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Opto-MWA
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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
E.
Epoxy Length below connector.
L.
Length of wire beyond epoxy.
LF.
Length of the fiber optic beyond epoxy.
R.
Receptacle edge - Connector edge distance.
Es.
Distance between wires - 0.25mm
HD.
Horizontal distance between the edge of the fiber optic and the closest wire - 100µm
DESIGN SPECIFICATIONS
Metal type:
*
Please Select
Platinum/Iridium 90/10%
Stainless Steel (#304)
Insulation type
*
Please Select
Please Select
Polyimide (H-ML) coating
Teflon coating
Wire Diameter:
*
Please Select
50 Micron (Typical)
25 Micron
Number of wires:
*
PHYSICAL MEASUREMENTS
C: Length of wire covered with carbowax (PEG)
*
Please Select
5mm (Typical)
Other (Specify)
other carbowax
L: Length of wire beyond carbowax:
*
Please Select
2mm (Typical)
Other (Specify)
other carbowax (copy)
D: Include an Epoxy Blob?
*
Please Select
No (Typical)
Yes (Specify the distance from tip of the wire)
other epoxy
Es: Distance between wires:
*
Please Select
0.25 mm (Typical)
0.5 mm
0.75 mm
1.0 mm
Other: (Specify)
other distance
Please select your layout
Layout I
Layout II
Layout III
Layout IV
Wire diameter 75 µm, 125 µm
A.
Distance between wires 0.25mm.
B.
Distance between fiber optic and closet surrounding wire 100µm.
C.
Fiber Optic diameter 125 µm, 230 µm and 430 µm.
Type of desired fiber optic and receptacle
*
Fiber optic - Outer diameter: 200μm core/230μm with cladding; NA:0.48; Flat-cleaved tip. Receptacle - Zirconia; Outer diameter: 1.25mm; Length: 6.45mm
Fiber optic - Outer diameter: 200μm core/230μm with cladding; NA:0.48; Flat-cleaved tip. Receptacle – Metal; Outer diameter: 2.5mm; Length: 10mm
Fiber optic - Outer diameter: 100μm core/125μm with cladding; NA:0.37; Flat-cleaved tip. Receptacle - Zirconia; Outer diameter: 1.25mm; Length: 6.45mm
Fiber optic - Outer diameter: 400μm core/430μm with cladding; NA:0.48; Flat-cleaved tip. Receptacle - Zirconia; Outer diameter: 1.25mm; Length: 6.45mm
Other: (Specify)
Other
LF: Length of the fiber optic beyond epoxy
R: Receptacle edge/Connector edge distance
Include a reference wire?
*
Please Select
Yes (Typical) Same material as recording wire with 2 mm exposed tip
Other (Specify)
No
other
Include a 5cm long Ground Wire?
*
Please Select
Yes (Typical) External wire coming directly off of the connector
No
Please select metal type
Please Select
Stainless Steel (0.004” or 100µm)
Silver (0.005” or 125µm)
CONNECTOR AND HEADSTAGE
Connector(s)
*
A11365-001 - Male Omnetics connector - 8 channel, 10-pin 0.050” pitch.
A12623-001 - Male Omnetics connector- 8 channel, 10-pin, 0.050” pitch with latching mechanism.
A8393-001 - Male Omnetics connector- 8 channel, 10-pin, 0.025” pitch, 2 guide posts.
A79000-001 - Male Omnetics connector- 7 channel, 9-pin, 0.025” pitch, 2 guide posts.
A79014-001 - Male Omnetics connector- 16 channel, 18-pin, 0.025” pitch, 6 guides posts, Two rows.
A70242-001 - Male Omnetics connector- 16 channel, 18-pin, 0.025” pitch, 2 guides posts, MRI compatible, Two rows.
A79038-001 - Male Omnetics connector- 16 channel, 18-pin, 0.025” pitch, Two rows, 2 guide posts.
A79022-001 - Male Omnetics connector -32 channel, 36-pin, 0.025” pitch, 4 guide posts.
A72312-001 - Male Omnetics connector -32 channel, 36-pin, 0.025” pitch, 4 guide posts, MRI compatible.
Other
Indicate desired connector
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 files to this area to upload.
You can upload up to 5 files.
ACCESSORIES AND ADDITIONAL SERVICES
Do you require product pre-sterilization?
Yes
No
(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:
Bat
Bat
Bird
Cat
Culture/Organoid
Dog
Guinea Pig
Marmoset
Mouse
NHP
Non-Biological
Pig
Rat
Tissue Slice
Other In Vitro
Other Large Animal
Other Small Animal
Other/NA
Implant Location / Usage Description:
Layout
Acute or Chronic Use:
Please select
Acute Intrasurgical
Acute Short (2-48 hrs)
Subacute (<2 weeks)
Short Chronic (<3 month)
Long Chronic (3-12 month)
Very Long Chronic (> 1 year)
Multiple
Other/NA
Functionality
Please select
Recording
Stimulation
Both Recording and Stimulation
Other
N/A
ABOUT YOUR ORDER
How many Opto-MWA design do you wish to order
*
Delivery options
Standard 6 weeks delivery
Rush order
Special requirements
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