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Transcript of United States of America
17024366-13
United States of America
DEPARTMENT OF STATE
To all to whom these presents shall come, Greetings:
I Certify That the document hereunto annexed is under the Seal of the Secreta,ry of State of the State(s) of Maryland, and that such Seal(s) is/are entitled to fu!J faith and cre~it. *
*For the contents of the annexed document, the Department assumes no responsibility This certificate is not valid if it is removed or altered in any way whatsoever
Issued pursuant to CHXN, State of Sept. 15, 1789, 1 Stat. 68-69; 22 USC 2657; 22USC 265Ja; 5 USC 301; 28 USC 1733 et. seq.; 8 USC 1443(fj; RULE 44 Federal Rules of Civil Procedure.
In testimony whereof, I, Rex W. Tillerson, Secretary of State , have hereunto caused the seal of the Department of State to be affixed and my name subscribed by the Assistant Authentication Officer, of the said Department, at the city of Washington, in the District of Columbia, this twenty-first day of March, 2017.
By __ (3--==-___ µ ___ 9 _____ u_s_,,e_c_re_t_ar_y_o_f_s_ta-te
A . A b'1. . Off' ss1stant ut entication 1cer,
Department of State
f)~j SLY quan nLY&C CHXHCN Viet Nam t~i Hoa Ky Embassy of the S. R of Vietnam in the United States of America
CHUNG NH~N I HQP PHAP H6A LANH SI! CONSULAR AUTHENTICATION
1. Quoc gla. .......................... Vlet.Nam ........... ........... . Country ·
Glh ta, tal lieu nay This public document
2. do Ong (U) ....... ......... Rex W : TiHerson ............ · kY has been signed by
3. val ch(tc danh ... ..... .. sc;i. tru.6'ng. ngoai .giao .. acting In the capacity of ·
4. va con dlu cua .. ... ........ . SQ Ngo~i ·giao ...... ...... .. · .. · bears the seal/stamp of
........ Hqp.cmmg.qu6c.Hoa.Ky .....
dlfr/C chl1ng nh~n I hlfll ph~p Ma lanh SI/ Certified
5. t~L . Washington .D.c.......... 6. ngay ... 24(.3 .. BOt?.. al the
1. ca quan c1p .. f)~i · st'Y·quan Viet·Nam t~i · Hoa Ky ..... by
8. SL ... 9.16 .... J:lP.H/2017 N"
'
I BANDJCH I ,
HQP chung quoc Hoa Ky
BO NGOAI GIAO • •
Han h~.mh kinh giri nhfrng ngll'Oi co lien quan: '
Toi xin ch(rng nh~n r~ng van ban dinh kem theo day duqc kY va dong con dftu cua Bang Maryland, va r~ng con Dftu nay duqc tin tu6ng hoan toan.*
*Bp Ngoq.i giao kllOng cltiu trticlt 11/ti~m vi ctic 11pi dung trong viin biin dl11/t kem. Giciy ch(rng nh~n nay khong c6 gia trj n€u bi tbao rm bay sira d6i theo bcit kY each nao.
DS ch(rng thµc, toi, Rex W. Tillerson, B(> tru6ng Ngo~i giao, da cho phep dong dftu cua B(> Ngo~i giao va ten cua m1nh duqc kY bai Quan chuc Hqp phap hoa cua B(> tren, t~i
Thanh ph6 Washington, District of Columbia ngay 21/03/2017.
(aa kY va dong ddu) REX W. TILLERSON
B(> tru6ng B(> Ngo~i giao can b9 Lanh sµ,
Chung thl!c ong Hb Anh Vil, Bi thu thu hai, Dq.i SU quan CHXHCN Viet Nam tq.i H()'p chung qu6c Hoa Ky, tlii kY tru6·c m(jt toi.
Ngay 24 thcing 03 niim 2017 TL. Dq.i su·
B(> Ngo~i giao
Toi, Hb Anh Vil, Bi thu thu hai, Dq.i SU quan CHXHCN Viet Nam tq.i H()'[J chung qu6c Hoa Ky, cam tloan tlii dtch chinh xac van ban n¢y tit tii ng Anh sang tii ng Viet.
Ngay 2-1 thang03 niim 2017 Ngu:ai dich
HJAnh Vu
I BANDlCH I
BANG MARYLAND Van phong B() tru6ng Ngo(;li giao
Toi, John C. WOBENSMITH, B9 tru&ng Ngo?i giao Bang Maryland, can cu quySn hi;i.n va chuc nang cua toi ti;i.i DiSu 7-106 M\lc vS Chinh quySn Bang B9 Lu?t sua d6i Maryland, chll'ng nh?n r~ng
BARBARA H. MEIKLEJOHN
nguai lam va kY ten tren gifty chll'ng nh?n kem theo, t(;li thai di@m nay, da duqc b6 nhi~m va du tieu chuAn lam L\lC S\J' Toa Luu d(mg Qu?n Montgomery va cac vi~c lam chinh thuc cua nguai nay c~n duqc tin tu&ng ti;i.i m9i Toa an va a m9i noi.
D~ xac nh~n, toi kY ten va dong d~u chinh thuc cua B9 tru&ng Ngoi;i.i· giao, ti;i.i Annapolis, ngay 17/03/2017.
(fJiJ. kj va t16ng ddu) B9 tru&ng Ngo(;li giao.
Chung th~·c 6ng H6 Anh Vil, Bi thu thu hai, fJqi su quan CHXHCN Vi¢t Nam tqi H<JP chung qu6c Hoa Ky, da kj tru&c m(zt toi.
Ngay 2'1 thang 03 nam 2017 TL. fJqi su·
Toi, H6 Anh Vil, Bi thu thu hai, [)qi SU' quan CHXHCN Vi¢t Nam tqi H()'p chung qu6c Hoa Ky, cam doan da dfch chinh xac van ban nay tic tidng Anh sang tidng Vi¢t.
Ngay 24 thang 03 nam 2017 Nguai dfch
HJAnh Vu
I BANDlCH I
BANG MARYLAND, Qu'n MONTGOMERY
VAN PHONG Ll)C ST)' TOA LUU DONG QUAN MONTGOMERY
Toi, BARBARA H. MEIKLEJOHN, Ll,lC Sl,l' Toa luu d()ng Qu~n
MONTGOMERY, Bang MARYLAND, d6ng thai la Toa luu gifr h6 so, xac nh~n dmg DINNA KENCANASARI duqc b6 nhi~m lam cong chfrng vien b~t dAu tir ngay 16/06/2014.
I>~ xac nh~n, toi kY ten va dong d~u chinh thuc cua Toa Luu d()ng Qu~n MONTGOMERY, Bang Maryland ngay 17/03/2017.
(Da kf; va tl6ng ddu) BARBARA H. MEIKLEJOHN Ll,lc sv Toa luu d()ng, Qu~n MONTGOMERY
Chieng th11c 6ng H6 Anh Vu, Bi thu thu· hai, Dc;zi sic quan CHXHCN Vi?t Nam tgi H(YJJ chung qu6c Hoa Ky, aa kf; frU(Yc mijt t6i.
Toi, H6 Anh Vu, Bi thu thic hai, Dc;zi sic quan CHXHCN Vi?t Nam tgi H9'p chung qu6c Hoa Ky, cam tloan tla djch chinh xac van ban nay tu tiing Anh sang tiing Vi¢t.
Ngay 24 thang 03 niim 2017 TL. Dgi SU'
Ngay 24 thang 03 niim 2017 Nguai djch
HDAnlz Vu
The State of Maryland
Office of the Secretary of State
This Certification is not valid for use anywhere within the United States of America, its territories or possessions. This Certification does not certify the content of the document for which it is issued.
I, John C. Wobeosmith, Secretary of State of Maryland, under and by virtue of the authority vested in me by Section 7-106 of the State Government Article of the Annotated Code of Maryland, Do Hereby Certify that
Barbara H. Meiklejohn
who has made and signed the attached certificate, was on the date thereof, the duly elected and qualified Clerk of the Circuit Court for Montgomery County whose official acts as such should be given foll faith and credit in all Courts of Justice and elsewhere.
