMPUS DIEGO STRAIGHT 1

ENT OLYMPUS DIEGO STRAIGHT 2

ENT OLYMPUS DIEGO STRAIGHT 3

ENT OLYMPUS DIEGO STRAIGHT 4

ENT OLYMPUS DIEGO STRAIGHT 5

ENT SEPTORHINOPLASTY 1

ENT SEPTORHINOPLASTY 2

ENT SEPTORHINOPLASTY 3

ENT SEPTORHINOPLASTY 4

ENT SEPTORHINOPLASTY 5

ENT SMR LOCAL SET 1

ENT SMR LOCAL SET 2

ENT SMR LOCAL SET 3

ENT SMR LOCAL SET 4

ENT SMR LOCAL SET 5

ENT SMR LOCAL SET 6

ENT SMR LOCAL SET 7

ENT STORZ SALIENDOSCOPY 1

ENT SYKES ENDOBROW SET 1

ENT SYKES ENDOBROW SET 2

ENT Synthes Endo Browlift Set 1

ENT Titanium ENT Instruments 1

ENT Titanium ENT Instruments 2

ENT Titanium ENT Instruments 3

ENT TONSIL SET 1

ENT TONSIL SET 2

ENT TONSIL SET 3

ENT TONSIL SET 4

ENT TONSIL SET 5

ENT TONSIL SET 6

ENT TORIUMI BASIC RHINOPLASTY SET 1

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ENT TORIUMI BASIC RHINOPLASTY SET 2

