SOLCO BIOMEDICAL COMPANY INDIA PRIVATE LIMITED

REF DOC No: SBI/QMS/25 Effective Date: 01/11/2020 Page 1 of 1

F159 Rev-00 PRODUCTION REQUEST

Doc No. 220919-01 Person I/C Chief of Dept

Date 19.09.2022 Approval

Dept Sales Dept

Person NISARG BHAVSAR

Duration N/A Distribution

Importance Normal

Title JEIL Spine _ Instruments

- Below -
Request
Sample Production Mass Production OEM Mass Production
Type
Lead Time
Code. No Description Specification Q'ty PO No.
Requested
Instruments As attached 162 5 31.10.2022

TOTAL 162

* Product should be as per Updated Drawing as we did last time. ( Make sure to follow tonerances &
critical parameters )
Remark(s) *For Further Detail Kindly contact Nisarg / Darshak Sir.
*Laser Marking detail - Only sizes / line we need to draw like a common marking information .
And remove marking for LOT NO / CAT No. & Product Name.

* Attached Doc No. : 220919-01

PO No. : 220915-001 dated 15.09.2022

* Regulation No. :
P/R Ref : 220919-01

Sr.No. Description Qty. PACKING INFO. Additional Notes

1 Pedicle Probe: Curved, Lenke Probe - SHAFT 5

2 Pedicle Probe: Straight, Lenke Probe - SHAFT 5

3 Pedicle Probe: Curved, General Probe - SHAFT 5

4 Pedicle Probe: Straight, General Probe - SHAFT 5

5 Pedicle Tester: Straight 5

6 Pedicle Tester: Curved Tip 5

7 Guide Pin: Triangle 20

8 Guide Pin: Straight 20

9 Rod Holder - Forcep 5

10 Rod Holder - B Type 5

11 Rod Pusher - SHAFT 5

12 Rod Rocker Forcept - B Type 5 SINGLE PACK

13 Poly-axial Screw Driver 10

14 Rod Gripper 5

15 Compressor 5

16 AWL 5 New Drawing

17 12N Torque Limiter 4 IMPORT

18 T Ratchet Handle 4 IMPORT
19 I Ratchet Handle 4 IMPORT
20 Mono Axial Screw Driver 10 New Drawing

21 Reduction Poly Axial Screw Driver 10 New Drawing

22 Reduction Mono Axial Screw Driver 10 New Drawing

23 Counter Torque Limiter ( Nut Guide ) 5 New Drawing

TOTAL 162