No. 252331
In Testimony Whereof, I hereunto set my hand and have caused to be affixed the official seal of of the Secretary of State, at Annapolis, this 17th day
201 7 of March, in the year of our Lord.
--
Secretary of State
CERTIFICATION
. '") . :-;. :'· ' · .IC· I
\ ,-·? '-. 11',:.;.,· .. ~~ . ·~)
State of Maryland, Montgomery Cou~
In the Office of the Clerk of the Circuit Court for Montgomery County
I, Barbara H. Meiklejohn, Clerk of the Circuit Court for Montgomery County, Maryland, a court of ·
record, hereby certify that DINNA KENCANASARI was a commissioned/
appointed and qualified Notary Public commencing on the 16th day of June, 2014.
LIC9 20160902
In Testimony Whereof, I have hereunto set my hand and
affixed the seal of the Circuit Court for Montgomery
County this 17th day of March, 2017.
-Barbara H. Meiklejohn
Clerk of the Circuit Court for Montgomery County
CERTIFICATION
Montgomery county: I f I '
I, Blake Bartsch, hereby declare that the attached document is satisfactory to the best of my knowledge and belief
Signatory t?Jf8orSSlh Blake Bartsch
SWORN TO AND SUBSCRIBED before me, a notary public for the State of Maryland, this 16th day of March 2017.
Dinna Kencanasari
Notary public, State of Maryland
My Commission Expires May 30, 2018
/ r , +
I.: / I f· ) I (( r. \ \ '.) \ '
·') \
~
Eth icon Endo-Surgery PART OF JH[! gctn·h01l•9oluu01\ FAMILY OF COMPANIES
POWER OF ATTORNEY
Ethicon Endo-Surgery, LLC 475 Calle C Guaynabo, Puerto Rico 00969 USA
Ngay 13 thang 03 nam 2017 March l31h, 2017
GIAY UY QUYEN
To: Ministry of Health (Department of Kinh gui: B() Y t€ (Vv Trang thi€t bi va Cong Medical Equipment and Construction) trlnh y t€)
We, Ethicon Endo-Surgery, LLC, located at Chung toi, Ethicon Endo-Surgery, LLC, co 475 Calle C, 00969 Guaynabo, Puerto Rico tri.i sO' t~i 475 Calle C, 00969 Guaynabo, USA, as the owner of the medical devices Puerto Rico My, v&i ttr each la chu sa hfru listed hereunder, hereby authorize Johnson & trang thi€t bi y t€ b[ng van ban nay iiy quy~n
. l
Johnson (Vietnam) Co., Ltd, located at 12th cho Cong ty TNHH Johnson ~& Johnson Floor, Vietcombank Tower, No. 5 Me Linh (Vi~t Nam), co tri.i so· t~i T§ng 12, Toa nha Square, Ben Nghe Ward, District 1, Ho Chi Vietcombank, Sfi 5 Cong Trll'0ng Me Linh, Minh City, Vietnam to place the following Phll'0ng B~n Nghe, Qu~n 1, TP. H~ Chi medical devices to the market of Vietnam: Minh, Vi~t Nam dugc ltru hanh t~i thi tnrcrng
Vi~t Nam cac trang thi€t bi y t€ sau:
See attached list Xem danh mvc dinh kem
We hereby undertake to provide and support Chung toi cam k€t cung dp, h6 trg cac yeu du
any inquiry related to the information and lien quan d€n thong tin, ch~t Jugng va bao dam quality of the medical devices, guarantee all cac di~u ki~n v€ bao hanh, bao trl, bao du5'ng warranty, maintenance and service conditions va cung dp v?t tu, phl,I ki~n thay th€ trang thi€t
and supply replacement materials and bi y t€ neu tren. accessories for the medical devices.
This power of attorney shall be valid until Thu uy quy~n nay hi~u l~rc d€n thoi di~m: December 3151
, 2027. 31/12/2027.
