Bassett Medical Center Transfusion Services Tissue Reference Log for LIS Entry and Assignment. Room Temperature C
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1 Bassett Medical Center Transfusion Services Tissue Reference Log for LIS Entry and Assignment EPIC OR Order Groups Group 1: Bone Putty, Matrix, BNP, Trinity Elite Group 2: Bone Filler, Wrap, Strips, Dural Matrix, Pericardium Group 3: Granules, Mastergraft, Bone Cort/Canc Chips, Blocks, Wedges Group 4: Bone Cervical Textured Allograft, Spacers, Struts, Shafts, Large Bone Group 5: Tendons Group 6: Dermal Grafts Group 7: Sealants Group 8: Amniotic Membrane Room Temperature C Allomatrix Injectable Putty 5 cc LAB DBX Putty 0.5 cc LAB DBX Putty 1 cc LAB DBX Putty 2.5 cc LAB DBX Putty 5 cc LAB DBX Putty 10 cc LAB L-ASR Cort Canc Block 5x14x11 mm LAB L-ASR Cort Canc Block 6x14x11 mm LAB L-ASR Cort Canc Block 7x14x11 mm LAB L-ASR Cort Canc Block 8x14x11 mm LAB L-ASR Cort Canc Block 9x14x11 mm LAB L-ASR Cort Canc Block 10x14x11 mm LAB L-ASR Cort Canc Block 11x14x11 mm LAB L-ASR Cort Canc Block 12x14x11 mm LAB Grafton DBM Putty 0.5 cc LAB Grafton DBM Putty 1 cc LAB Grafton DBM Putty 2.5 cc LAB Grafton DBM Putty 5 cc LAB Grafton DBM Putty 10 cc LAB Grafton DBM Matrix Strips 1x10 LAB Grafton DBM Matrix Strips 1X20 LAB Grafton DBM Matrix 2.5cc LAB Osteoselect DBM Putty 2.5cc LAB Osteoselect DBM Putty 5cc LAB Osteoselect DBM Putty 10cc LAB Osteoselect DBM Putty 15cc LAB3219 1
2 Suturable Dural Matrix 1x3 LAB Suturable Dural Matrix 2x2 LAB Suturable Dural Matrix 3x3 LAB Suturable Dural Matrix 4x5 LAB Dural Graft Matrix 3x3 LAB Dural Graft Matrix 4x5 LAB Tutoplast Pericardium 1x2.5 LAB Alloderm (OR) 1x2 cm LAB Alloderm (OR) 2x4 cm LAB Alloderm (SCl) 2x4 cm LAB4076 Alloderm (OR) 3x7 cm LAB Alloderm SCL 3x7 cm LAB Alloderm (SCL) 3x7 cm LAB4080 Alloderm (OR) 4x7 cm LAB Alloderm (SCL) 4X7 cm Alloderm Ultra Thick (OR) 16x20 cm LAB Alloderm Ultra Thick SCL 16x20 cm LAB4070 Alloderm Ultra Thick(OR) 12x12 cm LAB Alloderm Ultra Thick (SCL) 12x12cm LAB4068 Alloderm Thick(OR) 4x16cm LAB Room Temperature C Alloderm Thick (SCL) 4x16 cm LAB4084 Alloderm Thick (OR) 6x16 cm LAB Alloderm Thick SCL 6x16 cm LAB4098 Alloderm Thick (OR) 8x16 cm LAB Alloderm Thick SCL 8x16 cm LAB4106 Alloderm (OR) x-thick 6x16 cm LAB Alloderm SCL x-thick 6x16 cm LAB4098 Alloderm (OR) x-thick 8x12 cm LAB Alloderm SCL x-thick 8x12 cm LAB4104 Alloderm x-thick 8X16 cm LAB Alloderm SCL x-thick 8X16 cm LAB4106 Alloderm OR 9x19 cm 6 Allowrap DS Amniotic Membrane 2x2 cm LAB Allowrap DS Amniotic Membrane 2x4 cm LAB Allowrap DS Amniotic Membrane 4x4 cm LAB Allowrap DS Amniotic Membrane 4x8 cm LAB4830 8
