Contato | Braile Biomédica

Implants Registration - Biological Prostheses

Patient´s name (initials)

Birth date

Procedure date

Sex:

Doctor:

Hospital:

City:

State:

Country:

Medical agreement:

Distributor/Representative

Ring for Valve Annuloplasty

Size (mm):

Surgery:

Describe:

Organic Tubular Arterial Graft Simple Tube

Size (diameter):

Surgery:

Describe:

Organic Tubular Arterial Graft Valvulated Tube 200

Size (diameter):

Surgery:

Describe:

Organic Tubular Arterial Graft Valvulated Tube 300

Size (diameter):

Surgery:

Describe:

Bovine Pericardium Patch

Size (cm):

Surgery:

Describe:

Bovine Pericardium Patch Monocuspid

Size (mm):

Surgery:

Describe:

Pledges Bovine Pericardium Patch

Surgery:

Describe:

Braile Gregori Standardized Bovine Pericardium Prosthesis:

Size (mm):

Surgery:

Another, describe:

Geometrical Reconstruction Prosthesis

Size (mm):

Cirurgia:

Surgery:

Serial number

Notes: