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A three-sided form that offers comfort and flexibility while enhancing either the right or left side.
MFR #
 SPECS
Style 103
 Tri Side, Sizes 1-13

 

All of our silicone prosthesis are made of the highest quality 100% medical grade silicone, and are molded to offer the most flexible and natural fit. Each form is covered with an extremely durable polyurethane film that allows the prosthesis to look and feel life like. The forms quickly adjust to body temperature on contact and are not affected by chlorine or salt water. Each from comes with a washable cotton backed cover.

1 2 3 4 5 6 7 8 9 10 11 12
60 65 70 75 80 85 90 95 100 105 110 115
28/30 30/32 32/34 34/36 36/38 36/38 38/40 38/40 42/44 44 36/40 42/44
AA/A A/B C/A B/C/A B/A B/C/A B/A C/B B/B C D D

If you have any questions concerning size or just want more product information call 1-800-541-8119 to speak to one of our experienced, trained fitters.

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Avenue Medical
1277 S. Governors Avenue
Dover, DE 19904
1-800-541-8119 or 1-302-674-0907
fax: 1-302-674-1421

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