3 AmbioChoice Plus 0.5ml LAB AmbioChoice Plus 1.25ml LAB AmbioChoice Plus 2ml LAB Ambiodry2 1.5x2 cm 8 Ambiodry2 2X3cm 8 Ambiodry2 4X4 cm 8 EpiFix Amniotic Membrane 2x3 cm 8 EpiFix Amniotic Membrane 4x4 cm 8 EpiFix Amniotic Membrane 5x6 cm 8 EpiFix Amniotic Membrane 7x7 cm 8 DuraGen Plus 1x1 LAB Arthroflex Dermis 40x70 mm LAB Arthroflex Dermis 35x35 mm LAB Fascia Lata 2x7 LAB Fascia Lata 2x18 LAB Fascia Lata 7x4 LAB Fibula Shaft 40 mm LAB Fibula Shaft 80 mm LAB Iliac Crest Wedge mm LAB Iliac Crest Wedge mm LAB Iliac Crest Wedge mm LAB Cancellous Chips mm 15 cc LAB Cancellous Chips mm 60 cc LAB Cancellous Cortical Chips1.7 10mm 90 cc LAB Infuse Bone Graft Extra Small LAB Infuse Bone Graft Small LAB Infuse Bone Graft Medium LAB Infuse Bone Graft Large LAB Ceramic Granules 5 cc LAB Ceramic Granules 10 cc LAB Ceramic Granules 30 cc LAB Mastergraft Strip 1/pkg 10 cm LAB Mastergraft Strip 2/pkg 10 cm LAB Mastergraft Strip 1/pkg 36 cm LAB Mastergraft Matrix 5 cc LAB Mastergraft Matrix 10 cc LAB AlloMax Surg Graft 2x4 cm LAB AlloMax Surg Graft 5x8 cm LAB AlloMax Surg Graft 7x10 cm LAB4602 6
4 AlloMax Surg Graft 13x15 cm LAB AlloMax Surg Graft 4x16 cm LAB AlloMax Surg Graft 6x16 cm LAB AlloMax Surg Graft 8x16 cm LAB AlloMax Surg Graft 6x20 cm LAB AlloMax Surg Graft 12x20 cm AlloMax Surg Graft 16x20 cm LAB AlloMax Surg Graft 10x15 cm 6 Laminoplasty Allograft Spacer 4 mm LAB Laminoplasty Allograft Spacer 6 mm LAB Laminoplasty Allograft Spacer 8 mm LAB Laminoplasty Allograft Spacer 10 mm LAB Laminoplasty Allograft Spacer 12 mm LAB Centerpiece Strut 8 mm LAB Centerpiece Strut 10 mm LAB Centerpiece Strut 12 mm LAB Centerpiece Strut 14 mm LAB OsteoSelect DBM Putty 2.5cc LAB OsteoSelect DBM Putty 5 cc LAB OsteoSelect DBM Putty 10cc LAB OsteoSelect DBM Putty 15cc LAB Osteo Wrap 10x10 mm LAB Osteo Wrap 15X10 mm LAB Osteo Wrap 15X15 mm LAB Osteo Wrap Medium LAB Osteo Wrap Large LAB Osteo Wrap Extra large LAB Osteosponge Filler 5 cc LAB Osteosponge Filler 10 cc LAB Osteosponge Filler 15 cc LAB Osteosponge Filler 30 cc LAB DBM Orthoblend Grafton 10 cc (sm) LAB DBM Orthoblend Grafton 15 cc (lg) LAB DBM Orthoblend Grafton 5 cc (lg) LAB DBM Orthoblend Grafton 5 cc (sm) LAB AFT Allograft Filler Tube Straight NA LAB AFT Allograft Filler Tube Diverted NA LAB Cortical Cylinder 7x25 mm Cortical Cylinder 9x25 mm 3 Cortical Cylinder 11x25 mm 3
