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Product Ordering

Thank you for using the Sirtex Online Order Form. Please complete the fields below to place your order. After your order has been processed, you will receive an order confirmation from Customer Service. If you have any questions, please email csusa@sirtex.com or call us on one of our numbers listed on our Contact page.

 

SIR-Spheres® Y-90 resin microspheres North America Hospital Order Form

(if you don't know your account number, email csusa@sirtex.com)
(Please separate each email address with a Comma)

Delivery Information


Treatment Address

    What's this?


   
   


Order Information

Order Deadline



Please click on calendar to select a date

Please click on calendar to select a date

Delivery Day Monday Tuesday Wednesday Thursday Friday
# Days pre-cal 3 day
(Thursday)
7.28 GBq
3 day
(Friday)
7.28 GBq
3 day
(Saturday)
7.28 GBq
3 day
(Sunday)
7.28 GBq
3 day
(Monday)
7.28 GBq
2 day
(Wednesday)
5.62 GBq
2 day
(Thursday)
5.62 GBq
2 day
(Friday)
5.62 GBq
2 day
(Saturday)
5.62 GBq
2 day
(Sunday)
5.62 GBq
1 day
(Tuesday)
4.33 GBq
1 day
(Wednesday)
4.33 GBq
1 day
(Thursday)
4.33 GBq
1 day
(Friday)
4.33 GBq
1 day
(Saturday)
4.33 GBq

Quantity Item Number Item
SIR-Y001*
SIR-Spheres Y-90 resin microspheres


   
SIR-K002 Accessories Pack (includes 1 Delivery Set, 1 V-Vial and 1 V-Vial Holder)
SIR-V001 V-Vial
SIR-D001 Delivery Set
SIR-H001 V-Vial Holder
SIR-S001 Syringe Shield
SIR-B001 Delivery Box
SIR-10100 SIROS Delivery Dome
SIR-10200 SIROS D-Vial Prep Set
SIR-10300 SIROS Delivery Set
SIR-H001 V-Vial Holder

* Each SIR-Y001 includes: an accessories pack SIR-K002 (ONE (1) Delivery Set, ONE (1) V-Vial, ONE (1) V-Vial Holder) and shipping

SIR-Spheres Y-90 resin microspheres (including 1 each SIROS D-Vial Prep Set and SIROS Delivery Set)

Notes



* mandatory field






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

Form 910e
Reference: QSOP06
200-U-0619

Revision #7 (CR2549) 12 September 2019