STANDARD
STANDARD
PRODUCT FEATURES
10-15 mmHg of supportive, mild compression for truncal / abdominal lymphedema
Soft, breathable design reduces moisture containment Reinforced seams for durability
INDICATIONS
Stage I or II Lymphedema Mild fibrosis Post surgical edema
Machine wash and dry May be paired with the GeniFit ™ ChipPad for additional genital support( pg 51) Elastic band contains latex
Sales @ BiaCare. com • P: 866.931.0876 • F: 866.931.0052
ORDER FORM
PO #: Company: Contact: Date:
Phone:
Patient Name: Age: Ht: Wt:
Bill-To Name & Address:
Ship-To Name & Address:
SIZING & ITEM NUMBERS
To measure for a standard, off-the-shelf size, please use the WAIST, HIP and MIDTHIGH measurements.
SIZE ITEM NUMBER
SMALL
SMALL MAX MEDIUM
MED MAX LARGE
LRG MAX XLRG
XLRG MAX 2XLRG
2XLRG MAX 3XLRG
3XLRG MAX 4XLRG
4XLRG MAX 5XLRG
WAIST 69- 76 76- 86 76- 86 86- 97 86- 97 97- 112 97- 112 112- 132 112- 132 132- 152 132- 152 152- 172 152- 172 172- 193 172- 193
HIP 84- 91 91- 102 91- 102 102- 112 102- 112 112- 127 112- 127 127- 147 127- 147 147- 168 147- 168 168- 188 168- 188 188- 208 188- 208
MIDTHIGH 41- 46 41- 46 46- 53 46- 53 53- 61 53- 61 61- 71 61- 71 71- 81 71- 81 81- 91 81- 91 91- 101 91- 101 101- 112
ITEM NUMBER 1301-CS 1301-CM 1302-CS 1302-CM 1303-CS 1303-CM 1304-CS 1304-CM 1305-CS 1305-CM 1306-CS 1306-CM 1307-CS 1307-CM 1308-CS
MID THIGH
WAIST
HIP
22
NOTE: Waist band contains natural latex.