Contract Packaging Assessment Form

Your Name

Email Address

Company Name

Phone

Device Description

Annual Volume

Non-Sterile Packaging Type Non-Sterile Packaging TypePoly BagBulk PackageOtherNone

Sterile Packaging Type Sterile Packaging TypeSingle Barrier PouchSingle Barrier TrayDouble Barrier PouchDouble Barrier TrayOther

Outer Packaging Type Outer Packaging TypeUnprinted CartonCarton (1-2 colors)Carton (3+ colors)OtherNone

IFU IFUCustomer SuppliedMMD SuppliedNone

Device Scope/SIze Device Scope/SIze Small (screws, plugs, small plates) Medium (articular inserts, shells, liners) Large (hip stems, knee femorals, tib bases, large plates) Kit (multiple components)

Shelf Life

Special Considerations Special Considerations Light Sensitive (foil or UV barrier packaging) Moisture Sensitive (MVTR=0 barrier, e.g. foil) Fragile (additional protective packaging may be necessary) Superfinished Device (special internal packaging and special handling may be necessary) Rough Coating (special abrasion resistant protective packaging may be necessary) Sharp Geometry (special puncture resistant protective packaging may be necessary)

Terminally Sterilized? Terminally Sterilized?Yes - GammaYes - EOYes - E-BeamYes - Gas PlasmaYes - OtherNo

How soon do you need to have the first packaged product?

Comments