<p>You are about to enter the B. Braun Melsungen AG (global) website. If you are from United States, visit the U. S. Website</p>

United States - B. Braun Medical Inc.

Australia - B. Braun Australia Pty. Ltd

<p>Not all products are registered and approved for sale in all countries or regions. Indications of use may also vary by country and region. Please contact your country representative for product availability and information. Product images are for reference only.</p>

Cancel

You have successfully logged out.

*The samples request programme available only for Australia.

Urology- Sample Request Form

The following samples will be free of charge. Normal Actreen® sample size is 5 of each product. However if you select 4 or more different types per order, we will send 3 of each product. Urimed® sample is one per item.*

Medical Professional

This information is meant for medical professionals only. Please confirm that you are a medical professional before accessing the information.

Confirm Yes, I am a health care professional. Cancel No, I am not a health care professional.

Fields marked with an asterisk are required.

Salutation

Mr. Mrs. Neutral

Clinician's First Name *

Clinician's Last Name *

Organization / Hospital / Institution *

Academic Title

Function

Business Email *

Send sample to:

Clinician Patient

Patient' Name

Street

Postal Code

City

State *

Country

Phone

Mobile Phone

Patient's Insurance

To choose more than one product in the same category, press ctrl and click.

Actreen® Mini Cath (Female)

Actreen® Mini Set (Female)

Actreen® Hi-Lite Cath Nelaton Female

Actreen® Hi-Lite Cath Nelaton (Male)

Actreen® Hi-Lite Cath Tiemann (Male)

Actreen® Hi-Lite Set Nelaton

Actreen® Hi-Lite Set Tiemann

Actreen® Glys Set

Urimed® Cath Foley Nelaton

Urimed® Cath Foley Tiemann

Urimed® Adult Urine Leg Bags

Urimed® Urine Drainage Bag Accessories

Night and Day Drainage

Urimed® Klett

Your Request

Marketing Permission

Yes, I would like to receive additional information about relevant therapies, products, solutions or events from B. Braun and its contracted distribution partners in future.

B. Braun Australia is the responsible organisation

The protection of the personal data of our customers is very important to us and we take it very seriously. Your personal data is subject to data protection and the collection and storage is subject to Australia Privacy Laws and our Privacy Policy. Under no circumstances will we pass on your personal data to third parties outside of the B. Braun Group or use or store them for any other purposes. Our staff has been trained to handle personal data and is obliged to comply with the data protection regulations.

Data Protection

I have read the data protection policy and agree with processing of my personal data according to the data protection policy. I can cancel this approval at any time.

Stay connected with My B. Braun

With your personalized account, your online experience will be easier, more comfortable and safe.

person_outline My B. Braun

Urology- Sample Request Form

Medical Professional

To choose more than one product in the same category, press ctrl and click.

Thank you very much for your request!

Your request could not be submitted. Please try again.

Stay connected with My B. Braun