BiaCare Product Catalog | Page 45

P: 866.931.0876 F: 866.931.0052 [email protected] - TH 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: Length: Length: Item #: Item #: CompreBoot PLUS Size: CompreBoot PLUS Size: Cotton Liners (extra pair) Qty: SIZING CHART & ITEM NUMBERS MEDAFIT - TH Gluteal Fold (or desired length) SMALL S. MAX MEDIUM M. MAX LARGE L. MAX XLARGE F 48 - 58 56 - 66 56 - 66 64 - 74 64 - 74 74 - 84 74 - 84 E 43 - 53 51 - 61 51 - 61 58 - 68 58 - 68 68 - 78 68 - 78 D 38 - 48 46 - 56 46 - 56 53 - 63 53 - 63 63 - 73 C1 32 - 42 37 - 47 42 - 52 29 - 39 34 - 44 39 - 49 C B 24 - 34 29 - 39 33 - 43 20 - 29 21 - 30 25 - 36 A SHORT 1201-THS H LENGTH (CM) SHORT: 61 - 71 REG: 71 - 81 TALL: 81 - 91 63 - 73 51 - 61 48 - 58 41 - 51 32 - 42 1202-THS REG MAX 1201-THRM TALL 1201-THT XTALL 1201-THTM 1203-THSM N/A 1203-THR 1202-THRM 1203-THRM N/A 1202-THT REG 1201-THR 1202-THSM 1202-THR SHORT MAX 1201-THSM 1203-THS 1204-THS 1203-THT 1204-THT 1202-THTM 1203-THTM N/A 1204-THR COMPREBOOT PLUS SMALL REGULAR I 28 - 36 J 22 - 26 K 14 - 18 LONG 28 - 36 MED/LARGE REGULAR LONG 39 max 39 max XL/XXL REGULAR LONG 44 max 44 max 22 - 26 30 max 30 max 33 max 33 max 19 - 23 18 - 20 20 - 22 23 - 25 25 - 27 32