Table of Contents
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Upper Extremity Table of Contents Wrist • Hand • Finger Contracture Management Braces • Splints • Supports Elbow • Arm Contracture Management Braces • Splints • Supports Shoulder Braces • Splints • Supports Cervical Spine Collars Thoracolumbar Spine and Torso Braces 3 14 18 24 25 28 Pediatric TENS J-stim 1000 Massagers 42 46 48 54 Prosthetics 88-90 91 93 94 96 97 Canes & Commodes Shower Chairs Rollators, Walkers & Overlay Wheelchairs Wheelchair cushions 98 99 100 100 102 Polymer Gel Liners Gel Suspension sleeve 103 103 60 61 Upper Extremity Lower Extremity 62 64 Pedors Contracture Management Carbon fiber AFOs Plastic AFOs Richie Brace Ankle Braces • Splints • Supports Ankle Wraps • Gauntlets Night Splints Fracture Walkers Post-Op and Pressure Relieving Shoes 69 70 76 77 78 79 82 83 84 85 Foot and Ankle Management Electrotherapy Mobility Aids • DME Knee Hip • Upper Leg Contracture Management Braces • Splints • Supports Vital Wrap • Aqua Relief System Heat & Ice wraps Moist Heating pads 32 Lower Extremity Osteoarthritis Functional Ligament Bracing Contracture Management Braces • Splints • Supports Hot & Cold Therapy 9619 Yupondale Drive • Houston, TX 77080 • Tel 713.465.2003 • Toll Free 800.662.7633 • Fax 713.465.2818 service@mmarmedical.com • www.mmarmedical.com Effective January 1st, 2010 Shipping and Payment Policy Terms: Net 30 days Purchase order number required on all orders All products shipped F.O.B. plant Return Goods Policy All product returns must be authorized and accompanied by a Return Authorization Number (RGA). A return request form must be obtained from the Return Goods Department at 800.662.7633, ext. 23. Please fill out the form completely and return it by fax. An RGA number will be assigned and returned to you. This form must accompany any returns. Refunds will be for the merchandise value only. Please allow three to four weeks for return processing. Goods to be returned must be in sellable condition. Sellable condition is defined as product in original shipping condition encased in a plastic seal. The FDA prohibits the reuse of devices prescribed as a single patient unit. Custom or altered products are not returnable. All products returned with a claim of a manufacturer's defect by the customer will be sent back to the manufacturer for assessment of the damage. If the product is found defective, MMAR Medical Group, Inc. will replace the defective item(s) at no extra charge to the customer. All returned goods are subject to a 25% restocking fee. Any products over 30 days from invoice date are non-returnable. All freight for returned packages will be the responsibility of the customer. Please note: Billing codes printed in this catalogue are suggested either by the manufacturer, or by SADMERC, and are only suggestions. MMAR Medical Group, Inc. does not guarantee payment on suggested billing codes in this catalogue, and will not be held responsible for the billing of products and/or the result of billing codes and practices. 9619 Yupondale Drive • Houston, TX 77080 Tel 713.465.2003 • Toll Free 800.662.7633 • Fax 713.465.2818 service@mmarmedical.com www.mmarmedical.com PUCCI® Air Hand/Wrist PUCCI® Air Hand/Wrist Size Left Product # Universal 413L The adjustable LYNX™ WHFO provides progressive static positioning for treatment/correction of the mildly to severely contracted wrist, fingers and thumb without the use of a heat gun or tools. The LYNX™ WHFO also provides optimal positioning for the flaccid hand or the hand with wrist drop. • Uniquely designed pivotable thumb abductor with medial and lateral thumb supports which allows for optimal positioning and a custom fit for even the most difficult thumb adduction contractures and joint deformities Right Product # 413R SADMERC suggested billing code L3807 PUCCI® Air T Inflatable Hand • Forearm trough is fully moldable for comfort and custom fit This unique wrist-hand-finger orthosis utilizes a dynamic inflatable addition to the long opponens that applies low stretch therapy to the affected fingers and wrist. The inflatable addition provides a contoured bulb that addresses abduction of the thumb and allows infinite adjustment without removing the orthosis. Product comes with a mesh laundry bag. Also available in pediatric sizes. Replaceable softgoods available. • Has softly padded diagonal straps with color-coded hook and loop attachments for optimal positioning and simple donning and doffing • Removable one-piece high-quality washable liner • Available with optional attached finger separators for finger positioning, promotion of skin integrity between fingers, and treatment of ulnar/radial deviation • Available in standard and firm frame (firm frame is recommended for patients with high tone/spasticity) • Thumb strap (recommended for patients with high tone/spasticity) • Youth and pediatric sizes available PUCCI® Air T Inflatable Hand - US Patent # 5,056,504 Size Left Product # Right Product # Universal 405L 405R TheraGrip wrist • hand • finger This unique wrist-hand-finger orthosis utilizes a dynamic inflatable addition to the long opponens that applies low stretch therapy to the affected fingers and wrist. The inflatable addition allows infinite adjustment without removing the orthosis. Also available in pediatric sizes. Replaceable softgoods available. contracture management Lynx W.H.F.O. SADMERC suggested billing code L3807 Lynx™ WHFOs Size Width Of Palm Lynx™ WHFO X-Small 2.75” - 3” Small 3” - 3.25” Medium 3.25” - 4” Large Over 4” The TheraGrip has the same features and benefits as the EZ Flex except with a “T” shaped heat moldable frame for patients with moderate to high tone/spasticity. A medium and large “C” roll are included. The small and large styrofoam handrolls fit beneath the softwear. Left Product # Right Product # 65-220 65-221 65-222 65-223 65-120 65-121 65-122 65-123 Lynx™ WHFO With Finger Separators X-Small 2.75” - 3” 65F-220 Small 3” - 3.25” 65F-221 Medium 3.25” - 4” 65F-222 Large Over 4” 65F-223 65F-120 65F-121 65F-122 65F-123 For sizing measure MP width, wrist circumference, length of wrist crease to tip of longest finger, and circumference of mid-forearm SADMERC suggested billing code L3807 TheraGrip Size Universal c MMAR Medical 2010 Color Burgundy Green Navy Left Product # 45-465 45-425 45-245 Right Product # 45-445 45-420 45-225 SADMERC suggested billing code L3807 www.mmarmedical.com 800.662.7633 713.465.2003 3 wrist • hand • finger contracture management TheraFlex Contour Hand The TheraFlex has the same features and benefits as the E-Z Flex except with a firmer adjustable “T” shaped frame for patients with mild to moderate tone/spasticity. A medium and large “C” roll are included. The small and large styrofoam handrolls fit beneath the softwear. The Contour Hand orthosis is indicated for the moderate to severely contracted hand and wrist. Two interchangeable palmar rolls offer progressive finger extension. Available in heatmoldable Kydex®, the wrist of the orthosis can be positioned to meet progressive patient needs. Washable Ortho-Wick™ liner included. • Fits most adults • Left or right specific • Available in Air System • Laundry bag is included • Colors include: navy (moisture wicking), hunter green, aqua, peach and burgundy in soft terry cloth TheraFlex Size Universal Color Aqua Burgundy Green Navy Peach Left Product # 43-365 43-465 43-425 43-245 43-325 Right Product # 43-345 43-445 43-420 43-225 43-320 SADMERC suggested billing code L3807 T-Flex 1000 Contour Hand Size Width of Palm X-Small 2” - 2.5” Small 2.5” - 3” Medium 3” - 3.5” Large 3.5” - 3.75” Replacement Liners - 30 AK Size X-Small Small Medium Large Kydex® Left 30CHK-XS-L 30CHK-S-L 30CHK-M-L 30CHK-L-L Kydex® Right 30CHK-XS-R 30CHK-S-R 30CHK-M-R 30CHK-L-R Left Product # 30AK-XS-L 30AK-S-L 30AK-M-L 30AK-L-L Right Product # 30AK-XS-R 30AK-S-R 30AK-M-R 30AK-L-R SADMERC suggested billing code L3807 Contour Hand with Finger Separators The T-Flex 1000 is designed for progressive treatment/correction of wrist, hand, and finger contractures. The dorsal support and strapping along with the adjustable frame provides support for the moderately to severely contracted wrist. A medium and large “C” roll are included to provide progressive serial splinting for contractures of the MPs, PIPs, and DIPs. The small and large styrofoam handrolls fit beneath the softwear. The Contour Hand with Finger Separators features a lengthened forearm for optimal patient positioning. The finger separators, sewn to the liner, promote finger abduction and skin integrity. • Fits most adults • Left or right specific • Available with 2 or 3 straps (3 straps are recommended for patients with increased wrist flexion or tone) • Soft terry cloth cover T-Flex 1000 Size Color Universal Aqua Burgundy Green Peach 4 Left Product # 44-220 44-820 44-620 44-420 Right Product # 44-120 44-720 44-520 44-320 SADMERC suggested billing code L3807 www.mmarmedical.com 800.662.7633 Contour Hand with finger separators - Kydex® Size Width of Palm Left Product # Right Product # Small 2.5” - 3” 31SCK-S-L 31SCK-S-R Medium 3” - 3.5” 31SCK-M-L 31SCK-M-R Large 3.5” - 3.75” 31SCK-L-L 31SCK-L-R Replacement Liners - 31 AK Size Small Medium Large 713.465.2003 SADMERC suggested billing code L3807 Left Product # 31AK-S-L 31AK-M-L 31AK-L-L Right Product # 31AK-S-R 31AK-M-R 31AK-L-R c MMAR Medical 2010 Geriatric Hand E-Z Flex Without - 32GHO The E-Z Flex is a lightweight adjustable wristhand-finger orthosis designed for progressive treatment/correction for the moderately to severely contracted MPs, PIPs, and DIPs. It is also useful in aiding in the treatment of palmar maceration. The innovative “7” shaped frame allows for optimal fit for the tightly abducted thumb. The frame is adjustable without tools. A medium and large “C” roll are included to provide progressive serial splinting. The small and large styrofoam handrolls fit beneath the softwear. • Left or right specific • Colors include: navy (moisture wicking), hunter green, aqua, peach, and burgundy in soft terry cloth Geriatric Hand With Finger Separators • Available in Air System • Laundry bag is included Color Aqua Burgundy Green Peach Navy Left Product # 41-365 41-465 41-425 41-325 41-245 Right Product # 41-345 41-445 41-420 41-320 41-225 SADMERC suggested billing code L3807 PUCCI® R.I.P. Hand/Wrist This unique wrist-hand-finger orthosis provides continuous therapy to the contracted fingers, hand and wrist by shaping the wrist section of the long opponens and adding palmar rolls or a finger support. Product comes with one small and one large handroll and a mesh laundry bag. Also available in pediatric sizes. Replaceable softgoods available. • Heat moldable Kydex® platform • Additional components for progressive therapy PUCCI® R.I.P. Hand/Wrist Size Left Product # Universal 415L Size X-Small Small Medium Large X-Large Width of Palm 2” - 2.5” 2.5” - 3” 3” - 3.5” 3.5” - 3.75” 3.75” - 4.25” Replacement Liners Size X-Small Small Medium Large X-Large Left Product # 32GHK-XS-L 32GHK-S-L 32GHK-M-L 32GHK-L-L 32GHK-XL-L SADMERC suggested billing code L3807 Left Product # Right Product # 32AK-XS-L 32AK-XS-R 32AK-S-L 32AK-S-R 32AK-M-L 32AK-M-R 32AK-L-L 32AK-L-R 32AK-XL-L 32AK-XL-R Geriatric Hand Without Finger Separators Size X-Small Small Medium Large X-Large Width of Palm 2” - 2.5” 2.5” - 3” 3” - 3.5” 3.5” - 3.75” 3.75” - 4.25” Replacement Liners Size X-Small Small Medium Large X-Large Right Product # 32GHK-XS-R 32GHK-S-R 32GHK-M-R 32GHK-L-R 32GHK-XL-R Left Product # 32GHO-XS-L 32GHO-S-L 32GHO-M-L 32GHO-L-L 32GHO-XL-L Right Product # 32GHO-XS-R 32GHO-S-R 32GHO-M-R 32GHO-L-R 32GHO-XL-R Left Product # 32AKO-XS-L 32AKO-S-L 32AKO-M-L 32AKO-L-L 32AKO-XL-L Right Product # 32AKO-XS-R 32AKO-S-R 32AKO-M-R 32AKO-L-R 32AKO-XL-R wrist • hand • finger contracture management The Geriatric Hand is indicated following stroke, arthritis, trauma, or hand injury, for the treatment of finger, wrist and thumb contractures. Its lightweight, durable Kydex® plastic construction provides stable wrist and finger positioning, and can be heat molded at low temperature for progressive patient needs. The Geriatric Hand features adjustable palmar web space abduction with the use of interchangeable foam rolls, for the severely abducted thumb. An Ortho-Wick™ foam liner encases the splint, wicking away excess moisture, and maintaining skin integrity. Available without finger separators. • Fits most adults E-Z Flex Size Universal With Finger Separators - 32GHK SADMERC suggested billing code L3807 Right Product # 415R SADMERC suggested billing code L3807 c MMAR Medical 2010 www.mmarmedical.com 800.662.7633 713.465.2003 5 contracture management wrist • hand • finger Comfy strives to make quality, pre-fabricated, adjustable orthotics. Comfy Splints easy adjustability at multiple joints allows them to be used for multiple indications and deformities to optimize functionality. Hand splints are available in standard static models or as dynamic splints with the Spring-Loaded Goniometer. • For gradual extension of non-fixed wrist, hand or finger flexion • Ideal as a positioning splint • Absorbent, washable covers and straps prevent skin breakdown • Custom fit easily attained without tools or heat guns • Arm, wrist and fingers independently adjustable • Available with two covers and laundry bag The Comfy FE is ideal for the more severe flexor pattern of the wrist and fingers when used without the handrolls. It is used to treat nonfixed contractures of the hand, wrist and fingers. Gradually build up finger extension by using graduated finger rolls and extending the spine of the splint for wrist extension. Comes with 2 standard firm graduated rolls for progressive extension of the finger joints. Comes with one cover. Pediatric sizes available. • Wings are bent upwards to prevent ulnar/radial deviation • Soft straps accomodate slight fluctuations in edema and fragile skin • Fully and easily adjustable at all joints • Most styles available in Standard Formable and Spring-Loaded Goniometer styles. • Most models are ambidextrous Comfy TA Hand Thumb Comfy Standard Hand In addition to all the standard features of comfort and easy use, this unique orthosis allows for control of thumb abduction. The Comfy TA is excellent for treating non-fixed contractures of the wrist, hand and fingers. Unique wings provide thumb support to prevent adduction of thumb without stretching the thenar eminance as the traditional “C” Bar does. The splint is ambidextrous. Simply fold unused wing under surface and out of the way. Available with optional removable finger separator (FS-1). Comes with one cover. Pediatric sizes available. Indications: • Prevents development of contractures • Arthritic or neuromuscular deformity • Flexion deformity of the MP, PIP, DIP or wrist joints • Relieves pressure areas for wound care • Ulnar deviation or wrist drop • Provides support and positioning for the weakened hand Thumb wing Comfy Grip The Comfy Grip hand splint is indicated for the moderate to severely contracted hand and wrist contractions. Inner structure in closed cell foam over wire mesh for malleability. Includes three sizes of hand rolls. Measure length from wrist to elbow crease. Comfy Hand Wrist Orthoses Product Size *Comfy Hand Universal Universal *Comfy Grip Large Left Large Right Medium Left Medium Right Small Left Small Right Comfy Hand Spring Loaded Universal • Treatment of severe, moderate, and mild contractures of the wrist, hand and fingers. • Control of wrist drop *Comfy FE Finger Extender Universal • Maintains the hand/thumb in the functional “C” position Finger Separator • Control of radial/ulnar deviation • Palmar rolls are interchangeable and come in multiple sizes allowing adjustability as ROM increases 6 Comfy FE Finger Extender Hand www.mmarmedical.com 800.662.7633 *Comfy TA Hand Thumb 713.465.2003 Universal L/R Universal Product # H101 SH101 CGLL CGLR CGML CGMR CGSL CGSR FE 101 HT101 FS-1 *SADMERC suggested billing code L3807 c MMAR Medical 2010 Comfy Deviation Hand Description Deviation Hand Wrist Finger Deviation Hand Thumb Deviation Finger Extender Deviation Opp. Thumb Hand Product # DH101 DHT101 DF101 DOPH101 specifiy Lt or Rt SADMERC suggested billing code L3807 Comfy Dorsal Hand The Dorsal Hand Orthosis is excellent for treatment and prevention of carpal tunnel syndrome. Provides dorsal support of the wrist while allowing increased use of the fingers. Soft, washable terry cloth covers. Malleable frame as in other Comfy Splints™. Fully adjustable and can accommodate flexion or extension of the wrist. Requires designation of right or left hand for correct fit. Comfy Dorsal Hand Size Left Product # Universal DorH101-L Right Product # DorH101-R SADMERC suggested billing code L3807 Comfy Spring-Loaded Goniometer Hand Orthosis These patented dynamic orthoses provide a gentle push to aid extension of the wrist or can be set in a fixed position. The wrist or fingers drive a spring at the wrist that can be fitted to several standard hand orthosis models. Comfy Spring-Loaded Goniometer Hand Orthosis Description Product # Spring-Loaded Goniometer Hand SH101 Spring-Loaded Goniometer Finger Extender SF101 Spring-Loaded Goniometer Hand Thumb SHT101 Spring-Loaded Goniometer Opposition Hand SOPH101 c MMAR Medical 2010 The Opposition Thumb Hand is a new hand splint that provides an adjustable “C” bar support to hold the thumb in opposition. The OPH differs from the Hand Thumb Orthosis (Comfy TA) by providing a completely adjustable enclosure of the thumb to position MCP, PIP and DIP joints of the thumb. Provides gradual extension of the wrist-hand-finger or thumb deformity. Custom fit easily attained without tools or heat. Arm, wrist, finger and thumb are independently adjustable. Wings on sides prevent ulnar/radial deviation. Optional finger separator (FS-1) can be positioned as desired to prevent pressure areas between joints of fingers. Comfy OPH Opposition Thumb Hand Size Left Product # Universal OPH101-L Finger Separator- FS-1 Right Product # OPH101-R SADMERC suggested billing code L3807 Four Strap Hand Wrist Finger Orthosis For additional control of the fingers, the Four Strap Hand Wrist Finger is the same as the traditional hand splint with an additional fourth strap. The straps may be positioned as required to control MP, PIP and DIP flexion and extension. Ambidextrous. Available with optional removable finger separator. contracture management Comfy’s unique swivel joint below the wrist allows for lateral and medial positioning to accommodate the patient with ulnar or radial deviation. Its malleable form allows gradual extension of fingers and wrist. Comfy OPH Opposition Thumb Hand wrist • hand • finger Comfy Deviation Hand Orthosis Four Strap Hand Wrist Finger Orthosis Description Product # Four Strap 4SH101 SADMERC suggested billing code L3807 Dorsal Carpal Tunnel Splint The new Dorsal Carpal Tunnel Splint limits wrist flexion and extension during repetitive hand motion. Made of lightweight yet durable Kydex® plastic, the splint can be heat molded for patient customization and positioning. Carpal Tunnel Splint - 44DCT Size Width of Palm Left Product # X-Small 2” - 2.5” 44DCT-XS-L Small 2.5” - 3” 44DCT-S-L Medium 3” - 3.5” 44DCT-M-L Large 3.5” - 4” 44DCT-L-L X-Large 4” - 4.5” 44DCT-XL-L Right Product # 44DCT-XS-R 44DCT-S-R 44DCT-M-R 44DCT-L-R 44DCT-XL-R SADMERC suggested billing code L3938 www.mmarmedical.com 800.662.7633 713.465.2003 7 wrist • hand • finger contracture management TheraPlus The TheraPlus is an adjustable wrist-hand-finger orthosis designed for progressive positioning for treatment/correction of wrist, hand, and finger contractures. The TheraPlus is also appropriate for wrist drop. The ulnar and radial “wings” prevent/treat deviation. Thumb is free to position as needed. Forearm trough is adjustable for optimal fit. Soft one-piece liner for comfort and promotion of skin integrity. Removable finger separators are included. • Fits left or right • Available in standard or firm frame (recommended for patients with high tone) The TheraPlus TA has the same features and benefits as the TheraPlus with a thumb abductor. Removable finger separators are included. • Fits left or right • Available in standard or firm frame (recommended for patients with high tone) • Colors include navy (moisture wicking), hunter green, and burgundy, aqua and peach in soft terry cloth • Laundry bag is included • For sizing, measure MP width and length from wrist crease to tip of longest finger. • Colors include navy (moisture wicking), hunter green, and burgundy, aqua and peach in soft terry cloth • Laundry bag is included • For sizing, measure MP width and length from wrist crease to tip of longest finger. TheraPlus Size Small Long (Up to 6.5”) Wide (Up to 3”) Medium Long (6.75” - 8.75”) Wide (3.25” - 3.75”) Large Long (Over 9”) Wide (3.75”) Color Aqua Navy Green Burgundy Peach Aqua Navy Green Burgundy Peach Aqua Navy Green Burgundy Peach TheraPlus Thumb Abductor Size Color Small Aqua Long (Up to 6.75”) Burgundy Wide (Up to 3.25”) Green Navy Peach Product # 47-223 47-221 47-224 47-225 47-222 48-223 48-221 48-224 48-225 48-222 Medium Long (7” - 8.75”) Wide (3.25” - 3.5”) 49-323 49-321 49-324 49-325 49-322 Large Long (Over 9”) Wide (3.5”) Measure length from wrist crease to the tip of the longest finger. Measure width of hand at MPs. Order larger size if measurements vary. Specify right or left. SADMERC suggested billing code L3807 8 TheraPlus Thumb Abductor www.mmarmedical.com 800.662.7633 Aqua Burgundy Green Navy Peach Aqua Burgundy Green Navy Peach Left Product # Right Product # 62-423 62-323 62-425 62-325 62-424 62-324 62-421 62-321 62-422 62-322 64-423 64-425 64-424 64-421 64-422 66-423 66-425 66-424 66-421 66-422 64-323 64-325 64-324 64-321 64-322 66-323 66-325 66-324 66-321 66-322 Measure length from wrist crease to the tip of the longest finger. Measure width of hand at MPs. Order larger size if measurements vary. Specify right or left. 713.465.2003 SADMERC suggested billing code L3807 c MMAR Medical 2010 This unique therapeutic orthosis provides continuous low stretch therapy to the contracted hand and thorough inflation of the palmar section. Product comes with a mesh laundry bag. Also available in pediatric sizes. Removeable softgoods available. • Simple application • Comfortable, easy-to-clean softwear PUCCI® Air Short Opponens Size Left Product # Universal 403L SADMERC suggested billing code L3807 Right Product # 403R SADMERC suggested billing code L3923 The breathable foam liner wicks moisture away from the skin. Dorsal Blocking Splint- 43DBS Size Width of Palm Product # Small 2.5” - 3” 43DBS-S Medium 3” - 3.5” 43DBS-M Large 3.5” - 4” 43DBS-L X-Large 4” - 4.5” 43DBS-XL contracture management The RCAI Dorsal Blocking Splint is constructed of a durable heat moldable thermoplastic for patient customization. The DBS protects the flexor tendons of the hand and fingers from stress following injury, and prevents scar tissue development in the later stages of the healing process. The DBS rest dorsally on the hand and positions the wrist at 30° of flexion, the MCP joints at 70° of flexion and the IP joints of the fingers at full extension. The straps at the distal end of the fingers provide comfortable IP extension positioning at night. Palmar pullies can be attached to loops on the forearm straps for dynamic tension during the day, increasing tendon tensile strength. PUCCl® Air Short Opponens Thumb Spica- 51TS Wrist Thumb Spica- 52WTS The Thumb Spica and Wrist Thumb Spica provide comfortable immobilization of the MCP with firm support of the CMC joint. The TS and WTS are extra thin and lightweight and comfortable to wear during activity. Each can be trimmed with scissors and heat molded for additional comfort. Indications: Arthritis, inflammation, fracture, traumatic injuries, collateral ligament strains, DeQuervain’s Syndrome, Gamekeeper’s Thumb, skier's thumb, post cast removal or surgical protection. Thumb Spica- 51TS Size Width of Palm Small 4” - 6.5” Medium 6.5” - 7.5” Large 7.5” - 9.5” wrist • hand • finger Dorsal Blocking Splint 51TS 52WTS Left Product # 51TS-S-L 51TS-M-L 51TS-L-L Right Product # 51TS-S-R 51TS-M-R 51TS-L-R SADMERC suggested billing code L3923 Wrist Thumb Spica- 52WTS Size Width of Palm Left Product # Small 4” - 6.5” 52WTS-S-L Medium 6.5” - 7.5” 52WTS-M-L Large 7.5” - 9.5” 52WTS-L-L Right Product # 52WTS-S-R 52WTS-M-R 52WTS-L-R SADMERC suggested billing code L3923 c MMAR Medical 2010 www.mmarmedical.com 800.662.7633 713.465.2003 9 wrist • hand • finger contracture management Opponent Hand DynaPro™ Flex Hand The Opponent Hand supports the palmar arches of the hand while allowing free wrist movement. Constructed of Kydex®, the plastic can be heat molded at low temperature for patient customization. Washable Ortho-Wick™ liner included. Opponent Hand - 14OS Size Width of Palm Small 2” - 2.5” Medium 2.5” - 3” Large 3” - 3.25” Left Product # 14OS-S-L 14OS-M-L 14OS-L-L Right Product # 14OS-S-R 14OS-M-R 14OS-L-R Replacement Liners Size Small Medium Large Left Product # 14AK-S-L 14AK-M-L 14AK-L-L Right Product # 14AK-S-R 14AK-M-R 14AK-L-R • Reverses moderate/severe flexion and/or spasticity of wrist/hand/fingers • Two incrementally larger palmar rolls included to gradually increase extension of the MCP and PIP joints • Provides gentle ulnar drift correction • Color coded straps • Static/Flex Neuro-Dynamic Therapy SADMERC suggested billing code L3923 10 Left Product # DPWFF-SL DPWFF-ML DPWFF-LL Right Product # DPWFF-SR DPWFF-MR DPWFF-LR SADMERC suggested billing code L3807 www.mmarmedical.com SADMERC suggested billing code L3807 • Resting hand design with rigid finger platform • Thumb pocket with two gel inserts treats thumb abduction • Flexible wrist minimizes spastic episodes • Maintains functional hand alignment • Color coded straps • Static/Flex Neuro-Dynamic Therapy • Resting hand design with flexible finger platform • Flexible wrist, MCP, and PIP joints • Thumb pocket with two gel inserts • Finger separators included • Color coded straps • Static/Flex Neuro-Dynamic Therapy Small Medium Large Right Product # DPWF20721R DynaPro™ Resting Hand DynaPro™ Finger Flex Dynapro™ Finger Flex DynaPro™ Flex Hand Size Left Product # Universal DPWF20721L 800.662.7633 Dynapro™ Resting Hand Small Medium Large 713.465.2003 Left Product # DPWR20737-SL DPWR20737-ML DPWR20737-LL Right Product # DPWR20737-SR DPWR20737-MR DPWR20737-LR SADMERC suggested billing code L3807 c MMAR Medical 2010 WHFOs feature: • Color coded straps • Easy application for caregiver. Increases patient compliance. • Removable, washable covers. • Extra liner included. SoftPro™ Functional Resting Treats mild to moderate contractures of the wrist and fingers. Supports the wrist, fingers and thumb in a functional resting position. Easily shaped to fit hand contour. Helps treat contractures associated with immobility. SoftPro™ Grip AirPro™ WHFO A new, unique, tapered and inflatable orthosis that permits gentle, pain-free treatment of contracted fingers. Tapered bladder helps avoid the painful prying of fingers that occurs with insertion of most other orthoses. • Inflation of the bulb applies low load stretch therapy to contracted fingers for gradual extension • Gentle inflation allows progressive lifting of the fingers away from the palm, reducing pain • An infinite number of adjustments to the air bladder can be made without removing the orthosis • Provides progressive treatment • Palmar air bladder can be used seperately Treats mild to moderate contractures of the wrist and fingers. Supports wrist in desired position. Progressively treats finger and thumb contractures comfortably using the foam cylinders. Two cylinders are included: 1.5” and 2” SoftPro™ Palmar Treats mild to moderate contractures of the wrist and fingers. Therapeutically positions wrist in neutral with fingers supported in a relaxed position between flexion and extension. Particularly helpful post stroke. SoftPro™ Dorsal Resting Treats mild to moderate contractures of the wrist and fingers. Positions wrist in neutral. Limits wrist flexion and extension and stops wrist gap. Useful for moderate or early contractures and/or mild spasticity. SoftPro™ Champ Treats mild to moderate contracures of the wrist/hand/fingers. Maintains and supports the wrist/hand/fingers in funtional alignment. Uniques strapping system provides optimal support. Comfortably positions the wrist/hand/fingers in functional alignment c MMAR Medical 2010 SoftPro ™WHFOs Left Product # SoftPro™ Functional Resting Small SP31FFR-SL Medium SP31FFR-ML Large SP31FFR-LL SoftPro™ Grip Small Medium Large SoftPro™ Palmar Small Medium Large SoftPro™ Dorsal Small Medium Large AirPro WHFO One Size SoftPro™ Champ X-Small Small Medium Large Right Product # SP31FFR-SR SP31FFR-MR SP31FFR-LR SP31FG-SL SP31FG-ML SP31FG-LL SP31FG-SR SP31FG-MR SP31FG-LR SP31FPR-SL SP31FPR-ML SP31FPR-LL SP31FPR-SR SP31FPR-MR SP31FPR-LR SP31FDR-SL SP31FDR-ML SP31FDR-LL SP31FDR-SR SP31FDR-MR SP31FDR-LR OCS31FAG-L OCS31FAG-R SP31CHA-XSL SP31CHA-SL SP31CHA-ML SP31CHA-LL SP31CHA-XSR SP31CHA-SR SP31CHA-MR SP31CHA-LR SADMERC suggested billing code L3807 SoftPro™ and DynaPro™ WHFO Sizing Width of MP Joint Wrist to Finger Tip Small Up to 3” Up to 6” Medium 3” - 3.5” 6” - 7” Large 3.5” - 4” 7.5” - 8.5” www.mmarmedical.com contracture management ™ • No tools required, bend to fit wrist • hand • finger All SoftPro 800.662.7633 Wrist to Elbow Up to 8” 8” - 9.5” Over 9.5” 713.465.2003 11 wrist • hand • finger contracture management Resting Hand The Resting Hand Orthosis ffers a functional resting hand position following stroke, trauma or injury, and can be used in the treatment of arthritis, burns, and early wrist and finger contractures. Constructed of a lightweight, durable Kydex® plastic, the Resting Hand Orthosis can be heat molded at low temperature to meet individual patient needs. The washable Ortho-Wick™ liner eliminates potential pressure points, while moisture is wicked away, keeping the skin dry and comfortable. Raised lateral palmar ridges of the orthosis discourage radial or ulnar deviation, and reinforce the orthosis to accommodate muscle tone and spasticity. Resting Hand Size Width of Palm X-Small 2” - 2.5” Small 2.5” - 3” Medium 3” - 3.5” Large 3.5” - 3.75” X-Large 3.75” - 4.25” Left Product # 29RHO-XS-L 29RHO-S-L 29RHO-M-L 29RHO-L-L 29RHO-XL-L Right Product # 29RHO-XS-R 29RHO-S-R 29RHO-M-R 29RHO-L-R 29RHO-XL-R Replacement Liners - 29AK Size Left Product # X-Small 29AK-XS-L Small 29AK-S-L Medium 29AK-M-L Large 29AK-L-L X-Large 29AK-XL-L Right Product # 29AK-XS-R 29AK-S-R 29AK-M-R 29AK-L-R 29AK-XL-R SADMERC suggested billing code L3807 Air-Soft Volar Wrist Support Support positions the wrist in a neutral position, allowing hand function. Stay is designed within the thumb web strap to reduce the possibility of irritation. The malleable aluminum frame is contoured to anatomically fit the forearm. This support is lined with a special self-wicking material to control perspiration dampness. This splint is also used to provide support and maintain patient hygiene for the contracted hand. Machine washable. Weight: 2.5 0z. Indications: Cumulative trauma support, tendonitis, postwrist sprain, post-wrist fractures and lateral epicondylitis. Air-Soft Resting Hand Splint This splint supports the fingers, thumb and wrist in a function and/or resting position and allows simple adjustment of the wrist and thumb. The malleable aluminum frame allows for static progressive splinting. It is easily adjustable as the patient progresses. No tools or heat are needed. The support is lined with a special self-wicking material to control perspiration dampness. Hand washable. Weight: less than 4 oz. Air-Soft Wrist Splints Width at Size MP Joint Left Product # LMB Air-Soft Volar Wrist Support Small 2.25” - 2.75” 302BL Medium 2.875” - 3.25” 302CL Large 3.325” - 3.75” 302DL Resting Hand with Finger Separators The Resting Hand with Finger Separators provides abduction, skin integrity and promotes proper finger positioning. LMB Air-Soft Resting Hand Splint Small 2.25” - 2.75” 325BL Medium 2.875” - 3.25” 325CL Large 3.325” - 3.75” 325DL Resting Hand with Finger Separators Size Width of Palm Left Product # Small 2.5” - 3” 39SRH-S-L Medium 3” - 3.5” 39SRH-M-L Large 3.5” - 3.75” 39SRH-L-L X-Large 3.75” - 4” 39SRH-XL-L Right Product # 39SRH-S-R 39SRH-M-R 39SRH-L-R 39SRH-XL-R Replacement Liners for - 39SAK Size Left Product # Small 39SAK-S-L Medium 39SAK-M-L Large 39SAK-L-L X-Large 39SAK-XL-L Right Product # 39SAK-S-R 39SAK-M-R 