Complete and submit this form for a standard kit OR if a standard kit does not meet your needs, you can design your own custom kit by filling in the component quantities you want to complete your kit.
If the items for your custom kit are not listed, just provide the quantity, catalog number and description of the component to be included in the kit at the bottom of this form and Cardinal Health will obtain it for you.
You will receive a FREE vein ablation kit sample and quote within 2 weeks.
An email with your request will follow once this form is submitted.
Basic Vein Ablation Kit with ChloraPrep® Applicator, 5cs
Premium Vein Ablation Kit with PVP scrub, 5cs
Premium Vein Ablation Kit with ChloraPrep® Applicator, 5cs
Sterile Tumenescent Infiltration Tubing, 200in, single spike with 2 clamps, 10cs
Custom vein kit
Skin Prep-you choose
PVP scrub, 7.5%, 2oz
Prep Pad, PVP-I, 1.1 x 2.6 in
Prep Solution, PVP-I, Paint, 3oz, 1% available Iodine
ChloraPrep® Applicator, 2%, 26ml with Orange Tint
Lidocaine, HCl, 1%, Glass Ampule, 5ml
Lidocaine, 1.5%, with EPI, 1:200,000, 5ml, Single Dose Ampule
Lidocaine, 2%, Glass Ampule, 10ml
Lidocaine HCI 1%, with EPI 1:100,000, 20ml, Flip-Top Vial
Lidocaine HCL 1%, with EPI 1:100,000, 20ml, Flip-Top Vial
Saline, 0.9%, 5ml Plastic Vial
Sodium Chloride, 0.9%, 10ml Flip Top Vial, USP
Saline, 0.9%, 10ml Bag
Saline, 0.9%, 3000ml, SOL, Irrigating
Bowls and Trays
Bowl, Sponge, 8oz
Bowl, Sponge, 16oz
Bowl, Sponge, 32oz
Transfer Tray for PVP scrub, 2-Compartment, 9 x 4 in.
Sponge Sticks and Marker
Sponge, Stick, 2 x 2 in., Square Foam Head for PVP scrub application
Prep Resistant Skin Marker with Ruler
Drapes and Gowns
Gown, Astound®, L with Absorbent Towel, Reinforced
Gown, Astound®, L with Absorbent Towel, Non-Reinforced
Gown, Astound®, XL with Absorbent Towel, Reinforced
Gown, Astound®, XL with Absorbent Towel, Non-Reinforced
Drape, Split, Tiburon®, with Adhesive, 60 x 72 in.
Drape, Split, Tiburon®, with Adhesive, 60 x 84 in.
Drape, Split, Tiburon®, with Adhesive, 77 x 101 in.
Drape Towel, with Adhesive, 15 x 26 in.
Drape Half Sheet Fan Fold, 40 x 57 in.
Table Cover, 44 x 90 in.
Table Cover, 50 x 90 in.
Table Cover, 65 x 90 in.
Mayo Stand Cover, 23 x 55 in.
Towel, Cotton OR, Blue
Towel, Low Lint, OR Light Blue
Towel, Absorbent, White
Probe Covers and Ultrasound Gel
Probe Cover with Rubber Bands, 5 x 48 in., includes a foil pack of 20 gm ultrasound gel
Probe Cover with Rubber Bands, 5 x 96 in., includes a foil pack of 20 gm ultrasound gel
Ultrasound Gel, 20 gm, Foil Pack
Scalpel Safety, No. 11, Stainless Steel
Scalpel Safety, No. 15, Stainless Steel
Scalpel, No. 11, Stainless Steel
Scalpel, No. 15, Stainless Steel
Needles and Needle Safety Counter
Needle, 25 G x 1.5 in.
Needle, 25 G x 0.625 in.
Needle, Filter, 18 G x 1.5 in.
Needle, Spinal, 20 G x 3.5 in.
Needle Holder with Foam Block
Tubing, Infiltration, 200 in., Single Spike with 2 Clamps
Gauze, 2 x 2 in., 12 Ply
Gauze, 4 x 4 in., 12 Ply
Gauze, 4.5 in. x 4.1 yds., 6 Ply, Roll
Bandage, Elastic, 6 x 5.8 yds.
Wound Closure, Steri-Strips, 0.5 x 4 in., 3 per Card
Clamp, Towel, 4.5 in. Plastic Blue Curved
Light Handle Cover, Flexible
Light Handle Cover Rigid, Recyclable
Guidewire, Specify Brand and Cat. No.
Introducer, Specify Brand and Cat. No.
Access Needle, Specify Brand and Cat. No.
Other, Specify Brand and Cat. No.
Other, Specify Brand and Cat. No.
Number of vein ablation kits used monthly: