BiaCare Product Catalog | Page 14

Sleeve - BK P: 866.931.0876 F: 866.931.0052 [email protected] Compre TM ORDER FORM PO#: Date: Company: Phone: Contact Name: Patient Name: Sex: Age: Ht: Wt: Bill-To Name & Address: Ship-To Name & Address: PRODUCT INFORMATION LEFT LEG RIGHT LEG ACCESSORIES (additional cost): SIZE: SIZE: Cotton Socks (extra pair) Qty: LENGTH: LENGTH: Silver Socks (pair) Qty: ITEM #: ITEM #: COMPREBOOT SIZE: COMPREBOOT SIZE: SIZING CHART & ITEM NUMBERS COMPRESLEEVE - BK Bottom of Patella C1 C B A LENGTH (CM) SHORT SHORT: 25 - 30 REG: 30 - 36 TALL: 36 - 42 REGULAR TALL & SMALL MEDIUM LARGE 29 - 39 34 - 44 24 - 34 29 - 39 39 - 49 33 - 43 20 - 29 21 - 30 25 - 36 32 - 42 38 - 48 42 - 52 X-LARGE XX-LARGE 51 - 61 58 - 68 48 - 58 55 - 65 41 - 51 44 - 55 32 - 42 33 - 43 1501 - BKS 1502 - BKS 1503 - BKS 1504 - BKS 1505 - BKS 1501 - BKR 1502 - BKR 1503 - BKR 1504 - BKR 1505 - BKR 1501 - BKT 1502 - BKT 1503 - BKT 1504 - BKT 1505 - BKT COMPREBOOT SMALL REGULAR I 28 - 36 J 22 - 26 K 14 - 18 LONG 28 - 36 22 - 26 19 - 23 MED/LARGE REGULAR 39 max 30 max 18 - 20 LONG 39 max 30 max 23 - 25 XL/XXL REGULAR 44 max 33 max 20 - 22 LONG 44 max 33 max 25 - 27 12