P: 866.931.0876
F: 866.931.0052
- ARM
Sales@BiaCare.com
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
WEB: Scan QR code
size Arm measuring instructions.
PRODUCT INFORMATION
ARM:
Right
Left
Size:
HAND OPTIONS (see page 54)
Check One (MedaHand™ is included if hand product is not selected):
MedaHand™ (Included)
Length:
EMAIL: Sales@BiaCare.com
OR visit BiaCare.com
MedaGlove™ (Upcharge)
Hand OverSleeve (pg. 65)
Glove OverSleeve (pg. 65)
Size:
Item #:
Dorsal Pocket Glove(Upcharge)
Item #:
SIZING CHART & ITEM NUMBERS
MEDAFIT - ARM
C
SMALL
23 - 32
MEDIUM
28 - 37
LARGE
33 - 43
X - LARGE
39 - 49
B
22 - 30
26 - 34
30 - 39
35 - 44
20 - 27
24 - 31
28 - 35
32 - 39
14 - 17
15 - 18
16 - 19
18 - 20
1202 - AS - L
1203 - AS - L
1204 - AS - L
REG 1201 - AR - L
1202 - AR - L
1203 - AR - L
1204 - AR - L
LONG 1201 - AL - L
1202 - AL - L
1203 - AL - L
1204 - AL - L
SHORT 1201 - AS - R
1202 - AS - R
1203 - AS - R
1204 - AS - R
1202 - AR - R
1203 - AR - R
1204 - AR - R
1202 - AL - R
1203 - AL - R
1204 - AL - R
B1
A
LEFT
SHORT 1201 - AS - L
LENGTH (CM)
RIGHT
SHORT: 38 - 43
REG: 43 - 48
LONG: 48 - 53
REG 1201 - AR - R
LONG 1201 - AL - R
22 - 26
LARGE
X - LARGE
14 - 20
16 - 22
18 - 24
20 - 26
1201-H-R
1202-H-R
1203-H-R
1204-H-R
1201-H-L
1202-H-L
1203-H-L
1204-H-L
E (Palm)
15 - 19
RIGHT
A (Wrist)
LEFT
BiaCare.com
•
HAND SIZING CHART
19 - 22
SMALL
P: 866.931.0876
•
MEDIUM
F: 866.931.0052
26 - 29
10