Origins™ Order Form

Order Origins Products Online

Use this page to create and submit an online order for Origins products:
1. Fill in the order form with the accessories and configurations you need.
2. Click Submit to send your order to our customer service team.
3. We'll contact you within one business day to confirm your order and create an invoice.

Aspiration Cannulas

Add additional aspiration cannula

† Common customizations include Concave Curved (CC), Convex Curved (CX), Bent (BN), Swan-neck (SN) and/or Fenestrated/Vent Hole (FT).
* Required Information

+ CLICK HERE to Show Aspiration Patterns
– Hide Aspiration Patterns, Tip Shapes and Hub Options

Aspiration Orifice Patterns


Triport (TP)
Triport Micro (TM)
Mercedes (MC)
Mercedes Micro (MM)

Vegas (VG)
Fournier (FR)
Standard (ST)
Standard Micro (DM)

Two-Hole Standard (TA)
Spatula (SP)
Spatula Micro (SM)
Two-Port Spatula (TS)

Ghost (GH)
Cane (CN)
Spiral (SL)
Modern Spiral (MS)

Basket (BK)
Basket Micro (BM)
Saylan (SY)
Scavenger (SG)

Keel Cobra (KC)
Mangubat (MB)
Blugerman (BT)
Mendieta (MD)

Mendieta Micro (YM)
Mendieta Superficial (YF)
Aspiration Micro (AM)
V-Dissector (VD)

Toledo Dissector (TD)

Tip Options


Bullet (BU)
Pointed (PT)
Blunt (BT)

Wedge (WG)
Cobra (CB)
Spatula (SP)

Mendieta (MD)
Aspiration (AM)


Hub Options


Blue Swivel Handle (SW)
Small Screw Hub (SS)
Large Screw Hub (LS)

VentX® Hub (VX)
PowerX® Hub (PX)
Luer Lock Hub (LL)

Toomey Syringe Hub (TH)
BD Catheter Hub (BD)
Toomey Bard Hub (BR)

Infiltration Cannulas

Add additional infiltration cannula

† Common customizations include Concave Curved (CC), Convex Curved (CX), Bent (BN), Swan-neck (SN) and/or Fenestrated/Vent Hole (FT).
* Required Information

+ CLICK HERE to Show Infiltration Patterns
– Hide Infiltration Patterns and Tip Shapes

Infiltration Orifice Patterns


Basic Infiltration (FN)
Extended Infiltration (EF)
Garden Spray (GS)
Multi-Hole (MH)

Micro Style 1 (EM)
Micro Style 2 (BM)
Micro Style 3 (CM)
Micro Style V (VM)

Tip Options


Bullet (BU)
Pointed (PT)
Blunt (BT)

Wedge (WG)
Cobra (CB)
Spatula (SP)

Handles

Quantity
Quantity
+ CLICK HERE to Show Handle Options
– Hide Handle Options

Handles

Delrin® Swivel Aspiration Handle - Small Order Code: 830 HDASDSSM
Delrin® Swivel Aspiration Handle - Large Order Code: 830 HDASDSLG
VentX® Aspiration Handle Order Code: 830 HDASVXPL
Luer Lock Aspiration Handle Order Code: 830 HDASLULK
Toomey Syringe Handle Order Code: 830 HDASTMSY
Standard Infiltration Handle Order Code: 830 HDFNSTND
Infiltration Handle with On/Off Control Order Code: 830 HDFNCNTR
Epidermis Punch Order Code: 830 EPDMPNCH

Cannula Accessories

Quantity
Quantity
+ CLICK HERE to Show Cannula Accessories
– Hide Cannula Accessories

Cannula Accessories

Cannula Cleaning Brush - 2mm x 40cm Order Code: 830 CBCANN20
Cannula Cleaning Brush - 3mm x 40cm Order Code: 830 CBCANN30
Cannula Cleaning Brush - 4mm x 40cm Order Code: 830 CBCANN40
Cannula Cleaning Brush - 5mm x 40cm Order Code: 830 CBCANN50
Cannula Cleaning Brush - 6mm x 40cm Order Code: 830 CBCANN60
Handle Cleaning Brush - 10mm x 20cm Order Code: 830 CBCNHAND

Collection Canister System

Quantity
  • 1 Glass Canister
  • 1 Canister Lid
  • 1 Canister Lid Lock Ring
  • 1 Luer Port Cap
  • 3 Barbed Port Caps
  • 1 Canister Base
  • 1 Flow Control Knob
  • 1 Drain Port
 
  • 1 Barbed Toomey Syringe Adapter
  • 1 Silicone Tube ("6)
  • 3 Luer Syringe Caps
  • 3 Toomey Syringe Caps
  • 2 Sets of O-Rings
  • 1 O-Ring Removal Tool
  • 2 Cleaning Brushes

+ CLICK HERE to Show Collection Canister System
– Hide Collection Canister System

Collection Canister System

Customer Information


Shipping Address

* Required Information

Origins

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Customer Service Phone Number

Toll-Free:
(888) 471-4777

International:
(720) 240-2933

Hours:
8:00 am - 5:00 pm MST
Monday through Friday