BiaCare Product Catalog | Page 45

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PO#:

Contact:

Company:

Phone:

ORDER FORM

Date:

Patient Name:

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

F
E
D
C1
C
B
A

SMALL
48 - 58
43 - 53
38 - 48

S. MAX MED.
56 - 66 56 - 66
51 - 61 51 - 61
46 - 56 46 - 56

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

M. MAX LARGE L. MAX

64 - 74 64 - 74 74 - 84
58 - 68 58 - 68 68 - 78
53 - 63 53 - 63 63 - 73

37 - 47
34 - 44
29 - 39
21 - 30

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

XLRGE
74 - 84
68 - 78
63 - 73
51 - 61
48 - 58
41 - 51
32 - 42

SHORT 1201 - THS

1202 - THS

1203 - THS

1204 - THS

SHORT MAX 1201 - TMS

1202 - TMS

1203 - TMS

N/A

REG 1201 - THR

1202 - THR

1203 - THR

1204 - THR

REG MAX 1201 - TMR

1202 - TMR

1203 - TMR

N/A

TALL 1201 - THT

1202 - THT

1203 - THT

1204 - THT

TALL MAX 1201 - TMT

1202 - TMT

1203 - TMT

N/A

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

43