39SAK-L-R 39SAK-XL-R Right Product # 302BR 302CR 302DR 325BR 325CR 325DR SADMERC suggested billing code L3807 12 www.mmarmedical.com 800.662.7633 713.465.2003 c MMAR Medical 2010 RMI Restorative ™ Hand Size Measurement Length Small Up to 6.5” Up to 3” Medium Up to 7” Up to 3.5” Large Up to 8” Up to 3.75” Left Product # 20736LS 20736LM 20736LL Right Product # 20736RS 20736RM 20736RL SADMERC suggested billing code L3807 Comfy Slims™ Comfy Slims™ are thinner. They are geared to patients who do not require as much padding and do not desire as bulky a splint as our standard Comfy line. The Comfy Slims™ are fully moldable, readjustable and are beige in color, making them much less noticeable. The straps can be positioned anywhere on the splint for optimal fit. NeuroFlex wrist with free moving thumb ease to maintain motion of the thumb. Wrist will flex to accommodate wrist flexion. Finger separator is Velcro removable. Neuroflex® Thumb Ease Resting Hand Size Measurement Length Left Product # Small Up to 6.5” Up to 3” 20737LS Medium Up to 7” Up to 3.5” 20737LM Large Up to 8” Up to 3.75” 20737LL Right Product # 20737RS 20737RM 20737RL contracture management Ideal immediate treatment for stroke or lost range of motion. Thermoplastic extends to the end of the thumb to support the digit to prevent thumb abduction, and/or Thenar Eminence Collapse. Remolds with heat gun for contractures. Available in pediatric sizes, including infant and toddler. Neuroflex ® Thumb Ease Resting Hand wrist • hand • finger RMI Restorative™ Hand SADMERC suggested billing code L3807 Neuroflex ® Hand Splint CHT- Hand Thumb • Thinner but still “Comfy” • Same moldable padded metal frame CH- Hand • Textured covering, soft to touch Opens the tightest fist. The wrist and palmar bar flex to correct wrist flexion or hyperextension. Corrects ulnar or radial deviation of the hand. Progressive sized hand cones provide extension of the MP and IP joints. Heat moldable Kydex insert. • Easily fitted and readjusted • Washable surface • Right or left handed CW- Wrist Comfy Slims™ Wrist Hand Thumb Hand c MMAR Medical 2010 Product # CW-Slim CHT-Slim CH-Slim Neuroflex Hand Splint Size Product # Universal 20721 R or L SADMERC suggested billing code L3807 www.mmarmedical.com 800.662.7633 713.465.2003 13 braces • splints • supports Formfit Thumb Spica Our patented Formfit 3-dimensional molding technology allows us to vary padding thickness in strategic locations for superior comfort and fit. Features: • Effective Long-Term wrist • hand • finger • Constructed of a lightweight and durable fabric. Soft, lycra-lined interior is extremely breathable • Contoured along distal palmar crease to allow for 90° M.P. flexion • Precisely sculpted narrow web space prevents pinching Immobilization and Protection • Adjustable Radial and • V-notch at fifth M.P. to allow for palmar spread Palmar Stays • Patented 3-Dimensional • Removable/adjustable palmar stay Molding Technology • Adjustable Design for Customized Fit • Easy-to-use contact closure straps • Exceptional Comfort • Available in 6”or 8” Length Indications: • Available with patented hot and cold therapy gel pad • Gamekeeper’s Thumb • DeQuervain’s Tendonitis • Selected Scaphoid Injuries • Post Cast Healing • Soft Tissue Injuries Formfit Thumb Spica Fits Wrist Size Circumference X-Small 5.25” - 6.25” Small 6.25” - 7.25” Medium 7.25” - 8” Large 8” - 9” X-Large 9” - 10” 8” Thumb Spica Left Right 3020 3120 3030 3130 3050 3150 3070 3170 3080 3180 Wrist Splint Features: · Universal, fits right and left hand · Completely adjustable, includes 2 moldable and removable stays · Our locking system makes it very adaptable, one size is used for most cases, and the level of compression is also adjustable. · Hypo-allergenic, breathable and neoprenefree · 100% cotton on the skin Traumatic Pathologies: · Distortions, carpal/metacarpal fractures Degenerative Pathologies: · root arthrosis, carpal tunnel syndrome · arthrosis Wrist Splint Size Wrist Circ. Small 4” - 5.5” Medium 5.5” - 7.9” Large 7.9” - 10.3” * Specify Left or Right Universal 36-S 36-M 36-L SADMERC suggested billing code L3908 14 Formfit Wrist Brace www.mmarmedical.com 800.662.7633 Formfit Wrist Orthoses Size X-small Small-med Medium Large X-large Wrist Circ. 5.25” - 6.25” 6.25” - 7.25” 7.25” - 8” 8” - 9” 9” - 10” 8” Product # Left Right 317082 317072 317083 317073 317085 317075 317087 317077 317088 317078 6” Product # Left Right NA NA 417083 417073 417085 417075 417087 417077 417088 417078 Manufacturer suggested billing code L3908 Thumb Guard Spica Sports Thumb Spica Provides rigid immobilization of the thumb. Indications: • Sprains, fractures and strains • Skier’s Thumb & Gamekeeper’s Thumb • Postoperative rehabilitation Sports Thumb Spica Thumb Spicas Width of Hand Size at MP Joint Product # Thumb Guard Spica Small 2.75” - 3.25” Medium 3.25” - 3.75” Large 3.75” - 4” TGS-100 TGS-200 TGS-300 Sports Thumb Spica Small 2.75” - 3.25” Medium 3.25” - 3.75” Large 3.75” - 4” STS-100 STS-200 STS-300 *Specifiy Left or Right SADMERC suggested billing code L3999 *Specifiy Left or Right SADMERC suggested billing code L3999 713.465.2003 c MMAR Medical 2010 Indications: • Compression for light traumas and minor injuries • Post trauma rehab • Thermal Support for Prevention, Treatment & Rehabilitation of the Wrist Features: •Fits Right and Left •One-Size-Fits-All •It is like wearing a soft bandage •Breathable & natural materials •Washable • Provides superior bracing for wrist/hand and thumb related injuries using a removable palmer splint with locking strap and adjustable thumb spica. Useful in treating Carpal Tunnel Syndrome, repetitive stress injuries (RSI) and skiers thumb Specific Components: •Semi-rigid pad for compression •Swiftly adjustable and user friendly locking system Wrist Splint Size Wrist Circ. Regular 5.5- 9.5” Large 8.7” - 13.4” Thermoskin Carpal Tunnel Brace Size X-small Small Medium Large X-large XX-Large Universal 32-R 32-L Manufacturer suggested billing code L3908 Prevents unwanted flexion and extension of the wrist, while allowing unrestricted motion of the fingers and thumb. • Helps reduce pain and discomfort from carpal tunnel syndrome, arthritis, tendonitis, inflammation, sprains and other wrist disorders. Indications: • Bendable aluminum palmar spoon contoured for precise positioning Sprains Strains Carpal tunnel syndrome Post casting Rehabilation Preventative Features: • 1/8” Koolflex™ breathable hypoallergenic material • Specify right or left hand • Unique hook and loop catch closure for easy dinning and doffing • Circumferential perforated elastic compression strap secures palmer & dorsal stays to help limit motion & secure proper fit • Removable dorsal and plamer splints for washing WC Size X-Small Small Medium Large XLarge 2XLarge 3XLarge Right 82239 83239 84239 85239 86239 Wrist Extension Splint WC 33 • • • • • • Wrist Circ. Left 4.5” - 5.25” 82238 5.5” - 6.25” 83238 6.5” - 7.5” 84238 7.75” - 8.75” 85238 9” - 10” 86238 10.25” - 11.25” Wrist Circ. 5” & below 5” - 6” 6” - 7” 7” - 8” 8”- 9” 9” - 10” 10” - 11” c MMAR Medical 2010 Left Product # WC33LXSM WC33LSM WC33LM WC33LL WC33LXL WC33L2XL WC33L3XL Right Product # WC33RXSM WC33RSM WC33RM WC33RL WC33RXL WC33R2XL WC33R3XL braces • splints • supports Thermoskin® Carpal Tunnel Brace with Thumb Spica wrist • hand • finger Wrist Support • Optional bendable dorsal stay (590-S) available for increased wrist stabilization, preventing dorsiflexion. Holds the wrist in a more neutral position than traditional splints. • Unrestricted thumb movement allows easier completion of functional tasks • Discourages harmful bending of the wrist by extending force proportional to the amount of displacement • Wrist strap provides extra support and adjustable compression. Prevents distal migration of the splint on the wrist. • Stretchable neoprene material with hook and loop closures allows for a broad range of adjustment and assures a snug precise fit. Wrist Extension Splint Size Wrist Circ. Small 5.5” - 6.5” Medium 6.5” - 7.5” Large 7.5” - 8.5” Left Product # 590-WES-S-L 590-WES-M-L 590-WES-L-L Right Product # 590-WES-S-R 590-WES-M-R 590-WES-L-R Manufacturer suggested billing code L3908 www.mmarmedical.com 800.662.7633 713.465.2003 15 wrist • hand • finger braces • splints • supports Wrist Hand Thumb S-Series Exolite Wrist Brace Provides proper support and immobilization of the wrist and thumb. Allows unobstructed motion of the fingers. The lightweight low profile design is 20% less bulky (circumference) than other brands and promotes greater patient compliance. The exo-skeleton is contoured to ensure an anatomically correct fit and is designed to provide smooth controlled resistance to extreme range of motion. It is preshaped into a neutral position for comfortable limited motion/flexibility. Indications: • Post cast fracture immobilization • Wrist fractures and sprains • Cumulative Trauma Disorder • Carpal Tunnel Syndrome • Exo-skeleton provides radial and ulnar styloid relief, provides more room at the base of the thumb, the palmar crease and 5th MP. • Post tendon transfer support • Postoperative support after removal of internal or external fixation devices • Gamekeeper’s thumb • DeQuervain’s Syndrome Wrist Hand Thumb S-Series MP Circumference of Size Diameter Wrist Forearm Small 2.75” - 3.25” 6” - 7” 8” - 10” Medium 3.25” - 3.75” 7” - 8” 10” - 12” Large 3.75” - 4” 8” - 9” 12” - 14” * Specify Left or Right Length of Brace 7.5” 7.5” 8” Product # WHT-100-S WHT-200-S WHT-300-S Wrist Hand S-Series • Interior is three dimensionally molded to create a padded surface that enhances comfort. • Unique sizing system allows the straps to be adjusted to provide an accurate fit and full MP flexion. • Attractive, progressive appearance. Easily cleaned and maintained. Provides proper support and immobilization of the wrist. Allows unobstructed motion of the thumb and fingers. Indications: • Post cast fracture immobilization Exolite Wrist Brace • Wrist fractures and sprains • Cumulative Trauma Disorder Size Small Medium Large • Carpal Tunnel Syndrome • Post tendon transfer support • Postoperative support after removal of internal or external fixation devices Wrist Hand S-Series MP Size Diameter Small 2.75” - 3.25” Medium 3.25” - 3.75” Large 3.75” - 4” * Specify Left or Right 16 • Web space is 40% thinner than competing products and is contoured/cushioned with a unique “soft touch” material to reduce irritation. Circumference of Wrist Forearm 6” - 7” 8” - 10” 7” - 8” 10” - 12” 8” - 9” 12” - 14” www.mmarmedical.com Length of Brace 7.5” 7.5” 8” Wrist Circ. 5.25” - 6.5” 6.5” - 7.75” 7.75” - 10” Palm Circ. 6.75” - 8” 8” - 9.25” 9.25” - 10.25” Left Product # 517083 517085 517087 Right Product # 517073 517075 517077 Product # WH-100-S WH-200-S WH-300-S 800.662.7633 713.465.2003 c MMAR Medical 2010 Thermoskin out performs other products because the unique Trioxon lining is designed to be soft against the skin. This minimizes skin irritation as well as helping to retain heat and minimize perspiration. With Thermoskin patients experience less pain and mastery of rehabilitation protocols is facilitated. Thermoskin heat retainers will enable the return to routine activity more quickly. How it Works Thermoskin heat retainers are a simple and effective treatment of pain and injury to muscles, tendons and ligaments. They combine support and naturally generated body heat for therapy and pain relief. Prolonged heat applied to an area affected by muscle injury or tendon strain quickly breaks down congestion. Heat promotes healing by opening the small blood vessels, thereby increasing the blood flow, which facilitates the reduction of inflammation. Heat works to assist the body's natural healing process. Developed in conjunction with the Australian Institute of Sport, with its exclusive Trioxon lining - Thermoskin Heat Retainers represent the latest development in the natural treatment of sports injury, arthritis and injury caused by repetitive strain. Universal Wrist Wrap Provides protection and support for the wrist during periods of activity and for repetitive stress injuries(RSI). Ambidextrous wrap design with hook and loop closure allows for a comfortable and adjustable fit. Universal Wrist Wrap Size Small/ Med Lg/XL/XXL Arthritic Gloves Arthritc gloves provide warmth and even compression to help relieve arthritic pain. A hook & loop closure allows for added comfort and fit. The outer layer is textured to provide additional grip. Sold in pairs. Fits Left or Right 84226 86226 Arthritic Gloves Size Palm Circ. X-Small 6” to 6.75” Small 7” to 7.75” Medium 8” to 9” Large 9.25” to 10.5” X-Large 10.75” to 11.5” XX-Large 11.75 + Carpal Tunnel Brace Carpal Tunnel brace has adjustable locking straps together with a metal splint positioned at 25˚to provide the protection and support needed for trating Carpal Tunnel Syndrome. Increases circulation to aid in the treatment of repetitve stress injuries(RSI) and Tendonitis. Carpal Tunnel Brace Size X-Small Small Medium Large X-Large XX-Large Wrist Circ. 4.5” to 5.25” 5.5” to 6.25” 6.5” to 7.5” 7.75” to 8.75” 9” to 10” 10.25” to 11.25” Left Product # 82242 83242 84242 85242 86242 87242 wrist • hand • finger Benefits braces • splints • supports Heat Retainers represent the latest development in the natural treatment of sports injury, arthritis and injury caused by repetitive strain through heat therapy and support. Product # 82199 83199 84199 85199 86199 87199 Right Product # 82243 83243 84243 85243 86243 87243 Manufacturer suggested billing code L3808 c MMAR Medical 2010 www.mmarmedical.com 800.662.7633 713.465.2003 17 elbow • arm contracture management OmniFlex Elbow M&M™ E2 Elbow The OmniFlex is a double-hinged elbow orthosis with easy-to-set and lock hinges. It is designed to provide progressive treatment/correction of elbow flexion contractures and immobilization following surgery or trauma. It also assists in opening the anticubital area aiding in the prevention and treatment of skin breakdown and microbial growth. Elbow cap with fleece lining is included for 3-point pressure for effective treatment. Designed to treat flexion contractures of the elbow, this orthosis consists of double uprights with Goniometers. Both upper and lower cuffs are well padded. The adjustable hinges have flexion and extension dials which require no tools for adjustment. The Goniometer is simple to use and may be set in 15° increments. This product gives the options of locking in place, limiting flexion or setting a range of motion. Softwear is made of soft Trico fabric, and padding is made of open cell foam for breathability and comfort. Measure 6” above and below the elbow for sizing. Available in black. Simple to adjust 15° OmniFlex Hinge with flexion and extension stops. • For sizing, measure circumference of bicep 5” above the center point of the elbow and 5” below the elbow • Available with hard cuff configuration • Available in soft navy moisture wicking fabric or fleece lined cuffs. Also available in a one-piece liner with opening for center elbow for easy alignment and comfort • Length of orthosis is 12.5”. The brace may be custom shortened to 10” for petite patients or young adults to provide adequate axillary clearance • Laundry bag is included OmniFlex Elbow Cuff size Custom Small Medium Large X-Large XX-Large Custom Circumference Up to 6” 6” - 8.75” 9” - 10” 10.25” - 12.5” 12.75” - 14” 14.25” - 16” Over 16” Product # 25-220-C 25-220-S 25-220-M 25-220-L 25-220-XL 25-220-XXL Measure circumference of arm 5” above and 5” below center of elbow. • Elbow cap included for 3 point pressure leverage and protection • Pads made from open cell foam for breathability and comfort • Hinge settings without tools for range of motion from 0° to 135° • Enclosed foam pads maintain integrity for extended use • Aluminum arms are strong and lightweight Wash bag with patient identification tag is included. Extra softwear is available. M&M™ Elbow - E2 Upper Cuff Size Measurement Small 8” - 10” Medium 10” - 12” Large 12” - 16” Lower Cuff Measurement 6” - 10” 10” - 12” 12” - 14” Product # BL102 BL101 BL100 Manufacturer suggested billing code L3760 SADMERC suggested billing code L3760 18 www.mmarmedical.com 800.662.7633 713.465.2003 c MMAR Medical 2010 Neuroflex Elbow Arm Length Size in segments Small 5” (a), 6” (b) Medium 6” (a), 6” (b) Large 6.5” (a), 6.5” (b) Max Circ. Bicep 8” - 11” 8.5” - 11.5” 10” - 15” Max Circ. Forearm 7” - 10” 7.5” - 11” 8” - 12” (a) Elbow joint to desired height. There should be two finger widths below the axilla, then measure to that height on the lateral aspect of the arm. (b) Elbow joint to approximately half the distance to the MPC joints to the hand. SADMERC suggested billing code L3760 For moderate to severe flexion contractures of the elbow. Does not immobilize the elbow joint. One size fits all. Incrementally larger foam resister blocks provide passive stretching while the device is worn by the patient. Effective to -70˚ of extension. Best cost effective therapy available for moderate to severe contractures of joint ROM maintenance. Neuroflex Elbow Separator Size Product # Universal 20724SP SADMERC suggested billing code L3999 c MMAR Medical 2010 • One piece softgoods Pucci™ Inflatable Elbow Size Bicep Circ. Std 8.5” - 13” Small 6” - 8.5” Product # 20724-S 20724-M 20724-L Neuroflex Elbow Separator The PUCCI® Inflatable Elbow Orthosis is an innovative, therapeutic orthosis that provides continuous low stretch therapy to the elbow through inflation of the upright air stay. Indications: CVA, TBI and SCI treatment of non-fixed contractures of the elbow. Also available in pediatric sizes. contracture management Neuroflex design dynamically provides low load prolonged stretch. Will work tone and spasticity through oscillation of muscle tension to improve elongation of the affected joint. Double padded for skin protection. Adjustable hinge to set orthosis at the desired additional extension setting. Lower cuff rotates to accommodate flexing of the forearm. Pucci™ Inflatable Elbow Forearm Circ. 6.5” - 11.5” 5” - 7” Product # 4220C 4220B Respond ROM® Elbow elbow • arm Neuroflex ® Restorative Elbow The Respond ROM® Elbow Orthosis provides flexion and extension stop settings for protected range of motion therapy. Static lock “T” screw offers progressive static stretch for the correction of elbow contractures. Elbow cap (included) provides 3-point pressure leverage and protection. Available with Kodel® or Ortho-Wick™ Liner. Respond ROM® Elbow Product Length 13” Mid Humerus Size Circumference Small 9” - 11” Medium 11” - 13” Large 13” - 15” Kodel® Model 34ECO-S 34ECO-M 34ECO-L Replacement Liners Size Kodel® Liner Small 34AK-S Medium 34AK-M Large 34AK-L Ortho-Wick™ Liner 38AK-S 38AK-M 38AK-L www.mmarmedical.com Ortho-Wick™ Model 38ECO-S 38ECO-M 38ECO-L SADMERC suggested billing code L3760 800.662.7633 713.465.2003 19 elbow • arm contracture management COMFY ELBOWS The Comfy Elbow Orthotics are for gradual extension of non-fixed elbow. It’s available in three models: The Standard Comfy Elbow (E101), the Goniometer Elbow (GE101), and The Spring-Loaded Goniometer Elbow (SGE101). The splints are interchangeable for either extremity. An optional Elbow Pad (E-Pad) slides over the center strap to protect the elbow (olecranon process). Standard Comfy Elbow The Standard Comfy Elbow (E-101) is particularly user friendly. Simply bend the E-Pad, E-101 With orthosis into the desired position. Cuffs are Optional Elbow also bendable to allow for optimal fit. This Pad orthosis is well padded, minimizing the chance of skin breakdown. Applications include use as a resting splint or for the gradual extension of Non-Fixed Elbow contractures. One size fits most adults. • For gradual extension of non-fixed elbow or knee contracture • Two sets of covers and laundry bag available Comfy Spring-Loaded Goniometer Elbow Treats non-fixed contractures of the elbow. Functions similar to the Goniometer model with the added feature of having a spring that gently pushes the extremity to the selected degree of extension. The spring strength is set. Comes with one cover. • Sets range of flexion and extension desired • Set range of motion desired with Goniometer • Spring-loaded Goniometer gently pushes to extension • No exposed metal struts — Goniometer protected with padded cover • Goniometer lock can be set for gradual extension of joint or can be fixed in static position • Adjustable and readjustable — works like serial casting to increase extension • Soft foam padded Comfy covers absorb moisture and prevents skin maceration • Great as a resting splint or for wound care positioning • Goniometer hinge can be set for desired degree of flexion and extension • Fully and easily adjustable and readjustable E-101 SGE101 • Soft, padded Comfy covers absorb moisture and prevent skin maceration • Enhances patient positioning for improved ADL function • Pediatric sizes available. SGE-101 SpringLoaded Goniometer Elbow (with cover) Comfy Goniometer Elbow Treats non-fixed contractures of the elbow. Is geared to increasing elbow extension. This orthotic works in GE-101 the same manner as serial casting, allowing progressive extension by gradually adjusting and readjusting the degrees of extension. Easily position and re-position in 10° increments with the use of an Allen wrench (which is conveniently stored in the frame of the orthotic under the cover). Can also be set in desired static position. Excellent for patients with very strong flexion force. Comes with one cover. Pediatric sizes available. 20 www.mmarmedical.com SGE-101 SpringLoaded Goniometer Elbow (cover removed) 800.662.7633 Goniometer Comfy Elbow Orthoses Size Description Universal (1) Standard Elbow Orthosis (2) Standard w/Goniometer (3) Standard w/Spring-Loaded Goni. Optional Elbow Pad 713.465.2003 Product # E-101 GE-101 SGE-101 E-Pad (1) SADMERC suggested billing code L3999 (2) SADMERC suggested billing code L3760 (3) SADMERC suggested billing code E1800 c MMAR Medical 2010 It comes with the (HR) Hand Roll attachment as standard, but can be ordered with the (FH) Full Hand, (HT) Hand Thumb, and (OPH) Opposition Hand Thumb attachment instead. Also available with Goniometer or spring- Full hand attachment loaded Goniometer mechanisms at the elbow joint. Pediatric sizes available in large and medium. • For gradual extension of elbow, wrist, hand and finger deformity • Comes as 2 separate components that combine to form one splint • Hand and forearm can be variably rotated (EH-101) with standard Hand Roll (HR) attachment (HR) Hand Roll Attachment Premier Elbow Mid Humerus Circumference 9” - 11” 11” - 13” 13” - 15” EH-101-FH EH-101-HR Kodel® Model 24ECO-S 24ECO-M 24ECO-L Ortho-Wick™ Model 28ECO-S 28ECO-M 28ECO-L SADMERC suggested billing code L3760 Ortho-Wick™ Liner 28AK-S 28AK-M 28AK-L Adjustable Elbow The lightweight Adjustable Elbow is designed to provide progressive treatment/correction of elbow flexion contractures. This orthosis is softly padded with a 10° adjustable Goniometer with flexion and extension stops. The cuffs are malleable to provide a custom fit. Simple to don and doff. May by used with soft fleece lined elbow cap (included) or split elbow strap. • Fits left or right Comfy Combination Elbow and Hand Description Product # Standard Elbow/Hand with Full Hand Attachment with Hand Roll Attachment Lightweight static progressive hinge permits gradual increases in joint extension. Replacement Liners Size Kodel® Liner Small 24AK-S Medium 24AK-M Large 24AK-L • Full Hand Attachment can be substituted for Hand Roll component (FH) Full Hand Attachment Premier Elbow Corrective Orthosis provides progressive static lock settings for gradual joint extension in the correction of elbow contractures. Elbow cap (included) provides 3-point pressure leverage and protection. “T” screws allow for degrees of angle adjustment without the use of tools. Available with Kodel® or Ortho-Wick™ Liner. Size Small Medium Large • Easy custom fit. Fully re-adjustable • Two sets of covers and laundry bag available 24ECO Kodel® Liner, 28ECO Ortho-Wick™ Liner contracture management (EH-101) extends the elbow and hand simultaneously. It is excellent for the spastic hand and elbow and takes into account the flexion synergy of the upper extremity. The Hand Roll or Full Hand component can be rotated to accommodate patient pronation and supination. Premier Elbow elbow • arm Comfy Combination Elbow and Hand • Universal Sizing SADMERC suggested billing code L3999 Adjustable Color Navy Green Burgundy Elbow Product # 26-121 26-321 26-326 The TheraPlus and Adjustable elbow fit most adults. Minimum circumference is 6.” Maximum bicep circumference is 11.” For larger patients, straps may be ordered to accommodate up to 14.” SADMERC suggested billing code L3760 c MMAR Medical 2010 www.mmarmedical.com 800.662.7633 713.465.2003 21 OrthoPro™ ROM Elbow • KWIK-SET™ hinge provides controlled Range of Motion therapy The TheraPlus Elbow provides the same features and benefits of the Adjustable Elbow without the Goniometer. The TheraPlus Elbow can be easily adjusted and readjusted manually with firm effort, no tools are necessary. Fleece lined elbow cap is included. • KWIK-SET™ hinge easily modified without removing brace • Fits most adults • KWIK-SET™ hinge can be set for any degree of flexion and/or extension • Fits left or right • Colors include: navy (moisture wicking material), hunter green, and burgundy in soft terry cloth OrthoPro™ ROM Elbow Size Small Medium Large • Laundry bag is included Color Navy Green Burgundy Flex Cuff Elbow Product # 25-421 25-521 25-526 SADMERC suggested billing code L3760 • Easily applied and removed, the hinge arms of the brace are attached with the use of hook and loop fasteners DynaPro™ Flex Elbow • Treats mild/moderate flexion • A cuffless rehab brace, the new Flex Cuff is constructed of a breathable one-piece OrthoWick™ liner that wicks away moisture to keep the skin dry and comfortable • Abnormal reflex arc therapy provided by the device assists in neurorehabilitation • Adjustable Velwrap straps sewn into the liner ease application. Accommodates atrophy or edema. • Axial hinge with legible goniometer facilitates brace fitting DynaPro™ Static Gel Elbow Lower 7” - 9” 9” - 11” 11” - 13” For extra softwear add AK to end of Product # The Flex Cuff Elbow and the Respond ROM® Elbow both feature the Respond ROM® range of motion hinge with 10º flexion/extension stop settings and optional adjustable static lock pin. Product # DPFE20724S DPFE20724M DPFE20724L SADMERC suggested billing code L3760 22 Product # OP 500S OP 500M OP 500L • Lightweight and versatile, the Flex Cuff Elbow Orthosis features the Respond ROM® range of motion hinge with flexion/extension stop settings, and static lock pin for immobilization or static progressive stretch SADMERC suggested billing code L3999 Upper 8” - 10” 10” - 12” 12” - 14” Lower 7” - 9” 9” - 11” 11” - 13” The Flex Cuff Elbow Orthosis provides effective rehabilitation for joint stiffness and contractures, instability, strains, sprains, and ligament repairs. The TheraPlus and Adjustable Elbow fit most adults. Minimum bicep circumference is 6.” Maximum bicep circumference is 11.” For larger patients, straps may be ordered to accommodate up to 14.” Size Small Medium Large Upper 8” - 10” 10” - 12” 12” - 14” For extra softwear add AK to end of Product # TheraPlus Elbow Universal Sizing elbow • arm contracture management TheraPlus Elbow www.mmarmedical.com 800.662.7633 Flex Cuff Elbow - 18EO Product Length 15” Mid Humerus Size Circumference Small 8” - 10” Medium 10” - 12” Large 12” - 16” X-Large 16” - 21” *Optional Elbow Cap 18EC 713.465.2003 Kodel® Model* 18ECO-S 18ECO-M 18ECO-L 18ECO-XL Repl. Liners 18AK-S 18AK-M 18AK-L 18AK-XL SADMERC suggested billing code L3760 c MMAR Medical 2010 ROM Hinge Unique 10° range of motion flexion stop hinge. • Available in soft navy moisture wicking fabric or fleece lined cuffs • Laundry bag is included Range of Motion (ROM) Elbow Cuff Size Custom Small Medium Large X-Large XX-Large Custom 1 Piece Liner Circumference Up to 6” 6” - 8.75” 9” - 10” 10.25” - 12.5” 12.75” - 14” 14.25” - 16” Over 16” Product # 25-125 The new Post Operative Pin (POP) Arm Brace by RCAI is designed for post surgery and/or related elbow injuries where limited ROM or locked control of the elbow is desired. The POP Arm Brace can be used as an alternative to casting or repetitive splinting with range of motion flexion/extension control. Indicated for elbow arthroscopy, ulnar or radial collateral ligament reconstruction, stable or internally fixed fractures of the distal humerus, medial or lateral epicondylitis, distal epicondylar fractures, severe sprains, or muscle and ligament trauma. Not recommended for severe spasticity or unstable fractures. contracture management The ROM is a double-hinged elbow orthosis with easy-to-set and lock hinges. It is designed to provide progressive treatment/correction of elbow flexion contractures and immobilization following surgery or trauma. They also assist in opening the anticubital area aiding in the prevention and treatment of skin breakdown and microbial growth. Elbow cap with fleece lining is included for 3-point pressure for effective treatment. Post Operative Pin® (POP) Arm Brace • Open, lightweight design for patient comfort • One piece construction for easy application and removal elbow • arm Range of Motion (ROM) Elbow • Washable wicking liner absorbs moisture • Lateral hinge arm prevents rubbing against the body 27-220 Measure circumference of the bicep 5” above the center point of the elbow, and the forearm 5” below the center point of the elbow. Add 1” for fleece lined cuffs. Maximum total length of either brace is 12.” Minimum total length is 10.” SADMERC suggested billing code L3760 • Flexion settings from 0-120º, extension settings from 090º in 5º increments • Plastic humeral and forearm cuffs provide circumferencial support, and cuffs can be trimmed with scissors Post Operative Pin® (POP) Arm Brace Mid Humeral Left Right Size Circumference Product # Product # Small 11 - 14" 74APOP-S-R 74APOP-S-L Medium 12 - 16" 74APOP-M-R 74APOP-M-L Large 13 - 18" 74APOP-L-R 74APOP-L-L SoftPro™ Static Gel Elbow • Easily adjustable single setting hinge • Provides 3 point progressive extension stretch Product Length 14.5" 15.5" 16.5" • Optional ROM Exerciser available SoftPro™ Static Gel Elbow Size Small Medium Large Upper 8” - 10” 10” - 12” 12” - 14” Lower 7” - 9” 9” - 11” 11” - 13” For extra softwear add AK to end of Product # c MMAR Medical 2010 Product # SP 503S SP 503M SP 503L www.mmarmedical.com 800.662.7633 713.465.2003 23 elbow • arm braces • splints • supports E15 Hyperextension Polycentric Hinged Elbow With “E-Z-E Bicep” Closure Features: • .125" nylon 2-side neoprene • Covered polycentric hinge with hyperextension stops Indications: • Lateral and Medial Epicondylitis (Tennis & Golfer's elbow) • Elbow tendons pathologies • Helps reduce pain and elbow strain Features: • Fits Right and Left • Extremely low profile • Does not migrate or rotate • Anatomically shaped pads • Hinge has aircraft aluminum arms and stainless steel body • E-Z-E bicep closure and lock with pre-flexion design Epicondylitis brace Size Forearm Circ. Regular 8.7” to 12.6” Large 11.5” to 17.8” • One continuous bottom strap w/ criss-cross lock for desired angle stop Product # 39-R 39-L Measure largest circumference on the forearm. T-Scope Elbow Brace E15 Hyperextension Polycentric Hinged Elbow Size Circumference Product # X-Small 8” - 9” E15XS Small 9” - 10” E15S Medium 10” - 11” E15M Large 11” - 12” E15L X-Large 12” - 14” E15XL XX-Large 14” - 16” E15XXL XXX-Large 16” - 18” E15XXXL Custom Over 18” E15-C Thermoskin Elbow Wrap The T-Scope Elbow is ideal for fixed or controlled range of motion. This lightweight, low profile product provides telescoping forearm and humeral bars, range of motion control, and lock out ability at any angle. Additionally, a detachable shoulder sling is included. Thermoskin captures the body’s heat and provides light, comfortable support. This heat and gentle support work together to bring natural temporary relief from arthritic pain. • Increased mobility • Consistent warmth • Increased circulation • Reduced swelling • Night time comfort • Easy to position and adjust Thermoskin Elbow Wrap Elbow Size Circumference X-Small 7.5” - 8.75” Small 9” - 10.25” Medium 10.5” - 11.75” Large 12” - 13.75” X-Large 14” - 15.75” XX-Large 16” - 17.75 www.mmarmedical.com Indications: • Stable fractures of the elbow, distal humerus of proximal radius or ulna • Tendon and ligament injuries