Ngll'oi d~i di~n hQ'P phap cua Chu sO' hfru Legal representative of the Product owner
Ky ten (Ghi h9 ten tidy tlit, chi'cc danh) Signature (Full name and title to be specified)
Xdc nhtJ,n bdng ddu ho(ic chii: kY s6 Confirmed by seal or digital signature
Mary Galeano, RAC Regulatory Affairs Specialist II
Page l of 7: Power of Attorney
Product name in CFG Product name and Description in carton Product code(s) ENDOPATH Xcel Bladeless ENDOPATHXCELBladeless Trocars B11LP; Bl lLPH;
J Trocars with Smooth Sleeves B12LP; B12LPH
B5LT; B5ST; B5XT;
ENDOPATH Xcel Bladeless ENDOPATH XCEL Bladeless Trocars B8LT; Bl lLT;
2 Trocars with Stability Sleeves
B 1lLTH;B12LT;
B12LTH; B12SRT;
B12XT; B15LT
3 ENDOPATH Xcel Dilating Tip ENDOPATH XCEL Dilating Tip Trocars
DSST; Dl lLT Trocars with Stability Sleeves
ENDOPATH Xcel Dilating Tip ENDOPATH XCEL WITH OPTIVIEW
4 TECHNOLOGY Dilating Tip Trocars D5LT; D12LT; D12XT Trocars
with Stability Sleeves
5 ENDOPATH Xcel Universal ENDOPATHXCEL Universal Trocar
CB5ST;CB5LT Sleeves Stability Sleeves I
ENDOPATH Xcel Universal ENDOPATH XCEL WITH OPTIVIEW ' 6 TECHNOLOGY Universal Trocar CBl lLT; CB12LT
Sleeves Stability Sleeves
7 ENDOPATH 5 mm and 10 mm ENDOPATH5 mm Babcocks with
5BB Diameter Endoscopic Instruments Ratchet Handles
8 ENDOPATH 5 mm and 10 mm ENDOPATH 10 mm Babcocks with
IOBB Diameter Endoscopic Instruments Ratchet Handles
9 ENDOPATH 5 mm and 10 mm ENDOPATH 10 mm Anvil Graspers with
lOAG Diameter Endoscopic Instruments Ratchet Handles
10 ENDO PA TH 5 mm and 10 mm ENDOPATH 5 mm Curved Dissectors
SDCD Diameter Endoscopic Instruments with Monopolar Cautery
11 ENDOPATH 5 mm and 10 mm ENDOPATH5 nm1 Curved Scissors with
5DCS Diameter Endoscopic Instruments Monopolar Cautery
12 ENDOPATH 5 mm and 10 mm ENDOPATH 5 mm Graspers with
5DSG Diameter Endoscopic Instruments Ratchet Handles
Ethicon Endo-Surgery Curved
13 and Straight Intralurninal Staplers Ethicon Endo-Surgery Curved CDH21A; CDH25A;
(ILS), with Adjustable Height Intralurninal Stapler (ILS) CDH29A; CDH33A
Staples
Ethicon Endo-Surgery Curved
14 and Straight Intraluminal Staplers Ethicon Endo-Surgery Straight SDH21A; SDH25A;
(ILS), with Adjustable Height Intraluminal Stapler (ILS) SDH29A; SDH33A
Staples
15 CONTOUR Curved Cutters Contour Curved Cutter Stapler Reloads CR40B; CR40G
16 CONTOUR Curved Cutters Contour Curved Cutter Stapler CS40B; CS40G
17 ILS Circular Sizer Set ILS Circular Sizer Set css ECHELON Flex 45 ENDOPA TH
Echelon Flex 45 ENDOP ATH STAPLER 18 Stapler Articulating Endoscopic EC45A
Articulating Endoscopic Linear Cutter Linear Cutter
Page 2 of 7: Power of Attorney
Product name in CFG Product name and Description in carton Product code(s)
ECHELON Flex 45 ENDOPA TH Echelon Flex 45 ENDOPATH STAPLER 19 Stapler Articulating Endoscopic Long Articulating Endoscopic Linear EC45AL
Linear Cutter Cutter ECHELON Flex 45 ENDOPATH Echelon Flex 45 ENDOP ATH STAPLER
20 Stapler Articulating Endoscopic Compact Articulating Endoscopic Linear SC45A Linear Cutter Cutter
ECHELON Flex 60 ENDOPATH Echelon Flex 60 ENDOPATH STAPLER
21 Stapler Articulating Endoscopic EC60A Articulating Endoscopic Linear Cutter
Linear Cutter