ENT TORIUMI BASIC RHINOPLASTY SET 3

ENT TRACHEOSTOMY SET 1

ENT TRACHEOSTOMY SET 2

ENT TRACHEOSTOMY SET 3

ENT TRACHEOSTOMY SET 4

ENT Variac OCR System 1

ENT Variac OCR System 2

ENT XOMED STR SHOT M4 SHAVER 1

ENT XOMED STR SHOT M4 SHAVER 2

ENT XOMED STR SHOT M4 SHAVER 3

ENT XOMED STR SHOT M4 SHAVER 4

ENT ZEITEL LARYNGOSCOPE 1

ENT CLINIC BAHA COCHLEAR SCREWDRIVER & WRENCH 1

EYE ANTERIOR CHAMBER LG 1

EYE ANTERIOR CHAMBER LG 2

EYE CATARACT EXTRAS PTERYGIUM SET 1

EYE CATARACT EXTRAS PTERYGIUM SET 2

EYE CONSTELLATION HANDPIECE 1

EYE CORNEA SET 1

EYE CORNEA SET 2

EYE DUET FORCEPS 1

EYE DUET W/O IOL CUTTER 1

EYE ELLMAN BIPOLAR CORD 1

EYE ELLMAN BIPOLAR CORD 2

EYE ELLMAN BIPOLAR CORD 3

EYE ELLMAN HANDPIECE IEC 3‐BUTTON 1

EYE ELLMAN HANDPIECE IEC 3‐BUTTON 2

EYE ELLMAN HANDPIECE IEC 3‐BUTTON 3

EYE ELLMAN HANDPIECE IEC 3‐BUTTON 4

EYE ELLMAN HANDPIECE IEC 3‐BUTTON 5

EYE ELLMAN HANDPIECE IEC 3‐BUTTON 6

EYE ELLMAN HANDPIECE IEC 3‐BUTTON 7

EYE ELLMAN HANDPIECE IEC 3‐BUTTON 8

EYE ELLMAN HANDPIECE IEC 3‐BUTTON 9

EYE EYE LENS KIT 1

EYE EYE LIPO FAT INJECTION CANNULA SET 1

EYE EYE ORBITAL 1

EYE EYE PLASTIC 1

EYE EYE PLASTIC 2

EYE EYE PLASTIC 3

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EYE EYE PLASTIC 4

EYE EYE PLASTIC 5

EYE EYE PLASTIC 6

EYE EYE RETINA PICKS 1

EYE I/A SET 1

EYE I/A SET 2

EYE I/A SET 3

EYE I/A SET 4

EYE I/A SET 5

EYE I/A SET 7

EYE I/A SET 8

EYE INFINITI HANDPIECE 1

EYE INFINITI HANDPIECE 2

EYE INFINITI HANDPIECE 3

EYE INFINITI HANDPIECE 4

EYE INFINITI HANDPIECE 5

EYE INFINITI HANDPIECE 6

EYE INFINITI HANDPIECE 7

EYE INFINITI HANDPIECE 8

EYE INFINITI HANDPIECE 9

EYE INFINITI HANDPIECE 10

EYE INTREPID AutoSert IOL Injector 1

EYE INTREPID AutoSert IOL Injector 2

EYE INTREPID AutoSert IOL Injector 3

EYE INTREPID AutoSert IOL Injector 4

EYE LRI SET 1

EYE New I/A Set 1

EYE New I/A Set 2

EYE New I/A Set 3

EYE New I/A Set 4

EYE New I/A Set 5

EYE PHACO SET 1

EYE PHACO SET 2

EYE PHACO SET 3

EYE PHACO SET 4

EYE PHACO SET 5

EYE PHACO SET 6

EYE PHACO SET 7

EYE PHACO SET 8

EYE PHACO SET 9

EYE PHACO SET 10

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EYE POSTERIOR CHAMBER 1

EYE POSTERIOR CHAMBER 2

EYE TREPSAT ELEVATOR SCISSOR SET 1

EYE TREPSAT ELEVATOR SCISSOR SET 2

EYE TREPSAT ELEVATOR SCISSOR SET 3

EYE W.Lorenz Endobrow Lift Set 1

GENERAL ALAN PARK RETRACTOR 1

GENERAL ALOKA PROBE GENERAL 1

GENERAL ALOKA PROBE LAPAROSCOPIC 1

GENERAL ALOKA PROBE VASCULAR 1

GENERAL ALOKA REMOTE 1

GENERAL BALFOUR RETRACTOR 1

GENERAL BALFOUR RETRACTOR 2

GENERAL BALFOUR RETRACTOR 3

GENERAL BALFOUR RETRACTOR 4

GENERAL BOOKWALTER MAJOR RETRACTOR 1

GENERAL BOOKWALTER RECTAL 1

GENERAL BOOKWALTER RETRACTOR 1

GENERAL BOOKWALTER RETRACTOR 2

GENERAL BOOKWALTER RETRACTOR 3

GENERAL BOUGIE DILATORS BLUNT TIPPED 1

GENERAL BOUGIE DILATORS BLUNT TIPPED 2

GENERAL BOUGIE DILATORS BLUNT TIPPED 3

GENERAL BOUGIE DILATORS TAPERED TIPPED 1

GENERAL BOUGIE DILATORS TAPERED TIPPED 2

GENERAL EEA SIZERS 1

GENERAL EEA SIZERS 2

GENERAL GEN HARMONIC SCALPEL 1

GENERAL GEN HARMONIC SCALPEL 2

GENERAL GEN HARMONIC SCALPEL 3

GENERAL GEN HARMONIC SCALPEL 4

GENERAL GEN HARMONIC SCALPEL 5

GENERAL GEN HARMONIC SCALPEL 6

GENERAL GEN HARMONIC SCALPEL 7

GENERAL GEN HARMONIC SCALPEL 8

GENERAL GENERAL BASIC FINE SET 1

GENERAL GENERAL BASIC SET 1

GENERAL GENERAL BASIC SET 2

GENERAL GENERAL BASIC SET 3

GENERAL GENERAL BASIC SET 4

GENERAL GENERAL BASIC SET 6

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GENERAL GENERAL BASIC SET 7

GENERAL GENERAL BASIC SET 8

GENERAL GENERAL BASIC SET 9

GENERAL GENERAL BASIC SET 10

GENERAL GENERAL BASIC SET 11

GENERAL GENERAL BASIC SET 12

GENERAL GENERAL IOC SUPPLY BIN 1

GENERAL GORE SUTURE PASSER 1

GENERAL HEMORRHOID SET 1

GENERAL HEMORRHOID SET 2

GENERAL HEMORRHOID SET 3

GENERAL LAP CHOLE SET 1

GENERAL LAP CHOLE SET 2

GENERAL LAP CHOLE SET 3

GENERAL LAP CHOLE SET 4

GENERAL LAP NEEDLE HOLDER SET 1

GENERAL LAP NISSEN SET 1

GENERAL LAP NISSEN SET 2

GENERAL LAP NISSEN SET 3

GENERAL LIGACLIP APPLIERS ANGLED 1

GENERAL LIGACLIP APPLIERS ANGLED 2

GENERAL LIGACLIP APPLIERS ANGLED 3

GENERAL LIGACLIP APPLIERS STRAIGHT 1

GENERAL LIGACLIP APPLIERS STRAIGHT 2

GENERAL LIGACLIP APPLIERS STRAIGHT 3

GENERAL LIGACLIP APPLIERS STRAIGHT 4

GENERAL LIGHTED ALAN PARK RETRACTOR 1

GENERAL LIGHTED DEAVER RETRACTORS 1

GENERAL LIGHTED DEAVER RETRACTORS 2

GENERAL LIGHTED DEAVER RETRACTORS 3

GENERAL LIGHTED ST MARKS RETRACTOR 1

GENERAL MAJOR SET 1

GENERAL MAJOR SET 2

GENERAL MAJOR SET 3

GENERAL MAJOR SET 4

GENERAL MAJOR SET 5

GENERAL MAJOR SET 6

GENERAL MASTECTOMY ADDS 1

GENERAL MASTECTOMY ADDS 2

GENERAL MASTECTOMY ADDS 3

GENERAL NATHANSON RETRECTOR 1

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GENERAL NATHANSON RETRECTOR 2

GENERAL NATHANSON RETRECTOR 3

GENERAL NEW MEDIFLEX SNAKE 1

GENERAL NEW MEDIFLEX SNAKE 2

GENERAL NEW MEDIFLEX SNAKE 3

GENERAL NEW MEDIFLEX SNAKE 4

GENERAL OLD MEDIFLEX SNAKE 1

GENERAL OMNI BACKUP RETRACTOR 1

GENERAL OMNI CROSSBAR 1

GENERAL OMNI RETRACTOR 1

GENERAL OMNI RETRACTOR OBESITY BLADES SET 1

GENERAL OMNI UPPER ABDOMINAL RETRACTOR PART 1 1

GENERAL OMNI UPPER ABDOMINAL RETRACTOR PART 2 1

GENERAL PEDIATRIC BALFOUR RETRACTOR 1

GENERAL ST MARKS RETRACTORS 1

GENERAL ST MARKS RETRACTORS 2

GENERAL THOMPSON RETRACTOR 1

NEURO ACROMED COBB 1

NEURO ACROMED CURETTES 1

NEURO ACROMED OSTEOTOMES 1

NEURO AESCULAP EXTRA LONG KERRISONS 1

NEURO AESCULAP EXTRA LONG KERRISONS 2

NEURO AESCULAP KERRISONS 1

NEURO AESCULAP KERRISONS 2

NEURO AESCULAP KERRISONS 3

NEURO AESCULAP KERRISONS 4

NEURO ANTERIOR CERVICAL 1

NEURO ANTERIOR CERVICAL 2

NEURO ANTERIOR CERVICAL 3

NEURO ANTERIOR LUMBAR 1

NEURO APFELBAUM CURETTES 12 REACH 1

NEURO APFELBAUM CURETTES 14‐1/2 REACH 1

NEURO BOSS KERRISONS 1

NEURO BOSS KERRISONS GOLD 1

NEURO BRAINLAB ADDITIONAL SPINE INSTR 1

NEURO BRAINLAB CRANIAL 1

NEURO BRAINLAB SPINE A SET 1

NEURO BRAINLAB SPINE B SET 1

NEURO BRAINLAB VARIOGUIDE 1

NEURO BUDDE HALO RETRACTOR 1

NEURO CASPAR MICRO DISCECTOMY 1

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NEURO CASPAR MICRO DISCECTOMY 2

