Sample & Brochure Request
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Instrument type:
Zoellner 6fgN100
Nasal 9fgN100
Fine American/Fine
Frazier 6fgN140
____
__
American/Lempert
Frazier 9fgN140
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Fine Magill 6fgF140
Magill 9fgF140
Number used per week:
select one............
0 -5
6 - 10
11- 20
21 +
Current suction tubes in use:
select one............
Re-usable
Single use
Changing over
Procedure to be used with:
select one............
ENT surgery
ENT outpatients
Oral surgery
Neurosurgery
MaxFax
Other...
Further comments:
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Brochure Request:
___.
Name:
Occupation:
Department:
Hospital:
Department telephone:
E-mail:
.
.
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