or repairs (Tommy John surgery, distal biceps tendon repair) • Chronic elbow injuries • Collateral ligament constructions • Elbow hyperextension • Range of motion control post injury • Tennis elbow release • Triceps tendon repair Benefits: • Lightweight brace weighs just 13 oz. • Low profile design conforms to patient’s arm • Telescoping forearm and humeral bars • ROM control in 10° increments: extension control from -10° to 110°, flexion control from 10° to 120° • Lock-out ability at any angle with drop lock • Gentle compression 24 Epicondylitis Brace Product # 82217 83217 84217 85217 86217 87217 800.662.7633 T-Scope Elbow brace Size Humeral Bar Regular 6.5” - 8.5” Long 6.5” - 8.5” 713.465.2003 Forearm Bar 7.5” - 9.5” 9.5” - 11.5” Right # 07250 07252 Left # 07251 07253 c MMAR Medical 2010 • Designed for abduction and immobilization of the shoulder Indications: Sentry Shoulder Immobilizer • To be used post-op or for post traumatic treatment. • Available in 2 sizes: Standard and Large. • Soft tissue repairs • Shoulder sprains and strains • Acute shoulder instability • Surgical rotator cuff repair • Anterior glenohumeral capsular joint ligament reconstructions • S/P glenohumeral acromiopathy • Dislocation/subluxation of 6-H joint • Acromioclavicular joint dislocations • Bankart repairs Shoulder P.A.D. Size Product # Small 11640005 Medium 11640006 Large 11640007 Sentry Shoulder Immobilizer Size Waist Circumference Standard 30” - 40” Large 40” - 49” Product # D-3 D-3L Shoulder Immobilization with Abduction Pillow Consists of a sling that immobilizes the elbow and wrist. A strap extends from the sling up and around the neck. The waist strap holds the abduction pillow in place between the arm and chest. braces • splints • supports Pillow Abduction Device shoulder Shoulder P.A.D. • Immobilization following shoulder repairs or injuries • Approximately 35˚ abduction • Each size fits left and right • Conformed, shaped pillow can be reversed for desired fit, position and abduction Shoulder Immobilization Pouch Pouch Size Height Length Small 6” 14” Medium 7” 16” Large 8” 18” c MMAR Medical 2010 www.mmarmedical.com Waist Strap 27” - 38” 29” - 43” 31” - 49” 800.662.7633 Shoulder Strap Product # 13” - 33” 1506-10 13” - 37” 1506-12 13” - 41” 1506-14 713.465.2003 25 shoulder braces • splints • supports Over the Shoulder-Universal Humerus Fracture Brace Double Shoulder Clinically designed for treating humeral fractures while providing limited shoulder motion. Fitting instructions detailing HFB fitting and hygiene are included with each HFB to help insure patient compliance. Double Shoulder provides protection, heat therapy and support for both shoulders. It is useful as an adjunct in rehabilitation after surgery or to stimulate blood flow in tendonitis cases. Not to be used for dislocations or bracing. Indications: • Nonoperative treatment of closed humeral shaft fractures • Postoperative treatment of open humeral shaft fractures Double Shoulder Size Chest Circ. X-Small 33” to 35” Small 35 1/4” to 37 1/2” Medium 37 3/4” to 40 1/4” Large 40 1/2” to 43” X-Large 43 1/4” to 47 1/4” XX-Large 47 1/2” to 51 1/2” • Protection of humeral defects • Post biopsy • Defects resulting from tumor growth • Adjunct to internal fixation such as unreamed Over the Shoulder-Universal intermedulary nails Humerus Fracture Brace Size Small Medium Large X-Large Circumference 8” - 12.5” 10” - 13.25” 12” - 15” 14” - 16” Overall Length Medial Lateral 6” 11” 6.5” 12.5” 7” 13.5” 7.25” 14” Product # HFB-OS-100 HFB-OS-200 HFB-OS-300 HFB-OS-400 Ulna Fracture Brace S-Series Overlapping volar and dorsal shells allow for ease of adjustment, accommodating for volumetric changes of soft tissue associated with fracture healing. Eliminates the need for serial casting. Incorporation of an interosseous groove helps to separate the radius and ulna aiding stabilization. Flared edges are incorporated at the distal end of the brace providing superior comfort throughout active range of motion. Design allows for early return to function. Fitting instructions detailing UFB fitting and hygiene are included with each UFB to help insure patient compliance. SADMERC suggested billing code L3652 • Treatment of mid shaft and distal ulnar fractures • Post external fixation for healing of soft tissue 26 Circumference 8” - 10” 10” - 12” 12” - 14” www.mmarmedical.com Sport Shoulder Size Chest Circ. X-Small 33” to 35” Small 35 1/4” to 37 1/2” Medium 37 3/4” to 40 1/4” Large 40 1/2” to 43” X-Large 43 1/4” to 47 1/4” XX-Large 47 1/2” to 51 1/2” Product number 82230 83230 84230 85230 86230 87230 SADMERC suggested billing code L3651 • Adjunct to internal fixation such as unreamed intermedullary nails Size Small Medium Large Sports Shoulder Sports Shoulder provides protection, heat therapy and support for the shoulder. Keeps shoulder warm and flexible while playing sports. Not to be used for dislocations or bracing. Universal design fits either right or left shoulder. Indications: Ulna Fracture Brace S-Series Product number 82220 83220 84220 85220 86220 87220 Length 7” 8” 9” Product # UFB-100-S UFB-200-S UFB-300-S 800.662.7633 713.465.2003 c MMAR Medical 2010 Unique supportive clavicle splint. Features front closure design for convenience in application. Comfortable padding over clavicle area. Sentry Shoulder Orthosis • Made of lightweight low-density polyethylene • Quick release fasteners • Trimmable polyethylene components • Designed to prevent shoulder dislocation • Aids in maintaining proper muscle alignment • Padded underarm straps Front Closure Clavicle Support Size Product # Chest Circ. X-small 205032 20” - 24” Small 205033 24” - 30” Medium 205035 30” - 36” Large 205037 42” - 48” X-large 205038 48” - 54” Product # D-6500-JS D-6501-JS D-6502-JS shoulder Sentry Shoulder Orthosis Size Distal Circ. Proximal Circ. Small 7” - 9” 9” - 11” Medium 9” - 11” 11” - 13” Large 11” - 13” 13” - 15” braces • splints • supports Front Closure Clavicle Support Figure 8 Clavicle Splint Prong buckle closure ensures correct fit without slippage. Figure 8 Clavicle Splint Size Product # X-small 205002 Small 205003 Medium 205005 Large 205007 X-large 205008 Premium Shoulder Immobilizer • Comfortable fit. Easily adjustable. • One size fits all. Premium Shoulder Immobilizer Size Product # Universal 204100 c MMAR Medical 2010 www.mmarmedical.com 800.662.7633 713.465.2003 27 The Vista® Collar The Vista® Collar from Aspen improves patient care while saving time, money and storage space. With its innovative height adjustment technology, the Vista® is really six collars in one. The right size is always at hand, reducing storage and inventory costs, while improving patient care. cervico- thoracic collars • Eliminate Sizing The Vista® eliminates the need for sizing methods of any kind. The innovative design of the Vista® allows the practitioner to simply apply the collar and then adjust to the proper height. • Dial Height Adjustment Getting the correct size for the patient is easy using the Vista® Dial Height Adjustment™ System. Simply pull and turn the Dial to select 1 of 6 Vista® height settings. • Automatic Lock once the correct height has been determined, releasing the Dial automatically locks the size. • Effective Motion Restriction Made by Aspen Medical Products, the Vista® collar provides safe and effective motion restriction for all patients in need of extended wear collars. • Improved Skin Care The patented design of the Vista® disperses pressure, reducing the possibility of skin breakdown. Proven Aspen Pads, complete the system by wicking moisture away from the skin. • Unparalleled Patient Access The enormous tracheal aperture provides functional access for airway management and other essential procedures. • Inventory Management By incorporating 6 sizes in 1 collar, the Vista® eliminates the cost of storing multiple sizes and frees up valuable inventory space. Vista® Collar Size Adult 28 Collar Product # 984000 www.mmarmedical.com Collar and Pad Set Product # 984002 800.662.7633 Aspen® CTO The Aspen® CTO combines highly effective immobilization of the cervical and upper thoracic spine with a level of comfort that makes it well tolerated by patients. Research has shown substantially progressive immobilization in going from a stand-alone cervical collar, to a two-post device, and then on to a four-post orthosis. For these reasons, the Aspen® CTO system offers the greatest versatility available when dealing with cervicothoracic problems in today's cost conscious healthcare environment. The Aspen® Cervicothoracic bracing system™ provides a fully integrated approach for quantifiable motion restriction of cervical spine patients. Physicians are now able to prescribe patient therapies based upon the needs defined at specific vertebral levels to ensure the best possible outcomes. By incorporating design elements that allow the Aspen System to be “stepped down” from a 4 post CTO, to a 2 post model and then to a stand alone collar, it is now possible to tailor the degree of motion restriction to the specific needs of the patient. And, because no ferrous metal is used, the brace is MRI compatible. CTO Size Adult Adult Adult Adult short regular tall X-tall Product # 983308 983310 983312 983315 Front Panel Size Adult short Adult regular Adult tall Adult X-tall Product # 983309 983311 983313 983315 Back Panel Size Small Standard Large Product # 983318 983319 983321 713.465.2003 c MMAR Medical 2010 Miami J Cervical Collar • Two-piece clam shell design, symmetrical application and overlapping lateral support, permit back/front size interchange. • Sorbatex™ pads line all contact areas. They are removable, washable, wick moisture, inhibit bacterial growth, allow air flow, and distribute contact pressure. These revolutionary pads are comfortable and reduce the risk of skin breakdown or irritation. • Simplified sizing of hard-to-fit patients. 6 adult sizes: 3 standard and 3 specialty • Miami Jr. available in 4 Pediatric Sizes • Easy to use velcro pad attachments facilitate quick change. • Enhanced pressure distribution. • Inherently anti-microbial removable sternal pad distributes contact pressure. It provides enhanced comfort and compliance. • Longer retaining strap fits over dressings • All hypoallergenic materials, Latex free. • Ergonomic fit, accommodates wide range of patient phenotypes. Miami J Cervical Collar Miami J Standard Sizes Product # Small MJ-300 Medium MJ-400 Large MJ-500 Specialty Sizes Super Short Stout X-Small MJ-200S MJ-200L MJ-250 Replacement Pads Only MJP-100 MJP-100 MJP-100 Replacement Pads Miami J Collar MJR-300 MJR-400 MJR-500 MJP-100 MJP-200L MJP-250 MJR-200S MJR-200L MJR-250 Sierra Universal Collar™ cervico-thoracic • X-ray, CT and MRI compatible Optimum c-spine visualization collars • Wide rear vent for better access and visualization of anterior and posterior neck and trachea. • Injection molded, low density polyethylene shell with lower edge contours enhances anatomical contour and provides structural integrity to large ventilation openings. This results in the inhibition of skin breakdown. SADMERC suggested billing code L0174 With just a single size, the Sierra Universal Collar™ fits the vast majority of patients. Its unique design provides the comfort and motion restriction needed to protect your patients. You can feel confident you will get the right size for the right fit....right away. And, since the single size and compact design alleviate storage problems, the collar is available whenever you need it. Universal Cervical Collar Medium density foam. Contact closure for easy fit. The Sierra Universal Collar™ will allow you to reduce inventory, eliminate SKU’s, and save valuable space. It also makes a great shower collar for long term patients. From the ED to Central Suppy it will improve effieciency in your facility. Sierra Universal Collar™ Size Product # Universal 983125 c MMAR Medical 2010 www.mmarmedical.com Universal Cervical Collar Size Product # 2" 203020 3" 203000 4" 203010 800.662.7633 713.465.2003 29 Philadelphia Collar Features & Benefits: cervico-thoracic collars • The Philadelphia Collar is the gold standard of cervical collars. • Restricts cervical spine flexion, extension and rotation to promote patient recovery. • Latex-free, non-toxic and hypoallergenic Plastizote foam reduces skin irritation • Adjustable bilateral Velcro hook and loop fasteners ensure proper fit. • Anterior and posterior rigid plastic reinforcement supports limit movement. • Two-piece design enhances patient comfort. • Total cervical arch support maintains neutral alignment of the cervical spine. Height: 1. Measure from the tip of the patient's chin to the top of the sternum in a straight line 2. The measurement corresponds to the HEIGHT of the Collar. If the patient's measurement falls between two consecutive sizes, apply the smaller size first. Circumference: 3. Measure around the patient's neck. 4. The measurement corresponds to the size CIRCUMFERENCE of the Collar. If the patient's measurement falls between two consecutive sizes, apply the larger size first. Philadelphia Collar- 2.25” Height Sizes XSmall Small Medium Large XLarge Circ. up to 10” 10” to 13” 13” to 16” 16” to 19” 19” & up Philadelphia Collar- 3.25” Height Sizes XSmall Small Medium Large XLarge Circ. up to 10” 10” to 13” 13” to 16” 16” to 19” 19” & up Lerman Minerva Lerman Minerva Size Small Regular Sizes XSmall Small Medium Large XLarge Circ. up to 10” 10” to 13” 13” to 16” 16” to 19” 19” & up Philadelphia Collar- 5.25” Height Sizes XSmall Small Medium Large XLarge Circ. up to 10” 10” to 13” 13” to 16” 16” to 19” 19” & up S.O.M.I.® Brace Product # A19-300-00SM A19-300-00RG Manufacturer suggested billing code L0200 30 Philadelphia Collar- 4.25” Height www.mmarmedical.com 800.662.7633 S.O.M.I.® Brace Size Chin to Distal Small 8” to 12” Regular 11” to 15” 713.465.2003 Product # 0800502 0800504 Manufacturer suggested billing code L0190 c MMAR Medical 2010 SR100 Ambulator Cervical Spinal-Air Traction Collar The cervical spine is an amazing and complex structure of 7 small vertebrae, intervertebral discs to absorb shock, joints, 8 nerve roots, vascular elements, 32 muscles, ligaments and it is also home to the spinal cord. It is capable of supporting a head weighing 15 or more pounds while moving in several directions. No other region of the spine has such freedom of movement which makes the mobility of the neck matchless.This combination of complexity and mobility, make the neck susceptible to pain and injury. The longitudinal expansion system of the SR 100 helps reduce intra-discal pressure within the cervical spine. Researchers have scientifically identified proven benefits for patients challenged with bulging discs, herniated discs, degenerative discs and radiculopathy in the arms with as little as two 30 minute treatments per day SR 100 Size Universal Product # SR100 Posture Pump® Cervical Spine Trainer® Model 1000 Features & Benefits: Gets to the cause of neck stiffness & discomfort fast Patented up & down motion promotes disc lubrication & joint nutrition Dramatically reinforces the cervical curve Lightweight, portable, easy to operate & travel with Beautifully crafted, made in the USA and built to last Used in over 500,000 cases worldwide Posture Pump Cervical Spine Trainer Size Product # Universal Model 1000 c MMAR Medical 2010 Orthopedic Tri-Core® Pillows Poor sleeping habits can plague the soft neck tissue, orthopedics say. Proper precautions to protect the neck go a long way. And many health professionals will recommend orthopedic pillows, designed with orthopedic guidelines in mind for proper alignment during sleep. Features & Benefits: thoracolumbar spine and torso collars The SR 100 Ambulatory Cervical Spinal-Air Traction Collar is a revolutionary orthopedic traction instrument that reduces the pressure on the cervical discs by widening of the intervertebral disc space through the use of air pressure. Scientifically designed air cells inside the SR 100 collar expand the device vertically to apply a traction force to the cervical spine. This traction force or unloading of the discs can quickly provide significant pain relief for neck pain. Users will feel immediate support as well as providing maximum comfort. • #1 Fiber Support Pillow recommended by chiropractors. • Made with premium quality fiber. • Helps relieve headaches, joint strains, arthritis, neck injuries and more. • For both back and side sleepers. • A drug-free way to help alleviate head and neck pain…even snoring. • Most people experience an increase in sleeping comfort within a couple of days of using this pillow. Others may require up to two weeks before the neck and back muscles adjust to their proper position. Tri-Core® Pillows Size Universal www.mmarmedical.com 800.662.7633 Product # 200Tricore 713.465.2003 31 M-Spine lumbar-sacral orthosis Benefits: · · · · · · · · · · · The M-Spine lumbar-sacral orthosis is designed to support the patient at all stages of her/his recovery. The moldable panels are to be applied post-op without delay for effective immobilization, and kept in place throughtout the rehabilitation phase. thoracolumbar spine and torso braces • Supports from sacrum to T-9 level • Post-Op: following a stabilizing operation or lumbar disk surgery • Degenerative pathologies: osteoporosis, lumbar-sacral vertebrae complaints, protrusions, arthrosis • Muscular pathologies: muscular contractures Indications: · · · · · · Back, lateral and general posture control Disc complaints and hernias Osteoporosis related vertebrae complaints Lumbago, Sciatica and Ischialgia Spondylo-arthrosis Para-vertebral lumbar muscle spasm Light traumas of the lumbar-sacral column Features: · · · · · · EIGHT flexible steel inner stays Inner stays covered with plastic New Edge Technology Versatility User friendly and adjustable locking system Breathable materials and 100 % cotton · Low profile · Washable · 10.5 inches high M- Spine Size Product # Small Medium Large X-Large XX-Lg XXX-Lg 32 Flexibility Back and lateral support Perfect anatomical fit Durability Conforms to any body shape Flexible stays become extremely stiff Easy-on and Easy off No allergies or dermatitis Skin breathes freely Can be worn 24 hours a day Can be worn under any clothes www.mmarmedical.com 800.662.7633 Pelvis circ. 24” - 31.5” 29.5” - 35.5” 33.5” - 43.5” 41.5” - 47” 47” - 55” 55” + 584-S 584-M 584-L 584-XL 584-XXL 584-XXXL SADMERC suggested billing code L0631 713.465.2003 c MMAR Medical 2010 Lumbitec TLSO - 46TLS and LSO - 45LSO During progressive stages of rehabilitation, the detachable polymer panels can be removed to create a corset with flexible stays. The remaining flexible stays can be adapted or removed to provide your patients with the desired support and a custom fit. Indications: c MMAR Medical 2010 Hip Measurement 31” - 35” 35” - 39” 39” - 43” 43” - 47” 47” - 51” 51” - 55” 55” - 59” 59” - 63” TLSO - 46TLS and LSO - 45LSO Hip Circumference Size Measurement* Min. - Max. TLSO Youth 12.5” - 14.5” 28” - 33” 46TLS-Y Short 12.5” - 14.5” 32” - 42” 46TLS-S Average 14.5” - 16.5” 32” - 42” 46TLS-A Tall 16.5” - 18.5” 36” - 48” 46TLS-T LSO 45LSO-Y 45LSO-S 45LSO-A 45LSO-T *Measure top of trochanter to axilla. Extra firm frame available for an additional charge. SADMERC suggested billing code for 45LSO L0633 • Burst Fracture • Degenerative, Herniated or Bulging Disc • Facet Syndrome • Kyphosis • Post-op Spinal Stabilization • Post-op Disc Surgery • Spinal Stenosis • Spondylolysis • Spondylolisthesis • Tumors or Inflammation Lumbitec Size Small Medium Large X-Large 2X-Large 3X-Large 4X-Large 5X-Large braces Lumbitec LSO is designed to support your patients at every stage of their recovery. The comfortable Lumbitec orthosis is made of a highly breathable cotton-rich fabric. Lumbitec has a front & back moldable polymer panels, rear & lateral anatomical stays and a unique patented traction closure system which allows for maximum compression with minimal effort. Lumbitec provides compression to unload intervertebral discs, immobilize and restrict unwanted motion. A Knight Taylor brace made of heat-moldable Kydex® plastic, the TLSO maintains the lower spine in a neutral position, while providing stabilization of the thoracic spine for the treatment of kyphotic conditions. This lightweight, low profile brace features cool Ortho-Wick™ padding to absorb moisture away from the body for patient comfort and compliance. Chairback LSO model provides stabilization of the lumbosacral spine. Washable absorbent Ortho-Wick™ liner and apron pad 46TLS front included. 45LSO SADMERC suggested billing code for 46TLS L0466 thoracolumbar spine and torso Soft Spinal Management System C.A.S.H.® Orthosis Cruciform Anterior Spinal Hyperextension Hinged Sternal pad and hinged pubic pad. Product # FX-211C-SM FX-211C-MD FX-211C-LG FX-211C-XL FX-211C-2X FX-211C-3X FX-211C-4X FX-211C-5X SADMERC suggested billing code L0637 C.A.S.H.® Orthosis Back Pad 30” belt 36” belt Standard Large RSC300-ST-2 RSC300-ST-3 RSC300-ST-4 RSC300-LG-2 RSC300-LG-3 RSC300-LG-4 RSC300-ST-1 RSC300-LG-1 www.mmarmedical.com 42” belt 48”belt Manufacturer suggested billing code L0472 800.662.7633 713.465.2003 33 QuikDraw RAP ™ thoracolumbar spine and torso braces • Effective Compression • Effective Support • Excellent Patient Compliance Contour™ LSO The QuikDraw RAP™ by Aspen Medical Products is a comfortable, effective and easy to use brace for chronic back pain or minimally invasive surgery patients. Sized according to male or female waist circumference, the QD RAP™ incorporates two draw strings that easily control and adjust compression. The independently adjusted upper and lower SlickTrack™ Tighening System allow patients to tailor the compression to achieve immediate pain relief. The rigid anterior and posterior panels provide the necessary stability and pressure distribution for a wide range of patient needs. The QD RAP™ can be worn over or under clothing and is made of breathable, washable material. The Contour™ LSO by Aspen is the latest technology for restricting motion in the lumbar spine. The brace is effective and comfortable, using the patented QuikDraw™ with Rigid Anterior Panel (RAP) as the platform. The Contour™ LSO is modular with adjustable side and vertical panels, allowing the practitioner to fit a wide variety of patients while minimizing inventory. Specifically designed with the progression of patient care in mind, the Contour™ LSO is a multiple orthotic system which can be stepped down to the proven QuikDraw™ RAP. Indications: • • • • • • Chronic Lower Back pain Lumbar Strains or Sprains Muscle Weakness Lumbar Instability Post Operative Rehabilitation Postural Support Contour LSO Size X-Small Small Medium Large X-Large XX-Large Available black or white w/ 18” back panel height Circumference 21” - 27” 26” - 32” 31” - 37” 36” - 42” 41” - 47” 46” - 57” SADMERC suggested billing code L0637 QuikDraw Rap Size Circumference X-Small 21” - 27” Small 26” - 32” Medium 31” - 37” Large 36” - 42” X-Large 41” - 47” XX-Large 46” - 57” SADMERC suggested billing code L0627 34 www.mmarmedical.com 800.662.7633 713.465.2003 c MMAR Medical 2010 Stealth LSO Low Profile The Stealth LSO & TLSO back brace offers spinal support for your patient at all stages of the rehabilitation phase. Our unique posterior interlocking system, polymer panels, and flexible stays provide unparalleled support and immobilization. Stealth TLSO w/ PPK In progressive stages of recovery, the polymer panels can be removed for comfortable daily support. The Stealth's sleek and innovative design makes this spinal brace virtually unnoticeable under clothes. These features, along with our ultra light and breathable knitted cotton fabric give you a result that speaks for itself: perfect patient compliance. Indications: Burst Fracture Degenerative, Herniated or Bulging Disc Facet Synfdrome Kyphosis Post-op Spinal Stabilization Post-op Disc Surgery Spinal Stenosis Spondylolysis Spondylolisthesis Tumors Stealth TLSO Size Small Medium Large X-Large XX-Large 3X-Large w/ PPK Circumference 24” - 31.5” 29.5” - 35.5” 33” - 43.5” 41.5” - 47” 47” - 55” 55” - 63” SADMERC suggested billing code L0637 Stealth TLSO w/ DLK Stealth LSO Size Small Medium Large X-Large XX-Large 3X-Large Circumference 24” - 31.5” 29.5” - 35.5” 33” - 43.5” 41.5” - 47” 47” - 55” 55” - 63” SADMERC suggested billing code L0637 Stealth TLSO Size Small Medium Large X-Large XX-Large 3X-Large thoracolumbar spine and torso braces Anterior Height 6.75” and Posterior Height 9.5” w/ DLK Circumference 24” - 31.5” 29.5” - 35.5” 33” - 43.5” 41.5” - 47” 47” - 55” 55” - 63” SADMERC suggested billing code L0637 c MMAR Medical 2010 www.mmarmedical.com 800.662.7633 713.465.2003 35 System-Loc™ Spondylosis, Facet Syndrome, Chronic Strain, Acute Strain, Lumbar Instability Dynamic • Innovative • Functional Suggested Protocol • Unique Design System-Loc consists of rigid posterior, rigid anterior, and soft corset anterior • Lightweight Get your patients back in the game! Weighs less than one pound, fits comfortably under clothing thoracolumbar spine and torso braces • Hydrostatic Lift Offers pain relief, prevents migration, and provides protection of soft tissue • Preventative The shells and closure system reduce flexion and rotation and decrease force on discs During the initial critical pain phase, the System Loc’s rigid anterior should be used. During the secondary phase, the pain should lessen and the patient can become more mobile. The SystemLoc’s semi-rigid anterior can be worn with complete comfort at all times, while working, participating in normal activities, and during rehabilitation programs. Due to its patented closure, the SytemLoc™ will provide constant abdominal support as well as protection for the healing back. How does the System Loc™ LSO work? • Therapeutic Ambulatory traction allows patients to begin an immediate exercise program • Available in both flat back (post-op) or with lumbosacral lock (rehab) • Simple to measure and fit • Designed for patients of all ages • Special closure system outlasts all other elastic or corset options System-Loc fits comfortably under clothing. • Consistent upward abdominal compression for each use regardless of the age of the system When the strapping system is closed over the V-Shaped rigid anterior panel, it provides intra-abdominal muscle compression and provides a lift to hold the weight of the abdominal area. By lifting and holding the weight, pressure is relieved from lumbar discs reducing the associated pain. The posterior and anterior work together, giving opposing support to stabilize the lumbar region. The result is a supported and pressure free lumbar spine held in a healthy, correct posture. Waist measurement taken slightly above the navel. Pelvis measurement taken at widest part of the hips. Indications: Degenerative Disc Disease, Herniated Disc, Radiculopathy, Sciatica, Lumbar Disc, Spondylolisthesis, Rigid Posterior Rigid Anterior SADMERC suggested billing code L0631 for all System-Loc braces. Men’s System-Loc (Normal) Size Waist Pelvis Small 26” - 30” 34” - 36” Medium 31” - 35” 37” - 39” Large 36” - 40” 40” - 42” X-Large 41” - 45” 43” - 45” XX-Lg 46” - 50” 48” - 52” XXX-Lg 51”- 55” 53” - 58” 36 www.mmarmedical.com Men’s System-Loc (Pendulous) Size Waist Pelvis Small 30” - 34” 36” - 38” Medium 35” - 39” 39” - 41” Large 40” - 44” 42” - 44” X-Large 45” - 49” 45” - 47” XX-Lg 50” - 55” 52” - 56” XXX-Lg 56” - 60” 57” - 61” 800.662.7633 Women’s System-Loc (Normal) Size Waist Pelvis Small 19” - 25” 31” - 35” Medium 25” - 31” 36” - 40” Large 31” - 37” 41” - 45” X-Large 37” - 43” 46” - 50” XX-Lg 44” - 49 51” - 55” XXX-Lg 50” - 54” 56” - 60” 713.465.2003 Women’s System-Loc (Pendulous) Size Waist Pelvis Small 23” - 29” 33” - 37” Medium 29” - 35” 38” - 42” Large 35” - 41” 43” - 47” X-Large 41” - 47” 48” - 52” XX-Lg 48” - 52” 53” - 57” XXX-Lg 53” - 58” 58” - 61” c MMAR Medical 2010 SR 500 Ambulatory Lumbar Spinal-Air Traction Belt Unlike other traditional support belts that limit mobility to the spine, the thin and light weight design of the SR 500’s patented expandable air-traction system is designed to mold to the natural curvature of the lumbar spine to offer a high degree of mobility as well as support while assisting with active-rehabilitation. The SR 500 can be worn either over clothing or discreetly under clothing. The function of the SR 500 is scientific, precise and most of all very simple. Spinal traction is created, and vertebral disc spaces are increased as the device is being inflated. The vertical air expansion cell mechanism applies negative pressure on the intervertebral disc space decreasing the pressure in the lumbar spine region by pushing upward on the lower part of the rib cage while pushing downward on the upper part of the hips, thereby diverting the weight bearing forces away and reducing the pressure within the lumbar spine region, significantly reducing pain levels. braces Another unique feature that makes the SR 500 the most versatile brace of its kind is the detachable anterior and posterior rigid panels the specifically designed for the patient who requires extra spinal stabilization, especially for those who are pre and post surgery. In addition, it is the perfect solution for those patients that cannot tolerate a rigid body jacket yet require the support of one. As the patient progresses in their active-rehabilitation the need for another device is eliminated as the SR 500 transitions along with their progress by simply removing the detachable rigid panels either one at a time or all together to easily convert to a soft LSO (Lumbar Sacral Orthosis) for greater flexibility. thoracolumbar spine and torso Features: • Treatment For Bulging Disc, Herniated Discs, Degenerative Disc Disease, Spinal Stenosis, Sciatica And Spondylolysis • Decreases axial loading • Increases disc height • Relaxes muscle spasms and muscle cramps • 1600 gauss medical magnets • Advanced tubeless air cell design for strenuous jobs requiring heavy lifting or long hours of driving. • Helps maintain proper posture. Improper posture places the upper body weight on the discs that causes back pain • Moisture proof resistant material for machine washing advantages SR 500 Size Small Medium Large X-Large XX-Large 3X-Large 4X-Large 5X-Large Circumference 26” - 28” 29” - 32” 33” - 35” 36” - 38” 39” - 41” 42” - 44” 45” - 48” 49” - 51” SADMERC suggested billing code L0631 c MMAR Medical 2010 www.mmarmedical.com 800.662.7633 713.465.2003 37 VertiLok Soft Spinal System Materials: • Soft, breathable interface reduces heat build up and keeps patient cool and comfortable • Ultra thin material is extremely lightweight • Interface material is loop compatible and allows for an infinite number of strap placements • All plastic design is MRI and X-ray compatible • Washable thoracolumbar spine and torso braces Closure: • Three point tensioning produces uniform abdominal compression • All straps have hook on bottom side and can attach to anterior for easy accessibility • Strap can be secured anywhere on the anterior panel Built-In Corset: • Velcro overlap closure is the easiest to donn and doff • Produces immediate abdominal compression • Allows the patient to secure the posterior panel first without assistance • Patient can be weaned off the rigid anterior shell Rigid Panel Inserts: - Panels are made of high strength, lightweight ABS plastic (LDPE & MDPE are also available) - Posterior panels are available in 0,5,15,or 25 degrees of lordotic curve - Anterior panels available in neutral or corpulent configurations - Lateral panels available in two configurations: moderate or excessive hip development - Anterior panels have window cutouts at the ASIS - Posterior panels have a window cutout paraspinal - Panels are easily modified with a heat gun - Panels have large widths for better control VertiLok Spinal System Size X-Small Small Medium Large X-Large XX-Large 38 www.mmarmedical.com Xyphoid 25” - 31” 30” - 37” 36” - 43” 42” - 48” 47” - 53” 52” - 58” 800.662.7633 Waist 22” - 28” 27” - 33” 32” - 38” 37” - 43” 42” - 49” 50” - 56” Troch 26” - 31” 30” - 37” 36” - 43” 42” - 48” 47” - 53” 52” - 58” SADMERC suggested billing code L0637 713.465.2003 c MMAR Medical 2010 ActivDay™ LSO The ActivDay LSO NO.501 lumbar-sacral orthosis is designed to support the patient at all stages of his/ her recovery. The moldable panels are to be applied post-op without delay for effective immobilization, and kept in place throughout the rehabilitation phase. Later the corset, worn alone, can be adapted to provide comfortable daily support thanks to the progressive immobilization capabilities of our patent pending locking system featuring inter-crossed straps and flexible plastic-covered steel stays. Combined with our comfortable and breathable knitted cotton fabric, you get a result that speaks for itself: Perfect patient compliance. ActivDay LSO consists of 3 separate pieces: A corset fitted with eight (8) flexible steel stays, a covered lumbar thermoplastic panel and an abdominal thermoplastic panel. Practical and easy to fit, it adapts perfectly to your body. This corset acts as a corrective measure and as a support to postural defects. Breathable and non allergenic, 100% cotton. Front panel is 6 3/4” high. braces Indications: ActivDay LSO Size XS Small Medium Large XL XXL 3XL 4XL Pelvis Circumference 19.5” - 26” 24” - 31.5” 29.5” - 3.5.5” 33.5” - 43.5” 41.5” - 47” 47” - 55” 55” - 61” 61” + thoracolumbar spine and torso • Supports from sacrum to T-9 level. • Post-op: Following stabilizing surgery, following lumbar disk surgery. • Degenerative pathologies: Osteoporosis,lumbar-sacral vertebrae complaint, protrusions, arthritis. • Muscular pathologies: Muscular contractures. Product Number 501XS 501SM 501MED 501LG 501XL 501XXL 5013XL 5014XL SADMERC suggested billing code L0631 Aspen LSO Lumbosacral Bracing System Effective spinal bracing is a critical component of pain relief, functional mobility, and post surgical stabilization. The Aspen® Lumbosacral Bracing System™ offers the practitioner multiple orthotic options that provide a high degree of immobilization, unparalleled comfort, and the ability to self-adjust to patients . . . even if they gain or lose weight. It combines the motion restriction of a custom fabricated orthosis with a dramatic improvement in comfort for better patient outcomes. Aspen LSO Size Short Small Short Large Tall Small Tall Large Back Panel Height 13” 13” 16” 16” c MMAR Medical 2010 Cut out HeightCircum. 