ECHELON Flex 60 ENDOPA TH Echelon Flex 60 ENDOPATH STAPLER 22 Stapler Articulating Endoscopic Compact Articulating Endoscopic Linear SC60A
Li near Cutter Cutter
ECHELON45ENDOPATH Echelon 45 ENDOPATH STAPLER 23 Endoscopic Linear Cutters and Endoscopic Linear Cutter Reloads ECR45B
I
Reloads Blue 3.5 mm, 6 rows I
ECHELON45ENDOPATH Echelon45 ENDOPATH STAPLER I
24 Endoscopic Linear Cutters and Endoscopic Linear Cutter Reloads ECR45D Reloads Gold 3.8 mm, 6 rows
ECHELON45ENDOPATH Echelon 45 ENDOPATH STAPLER 25 Endoscopic Linear Cutters and Endoscopic Linear Cutter Reloads ECR45G
Reloads Green 4.1 mm, 6 rows
ECHELON45ENDOPATH Echelon 45 ENDOPA TH STAPLER 26 Endoscopic Linear Cutters and Endoscopic Linear Cutter Reloads ECR45M
Reloads Gray 2.0 mm, 6 rows
ECHELON45ENDOPATH Echelon 45 ENDOPATH STAPLER 27 Endoscopic Linear Cutters and Endoscopic Linear Cutter Reloads ECR45W
Reloads White 2.5 mm, 6 rows
ECHELON60ENDOPATH Echelon 60 ENDOPATH STAPLER
28 Endoscopic Linear Cutter Reloads ECR60B Endoscopic Linear Reloads
Blue 3.5 mm, 6 rows
ECHELON60ENDOPATH Echelon 60 ENDOPATH STAPLER
29 Endoscopic Linear Cutter Reloads ECR60D Endoscopic Linear Reloads
Gold 3.8 mm, 6 rows
ECHELON60ENDOPATH Echelon 60 ENDOPATH STAPLER
30 Endoscopic Linear Cutter Reloads ECR60G Endoscopic Linear Reloads
Green 4. 1 mm, 6 rows
ECHELON60ENDOPATH Echelon 60 ENDOPATH STAPLER
31 Endoscopic Linear Cutter Reloads ECR60M Endoscopic Linear Reload
Gray 2.0 mm, 6 rows
ECHELON60ENDOPATH Echelon 60 ENDOPATH STAPLER
32 Endoscopic Linear Cutter Reloads ECR60T Endoscopic Linear Reload
Black 4.4 mm, 6 rows _ _... ... -
Page 3 of 7: Power of Attorney
Product name in CFG Product name and Description in carton Product code(s)
ECHELON60ENDOPATH Echelon 60 ENDOPATH STAPLER
33 Endoscopic Linear Reloads
Endoscopic Linear Cutter Reloads ECR60W White 2.5 mm, 6 rows
34 LIGACLIP Endoscopic Clip LIGACLIP Endoscopic Clip Applier -
EL214 Appliers Medium
35 LIGACLIP Endoscopic Clip LIGACLIP Endoscopic Clip Appl ier -
EL314 Appliers Medium Large
36 LIGACLIP Endoscopic Clip LIGACLIP Endoscopic Clip Applier -
EL414 Appliers Large
ENDOPATH DEXTRUS Fixed-ENDOPATH Dextrus Fixed-Length FLRO 1 ; FLR02;
37 Length Access Retractor; Smal l, Access Retractors FLR03
Medium and Large
38 ENDOPATH DEXTRUS Seal ENDOPATH DextrusSeal Cap Assembly
HAP02 Cap Assembly with accessories with Accessories
FLEXIPATH Flexible Surgical f
39 Trocars
FLEXIP ATH Flexible Surgical Trocars F,P007;FP015;FP020
40 FLEXIPATH Flexible Surgical FLEXIPATH Flexible Surgical Trocar
FPK02 Trocars Paks
41 LIGACLIP EXTRA Ligating LIGACLIP EXTRA LTlOO; LT102; LT200;
Clips Ligating Clip Cartridges LT202;LT300;LT400
LIGACLIP MCA Multiple Cli p MCL20; MCM20;
42 LIGACLIP MCA Multiple Clip Appliers MCS20; MSM20; Appliers
MCM30 Ethicon Endo-Surgery, LLC
43 Linear Cutter 55/75mm and Ethicon Endo-Surgery Linear Cutter NTLC55; NTLC75 Selectable Cartridge/Reloads
Ethicon Endo-Surgery, LLC Ethicon Endo-Surgery Linear Cutter
44 Linear Cutter 55/75mm and SR55; SR75 Selectable Cartridge/Reloads
Reloads
ECHELON Flex Powered Echelon Flex 45 POWERED 45 Articulating Endoscopic Linear ENDO PA TH STAPLER Compact PCE45A
Cutters Articu lating Endoscopic Linear Cutter
