X-wide Contacts Cuff

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Contact Person’s Name:

Contact Person’s Email:

Contact Person’s Telephone:

Institution Name:

Institution City and Country:

Principal Investigator’s Name:

Name on Quote (if not contact person):

GENERAL SPECIFICATIONS

Layout

d. Inner diameter.
x. Spacing between contacts.
n. Number of contacts.
y. Distance from the end of the contacts to the end of the cuff.
s. Teflon insulated stranded Stainless Steel lead.
w. Number of contacts inside a ring (2-8).
Stranded Stainless Steel leads teflon insulation 300mm long (typical).

DESIGN SPECIFICATIONS

Select one of the options

PLEASE PROVIDE THE FOLLOWING ADDITIONAL INFORMATION:

(n) Number of contacts

s) Length of the stranded SS leads

Please select the desired angle of the leads leaving the cuff

Do you require the leads with silicone encapsulation

Do you require suture threads embedded in the cuff?

CONNECTOR AND HEADSTAGE

Provide us with the brand and model of your recording and/or stimulation system

YOUR CUSTOM DESIGN AND LAYOUT SHEET

If your requested design cannot be fully described by the questions above, please attach a description here. Make drawing as clear as possible:

Upload a file:

Click or drag a file to this area to upload.

ACCESSORIES AND ADDITIONAL SERVICES

Do you require product pre-sterilization?

(Sterilization (ethylene oxide gas) will be performed by a third party and requires an additional fee to cover process, packaging, and shipping. Typical fee is $850 USD per batch. Process is not validated for human use.)

APPLICATION DESCRIPTION (OPTIONAL)

The following questions can help our sales team assist you in optimal probe selection and design.

Animal Model / Application:

Implant Location / Usage Description:

Layout

Acute or Chronic Use:

Functionality

ABOUT YOUR ORDER

How many of this X-wide contacts cuff design do you wish to order?

Delivery options

Standard 6 weeks delivery
Rush order

Special requirements

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X-wide Contacts Cuff

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