8” 8” 10” 10” 26” 36” 32” 44” - 39” 49” 47” 59” Product code 990040 990041 990060 990061 SADMERC suggested billing code L0631 www.mmarmedical.com 800.662.7633 713.465.2003 39 thoracolumbar spine and torso braces V-LOC™ LSO The patented V-LOC™ LSO was developed to relieve chronic back pain in a convenient off-the-shelf design. The easy application minimizes fitting time and maximizes patient compliance and comfort. The VLOC™ helps alleviate pain and speeds rehabilitation by providing effective stabilization and unloading the spine. The rigid anterior and posterior plastic panels stabilize the spine, restrict the range of motion, and control pelvic tilt and rotation. The V-shape in the anterior panel in conjunction with the patented strapping method provides a “hydrostatic lift” to help relieve the load and stress on the spine. Transferring the load from the lumbar region greatly reduces pain and discomfort. Indications: • • • • • • Features & Benefits: • Unloads pressure from lumbar discs to alleviate lower back pain and discomfort • V-Shaped anterior panel creates true hydrostatic lift of lower abdominal muscles • Rigid posterior and anterior panels stabilize the lower spine and control rotation and pelvic tilt • 10" high back panel covers L1-L5 vertebrae • Elastic inserts provide a conforming fit around the hips • Soft, padded lining for maximum comfort and compliance • Ultra-thin low profile for comfortable, inconspicuous wear • Fully adjustable, patented closure system does not rely on elastic for extended product life V-LOC™ LSO Size Waist Measurement Small 24” - 28” Medium 29” - 33” Large 34” - 39” X-Large 40” - 44” XX-Large 45” - 49” 3X-Large 50” - 55” Chronic Lower Back pain Lumbar Strains or Sprains Muscle Weakness Lumbar Instability Post Operative Rehabilitation Postural Support Product # AM V-LOC AM V-LOC AM V-LOC AM V-LOC AM V-LOC AM V-LOC SM MED LG XLG XXLG XXXLG SADMERC suggested billing code L0627 Thermoskin Lumbar Support The Thermoskin Lumbar Support back brace provides pain relief and compression for muscle injuries and general lower back dysfunctions; injuries to the lumbar discs and the sacro-illiac joint. This Thermoskin back brace has two metal internal stays for additional support and adjustable elastic side straps for extra compression. • Clinically proven to increase surface skin and subcutaneous temperature between 23˚ F, the optimal level to make tendons and muscles more pliable and elastic to provide optimal muscle function. • The patented Trioxon® lining is a series of soft spirals that stimulate the skin to help create heat required for healing. The small fibers in Trioxon Lining lift moisture away from the skin while the knitting process holds air inside the pile to allow the skin to ventilate. • Provides protection, heat and support for the back. • Provides pain relief and compression for muscle injuries and general lower back dysfunctions; injuries to the lumbar discs and the sacroilliac joint. • Has adjustable side straps for extra compression. Swede-o Thermoskin Lumbar Supports Size Waist Measurement X-Small 23.5” - 27.25” Small 27.5” - 31.75” Medium 32” - 35.5” Large 35.75” - 39.5” X-Large 39.75” - 44” XX-Large 44.5” - 48.5” 3X-Large 48 3/4” - 53” 4X-Large 53 1/4” - 57 3/4” 5X-Large 58” - 62 1/4” 40 www.mmarmedical.com 800.662.7633 Product # w/ lumbar insert 82267 83267 84267 85267 86267 87267 88267 89267 80267 SADMERC suggested billing code L0628 713.465.2003 c MMAR Medical 2010 A 350 Women’s Lumbosacral Support. White brocade, 2-pull side lace adjustment and 2 removable pre-bent steels. Elastic releases at top and bottom. Left Front hook and eye closure. Flexible stays: front, side and back. Even hip sizes. Features: • Front and back plastic panels contour to any abdomen and lordosis type • Unique two stage closure system provides maximum compression with minimal effort • Arthritic grips contour to shape of hand • Treatment for all stages of rehabilitation • Comfortable, breathable, cotton fabric may be worn against skin • Undetectable under clothes A 350 Even Hip Sizes 28” - 56” Vertamax LSO A 520 Women’s Lumbosacral Support. White brocade, 3-pull side lace adjustment and 2 removable pre-bent steels. Elastic releases at top and bottom. Left Front hook and eye closure. Flexible stays: front, side and back. Even hip sizes. A 520 Even Hip Sizes Waist Measurement 22.5” - 34.5” 28.5” - 40.5 34.5” - 46.5” 40.5” - 54.5” 46.5” - 60.5” SADMERC suggested billing code L0627 Posture Pump® Elliptical Back Rocker™ • Relieves back stiffness and discomfort • Dual inflation mechanism gradually lifts, stretches and separates the joints • 2 uniquely angled air cells create multi-vectored force and promote disc & joint lubrication • Built-in Rocking Mechanism allows you to excercise your abdominal muscles while shaping & stretching the lower back 28” - 54” A 555 Size 2S/XS SM/MD Lg/XL 2X/3X 4X/3X braces The source of most low back pain can often be traced to the lumbosacral joint formed by the articulation of the fifth lumbar vertebrae and the sacrum. As the last movable joint in the spine, the lumbosacral joint bears greater weight and stress, and therefore has greater risk of strain or injury. Lumbosacral supports are the most common support garments used to relieve low back pain. They are effective in the treatment of arthritis, herniated discs, minor fractures, lordosis, spondylolisthesis, and protruding abdomen. Vertamax thoracolumbar spine and torso Lumbosacral Supports Men’s Lumbosacral Support. White canvas, 3-pull side lace adjustment and 2 removable pre-bent steels. Front snap button closure with reinforcing hook and eye. Mesh elastic releases across top and at groin. Flexible stays: front, side and back. All hip sizes 30-40, even 42-54. A 555 All hip sizes 30” - 40” Even hip sizes 42” - 54” Elliptical Back Rocker™ Size Product # Universal Model 2000 c MMAR Medical 2010 www.mmarmedical.com 800.662.7633 713.465.2003 41 knee osteoarthritis bracing The Unloader™ Spirit™ The easy-to-fit Unloader® Spirit is off-the-shelf, and offers the same 3-Point Leverage System that is the defining feature of all Unloader brand braces in a heat-moldable, prefabricated osteoarthritis knee orthosis. Flexible, lightweight Triax shells that conform to each patient’s unique anatomy make the Spirit an excellent choice for extended use applications. Indications & Usage: • Mild to severe unicompartmental osteoarthritis • Unicompartmental knee conditions requiring load reduction,such as Articular Cartilage Defect Repair, Meniscal Cartilage Repair, Avascular Necrosis, or Tibia Plateau Fracture • Proportionate height-to-weight, moderately proportionate thigh-to-calf girth and moderate varus/valgus angulation • Thigh circumferences of 13.5” (34.3cm) to 26.5” (67cm) at 6” (15 cm) above mid-patella • Low to moderate activities of daily living Product Highlights: 1. Dynamic Force Strap (DFS) applies a counteracting force to the moment, considered to be the root cause of knee OA 2. The single upright on the affected side combines with the Dynamic Force Strap to create a 3-Point Leverage System 3. Adjustable Dynamic Joint™ (ADJ) allows the clinician to easily control the varus or valgus force for optimal pain management 4. Adjustable Tibial Strap (ATS) captures the tibia and allows adjustments in hinge depth for a more customized fit Other Features & Benefits: • Flexible Triax shells conform to patient’s unique anatomy for an excellent fit that improves comfort and compliance www.mmarmedical.com X-Small Small Medium Large X-Large 13.5”-16.0” 16.0”-18.0” 18.0”-20.0” 20.0”-23.5” 23.5”-26.5” L L L L L Lateral Lateral Lateral Lateral Lateral B-217620101 B-217620102 B-217620103 B-217620104 B-217620105 X-Small Small Medium Large X-Large 13.5”-16.0” 16.0”-18.0” 18.0”-20.0” 20.0”-23.5” 23.5”-26.5” R R R R R Lateral Lateral Lateral Lateral Lateral B-217520101 B-217520102 B-217520103 B-217520104 B-217520105 X-Small Small Medium Large X-Large • Lightweight and easily worn for extended periods of time 42 GII Unloader Spirit Note: Hinge should always be placed on the affected side of knee. Measurement – 6” (15cm) above mid patella If between sizes select the larger size. Size Measurement Leg Hinge Placement Product # X-Small 13.5”-16.0” L Medial B-217610101 Small 16.0”-18.0” L Medial B-217610102 Medium 18.0”-20.0” L Medial B-217610103 Large 20.0”-23.5” L Medial B-217610104 X-Large 23.5”-26.5” L Medial B-217610105 800.662.7633 713.465.2003 13.5”-16.0” 16.0”-18.0” 18.0”-20.0” 20.0”-23.5” 23.5”-26.5” R R R R R Medial Medial Medial Medial Medial B-217510101 B-217510102 B-217510103 B-217510104 B-217510105 SADMERC suggested billing code L1843 c MMAR Medical 2010 OASys® Carticare osteoarthritis bracing While OAsys is primarily designed to provide on-the-spot medial or lateral unloading for the relief of pain due to unicompartmental osteoarthritis, it is also appropriate for a host of post-op, rehab and functional applications. These include post-operative protection of repaired articular surfaces, long-term rehabilitation protocols (i.e., greater than 4 weeks) requiring unloading and/or adjustable ROM control and functional support for patients with or without varus/valgus alignment. Indications: • Medial or lateral compartment unloading for unicompartmental osteoarthritis or articular cartilage healing • Post-op, rehab and functional support plus unloading for protocolls requiring reduced medial or lateral joint loads during recovery • Functional support with or without varus/valgus alignment • Low to moderate activities of daily living knee Product Highlights: • Accutrac™ ROM hinges with easy-to-use flex/ext stops • Acculign™ slide bar for on-the-spot medial or lateral unloading • Heat-moldable frame for customized fitting • Quick-release buckles for easy application and removal other features & benefits • Total Support System™ for ACL, MCL, LCL, PCL, rotary and combined instabilities • Exclusive Gel Fit™ condylar pads provide ultimate joint line comfort and cushion bony prominences • Reduced medial surface area for a streamlined fit and improved comfort on fleshy legs • Non-corrosive materials, ideal for water sports OASys® Carticare Size Small Medium Large X-Large Small Medium Large X-Large Caliper 3.375” - 3.875” 3.875” - 4.375” 4.375” - 5” 5” - 5.5” 3.375” - 3.875” 3.875” - 4.375” 4.375” - 5” 5” - 5.5” Circumference Leg 11” - 12.25” L 12.25” - 13.875” L 13.875” - 15.875” L 15.875” - 17.375” L 11” - 12.25” R 12.25” - 13.875” R 13.875” - 15.875” R 15.875” - 17.375” R Product # OA3SL OA3ML OA3LL OA3XLL OA3SR OA3MR OA3LR OA3XLR SADMERC suggested billing code L1845 * Circumference measurement: 6” above mid-patella * Caliper measurement: M/L at joint width in a standard, weight-bearing position * Japanese version is 12.5” in height. Please use the product code-Japanese for this version. c MMAR Medical 2010 www.mmarmedical.com 800.662.7633 713.465.2003 43 Fusion OA osteoarthritis bracing With its sleek, lightweight design, FUSION OA provides optimal medial compartment off-loading for unicompartmental osteoarthritis. FUSION OA features BREG's exclusive adjustable hinge technology, which provides an effective valgus load to the knee. This hinge utilizes a telescoping condyle with BREG's exclusive user-friendly thumbwheel dial design that allows patients to easily adjust the level of pain relief without using a tool. FUSION OA also incorporates an offset gauge that clearly displays the amount of load applied in halfmillimeter increments. And, because it features BREG’s revolutionary ProForm technology, patients always get an intimate, contoured fit, that keeps the brace solidly in place all day long. FUSION OA provides necessary medial/lateral, anterior/posterior stabilization, and best of all, it not only relieves pain, but may also slow osteoarthritic deterioration. Indications: • Unicompartmental OA (mild to severe) – medial compartment only • Chondral defect procedures • Meniscus procedures Benefits: knee • • • • • ProForm technology, provides a contoured fit and superior protection Lightweight Contoured frame padding that conforms to the leg Easily adjustable/removable straps ensure a proper fit PivotPoint Strap Tabs allow for superior comfort during motion Fusion OA Size X-Small Small Medium Medium+ Large X-Large XX-Large X-Small Small Medium Medium+ Large X-Large XX-Large 44 6” above Mid-Patella 13” - 15” 15” - 18” 18” - 19.5” 19.5” - 21” 21” - 24” 24” - 27” 27” - 30” 13” - 15” 15” - 18” 18” - 19.5” 19.5” - 21” 21” - 24” 24” - 27” 27” - 30” www.mmarmedical.com 800.662.7633 6” below Mid-Patella 10” - 12” 12” - 14” 14” - 15” 15” - 16” 16” - 18” 18” - 20” 20” - 23” 10” 12” 14” 15” 16” 18” 20” - 12” 14” 15” 16” 18” 20” 23” 713.465.2003 Leg L L L L L L L R R R R R R R Product # 120XS 120S 120M 120M+ 120L 120XL 120XXL 121XS 121S 121M 121M+ 121L 121XL 121XXL SADMERC suggested billing code L1845 c MMAR Medical 2010 OrthoPro™ OA Brace The OrthoPro™ OA air uploading system provides an adjustable corrective force to allow the patient to quickly and easily adjust the corrective force necessary to comfortably unload the knee depending on the level of patient activity. The patent pending swing assist mechanism encourages heel to toe gait which is necessary to maintain or improve quad strength. The unique brace low profile design incrementally corrects gait over time to improve muscle firing sequence memory to assist in normalizing gait. After wearing the brace several months, many patients report increased leg strength, improved gait, and significantly reduced pain when walking without the brace. Simply unloading the OA knee and providing a corrective force to improve joint space balance can lead the patient to become dependent on the knee brace for pain relief. By correcting gait with heel to toe facilitated gait, increasing the recruitment of the quadriceps muscles, and normalizing muscle firing sequences, the OrthoPro™ OA Knee Brace provides rehabilitative benefits not found with OA unloading knee braces. For patients that would benefit from delaying the progression of OA, the OrthoPro™ OA Knee Rehabilitator™ provides an alternative to injections and imminent total knee replacement surgery to manage OA of the knee. knee Clinical studies show a link between OA progression and abnormal OA gait. As OA progresses, the patient incrementally changes the way that they walk to avoid pain in the affected compartment of the knee. This change in gait alters the firing of the quadriceps muscles resulting in reduced quad strength and muscle mass in the affected leg over time. Loss of quad strength reduces the dynamic support of the knee joint, leading to more force on the affected compartment of the knee and a progression of OA. osteoarthritis bracing The OrthoPro™ OA Knee Brace is an off the shelf product that not only unloads the affective compartment of the knee to relieve pain but also will help to rehabilitate quadriceps that have atrophied as the disease progresses. This ability, to increase quad strength, is accomplished by correcting the abnormal gait of the patient which, when routinely used, will delay the progression of OA. • Use of double upright offset design provides superior unloading. • Use of multiple fulcrums provide adjustable corrective forces. • Use of high power elastic provides a dynamic swing assist. • Use of a contour air bladder positioned mid-knee provides either corrective valgus or varus force. • Use of a second contour air bladder aids in lower leg alignment. • Use of a medial hinge to control both flexion and extension motion when necessary. OrthoPro® OA Brace Size X-Small Small Medium Large X-Large XX-Large c MMAR Medical 2010 4” above Patella 13” - 16” 16” - 19” 19” - 22” 21” - 25” 24” - 28” 27” - 32” 4” below Patella 9” - 12” 12” - 15” 14” - 17” 16” - 20” 19” - 23” 22” - 26” Product # OP401XS OP401S OP401M OP401L OP401XL OP401XXL SADMERC suggested billing code L1845 www.mmarmedical.com 800.662.7633 713.465.2003 45 Fusion Functional bracing From the gym to the job site, FUSION delivers all-around performance. With its revolutionary design, FUSION provides optimal ACL, PCL and collateral ligament protection. Its sleek, lightweight, premium aluminum frame is extremely low-profile, and features BREG's proven proprietary ProForm technology, enabling a precise, contoured fit that keeps the brace solidly in place to defend the knee in virtually every situation. That means no migration and no compromises in protection. Its balanced design addresses anterior drawer, hyperextension, and varus/valgus loads, giving every wearer the freedom to perform. Indications: • ACL • PCL • Collateral ligament protection Benefits: knee • • • • • ProForm technology provides a contoured fit and superior protection Lightweight Contoured frame padding that conforms to the leg Easily adjustable/removable straps ensure a proper fit PivotPoint Strap Tabs allow for superior comfort during motion Fusion OA Size X-Small Small Medium Medium+ Large X-Large XX-Large X-Small Small Medium Medium+ Large X-Large XX-Large 46 www.mmarmedical.com 6” above Mid-Patella 13” - 15” 15” - 18” 18” - 19.5” 19.5” - 21” 21” - 24” 24” - 27” 27” - 30” 13” - 15” 15” - 18” 18” - 19.5” 19.5” - 21” 21” - 24” 24” - 27” 27” - 30” 800.662.7633 6” below Mid-Patella 10” - 12” 12” - 14” 14” - 15” 15” - 16” 16” - 18” 18” - 20” 20” - 23” 10” 12” 14” 15” 16” 18” 20” - 713.465.2003 12” 14” 15” 16” 18” 20” 23” Leg L L L L L L L R R R R R R R Product # 005XS 005S 005M 005M+ 005L 005XL 005XXL 007XS 007S 007M 007M+ 007L 007XL 007XXL SADMERC suggested billing code L1845 c MMAR Medical 2010 Precision Pro Functional bracing • Moldable aluminum shell allows for custom adjustments • Anterior thigh cuff for rigid control of femur • Geared polycentric hinges mimic the natural motion of the knee • Flexion extension control can be customized for patient needs • Soft durable padded straps for additional comfort knee • Posterior calf cuff contains gastrocnemius muscle tissue while providing rigid control of the tibia Low-profile. Excellent for those with moderate to severe ACL, PCL, MCL, and LCL instabilities. Applies the four-point principle for biomechanical stabilization. Special Sizing Notes: Circumference should be measured 15cm above and 15cm below the knee center and at knee center. If measurements are borderline between sizes, then choose the smaller size. Precision Pro Thigh Size Circ. Small 15” to 18.5” Med 18.5” to 21” Large 21” to 23.5” X-Large 23.5” to 26” XX-Large 26” + c MMAR Medical 2010 Calf Circ. 11” to 13” 13” to 15” 15” to 17” 17” to 19” 19” to 21” Left Product # PRECPRO-L1 PRECPRO-L2 PRECPRO-L3 PRECPRO-L4 PRECPRO-L5 Right Product # PRECPRO-R1 PRECPRO-R2 PRECPRO-R3 PRECPRO-R4 PRECPRO-R5 SADMERC suggested billing code L1845 www.mmarmedical.com 800.662.7633 713.465.2003 47 knee contracture management M&M™ K2 Knee OmniFlex Knee Designed to treat flexion contractures of the knee, this orthosis consists of double uprights, with Goniometers. Both uprights are attached to upper and lower padded cuffs. The adjustable hinges have flexion and extension dials which require no tools for adjustment. The Goniometer is simple to use and may be set in 15° increments. This product gives the options of locking in place, limiting flexion or setting a range of motion. Softwear is made of soft Trico fabric, and padding is made of open cell foam for breathability and comfort. Measure 6” above and below the knee for sizing. Available in black. The Omniflex is a double-hinged knee orthosis with easy-to-set and lock hinges. It is designed to provide progressive treatment/correction for mild to severe knee flexion contractures and immobilization following surgery or trauma. Fleece lined patella cap is included for 3-point pressure for effective treatment. • For sizing, measure circumference of leg 6” above and below center patella (add 1” for fleece lined cuffs) • Knee cap included for 3 point pressure leverage and protection • Pads made from open cell foam for breathability and comfort • Hinge settings without tools for range of motion from 0° to 135° • Enclosed foam pads maintain integrity for extended use • Aluminum arms are strong and lightweight • Goniometer does not require tools or screws for setting Wash bag with patient identification tag is included. Extra softwear is available. M&M™ K2 Knee Upper Cuff Size Measurement X-Small 15” - 18” Small 18” - 20” Medium 20” - 22” Large 22” - 25” Lower Cuff Measurement 11” - 14” 14” - 16” 16” - 18” 18” - 21” Product # BL203 BL202 BL201 BL200 • Available in navy soft moisture wicking fabric or fleece lined cuffs • Length of this orthosis is 15.5”, the brace may be custom shortened to 10” for petite patients and young adults • Available in one-piece liner • Laundry bag is included Simple to adjust 15° OmniFlex Hinge with flexion and extension stops. OmniFlex Knee Cuff Size Circumference Custom Up to 8” Small 8” - 10” Medium 10.25” - 14” Large 14.25” - 17” X-Large 17.25” - 21” XX-Large 21.25” - 25” Custom Over 25.25” Product # 20-220 20-220-SM 20-220-MD 20-220-LG 20-220-XL 20-220-XXL Measure circumference of the thigh 6” above the center point of the knee, and the calf 6” below the center point of the knee. Maximum total length of either brace is 15.5.” Minimum total length is 10.” SAMDERC suggested billing code L1832 Range of Motion (ROM) The ROM is a double-hinged knee orthosis with easy-to-set and lock hinges. It is designed to provide progressive treatment/correction for mild to severe knee flexion contractures and immobilization following surgery or trauma. Fleece lined patella cap is included for 3-point pressure for effective treatment. • For sizing, measure circumference of leg 6” above and below center patella (add 1” for fleece lined cuffs) • Available in soft navy moisture wicking fabric or fleece lined cuffs • Available in one-piece liner • Laundry bag is included Unique 10° ROM Hinge range of motion flexion stop hinge. 48 www.mmarmedical.com 800.662.7633 Range of Motion ROM Cuff Size Circumference Custom Up to 8” Small 8” - 10” Medium 10.25” - 14” Large 14.25” - 17” X-Large 17.25” - 21” XX-Large 21.25” - 25” Custom Over 25.25” Product # 20-125 20-125-SM 20-125-MD 20-125-LG 20-125-XL 20-125-XXL Measure circumference of the thigh 6” above the center point of the knee, and the calf 6” below the center point of the knee. Maximum total length of either brace is 15.5.” Minimum total length is 10”. SADMERC suggested billing code L1832 713.465.2003 c MMAR Medical 2010 The bilateral metal hinges of the Respond ROM® Knee orthosis offer flexion and extension stop settings for conditions requiring a protected range of motion therapy. These easy-to-adjust hinges also feature a static lock pin for progressive static stretch or immobilization of post surgical conditions and soft tissue contractures. The versatility and construction of the hinges allow the Respond ROM® Knee orthosis to be utilized on either the ambulatory or nonambulatory patient. Knee cap (included) provides 3-point pressure leverage and protection. Available with Kodel® or Ortho-Wick™ Liner. Range of motion metal hinge with 10° increment flexion/extension stop settings. Features an optional static lock pin. Premier Knee - 23KCO (Kodel® Liner), 27KCO (Ortho-Wick™ Liner) The static adjustable Premier Knee Corrective Orthosis is indicated for joint stiffness or knee contractures in the nonambulatory patient. Progressive static lock settings permit gradual increases in joint extension. Optional knee cap (shown) provides 3point pressure leverage and protection. “T” screws allow for degrees of angle adjustment without the use of tools. Lightweight nylon hinges can accommodate patients with spasticity. Optional knee cap shown. Size Mid Thigh Circ. Respond ROM® Knee - 33KCO, Product Length 17” X-Small 13” - 16” Small 16” - 18” Medium 18” - 20” Large 20” - 24” Kodel® Ortho-Wick™ 33KCO-XS 33KCO-S 33KCO-M 33KCO-L 37KCO-XS 37KCO-S 37KCO-M 37KCO-L 37KCO SADMERC suggested billing code L1832 Respond ROM® Knee Replacement Liners X-Small 13” - 16” 33AK-XS Small 16” - 18” 33AK-S Medium 18” - 20” 33AK-M Large 20” - 24” 33AK-L 37AK-XS 37AK-S 37AK-M 37AK-L Premier Knee Orthosis- 23KCO, 27KCO Product Length 16.5” Small 14” - 17” 23KCO-S Medium 17” - 20” 23KCO-M Large 20” - 23” 23KCO-L Child 10” - 12” 23KCO-C Youth 12” - 14” 23KCO-Y 27KCO-S 27KCO-M 27KCO-L 27KCO-C 27KCO-Y Replacement Liners Small Medium Large Child Youth 23AK-S 23AK-M 23AK-L 23AK-C 23AK-Y 27AK-S 27AK-M 27AK-L 27AK-C 27AK-Y 23KC-S/M 23KC-L 23KC-C 23KC-Y 27KC-S/M 27KC-L 27KC-C 27KC-Y contracture management Liner) 37KCO (Ortho-Wick™ Liner) - 33KCO (Kodel® knee Respond ROM® Knee SADMERC suggested billing code L1832 Knee Cap Small/Medium Large Child Youth SADMERC suggested billing code L1831 Lightweight static progressive hinge permits gradual increases in joint extension. c MMAR Medical 2010 www.mmarmedical.com 800.662.7633 713.465.2003 49 knee contracture management COMFY KNEE - K101, GK101, SGK101 Available in three models: The Standard Comfy Knee (K101), The Goniometer Knee (GK101), and The Spring-Loaded Goniometer Knee (SGK101). All edges are soft and padded so there are no pressure areas. The splints are interchangeable for either extremity. An optional Knee Pad (K-Pad) slides over the center strap and can be ordered for any knee splint to protect the knee. The Standard Comfy Knee Orthosis - K101 (one cover) is moldable and particularly user friendly. Simply bend the orthosis into the desired position. Thigh and calf cuffs are also bendable to allow for optimal fit. This orthosis is well padded, minimizing the chances of skin breakdown. The Standard Knee has several applications including use as a resting splint or for the gradual extension of non-fixed knee contractures. One size fits most adults. Comfy Goniometer Knee Orthosis - GK101 (one cover) treats non-fixed contractures of the knee. Geared to increasing knee extension, this orthotic works in the same way as serial casting, allowing progressive extension by gradually adjusting and re-adjusting the degree of extension. Easily positioned and repositioned at 10° increments with the use of an Allen wrench (which is conveniently stored in the frame of the orthotic under the cover). Comfy Spring-Loaded Goniometer Knee Orthosis - SGK101 (one cover) functions similar to the Goniometer model with the added feature of having a spring that gently pushes the extremity to the adjusted degree of extension. The spring strength is fixed. It is also available with a special order heavy-duty spring which provides more force. • Set range of motion desired with Goniometer • Spring-Loaded Goniometer gently pushes to extension • No exposed metal struts — Goniometer protected with padded cover • Goniometer lock can be set for gradual extension of joint or can be fixed in static position. • Soft foam padded Comfy covers absorb moisture and prevents skin maceration • Excellent for patients with strong flexion synergy Custom Thigh-Knee For custom sizing measure circumference of thigh 6” above center of knee and circumference of calf 6” below center of knee www.mmarmedical.com SGK101 Comfy Knee - K101, GK101, SGK101 Description Size Standard Knee Universal Product # K101 Goniometer Knee Universal GK101 Universal SGK101 SADMERC suggested billing code L1836 SADMERC suggested billing code L1832 Spring-Loaded Goniometer Knee SADMERC suggested billing code E1810 The Thigh-Knee Orthosis is a combined bilateral knee orthosis system and a hip abduction system. This is an excellent choice for patients with bilateral knee flexion contractures and hip adduction contractures. Provides optimal lower extremity positioning for use in a wheelchair, geri-chair or in bed. Fleece lined patella caps are included. Available in either the OmniFlex 15° extension and flexion stop hinge, or the ROM 10° flexion stop hinge for progressive static positioning. 