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
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