JOBST® FarrowWrap®
Ordering Form
How to measure
JOBST® FarrowWrap® RTW Legpiece size chart
XSmall
Small
Medium
Large
XLarge
Ready-to-wear pieces
Legpiece
C
Calf
36 - 43 cm
42 - 50 cm
48 - 58 cm
53 - 63 cm
58 - 68 cm
B
Ankle
21 - 25 cm
25 - 30 cm
30 - 36 cm
36 - 42 cm
42 - 50 cm
A-D
Regular
35 - 39 cm
37 - 41 cm
39 - 43 cm
41 - 45 cm
42 - 46 cm
A-D
Tall
40 - 44 cm
42 - 46 cm
44 - 48 cm
46 - 50 cm
47 - 51 cm
Length A-D = Floor to 2 finger widths below crease of knee. Measure posteriorly FOLLOWING contour of leg.
JOBST® FarrowWrap® RTW Footpiece size chart
XSmall
Small
Medium
Large
XLarge
Ready-to-wear pieces
Footpiece
A
Mid-foot
22 - 24 cm
25 - 27 cm
28 - 30 cm
31 - 34 cm
35 - 40 cm
X
Regular
15 - 17 cm
16 - 19 cm
18 - 20 cm
19 - 22 cm
21 - 24 cm
X
Tall
18 - 20 cm
20 - 22 cm
21 - 23 cm
23 - 25 cm
25 - 27 cm
The length is measured from the most posterior aspect of the heel to the base of the 5th toe.
JOBST® FarrowWrap® RTW Thighpiece size chart
XSmall
Small
Medium
Large
XLarge
Ready-to-wear pieces
Thighpiece
G
Groin
60 - 70 cm
65 - 75 cm
70 - 80 cm
75 - 90 cm
85 - 100 cm
E
Above Knee
47 - 52 cm
53 - 59 cm
60 - 66 cm
67 - 73 cm
74 - 80 cm
E-G Short
16 - 20 cm
16 - 20 cm
16 - 20 cm
16 - 20 cm
16 - 20 cm
E-G Regular
21 - 26 cm
21 - 26 cm
21 - 26 cm
21 - 26 cm
21 - 26 cm
E-G Tall
27 - 31 cm
27 - 31 cm
27 - 31 cm
27 - 31 cm
27 - 31 cm
Length E-G = Measure MEDIALLY from just above patella to the groin. Follow outer contour of any skin folds/lobules.
How to measure
JOBST® FarrowWrap® RTW
Armsleeve size chart
C
Wrist
Elbow
G
Axilla
Small
14cm - 18cm
20cm - 27cm
22cm - 31cm
Medium
16cm - 21cm
25cm - 34cm
29cm - 39cm
Large
19cm - 25cm
30cm - 40cm
32cm - 45cm
Length
Short
40cm - 43cm
Regular
44cm - 47cm
Long
48cm - 51cm
NOTE: Measure length along the
lateral outer arm from the wrist to the
axilla with a slight bend in the arm.
JOBST® FarrowWrap® RTW
Gauntlet sizing chart
Xsmall
Small
Medium
Large
A
16cm - 18cm
18cm - 20cm
20cm - 22cm
22cm - 24cm
B
17cm - 19cm
19cm - 21cm
21cm - 23cm
23cm - 26cm
C
15cm - 18cm
17cm - 20cm
19cm - 22cm
22cm - 24cm
JOBST® FarrowWrap® Liner sizing chart
Terry Cloth Liners
Can accommodate the following calf circumferences:
Small (>40 cm), Medium (40-70 cm) and Large (70-120 cm).
Silver Liners
Small – Can accommodate calf circumferences to 60cm.
Large – Can accommodate calf circumferences to 70cm.
Hybrid Liners
Measure the mid foot A circumference.
Two mid foot sizes available: 20-27cm (regular foot)
and 28-35cm (wide foot).
Request the patients shoe size (US Sizing).