50 GK101 800.662.7633 Custom Thigh-Knee is made to patient measurements. Amputee adaptations are available (Stump must extend at least 4” below center point of knee. Please specify right or left). Maximum length is 15.5.” Custom lengths available. Measure calf circumference 6” below the center point of the knee. For Abductor, measure circumference of thighs 4” above the center point of the knee. Custom Thigh-Knee Size Calf Measurement Custom Up to 8” Small 8” - 10” Medium 10.25” - 14” Large 14.25” - 17” X-Large 17.25” - 21” XX-Large 21.25” - 25” Custom Over 25” Abductor Size Custom Universal Custom 713.465.2003 Measurement Up to 15” 15” - 24.5” Over 24.5” Product # 33-100 Product # 33-100 c MMAR Medical 2010 Neuroflex® Restorative™ Knee Flex Cuff Knee Thigh Circ. 10” - 15” 13” - 17” 16” - 22” Calf Circ. 8” - 12” 10” - 15” 14” - 18” Flex Cuff features the Respond ROM® range of motion hinge with 10° flexion/extension stop settings and adjustable static lock pin. • Lightweight and versatile, the Flex Cuff Knee Orthosis features the Respond ROM® range of motion hinge with flexion/extension stop settings, and static lock pin for immobilization or static progressive stretch. Product # 20725-S 20725-M 20725-L (a) Knee joint to approximately mid-femur. (b) Knee joint to approximately half the distance to lateral malleolus. SADMERC suggested billing code L1831 • Easily applied and removed, the hinge arms of the brace are attached with the use of hook and loop fastener. • A cuffless rehab brace, the new Flex Cuff is constructed of a breathable one-piece Ortho-Wick™ liner that wicks away moisture to keep the skin dry and comfortable. knee Neuroflex Knee Size Calf Measure. Small 6.5” (a, b) Medium 7.5” (a, b) Large 8.5” (a, b) The Flex Cuff Knee Orthosis supports effective rehabilitation for joint stiffness and contractures, instability, strains, sprains, and ligament repairs. contracture management Neuroflex design dynamically provides low load prolonged stretch. Will work tone and spasticity through oscillation of muscle tension to improve elongation of the affected joint. Double padded for skin protection. Adjustable hinge to set orthosis at the desired additional extension setting. Lower cuff rotates to accommodate flexing of the lower leg. • Adjustable Velwrap straps sewn into the liner ease application. • Accommodates atrophy or edema • Optional knee cap (fits all sizes) - 17KC Neuroflex Knee Separator For moderate to severe flexion contractures of the knee. Does not immobilize the knee joint. Incrementally larger foam resister blocks provide passive stretching while the device is worn by the patient. Effective to -70Þ of extension. Entirely 100% breathable foam with plastic insert to provide additional low load prolonged stretch. The most popular device for moderate to severe contractures or for maintenance therapy. Neuroflex Knee Separator Size Product # Universal 20725SP SADMERC suggested billing code L2999 c MMAR Medical 2010 Flex Cuff Knee - 17KO Product Length 19” Mid Thigh Size Circ. Small 12” - 15” Medium 15” - 20” Large 20” - 24” X-Large 24” - 30” Product # 17KO-S 17KO-M 17KO-L 17KO-XL (Bariatric) Repl. Liners 17AK-S 17AK-M 17AK-L 17AK-XL SADMERC suggested billing code L1832 Haven’t Found What You’re Looking For? We Are Continuously Adding New Products. Visit Our Website at www.mmarmedical.com E-mail us at service@mmarmedical.com Give Us A Call 800.662.7633 We’ll Be Happy To Assist You. www.mmarmedical.com 800.662.7633 713.465.2003 51 knee contracture management Pucci™ Inflatable Air Knee Adjustable Knee The Pucci™ Inflatable Knee Orthosis is an innovative, therapeutic orthosis. Through inflation of the double upright air additions, it provides continuous low stretch therapy to the knee. The Adjustable Knee is designed to provide progressive treatment/correction of knee flexion contractures. This orthosis is softly padded with a 10° adjustable Goniometer with flexion and extension stops. The thigh and calf cuffs are malleable to provide a custom fit. Simple to don and doff. May be used with soft fleece lined patella cap (included) or split patella strap. Indications: CVA, TBI and SCI treatment of non-fixed contractures of the knee. Also available in pediatric sizes. • One piece softwear • Knee cap cover included • Fits most adults Pucci™ Inflatable Knee Size Thigh Circ. Extra Small 13” to 15” Small 15.5” - 18” Regular 18.5” - 22” Large 22.5” - 25” • Pediatric sizes available Calf Circ. 10” - 11.5” 11.5” - 14” 14.5” - 16.5” 17” - 18.5” Product # 4270A 4270B 4270C 4270D Measure circumference 5” above and below the knee Manufacturer suggested billing code L1847 • Fits left or right • Colors include navy with moisture wicking material in hunter green, and burgundy in soft terry cloth • Laundry bag is included Adjustable Knee Size Universal Color Navy Green Burgundy Product # 22-121 22-321 22-326 Adjustable Knee fits most adults. Minimum circumference is 10.” Maximum circumference is 18.” For larger patients, straps may be ordered to accommodate up to 21.” SADMERC suggested billing code L1832 TheraPlus Knee The TheraPlus Knee provides the same features and benefits of the Adjustable Knee without the Goniometer. The TheraPlus Knee can be easily adjusted and readjusted manually with firm effort — no tools are necessary. Fleece lined patella cap is included. • Fits most adults • Pediatric sizes available • Fits left or right • Colors include navy with moisture wicking material, hunter green, and burgundy in soft terry cloth • Laundry bag is included TheraPlus Knee Size Color Universal Navy Green Burgundy Product # 20-421 20-521 20-526 TheraPlus Knee fits most adults. Minimum circumference is 10.” Maximum circumference is 18.” For larger patients, straps may be ordered to accommodate up to 21.” SADMERC suggested billing code L1836 52 www.mmarmedical.com 800.662.7633 713.465.2003 c MMAR Medical 2010 DynaPro™ Flex Knee • Weight Bearing/Assisted Ambulation • Kwik-Set™ hinge provides controlled Range of Motion therapy • Kwik-Set™hinge easily modified without removing brace • Kwik-Set™ hinge can be set for any degree of flexion and/or extension • optional gel knee pad available OrthoPro™ ROM Knee Size Small Medium Large Thigh 12” - 15” 15” - 19” 19” - 21” Calf 7” - 10” 10” - 13” 13” - 16” For extra softwear add AK to end of Product # DynaPro™ Flex Knee Product # OP400-S OP400-M OP400-L Size Small Medium Large SADMERC suggested billing code L1832 Thigh 11” - 15” 15” - 19” 19” - 21” Calf 10” - 13” 12” - 15” 14” - 18” contracture management • Static Flex Neuro-Dynamic Therapy • Treats mild/moderate flexion contractures. • Patented negative non-linear “flex” properties accommodates involuntary muscle contractions. • Gel knee pad included. For extra softwear add AK to end of Product # Product # DPFK20725-S DPFK20725-M DPFK20725-L knee OrthoPro™ ROM Knee SADMERC suggested billing code L1831 AirPro™ COKO Knees Air Therapy • • • • New fabric reduces shear/friction Proprietary gel padding in cuff Knee cuff extenders available Bacti-Ban™ keeps covers cleaner and more odor resistant • Gently reverses tissue shortening • Air bladder therapy for severe contracture treatment • Removable KWIK-SET™ hinge control/maintains brace settings AirPro™ COKO Knees Air Therapy Size Small Medium Large c MMAR Medical 2010 Thigh Circ. 12” - 15” 15” - 18” 18” - 22” Calf Circ. 8” - 11” 12” - 15” 15” - 19” Product # AP403-S AP403-M AP403-L Suggested billing code L1831 www.mmarmedical.com 800.662.7633 713.465.2003 53 knee braces • splints • supports Innovator Post-Op T-Scope The Post-Operative Knee Brace Features: The most versatile of all Post-Op braces, the T-Scope features telescoping hinge bars that extend from 17" - 27", along with a convenient drop-lock style hinge that controls range of motion 10° increments. The T-Scope also features friction locks to easily secure the brace in position once the desired length is selected, along with quick clip buckles and strap lock clips for easy application and fitting. • Adjustment that is Quick, Easy and Accurate • Full Range of Motion from: 0º to 120º • Flexion sets effortlessly at: 0º, 10º, 20º, 30º, 45º, 60º, 75º, 90º, 105º, 120º Indications: • Extension stops set with ease at - 0º, 10º, 20º, 30º, 45º, 60º, 75º, 90º • ACL, PCL, MCL, LCL injuries • Tibial plateau fractures • Osteochondral repairs • Meniscal repairs • Patella tendon repairs • Condylar fractures • Sprains/strains of the knee • Total knees • HTOs (high tibial osteotomy) • Strut length breaks down to accommodate sizing and the rehab process (Cool and Premium Models). Premium Model Full Coverage Softgood for compression and warmth in cooler climates. Benefits: Cool Model Softgood designed for greater breathability and patient comfort in warmer climates. Size and Ordering Info: Measure thigh circumference 6" above mid-patella Innovator Knee Size Standard Length (24") Regular X-Large Long Length (28") Regular X-Large Thigh Premium Circumference Product # Up to 27" 27" - 35" 403200 403202 Cool Product # Up to 27" 27" - 35" 403201 403203 403101 403103 403100 403102 • Telescoping hinge bars extendable from 17” – 27” (43.2 cm 68.6 cm) accommodates a larger range of patient leg lengths • Universally sized (fits up to 30.5" thigh circumference) • XL version available *(thigh circumference 27” – 35”) • Lightweight - Weighs less than 2.5 lbs • Strap lock clips keep straps positioned on bars • Quick clip buckle easy on/off • Quick lock offers ability to lock out brace from –10 to 30° • Reduced foam for greater breathability • Full foam version available Manufacturer suggested billing code L1832 Swedish Knee Cage Effective control of genu recurvatum. Swedish Knee Cage Size Knee Circ. Small 10” - 12” Medium 13” - 14” Large 15” - 16” X-Large 17” - 18” 54 www.mmarmedical.com Product # 08668-02 08668-03 08668-04 08668-05 800.662.7633 T-Scope Description T-Scope Post-Op T-Scope Post-Op, XL T-Scope Post-Op, Full Foam T-Scope Post-Op, Full Foam XL Product # 07714 07715 07716 07717 SADMERC suggested billing code L1832 713.465.2003 c MMAR Medical 2010 The Original Post Operative Pin® Knee Brace braces • splints • supports The Post Operative Pin Knee Braces are recommended for post operative immobilization and protected range of motion associated with ACL, PCL, MCL, and LCL surgeries. The lightweight, drop pin hinge of the original POP Knee controls flexion and extension in 7 1/2º increments, allows for free range of motion, and can be locked in full extension. The versatile Original POP Knee brace is available in Long and Short lengths, with Full or Cool version thigh and calf wraps. The Long braces have breakaway capabilities, and can be converted to the Short for long term rehabilitation. All models fit either right or left leg. The HD Post Operative Pin® Knee Brace The new HD POP features settings at 5° increments, and is 2” longer for increased stabilization. The versatile POP Knee braces are available in Long and Short lengths, with Full or Cool version thigh and calf wraps. The Long braces have breakaway capabilities, and can be converted to the Short for long-term rehabilitation. knee The Original POP Brace Hinge Adjustable in 7 1/2º increments • All models fit either right or left leg. • Adult models accommodate up to a 27” thigh and 19” calf circumference. • Pediatric model accommodates up to a 19” thigh circumference. Drop Lock Post Operative Pin® Knee Brace The Drop Lock POP Knee features the original POP hinge with a drop lock lever for knee immobilization. The Drop Lock POP Knee brace is available in Long Full or Cool versions, has breakaway capabilities, and can be converted to the Short for long term rehabilitation. Post Operative Pin® Knee Braces Size Length Breakaway Length Product # Original POP Knee Long Full 22.5” Long Cool 22.5” Short Full 16” Short Cool 16” Pediatric 13” 16” 16” N/A N/A N/A HD POP Knee Long Full 24.5” Long Cool 24.5” Short Full 18” Short Cool 18” 18” 18” N/A N/A 77POP-LX-F 77POP-LX-C 77POP-SX-F 77POP-SX-C 77POP-P SADMERC suggested billing code L1832 73HDPOP-LX-F 73HDPOP-LX-C 73HDPOP-SX-F 73HDPOP-SX-C SADMERC suggested billing code L1832 Drop Lock Post Operative Pin® Knee Brace Long Full 22.5" 16” 97DLPOP-LX-F Long Cool 22.5" 16" 97DLPOP-LX-C SADMERC suggested billing code L1832 The Drop Lock POP Brace Hinge • Adjustable in 7.5º increments. • Spring loaded Drop Lock Lever. • Provides Knee Immobilization post op or post CVA instability. • No tools required. Measure from 1” below the groin to the medial malleolus. c MMAR Medical 2010 www.mmarmedical.com 800.662.7633 713.465.2003 55 K42 & K72 knee braces • splints • supports Unique Features: Features: Knee Immobilizer Hinges for flexion and extension settings • 1/8” Nylon, 2 sided neoprene • Anterior closure for easy donning and doffing • Patellar opening for positioning and comfort • Popliteal opening • Two upper and lower circumferential straps • Custom condyle pads behind ROM hinge • Hinge arms made of aluminum • Available in soft navy moisture wicking fabric • Laundry bag is included Knee Immobilizer Size Product # Universal 20-410 Indications: • Post-operative management & Rehabiliation • Grade I or II ACL/PCL instability • Medial and lateral collateral liagment instabilities • Preventative K42- 13” K72- 17” K42 & K72 Size X-Small Small Medium Large X-Large XX-Large XXX-Large XXXX-Large Custom Knee Circum. 12” - 13” 13” - 14 14” - 15” 15” - 16” 17” - 18” 18” - 20” 20” - 22” 22” - 24” Over 24” The RCAI Active Neoprene Knee Brace provides functional knee stabilization during walking or light athletic activities. The breathable airprene wrap provides flexibility, therapeutic warmth and comfort while the bilateral metal hinges provide stability and protect the knee from medial/lateral forces. The brace allows full range of motion with a hyperextension stop set at 0° and has flexion stop settings in 15° increments. The front wrap closure makes the brace easy to apply while providing a precise fit. The open popliteal area prevents irritation at the back of the knee. The Active Knee Brace is suitable for patients with swelling or edema of the knee, geriatric patients or patients with difficulty applying traditional knee sleeves. Active Neoprene Knee Manufacturer suggested billing code L1832 www.mmarmedical.com Active Neoprene Knee Brace w/ ROM Settings Indicated for post surgery, following ligamentous injuries, knee instability and degenerative joint disease. * Specify K42 (13” version) or K72 (17” version) & then specify the size 56 The lightweight Knee Immobilizer provides support and stabilization for the leg and knee. Bilateral posterior aluminum stays provide rigidity and a custom fit. The tri-panel design with movable side panels allows for medial and lateral stay positioning for greater immobilization. Washable for extended use. 800.662.7633 Size X-Small Small Medium Large X- Large XX-Large XXX-Large 713.465.2003 Thigh Circ. 10” - 13” 13” - 16” 16” - 19” 19” - 22” 22” - 25” 25” - 28” 28” - 31” Product # 570-NKA-XS 570-NKA-S 570-NKA-M 570-NKA-L 570-NKA-XL 570-NKA-XXL 570-NKA-XXXL SADMERC suggested billing code L1832 c MMAR Medical 2010 • Anatomically designed for rotary instabilites secondary to cruciate injuries and deficiencies. • Range of motion hinge provides exceptional support through post-rehabilitation. • Range of motion hinge may be adjusted at 15˚ increments to limit range of motion. Open Wrap Knee Size X-Small Small Medium Large X-Large XX-Large 3X-Large 4X-Large 5X-Large Circ. below knee cap 10 1/4” to 11 3/4” 12” to 13 3/4” 14” to 15 3/4” 16” to 17 3/4” 18” to 19 3/4” 20” to 21 3/4” 22” to 23 3/4” 24” to 25 3/4” 26” to 27 3/4” SADMERC suggested billing code L1832 Universal 3-Panel Knee Immobilizer Two-sided brushed nylon, laminated to breathable foam. Three peice design for precise fit. Elastic Patellar Strap. Velcro Straps with loop closures. Lightweight rigid posterior stays with adjustable medical and lateral stays. Universal 3-Panel Knee Length Product # 14" 200010 20" 200020 24" 200030 c MMAR Medical 2010 Product # 82278 83278 84278 85278 86278 87278 88278 89278 80278 The Themoskin Knee Brace Open Flexion/Extension offers a flexible application with durable polycentric hinges that provide flexion and extension range of motion stops at selected degrees: 0, 10, 30, 50, 70, 90, and 110. Provides exceptional medial and lateral stability to the knee, while tracking range of motion through post-operative rehabilitation. Open wrap design offers easy application and can be adjusted to fit a wide variety of patients. braces • splints • supports Clinically proven heat therapy: only Thermoskin Thermal Supports have been clinically proven to increase subcutaneous skin temperature 2˚ - 3˚F for the optimal level of heat therapy. Thermoskin’s patented Trioxon® lining creates a micro-climate that maintains elevated skin temperature while still allowing the skin to ventilate for longterm user comfort. The spiral structure of the Trioxon® lining lifts moisture away from the skin and traps air within the lining to help prevent excessive perspiration. Knee Brace Open Wrap Flexion/Extension Clinically proven heat therapy: only Thermoskin Thermal Supports have been clinically proven to increase subcutaneous skin temperature 2° - 3˚F for the optimal level of heat therapy. Thermoskin’s patented Trioxon® lining creates a micro-climate that maintains elevated skin temperature while still allowing the skin to ventilate for long-term user comfort. The spiral structure of the Trioxon® lining lifts moisture away from the skin and traps air within the lining to help prevent excessive perspiration. knee Open Wrap Knee Brace with Range of Motion Hinge • Anatomically desgined for rotary instabilities secondary to cruciate injuries and deficiencies. • Polycentric hinges provide exceptional support through post-operative rehabilitation. • Flexion and extension hinges may be adjusted to selected degrees (0, 10, 30, 50, 70, 90, 110). Knee Brace Open Wrap Size X-Small Small Medium Large X-Large XX-Large 3X-Large 4X-Large 5X-Large www.mmarmedical.com Circ. below knee cap 10 1/4” to 11 3/4” 12” to 13 3/4” 14” to 15 3/4” 16” to 17 3/4” 18” to 19 3/4” 20” to 21 3/4” 22” to 23 3/4” 24” to 25 3/4” 26” to 27 3/4” Product # 82285 83285 84285 85285 86285 87285 88285 89285 80285 SADMERC suggested billing code L1832 800.662.7633 713.465.2003 57 knee braces • splints • supports K18 Osgood Schlater Support KNS The Winner Indications: Features: • Patellar tendonitis • .125" nylon 2-side neoprene • Osgood-Schlater disease • .25" v-shaped, shock absorbing pad to protect tibial tuberosity • Chrondromalacia • Patellar-Femoral Syndrome • Upper and lower circumferential straps • Jumper's or runner's knee • Lower strap over tibial tuberosity to apply pressure when needed Features: • .125" UBL 1-side nonslip, 1-side neoprene • Moldable insert for desired shape Product Variation: KNS-M w/ covered magnet K16 Universal Wrap Around Knee Features: • .125" UBL 1-side nylon, 1-side neoprene • Patellar opening for positioning and comfort • Universal felt buttress • Fits thighs up to 26" • Universal right or left, one size fits most Product Variation: K16-OS fits thighs up to 30" K44-OP Patella Stabilizer with Universal Lateral Buttress Features: • .125" nylon 2-side neoprene • Patellar opening for positioning and comfort • Large, popliteal opening • Universal neoprene buttress with dynamic pull-tabs to adjust pressure from outside of support • Upper & lower circumferential straps • Medial and lateral spiral stays Haven’t Found What You’re Looking For? We Are Continuously Adding New Products. Visit Our Website at www.mmarmedical.com E-mail us at service@mmarmedical.com Give Us A Call 800.662.7633 We’ll Be Happy To Assist You. 58 www.mmarmedical.com 800.662.7633 713.465.2003 c MMAR Medical 2010 K64 Knee Mate Formfit® Neoprene Hinged Knee Support • Arthritis • Post-operative management • Anterior and posterior cruciate instability braces • splints • supports • Dual Action Hinges incorporate our patented three dimensional molding technology. The hinges are molded into the brace to maintain a low profile. Indications: • Accordion molding in the popliteal area eliminates bunching and increases comfort. • Medial and lateral collateral instability • Lycra liner offers a breathable contact area for comfortable and extensive use. Features: • .1875" nylon 2-side neoprene • Patellar opening for positioning and comfort • Varied areas of thickness give additional protection. • Adjustable elastic segment to prevent tourniquet effect in popliteal area • Large, comfortable popliteal opening • Covered, stainless steel, light-duty hinges with hyperextension stop • Special cordura stress covers over center, proximal and distal hinge for reinforcement Formfit Neoprene Hinged Knee Support Size Mid-patella circumference Product # Small 11.5” - 13” 302153 Med 13” - 14.5” 302155 Large 14.5” - 16” 302157 X -large 16” - 17.5” 302158 XX-large 17.5” - 19” 302159 knee • Upper & lower circumferential straps with finger loops and pull tabs Product Variation: • K64-H with covered multi-position hinges • K64-HT with high tech hinges • K64-LP with low profile hinges Formfit Multifunctional Knee Brace • K64-S with medial and lateral spiral stays Neoprene Knee Supports Size K18 Osgood Schlater Support Product # K18 Manufacturer suggested billing code L1800 K16 Universal Wrap Around Knee K64 Knee Mate KNS The Winner K16 Manufacturer suggested billing code L1800 K64 Manufacturer suggested billing code L1810 K44-OP Patella Stabilizer KNS Manufacturer suggested billing code L1800 K44-OP Manufacturer suggested billing code L1815 + L2795 Neoprene Knee Sizing Size Knee Circum. X-Small 12” - 13” Small 13” - 14 Medium 14” - 15” Large 15” - 16” X-Large 17” - 18” XX-Large 18” - 20” XXX-Large 20” - 22” Custom Over 22 Offers exceptional support and comfort for mild to moderate ligament sprains and meniscal injuries. This cost effective alternative to off-the-shelf functional knee bracing offers the following features to insure total customer satisfaction: • Adjustable flexion and extension ROM control • Internal contoured cuffs create added stability • Built-in soft cushioned liner offers unequaled comfort. • Accordion molding in the popliteal eliminates bunching • Fully integrated one-piece design Formfit Multifunctional Hinged Knee Support Size Above Patella Below Patella Small 17” - 19” 12.5” - 14” Med 19” - 21” 14” - 15.5” Large 21” - 23” 15” - 16.5” X -Large 23” - 25” 16” - 17.5” XX-Large 25” - 27” 17” - 18.5” Product # 503153BLK 503155BLK 503157BLK 503158BLK 503159BLK Manufacturer suggested billing code L1832 c MMAR Medical 2010 www.mmarmedical.com 800.662.7633 713.465.2003 59 hip • upper leg contracture management VariDuct The VariDuct is a hip and knee abductor providing treatment/correction of hip adduction contractures with mild to severe scissoring. The innovative and simple to use scissor jack mechanism provides progressive abduction. Appropriate for use in a wheelchair, geri-chair or in bed. • For sizing, measure circumference of thigh 6” above center of knee. • Available in navy soft moisture wicking fabric with fleece lined inner thigh. • Laundry bag is included. VariDuct Size Universal Circumference 12” - 22” Custom Hip-Thigh The Hip-Thigh Orthosis is designed to treat/correct hip flexion contractures, hip abduction contractures, and hip rotation. The innovative design offers bilateral hinges at the hips allowing static progressive positioning. The scissor jack style hip abduction mechanism allows for progressive gain in abduction. The system is appropriate for use in a wheelchair, geri-chair, or in bed. Hip hinge is available in either the OmniFlex 15° extension and flexion stop, or the ROM 10° flexion stop. • Available in navy soft moisture wicking fabric with fleece lined inner thigh. Cuff Type Soft Cuff • Laundry bag is included. Product # 30-220 Measure thigh circumference 4” above the center point of the knee. Universal fits majority of patients. Custom sizes available. SADMERC suggested billing code L1652 Custom Hip-Thigh is made to patient measurements. Measurements must include pelvic band circumference, thigh circumference (right and left) and length (right and left). For pelvic band, measure circumference at greater trochanter. For Abductor, measure circumference of thighs 4” above the center point of the knee. For custom sizing measure: • Circumference around the greater trochanter. • Circumference of the thigh 6” above the center of the knee. • Trochanter to knee crease and subtract 4.” Custom Hip-Thigh - Pelvic Band Sizing Chart Size Measurement Product # Small 24” - 31.5” 32-100 Medium 32” - 37” Large 38” - 43.5” X-Large 44” - 52” Custom Hip-Thigh - Abductor Sizing Chart Size Measurement Product # Custom Up to 15” 32-100 Universal 15” - 24.5” Custom Over 24.5” 60 www.mmarmedical.com 800.662.7633 713.465.2003 c MMAR Medical 2010 Hip Abduction Orthosis braces • splints • supports The new RCAI Hip Abduction Orthosis provides stabilization for patients prone to chronic dislocation due to involved post-op hip revision and: • Patients at risk for anterior or posterior hip dislocation. • As a prophylaxis to reinforce hip precautions. • Congenital hip dysphasia. • To stabilize spastic, tight adductors secondary to hemiplegia or cerebral palsy. Features: • Unilateral, bilateral or universal design fits right or left – reduces inventory. • Flexion/extension ROM control from 0° to 120° in 10° stop settings. • Abduction-adduction adjustments from 0° to 45° in 5° increments. • Unisex male or female pelvic component. • Vertical adjustability at hip and thigh. • Circumferential hip adjustment with padded pivotal back tilt. • Full hip to straight body types. hip • upper leg • Medial condylar containment right or left. • Removable, replaceable washable neoprene liners. • Trimmable polyethylene components. • Strong, lightweight, comfortable. • Five sizes - Extra Small, Small, Medium, Large and Extra Large. Universal hinge assembly can be moved to the opposite side. Height is adjustable at hip and thigh. Hip Abduction Orthosis Min. Hip Size Circumference X-Small 23" Small 28" Medium 32" Large 38" X-Large 43" Max. Hip Circumference 29" 34" 39" 44" 52" Max. Thigh Circumference 18" 21" 23" 26.5" 30" Measure the circumference of the hip at the iliac crest. Hinge Assembly Kit (Converting Unilateral (76HAO) to Bilateral (76BHAO) Size X-Small Small Medium Large X-Large c MMAR Medical 2010 Model # 76HNG-XS 76HNG-S 76HNG-M 76HNG-L 76HNG-XL Adjust abduction/adduction hinge with allen wrench to desired degree. Increments are set at intervals of 5°. Left Product # 76HAO-XS-L 76HAO-S-L 76HAO-M-L 76HAO-L-L 76HAO-XL-L Right Product # 76HAO-XS-R 76HAO-S-R 76HAO-M-R 76HAO-L-R 76HAO-XL-R Bilateral Product # 76BHAO-XS 76BHAO-S 76BHAO-M 76BHAO-L 76BHAO-XL SADMERC suggested billing code L1686 Hip Abduction Orthosis Girdle (Includes Softgoods) Size Hip Circumference Product # X-Small 23" - 29" 76GRD-XS Small 28" - 34" 76GRD-S Medium 32" - 39" 76GRD-M Large 38" - 44" 76GRD-L X-Large 43" - 52" 76GRD-XL www.mmarmedical.com 800.662.7633 713.465.2003 61 pediatric upper extremity Pediatric Orthotics Comfy Pediatric Splints Customizable Orthoses with Washable Covers PH101 (large) with PFS Pediatric Hand Wrist Finger Orthosis with Pediatric Finger Separator Quick and easy-to-use splints for support and progressive extension of the pediatric hand, wrist, and elbow. The foam covered metal skeleton bends to fit a wide range of deformities. These splints are great as resting splints. Available in three sizes and colors: Small (approximate ages 1 to 4), Medium (4 to 9), and Large (9 to adult). • Absorbent, washable covers and straps • Soft and cuddly — all surfaces are wellpadded • Ease of use and comfort increase compliance PF101 (large) with FS Pediatric Finger Extender • Each joint adjustable and readjustable without tools or heat • Three sizes in bright cheery colors PEH101 Pediatric Elbow-Hand Combination Orthosis with Full Hand or Handroll Attachments • Two covers available (one to use, one to wash) • Easy to apply • Ambidextrous • Comfortable to wear PH101 (large) Pediatric Hand Wrist Finger Orthosis Comfy Pediatric Splints Description Hand Wrist Finger Orthosis Finger Extender Orthosis Product # PH101 PF101 Pediatric LYNX™ WHFO SADMERC suggested billing code L3807 Optional Finger Separator for hand splints Elbow-Hand Combination Orthosis Elbow Orthosis Specify Small, Medium, or Large 62 PE101 (small) Pediatric Elbow Orthosis (also available in Goniometer models) www.mmarmedical.com PFS101 PEH101 PE101 800.662.7633 The adjustable Pediatric LYNX™ WHFO is identical to the adult version pictured on page 5, but available in pediatric sizes. Call for detailed sizing information. 713.465.2003 c MMAR Medical 2010 Pediatric Resting Hand Size Child Youth X-Small Small Palm Width 1.75" - 2" 1.75" - 2" 2" - 2.5" 2.5" - 3" Product Length 7" 8" 9” 11" Left Product # 29RHO-C-L 29RHO-Y-L 29RHO-XS-L 29RHO-S-L Right Product # 29RHO-C-R 29RHO-Y-R 29RHO-XS-R 29RHO-S-R Patent # 6,120,471 US The Pediatric Dorsal Wrist Splint limits wrist flexion and extension. Made of lightweight, yet durable Kydex® plastic, the splint can be heat molded for patient customization and positioning. Washable breathable wicking liner. Pediatric Dorsal Wrist Splint Product Size Palm Width Length X-Small 2" - 2.5" 5.5" Small 2.5" – 3" 6.5" Left Product # 44DCT-XS-L 44DCT-S-L Right Product # 44DCT-XS-R 44DCT-S-R SADMERC suggested billing code L3807 Pediatric Contour Hand Universal Thumb Support The Pediatric Contour Hand Orthosis is indicated for the moderate to severely contracted hand and wrist. Made of heat-moldable Kydex®, the wrist of the orthosis can be positioned to meet progressive patient needs. Washable breathable wicking liner. Universal Wrist Thumb Support 30CHK (Kydex®) US Patent # 5,205,812 Pediatric Contour Hand Product Size Palm Width Length X-Small 2" - 2.5" 7" Small 2.5" - 3" 8.5" Left Product # 30CHK-XS-L 30CHK-S-L upper extremity Offers a functional resting hand position following injury, surgery, or burns. Provides support to unstable wrists, and can be used for the prevention and treatment of wrist and finger contractures. Constructed of a lightweight, durable Kydex® plastic, the Pediatric Resting Hand can be heat molded at low temperature to meet individual patient needs. The washable breathable wicking liner eliminates potential pressure points while moisture is wicked away, keeping the skin dry and comfortable. Available with closed cell foam liner for burn patients. Pediatric Dorsal Wrist Splint 44DCT pediatric Pediatric Resting Hand 510-UTS 520-UWTS Gently places the thumb in a position of function and limits extreme motion of the joints of the thumb. Right Product # 30CHK-XS-R 30CHK-S-R SADMERC suggested billing code L3807 Universal Thumb Support Size IP Crease to Wrist X-Small 3" - 3.5" Small 3.5" - 4.25" Product # 510-UTS-XS 510-UTS-S SADMERC suggested billing code L3999 Universal Wrist Thumb Support Size IP Crease to Wrist X-Small 3" - 3.5" Small 3.5" - 4.25" – 520-UWTS Product # 520-UWTS-XS 520-UWTS-S SADMERC suggested billing code L3999 c MMAR Medical 2010 www.mmarmedical.com 800.662.7633 713.465.2003 63 Pediatric Post Operative Pin® Knee Brace 77POP-P Premier Pediatric Knee Orthosis The Pediatric Post Operative Pin Knee Brace is recommended for post operative immobilization and protected range of motion. The lightweight drop pin hinge of the Post Operative Pin® Knee Brace controls flexion and extension in 7.5º increments in settings from 0º - 120º of flexion, 0º - 75º of extension. pediatric lower extremity 27KCO, 23KCO Kodel® Provides gradual joint increases for the treatment of joint stiffness and knee contractures. “T” screws allow for degree of angle adjustment without the use of tools. Available with washable Kodel® liner. Measure from one inch below the groin to the medial malleolus. Optional Knee Cap provides 3-point pressure leverage. Hinge length 13". Premier Pediatric Knee Orthosis Mid Thigh Product Size Circumference Length Child 10" - 12" 12.5" Youth 12" - 14" 12.5" Small 14" - 17" 16" Knee Cap Size Product # Youth/Child 27KC-Y/C Small 27KC-S Product # 27KCO-C 27KCO-Y 27KCO-S Kodel® Product # 23KCO-C 23KCO-Y 23KCO-S SADMERC suggested billing code L1831 Kodel® Product # 23KC-Y/C 23KC-S Measurement accomodates up to a 19" thigh circumference. Comfy Pediatric Knee Splint Customizable Orthoses with Washable Covers Quick and easy-to-use splints for support and progressive extension of the pediatric hand, wrist, and elbow. The foam covered metal skeleton bends to fit a wide range of deformities. These splints are great as resting splints. Available in three sizes and colors: Small (approximate ages 1 to 4), Medium (4 to 9), and Large (9 to adult). Pediatric Knee Immobilizer 42KI The Pediatric Knee Immobilizer is constructed of breathable wicking material that wicks away moisture from the skin. The posterior aspect of the splint is uniquely tailored for a more custom anatomical fit. It has a movable tri-panel design to accomodate multiple circumference sizes. • Absorbent, washable covers and straps • Soft and cuddly — all surfaces are well-padded • Ease of use and comfort increase compliance • Each joint adjustable and re-adjustable without tools or heat • Three sizes in bright cheery colors • Two covers available (one to use, one to wash) • Easy to apply • Ambidextrous Premier Pediatric Knee Orthosis Product Thigh Circ. Length 4" above Knee Product # 6" 6" - 10.25" 42KI-06 (single panel) 9" 11" - 16" 42KI-09 12" 14" - 20" 42KI-12 15" 16" - 22" 42KI-15 • Comfortable to wear PK101 (medium) Pediatric Knee Orthosis (also available in Goniometer models) SADMERC suggested billing code L1836 64 www.mmarmedical.com 800.662.7633 713.465.2003 c MMAR Medical 2010 Pedors for Kids Sizes: Children's 6 (120mm) - 14 (200mm) Full sizes, medium width only • Adjustable Closure Easy On & Off. • For Children with: Epidermolysis Bullosa (EB), Diabetes, Cerebral Palsy, Multiple Sclerosis, Braces and AFO's, Leg Length Discrepancy, Burns and Other Injuries • Also avaiable in pink color Juniors Shoe Inserts Size Shoe Size Small 1-2 Medium 2-3 Large 3-5 X-Large 5-6 SADMERC suggested billing code A5500 orthotics & shoes • Removable Insole for Custom Orthotics. pediatric Pediatric versions of the neoprene knee braces, K18, KNS, K44, K67, and K64 found on pages 50 and 51 are available in pediatric sizes. Please add a “P” in front of product number when ordering. KiddyThotics Shoe Inserts Size Child Shoe Size Small 1-2 Medium 3-5 Large 6-8 X-Large 9 - 11 Custom UCBL-Cork A pediatric style UCBL designed using a hard cork instead of polypro. These orthotics offer much of the same funtional control as the polypro UCBL, but in a semi-rigid material. c MMAR Medical 2010 www.mmarmedical.com 800.662.7633 713.465.2003 65 Pediatric Phase II Provides adjustable positioning for static stretch of the plantar flexors. Indicated for the treatment of severe plantar flexion contractures and mild to moderate muscle tone with spasticity. The Pediatric Phase II ranges from 30˚ plantar flexion to 10˚ dorsiflexion in 1˚ increments, and can replace serial casting. Instep Strap provided assists in reducing inversion or eversion of the foot and ankle. Closed cell foam liner available for burn patients. Optional Ambu Assist sold separately. Product # 20AA The Little Richie Brace® pediatric lower extremity An alternative to traditional AFO therapy for the pediatric patient Modeled after the successful Richie Brace® for adults, the Little Richie Brace® combines a custom balanced functional foot orthotic with a semi-rigid ankle brace. Features: • UCBL style custom balanced foot orthosis • 35mm heel cup, medial and lateral flanges • Custom, individualized placement of Manufacturer suggested billing code L1970 anatomic ankle hinge • Custom semi-rigid limb uprights on sides of lower leg • Aesthetic colors and design • Full flexion and fixed ankle pivot options Benefits: • Intrinsic control of midtarsal and subtalar joints • Transverse and frontal plane control of the foot • Pure sagittal plane ankle movement • Low bulk, sports style brace • Non-medical sports appearance • Versatile clinical applications Casting is Required—Please follow Richie Brace® casting instructions and provide a mid-calf measurement of circumference. Or, use STS AFO casting sock found on page 149. 