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Product Information » Delivery System Configuration sheets


System Configuration

One of the unique features of the ASI delivery unit is the ability to have the system customized with instruments placed in the best position for you. Each order placed with ASI is built based on the configuration sheet designed by you.

The following are links to online PDF forms you may use to design your custom delivery unit. Since internet connection rates may vary, please be patient for the forms to download.

You can print this Umbilical Junction Box Template for your installer:


Use the following instructions as guidelines for completing your form:

  • Customer Name: This is a free form field, please type in your name.
  • Model: This is a selection box, with the appropriate model numbers for this style of unit. Please click the drop down arrow to make your selection.
  • Date: This is a free form field, please type today's date, mm/dd/yyyy.
  • Options at No Charge: This is a selection box. To indicate your selection, place your cursor over the check box and click with your mouse. To deselect, reclick with your mouse.
  • Control Panel: For the Control Panel Codes, use the drop down arrow to make a selection for the type of instrument you would like installed in this window. Refer to the codes for definitions of Control Panel Codes. The Model is a free form field, please type in the brand or model of the instrument being installed. Repeat for all three Control Panel windows.
  • Doctor's Handpiece Holder Codes: These are selection boxes. Please click the drop down arrow to make your selection. For Ergo 4 Systems, please note there are additional Handpiece Holder Codes for the Assistant.
  • Side View Drawings: These are selection boxes to indicate additional instrument installations, miscellaneous brackets and irrigation or water bottle placement. Please click the drop down arrows to make your selections.

Once you have completed your form to your satisfaction, please save the file to your desktop. The form may then be printed and/or sent as an attachment via email to your ASI Sales Representative at sales@asimedical.net. Your Sales Representative may then review your configuration and prepare a quotation based on your requests.