MICROSUCTION EQUIPMENTfor EARS
ORDER FORM June 2018
Please note: A minimum order quantity of £20 applies to all orders
Forceps, probes, suction tubes and fine ends, and auralspeculae are supplied single packedand are sterile unless otherwisestated
PriceOrder Quantity Total Cost
Opticlar Loupes with headlight 340mm x 3x magnification
other models are available – please ask£785.00 ______£ ______
all models available in 2 magnifications & 4 working distances
Zoellner Suction Tubes 30 holes - (1 per patient)box 50 £89.00 ______£______
Zoellner Fine Ends 18swg - (1 per patient)box 50£62.00 ______£______
Henckel Forceps (for wax removal)pack of 50£545.00 ______£ ______
pack of 20£225.00 ______£______
Micro Alligator Forceps (wax removal)pack of 50£465.00 ______£ ______
(7mm, 5mm, 3.5 mm ends available)pack of 20£190.00 ______£______
Jobson Horne Probe 7"pack of 100£168.00 ______£______
Carbon Curettes - clinically clean - loose - box of 100£64.00 ______£______
AuralSpeculae–Rosens and Grubers (metal and plastic) are available in various sizes.
Please ring for details
Opticlarotoscope with lithium handle and pod charger£415.00 ______£______
Opticlar Pocket Otoscope with soft case£120.00 ______£______
Smartphone Pocket Otoscope – (please specify which model iPhone)£112.00 ______£ ______
Other Otoscopes – inc. Macroview are available – please see re-useables equipment order form
Disposable Speculae for Opticlar/ Welch Allyn Otoscopes (2.75 mm or 4.25 mm):-
please state size______pack of 250£34.00 ______£ ______
please state size______pack of 500£50.00 ______£ ______
please state size______pack of 850£60.00 ______£ ______
Other Otoscope speculae are available - please see single-use equipment order form
Other equipment required for Microsuction procedure is available from NHS Supply Chain:
Gallipot
Tubing for suction machine – connecting, non-conductive 8mm x 3m
Cotton wool
Couch roll
Portable suction machine - We are currently in negotiations with a company which supplies a portable suction machine which we use. We expect the price to be in the region of £300 Please ring for details
Also required:
Disposable Standard Liner (1 per day) – c. £3 eachPlease ring for details
Bacterial filtersc. £20 eachPlease ring for details
…...contd over….
Please note: Prices are accurate at the date of this list, but may have changed by the time you
read it. Please ring to confirm prices before completing Order Quantity and Total Cost columns. Please do not forget to fill in your invoice & delivery details. You will be invoiced for any difference in prices if you fail to confirm them by telephone. VAT will be charged to non-NHS organisations
DELIVERY INFORMATION
NAME: ………………………………………………………SIGNATURE: ……………………………………………………
DELIVERY ADDRESS: ……………………………………………………………………………………………………………
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POST CODE: …………………………………………
TEL NO: ……………………………………………………… FAX NO: …………………….…………………………………
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INVOICE INFORMATION (Please ensure that if the invoice is to be sent to anNHS Trust or other organisationa contact name and the full address are given below):-
NAME: ………………………………………………………………………………………………………….…………………..
ADDRESS: ………………………………………………………………………………………………………………………….…………….
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POST CODE: ………………………………………… TEL NO: …………………………………………………..
Please note:
We must be notified within 7 days of ‘short deliveries’ of individual items (e.g. 3 probes ordered, only 2 received). Our suppliers will not accept responsibility for shortages not reported within 7 days of the delivery date. Proof of delivery, if required, must also be requested within 7 days
Payment by BACS (Credit transfer) should quote our invoice number and be sent to: Rotherham NHS Foundation Trust, Financial Services, Woodside, Moorgate Road, Rotherham, S60 2UA
Please post, fax or e-mail your order to:
The Primary Ear Care Centre, Rotherham Community Health Centre, Greasbrough Road
ROTHERHAM S60 1RY
Telephone: 01709 423140 Fax: 01709 423408 Email:
June 2018