63TFB Transmits patient load from brace to ground. Indicated for achilles tear, stable mid-shaft to distal tibial fractures, ankle fractures, sprains and ligament damage. Allows normal plantar and dorsiflexion, while limiting inversion and eversion of the ankle. Adjustable straps provide quadrilateral support that allow for swelling. Precision length adjustment hinge arms provide a customized fit. Includes Tibial Plate, Standard Shoe Insert, softgoods, strapping and premolded posterior stay. Right or left specific. 66 www.mmarmedical.com 800.662.7633 Wicking Liner Product # 21MPO-A-P 21MPO-A-Y 21MPO-A-S Burn Unit Product # 19MP-A-P 19MP-A-Y 19MP-A-S SADMERC suggested billing code L4396 Dynamically corrects foot/ankle contractures, and provides heel and toe clearance to prevent pressure ulcers. The rotator bar at the back of the brace controls hip and leg rotation. Bilateral Multi Podus® Systems with a spreader bar provide controlled hip abduction. Neuromuscular Conditions: Cerebral palsy, Muscular Dystrophy, Ataxia, Hypotonia Pediatric Tibial Fracture Brace Kodel® Liner Product # 20MP-A-P 20MP-A-Y 20MP-A-S Pediatric Multi Podus® Indications: for children age 1 to age 12. Congenital Deformities: Talipes Equino Varus, Talipes Calcaneal Valgus, Tarsal coalition Pediatric Phase II Foot Size Length Pediatric 4.5" - 6" Youth 6" - 7" Small 7" - 8" Ambu Assist sold separately. Product #12AA Pediatric Multi-Podus® Measure Heel Max Size to Great Toe Calf Circ. Toddler 3.25” - 4.5” 10” Child 4.5” - 6” 10” Youth 6” - 7” 13” Small 7” - 8” 16” Kodel® Liner Product # 10MP-T 10MP-C 10MP-Y 10MP-S Wicking Liner Product # 01MP-T 01MP-C 01MP-Y 01MP-S SADMERC suggested billing code L4396 Pediatric Tibial Fracture Brace Length (top of adjustSize Heel Width able paddle to ankle) Pedi 1.5" - 1.75" 8” - 10" Small 1.75" - 2" 8” - 10" 713.465.2003 Left Product # 63TFB-P-L 63TFB-S-L Right Product # 63TFB-P-R 63TFB-S-R c MMAR Medical 2010 Pediatric Hip & Knee Abductor 87Pd-ULB • Bilateral hinges provide increased flexion, extension knee control from 0˚ - 120˚. 16HR Controls scissoring of tight thigh adductors. Aluminum joints offer a static position for bed or wheelchair, and a reciprocating function for ambulation. Suspension belt discourages migration of the orthosis during ambulation. Washable cuff liners included. • Lightweight, assures patient compliance. • Precision length adjustment hinge arm assures a personalized fit. • Cost effective alternative to casting for stable fractures. Measure from a comfortable point in the groin to the medial malleolus. Size Pedi Short Pedi Avg Pedi Long Leg Length 11" - 13" 14" - 16" 17" - 20" Max Circ. of Thigh 16" 21" 22" Max Circ. of Calf 14" 15" 15" Product # 87Pd-ULB-Sx 87Pd-ULB-Av 87Pd-ULB-Lx SADMERC suggested billing code L1832 Pediatric Spiral Knee Support Product # 540-SKS-I 540-SKS-T 540-SKS-C 540-SKS-Y 540-SKS-ES Cuff Height 4.5" 5" 5" Product # 16HR-P 16HR-ES 16HR-S SADMERC suggested billing code L1652 Pediatric Abduction Bar 26AB Indicated postsurgically, or for conditions requiring abduction control of the hips. Adjustable bar provides abduction and adduction control during restricted ambulation. Nylon ball and socket joint duplicate the anatomical motion of the hip joint. Breathable neoprene liners prevent migration on the legs. Measure mid thigh circumference. Pediatric Cuff height 3 1/2" (8.9cm) The new Pediatric Spiral Knee Support by RCAI provides support, compression and warmth for strains, sprains, medial/lateral ligament instability, anterior or posterior cruciate instability, arthritis, and patellar tendonitis or dislocation. Made of washable, 1/8" thick latex-free neoprene material with double sided nylon laminate. The bilateral spiral stays provide mild medial and lateral knee support. A patellar cutout horseshoe shaped felt buttress attaches with hook and loop, and can be repositioned to support the medial or lateral condyle. The upper and lower circumferential straps prevent migration of the brace on the leg. Pediatric Spiral Knee Support Size Measure knee circ. Infant 6” - 7” Toddler 8” - 9” Child 9” - 10” Youth 10” - 11” X-Small 11” - 12” Pediatric Hip & Knee Abductor Size Mid Thigh Circ. Pediatric 10.5" - 14" X-Small 11.5" - 15" Small 13.5" - 16.5" pediatric Pediatric Leg Brace lower extremity Pediatric Leg Brace Pediatric Abduction Bar Size Mid Thigh Narrow Product # Wide Product # Circ. (adjusts 5.25” - 7”) (adjusts 7.75” - 11.75”) Pediatric 12 - 18" 26AB-P-N 26AB-P-W Abduction Bar without Neoprene Liner, (use with Bilateral Hip Stabilizer) Size Mid Thigh Narrow Product # Wide Product # Circumference (adjusts 5.25” - 7”) (adjusts 7.75” - 11.75”) Pediatric 12” - 18" 26AB-P-N-OO 26AB-P-W-OO SADMERC suggested billing code L1825 c MMAR Medical 2010 www.mmarmedical.com 800.662.7633 713.465.2003 67 Foot &Ankle management 801 Stretch Walker 501 Mary Jane 500 Mary Jane 800 Stretch Walker 601 Beige Classic sizing: 5 -12 widths: N (500 only) M, W, XW Sadmerc approved A5500 sizing: 5 -15 widths: W, XW, XXW Sadmerc approved A5500 sizing: 3 -15 widths: M, W, XW Sadmerc approved A5500 Looking for more diabetic shoes and pedorthic products? Call MMAR Medical and request a copy of our new Pedorthic Catalogue. c MMAR Medical 2010 www.mmarmedical.com 800.662.7633 713.465.2003 foot and ankle management 600 Black Classic Diabetic shoes These adjustable closure orthopedic shoes cater to various foot complaints. Specifically designed for people with Diabetes and Arthritis, these Pedors are also of benefit to people with corns, bunions, hammertoes, Neuromas, poor circulation or fluid gathering in the feet. These shoes feature the Pedors adjustable closure for easy fitting and a removable insole for custom othotics. 69 foot and ankle management contracture management E-Z Boot M&M™ Ultra-Lite Ankle Foot The E-Z Boot is designed to treat plantar flexion contractures, foot drop, and internal/external hip rotation. Eliminates pressure on the heel preventing/aiding in the treatment of pressure ulcers. Easy to don and doff one-piece fleece liner. Rotator bar and toe post included. Designed to correct ankle contractures, plantar flexion and foot drop. The lightweight polycarbonate frame material is preformed to relieve pressure off the heel to aid in the prevention and treatment of pressure sores. This patented clear polycarbonate allows the heel to be viewed without removing the orthosis. • Includes a patented walking skid with no bolts or screws for patient safety • Soft, padded material absorbs moisture away from skin • For sizing, measure circumference of the calf 11” from the bottom of the heel. • Available in white with fleece liner. • 30” Hip Abduction Bar and 15” Anti-Scissor Bar available. • Laundry bag is included. E-Z Boot Size Regular Large X-Large Calf Circumference Up to 14.5” 14.5” - 16.5” 16.5” - 18” Product # 10-120 10-220 10-320 Measure calf circumference 11” above the bottom of the heel. SADMERC suggested billing code L4396 TheraBoot The TheraBoot is designed to treat plantar flexion contractures, foot drop, and internal/external hip rotation. Eliminates pressure on the heel preventing and aiding in the treatment of pressure ulcers. Rotator bar and toe post with fleece cover is included. A cast boot may be applied for transfer/ambulation. • For sizing, measure circumference of the calf 11” from the bottom of the heel. • Available in white with fleece liner. • Laundry bag is included. TheraBoot Size Regular Large Universal* X-Large Custom Calf Circumference Up to 14.5” 14.5” - 16.5” 14.5” - 18” 16.5” - 18” Product # 12-120 12-220 12-420 12-320 12-820 Measure calf circumference 11 ” above the bottom of the heel. * While the Universal size fits most patients, you will enjoy a better fit ordering Regular, Large, or X-Large. SADMERC suggested billing code L4396 70 www.mmarmedical.com 800.662.7633 • Easy and adjustable closures• Transparent frame for viewing heel • Anti-Rotation Bar • Regular version: 13” Height • Ambulating Skid that can be applied instantly without tools while the patient is wearing the orthosis. • Short Back version: 10” Height M&M™ Ultra-Lite Ankle Size Heel-to-Toe Medium 8” - 11” Large 10” - 12” XLarge 12” - 13” Foot Calf Cuff* 13” - 17” 18” - 20” Up to 21” Foot Cuff 12” - 14” Up to 15” Up to 17” Product # A100 A102 A103 SADMERC suggested billing code L4396 *Calf Cuff is equal to the circumference of the calf. *Extra softwear add AK to end of Product # & specifiy Med or Lg. M&M™ Ankle Foot Designed to correct ankle contractures by providing counter pressure to the planter surface of the foot. The lightweight Kydex® material is preformed to relieve pressure off the heel to aid in the prevention and treatment of pressure sores. Measure circumference of calf 11” above the bottom of the heel for sizing. M&M™ Ankle Foot Size Product # Medium Large Extra Softwear Liner Transfer Boot Measurement Up to 14.5” 14.5” - 16.5” OT-220 OT-222 OT-221 OT-223 SADMERC suggested billing code L4396 *Calf Cuff is equal to the circumference of the calf. *Extra softwear add AK to end of Product # & specifiy Med or Lg. 713.465.2003 c MMAR Medical 2010 MPO 2000 MPO Active 2000® Ambulatory attachment 02MP Eliminates pressure on the heel and toes, while dynamically treating foot and ankle contractures. Swivel rotator bar controls hip and leg rotation. Features a breathable liner that wicks away moisture from the skin, maintaining skin integrity. Transfer attachment provided for nonskid stand-up transfer and limited ambulation. Prevents cross-contamination from floor to bed. Easily applied and removed with the use of velcro loop and lock strips. Eliminates heel pressure, treats foot and ankle contractures. Features a washable liner that wicks away moisture from the skin, maintaining skin integrity. Supplied with a removable ambulatory attachment that converts the MPO Active 2000 from a bed positioning device to an active walking device. Allows normal, plantar and dorsiflexion during limited ambulation. Secured with a simple “twist and lock” motion no tools needed. 01MP foot and ankle management 02MP contracture management Transfer attachment - 01MP MPO Active® Ambulatory attachment - 09MP Eliminates heel pressure, treats foot and ankle contractures. Features a removable ambulatory attachment that converts the brace from a bed positioning device to an active walking device for limited ambulation. Secured with a “twist and lock” motion — no tools needed. Washable synthetic sheepskin liner. 09MP MPO 2000 01MP with Transfer attachment MPO Active 2000® 02MP with Ambulatory attachment MPO Active® 09MP with Ambulatory attachment/Multi Podus System Active Size Small Medium Large X-Large XX-Large* Heel to Great Toe Max Calf Measurement 7” - 8” 8” - 9” 9” - 10” 10” - 11” 11” - 12” For liners, use Product # AK *Transfer attachment N/A. c MMAR Medical 2010 Circum. 15” 17” 17” 19” 17” MPO 2000 Product # 01MP-S 01MP-M 01MP-L 01MP-XL 01MP-XXL MPO Active 2000 Product # 02MP-S 02MP-M 02MP-L 02MP-XL MPO Product # 09MP-S 09MP-M 09MP-L 09MP-XL SADMERC suggested billing code L4396 www.mmarmedical.com 800.662.7633 713.465.2003 71 foot and ankle management contracture management PRAFO® 650 Features: • Excellent heel suspension brace • Controls dorsiplantar flexion The PRAFO® is the totally adjustable, custom-fitted AFO that can help manage many of the ankle/foot anomalies your patients present to you. • For ambulating as well as recumbent patients • Rotation bar eliminates rotation of hip and leg • Day and night use More than just positive heel suspension, the PRAFO® offers many adjustable features. Its custom-contoured aluminum heel connector bar helps to control dorsiplantar flexion by allowing infinite, measurable adjustments. Its ergonomically designed foot plate allows its Kodel® liner to be changed easily without tools. Its integral, securely fastened Vibram® walking base provides a shoe-type surface for ambulatory patients. Its calf and foot segments can be custom-modified to accommodate patient physiology. Its anti-rotation bar is made of malleable aluminum and adjusts to control unwanted extremity rotation. • Proven for treatment and prevention of pressure ulcers PRAFO Size Universal Product # 650 SADMERC suggested billing code L4396 + L2999 10MP25 The Original Multi Podus® System Transfer attachment - 10MP Cost-effective, systematic treatment of foot drop, hip rotation, and pressure sores due to illness, trauma, or immobility. The Original Multi Podus® System replaces most other equipment used for bed positioning and functional alignment. • “Floating heel” design eliminates pressure or friction on the heel, enhancing blood circulation vital to the healing process. • Dynamic flex action supplies continuous counterforce pressure to the plantar surface of the foot, assisting in the correction of foot drop contracture and deformity. • Adjustable toe post relieves pressure on the toes, can be positioned to the side in the treatment of lateral pressure sores. • Swivel rotator bar positioned to the side, controls hip and leg rotation, providing functional alignment. • Spreader bar with bilateral Multi Podus® Systems provide 35° of controlled hip abduction. 10MP • Detachable Transfer Attachment provided for stand-up transfer from floor to bed. • Constructed of durable, lightweight Kydex® plastic. 10MPSB Spreader Bar and two orthoses provide abduction, correct hip rotation, and maintain proper alignment. Rotator Bar, when positioned to the side, corrects internal and external rotation of the hip, foot and ankle. Multi Podus® with Kodel® Liner Heel to Great Toe Size Measurement Small 7” - 8” Medium 8” - 9” Large 9” - 10” X-Large 10” - 11” XX-Large 11” - 12.5” Multi Podus Product # 10MP-S 10MP-M 10MP-L 10MP-XL 10MP-XXL* Liners Product # 10AK-S 10AK-M 10AK-L 10AK-XL 10AK-XXL Short Back Product # 10MPSB90-S 10MPSB90-M 10MPSB90-L 10MPSB90-XL Short Back Liners 10AKSB90-S 10AKSB90-M 10AKSB90-L 10AKSB90-XL Available in five adult and two pediatric sizes. Spreader Bar 12SB-P, 12SB-A *Transfer attachment N/A. 72 www.mmarmedical.com 800.662.7633 713.465.2003 Modified 25° Modified Product # Liners 10MP25-M* 10AK25-M 10MP25-L* 10AK25-L SADMERC suggested billing code L4396 c MMAR Medical 2010 Soft Pro Gait Trainer Soft Pro In Bed Soft Pro Ambulating Fleece and Vel-Foam™ Addresses mild to moderate plantar flexion contractures, hip rotation and pressure on the heel. Closures make it easy for the patient to apply and remove. Softgoods completely cover the splint, leaving no exposed metal. Available in Fleece or Vel-Foam™, with anti-rotation bar, padded toe piece and mesh laundry bag. Available with or without boot sole. Accessories: Hip abduction bar and extra softgoods. contracture management A new flexible and economical method to control plantar flexion contractures, address hip rotation and to protect the heel. There are 3 variations, the Soft Pro In Bed which doesn’t have a walking pad, the Soft Pro Ambulating has a permanent pad, and the Soft Pro Gait trainer has a walking pad which may be removed. • Patented design suspends the heel, eliminates pressure, and prevents heel decubitus Indications: Mild to moderate plantar flexion contractures after hip surgery and pressure on the heel. Not recommended for severe plantar flexion contractures, open wounds, severe spasticity or thrombosis. • Padded rotator bar helps control hip rotation • Adjustable, padded toe post protects the toes • Two AFO boots can be connected using an optional accessory, the Spreader Bar Foam • Provides lower leg abduction and maintains proper alignment Size Fleece Small Medium Large X-Large Foam Small Medium Large X-Large Ankle Contracture Boot - Accessories Fleece Vel-Foam™ Description Product # Product # Extra Liner* 4305K 4300K Hip Abduction Bar 4300/05AB 4300/05AB Boot Sole 4300/05WK 4300/05WK foot and ankle management Ankle Contracture Boot Heel-to-Toe SP In-Bed SP Ambulating SP Gait T. 6” - 8” 8” - 10” 10” - 11” 11” - 12” SP1000 SP1001 SP1002 SP1003 SP2000 SP2001 SP2002 SP2003 SP3000 SP3001 SP3002 SP3003 6” - 8” 8” - 10” 10” - 11” 11” - 12”” SP1050 SP1051 SP1052 SP1053 SP2050 SP2051 SP2052 SP2053 SP3050 SP3051 SP3052 SP3053 SADMERC suggested billing code L4396 *Specify size (B, C, D, E) Ankle Contracture Boot - Right or Left Fleece Description Product # Ankle Contracture Boot 4307 Boot with Sole 4306 Boot with Sole and Extra Liner 4305 Size B C D E Calf Circumference* 10” - 14” 14” - 16” 16” - 21” 16” - 21” Vel-Foam™ Product # 4302 4301 4300 Foot Circumference** 7” - 9” 9” - 11” 11” - 13” Over 13” *Measure calf circumference 8” up from bottom of heel. **Measure foot circumference around the metatarsal. c MMAR Medical 2010 www.mmarmedical.com 800.662.7633 713.465.2003 73 M&M™ Multiflex AFO Neuroflex® Restorative™ Flex Boot AFO foot and ankle management contracture management • Adjustable night splint for treatment of foot drop • Patented frame allows for custom contouring at the heel, calf, foot and ankle • Elastic attachment of strap provides active resistance that augments formal therapy and allows for rehabilitation at home • Adjustable and readjustable without tools or heat • Full suspension of the heel prevents pressure areas • Large range of adjustments to provide the desired angle of flexion • Covered with soft absorbent terry cloth covers that help decrease skin breakdown Provides correction for inversion or eversion of the ankle/foot as well as for plantar flexion. Recumbent position is ideal to allow the flex properties of the AFO to permanently stretch the achilles tendon to restore ROM. T-bar is flexible to prevent immobilization of the hip while maintaining the foot in a neutral position. Full suspension of the heel to help eliminate pressure from the heel during device use. • Straps are attached to metal frame and not to material cover • One size fits most adults Neuroflex® Restorative™ Flex Boot AFO Description Product # Foot Size Small 20734S up to 8” Medium 20734M up to 9 1/2” Large 20734L up to 11” M&M™ Multiflex AFO Size Product # Universal MM1000 SADMERC suggested billing code L4396 Quell Heel Float Featuring a revolutionary patented, odor controlling and antimicrobial fabric. • Eliminates heel pressure by total suspension of the heel for treatment and prevention of diabetic ulcers and pressure sores. Neuroflex® Restorative™FootEase™ Boot Provides the same restorative value as the Flex Boot, but with simplified strapping. • Provide protection for medial and lateral malleolus and toes. • Controls drop foot. • Anatomical strapping pattern prevents migration and is ideal for side lying patients. • Ideal for patients with diabetes, peripheral vascular disease, and others at risk for impaired skin integrity. Neuroflex® Restorative™ FootEase™ Description Product # Small 20742S Medium 20742M Large 20742L Quell odor contolling and anti-microbial fabric • Controls odors for up to 5 days • Recharges after each wash • Lasts the lifetime of the product Quell Heel Float Description Quell Heel Float 74 www.mmarmedical.com Boot Foot Size up to 8” up to 9 1/2” up to 11” SADMERC suggested billing code L4396 Product # HC-QB100 800.662.7633 713.465.2003 c MMAR Medical 2010 TheraBoot ShortBack • Adjustable positioning from 40° plantar flexion to 10° dorsiflexion in infinite increments, the Phase II provides controlled static stretch for the correction of plantar flexion contractures. • A cost-effective alternative to serial casting, the Phase II can be removed for daily range of motion therapy and skin hygiene, enhancing patient recovery time, eliminating the risk of pressure sores. • “Floating heel” design eliminates pressure or friction on the heel, enhancing blood circulation vital to healing. • Canvas reinforced, the anklet of the Phase II can accommodate mild to moderate muscle tone with resulting spasticity. • Swivel rotator bar controls hip and leg rotation to provide functional alignment. • Inversion/eversion strap supplied simulates a T-strap on a short leg brace to correct this complication commonly associated with head injury patients. • Available with Kodel® liner or foam wicking material. 21MP contracture management Provides controlled static stretch of the plantar flexors, treating contractures, spasticity, inversion/eversion, pressure sores and hip rotation. The lightweight TheraBoot ShortBack has the same features and benefits as the TheraBoot, but does not extend as far up the calf allowing for use with knee orthosis. Rotator bar and toe post with fleece cover is included. Can be ordered with or without ambulatory attachment. • For sizing, measure circumference of the calf 7” from the bottom of the heel • Available in navy (moisture wicking) fabric and white with fleece liner TheraBoot Shortback Size Calf Circumference Regular Up to 14.5” Large 14.5” - 16.5” Universal* 14.5” - 18” X-Large 16.5” - 18” Custom Product # 12-120 12-220 12-420 12-320 12-820 Measure calf circumference 7 ” above the bottom of the heel. SADMERC suggested billing code L 4396 Posterior Leg Splint with Pneugel foot and ankle management Phase II Multi Podus® System • User friendly, anybody in the facility can apply a perfect splint every time • Velcro straps for ease of application, takes only one person to apply • Perfect 90° splint every time • Only two sizes to stock • Soft liner means dry splint , no skin problems • Toe plate allows patient to rest foot while using crutches • Includes an air/gel bladder for compression 20MP Phase II Multi Podus® System Heel to Size Great Toe Small 7” - 8” Average 8” - 9.5” Large 9.5” - 11” X-Large 11” - 12.75” Kodel® Model 20MP-A-S 20MP-A-A 20MP-A-L 20MP-A-XL Breathable Foam Model 21MP-A-S 21MP-A-A 21MP-A-L 21MP-A-XL SADMERC suggested billing code L4396 c MMAR Medical 2010 Posterior Leg Splint with Pneugel Foot Plate Calf Men’s Women’s Size Length Circ. Shoe Size Shoe Size Sm/Med 9” 11” 6.5 - 7.5 4 - 7.5 Med/Lg 11” 14” 8 - 12 8 - 13.5 www.mmarmedical.com 800.662.7633 Product # 4000-6 4000-7 713.465.2003 75 foot and ankle management carbon fiber AFOs Matrix Max AFO Introducing Matrix, the newest member of the Trulife AFO’s. Matrix is the only AFO that offers a height adjustable tibial component, ergonomic anterior strut,and customizable anterior shell and footplate. This unique design not only ensures maximum comfort, but also results in dynamically improved gait. Indications: Drop foot as a result of: • CVA • Multiple Sclerosis • Other neurological conditions • Ankle instability • Forefoot amputation Features and Benefits: • Tibial Plate is height-adjustable allowing true customization and comfort • Elongated Strut is made of reinforced carbon fiber and glass composite resulting in a 33% greater flexion range • Anterior Shell is moldable and padded ensuring reduced pressure on the Tibial Crest • Footplate is adjustable with a pre-fit insole that may be trimmed increasingease of fit Matrix AFO Product # FH250L-02 FH250L-03 FH250L-04 FH250R-02 FH250R-03 FH250R-04 Side Left Left Left Right Right Right Moldable Anterior shell with padding Reinforced carbon fiber composite strut Graded movement allowed at and around ankle Foot Length up to 25cm 24 - 27cm 25 - 29cm up to 25cm 24 - 27cm 25 - 29cm SADMERC suggested billing code L1932 EZ Stride ATB • The completely modular design allows the fitter to custom fit to the orthotic to the patient. Three different calf band, strut, and footplate configurations available. • Anterior strut doubles the amount of counter resistance which, in turn, dramatically increases the amount of stored and released energy making this orthotic a true, floor reaction device. • Full, carbon fiber used through out the orthotic making the device thinner, lighter, and stronger. • Footplate available in two different rigidity levels. • The EZ Stride-ATB is the only composite, carbon fiber AFO available that uses the complete, biomechanical forces created by the ambulations of the tibia to dramatically increase the floor reaction properties of the device. Drop foot patients find that the EZ Stride-ATB more easily propels them at toe-off which helps them return to a more normal gait pattern. EZ Stride ATB Size X-Small Small Medium Large 76 Size Small Medium Large Small Medium Large Height Adjustable Tibial Plate Footplate Length 9” 10” 11” 12” www.mmarmedical.com Overall Height 13” 14” 15” 16” Malleolus Apex Height 2.5” - 3.5” 2.75” - 3.75” 3.0” - 4.0” 3.25” - 4.25” 800.662.7633 713.465.2003 Calf Circ. Range 10” - 18” 10” - 18” 13” - 23” 13” - 23” Men’s Maxium Shoe Size 3.5 7.5 11.5 14.0 Women’s Maxium Shoe Size 5.0 9.0 13.0 15.5 SADMERC suggested billing code L1932 c MMAR Medical 2010 M&M™ In Shoe Ankle Foot Swedish PLS Designed to provide functional alignment and support for drop foot during rehabilitative therapy. • Injection molded polypropylene for easy trimming. • Lightweight and comfortable • Flared brim and wider leg opening for more comfort • Low profile leaf-spring • Open heel and calf section • Long foot plate for more control • Fits in most shoes to control drop foot • Lightweight and designed to fit in the shoe • Flexible, yet rigid vertical aspect M&M™ In Shoe Ankle Foot Size Mn Shoe Size Left/Small 3-6 Right/Small 3-6 Left/Medium 6.5 - 9 Right/Medium 6.5 - 9 Left/Large 9 - 11 Right/Large 9 - 11 Left/X-Large 11.5 - 13 Right/X-Large 11.5 - 13 Wn Shoe Size 4-7 4-7 7.5 - 10 7.5 - 10 10.5 - 12 10.5 - 12 N/A N/A Product # PLS-FF-100L PLS-FF-100R PLS-FF-200L PLS-FF-200R PLS-FF-300L PLS-FF-300R PLS-FF-400L PLS-FF-400R Swedish PLS Size Men’s Women’s The Easy Stride will help restore your patient’s normal biomechanical gait functions without sacrificing comfort or appearance. The composite technology of the future will bring comfort and relief to your patient today! • Support strut does not push shoe away and provides clearance at the lateral malleolus without contacting the patient. Ankle Foot 40 AFO Leaf Spring 50LS Provides functional alignment for flacid extremities, resistance to mild extensor spasticity, and mediolateral support for ankle instability. Leaf Spring offers a low profile option. Both fit in most normal shoes and can be trimmed and heat-molded for customization. • Open heel design eliminates pressure sores and increases comfort. • Super flexible calf band will conform to every patient size. • Thinner and lighter; the Easy Stride only contacts the patient at the calf band and foot plate. The spiral design allows for an obscure look which increases patient comfort and confidence. • Specify Left or Right. Easy Stride Size Small Medium Large c MMAR Medical 2010 Foot Plate Length Width 10” 3” 11” 3.5” 12” 4” 40AFO Size Heel-to-Toe Measurement Ankle Foot - 40AFO Small 8” - 9.75” Medium 9.5” - 10” Large 10.5” - 12” X-Large 12” - 15” 60 RAFO Heel-to-Toe Measurement Leaf Spring - 50LS Small 8” - 9.75” Medium 9.5” - 10” Large 10.5” - 12” www.mmarmedical.com 50LS Semi Rigid Left Product # Semi Rigid Right Product # 40AFO-SR-S-L 40AFO-SR-M-L 40AFO-SR-L-L 40AFO-SR-XL-L 40AFO-SR-S-R 40AFO-SR-M-R 40AFO-SR-L-R 40AFO-SR-XL-R Same as 40AFO, but more rigid Size Product # M-100CA/Sm M-100CA/Med M-100CA/Lg Right Product # 16-540 16-545 SADMERC suggested billing code L1930 SADMERC suggested billing code L1930 Easy Stride Composite AFO Left Product # 16-541 16-546 foot and ankle manageent • Heat moldable for custom fit in-shoe AFOs • Hook and loop closure SADMERC suggested billing code L1930 Leaf Spring Left Product # 50LS-AFO-S-L 50LS-AFO-M-L 50LS-AFO-L-L Leaf Spring Right Product # 50LS-AFO-S-R 50LS-AFO-M-R 50LS-AFO-L-R SADMERC suggested billing code L1930 800.662.7633 713.465.2003 77 custom AFOs foot and ankle management The Richie Brace® is a custom ankle foot orthosis which contains a balanced functional foot orthotic attached to a semi-rigid ankle brace. It is designed to apply force both above and below the axis of rotation of the major joints of the foot and ankle (rearfoot complex). The Richie Brace® is designed to control foot and ankle movements in situations where traditional foot orthotics may fail. Adjustable, semirigid double upright lower limb support Clinical Indications • Adult Acquired Flatfoot secondary to Posterior Tibial Tendon Dysfunction (i.e. TPD, PTTD etc) • Severe Pronation secondary to Neuromuscular Disease, Tarsal Coalition, Early Charcot Arthropathy Ankle hinge articulation aligned to patients own anatomic axis (fixed articulation option available) • Lateral Ankle Instability Custom contoured balanced functional orthotic footplate • Severe Arthritis of the Ankle, Subtalar and Midtarsal Joints • Custom Sports Performance Brace • Peroneal Tendinopathy i.e. chronic tendonitis or tear Contraindications The Richie Brace® is NOT indicated for: • Severe Charcot Arthropathy • Spastic Dropfoot (for flaccid dropfoot, use Dynamic Assist Richie Brace®) • Spastic Equinus or Uncompensated Equinus • Flexion Instability of the Knee (secondary to severe weakness of Gastroc-Soleus and/or Quadriceps) Richie Brace® Features and Benefits • Custom Orthotic Footplate: Intrinsic Posting of forefoot varus/valgus, contoured medial and lateral arches, optimal position of first ray • 35 millimeter Contoured Heel Cup: Frontal plane control of calcaneus • Anatomic Ankle Hinge Placement: Pure, unrestricted sagittal plane ankle motion for performance and comfort • Semi-rigid Lower Limb Supports: Aligned to provide maximum control of internal/external rotation of the tibia and inversion/eversion of the ankle • Adjustable Limb Support Straps: User friendly with minimal bulk around limb supports Casting Instructions The Richie Brace® requires a negative impression cast utilizing either plaster splints or the STS Casting Sock. Neutral suspension technique is recommended while plantarflexing the First Ray. 78 www.mmarmedical.com 800.662.7633 713.465.2003 c MMAR Medical 2010 Benefits: Indications: · · · · · · · · · Provides mild & light compression/support · Ankle distortions · Ankle sprains · Post-trauma rehab · Post-rehab sports resumption Features: Components: · · · · · · Exoform Ankle Brace · 100% cotton velour (whatever surface is in contact with patient's skin) · Crossed reinforced elastic strap (stretchable in one direction only) · Adjustable Locking System foot and ankle management Fits Right and Left One-Size-Fits-All Extremely low profile Color is new and different Similar to wearing a soft sock Can be worn directly on the skin or on top of a sock · Breathable & natural materials · Washable Easy and practical Suits everybody's purpose Fits in any street or sports shoe Light and user-friendly Extreme comfort on the skin No allergies or dermatitis Well being and hygiene Limited space at home or in a shop ankle braces • splints • supports Mercurio Ankle Lock Mercurio Ankle Lock Sizing One size fit’s all Technology forms a plastic exoskeleton directly onto soft, breathable fabric, combining the compression and comfort of a soft ankle brace with the stability of a stirrup ankle. • Speed laces allow the user to lace up the Exoform in seconds • Reduces ankle inversion by as much as 35% over the leading ankle stirrup • Breathable lightweight fabric enhances comfort by allowing heat and moisture to escape throughout the brace • Slim fit design is low profile and fits easily into a shoe • Available with a unique heel-lock strapping system • Nylon “figure 8” straps will not stretch during exercise • Fully adjustable even while in use • Bi-lateral design fits left or right ankle Exoform Ankle Brace Exoform Ankle Brace Exoform w/ Straps Size Product # Product # X-Small 20602 20612 Small 20603 20613 Medium 20605 20615 Large 20607 20617 X-Large 20608 20618 Manufacturer suggested billing code L1906 Exoform Ankle Brace Sizing Size X-Small Small Medium Large X-Large c MMAR Medical 2010 www.mmarmedical.com Ankle Circ. 11” - 12” 12” - 13” 13” - 14” 14” - 15” 15” - 16” 800.662.7633 713.465.2003 79 ankle braces • splints • supports foot and ankle management Swede-O Arch Lok® Ankle Lok® Superior support for both the foot and ankle, The Arch Lok® is a hinged style brace with a modified orthotic footplate. The footplate provides critical foot and arch support to help rehabilitate a recently injured ankle. Ankle Lok® is North America’s most popular lace-up ankle brace. The Ankle Lok® has been proven effective in numerous independent clinical studies. It has been utilized by athletes and patients for over 10 years to help prevent ankle injuries. • Modified orthotic footplate provides critical foot and arch support while resisting inversion and eversion. • Exclusive patented Ankle Lok® offset panel traps the laces between the inner and outer flap to hold the laces tighter longer than any other brace. • Neutral arch position promotes healing of injured ligaments. • Patented closely spaced eyelets concentrate the holding power where it’s needed most creating the most effective heel lock. • Orthotic footplate allows earlier weight bearing and return to normal gait. • Full elastic back ensures complete unrestricted blood flow to the Achilles’ tendon and virtually eliminates the chance for blistering. • Unique four strap adjustment system of the side supports provides near custom fit. • Medial forward design and contoured side supports help position the brace correctly and firmly to move in unison with the foot and ankle insuring full time protection and support. • Internal U-shaped spiral stays provide extra support and further minimize the chance for ankle injury. • Short curved heat sealed arch fits the contour of the foot and is seamless so it doesn't irritate the bottom of the foot. • Triple layer vinyl laminate provides durability and comfort. • Exclusive padded tongue option makes it easier to slip brace on and off. Easier application and comfort for fresh sprains. • Optional side stabilizer inserts provide additional medial and lateral support for injured ankles. Swede-O Ankle Supports Swede-O Arch Lok® Men’s Shoe Size Women’s Shoe Size Ankle-Lok® Men’s Shoe Size Women’s Shoe Size XS S M N/A 4-6 6-7 7-9 8-10 10-12 N/A 7-9 6-7 8-10 10-12 N/A L 11-13 N/A XL Over 14 N/A SADMERC suggested billing code L1902 11-13 Over 14 N/A N/A SADMERC suggested billing code L1902 Specify left or right on both ankle braces. 