_BiaCare_Catalog | Seite 6

FoamSleeve™ - ARM

P: 866.931.0876
F: 866.931.0052

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 Arm measuring instructions.

WEB: Scan QR code

EMAIL: [e-mail]

OR visit BiaCare.com

PRODUCT INFORMATION
Right
ARM:
Left

OVERSLEEVE (check one):

Size:

Black

Pink

Leopard

Length:

Navy

Tie-Dye

Purple Paisley

Note: If no color is specified, a black OverSleeve™

Item #:

will be included.

SIZING CHART & ITEM NUMBERS

FOAMSLEEVE - ARM
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

SHORT 1603 - AS - L

1605 - AS - L

1607 - AS - L

1609 - AS - L

REG 1603 - AR - L

1605 - AR - L

1607 - AR - L

1609 - AR - L

1605 - AL - L

1607 - AL - L

1609 - AL - L

C

B1
B

LEFT

A

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

SMALL
23 - 32

LONG 1603 - AL - L

RIGHT

SHORT 1603 - AS - R

BiaCare.com

•

REG 1603 - AR - R

LONG 1603 - AL - R

P: 866.931.0876

•

1605 - AS - R 1607 - AS - R 1609 - AS - R
1605 - AR - R 1607 - AR - R 1609 - AR - R
1605 - AL - R

F: 866.931.0052

1607 - AL - R

1609 - AL - R

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