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
size Arm measuring instructions.
WEB: Scan QR code
EMAIL: Sales@BiaCare.com
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.
Custom Size (use measuring form on page 12 if ordering a custom size ChipSleeve™ - ARM).
SIZING CHART & ITEM NUMBERS
C
B1
B
A
CHIPSLEEVE - ARM
SMALL
23 - 32
MEDIUM
28 - 37
LARGE
33 - 43
X - LARGE
39 - 49
XX - LARGE
44 - 54
22 - 30
26 - 34
30 - 39
35 - 44
39 - 49
20 - 27
24 - 31
28 - 35
32 - 39
36 - 43
14 - 17
15 - 18
16 - 19
18 - 20
19 - 22
LEFT
SHORT 2631 - AS - L
LENGTH (CM)
SHORT: 38 - 43
REG: 43 - 48
LONG: 48 - 53
2632 - AS - L 2633 - AS - L 2634 - AS - L 2635 - AS - L
REG 2631 - AR - L
2632 - AR - L 2633 - AR - L 2634 - AR - L 2635 - AR - L
LONG 2631 - AL - L
2632 - AL - L 2633 - AL - L 2634 - AL - L
2635 - AL - L
RIGHT
SHORT 2631 - AS - R 2632 - AS - R 2633 - AS - R 2634 - AS - R 2635 - AS - R
BiaCare.com
•
REG 2631 - AR - R 2632 - AR - R 2633 - AR - R 2634 - AR - R 2635 - AR - R
LONG 2631 - AL - R
P: 866.931.0876
2632 - AL - R 2633 - AL - R 2634 - AL - R 2635 - AL - R
•
F: 866.931.0052
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