_BiaCare_Catalog | Page 12

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F: 866.931.0052

ompreSleeve™ - ARM

[e-mail]

PO#:

Measure & Order Form

Date:

Company:
Phone:

Contact Name:
Patient:

Sex:

Age:

Ht:

Wt:

Bill-To Name & Address:
Ship-To Name & Address:

MEASURING INSTRUCTION OPTIONS
CATALOG: Page 68 for standard
size Arm measuring instructions.

EMAIL: [e-mail]

WEB: Scan QR code
OR visit BiaCare.com

PRODUCT INFORMATION
ARM:
Right
Left

OVERSLEEVE (additional cost):

Size:

Black

Pink

Leopard

Length:

Navy

Tie-Dye

Purple Paisley

Item #:

SIZING CHART & ITEM NUMBERS

MEDIUM
28 - 37

LARGE
33 - 43

X - LARGE
39 - 49

22 - 30

26 - 34

30 - 39

35 - 44

20 - 27

24 - 31

28 - 35

32 - 39

14 - 17

15 - 18

16 - 19

18 - 20

C

SMALL
23 - 32

B

B1
A

COMPRESLEEVE - ARM

LEFT

SHORT 1501 - SHO - L 1502 - SHO - L 1503 - SHO - L 1504 - SHO - L

LENGTH (CM)
SHORT: 38 - 43
REG: 43 - 48
LONG: 48 - 53

REG 1501 - REG - L 1502 - REG - L

1503 - REG - L 1504 - REG - L

LONG 1501 - LNG - L 1502 - LNG - L 1503 - LNG - L 1504 - LNG - L

RIGHT

SHORT 1501 - SHO - R 1502 - SHO - R 1503 - SHO - R 1504 - SHO - R

BiaCare.com

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REG 1501 - REG - R 1502 - REG - R 1503 - REG - R 1504 - REG - R

LONG 1501 - LNG - R 1502 - LNG - R 1503 - LNG - R 1504 - LNG - R

P: 866.931.0876

•

F: 866.931.0052

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