NEURO CASPAR MICRO DISCECTOMY 3

NEURO CERULLO SUCTION REGULATOR 1

NEURO CERULLO SUCTION REGULATOR 2

NEURO CERULLO SUCTION REGULATOR 3

NEURO CERULLO SUCTION REGULATOR 4

NEURO CODMAN KARLIN CURETTES 1

NEURO CODMAN KARLIN CURETTES 2

NEURO CODMAN KARLIN CURETTES 3

NEURO CODMAN KARLIN CURETTES 4

NEURO CODMAN KARLIN CURETTES 5

NEURO CODMAN KARLIN CURETTES XL 1

NEURO CODMAN KARLIN CURETTES XL 2

NEURO CODMAN MICROSECT CURETTES 1

NEURO CRANIOFIX TITANIUM CLAMP 1

NEURO CRANIOTOMY SET 1

NEURO CRANIOTOMY SET 2

NEURO DEPUY SYNTHES CUSTOM PEDICLE MARKERS 1

NEURO DR PARRY'S KERRISON RONGUERS 1

NEURO DR PARRY'S KERRISON RONGUERS 2

NEURO DR. SWAMY'S LUMBAR SPINE SPECIALS 1

NEURO EMERGENT ANEURYSM CLIP APPLIERS 1

NEURO ENDOSPINE CURETTES 1

NEURO ENDOSPINE CURETTES 2

NEURO ENDOSPINE CURETTES 3

NEURO ENDOSPINE INSTRUMENT 1

NEURO ENDOSPINE SCOPE HOLDER 1

NEURO ENDOSPINE SCOPE HOLDER 2

NEURO ENDOSPINE SCOPE SHEATHS 1

NEURO ENDOSPINE SCOPE SHEATHS 2

NEURO ENDOSPINE SPECIALS 1

NEURO GARDNER WELLS TRACTION TONG 1

NEURO GARDNER WELLS TRACTION TONG 2

NEURO GARDNER WELLS TRACTION TONG 3

NEURO GREENBERG RETRACTOR 1

NEURO KOROS CERVICAL BLACK BELT RETR 1

NEURO KOROS CERVICAL BLACK BELT RETR 2

NEURO KOROS CERVICAL CURETTES 1

NEURO KOROS RADIOLUCENT CERV BLACK BELT RETR 1

NEURO KOROS RADIOLUCENT CERV BLACK BELT RETR 2

NEURO KOROS RADIOLUCENT CERV BLACK BELT RETR 3

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NEURO KOROS ROTATING KERRISONS 1

NEURO KOROS ROTATING KERRISONS 2

NEURO LEIBINGER CRANI PLATING SYSTEM 1

NEURO LUMBAR BASIC 1

NEURO LUMBAR BASIC 2

NEURO LUMBAR BASIC 3

NEURO LUMBAR BASIC 4

NEURO MCCULLOCH RETRACTOR 1

NEURO MEDTRONIC METRX II FLEX ARM 1

NEURO MEDTRONIC METRX II FLEX ARM 2

NEURO MEDTRONIC TRIMLINE CURETTES 1

NEURO MEDTRONIC TRIMLINE MICROCURETTES 1

NEURO MEDTRONIC TRIMLINE MICROCURETTES 2

NEURO METRX BASE TRAY 1

NEURO METRX DISCECTOMY INSTRUMENT TRAY 1

NEURO METRX MICRO INSTRUMENT SET 1

NEURO METRX X‐TUBE SET 1

NEURO MICRO DISCECTOMY 1

NEURO MICRO SUCTIONS 1

NEURO MICRO SUCTIONS 2

NEURO MICRO SUCTIONS 3

NEURO MIDAS REX ELECTRIC 1

NEURO MIDAS REX ELECTRIC 2

NEURO MIDAS REX ELECTRIC 3

NEURO MIDAS REX ELECTRIC 4

NEURO MIDAS REX ELECTRIC 5

NEURO MIDAS REX ELECTRIC 6

NEURO MIDAS REX LONG ATTACHMENTS 1

NEURO MS HARRIS KERRISONS 1

NEURO NEURO CURETTES 1

NEURO NEURO CURETTES 2

NEURO NEURO CURETTES 3

NEURO NEURO CURETTES 4

NEURO NEURO HAND SET 1

NEURO NEURO HAND SET 2

NEURO NEURO MICRO DISSECTORS 1

NEURO NEURO MICRO DISSECTORS 2

NEURO NEURO MICRO DISSECTORS 3

NEURO NEURO MICRO INSTRUMENTS SET A 1

NEURO NEURO MICRO INSTRUMENTS SET B 1

NEURO PENFIELD SET 1

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NEURO PENFIELD SET 2

NEURO RAINBOW CURETTES 1

NEURO RHOTON MICRO DISSECTORS 1

NEURO RHOTON MICRO DISSECTORS 2

NEURO RUGGLES SUCTIONS 1

NEURO RUGGLES SUCTIONS 2

NEURO RUGGLES SUCTIONS 3

NEURO RUGGLES SUCTIONS 4

NEURO RUGGLES TEARDROP SUCTION 1

NEURO RUGGLES TEARDROP SUCTION 2

NEURO RUGGLES TEARDROP SUCTION 3

NEURO RUGGLES TEARDROP SUCTION 4

NEURO RUGGLES TEARDROP SUCTION 5

NEURO RUGGLES TEARDROP SUCTION 6

NEURO RUGGLES TEARDROP SUCTION 7

NEURO RUGGLES TEARDROP SUCTION 8

NEURO SHADOWLINE MCCULLOCH HINGED RETR 1

NEURO SHADOWLINE MCCULLOCH HINGED RETR 2

NEURO SHADOWLINE MCCULLOCH HINGED RETR 3

NEURO SMITH PETERSON OSTEOTOMES 1

NEURO SMITH PETERSON OSTEOTOMES 2

NEURO SMITH PETERSON OSTEOTOMES 3

NEURO SMITH PETERSON OSTEOTOMES 4

NEURO SMITH PETERSON OSTEOTOMES 5

NEURO SMITH PETERSON OSTEOTOMES 6

NEURO SONOPET HAND PIECE 1

NEURO SONOPET HAND PIECE 2

NEURO SPOTLIGHT MICRODISCECTOMY (1 OF 2) 1

NEURO SPOTLIGHT MICRODISCECTOMY (2 OF 2) 1

NEURO STRYKER BONE MILL 1

NEURO STRYKER BONE MILL 2

NEURO SYNTHES ANTERIOR CERVICAL FUSION SET 1

NEURO SYNTHES ANTERIOR CERVICAL FUSION SET 3

NEURO SYNTHES STABILITY SYSTEM 1

NEURO SYNTHES T‐PLIF AUX INSTR SET 1

NEURO SYNTHES TLIF SHORT FUNNEL 1

NEURO SYNTHES VECTRA T‐PLATES 1

NEURO SYNTHES VECTRA T‐PLATES 2

NEURO TABLE TOP ROD CUTTER 1

NEURO TRANSPHENOIDAL SET 1

NEURO VENTRICULOSCOPY INSTRUMENTS 1

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NEURO W LORENZ CRANI PLATES & SCREWS 1

