CUSTOMER CONTACT INFORMATION Contact Name (required)
Company (required)
Phone Number (required)
Email Address (required)
BALLOON INFORMATION
Description
Part No. & Rev.
BALLOON SPECIFICATION
Diameter (A)
Working Length (L)
Double Wall Thickness – SWT x 2
Proximal Cone Angle (C)
Proximal I.D. (PID)
Proximal O.D. (POD)
Proximal Neck (Tail) Length (F)
Distal Cone Angle (B)
Distal I.D. (DID)
Distal O.D. (DOD)
Distal Neck (Tail) Length (E)
Nominal Pressure
Rated Burst Pressure – RBP
Maximum Burst Pressure
Cycle Requirement
Balloon Volume – CC
Quantity Required
Shipping Requirements
Test Requirements
Custom Shape Upload
Special Notes
