Drainage materials for patients

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Order form for patient delivery

Please fill in the required fields and submit this form to complete your order.

    Product Selection

    Please select your desired products and quantities:

    ewimed drainage set 2000 ml
    Minimum order quantity
    1 package = 10 pieces, sterile
    PleurX™ drainage set, 500 ml
    Minimum order quantity
    1 package = 10 pieces, sterile
    PleurX™ drainage set, 1000 ml
    Minimum order quantity
    1 package = 10 pieces, sterile
    drainova® silicone cap, sterile
    Minimum order quantity
    1 package = 10 pieces, sterile
    drainova® drainage set 2000 ml
    Minimum order quantity
    1 package = 10 pieces, sterile
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    Ordering Information

    Please fill in the following information:

    Type of Implantation: *

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    Patient Information

    Material Delivery: *

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    Delivery Address

    Fields marked with an * must be filled in.


    [section_break section_break-782 "Produktbeställningsformulär"] Please fill in the required fields and submit this form to complete your order. [/section_break]