_BiaCare_Catalog | Page 52

P: 866.931.0876
F: 866.931.0052

- BELOW KNEE & THIGH COMPONENT
Measure & Order Form

[e-mail]

PO#:

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

WEB: Scan QR code

Thigh Component and Below Knee
measuring instructions.

PRODUCT INFORMATION
LEFT LEG:
Below Knee (BK)

Size:
Length:

EMAIL: [e-mail]

OR visit BiaCare.com

RIGHT LEG:

Thigh Component (TC)

Thigh Component (TC)

Below Knee (BK)

Size:

Size:

Size:

Item #:

Item #:

Length:

Item #:

Item #:

Foot Size:

Foot Size:

SIZING CHART & ITEM NUMBERS
Gluteal Fold

(or desired length)

G1 LENGTH (CM)
REG: 20 - 25
TALL: 25 - 30

F
E
D

COMPREFLEX - TC

SMALL
48 - 58
43 - 53
38 - 48

MEDIUM
56 - 66
51 - 61
46 - 56

LARGE
64 - 74
58 - 68
53 - 63

X - LARGE
74 - 84
68 - 78
63 - 73

RIGHT

REG 1401-TCR-R 1402-TCR-R 1403-TCR-R 1404-TCR-R

TALL 1401-TCT-R 1402-TCT-R 1403-TCT-R 1404-TCT-R

LEFT

REG 1401-TCR-L 1402-TCR-L 1403-TCR-L 1404-TCR-L

TALL 1401-TCT-L 1402-TCT-L 1403-TCT-L 1404-TCT-L

LENGTH (CM)
REG: 30 - 36
TALL: 36 - 42

C1
C
B
A

COMPREFLEX - BK

MEDIUM
34 - 44

LARGE
40 - 50

29 - 39

34 - 44

40 - 50

46 - 56

54 - 64

24 - 34

29 - 39

34 - 44

39 - 49

44 - 55

16 - 26

21 - 30

26 - 36

31 - 41

36 - 46

REG 1401 - BKR 1402 - BKR 1403 - BKR 1404 - BKR 1405 - BKR

TALL 1401 - BKT 1402 - BKT

SMALL

REGULAR

I 28 - 36
J 22 - 26
K 14 - 18
BiaCare.com

•

X - LARGE XX - LARGE
46 - 56
54 - 64

SMALL
29 - 39

P: 866.931.0876

•

1403 - BKT 1404 - BKT 1405 - BKT

COMPREBOOT SIZING

LONG

28 - 36

MED/LARGE

REGULAR

LONG

39 max 39 max

XL/XXL

REGULAR

LONG

44 max 44 max

22 - 26

30 max 30 max

33 max 33 max

19 - 23

18 - 20

20 - 22

F: 866.931.0052

23 - 25

25 - 27

38