Sample Order Form

ProLong - Non-Stimulating 21G continuous block catheter set
Teflon Coating, Tuohy Borst Adaptor, 0.2 mm Needle Tip Exposure
  Block Bevel, 19G Needle
        PL-40C 40mm (1.5") Useable Needle Length
        PL-50C 50mm (2") Useable Needle Length
        PL-100C 100mm (4") Useable Needle Length
        PL-150C 150mm (6") Useable Needle Length
  Tuohy Bevel, 18G Needle
        PLT-40C 40mm (1.5") Useable Needle Length
        PLT-50C 50mm (2") Useable Needle Length
        PLT-100C 100mm (4") Useable Needle Length
        PLT-150C 150mm (6") Useable Needle Length
 
ProLong Micro - Non-Stimulating 24G continuous block catheter set
Teflon Coating, Tuohy Borst Adaptor, 1 mm Needle Tip Exposure
  Chiba Bevel, 20G Needle
       PLM-25 25mm (1") Useable Needle Length
       PLM-50 50mm (2") Useable Needle Length
       PLM-100 100mm (4") Useable Needle Length
 
ProBloc - Single Injection PNB Needle Sample Selection
Sleeve Insulation, Needle Only
  Block Bevel, 22G Needle
   HN1-40 30mm (1.2") Useable Needle Length
   HN1-80 70mm (2.75") Useable Needle Length
   HN1-100 90mm (3.5") Useable Needle Length
Sleeve Insulation, Injection Set
  Block Bevel, 22G Needle
   HN2-40 30mm (1.2") Useable Needle Length
   HN2-80 70mm (2.75") Useable Needle Length
   HN2-100 90mm (3.5") Useable Needle Length
Sleeve Insulation, Injection Set and Stimulating Wire
  Block Bevel, 22G or 20G Needle
   HN3S-25 22G Needle, 15mm (.6") Useable Needle Length
   HN3S-40 22G Needle, 30mm (1.2") Useable Needle Length
   HN3S-80 22G Needle, 70mm (2.75") Useable Needle Length
   HN3S-100 22G Needle, 90mm (3.5") Useable Needle Length
   HN3S-120 20G Needle, 110mm (4.7") Useable Needle Length
   HN3S-150 20G Needle, 140mm (5.5") Useable Needle Length
 
ProBloc SC
Sleeve Insulation, Needle Only
  Block Bevel, 25G Needle
   HN1-SC 30mm (1.2") Useable Needle Length
Sleeve Insulation, Injection Set and Stimulating Wire
  Block Bevel, 25G Needle
   HN3S-SC 30mm (1.2") Useable Needle Length
Teflon Coating, Injection Set and Stimulating Wire
  Block Bevel, 25G Needle
   HN3SC-25C 25mm (1") Useable Needle Length
   HN3SC-40C 40mm (1.5") Useable Needle Length
Teflon Coating, Injection Set and Stimulating Wire
  Chiba Bevel, 25G Needle
   PB-25SCS 25mm (1") Useable Needle Length
   PB-40SCS 50mm (2") Useable Needle Length
 
ProBloc II - 25G Single Injection Needle
Teflon Coating, Injection Set and Stimulating Wire
  Block Bevel, 22G or 20G Needle
   HN3S-50C 22G Needle, 50mm (2") Useable Needle Length
   HN3S-80C 22G Needle, 80mm (3") Useable Needle Length
   HN3S-100C 20G Needle, 100mm (4") Useable Needle Length
   HN3S-120C 20G Needle, 120mm (4.7") Useable Needle Length
   HN3S-150C 20G Needle, 150mm (6") Useable Needle Length
Teflon Coating, Injection Set and Stimulating Wire
  Chiba Bevel, 22G or 20G Needle
   PB-25CS 22G Needle, 25mm (1") Useable Needle Length
   PB-50CS 22G Needle, 50mm (2") Useable Needle Length
   PB-100CS 20G Needle, 100mm (4") Useable Needle Length
   PB-150CS 20G Needle, 150mm (6") Useable Needle Length
     
**For ContiStim® samples, please contact your local U.S. or International representative**
Delivery Address and Contact Information
*Name:
*Title:
*Company (or Facility) :
*Department:
*Address:
*City:
*State:
*Zip:
*Country:
*Phone:
*Email:
NOTE: Indicate the brand and model of stimulator to be used in order to receive the appropriate interface lead set or adaptor.
Latest News
Online Ordering
Life-Tech now offers true online ordering for our Urology consumables and Anesthesia systems and consumables.
Air Charged Catheters
Life-Tech is proud to announce the availability of air charged catheters for our U.S. customers.
ContiStim®
ContiStim stimulating catheters with flat profile Stingray connector is a major advancement in ease of use and patient comfort.
Learn more about Life-Tech's R&D, manufacturing, and marketing capabilities by downloading our corporate brochure.
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