MAVEN® PSI TAR Order Entry

Step 1 of 2 - Order Details

If you have a Smart28 Case Management Portal account, please submit this case using the link below:

https://portal.smart.paragon28.com/

If you do not have a Smart28 Case Management Portal account, please let us know at MAVENorders@paragon28.com

Patient Information

Case Date*

5-week turnaround time. MAVEN® will arrive at least 3 days before surgery.

Surgery Date Error

❗ERROR: Select a further surgery date.

First Name*

Last Name*

Surgery Side*

Bilateral cases must be uploaded as two separate orders

Left

Right

Procedure Information

Order Type*

MAVEN® PSI Report & Guides

Tibia I/E Rotation Preference*

Gutter Bisection

Tibia Implant Style Preference*

ARC Tibia™

Talus Implant Style Preference*

Chamfer Talus

Adjunct Procedures

Describe any adjunct procedures that could affect total ankle alignment planning:*

Surgeon Information

First Name*

Last Name*

Email*

Hospital*

Paragon 28® Sales Representative Information

First Name*

Last Name*

Email*

Multiple emails may be added, if needed.

email1@paragon28.com, email2@paragon28.com

Phone*

Phone

Region - Total Ankle Market Manager (TAMM)*

Select

MAVEN® PSI Shipping Address*

Guides and bone models will deliver to this address. APEX® TAR kits will ship separately.

Step 1 of 2 - Order Details

Patient Information

Surgery Date Error

Procedure Information

Surgeon Information

Paragon 28® Sales Representative Information

Click 'Submit' to continue to Step 2: Medical Image Uploader