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Request a Sample

of a TFX OEM® Brand Product

Facility OEM Headquarters

 

Thank you for your interest in TFX OEM® brand products from Teleflex Medical OEM. A product sample is a single unit of extrusion or device. Requests for additional samples may incur a surcharge. While the sample you receive may not be an exact match to your specifications, it will be representative of our capabilities.

 

Sample is non-sterile and not intended for human use. Sample is not lot controlled.
 

Please note: Required fields are indicated by a icon. You must have read and accepted our Terms and Conditions of Use, and Privacy Policy in order to submit this form.

Contact Information

Please enter your name.
 
Please enter your job title.
 
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Please enter a ZIP/postal code.
 
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Please attach a drawing if available. Formats accepted: IGES, PDF, AutoCAD®, SolidWorks® or compatible files. Send ZIP files only.

 
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Please Provide this Sample

 
 
 Please select a material type.
 
Please enter the Unit of Measurement Used on this Form Please enter a product description.
 
 Please enter the application or intended use.
 
 
 
Please enter comments.
 
 

Please attach a drawing if available. Formats accepted: IGES, PDF, AutoCAD®, SolidWorks® or compatible files. Send ZIP files only.

 
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Please provide a detailed description of the medical device.

  1. Examples:
  2. 1. 7F Dilator, FEP, blue with 20% barium sulfate, tip ID 0.040", 20.0" usable length
  3. 2. Standard, interlocking 12F PTFE, peelable sheath and dilator assembly
  4. 3. 19ga closed-end epidural, single 10% tungsten stripe, standard length
  5. 4. Custom design per attached drawing

 
 
 
 

 
 
 
 
 

 
 
 
 
 

 
 
 
 
 

 
 
 
 

 
 
 
 
 

 
 
 
 
 
 
 
 

 

 
 
 
 
 

If YES, provide the material, durometer, filler, % filler, color, and length of each segment in the box below.

 
 

 
 

 
 
 
 

 
 
 
 
 
 
 
 
 
 

 

What is the appropriate quantity? Choose one from the list below.

 
 

 
 

Please attach a drawing if available. Formats accepted: IGES, PDF, AutoCAD®, SolidWorks® or compatible files. Send ZIP files only.

 
Remove File
 

Information Requested

 
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