Page 158 - MEDIFAB_Digital_CatalogueCA
P. 158

Lateral Options Form                                                   F    1



                                     (Please attach to Generic Order Form)





          Name: ________________         Company:_____________________             Ref:___________________




                                 VIGOUR LATERALS (Page 23)                Full kit with bracket and fasteners  Pad Only
                                 Long trunk thoracic lateral support.             (sold each)          (sold each)
                                                  SIZE    Depth (A)  Height (B)   Fixed   Qty  Swing-Away  Qty   Pad   Qty

                                                  Small   145mm  150mm  1260 3132      1260 3152     1261 3132
                                        A
                                 B                Medium  155mm  200mm  1260 3133      1260 3153     1261 3133

                                                  Large   175mm  250mm  1260 3134      1260 3154     1261 3134
                                                  X-Large  185mm  300mm  1260 3135     1260 3155     1261 3135




                                 SPEX STRAIGHT LATERALS (Page 23)         Full kit with bracket and fasteners  Pad Only
                                 Standard thoracic support.                       (sold each)          (sold each)
                                                  SIZE    Depth (A)  Height (B)   Fixed   Qty  Swing-Away  Qty   Pad   Qty
                                                  X-Small  145mm   90mm  1260 3301     1260 3401     1261 3301
                                        B
                                  A               Small   170mm    90mm  1260 3302     1260 3402     1261 3302

                                                  Medium  205mm  110mm  1260 3303      1260 3403     1261 3303
                                                  Large   235mm  110mm  1260 3304      1260 3404     1261 3304


                                             SPEX CURVED LATERALS (Page 23)          Full kit with bracket  Pad Only
                                             Similar to SPEX Straight Laterals, but with a  and fasteners
                                             curved anterior support.                   (sold each)    (sold each)
                                                              SIZE    Depth (A)  Height (B)  Swing-Away  Qty   Pad   Qty
                                                              X-Small  145mm   90mm   1260 3501      1261 3501
                                                    B
                                              A
                                                              Small   170mm   90mm    1260 3502      1261 3502
                                                              Medium  205mm  110mm    1260 3503      1261 3503

                                                              Large   235mm  110mm    1260 3504      1261 3504



                                             SPEX CURVED EXTENDED LATERALS (Page 23) Full kit with bracket  Pad Only
                                             Similar to SPEX Straight Laterals, but with an  and fasteners  (sold each)
   O
                                             extended curved anterior support.          (sold each)
                                                              SIZE    Depth (A)  Height (B)  Swing-Away  Qty   Pad   Qty
                                                    B         Small   230mm   90mm    1260 3602      1261 3602
                                              A
                                                              Medium  280mm  110mm    1260 3603      1261 3603

                                                              Large   330mm  110mm    1260 3604      1261 3604
   rder Form
   s





   Form F1
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