BiaCare Product Catalog | Página 39

TO ORDER: PH 1-800-322-7744 ext. 1 | FAX [phone] | EMAIL [e-mail]
CUSTOMER CARE: 866-931-0876
PO#:

Contact:

Company:

Phone:

Date:

Patient Name:

Age:

Ht:

Wt:

Account #:
Ship-To Name & Address:

(if different than shipping address already on file)

PRODUCT INFORMATION

LEFT LEG
Below Knee (BK)

RIGHT LEG
Below Knee (BK)

Thigh Component (TC)

Thigh Component (TC)

SIZE:

SIZE:

SIZE:

SIZE:

LENGTH:

LENGTH:

LENGTH:

LENGTH:

ITEM #:

ITEM #:

ITEM #:

ITEM #:

COMPREBOOT SIZE:

COMPREBOOT SIZE:

SIZING & ITEM NUMBERS
Measuring instructions on page 85

F
E
D

THIGH COMPONENT

SMALL

MEDIUM

LARGE

XLARGE

XXLARGE

48 - 58
43 - 53
38 - 48

56 - 66
51 - 61
46 - 56

64 - 74
58 - 68
53 - 63
REGULAR

74 - 84
68 - 78
63 - 73

N/A

1404 - TCR - R

N/A

1404 - TCR - L

N/A

1404 - TCT - R

N/A

1404 - TCT - L

N/A

RIGHT 1401 - TCR - R 1402 - TCR - R 1403 - TCR - R
LEFT 1401 - TCR - L 1402 - TCR - L 1403 - TCR - L
TALL
RIGHT 1401 - TCT - R 1402 - TCT - R 1403 - TCT - R
LEFT 1401 - TCT - L 1402 - TCT - L 1403 - TCT - L
SMALL

MEDIUM

BELOW KNEE
LARGE

XLARGE

XXLARGE

C1 29 - 39
C 29 - 39
B 24 - 34
A 16 - 26

34 - 44
34 - 44
29 - 39
21 - 30

40 - 50
40 - 50
34 - 44
26 - 36

46 - 56
46 - 56
39 - 49
31 - 41

54 - 64
54 - 64
44 - 55
36 - 46

REG 1401 - BKR
TALL 1401 - BKT

1402 - BKR

1403 - BKR

1404 - BKR

1405 - BKR

1402 - BKT

1403 - BKT

1404 - BKT

1405 - BKT

I
J
K

SMALL
REGULAR LONG
28 - 36
28 - 36
22 - 26
22 - 26
14 - 18
19 - 23

COMPREBOOT
MED/LRG
REGULAR LONG
39 max 39 max
30 max 30 max
18 - 20
23 - 25

XL/XXL
REGULAR LONG
44 max 44 max
33 max 33 max
20 - 22
25 - 27

Foot measuring instructions on page 45

37