ECHELON Flex Powered Echelon Flex 45 POWERED 46 Articulating Endoscopic Linear ENDOPATH STAPLER Long PLE45A
Cutters Articulating Endoscopic Linear Cutter ECHELON Flex Powered Echelon Flex 45 POWERED
47 Articulating Endoscopic Linear ENDOPATH STAPLER Articulating PSE45A Cutters Endoscopic Linear Cutter
ECHELON Flex Powered Echelon Flex 60 POWERED 48 Articulating Endoscopic Linear ENDOPATH STAPLER Compact PCE60A
Cutters Articulating Endoscopic Linear Cutter
Page 4 of 7: Power of Attorney
Product name in CFG Product name and Description in carton Product code(s) . ECHELON Flex Powered Echelon Flex 60 POWERED 49 Articulating Endoscopic Linear ENDOPATH STAPLER Long PLE60A
Cutters Articulating Endoscopic Linear Cutter
ECHELON Flex Powered Echelon Flex 60 POWERED
so Articulating Endoscopic Linear ENDO PATH STAPLER Articulating PSE60A Cutters Endoscopic Linear Cutter
Echelon Flex Powered Plus Echelon Flex 60 Powered Plus Long
'
51 Articulating Endoscopic Linear Articulating Endoscopic Linear Cutter+
PLEE60A
Cutters Gripping Surface Technology,
440 mm Shaft Length
Echelon Flex Powered Plus Echelon Flex 60 Powered Plus
52 Articulating Endoscopic Linear Articulating Endoscopic Linear Cutter+
PSEE60A Cutters
Gripping Surface Technology, 340 mm Shaft Length
Echelon Flex Powered Plus Echelon Endopath 60 Endoscopic Linear ~ I
53 Articulating Endoscopic Linear Cutter Reloads I GST60B Reloads Blue 3.6 mm, 6 rows
Echelon Flex Powered Plus Echelon Endopath 60 Endoscopic Linear 54 Articulating Endoscopic Linear Cutter Reloads GST60D
Reloads Gold 3.8 mm, 6 rows
Echelon Flex Powered Plus Echelon Endopath 60 Endoscopic Linear
55 Articulating Endoscopic Linear Cutter Reloads GST60G
Reloads Green 4.1 mm, 6 rows
Echelon Flex Powered Plus Echelon Endopath 60 Endoscopic Linear
56 Articulating Endoscopic Linear Cutter Reloads GST60T
Reloads Black 4.2 mm, 6 rows
Echelon Flex Powered Plus Echelon Endopath 60 Endoscopic Linear 57 Articulating Endoscopic Linear Cutter Reloads GST60W
Reloads White 2.6 mm, 6 row
PROXIMATE PPH Hemorrhoidal
58 Circular Stapler, Suture Threader, PROXIMATE PPH Procedure for
PPH03 Circular Anal Dilator, and Prolapse and Hemorrhoids Set
Purse-string Suture Anoscope
59 PROXIMATE PLUS MD Multi- PROXIMATE PLUS MD
PMR35; PMW35 directional Release Skin Staplers Multi-directional Release Skin Staplers
60 PROXIMATE RH Rotating Head PROXIMATE RH Rotating Head Skin
PRR35 Skin Staplers Staplers (35 Regular)
6 1 PROXIMATE RH Rotating Head PROXIMATE RH Rotating Head Skin
PRW35 Skin Staplers Staplers (35 Wide)
62 PROXIMATE RH Rotating Head
PROXIMATE Skin Staplers (35 Regular) PXR35 Skin Staplers
63 PROXIMATE Skin Staplers PROXIMATE Skin Staplers (35 Wide) PXW35
64 PROXIMATE Skin Staple
Extractor PROXIMATE Skin Staple Extractors PSX
Page 5 of 7: Power of Attorney
Product name in CFG Product name and Description in carton Product code(s) . Echelon Flex Powered Vascular
65 Stapler with Advanced Placement Echelon Flex Powered Vascular Stapler+
PVE35A Advanced Placement Tip
Tip
Endopath Echelon Vascular Endopath Echelon Vascular Reloads+
66 White Reload with Advanced VASECR35 Placement Tip
Advanced Placement Tip
PROXIMATE Linear and TCD75; TCT75; .
