Online Design Form - FMA 32-ch (36 elec. total) (STD/HD)

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GENERAL SPECIFICATIONS

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Please attach description of desired configuration below. If different types or layouts of array are desired within the same combo implant, please submit a different design form for each and add explanation for each file.
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Array Impedance, Length, and Pin-Out Mapping

Assign pin location according to your system

Table 1

From hole #1 to hole #18
For arrays where all electrodes are less than 2mm long, the reference and the ground electrodes should be a minimun of 2.5mm long. This will help provide ample anchoring of the FMA in the tissue
FMA Hole# Pin # Impedance(MΩ) Length (mm)
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Numeric Value
Numeric Value
Numeric Value
2
Invalid Input
Numeric Value
Numeric Value
3
Numeric Value
Numeric Value
Numeric Value
4
Invalid Input
Numeric Value
Numeric Value
5
Numeric Value
Numeric Value
Numeric Value
6
Numeric Value
Numeric Value
Numeric Value
7
Numeric Value
Numeric Value
Numeric Value
8
Numeric Value
Numeric Value
Numeric Value
9
Numeric Value
Numeric Value
Numeric Value
10
Numeric Value
Numeric Value
Numeric Value
11
Numeric Value
Numeric Value
Numeric Value
12
Numeric Value
Numeric Value
Numeric Value
13
Numeric Value
Numeric Value
Numeric Value
14
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Numeric Value
Numeric Value
15
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Numeric Value
Numeric Value
16
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Numeric Value
Numeric Value
17
Numeric Value
Numeric Value
Numeric Value
Invalid Input
Numeric Value
Numeric Value
Numeric Value

Table 2

From hole #19 to hole #36
For arrays where all electrodes are less than 2mm long, the reference and the ground electrodes should be a minimun of 2.5mm long. This will help provide ample anchoring of the FMA in the tissue
FMA Hole# Pin # Impedance (MΩ) Length (mm)
Invalid Input
Numeric Value
Numeric Value
Numeric Value
20
Numeric Value
Numeric Value
Numeric Value
21
Numeric Value
Numeric Value
Numeric Value
22
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Numeric Value
Numeric Value
23
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Numeric Value
Numeric Value
24
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Numeric Value
25
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Numeric Value
26
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27
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Numeric Value
28
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29
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Numeric Value
Numeric Value
30
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Numeric Value
31
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Numeric Value
Numeric Value
32
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Numeric Value
Numeric Value
33
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Numeric Value
34
Numeric Value
Numeric Value
Numeric Value
35
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Numeric Value
Numeric Value
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Numeric Value
Numeric Value

Accessories and Additional Services

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Your custom design and layout sheet

If your requested design cannot be fully described by the questions above, please attach a description here. Make drawing as clear as possible:

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Application Description (Optional)

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About Your Order

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See Terms and Conditions for details
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Functional channel count of delivered product may be 10% lower than indicated channel count. Please see Terms and Conditions.

If you will like to discuss any other technical aspect of your design please contact us via email at support@microprobes.com Thank you!

QMF 37 - Digital version - Master with QMS representative
Revision 01-042720