NEURO W LORENZ IQ POWER DRIVER 1

NEURO WIGGINS NON‐ROTATING KERRISON 1

NEURO WIGGINS NON‐ROTATING KERRISON 2

NEURO WIGGINS NON‐ROTATING KERRISON 3

NEURO WIGGINS NON‐ROTATING KERRISON 4

NEURO WIGGINS NON‐ROTATING KERRISON 5

NEURO WIGGINS NON‐ROTATING KERRISON 6

NEURO WIGGINS ROTATING KERRISON SET 1

NEURO YASARGIL CLIPS SET 1

NEURO YASARGIL CLIPS SET 2

NEURO ZERO P VA TRIAL SIZER 1

OBGYN ABDOMINAL HYSTERECTOMY SET 1

OBGYN ABDOMINAL HYSTERECTOMY SET 2

OBGYN ABDOMINAL HYSTERECTOMY SET 3

OBGYN ANTERIOR POSTERIOR REPAIR SET 1

OBGYN ANTERIOR POSTERIOR REPAIR SET 2

OBGYN C SECTION SET 1

OBGYN C SECTION SET 2

OBGYN C SECTION SET 3

OBGYN C SECTION SET 4

OBGYN C SECTION SET 5

OBGYN C SECTION SET 6

OBGYN C SECTION SET 7

OBGYN C SECTION SET 8

OBGYN C SECTION SET 9

OBGYN CALDERA MEDICAL TVT/TOT DEVICES 1

OBGYN CERCLAGE SET 1

OBGYN CERCLAGE SET 2

OBGYN COGENTIX UROPLASTY ADMINISTRATION DEVICE 1

OBGYN COGENTIX UROPLASTY ADMINISTRATION DEVICE 2

OBGYN COLIGEN INJECTION SET 1

OBGYN D & C SET 1

OBGYN D & C SET 2

OBGYN D & C SET 3

OBGYN D & C SET 4

OBGYN D & C SET 5

OBGYN D & C SET 6

OBGYN D & E SET 1

OBGYN D & E SET 2

OBGYN DIAGNOSTIC HYSTEROSCOPY 4MM SET 1

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OBGYN DIAGNOSTIC HYSTEROSCOPY 4MM SET 2

OBGYN DIAGNOSTIC HYSTEROSCOPY 4MM SET 3

OBGYN FAN RETRACTOR 1

OBGYN FAN RETRACTOR 2

OBGYN FAN RETRACTOR 3

OBGYN FAN RETRACTOR 4

OBGYN GYN CYSTO SET 1

OBGYN GYN CYSTO SET 2

OBGYN GYN CYSTO SET 3

OBGYN GYN LAPAROSCOPY 1

OBGYN GYN LAPAROSCOPY 2

OBGYN GYN LAPAROSCOPY 3

OBGYN GYN LAPAROSCOPY 4

OBGYN GYN MINOR SET 1

OBGYN GYN MINOR SET 2

OBGYN GYN VAGINAL ADDS SET 1

OBGYN GYN VAGINAL ADDS SET 2

OBGYN HANK DILATOR SET 1

OBGYN HANK DILATOR SET 2

OBGYN HANK DILATOR SET 3

OBGYN HANK DILATOR SET 4

OBGYN HEGAR DILATOR SET 1

OBGYN HEGAR DILATOR SET 2

OBGYN HEGAR DILATOR SET 3

OBGYN HEGAR DILATOR SET 4

OBGYN HEGAR DILATOR SET 5

OBGYN HYSTEROSCOPY OPTICAL GRASPERS 1

OBGYN HYSTEROSCOPY OPTICAL GRASPERS 2

OBGYN INVUITY EIKON RETRACTOR 1

OBGYN INVUITY EIKON RETRACTOR 2

OBGYN KOH CUPS 1

OBGYN KOH CUPS 2

OBGYN LAP FILSHIE CLIP APPLIER 1

OBGYN LAP FILSHIE CLIP APPLIER 2

OBGYN LAP FILSHIE CLIP APPLIER 3

OBGYN OCONNOR/OSULLIVAN RETR 1

OBGYN OCONNOR/OSULLIVAN RETR 2

OBGYN OCONNOR/OSULLIVAN RETR 3

OBGYN ONCOLOGY ADDS 1

OBGYN OPEN FILSHIE CLIP APPLIER 1

OBGYN OPEN FILSHIE CLIP APPLIER 2

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OBGYN OPEN FILSHIE CLIP APPLIER 3

OBGYN OPERATIVE HYSTEROSCOPY SET 1

OBGYN OPERATIVE HYSTEROSCOPY SET 2

OBGYN OPERATIVE HYSTEROSCOPY SET 3

OBGYN SUPRA LOOP SET 1

OBGYN VAGINAL BOOKWALTER RETRACTOR SET 1

OBGYN VAGINAL HYSTERECTOMY SET 1

OBGYN VAGINAL HYSTERECTOMY SET 2

OBGYN VAGINAL HYSTERECTOMY SET 3

OBGYN VAGINAL HYSTERECTOMY SET 4

OBGYN WEIGHTED SPECULUM SET 1

OBGYN WEIGHTED SPECULUM SET 2

OBGYN WEIGHTED SPECULUM SET 3

OBGYN WEIGHTED SPECULUM SET 4

OBGYN WEIGHTED SPECULUM SET 5

OBGYN WEIGHTED SPECULUM SET 6

OBGYN WEIGHTED SPECULUM SET 7

OMF BLACK TULIPS 1

OMF BLEPH MICRO SET 1

OMF DINGMAN MOUTH GAG 1

OMF DINGMAN MOUTH GAG 2

OMF ENDOTINE DRILL 1

OMF ENDOTINE FOREHEAD INST KIT 1

OMF ENDOTINE MIDFACE B 4.5 INST KIT 1

OMF HALL HANDPIECE 1

OMF HALL HANDPIECE II 1

OMF HIP HARVEST CURETTES 1

OMF HIP HARVEST GOUGES 1

OMF IMPACTION/EXTRACTION SET 1

OMF IMPLANTECH CHIN SIZERS 1

OMF IMPLANTECH CONFORM MIDFACIAL SIZERS 1

OMF IMPLANTECH CONFORM SUBMALAR SIZERS 1

OMF IMPLANTECH MITTLEMAN PRE‐JOWL SIZERS 1

OMF IMPLANTECH TERINO MALAR SHELL SIZERS 1

OMF KLS MARTIN SCREW REMOVAL SET 1

OMF KLS MARTIN SCREW REMOVAL SET 2

OMF MALAR IMPLANT SIZERS 1

OMF OMF BASIC 1

OMF OMF BASIC 2

OMF OMF BASIC 3

OMF OMF ELLMAN TURBINATE HANDPIECE 1

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OMF OMF ELLMAN TURBINATE HANDPIECE 2

OMF OMF ELLMAN TURBINATE HANDPIECE 3

OMF OMF ELLMAN TURBINATE HANDPIECE 4

OMF OMF FAT GRAFTING SET 1

OMF OMF FAT GRAFTING SET 2

OMF OMF HIP SET 1

OMF OMF KLS Martin Screw Removal Set 1

OMF OMF O.R. BIOPSY KIT 1

OMF OMF O.R. EXTRACTION KIT 1

OMF OSCILLATING SAW HANDPIECE 1

OMF OSCILLATING SAW HANDPIECE 2

OMF OSCILLATING SAW HANDPIECE 3

OMF OSTEOMED SCREW KIT 1

OMF OSTEOMED SCREW KIT 2

OMF OSTEOTOMY SET 1

OMF OSTEOTOMY SET 2

OMF OSTEOTOMY SET 3

OMF PURPLE TULIPS 1

OMF PURPLE TULIPS OLD SET 1

OMF RHINOPLASTY 1

OMF RHYTIDECTOMY SET 1

OMF RHYTIDECTOMY SET 2

OMF SOFT TISSUE SET 1

OMF SOFT TISSUE SET 2

OMF STRYKER LEIBINGER 90° HANDPIECE 1

OMF STRYKER LEIBINGER BONE MILL 1

OMF STRYKER LEIBINGER ORTHOGNATHIC SET 1

OMF SYNTHES MANDIBLE EXTERNAL FIXATOR SET 1

OMF SYNTHES POWERED DRIVER 1

OMF TMJ SET 1

ORTHO 2.7/3.5 VA‐LCP ANKLE TRAUMA SYSTEM (1 of 2) 1

ORTHO 2.7/3.5 VA‐LCP ANKLE TRAUMA SYSTEM (2 of 2) 1

ORTHO 2.7/3.5 VA‐LCP ANTERIOR CLAVICLE PLATES 1

ORTHO ACL SET 1

ORTHO ACL SET 2

ORTHO ACUFEX BTB SET 1

ORTHO ACUFEX GRAFT MASTER 2 SET 1

ORTHO ACUFEX MENISCAL ZONE SPECIFIC CANNULAS 1

ORTHO ACUFEX MENISCAL ZONE SPECIFIC CANNULAS 2

ORTHO ACUFEX RINGED CURETTES 1

ORTHO ACUMED ACUTRAK 2 SET 1

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ORTHO ACUMED ARC WRIST TOWER A 1