Vascular Linear Cutters with PROXIMATE Reloadable Linear Cutter TLC75; TLCSS;
67 Safety Lock-Out, Linear Four with Safety Lock-Out TCTSS; TLC IO;
Row Staplers with Safety Lock-TCTlO
Out, and Reloads
PROXIMATE Linear and Vascular Linear Cutters with
PROXIMATE Reloadable Vascular 68 Safety Lock-Out, Linear Four TVCSS
Linear Cutter with Safety Lock-Out I
Row Staplers with Safety Lock- f I
Out, and Reloads
PROXIMATE Linear and
Vascular Linear Cutters with PROXIMATE Vascular Linear Cutter
69 Safety Lock-Out, Linear Four TVRSS Reloads
Row Staplers with Safety Lock-Out, and Reloads
PROXIMATE Linear and Vascular Linear Cutters with
PROXIMATE Linear Cutter Reloads TCRlO; TCRSS; 70 Safety Lock-Out, Linear
(Standard) TCR75 Four Row Staplers with Safety
Lock-Out, and Reloads
PROXIMATE Linear and Vascular Linear Cutters with
PROXIMATE Linear Cutter Reloads 7 1 Safety Lock-Out, Linear Four TRD75
(Gold) Row Staplers with Safety Lock-
Out, and Reloads
PROXIMATE Linear and
Vascular Linear Cutters with PROXIMATE Linear Cutter Reloads TRTIO; TRTSS;
72 Safety Lock-Out, Linear Four (Thick) TRT75
Row Staplers with Safety Lock-Out, and Reloads
TL30; TL60; TL90; PROXIMATE Reloadable Linear TLH30; TLH60;
73 Staplers, Reloadable Vascular PROXIMATE Reloadable Linear Stapler TLH90; TX30B;
Linear Staplers, and Reloads TX30G; TX60B;
TX60G
PROXIMATE Reloadable Linear PROXIMATE Reloadable Vascular
74 Staplers, Reloadable Vascul.ar TL V30; TX30V Linear Stapler
Linear Staplers, and Reloads
Page 6 of 7: Power of Attorney
Product name in CFG Product name and Description in carton . PROXIMATE Reloadable Linear . PROXIMATE Vascular Linear Stapler 75 Staplers, Reloadable Vascular
Linear Staplers, and Reloads Reloads
PROXIMATE Reloadable Linear
76 Staplers, Reloadable Vascular PROXIMATE Linear Stapler Reloads Linear Staplers, and Reloads
I
ENDOPATH Surgical Thoracic ENDOPATH Surgical Thoracic Trocar
77 Trocar Sleeve with Rounded Tip
Obturator Sleeves with Rounded Tip Obturator
Page 7 of 7: Power of Attorney
Product code(s)
TRV30; XR30V
TR30; TR60; TR90;
I f I '
TRH30; TRH60; TRH90; XR30B; XR30G; XR60B;
XR60G
TTOJ2