80 www.mmarmedical.com 800.662.7633 713.465.2003 c MMAR Medical 2010 Gel Ankle Brace • Unique pulsating multi-chamber air bladder provides a customized fit with each step • Active air chambers deliver graduated pneumatic compression to reduce swelling • Air bladder is self-contained and protected • No straws needed and no risk of over-inflating • Low profile design fits easily in a shoe ankle braces • splints • supports AirForm® Stirrup Ankle Brace World Renowned, Patented Hot/Cold Gel Therapy Brace • Delivers safe cryotherapy • Put in microwave or freezer • Lace-Lock for increased stability • Patented FlexEdge design Gel Ankle Brace- 50% gel, 50% foam Sizing Left Item # Right Item # Universal E5050L E5050R AirForm Stirrup Ankle Description Size # AirForm Ankle Stirrup Universal Swede-O Ankle Wrap Left Product # 80100 Right Product 80101 Thermoskin captures the body’s heat and provides light, comfortable support. This heat and gentle support work together to bring natural temporary relief from arthritic pain. The Swede-O Ankle Wrap is designed to assist in the rehabilitation of sprains and ligament damage to the ankle. It has the additional benefit of a velcro closure for ease of application and increased compression where required. foot and ankle management • Pivoting heel straps • Increased mobility • Consistent warmth • Increased circulation • Reduced swelling • Gentle compression • Night time comfort Swede-O Ankle Wrap Size Ankle joint circ. X-small 8.25” - 8.75” Small 8.75” - 9.5” Medium 9.5” - 10” Large 10” - 10.5” X-large 10.5” - 11” XX-large 11” - 11.5” c MMAR Medical 2010 Haven’t Found What You’re Looking For? We Are Continuously Adding New Products. Visit Our Website at www.mmarmedical.com E-mail us at service@mmarmedical.com Give Us A Call 800.662.7633 We’ll Be Happy To Assist You. www.mmarmedical.com 800.662.7633 713.465.2003 81 foot and ankle management ankle gauntlet • night splint Thermoskin Plantar FXT Greater Patient Comfort Plantar Fasciitis is painful enough; the treatment shouldn’t cause additional irritation. The Plantar FXT is the ideal alternative to cumbersome night splints. The Plantar FXT is easy to apply, low profile, and comfortable to wear. Effective Treatment for Plantar Fasciitis The Plantar FXT pulls the toes back slightly and comfortably. This stretches the Plantar Fascia so it can heal. The Plantar FXT may also be worn during the day (while seated) to provide longer treatment times. This may speed the healing process for Plantar Fasciitis. Added Benefit of Heat Therapy Only Thermoskin Thermal Supports have been clinically proven to increase subcutaneous skin temperature 2˚-3˚ F for the optimal level of heat therapy. Thermoskin’s patented Trioxon lining creates a micro-climate that maintains elevated skin temperature while still allowing the skin to ventilate for long-term user comfort. The spiral structure of the Trioxon lining lifts moisture away from the skin and traps air within the lining to help prevent excessive perspiration. Thermoskin AFG Stabilizer Ideal for Diabetes, Arthritis & Raynaud's Disease The Thermoskin Thermal Foot Gauntlet is designed to relieve the pain associated with diabetes, arthritis and Raynaud’s Disease. The Thermal Foot Gauntlet has been clinically proven to increase both the surface and subcutaneous skin temperature 2˚-3˚ F for the optimal level of heat therapy. The exclusive patented Trioxon lining allows the skin to breathe and wicks away moisture to ensure long-term comfort. • Designed to assist in pain relief from Diabetes, Arthritis and Raynaud's Disease. • The patented Trioxon® lining is a series of soft spirals that stimulate the skin to help create heat required for healing. The small fibers in Trioxon Lining lift moisture away from the skin while the knitting process holds air inside the pile to allow the skin to ventilate. • The AFG Stabilizer includes two removable side stabilizer inserts. These anatomically shaped stabilizers may be used when extra support of the ankle is needed. The combination of these semi-rigid stabilizers and the heavy-duty elastic strap provides good support for weak ankles. 82 www.mmarmedical.com 800.662.7633 Plantar FXT Size X-Small Small Medium Large X-Large XX-Large Men’s Shoe Size 3-5 6-7 8 - 10 11 - 12 13 - 14 Over 15 Women’s Shoe Size 4-6 7-9 10 - 11 12 - 13 14 - 15 Over 16 • It has the additional benefit of a Velcro closure for ease of application and adjustable compression. • Thermoskin increases elasticity of muscles, tendons and ligaments to reduce the risk of injury when under stress and strain. • Clinically proven to increase surface skin and subcutaneous temperature between 2°- 3° F, the optimal level to make tendons and muscles more pliable and elastic, to provide optimal muscle function. • Safety sole non-slip bottom helps prevent slipping. • The Trioxon® lining creates a micro climate that allows your skin to ventilate and remain well oxygenated for hours of continuously comfortable wear. AFG Stabilizer Size X-Small Small Medium Large X-Large XX-Large 713.465.2003 Men’s Shoe Size 3-5 6-7 8 - 10 11 - 12 13 - 14 Over 15 Women’s Shoe Size 4-6 7-9 10 - 11 12 - 13 14 - 15 Over 16 SADMERC suggested billing code L1902 c MMAR Medical 2010 Formfit® Night Splint Formfit® Night Splint is ideal for plantar fasciitis, achilles tendonitis and other lower extremity overuse injuries. Patented FormFit® 3-dimensional molded technology allows for variable padding thickness in strategic locations for superior comfort and fit. • Soft, lycra lined foam interior is plush, washable and breathable to eliminate heat build-up. • Adjustable dorsi-flexion straps provide a gentle stretching of the plantar fascia and achilles tendon. Adjustable from 90˚ to 10˚ dorsi-flexion • Lightweight, low profile shell is sturdy and breathable • Available with or without slip-resistant tread Dorsal Night Splint The A-Force Dorsal Night Splint has been designed to: Formfit Night Splint Size Men’s Shoe Small Up to 7 Medium 7.5 - 10 Large Over 10.5 Women’s Shoe Up to 7.5 8 - 10.5 Over 11 With Tread 50023 50025 50027 SADMERC suggested billing code L4386 • Hold the foot in a neutral position during sleep • Prevent passive plantarflexion versus uncomfortable active dorsiflexion featured in other night splints OrthoPro™ Passive Night Splint • Help alleviate the morning pain and discomfort associated with plantar fasciitis • Comfortable nighttime solution for plantar fasciitis • Provides passive stretching of plantar fascia, calf muscles, achilles tendon Benefits: • Low profile • Less bulk/weight • Less heat retention • Non-skid bottom for increased safety • Increased comfort during sleep • Pre-set with 5° of dorsiflexion • Increased patient compliance • Easy nighttime mobility • Toe wedge included The A-Force Dorsal Night Splint may also be used for any of the following conditions or virtually any other condition where stabilization of the ankle in a neutral position is desired: Orthopro™ Passive night splint Men’s Shoe Women’s Shoe Small 4 - 5 1/2 4 - 7 1/2 Medium 6 - 9 1/2 8 - 10 Large 10 - 12 10 1/2 + • Severe ankle sprains • Foot drop/neurological deficits • Achilles tendonitis/repairs Product # OP 800-0 S OP 800-0 M OP 800-0 L SADMERC suggested billing code L4386 • Muscular strains A-Force Dorsal Night Splint Men’s Women’s Size Shoe Size Shoe Size Small 5 -10 5 - 9.5 Large 10.5 - 16 10 - 16 No Tread 50003 50005 50007 foot and ankle management night splints • Three lycra lined foam padded straps with user-friendly center-release buckles ensure immobilization while maintaining comfort across the flexor tendons Product # 6581 6582 SADMERC suggested billing code L1930 c MMAR Medical 2010 www.mmarmedical.com 800.662.7633 713.465.2003 83 foot and ankle management fracture walkers Equalizer Premium Walker and Equalizer Premium Walker Low Top These orthoses offer a unique shock absorbing sole that reduces impact from the heel strike to improve comfort during ambulation. The rocker bottom is specially engineered to be low and wide to help promote a natural gait and increased stability. Equalizer Air Walker A patented pneumatic system increases stability while decreasing pain and swelling because air is easily adjusted to achieve desired compression and custom fit. This walker accommodates the swelling patterns that occur throughout the rehabilitation process. Indications: Soft Tissue Injuries (grade 2 and 3 sprains), stable fractures, post-operative use, trauma and rehab Equalizer Premium Standard and Short Leg Walker Men’s Women’s Size Shoe Size Shoe Size Standard X-small 2-4 3.5 - 5.5 W0200 Small 4.5 - 7 6-8 W0400 Medium 7.5 - 10.5 8.5 - 11.5 W0600 Large 10.5 - 12.5 11.5 - 13.5 W0800 X-large Over 12.5 Over 13.5 W1000 Short Leg W0300 W0500 W0700 W0900 W1100 Equalizer Air Walker Men’s Size Shoe Size X-small 2-4 Small 4.5 - 7 Medium 7.5 - 10.5 Large 10.5 - 12.5 X-large Over 12.5 Manufacturer suggested billing code L4386 Women’s Shoe Size 3.5 - 5.5 6-8 8.5 - 11.5 11.5 - 13.5 Over 13.5 Product # AW0200 AW0400 AW0600 AW0800 AW1000 Manufacturer suggested billing code L4360 DH Active Off-Loading Walker The DH active off-Loading walker allows strategic pressure relief and eliminates shear forces on the plantar aspect of the foot. Site specific pressure relief is enabled by the removal of numerous independent shockabsorbing Hex-Plugs. This allows the insole to accommodate various sizes, shapes and numbers of ulcers. • Patented wound care insole • Advanced “Flex-fit” design • Shock-absorbing sole • Rocker bottom designed low and wide to promote natural gait and increased stability • Inner softgood bootie prevents foot from migrating • Distributes weight to larger areas DH Active Off-Loading Walker Men’s Women’s Size Shoe Size Shoe Size Small Up to 8 Up to 10 Medium 8.5 - 10.5 10.5 - 12.5 Large 10.5 - 13 12.5 - 13 Product # DHO400BLK DHO600BLK DHO800BLK Manufacturer suggested billing code L4386 84 www.mmarmedical.com 800.662.7633 713.465.2003 c MMAR Medical 2010 Classic Post-Op Shoe provides quality care at an outstanding value. The semi-rigid outsole provides stability and minimizes flexing. • Flared, semi-rigid outsole provides medial/lateral stability • Breathable nylon mesh upper • Simple, one buckle closure on each strap Men’s Product # 17013 17015 17017 17018 Women's Shoe Size 6.5 - 8.5 9 - 11 Over 12 N/A Women's Product # 17003 17005 17007 N/A Manufacturer suggested billing code L3260 Classic Post-Op* Description Women's small Women's medium Women's large Men's small Men's medium Men's large Men's x-large Men's xx-large Men's Shoe Size 6-8 8.5 - 10 10.5 - 12 12.5 - 14 14.5 - 16.5 Women's Shoe Size 4-6 6.5 - 8 8.5 - 10 post op shoes Breathable mesh upper with reinforced heel counter and padded heel collar add more stability overall to the rear of the foot while reducing slippage. Semi-rigid sole provides superior protection while the extended strap and dual side closure system accommodate extra bulky dressings. Mesh Top Post Op Shoe Men's Size Shoe Size Small 4-6 Medium 6.5 - 8.5 Large 9 - 11 X-Large 11.5 - 14 Product # PO-CL2 PO-CL3 PO-CL4 PO-CL5 PO-CL6 PO-CL7 PO-CL8 PO-CL9 DH Pressure Relief Shoe This shoe is made of soft nylon upper for extra comfort with a reinforced toe piece for extra protection. The removable toe piece aids wound accessibility for routine examinations and the Velcro® closure is excellent for easy donning and doffing. DH Pressure Relief Insole included. c MMAR Medical 2010 DH Pressure Relief Shoe Size Men’s Shoe Women’s Shoe Small 4-6 6.5 - 8.5 Medium 6.5 - 8.5 9 - 11 Large 9 - 11 Over 12 X-large 11.5 - 14 Over 13 foot and ankle management Mesh Top Post-Op Shoe Product # 10340 10341 10342 10343 Manufacturer suggested billing code L3260 www.mmarmedical.com 800.662.7633 713.465.2003 85 post-op • pressure relieving shoes foot and ankle management Med- Surg Shoe ™ The Med-Surg Shoe’s strapless forefoot closure eliminates buckle pressure on the forefoot and can expand to accommodate dressings up to 17” in circumference. Special Features: • Square toe design acts as a bumper to provide additional protection when K-wires are present. • New ankle strap eliminates heel slippage. • MetaShank™ Protection provides more rigid control under the metatarsal heads. • Removable insole fully customizable with over twice the padding. Men’s Product # MQM1B MQM2B MQM3B MQM4B Women's Women's Shoe Size Product # MQPB 4-6 MQW1B 6.5 - 8 MQW2B 8.5 - 10 MQW3B N/A N/A SADMERC suggested billing code L3260 Special Features: • Removable EVA insole is fully customizable to offload pressure points if needed. • Wider sole and deep opening gives more room to accommodate large dressings, bandages and casts. • Wide ankle strap eliminates heel slippage as well as seats and secures the foot or cast in the shoe. • Rocker bottom encourages smooth roll through gait pattern and reduces plantar pressure on the heel and forefoot by over 25%. • MetaShank™ construction provides for a reinforced sole under the metatarsal heads to reduce motion. • Strapless forefoot closure provides uniform security without the pressure of buckles or straps. OrthoWedge™ Shoe The OrthoWedge Shoe has been clinically proven to effectively reduce weight bearing pessure from the forefoot to promote proper healing. Special Features: HeelWedge™ Shoe The HeelWedge™ off-loads the heel by shifting weight to the midfoot to promote faster healing after surgery, trauma, or when wounds are present on the heel. The square toe design provides more room in the toe box for a better fit. The modified rocker bottom encourages a smooth toe-off while maintaining a stable mid-foot base. Unique forefoot closure provides uniform security without the pressure points of buckles and straps and the cloth toe protector keeps toes warm and dressings clean and dry. The ankle strap seats the foot firmly in the sole and eliminates heel friction. Special Features: • Off-loading for heel area • Promotes healing by reducing weight from the forefoot and may be used for any condition from the metatarsal heads distally in which it is desireable to reduce body weight such as ulcers, infections, trauma and surgery. • 15º dorsi-angle shifts weight back to the midfoot and heel. • Ankle strap eliminates heel slippage • Removable forefoot closure eliminates buckle pressure. • 10mm removable insole fully customizable with over twice the padding. • Forefoot closure • Rocker bottom www.mmarmedical.com • Square toe design acts as a bumper to provide additional protection when K-wires are present and provides better left/right fit. • Wide base for extra stability. • Square toe 86 The All Purpose Boots’ all season closed toe protection allows dressings to be kept clean and toes dry, providing more protection for post operative procedures and fiberglass casts. • Square toe and provides additional room and comfort for the Patient. • Rocker sole reduces plantar pressure on the forefoot and heel by over 25 percent. Med- Surg Shoe ™ Men's Size Shoe Size Pediatric Small 6-8 Medium 8.5 - 10 Large 10.5 - 12 X-Large 12.5 - 14 APB ™ All Purpose Boot 800.662.7633 713.465.2003 c MMAR Medical 2010 Darco Post Op care Description Men's Shoe Size APB™ X-Small Small Medium Large X-Large 5 - 6.5 7 - 8.5 9 - 11 11.5 - 14 HeelWedge™ X-Small Small Medium Large X-Large 6-8 8.5 - 10 10.5 - 12 12.5 - 14 OrthoWedge™ X-Small Small Medium Large X-Large 6-8 8.5 - 10 10.5 - 12 12.5 - 14 SlimLine Cast Boot™ X-Small Small Medium Large X-Large c MMAR Medical 2010 3 - 6.5 7 - 9.5 Product # APQ0B APQ1B APQ2B APQ3B APQ4B Special Features: • Square toe design acts as a protective bumper and gives the patient more room to accommodate larger casts and bandages. • Rocker sole allows for smooth roll through the gait pattern. • Removable EVA sole provides 10mm of padding to cushion the foot, adding to patient comfort. • Strapless forefoot closure is easily adjusted to accommodate cast/bandage size and can be switched between left/right closure for ease of re-application. • Elastic center strap secures neck of the ankle and seats the cast in the shoe. • Higher ankle strap ads stability. SADMERC suggested billing code L3260 4-7 7.5 - 10 Original Blue Med-Surg Shoe™ HQ0B HQ1B HQ2B HQ3B HQ4B SADMERC suggested billing code L3260 Wound Care Shoe System X-Small Small SM/Med Medium Large X-Large 2X-Large Women's Shoe Size The Darco SlimLine Cast Boot has taken another step forward in providing cast protection in today’s active world. Excellent for use with fiberglass casts or bulky compression bandages because the stretchable upper material conforms for a better fit. 4-7 7.5 - 10 OQ0B OQ1B OQ2B OQ3B OQ4B SADMERC suggested billing code L3260 6 - 7.5 8 - 8.5 9 - 9.5 10.5 - 11.5 12.5 - 13.5 14 - 16 4 - 5.5 6 - 8.5 9 - 9.5 10 - 10.5 11 - 12.5 13 - 14.5 15 - 17 WCS0B WCS1B WCS7B WCS2B WCS3B WCS4B WCS5B 6-8 8.5 - 11 11.5 - 14 3-5 5.5 - 8 8.5 - 10 10.5 - 13 13.5 + SLQ0B SLQ1B SLQ2B SLQ3B SLQ4B SADMERC suggested billing code L3260 post op shoes The ultimate for off-loading lesions of the foot to permit healing of diabetic foot ulcers and infections. The deep rocker sole contains 4 layers of differing density insoles that maybe altered for offloading. Leather upper lined with Plastazote® material. Sections may be removed from the leather upper without disturbing the liner to remove pressure. Special Features: • Rocker sole to provide easy ambulation. • Sold in pairs t • Permits off-loading ulcers, infected area, bony prominences on both the plantar surface of the foot and protection of other areas of the foot. • Allows health provider to off-load areas of the foot while the patient remains ambulatory. SlimLine Cast Boot ™ foot and ankle management Wound Care Shoe System The Darco blue round toe Original Med-Surg shoe with semi rigid sole is the most popular post op shoe in the world, often imitated, never duplicated. Special Features: • MetaShank™ construction effectively immobilizes the metatarsal region, protecting surgical corrections. • Narrow reinforced heel counter. • Velcro® straps are easily adjusted for patient comfort and can accommodate bulk dressings and bandages. • Low profile, light and durable. Soft material provides the ultimate patient comfort. Original Blue Med- Surg Shoe ™ Men's Men’s Size Shoe Size Product # Pediatric 12 - 1 Small 6-8 MSM1N Medium 8.5 - 10 MSM2N Large 10.5 - 12 MSM3N X-Large 12.5 - 14 MSM4N SADMERC suggested billing code L3260 www.mmarmedical.com Women's Shoe Size 12 - 1 4-6 6.5 - 8 8.5 - 10 N/A Women's Product # MSPN MSW1N MSW2N MSW3N N/A SADMERC suggested billing code L3260 800.662.7633 713.465.2003 87 VitalWrap® System hot & cold therapy vitalwrap A revolutionary way to reduce pain and swelling through the hot, cold, contrast and compression therapies you trust. VitalWrap is a breakthrough approach to post-surgical pain: targeted relief,faster recoveries, better outcomes. Put patients on the fast track to recovery. The SADMERCapproved VitalWrap System combines hot, cold, contrast and compression therapies into one simple device. With our innovative family of wraps, patients can treat pain and swelling with precision and comfort. VitalWrap’s combined therapies work at every stage of rehabilitation, from the acute injury phase to post-surgery physical therapy. The result: better outcomes, faster recoveries and unprecedented flexibility. Simple: Portable, easy-to-use design for patient self-treatment Precise: Control temperature with one dial, 40°-105°F SADMERC suggested billing code E0217 Flexible: Hot, cold, contrast and compression therapies Diabetic neuropathy • Post-surgical recovery • Sprains, strains and inflammation • Back pain • Pain management •Functional mobility • Arthritis Innovative: Family of therapeutic wraps to fit every area of the body Arthritis The VitalWrap System can be used to relieve joint inflammation and swelling caused by osteoarthritis, the most common type of arthritis among older people. Because heat loosens muscles and relieves stiffness, while cold eases pain and inflammation, the combined therapies of the VitalWrap System make it easier for people with osteoarthritis to stay active and exercise. Heat, massage, and stretching have long proved successful in helping arthritis sufferers live more active lives. Your doctor or healthcare provider may recommend heating, cooling, compression, or contrast therapy (the alternating application of heat and cold) as part of a comprehensive arthritis pain management program. Safe, simple, and effective Safer than heating pads or ice packs, the VitalWrap System provides precise temperature control from 40° F to 105° F and uses specialized wraps that conform comfortably to your body. The system is designed to apply thermal therapy for periods extending well beyond those normally recommended for conventional devices. The control unit also allows the user to switch between heat and cold at the twist of a dial, making it ideal for contrast therapy. Pain Relief after Surgery Post-surgical pain relief and rehabilitation. Following orthopedic or many other kinds of surgery, cooling and compression therapies, along with rest and elevation, are generally prescribed for pain relief and healing. Your doctor might also recommend heating therapy or contrast therapy to shorten your recovery. The VitalWrap System can be used alone, or as part of a comprehensive pain management strategy created by you and your healthcare provider. The VitalWrap System is designed to fit any part of the body and is commonly used to ease pain and swelling and promote better sleep following: Knee surgery• Back surgery• Shoulder surgery• Elbow surgery• Hand or wrist surgery• Orthopedic procedures• C-section 88 www.mmarmedical.com 800.662.7633 713.465.2003 c MMAR Medical 2010 VitalWrap unit and extra wraps SADMERC suggested billing code E0217 00255 00118 00388 00119 00395 00394 00396 00397 00392 00398 00122 vitalwrap elbow and calf general leg or back back shoulder- med shoulder- lg hand & wrist arthritic hand med knee full knee ankle cervical Product # 00002 SADMERC suggested billing code E0249 Treating injuries Cold treatment During the first 48 hours after an acute injury, the application of cold is often used to control swelling, which in turn helps reduce pain. Cold treatments may also be used for chronic conditions, such as overuse injuries in athletes, to minimize the inflammatory response after physical activity. Research has shown that early use of cooling therapy, combined with compression, is an effective treatment for a wide spectrum of musculoskeletal pain and injury, including knee ligament damage; ankle and wrist sprains; and elbow and shoulder injury. By decreasing blood flow and slowing metabolism, cooling and compression therapy may limit hemorrhage and cell death associated with tissue trauma, while also accelerating recovery and the return to a normal range of motion. Heat treatment Whereas cold treatments are prescribed after injury or exercise, heat is applied to prepare injured muscles and joints prior to activity. Heat helps to relax and loosen tissues, reducing soreness, as well as stimulate blood flow to the affected area. Overuse injuries in athletes are often treated with heat therapy to prepare the limb and reduce the chance of further damage. hot & cold therapy Description VitalWrap system Heat treatment is also widely used to improve the range of joint motion. However proper temperature control is important. Improper heating can negate any therapeutic benefits by over-stimulating blood flow to the treatment area, which may induce swelling and reduce mobility. Excessive heat can also result in tissue or nerve damage. The basics of back pain Most back pain is caused by muscle strain. When overused or injured, the large muscles in the lower back become inflamed and spasm, resulting in pain and stiffness. These spasms can produce sensations ranging from mild discomfort to excruciating pain that leaves sufferers unable to move. Often, the only treatment options are rest, pain medications, and the application of cold and heat. In some cases, alternating the two therapies provides the most pain relief. The benefits of cold Cold therapy relieves back pain by reducing the inflammation and swelling in the strained muscles, as well as slowing down the nerve impulses that are inducing the spasms. The application of cold is generally most useful during the first 48 hours following an injury that strains the back muscles. After this initial period, heat therapy is typically used to aid the healing process. The benefits of heat Heat is thought to promote the healing of back injuries by increasing blood flow and reducing muscle spasms. To be effective, the heat must penetrate deep into the tissues. This deep warmth relaxes the muscle fibers and calms the spasm reaction. It also helps the injured muscles to stretch, relieving stiffness. Heat therapies work best when they are able to maintain the optimal temperature for the proper amount of time. In the case of minor back tension, short amounts of heat therapy such as 15 to 20 minutes may be sufficient. For more intense injuries, sessions of 30 minutes to 2 hours or more may be most beneficial. c MMAR Medical 2010 www.mmarmedical.com 800.662.7633 713.465.2003 89 Aqua Relief System hot & cold therapy aqua relief system The Diabetic Benefits The Aqua Relief system delivers diabetic benefit and comfort to achy feet and hands due to diabetic neuropathy or poor circulation. Diabetics are prone to circulatory problems in their extremities – hands and feet. The therapy boot is a one of a kind, patented therapy pad which uses regulated heated water to help improve blood circulation and cell function. The Pain Management Benefits The Aqua Relief system delivers pain relief to achy feet and other body parts due to arthritic pain, carpel tunnel syndrome, back pain, and all other pain conditions. The ARS universal therapy pad can be used on many parts of the body including; knee, chest, face jaw, back, hip, head, shoulder, neck, elbow, wrist, hand. Poor Circulation Diabetes often leads to peripheral vascular disease that inhibits a person’s blood circulation. With this condition, there is a narrowing of the arteries that frequently leads to significantly decreased circulation in the lower part of the legs and the feet. Poor circulation contributes to diabetic foot problems by reducing the amount of oxygen and nutrition supplied to the skin and other tissue, causing injuries to heal poorly. Poor circulation can also lead to swelling and dryness of the foot. Preventing foot complications is more critical for the diabetic patient because poor circulation impairs the healing process and can lead to ulcers, infection, and other serious foot conditions. Features: • Select hot or cold water therapy • Patented foot warmers • Heat settings, Low & High: total range 105°-120°F, Low Heat setting is recommended for diabetic patients • Auto-shut off after 1.5 hours • SADMERC Approved Heat Therapy – Improves circulation and cell function – Decreases Stiffness in tendons and ligaments – Lessens Pain Cold Therapy – Reduces swelling and pain – Relieves discomfort in muscles and joints – Promotes healing Therapy Pads • Single Therapy Boot • Double Therapy Boot • Large Back Pad • Universal Therapy Pad • Versatile Joint Wrap • Shoulder Wrap; Back wrap • Therapy Mitt What causes ulceration? TPSNG-Sm TPDBL-Sm TP1324 TPU KPW SPW; BPW TM Manufacturer suggested billing code E0249 Aqua Relief System Product # ARS2000C The most common cause of chronic leg ulcers is poor blood circulation in the legs. These are known as arterial and venous leg ulcers. Aqua-Relief – about the device • Cool or warm water is circulated all around the joint providing optimal 360º treatments. • Can provide cool water for 6-8 hours or heat with no time limits. • Provides added compression to further reduce pain and inflammation. • Reduces chances of skin damage by maintaining a constant safe heat. • Reduces the mess of standard cold or hot therapy. • Allows movement of the joint without losing the ice. Manufacturer suggested billing code E0217 90 www.mmarmedical.com 800.662.7633 713.465.2003 c MMAR Medical 2010 Back Heat Ice Wrap Complete Wrist Heat & Ice Wrap System that includes our active medical plush™ compression support, 2 reuseable soft heat & ice packs . This premium grade adjustable Hand & Wrist Thermal Support received the ION Sports Medicine Product of the Year for 2007. Same great patented design you've come to rely on from ActiveWrap®. Excellent for ergonomic positioning for occupational activities such as cpu usage. Designed to be compatible with the ActiveWrap small recharge heat & ice packs (Item# awpoo5) for optimal versatility and value for any athlete or patient. Use without inserts to provide therapeutic warmth to the joint. Designed for carpal tunnel, wrist sprains, swelling, arthritis and other hand injuries. Continuous no–mess cold treatments are readily available by rotating the packs in and out of the wrap as needed. With most gel pack designs, pressure forces the gel away, so you do not receive a proper cold treatment. ActiveWrap’s innovative hot/cold gel stays in place and never pushes away under pressure. This is a critical upgrade. ActiveWrap's nonmigrating heat & ice packs provide interval contrast heat/cold treatments, which are effective in the post–acute phase of injury. No coolers,no chemicals, and no rock hard freezing substitutes. Just comfort and quality at its finest! Designed in conjunction with orthopedic physicians, physical therapists and backed by top coaches and athletes around the world. Applications: Carpal Tunnel, Wrist Sprains, Arthritis ,Tendinitis, Hand Injuries, Wrist Injuries, Repetitive Strain Injuries, The ActiveWrap® heat and ice back wrap features extreme comfort, fit and adjustability. Complete with our specially formulated non-migrating 7 x10" hot/cold pack and a durable compression wrap made of eco-friendly material. This new pain modality features Active Medical Plush™ fabrication to lock in the body's natural warmth when used for soothing heat while insulating keeping the cold in during cold therapy