Thank you for using the Sirtex Online Order Form.

Please complete the fields below to place your order. By entering your account number, you will be able to see the delivery options available for your centre.

After your order has been processed, you will receive an order confirmation from Customer Service.

Cancellation Policy: If your order of SIR-Spheres® microspheres needs to be cancelled after order deadline, please advise Sirtex Customer Service as soon as possible by e-mail at cs-eu@sirtex.com.

Receipt of your cancellation will be confirmed by Sirtex.

If you have any questions or if you do not know your account number, please email cs-eu@sirtex.com or call us on +49-228-1840-730.

 

SIR-Spheres® Y-90 resin microspheres Online Order Form - Middle East and Africa




Delivery Information


Treatment Site Information



Distributor Information (if applicable)


What's this?


Order Information



Deadlines



Attention! The selected delivery date is prior to the first available delivery date: . Please modify the date or contact Customer Service for availability.
FLEXdose Delivery Programme

Order Deadline Flight Day Arrive Day Calibration Day Pre-Calibration Activity
(assuming one day Customs clearance)
Treatment Day
Tuesday
4pm CET
Friday Saturday Tuesday 2 days
1 day
0 day
+1 day
Sunday
Monday
Tuesday
Wednesday
Saturday Sunday Wednesday 2 days
1 day
0 day
+1 day
Monday
Tuesday
Wednesday
Thursday
Sunday Monday Thursday 2 days
1 day
0 day
+1 day
Tuesday
Wednesday
Thursday
Friday

Quantity Item Number Item
SIR-Y001 SIR-Spheres Y-90 resin microspheres
Each dose may include a maximum of two (2) accessory packs (SIR-K002)
which contains one (1) Delivery Set, one (1) V-Vial and one (1) V-Vial Holder. Please order accordingly,

*Refer to SIR-Spheres Y-90 resin microspheres Dose Calibration and Delivery Schedule
SIR-K002 Accessory Pack
(Delivery Set, V-Vial and V-Vial Holder)
Max. two (2) packs per dose
SIR-S001 Syringe Shield
Reuseable item: Please state reason for ordering
SIR-B001 Delivery Box
Reuseable item: Please state reason for ordering
-
Other, please specify:








* mandatory field
SIR-Spheres® is a registered trademark of Sirtex SIR-Spheres Pty Ltd.

Form 915e
Reference: QSOP06
280-E-1019

Revision # 0 (CR 2579) Issued 05 Nov 2019

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