BiaCare Product Catalog | Page 41

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

Black

RIGHT LEG

Beige

SIZE:

SIZE:

LENGTH:

LENGTH:

ITEM #:

ITEM #:

Black

Beige

SIZING & ITEM NUMBERS
Measuring instructions on page 85

CIRCUMFERENCE
LEFT

RIGHT

C1
C
B
A

FIBULAR HEAD

C1
C

30

BK LENGTH

15

A

5

POINT

LARGE

XLARGE

XXLARGE

29 - 39
29 - 39
24 - 34
16 - 26

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

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

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

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

TALL 1401-UC-BKT 1402-UC-BKT 1403-UC-BKT 1404-UC-BKT 1405-UC-BKT
BEIGE
REG 1411-UC-BKR 1412-UC-BKR 1413-UC-BKR 1414-UC-BKR 1415-UC-BKR

Lateral Maleolous
to Fibular Head TALL 1411-UC-BKT 1412-UC-BKT 1413-UC-BKT 1414-UC-BKT 1415-UC-BKT

B

O

MEDIUM

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

25

G

SMALL

Regular: 30-33.9cm
Tall: 34-42cm

LATERAL MALEOLOUS
outer ankle bone

39