Sample Request We encourage any interested parties to request samples to trial our emergency and pediatric medical devices below! Tourni-cotDigital Tourniquet (4 sizes) Uni-CotDigital Tourniquet (universal size) Balloon ExtractorNasal Foreign Body Remover Derma-StentAbscess & Cyst Drain Product Sample* Tourni-Cot Uni-Cot Balloon Extractor Derma-StentFull Name* First Last Email* Phone*SpecialtyEmergencyHandPodiatryPrimary CareUrgent CareOtherInstitution Name*Position*Shipping Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Why are you requesting a sample device?*Reason for SamplePersonal first aid kitI use other Mar-Med devicesImprovised methods don't work (surgical glove, vessel loop, etc.)Presenting to colleague/committee for facility adoptionEducational/Simulation PurposesOtherHow did you hear about us?*What is the percent (%) chance this request leads to your facility buying our device(s)?*Is there any further information or assets we can share with you to increase the percentage above?*Any Additional Comments/Notes We Should Know?