Male Shoe
Size
Female
Shoe Size
Small
3–6
4–7
Medium
7–9
8 – 10
Large
10 – 12
11 – 13
XLarge
13 – 15
14 – 16
Note the maximum calf size for Hybrid Liners
is 60cm
Jobst® FarrowWrap® Knee piece sizing chart
Xsmall
Small
Medium
Large
X Large
5cm above patella
47 - 52cm
53 - 59cm
60 - 66cm
67 - 73cm
74 - 80cm
Calf
36 - 43cm
42 - 50cm
48 - 58cm
53 - 63cm
58 - 68cm
Supporting
your care
journey
JOBST® FarrowWrap ® Ordering Form
Doctor/Nurse/Clinician’s name:
Phone:
Client’s name:
Phone:
Client’s address:
Order No.:
Date:
Style
Fabric
Hybrid Liner
☐ ADI
(20-30mmHg)
Compression in the
foot only
☐ ADII
(30-40mmHg)
Footpiece
(Fits midfoot 22-40cm
circumference)
Legpiece
(Fits 36-68cm
circumference,
35-51cm length)
Kneepiece
Thighpiece
(Comes with knee
piece)
Armsleeve
Size
☐ Small
☐ Medium
☐ Large
☐ XLarge
☐ LITE
(20-30mmHg)
☐ STRONG (30-40mmHg)
☐ CLASSIC (30-40mmHg)
☐ Xsmall
☐ Small
☐ Medium
☐ Large
☐ XLarge
☐ LITE
(20-30mmHg)
☐ STRONG (30-40mmHg)
☐ CLASSIC (30-40mmHg)
☐ Xsmall
☐ Small
☐ Medium
☐ Large
☐ XLarge
☐ LITE
☐ STRONG
☐ Xsmall
☐ Small
☐ Medium
☐ Large
☐ XLarge
(20-30mmHg)
(30-40mmHg)
☐ LITE
(20-30mmHg)
☐ STRONG (30-40mmHg)
☐ CLASSIC (30-40mmHg)
☐ Xsmall
☐ Small
☐ Medium
☐ Large
☐ XLarge
☐ LITE
☐ Left
☐ Black
☐ Small
☐ Medium
☐ Large
(20-30mmHg)
☐ Right
☐ Beige
Ordering Code
Quantity
☐ Regular Foot
☐ Wide Foot
☐ Regular
☐ Long
☐ Regular
☐ Tall
☐ Short
☐ Regular
☐ Tall
☐ Short
☐ Regular
☐ Long
(20-30mmHg)
☐ Xsmall
☐ Small
☐ Medium
☐ Large
Gauntlet
☐ LITE
☐ Xsmall
☐ Small
☐ Medium
☐ Large
Liner options
When a foot piece and leg piece are purchased together one pair of AD liners are supplied free.
Please state preference:
☐ Silver (closed toe)
Size
☐ Small
☐ Large
☐ Soft (open toe)
Size
☐ Small
☐ Medium
☐ Large
When a foot piece, leg piece and thigh piece are purchased together one pair of AG liners are
supplied free. Please state preference:
☐ Soft (open toe)
Size
☐ Small
☐ Medium
☐ Large
Farrow Toe
Cap/Glove
(20-30mmHg)
JOBST® FarrowWrap ® Measurement Record
Left
Right
Size
Left
Right
Size
Legpiece
Calf
Ankle
Length
Footpiece
Mid foot
Length
Thighpiece
Groin
Above Knee
Length
Kneepiece
Above knee
Calf
Armsleeve
Wrist
Elbow
Axilla
Length
Gauntlet
Palm A
Palm B
Wrist C
Toe Cap/ Glove
Metatarsal
Heads A
cA-Circumference (cm)
BSN medical Australia & New Zealand
an Essity company
L6, 211 Wellington Road,
Mulgrave, Victoria Australia 3170
PO Box 337, Mount Waverley, Victoria 3149
JOBST® Customer Service Australia
T 1300 998 810 F 1300 998 820
www.bsnmedical.com.au
JOBST® Customer Service New Zealand
T 0508 998 810 F 0508 998 820
www.bsnmedical.co.nz
Local JOBST Stockist
ESS0025
03/2019