5 Apligraf (OR) NA LAB Apligraf (SCL) NA LAB4110 Fortitude Duo Spacer 5x12x14mm LAB Fortitude Duo Spacer 6x12x14mm LAB Fortitude Duo Spacer 7x12x14 mm LAB Fortitude Duo Spacer 8x12x14 mm LAB Fortitude Duo Spacer 9x12x14mm LAB FORGE Cervical Spacer-0 5mm LAB FORGE Cervical Spacer-0 6mm LAB FORGE Cervical Spacer-0 7mm LAB FORGE Cervical Spacer-0 8mm LAB FORGE Cervical Spacer-0 9mm LAB FORGE Cervical Spacer-0 10mm LAB FORGE Cervical Spacer-0 11mm LAB FORGE Cervical Spacer-0 12mm LAB FORGE Cervical Spacer-7 5mm LAB FORGE Cervical Spacer-7 6mm LAB FORGE Cervical Spacer-7 7mm LAB FORGE Cervical Spacer-7 8mm LAB FORGE Cervical Spacer-7 9mm LAB FORGE Cervical Spacer-7 10mm LAB Room Temperature C FORGE Cervical Spacer-7 11mm LAB FORGE Cervical Spacer-7 12mm LAB Refrigerated 4 C Cymetra 2 cc LAB Progel 4 ml LAB Frozen -80 C TBIO4 LAB Trinity Elite Small 1 Trinity Elite Medium 1 Trinity Elite Large 1 MIB Autogenic Tissue (Skull Flap) Evicel 2 ml LAB Evicel 2 ml LAB Evicel 5 ml LAB Evicel 5 ml LAB Right Elbow w/ humerus, rad, ulna LAB Bone Tendon Bone with Quad (Patella) LAB Femoral Cortical Strut Double Blade 1 LAB4162 4
6 Frozen -80 C Femoral Cortical Strut 2/Vial LAB Femoral Cortical Strut Halved 2 LAB Femoral Shaft 20 cm LAB Right Whole Femur LAB Left Distal Femur (1 with shaft) LAB Left Distal Femur (MTF) LAB Right Distal Femur (MTF) LAB Femoral Head (MTF) 4 Tibial Shaft 15 cm LAB Anterior TIbialis Tendon (multiple sizes) LAB Gracilis Tendon LAB Achilles Tendon w/ Calcaneous LAB Right Distal Femur w/shaft LAB Tibial Cortical Strut 2 LAB Semitendinosus Tendon LAB Graft Rope Tendon (Frope) LAB Posterior Tibial Tendon LAB Cervical Textured Allograft 4x6 mm LAB Cervical Textured Allograft 5X7mm LAB Cervical Textured Allograft 6x8 mm LAB Cervical Textured Allograft 7x9 mm LAB Cervical Textured Allograft 8x10 mm LAB Cancellous Chips mm 30 cc LAB Cancellous Cortical Chip 90 cc LAB Cortical/Cancellous Chip 30 cc LAB Milled (Spiering) Canc/Cort Chips (Fine) 45 cc LAB Milled (Spiering) Canc/Cort Chips (Coarse) 45 cc LAB Milled (Spiering) Canc/Cort Chips (Fine) 90 cc LAB Milled (Spiering) Canc/Cort Chips (Coarse) 90 cc LAB Dermagraft LAB SCL Codes Alloderm SCL 3x7cm LAB4080 Alloderm Ultra Thick SCL 16x20 cm LAB4070 Alloderm Ultra Thick SCL 12x12cm LAB4068 Alloderm SCL 3x7 cm LAB4080 Alloderm (SCL) 4X7 cm Alloderm Ultra Thick SCL 16x20 cm LAB4070 Alloderm Ultra Thick SCL 12x12 cm LAB4068 Alloderm Thick SCL 4x16 cm LAB4084 Alloderm Thick SCL 6x16 cm LAB4098 Alloderm Thick SCL 8x16 cm LAB4106 Alloderm SCL x-thick 6x16 cm LAB4098 Alloderm SCL x-thick 8x12 cm LAB4104
7 SCL Codes Alloderm SCL x-thick 8X16cm LAB4106 Novoseven (Recomb Factor VIIa) Factor Factor Benefix (Factor IX) Recombinate (Factor VIII) Humate P
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