SECTION "R" PAGES Pg. R-001 Pg. R-002 Pg. R-003 Pg. R-004 Pg. R-005 Pg. R-006 Pg. R-007 Pg. R-008

| Home | Why Choose Richard's? | Contact Us | Terms and Conditions | Request Info | Section R: Page 002 PHYSICIAN INDUSTRIES CREATE A KIT EPIDURAL NEEDLES 17G x 3-1/2" 18G x 3-1/2" 18G x 6" 20G x 2-1/2" 20G x 3-1/2" 22G x 3-1/2" Removable Wing Fixed Wing Hustead Metal Hub Plastic Stylet Metal Stylet LOSS FOF RESISTANCE SYRINGES Plastic Syringe 7cc LL Plastic Syringe 7cc LS Glass Syringe 5cc LL Glass Syringe 5cc Ls Other________________ SYRINGES Syringe 3cc LL Syringe 3cc LS Syringe 5cc LL Syringe 5cc LS Syringe 10cc LL Syringe 10cc LS Syringe 20cc LS Syringe 20cc LL Syringe 1cc LS Other________________ NEEDLES Needle 18G x 1-1/2" (Pink) Filter Needle 19G x 1-1/2" (Clear) Needle 20G x 1-1/2" (Blue) Needle 21G x 1-1/2" (Green) Needle 22G x 1-1/2" (Black) Needle 25G x 5/8" (Blue) Needle 27G x 1/4" (Gray) Filter Straw Other______________________ SPINAL NEEDLES 18G x 3-1/2" 20G x 3-1/2" 22G x 3-1/2" 22G x 5" 22G x 6" 22G x 7" 22G x 8" 25G x 3-1/2" Other_____________________ MEDICATIONS Sodium Chloride 0.9% 10ML Ampule Lidocaine 1% 5ML Ampule Lidocaine 1.5% w/ 1:200. EPI Ampule Lidocaine 1% 30ML Vial Ampule Lidocaine 2% 10ML Ampule Bupivicaine ______ % 10ml Other_____________________ DRAPES AND TOWELS Fenestrated Drape Small Fenestrated Drape w/ Tape Utility Drape w/ Tape Clear Fenestrated Drape Absorbent Towel Blue O.R. Towels C-ARM Drape Other_____________________ PREP PRODUCTS Sponge Applicators Povidone Iodine 1 oz. Packet Povidone Iodine Triple Swabs Pair Surgeon Gloves Gauze 4" x 4" 8 Ply Gauze 3" x 3" 12 Ply Adhesive Bandage Needle Stick Pad Other________________ EXTENSION SETS Extension Set 6" Minibore Extension Set 12" Minibore Extension Set 20" Minibore Other________________ FORMED TRAYS Large Shallow Prep Single Shot Tray Single Deck Epidural Tray Other________________ CONTINUOUS EPIDURAL 20G Epidural Catheter Flat Filter Other________________ MISCELLANEOUS Skin Marker Inflation Syringe NAME: ________________________________ HOSPITAL:________________________________ DEPARTMENT:_______________________________ CITY:_______________________________ ADDRESS:_______________________________ PHONE / FAX:________________________________ PRINT OUT THIS PAGE, FILL IN THE FORM AND FAX TO RICHARD'S MEDICAL

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