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If you would like to trial one or more of our products, please provide us with the following information. We will then send you a sample kit containing sterile samples of the products you request to allow you to evaluate them. To help us respond quickly, please be sure to complete this form thoroughly. Should you have any questions, please call us toll-free at 1-866-484-5400.

If you have already evaluated one or more of our products and would like additional samples for further clinical evaluations, please simply complete this form and we will send you another sample kit.

CONTACT INFORMATION
   
*Contact Name:
Title:
Company or facility:
*Address:
 
*City:        *State:
    *Zip:
*Email:
*Phone:        Fax:
   
 
   
Type of
surgery
you do:
Knee arthroscopy
Shoulder arthroscopy
Hip arthroscopy

Type of
arthroscope you use:
Smith+Nephew
Stryker
Dyonics
Other (please specify below)
 
 
   
PRODUCT SAMPLES AVAILABLE
  Product Description Application  
 
 
  ClearVu 2.7 Sharp Flexible inflow-outflow
cannula with sharp trocar
3-portal knee arthroscopy  
  ClearVu 2.7 Blunt Flexible inflow-outflow
cannula with blunt obturator
3-portal knee arthroscopy  
  TwoVu ST Outflow scope sheath
(5 options available, for
specific arthroscopes)
2-portal knee arthroscopy &
shoulder & hip arthroscopy
 
  Combination outflow & anti-extravasation scope sheath
(2 options available, for
specific arthroscopes)
Shoulder & hip arthroscopy  
  EntreVu EX
Anti-extravasation
instrument cannula
(8.25mm ID)
Shoulder & hip arthroscopy  
  DryVu Fluid Shield Fluid shield for any
round-shafted instrument
All forms of arthroscopy  
   
PRODUCTS YOU WANT TO EVALUATE
  Description Ref# Quantity You Want  
  ClearVu 2.7 Sharp CV27-S
  ClearVu 2.7 Blunt CV27-B  
  TwoVu ST-5 TVST-5  
  TwoVu ST-6 TVST-6  
  TwoVu ST-6L TVST-6L  
  EntreVu EX, 8.25 mm ID
EVEX-8-7T  
  ExtravaStopper ESTOP  
  DryVu Fluid Shield DVST  
   
  SPECIAL INSTRUCTIONS OR COMMENTS