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Qualia 4-ch Nerve Cuffs
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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
NC-1210-4
NC-1620-4
NC-2600-4
NC-3600-4
NC-5500-4
Device length
10.000 mm
10.000 mm
10.000 mm
10.000 mm
10.000 mm
Device width
4.000 mm
4.000 mm
4.000 mm
4.000 mm
4.000 mm
Device thickness
30 ± 5 µm
30 ± 5 µm
30 ± 5 µm
30 ± 5 µm
30 ± 5 µm
Electrode length
1.210 mm
1.620 mm
2.600 mm
3.600 mm
5.500 mm
Electrode width
0.150 mm
0.150 mm
0.150 mm
0.150 mm
0.150 mm
Electrode area
0.182 mm
2
0.243 mm
2
0.390 mm
2
0.540 mm
2
0.825 mm
2
Electrode sites
4
4
4
4
4
Electrode spacing
1.000 mm
1.000 mm
1.000 mm
1.000 mm
1.000 mm
Standard electrode material*
TiN
TiN
TiN
TiN
TiN
Connector options
Bare wires, Plastics One, Omnetics
Bare wires, Plastics One, Omnetics
Bare wires, Plastics One, Omnetics
Bare wires, Plastics One, Omnetics
Bare wires, Plastics One, Omnetics
DESIGN SPECIFICATIONS
Select Qualia 10-ch & 12-ch option
*
Please Select
NC-1210-4
NC-1620-4
NC-2600-4
NC-3600-4
NC-5500-4
(s) Length of the stranded SS leads
*
Please Select
Please Select
300 mm (Typical)
Other: (Specify)
other
Please select the desired angle of the leads leaving the cuff
Do you require the leads with silicone encapsulation
Yes
No
C: Length of wire covered with carbowax (PEG)
*
Please Select
Totally encapsulated
Partially encapsulated // describe (X)
Non-encapsulated
Please describe (X)
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.
CONNECTOR AND HEADSTAGE
Connector(s)
*
Non Connector
Invivo1
Banana Terminal
Touch Proof Connector
Omnetics Connector
Other (Specify)
Please select one
*
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
Provided by the customer
Provide us with the brand and model of your recording and/or stimulation system
*
ABOUT YOUR ORDER
How many EMG Patches of this design do you wish to order?
*
Delivery options
Standard 6 weeks delivery
Rush order
Special requirements
Submit