ORTHO ACUMED ARC WRIST TOWER B 1

ORTHO ACUMED MINI ACUTRAK 1

ORTHO ACUTRAK STANDARD 1

ORTHO ALVARADO BOOT 1

ORTHO ALVARADO BOOT 2

ORTHO ALVARADO BOOT 4

ORTHO AMPUTATION SET 1

ORTHO AMPUTATION SET 2

ORTHO AMPUTATION TISSUE PROTECTOR 1

ORTHO AMPUTATION TISSUE PROTECTOR 2

ORTHO ANKLE DISTRACTOR 1

ORTHO ANKLE DISTRACTOR 2

ORTHO ARTHREX GRAFT PREP STATION SET 1

ORTHO ARTHREX GRAFT PREP STATION SET 2

ORTHO ARTHREX GRAFT PREP STATION SET 3

ORTHO ARTHREX MENISCAL DART JOYSTICK 1

ORTHO ARTHREX PCL RECON SET 1

ORTHO ARTHREX RETROCONSTRUCTION SET 1

ORTHO ARTHREX RETROCONSTRUCTION SET 2

ORTHO ARTHREX SHOULDER REPAIR SET 1

ORTHO ARTHREX SHOULDER REPAIR SET 2

ORTHO ARTHREX SHOULDER REPAIR SET 3

ORTHO ARTHREX SHOULDER REPAIR SET 4

ORTHO ARTHREX STAPLE SET 1

ORTHO ARTHREX TRANSFIX 2 ACL RECON 1

ORTHO ARTHREX TRANSFIX 2 ACL RECON 2

ORTHO ARTHREX TRANSTIBIAL ACL/BPB 1

ORTHO ARTHREX TRANSTIBIAL ACL/BPB 2

ORTHO ARTHROSCOPY SET 1

ORTHO ARTHROSCOPY SET 2

ORTHO ARTHROSCOPY SET 3

ORTHO ARTHROSCOPY SET 4

ORTHO ARTHROSCOPY SET 5

ORTHO ARTHROSCOPY SET 6

ORTHO BANKART SHOULDER REPAIR SET 1

ORTHO BONE CLAMPS SET 1

ORTHO BONE TAMPS SQUARE 1

ORTHO BUXTON SHOULDER RETRACTOR SET 1

ORTHO BUXTON SHOULDER RETRACTOR SET 2

ORTHO BUXTON SHOULDER RETRACTOR SET 3

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ORTHO CARPAL TUNNEL SET 1

ORTHO CARPAL TUNNEL SET 2

ORTHO CARPAL TUNNEL SET 3

ORTHO CARPAL TUNNEL SET 4

ORTHO CONDYLE PICKS 1

ORTHO CONDYLE PICKS 2

ORTHO CORDLESS DRIVER 4 SABO DRILL 1

ORTHO CORDLESS DRIVER 4 SABO DRILL 2

ORTHO CORDLESS DRIVER 4 SABO DRILL 3

ORTHO CURVED BONE TAMPS & GOUGES 1

ORTHO Direct Anterior Innomed Extras 1

ORTHO Dr. Hess Hoke Osteotomes 1

ORTHO Dr. Hess Hoke Osteotomes 2

ORTHO DRILL BIT BOX 1

ORTHO DRILL BIT BOX 2

ORTHO DRILL BIT BOX 3

ORTHO DRILL BIT BOX 4

ORTHO DRILL BIT BOX 5

ORTHO DRILL BIT BOX 6

ORTHO DRILL BIT BOX 7

ORTHO DRILL BIT BOX 8

ORTHO DRILL BIT BOX 9

ORTHO DRILL BIT BOX 10

ORTHO ECT Bending Press (ZIMMER)30 1

ORTHO EPKER OSTEOTOMES 1

ORTHO ERICHSEN MENISCAL KNIFE SYSTEM 1

ORTHO ERICHSEN MENISCAL KNIFE SYSTEM 2

ORTHO FLEXIBLE OSTEOTOMES 1

ORTHO FORMULA CORE SHAVER 1

ORTHO FORMULA CORE SHAVER 2

ORTHO FORMULA CORE SHAVER 3

ORTHO FORMULA CORE SHAVER 4

ORTHO FORMULA CORE SHAVER 5

ORTHO GOUGES CVD & STR 1

ORTHO HALL ACETABULAR REAMERS 1

ORTHO HALL ACETABULAR REAMERS 2

ORTHO HAND & FOOT SET 1

ORTHO HAND & FOOT SET 2

ORTHO HAND & FOOT SET 3

ORTHO HAND & FOOT SET 4

ORTHO HAND & FOOT SET 5

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ORTHO HAND & FOOT SET 6

ORTHO HAND INNOVATIONS 1

ORTHO HAND SET 1

ORTHO HAND SET 2

ORTHO HAND SET 3

ORTHO HAND SET 4

ORTHO HIP PAN 1

ORTHO HIP PAN 2

ORTHO HIP PAN 3

ORTHO HIP PAN 4

ORTHO HOWMEDICA FLEXIBLE OSTEOTOMES 1

ORTHO INNOMED TKA Revision Set 1

ORTHO INNOMED TKA Revision Set 2

ORTHO K WIRE SET 1

ORTHO K WIRE SET 2

ORTHO LAMBOTTES 1

ORTHO LAMBOTTES 2

ORTHO LAMBOTTES 3

ORTHO LAMBOTTES 4

ORTHO LAMBOTTES 5

ORTHO LAMBOTTES 6

ORTHO LAMBOTTES 7

ORTHO LAMBOTTES 8

ORTHO LAMBOTTES 9

ORTHO LAMBOTTES 10

ORTHO LEFT CR‐FLEX PROV/CUTGUIDES 1

ORTHO LEFT CR‐FLEX PROV/CUTGUIDES 2

ORTHO LEFT HANNA TABLE ACCESSORIES 1

ORTHO LINVATEC CARTILAGE/MENISCAL SET 1

ORTHO LINVATEC CARTILAGE/MENISCAL SET 2

ORTHO LINVATEC PARAMAX ACL SET 1

ORTHO LINVATEC SPECTRUM II SHOULDER REPAIR SET 1

ORTHO LINVATEC SPECTRUM II SHOULDER REPAIR SET 2

ORTHO LINVATEC SPECTRUM II SHOULDER REPAIR SET 3

ORTHO LINVATEC TRACTION TOWER 1

ORTHO McGlamry Elevators 1

ORTHO McGlamry Elevators 2

ORTHO MENISCAL RASPS 1

ORTHO MICRO VECTOR DRILL GUIDE SET 1

ORTHO MIS HIP RETRACTOR 1

ORTHO MITEK 3.5 PANALOK 1

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ORTHO MITEK 3.5 PANALOK 2

ORTHO MITEK 3.5 PANALOK 3

ORTHO MITEK ACL PROCEDURE SET 1

ORTHO MITEK ACL PROCEDURE SET 2

ORTHO MITEK INNOVASIVE SHOULDER RETRACTOR 1

ORTHO MITEK MINI ANCHOR TRAY 1

ORTHO MITEK RAPIDLOCK MENISCAL REPAIR 1

ORTHO MUELLER RETRACTORS 1

ORTHO MUELLER RETRACTORS 2

ORTHO NEW SYNTHES SCREW REMOVAL SET 1

ORTHO NEW SYNTHES SCREW REMOVAL SET 2

ORTHO NEXGEN FEMORAL RESECTION EXTRAS 1

ORTHO NEXGEN FEMORAL RESECTION EXTRAS 2

ORTHO OPUS AUTO CUFF SYSTEM 1

ORTHO OPUS LABRA FIX SYSTEM 1

ORTHO ORTHO ANGLE CURETTES 1

ORTHO ORTHO ANGLE CURETTES 2

ORTHO ORTHO ANGLE CURETTES 3

ORTHO ORTHO BASIC 1

ORTHO ORTHO BASIC 2

ORTHO ORTHO BASIC 3

ORTHO ORTHO BASIC 4

ORTHO ORTHO BASIC 5

ORTHO ORTHO BASIC 6

ORTHO ORTHO BASIC 7

ORTHO ORTHO BASIC 8

ORTHO ORTHO BASIC 9

ORTHO Ortho Bone Rasps 1

ORTHO ORTHO RINGED CURRETTES 1

ORTHO ORTHO STRAIGHT CURETTES 1

ORTHO ORTHO STRAIGHT CURETTES 2

ORTHO ORTHO TRIANGLES 1

ORTHO ORTHO TRIANGLES 2

ORTHO ORTHO TRIANGLES 3

ORTHO PERSONA DRS/TRS 1

ORTHO PERSONA DRS/TRS 2

ORTHO PINS & WIRES 1

ORTHO PINS & WIRES 2

ORTHO PINS & WIRES 3

ORTHO PINS & WIRES 4

ORTHO PUNCHES & SCISSOR 1

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ORTHO PUNCHES & SCISSOR 2

ORTHO PUNCHES & SCISSOR 3

ORTHO PUNCHES & SCISSOR 4

ORTHO PUNCHES & SCISSOR 5

ORTHO RICHARDS STAPLES 1

ORTHO RIGHT CR FLEX 1

ORTHO RIGHT CR FLEX 2

ORTHO RIGHT HANNA TABLE ACCESSORIES 1

ORTHO ROUND BONE TAMPS 1

ORTHO ROUND BONE TAMPS 2

ORTHO SCREW CADDY FOR ANTERIOR CLAVICLE PLATES 1

ORTHO SCREW INSERTION/EXTRACTION SET 1

ORTHO SEGWAY ENDOCARPAL TUNNEL SET 1

ORTHO SEGWAY ENDOCARPAL TUNNEL SET 2

ORTHO SINGLE SABO SAGITAL SAW 1

ORTHO SMITH & NEPH ENDOBUTTON SET 1

ORTHO SMITH & NEPH ENDOBUTTON SET 2

ORTHO SMITH & NEPH FLEXIBLE REAMERS 1

ORTHO SMITH & NEPH FLEXIBLE REAMERS 2

ORTHO SMITH & NEPH FLEXIBLE REAMERS 3

ORTHO SMITH & NEPH FLEXIBLE REAMERS 4

ORTHO SMITH & NEPH SMALL JOINT ARTHROSCOPY SET 1

ORTHO SMITH & NEPHEW BIRD BEAKS 1

ORTHO SMITH & NEPHEW LOW PROFILE REAMERS 1

ORTHO SMITH PETERSON STRAIGHT OSTEOTOMES 1

ORTHO SPIDER BEACH CHAIR ACCESSORY 1

ORTHO SPIDER BEACH CHAIR ACCESSORY 2

ORTHO SPIDER BEACH CHAIR ACCESSORY 4

ORTHO SPIDER BEACH CHAIR ACCESSORY 5

ORTHO SPIDER LATERAL SHOULDER ACCESSORY 1

ORTHO SPIDER LATERAL SHOULDER ACCESSORY 2

ORTHO SPIDER LATERAL SHOULDER ACCESSORY 3

ORTHO SPIDER LATERAL SHOULDER ACCESSORY 4

ORTHO Stryker 7 Precision Sagital Saw 1

ORTHO STRYKER 7 SMALL OSCILLATING SAW 1

ORTHO STRYKER 7 SMALL OSCILLATING SAW 2

ORTHO STRYKER ACETABULAR REAMERS LARGE & SMALL 1

ORTHO STRYKER BONE SCREW TRAY/OSTEONICS 1

ORTHO STRYKER BONE SCREW TRAY/OSTEONICS 2

ORTHO STRYKER CORE 1

ORTHO STRYKER CORE 2

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ORTHO STRYKER CORE 3

ORTHO STRYKER CORE 4

ORTHO STRYKER CORE 5

ORTHO Stryker Core Trial 1

ORTHO STRYKER DA FEMORAL TRAY (3 of 3) 1

ORTHO STRYKER DIRECT ANT RET TRAY (2 of 3) 1

ORTHO STRYKER DIRECT ANT ST/CVD IMPACTOR (1 of 3) 1

ORTHO STRYKER GAMMA NAIL (1 OF 2) 1

ORTHO STRYKER GAMMA NAIL (2 OF 2) 1

ORTHO STRYKER MIS RETRACTOR SET 1

ORTHO STRYKER MIS RETRACTOR SET 2

ORTHO STRYKER OFFSET IMPACTORS 1

ORTHO STRYKER OFFSET REAMER HANDLE 1

ORTHO STRYKER REVO CEMENT GUN 1

ORTHO STRYKER REVO CEMENT GUN 2

ORTHO STRYKER REVO CEMENT GUN 3

ORTHO STRYKER REVO CEMENT GUN 4

ORTHO STRYKER REVO CEMENT GUN 5

ORTHO STRYKER SMALL JOINT ARTHROSCOPY 1

ORTHO STRYKER SYSTEM 7 SET 1

ORTHO STRYKER SYSTEM 7 SET 2

ORTHO STRYKER SYSTEM 7 SET 3

ORTHO STRYKER SYSTEM 7 SET 4

ORTHO STRYKER SYSTEM 7 SET 5

ORTHO STRYKER SYSTEM 7 SET 6

ORTHO STRYKER SYSTEM 7 SET 7

ORTHO STRYKER SYSTEM 7 SET 8

ORTHO STRYKER SYSTEM 7 SET 9

ORTHO STRYKER T2 TIBIAL NAILING SYSTEM 1

ORTHO SYNTHES 2.4/3.0 HEADLESS COMPRESSION SCREWS 1

ORTHO SYNTHES 2.7/3.5 LOCKING DISTAL FIBULA PLT SET 1

ORTHO SYNTHES 2.7/3.5 VARIABLE ANGLE ELBOW SET 1

ORTHO SYNTHES 3.0 CANNULATED SCREW SET 1

ORTHO SYNTHES 3.0 HEADLESS COMPRESSION SCREW SET 1

ORTHO SYNTHES 3.5 LOCKING CLAVICLE SET 1

ORTHO SYNTHES 3.5 LOCKING ELBOW SET 1

ORTHO SYNTHES 3.5 PROXIMAL HUMERUS SET 1

ORTHO SYNTHES 3.5 VA‐LCP PROXIMAL TIBIA SET 1

ORTHO SYNTHES 3.5/4.0 CANNULATED SCREW SET 1

ORTHO SYNTHES 3.5/4.0 CANNULATED SCREW SET 2

ORTHO SYNTHES 4.0 CORTEX SCREWS 1

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ORTHO SYNTHES 4.5 CANNULATED SCREW SET 1

ORTHO SYNTHES 4.5 LCP PROXIMAL FEMUR HOOK PLATES 1

ORTHO SYNTHES 6.5 TITANIUM CANNULATED SCREWS 1

ORTHO SYNTHES 6.5/7.3 CANNULATED SCREW SET 1

ORTHO SYNTHES 6.5/7.3 CANNULATED SCREW SET 2

ORTHO SYNTHES 7.3 CANNULATED SCREW SET 1

ORTHO SYNTHES 7.3 CANNULATED SCREW SET 2

ORTHO SYNTHES 7.3 TITANIUM CANNULATED SCREWS 1

ORTHO SYNTHES BONE FORCEPS 1

ORTHO SYNTHES BONE FORCEPS 2

ORTHO SYNTHES BONE FORCEPS 3

ORTHO SYNTHES DCS IMPLANTS SET 1

ORTHO SYNTHES DHS IMPLANTS SET 1

ORTHO SYNTHES DHS IMPLANTS SET 2

ORTHO SYNTHES DHS/DCS INSTRUMENTS 1

ORTHO SYNTHES DHS/DCS INSTRUMENTS 2

ORTHO SYNTHES DISTAL RADIUS SET 1

ORTHO SYNTHES IM NAIL FLEXIBLE REAMERS SET 1

ORTHO SYNTHES K‐WIRE MODULE 1

ORTHO SYNTHES K‐WIRE MODULE 2

ORTHO SYNTHES K‐WIRE MODULE 3

ORTHO SYNTHES K‐WIRE MODULE 4

ORTHO SYNTHES LARGE DISTRACTOR 1

ORTHO SYNTHES LARGE DISTRACTOR 2

ORTHO SYNTHES LARGE EX‐FIX (1 of 2) 1

ORTHO SYNTHES LARGE EX‐FIX (2 of 2) 2

ORTHO SYNTHES LARGE FRAG INSTRUMENTS 1

ORTHO SYNTHES LARGE FRAG INSTRUMENTS 2

ORTHO SYNTHES LARGE FRAG INSTRUMENTS 3

ORTHO SYNTHES LARGE FRAG LC/DCP PLATES 1

ORTHO SYNTHES LARGE FRAG LC/DCP PLATES 2

ORTHO SYNTHES LARGE FRAG SCREW SET 1

ORTHO SYNTHES LARGE FRAG SCREW SET 2

ORTHO SYNTHES LOCKING LARGE FRAG INSTRUMENTS 1

ORTHO SYNTHES LOCKING LARGE FRAG PLATES 1

ORTHO SYNTHES LOCKING LARGE FRAG SCREWS 1

ORTHO SYNTHES LOCKING MINI FRAG 1

ORTHO SYNTHES LOCKING MINI FRAG 2

ORTHO SYNTHES LOCKING SMALL FRAG 1

ORTHO SYNTHES LOCKING SMALL FRAG 2

ORTHO SYNTHES LOCKING SMALL FRAG 3

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ORTHO SYNTHES LOCKING SMALL FRAG 4

