BiaCare Product Catalog | Seite 43

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PO#:

Contact:

Company:

Phone:

ORDER FORM

Patient Name:

Date:
Age:

Ht:

Wt:

Bill-To Name & Address:
Ship-To Name & Address:

PRODUCT INFORMATION

LEFT LEG

RIGHT LEG

SIZE:

SIZE:

LENGTH:

LENGTH:

ITEM #:

ITEM #:

COMPREBOOT PLUS SIZE:

COMPREBOOT PLUS SIZE:

SIZING & ITEM NUMBERS
Measuring instructions on page 85

C1
C
B
A

SMALL
32 - 42
29 - 39
24 - 34
20 - 29

MEDIUM
38 - 48
34 - 44
29 - 39
21 - 30

LARGE
42 - 52
39 - 49
33 - 43
25 - 36
LEFT

XLARGE
51 - 61
48 - 58
41 - 51
32 - 42

XXLARGE
58 - 68
55- 65
44 - 55
33 - 43

SHORT 1201 - BKS - L 1202 - BKS - L 1203 - BKS - L 1204 - BKS - L 1205 - BKS - L
REG 1201 - BKR - L 1202 - BKR - L 1203 - BKR - L 1204 - BKR - L 1205 - BKR - L
TALL 1201 - BKT - L

1202 - BKT - L

1203 - BKT - L

1204 - BKT - L

1205 - BKT - L

RIGHT
SHORT 1201 - BKS - R 1202 - BKS - R 1203 - BKS - R 1204 - BKS - R 1205 - BKS - R
REG 1201 - BKR - R 1202 - BKR - R 1203 - BKR - R 1204 - BKR - R 1205 - BKR - R
TALL 1201 - BKT - R 1202 - BKT - R 1203 - BKT - R 1204 - BKT - R 1205 - BKT - R

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

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