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Thank you for using the Sirtex Online Cancellation Form. Please complete the fields below to complete your request. After your cancellation is submitted, you will receive a confirmation of receipt 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.

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

Form 918e
Reference: QSOP06
COM-US-347

Revision #01 (CR2934) 26 May 2022

Caution: Federal (USA) law restricts this device to sale by or on the order of a physician. Indications for Use: SIR-Spheres Y-90 resin microspheres are indicated for the treatment of unresectable metastatic liver tumors from primary colorectal cancer with adjuvant intrahepatic artery chemotherapy (IHAC) of FUDR (Floxuridine). Side Effects: Common side effects are fever, transient decrease of hemoglobin, mild to moderate abnormality of liver function tests, abdominal pain, nausea, vomiting, and diarrhea. Potential serious effects due to exposure to high radiation include acute pancreatitis, radiation pneumonitis, acute gastritis, radiation hepatitis, and acute cholecystitis. Consult the Instructions for Use for a complete listing of indications, contraindications, side effects, warnings, and precautions.