applications. Perforated side panels for added breath-ability during long duration use demonstate superior quality to typical neoprene wraps. In addition, ActiveWrap uses ecofriendly materials that out perform typical petroleum/oil based neoprene found in every current neoprene sports medicine product on the market. Choose our complete system with an additional hot/cold pack. This will give you a designated pack for heat and a pack for cold. This is ideal for hours of continuous relief. These quality packs are unlike anything on the market. Heat & Ice Wraps Wrist Heat Ice Wrap Complete System includes: Compress support wrap, 1 Large 7" x10" hot & cold pack with protective cover and a drawstring team storage bag. Washable/Microwave/Freezer Safe Applications: Lumbar Sprains-Strains-Thoracic Sprains-Strains-SI Joint Discomfort- Post Surgical Disc Injuries-Sciatica-Piriformis Syndrome-General Back Muscle Soreness- Back Spasms & Stiffness- Arthritis Active Wrap Back Size XS-Med Lg-XXL Product # bawb008 bawb009 Active Wrap Wrist Unversal size, fits left and right hand Wrist Heat Ice Wrap Superior quality active medical plush™ compress elbow wrap complete with two specially formulated thermal pads that can be assembled and secured in any configuration inside your wrap. ActiveWrap's uniquely formulated non-migrating therapy packs always stay soft and flexible when cold so they mold comfortably in place. No longer are you limited to preconfigured sleeve designs or rock hard ice packs that leave you struggling to treat your exact area of pain. This is unique to ActiveWrap. c MMAR Medical 2010 Applications: • Tennis Elbow • Golfer's Elbow • Little Leaguer's elbow • Tendinitis/ Bursitis • Arthritis Active Wrap Elbow Unversal size, fits left and right hand www.mmarmedical.com 800.662.7633 713.465.2003 91 Shoulder Heat Ice Wrap Knee Heat Ice Wrap Heat & Ice Wraps Treat all aspects of the knee and leg with this versatile thermal compress wrap. The ActiveWrap knee system includes 2 large reusable heat & ice packs and a durable plush-prene™ compress wrap. Complete with generous 3" wide plush compression straps that can be spiraled around the support to provide focused compression and fastening. Designed for injury specific adjustability and freedom of movement. Full One Year Warranty. Washable and built to last. The ActiveWrap Heat & Ice wrap is the absolute finest heat and ice wrap on the market today. hot & cold therapy Patented design allows the soft, non-migrating hot/cold packs to be adjusted and positioned anywhere throughout the wrap for targeted relief. Use wrap without thermal inserts to provide therapeutic warmth to the knee. Most cryotherapy applications call for only one pack during a treatment leaving you with an extra cold pack ready to go to continuously cycle in when you need it. Active Wrap Knee Size Sm-Med Lg-XXL Thigh Circ. under 18” over 18” Superior quality active medical plush™ compress wrap complete with two specially formulated thermal pads that can be assembled and secured in any configuration with the wrap. No longer are you limited to preconfigured sleeve designs that leave you struggling to treat your exact area of pain. The ActiveWrap® patented design delivers targeted relief for the unique curvatures of the foot and ankle. Stay soft nonmigrating gel delivers a conforming flexible treatment every time. No longer do you have to struggle trying to bend a rock hard ice pack around tough to treat areas of your foot and ankle. ActiveWrap is the ONLY wrap that allows you to create any configuration inside your wrap. Continuous no–mess cold treatments are readily available by rotating the packs in and out of the wrap as needed. Ice on the go! ActiveWrap’s hot/cold packs also provide interval contrast heat and cold treatments, which are effective in the post–acute phase of injury. No coolers, no chemicals, and no rock hard freezing substitutes. Just comfort and quality at its finest! Designed in conjunction with orthopedic physicians, physical therapists and backed by top coaches and athletes around the world. www.mmarmedical.com 800.662.7633 The ergonomically designed shoulder heat & ice wrap wrap delivers lightweight conforming hot or cold therapy to all areas of the shoulder. Every wrap is outfitted with two pockets that hold our uniquely formulated heat and ice packs.Use one pack at a time or cover your entire shoulder complex after your next workout with both! Applications: • Rotator Cuff Injuries/ Shoulder • Tendinitis • Post-Op Shoulder Pain and • Swelling • Adhesive Capsulitis/Frozen • Shoulder • Post workout muscle recovery • Throwing Athletes Active Wrap Shoulder Size Sm/Med Lg-XL Foot Ankle Heat Ice Wrap 92 Treat all aspects of the shoulder with this versatile thermal compress wrap. Designed for injury specific adjustabilty and full freedom of movement during usage. Total comfort for any size shoulder, big or small. Just slip it on and start treating! The ActiveWrap shoulder system is the nicest fitting shoulder ice wrap on the market! Unique rotator cuff strap design drives the cold to where you need it. This much anticipated model is a must have for rotator cuff injuries and any shoulder dependent or throwing athlete! Chest Circ. under 40”, slender frame 40” - 56”, thicker/muscular frame Applications: • Ankle Sprains/Foot Sprains • Plantar Fasciitis/ Heel Spurs • Sore Arches • Achilles Tendonitis • Sever's / Heel Pain • Bursitis • Swelling and Soreness Active Wrap Foot Ankle Heat Ice Wrap Size Shoe Size Sm/Med 3 - 10 Lg-XL 10.5 - 18 713.465.2003 c MMAR Medical 2010 Infrared Automatic Moist Heat Pad Heating Pads Provides moist heat treatments by a process of fomentation without adding water for the relief of all types of pain conditions. During the healing process, moist heat therapy has proven most effective to ease pain, reduce stiffness and increase circulation. Includes flannel cover and three year warranty. Infrared Auto. Moist Heat Pad Product code S766D S7672 S758D S769D hot & cold therapy Size King 26” x 14” Medium 18” x 14” Mini 19” x 7” Shoulder 20” x 20” Thermophore® Standard - Moist Heat Pack Size/Application: 14 by 27 inches. Temporary pain relief for the back, arm or leg large areas of the body. Features: Intense moist heat without adding water. Weighted, yet flexible to conform to body contours. Manual Safety switch (you have to hold down the switch to keep the unit on; letting go turns it off). Fleece Blend Flannel Cover Included. Features: Because of its large size, the Standard can be applied to larger areas of the body, including the entire spine, both shoulders, and the legs. Versatility makes this the most popular size. Manual switch for safety. This means that you have to hold down the switch to keep the unit on. When you let go, the unit turns off. This is to ensure that you don't fall asleep with the unit on - to prevent burning. Indications: • Arthritis or Rheumatism • TMJ • Chronic back or neck pain • Fibromyalgia • Muscle spasms • Sports injuries (after the acute phase) • Strained muscles or ligament Thermophore® Standard Size Standard c MMAR Medical 2010 Product code 00055 www.mmarmedical.com 800.662.7633 713.465.2003 93 EMS 5.0 Features: electrotherapy digital TENS Flip-top Cover Dual Channel Adjustable Frequency Durable Plastic Belt Clip 3 Year Replacement Warranty Instruction Manual, Battery, Leadwires, 4 Electrodes, Carrying Case Technical Specifications: Channels: Pulse Amplitude (intensity): Voltage: channel. Wave Form: Power Supply: Size: Weight: Pulse Rate: Pulse Width: Contraction Time: Relaxation Time: Ramp Time: TENS 3000 Dual, Isolated between channels 0 to 80 mA Max output 80mA (peak to peak) into 500 ohm load each channel. Adjustable 0-40V. Max output 40V (peak to peak) into 500 ohm load each Asymmetrical Bi-Phasic Square Pulse One 9 volt battery. 95 (h) x 65 (w) x 23.5 (th) mm. 115 grams (battery included) 5, 30, 100 Hz Fixed at 250 µS Adjustable 1-30 seconds Adjustable 1-45 seconds 1, 3 or 5 seconds For continuous or timed treatment, this basic TENS unit is most commonly used for the treatment of back pain, neck pain, joint pain, and labor pain. It is simple to use and features 3 modes of operation: Burst, Constant, and Modulation. Three timer settings: 30 min, 60 min, or continuous. Complete and ready to use including carrying case, instruction manual, battery, leadwires, and 4 electrodes. Common Uses: Back pain Neck pain Labor pain Joint pain Arthritis Post-op pain Post-traumatic acute pain Chronic pain 3 Year Replacement Warranty Instruction Manual, Battery, Leadwires, 4 Electrodes, Carrying Case Technical Specifications: Channels: Modes: Pulse width: Pulse Amplitude (intensity): Pulse Frequency: Timer: Modulation Mode: Burst Mode: Battery Life: Waveform: 94 www.mmarmedical.com Dual, Isolated between channels Burst, Constant, Modulation 60-250 microseconds, adjustable 0 to 80 mA each channel, adjustable (500 ohm load) 2 to 150 Hz adjustable 30 min, 60 min, or continuous Pulse width automatically varies in a cyclical pattern over an interval of nominally 4 sec. 7 pulses per burst, 2 bursts per second, 100Hz internal frequency of burst 70 hour average (alkaline) Modified square wave with zero net direct current 800.662.7633 713.465.2003 c MMAR Medical 2010 Ultima Five TENS The Ultima Five TENS – is a dual channel five mode device with two wave form adjustments and a large LCD screen. This device is remarkable for its function, and traditional looks mixed with new-age digital style. Also includes a soft carrying case. The Ultima Five is a quality choice at a valued price. Channels: Wave Form: rectangular Amplitude: Pulse Width: Frequency: Maximum Charge: Modes: Five Modes: Low battery: Timer: Power Source: Dual Channels, Isolated between channels 1) Symmetrical Bi-phasic rectangular 2) Mono-phasic Maximum 130 mA (peak value) across 500 Ohm load From 50µS to 250µS adjustable 2 to 150 Hz, adjustable. 20 micro coulombs per pulse. constant, Burst, 3 modulation mode Indicator illuminate when the power voltage falls below 6.5 volts Continuous, 15, 30,45,60,90minute 2 AA LR6 Alkaline batteries digital TENS Technical Specifications: electrotherapy TwinStim 2nd Edition 7 Mode Digital TENS/ EMS Combo Pain management and muscle rehabilitation in one pocket sized unit! New Stronger 100mA output. The TwinStim 2nd edition is an exact combination of our TENS 7000 and EMS 7500, which gives the user the choice of 5 TENS modes and 2 Common Uses: Back pain, Neck pain, Joint pain, arthritis, post-op pain, post-traumatic acute pain, chronic pain. Technical Specifications: Channels: Dual isolated between channels Pulse Amplitude: Adjustable 0-100mA peak into 500 ohm load each channel Pulse Rate: Adjustable 2-150Hz, 1 Hz step Pulse Width: Adjustable 50-300 microseconds, 10 microsecond step Wave Form: Asymmetrical Bi-Phasic Square Pulse Modes: 5 TENS modes: B(Burst), N(Normal), M(Modulation), SD1(Strength Duration1),SD2(Strength Duration2); 2 EMS Modes: S(Synchronous), A(Alternate) Burst Mode: Burst rate: Adjustable, 0-5 - 5Hz; Pulse width adjustable, 50~300uS; Frequency fixed = 100 Hz Normal Mode: The pulse rate and pulse width are adjustable. It generates continuous stimulation based on the setting value. Modulation mode: is a combination of pulse rate and pulse width modulation. The pulse rate and width are automatically varied in a cycle pattern. The pulse width is decreased by 50% from its original setting in 0.5 second, then the pulse rate is decreased by 50% from its original setting in 0.5 second. Total cycle time is 1 second. In this mode, pulse rate(2-150Hz) and pulse width(50-300uS) are fully adjustable. The SD1(Strength-Duration) mode: consists of automatic modulation intensity and pulse width in 40% range. The intensity is always increasing while the pulse width is decreasing and vice-versa. The intensity is decreased by 40% while the pulse width is increased by 40% in 5 seconds. In the next 5 seconds, the intensity is increased by 40% while the pulse width is decreased by 40%. Total cycle time is 10 seconds. Pulse rate(from 2~150Hz) and pulse width (from 50~300uS) are fully adjustable. The SD2(Strength-Duration) mode: consists of automatic modulation intensity and pulse width in 70% range. The intensity is always increasing while the pulse width is decreasing and vice-versa. The intensity is decreased by 70% while the pulse width is increased by 70% in 5 seconds. In the next 5 seconds, the intensity is increased by 70% while the pulse width is decreased by 70%. Total cycle time is 10 seconds. Pulse rate(from 2~150Hz) and pulse width (from 50~300uS) are fully adjustable Synchronous: Stimulation of both channels occurs synchronously. The "ON" time including "Ramp Up" and "Ramp Down" time. Therefore, the setting of ON Time should be no less than two times of the "Ramp" time in this mode. ON TIME > Ramp up + Ramp down Alternate: The stimulation of the CH2 will occur after the 1st contraction of CH1 is completed. In this mode, the setting of ON Time should be no less than two times of the "Ramp" time. The OFF Time should be equal or more than the ON Time. ON TIME >Ramp up + Ramp down OFF TIME >ON TIME c MMAR Medical 2010 www.mmarmedical.com 800.662.7633 713.465.2003 95 J-Stim 1000 electrotherapy digital TENS Jstim 1000 – Arthritis Therapy System The JStim 1000 is a patent-pending break through in the treatment of Osteoarthritis of the knee and Rheumatoid arthritis of the hand. It is FDA and Medicare cleared, and through combination therapy it deploys the use of three proprietary technologies: electrotherapy, infrared heat, and true compression therapy. The JStim 1000 includes a proprietary signal generating device, a special electrotherapy conductive treatment wrap (used for the knee or hand), infrared heat components (infrared heat band, li-polymer battery, compression wrap), and PMT’s conductive solution. 96 J-Stim 1000 Product Knee System Hand System Product code Jstim-KN Jstim-H SADMERC suggested billing code E0762 www.mmarmedical.com 800.662.7633 713.465.2003 c MMAR Medical 2010 Jeanie Rub Massagers seats & cushions Suffering from pain, but can’t afford the exorbitant fees of a top masseuse, acupuncturist or chiropractor? For pain sufferers, the use of Jeanie Rub massagers is a great alternative. The Jeanie Rub series is the choice of professionals everywhere. These massagers, formerly known as Morfam Jeanie Rub massagers, offer a soothing, oscillating massage action designed to safely relax muscles, reduce stress and stimulate circulation for all body types and sizes. They do not use the jabbing or pounding motions found in other massagers. They provide a comfortable, deep penetrating massage delivered via a premium cushioned vinyl pad. Due to their in-home and clinic use, Jeanie Rub massagers are the most widely used handheld therapeutic massagers. They can be used as a full body massager or just simply as a muscle massager or leg massager for both therapy and relaxation. They are made for single or two-person use and can be used anywhere on the body. Jeanie Rub massagers are available in two models: single speed and variable speed. There are accessories that you can use with the massager to provide more of a targeted trigger point for intense massage. Jeanie Rub Product code 3400 Massager Body Drummer- electrotherapy The Jeanie Rub Massager #3400 is a single-speed massager that provides consistent massage at 3240 rpm and a four point orbital, oscillating massage therapy action. compact percussion massage Home massage technology revolutionized. Signature percussion-like rhythmic motions create a deep impact massage that breaks up tense muscle spasms or soreness It's the next best thing to a masseuse working your muscles. The Body Drummer powerfully kneads deep tissue and muscle layers to provide soothing and effective relief for soreness, aches, and tightness, while improving blood flow. Body Drummer can be used to treat the neck and shoulders, upper back, mid-lower back, buttocks, and thighs • • • • • • • • • Reach deep tissue Rigorous piston action Effective relief of neck and shoulder arches 6 automatic program settings, with variable intensity settings Snug, body hugging design for a targeted massage Portable hands free design One touch control panel Built in treatment-time of 15 minutes before auto shutoff Body Drummer Massager c MMAR Medical 2010 Product code BD-100 www.mmarmedical.com 800.662.7633 713.465.2003 97 dme canes & bath safety Quad Cane w/ Invacare Grip- Large All-in-One Gray Coated Steel Commode The Invacare All-In-One Steel Commode offers consumers Quad Cane w/ Invacare Gripthe comfort and stability they need. With its 16-inch wide Medium seat, consumers gain additional comfort and support. The steel commode can be used bedside or with the backrest removed it can act as a toilet safety frame or raised toilet seat. This commode has a 300lbs weight capacity. The Invacare Large Quad Base Cane can be used with the left or right had by adjusting the base. It also comes with a locking collar that reduces rattles. Supports user weight up to 250lbs. Features: • Large 16" wide snap-on seat with lid for added comfort and support. • Greater seat opening depth for hygienic purposes. Features: • Invacare Grip • Right or Left-hand use Description Small Base Quad Canes Invacare Grip Large Base Quad Canes Invacare Grip Quantity Product # 1 3920-2 1 7827 SADMERC suggested billing code E0105 SADMERC suggested billing code E0105 • Non-marring rubber tips have bottom hole for drainage after cleaning. • Can be used bedside, or with backrest removed can act as a toilet safety frame or raised toilet seat. All-in-One Gray Coated Steel Commode Description Quantity All-in one commode 1 Product # 9630-4 SADMERC suggested billing code E0163 Heavy Duty Commode The Invacare Heavy Duty Commode is designed to suit the needs of bariatric individuals weighing up to 450lbs. With its extra wide seat and durable steel frame design, it offers consumers the strength and comfort they need. It also includes a removable push button backrest. Bariatric Commode • Angle legs for increased stability. Features: Features: • Anti-rattle collars to eliminate noise and four non-skid rubber tips for added safety. The Invacare Bariatric Commode is designed to suit the needs of bariatric individuals weighing up to 650lbs. With its extra wide seat and durable steel frame design, it offers consumers the strength and comfort they need. It also includes a removable push button backrest. • 650lbs. weight capacity • Designed for bedside use. • Extra wide, clamp-on seat and lid. • Removable backrest, welded steel frame. Heavy Duty Commode Description Heavy duty commode 98 Quantity 1 Product # 6497 SADMERC suggested billing code E0168 www.mmarmedical.com 800.662.7633 713.465.2003 c MMAR Medical 2010 CareGuard Tool-less Transfer Bench The Invacare Care Guard Tool-Free Transfer Bench offers stability and comfort at an economical price. This transfer bench is easy to assemble without any tools and it supports up to 315lbs weight capacity. It comes with a removable backrest that has a hand hole for easy transport. • Three-piece blow molded textured seat with drain holes • Aluminum legs with 1/2" snap button adjustments to help with stability CareGuard Tool-less Shower Chair w/back • Wide based crutch tips and suction cups help with stability The Invacare Care Guard Tool-Less Shower Chair with Back offers stability and comfort at an economical price. This shower offers wide seat that has handles for transporting the chair. The chair also includes a back that is removable. The shower chairs requires no tools to assemble and it supports up to 315lbs weight capacity. • Hand hole in seat back for easy transport CareGuard Tool-less Transfer Bench Description Quantity Transfer bench 1 Product # 98071 SADMERC suggested billing code E0247 Features: dme • No Tools required to assemble shower chairs Features: • Product Weight Capacity : 315 lb. • No tools required to assemble • Deep wide seating surface • Aluminum legs with 1/2" snap button adjustments to help with stability Bariatric Shower Chair with Back The Bariatric Shower Chair provides a wide and deep seating surface for those who need extra stability in the shower. This 700lbs weight capacity shower chair comes with contoured seat and backrest and adjustable height legs. The durable aluminum frame with special cross brace design provides maximum stability for larger individuals. • Wide-based crutch tips to help increase stability CareGuard Tool-less Shower Chair w/ back Description Quantity Tool-less shower chair 1 Features: Product # 96-2 SADMERC suggested billing code E0240 • High weight capacity of 700lbs. • Deep and wide seating surface • Strong and durable aluminum frame with special cross brace design • Adjustable height legs • Contoured back rest snaps into frame with no tools Bariatric Shower Chair with Back Style Quantity Bariatric Shower chair 1 Product # 9785-2 SADMERC suggested billing code E0240 c MMAR Medical 2010 www.mmarmedical.com 800.662.7633 713.465.2003 99 dme Frollators, walkers & overlay Four-Wheel Rollator This Invacare 4 Wheel Blue Adult Value-Line Rollator offers the perfect blend of style, comfort and affordability. This rollator comes with easy-to-operate hand brakes, seat, and easy folding for easy transport. It has a padded seat and a padded curve backrest. A basket is standard. This model has a 300lbs weight capacity. Features: • Easy-to-operate, ergonomic hand brakes lock the rear wheels for security. • Lightweight aluminum frame • Spacious & Comfortable padded seat that flips up to expose basket storage area 18" x 23" • Easy to operate hand brakes that can be locked out • Extra Deep and Wide Frame • Basket standard; rollator folds easily with basket attached. Bariatric Rollator Description Bariatric rollator Product # 66500 66500-R SADMERC suggested billing code E0149 Dual Blue-Release Adult Walker - Wheeled The Invacare Adult Blue Release Walker with 5" Fixed Wheels provides clinicians, providers, and consumers the stability they need at an economical price. The walker offers a wide, deep frame with a large number of height adjustments. This walker comes with 5" Fixed Wheels that help in maneuverability. The Blue-Release Walker is stable, lightweight and easy to lift and maneuver. This walker comes with a 300lbs weight capacity. Features: • Anti-Rattles for quiet operation.. • Five-inch fixed front wheels and rear glide caps provider smooth continuous walking Product # 66500 SADMERC suggested billing code E0149 Invacare Gel Foam Mattress Overlay Invacare's Group I Therapeutic Support Surfaces are designed to aid in the prevention and treatment of pressure ulcers. Three types of modalities allow you to choose the right product for the individual user. Product types include alternating pressure overlays, gel overlays, and foam mattress replacements. All of these products are simple to use and easy to maintain. Features: • Several large 2" thick gel bladders inside polyurethane foam provide maximum patient comfort. Gel stays under patient and will not migrate from point of pressure. • Durable base material with strong elastic corner straps reduce overlay movement • Vapor permeable water-resistant cover with low friction and shear. • Lightweight, wide, deep aluminum frame. • Does not contain latex Dual Blue-Release Adult Walker- Wheeled Description Quantity Adult Walker 1 Product # 6240 SADMERC suggested billing code E0149 www.mmarmedical.com Quantity 1 • Reversible for increased service life • Dual Blue-Release mechanisms provide both visual and 'locked' cues. 100 Features: • Padded, removable backrest for back support while seated • Removable foam-padded curved backrest enhances comfort and can be easily removed. Quantity 1 1 The Invacare Bariatric Rollator is made of a durable and stable steel frame designed for individuals up to 500 lbs who need an extra wide and deep ambulatory device. The flip-up padded seat allows quick access to the storage basket while the 8" wheels allow it to overcome obstacles. • 8" Casters for improved mobility over rough outdoor/indoor terrain • Flip-up padded seat Four-wheel Rollator Description Blue rollator Red rollator Bariatric Rollator 800.662.7633 Invacare Gel Foam Mattress Overlay Description Quantity Overlay 1 713.465.2003 Product # IVCGFM02 SADMERC suggested billing code E0185 c MMAR Medical 2010 Tracer SX5 Wheelchair The 9000 SL wheelchair is the perfect lightweight rental product for those who want quality and durability at a moderate price. This low-maintenance wheelchair also has a full complement of options and accessories. Its contemporary design and high-performance frame make the 9000 SL a definitively superior value. The Tracer SX5 lightweight frame weighing less the 36 pounds which makes this chair perfect for rental and long or short-term use. The Tracer SX5 now combines the design and technology of the 9000 series wheelchairs making it possible to interchange components. • Dual axle positions allow variations of seat-to-floor heights Features: • Durable, low-maintenance, triple chrome-plated, carbon steel frame is longlasting • Multiple frame color variations for customizing •14-gauge crossbraces add strength and durability • Dual axle positions allow variations of seat-to-floor height • Durable, low-maintenance, triple chrome-plated, carbon steel frame is long-lasting • Sectional back, 16" • Urethane rear tires, mounted on "no flex" wheels, offer superior performance • Urethane casters for better ride and lighter weight • Urethane rear tires, mounted on "no flex" wheels, offer superior performance Flo-Tech Features: The Tracer SX5 offers sectional back and seat-to-floor heights by utilizing the dual axle position frame base. prosthetics 9000 SL Wheelchair Invacare 9000 SL Seat Width: 16", 18", 20" Seat Depth: 16" standard, 18" by (optional) seat extension Seat To Floor Height: 17.5", 19.5"; 15.5", 16.5", 18.5" with different wheel and caster packages Back Height: 15"-17" or 17"-19" (adjustable) Arm Style: Full-length fixed height, padded, flip back, nonremovable Desk-length fixed height, padded, flip back, nonremovable Full-length adjustable height, padded, flip back, non-removable Desk-length adjustable height, padded, flip back, non-removable (All arm styles are space saver) Front Riggings: Hemi swingaway footrest 17"-21" Hemi swingaway padded elevating legrest 17.5"-21" (Extra large footplates are also available) Articulating elevating legrest 17"-25" (Footplates available in aluminum or composite) Product Weight: 33 lb. (9SL/WD86/88) Product Weight Capacity: 250 lb. Tracer SX5 Wheelchair Seat Width: 18" Seat Depth: 16" Seat To Floor Height: 17.5", 19.5" Back Height: 16" sectional Arm Style: Desk-length fixed height, padded (All arms are flip back non-removable) Product Weight: 34 lb. ( TRSX5/WD86/28FB) Product Weight Capacity: 250 lb. Warranty: 5 years on frame and crossbraces Warranty: 5 years on frame and crossbraces HCPCS Code K0003 HCPCS Code K0004 c MMAR Medical 2010 www.mmarmedical.com 800.662.7633 713.465.2003 101 prosthetics stump shrinkers • liners Star - Air Cushion The Star Cushion is a custom engineered cushion that combines modern design with exceptional performance. Star Cushion is committed to providing the highest quality products. Using the multiple cell arrangement, the Star is superior in pressure relief. For therapeutic applications, the Star Cushion relies on the proven Dynamic Air Flow technology that utilizes flexible, interconnected air cells. Immersing the user within the Star Cushion, every cell reacts to support the weight by flexing in multiple directions. The cell's dynamic reaction provides additional surface for weight-bearing, thereby further decreasing body weight per unit area on the cushion. By such action, pressure reduction to any one part allows an increased supply of blood necessary for healthy tissue maintenance and repair. Designed of a high quality, latex free, flame resistant neoprene rubber, the soft cushion cells provide a long lasting flexible form. The Star Standard Contour Cushion provides the standard of excellence for maintenance of skin integrity and prevention of pressure ulcers. Available in 2” and 4” thickness. Exceptional performance and personal comfort. Lightweight. Maintains skin integrity. Customized sizes available. Outstanding stability offers virtual shearless surface. Provides ultimate care to fragile tissue. Customized height for the active user. Cost-effective solution. Dynamically adjusts to individual profile. Four quadrant adjustment available. Star - Cushion Measurement WxDxH 15.5” x 15.5” x 4” 15.5” x 17.25” x 4” 15.5” x 19.25” x 4” 17.25” x 15.5” x 4” 17.25” x 17.25” x 4” 17.25” x 19.25” x 4” 17.25” x 21” x 4” 19.25” x 15.5” x 4” 19.25” x 17.25” x 4” 19.25” x 19.25” x 4” 19.25” x 21” x 4” 21” x 17.25” x 4” 21” x 19.25” x 4” 21” x 21” x 4” Recommended Chair Size 16” x 16” 16” x 18” 16” x 20” 18” x 16” 18” x 18” 18” x 20” 18” x 22” 20” x 16” 20” x 18” 20” x 20” 20” x 22” 22” x 18” 22” x 20” 22” x 22” 4” Product # SC1515-1 SC1517-1 SC1519-1 SC1715-1 SC1717-1 SC1719-1 SC1721-1 SC1915-1 SC1917-1 SC1919-1 SC1921-1 SC2117-1 SC2119-1 SC2121-1 2” Product # SCS1515-1 SCS1517-1 SCS1519-1 SCS1715-1 SCS1717-1 SCS1719-1 SCS1721-1 SCS1915-1 SCS1917-1 SCS1919-1 SCS1921-1 SCS2117-1 SCS2119-1 SCS2121-1 Suggested billing codes K0734- sizes up to 21” x 21” K0735- sizes greater than 22” 102 www.mmarmedical.com 800.662.7633 713.465.2003 c MMAR Medical 2010 ContexGel Knee Sleeve • Streifeneder Polymer Gel (SPG) • 3 mm wall thickness • Soft and elastic • No pinch in knee joint area • High adhesion and high wearing comfort • Abrasion-resistant textile cover for easy handling Recommendations ContexGel Knee sleeves can be used for BK amputees as a suspension sleeve or as a sealing mechanism for vacuum shaft. The anatomical shape is offered through a 3 mm material thickness. The ContexGel Knee Sleeve stays elastic and offers comfortable posterior sewing with 4 needles to eliminate posterior pressure. The new Streifeneder Polymer Gel (SPG) offers a supreme seal and stretch. The abrasion-resistant textile allows easy handling for donning and doffing. Sizing ContexGel Knee Sleeves are available in 5 sizes. Measurements can be taken at MTP (Medical Tibia Plateau) or proximal and distal 17 cm up and 17 cm down from MTP to determine optimal size of the knee sleeve. ContexGelKnee Sleeve Size Small Medium Large X-Large XX-Large Distal 15 - 23 21 - 31 28 - 43 34 - 51 38 - 55 cm cm cm cm cm Proximal 23 - 35 cm 26 - 44 cm 36 - 52 cm 42 - 61 cm 43 - 74 cm Length 350 mm 350 mm 350 mm 350 mm 350 mm Product # 3S10/S 3S10/M 3S10/L 3S10/XL 3S10/XXL prosthetics • 6 months guarantee ContexGel-Liner • • • • • • For trans-femoral and trans-tibial fitting With uniform styling 3 different wall thicknesses of 3 mm, 6 mm, and 9 mm in tibial area Easy rolling through hard-wearing cover Thermoplastically deformable at 80ÞC With or without distal connection Recommendations Due to the high measure of wearing comfort and the optimal adaptation to the stump shape, the ContexGel-Liner can be used multifunctionally. The soft and ContexGel-Liner flexible Streifeneder Polymer Gel With Distal Size Distal Proximal Thickness Connect Product # (SPG) offers skin caring properties. It Small 16 - 23 cm 25 - 36 cm 3 mm 2S10/3S is impact-decreasing and cares for Medium 18 - 30 cm 24 - 41 cm 3 mm 2S10/3M optimal stump embedding. Sizing Measure the distal circumference approximately 4 cm above the distal stump end and select the liner size in the area of the distal and proximal stump circumference according to the chart. Large 24 - 38 cm X-Large 28 - 41 cm XX-Large 32 - 54 cm Small Medium Large X-Large XX-Large Small Medium Large X-Large XX-Large c MMAR Medical 2010 16 18 24 28 32 16 18 24 28 32 - - 23 30 38 41 54 23 30 38 41 54 cm cm cm cm cm cm cm cm cm cm 38 - 62 cm 41 - 65 cm 43 - 73 cm 25 24 38 41 43 25 24 38 41 43 - - 36 41 62 65 73 36 41 62 65 73 cm cm cm cm cm cm cm cm cm cm 3 mm 3 mm 3 mm 6 6 6 6 6 9 9 9 9 9 mm mm mm mm mm mm mm mm mm mm www.mmarmedical.com 2S10/3L 2S10/3XL 2S10/3XXL 2S10/6S 2S10/6M 2S10/6L 2S10/6XL 2S10/6XXL 2S10/9S 2S10/9M 2S10/9L 2S10/9XL 2S10/9XXL 800.662.7633 Without Distal Connect Product # 2S11/3S 2S11/3M 2S11/3L 2S11/3XL 2S11/3XXL 2S11/6S 2S11/6M 2S11/6L 2S11/6XL 2S11/6XXL 2S11/9S 2S11/9M 2S11/9L 2S11/9XL 2S11/9XXL 713.465.2003 103 Looking for more diabetic shoes and pedorthic products? Call MMAR Medical and request a copy of our new Pedorthic Catalogue. 104 www.mmarmedical.com 800.662.7633 713.465.2003 c MMAR Medical 2010