ORTHO SYNTHES MEDIAL DISTAL TIBIA SET 1

ORTHO SYNTHES MINI EX‐FIX SET 1

ORTHO SYNTHES MINI FRAG 1

ORTHO SYNTHES MINI FRAG 2

ORTHO SYNTHES MINI FRAG 3

ORTHO SYNTHES PERIARTICULAR REDUCTION FORCEPS 1

ORTHO SYNTHES PERIPROSTHETIC FRACTURE SET 1

ORTHO SYNTHES PISTOL GRIP CABLE INSTRUMENTS 1

ORTHO SYNTHES PLATE BENDING PRESS 1

ORTHO SYNTHES SCREW REMOVAL SET 1

ORTHO SYNTHES SMALL EX‐FIX SET 1

ORTHO SYNTHES SMALL FRAG SET 1

ORTHO SYNTHES SMALL FRAG SET 2

ORTHO SYNTHES STAINLESS STEEL MODULAR HAND SET 1

ORTHO SYNTHES TFNA IMPLANT TRAY 1

ORTHO SYNTHES TITANIUM MODULAR HAND SET 1

ORTHO SYNTHES TRAUMA SCREWDRIVER SET 1

ORTHO SYNTHES TRAUMA SCREWDRIVER SET 2

ORTHO SYNTHES UNIVERSAL NAIL REAMING SET 1

ORTHO SYNTHES WIRE CERCLAGE INSTR 1

ORTHO SYNTHES WIRE CERCLAGE INSTR 2

ORTHO TENDON REPAIR SET 1

ORTHO TENOLYSIS KNIFE SET 1

ORTHO TENOLYSIS KNIFE SET 2

ORTHO TENOLYSIS KNIFE SET 3

ORTHO TENOLYSIS KNIFE SET 4

ORTHO THREADED PIN & WIRES 1

ORTHO THREADED PIN & WIRES 2

ORTHO TOTAL KNEE EXTRAS 1

ORTHO TOTAL KNEE EXTRAS 2

ORTHO TOTAL KNEE EXTRAS 3

ORTHO TOTAL KNEE EXTRAS 4

ORTHO TOTAL KNEE EXTRAS 5

ORTHO TOTAL KNEE EXTRAS 6

ORTHO XTRACT‐ALL UNIVERSAL MAXI SCREWDRIVER SET 1

ORTHO XTRACT‐ALL UNIVERSAL MINI SCREWDRIVER SET 1

ORTHO ZIMMER CABLE READY CABLE GRIP SYSTEM (NEW) 1

ORTHO ZIMMER FLEXIBLE OSTEOTOMES 1

ORTHO ZIMMER FLEXIBLE OSTEOTOMES 2

ORTHO ZIMMER LINEAR BONE CLAMPS 1

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ORTHO ZIMMER NEXGEN PATELLA SET 1

ORTHO ZIMMER NEXGEN PATELLA SET 2

ORTHO ZIMMER SHOULDER RETRACTOR SET 1

ORTHO ZIMMER SHOULDER RETRACTOR SET 2

PEDS PEDI FINE SET 1

PEDS PEDI LONG SET 1

PEDS PEDI MINOR 1

PEDS PEDI MINOR 2

PEDS PEDI MINOR 3

PEDS PEDI MINOR 4

PEDS PEDI OPEN LAPAROTOMY 1

PEDS PEDI OPEN LAPAROTOMY 2

PLASTIC GEM MICRO CLIP APPLIERS 1

PLASTIC GEM MICRO CLIP APPLIERS 2

PLASTIC GEM MICRO COUPLER SYSTEM 1

PLASTIC GEM MICRO COUPLER SYSTEM 2

PLASTIC LIGHTED BREAST RETRACTOR 1

PLASTIC LIGHTED BREAST RETRACTOR 2

PLASTIC LIGHTED BREAST RETRACTOR 3

PLASTIC Liposuction Filter Accesories 1

PLASTIC LIPOSUCTION MAGIC CANNULA SET 1

PLASTIC MESH GRAFTER 1

PLASTIC MESH GRAFTER 2

PLASTIC MICROAIRE LIPOSUCTION SET 1

PLASTIC PLASTIC BASIC 1

PLASTIC PLASTIC BASIC 2

PLASTIC PLASTIC BASIC 3

PLASTIC PLASTIC BASIC 4

PLASTIC PLASTIC BASIC 5

PLASTIC PLASTIC FACELIFT RETRACTOR SET 1

PLASTIC PLASTIC MICRO INSTRUMENT SET 1

PLASTIC PLASTIC MICRO INSTRUMENT SET 2

PLASTIC PLASTICS CENTRIFUGE ROTOR 1

PLASTIC PLASTICS CENTRIFUGE ROTOR 2

PLASTIC PLASTICS CENTRIFUGE ROTOR 3

PLASTIC PLASTICS CENTRIFUGE ROTOR 4

PLASTIC Plastics Double Bulldog Clamp Set 1

PLASTIC PLASTICS FAT GRAFTING SET 1

PLASTIC PLASTICS FAT GRAFTING SET 2

PLASTIC PLASTICS FLAP SET 1

PLASTIC PLASTICS FLAP SET 2

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PLASTIC PLASTICS MINOR SET 1

PLASTIC PLASTICS MINOR SET 2

PLASTIC SILVER LIPOSUCTION CANNULAS 1

PLASTIC SUBPECTORAL DISSECTORS 1

PLASTIC SUBPECTORAL DISSECTORS 2

PLASTIC SUBPECTORAL DISSECTORS 3

PLASTIC ZIMMER DERMATOME 1

PLASTIC ZIMMER DERMATOME 2

PLASTIC ZIMMER DERMATOME 3

PLASTIC ZIMMER DERMATOME 4

PLASTIC ZIMMER DERMATOME 5

PLASTIC ZIMMER MESH GRAFTER 1

THORACIC MEDIASTINOSCOPY SET 1

THORACIC MEDIASTINOSCOPY SET 2

THORACIC PEDIATRIC THORACIC ADD ON 1

THORACIC THORACIC RETRACTOR SET A 1

THORACIC THORACIC RETRACTOR SET A 2

THORACIC THORACOSCOPY ACCESSORIES SET 1

THORACIC THORACOSCOPY SET 1

THORACIC THORACOSCOPY SET 2

THORACIC THORACOTOMY SET 1

THORACIC THORACOTOMY SET 2

UROLOGY BROOKS DILATORS 1

UROLOGY BROOKS DILATORS 2

UROLOGY COLOPLAST TOT 1

UROLOGY COLOPLAST TOT 2

UROLOGY COUDE HEYMANS 1

UROLOGY DENNIS BROWN RETRACTOR SET 1

UROLOGY DENNIS BROWN RETRACTOR SET 2

UROLOGY DVIU SET 1

UROLOGY DVIU SET 2

UROLOGY HEMOLOK APPLIERS 1

UROLOGY HEMOLOK APPLIERS 2

UROLOGY LAP BULLDOG APPLIER 1

UROLOGY LAP PROSTATECTOMY…