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INTRODUCTION
Thank you for choosing a high quality silicone liner from Össur. We can
assure you that you have made the right choice. Please carefully review
and follow these instructions before fitting a patient with the liner or
accessory products. Remember that informing the patient concerning
proper handling and care of the liner, as set forth in these instructions, is
important to achieve patient comfort and maximum product life.
PRODUCT SELECTION AND FITTING
Liner Sizing (Figure 1)
To determine the correct Iceross size:
A. Measure the circumference of the residual limb 4cm from the distal
end.
B. Choose the Iceross size which corresponds to the measurement or
which is immediately below the indicated measurement.
C. Never choose a liner size which exceeds the measurement or round
up.
example: If the residual limb measures 19cm at the indicated location,
choose Iceross size 18 NOT size 20.
Selecting the correct size is very important. If the liner is too tight, this
may cause pistoning and / or numbness and blistering. If the liner is too
loose, increased perspiration and / or movement of the limb inside the
liner may occur. Perspiration and movement can lead to blisters and
rashes. If any of the above symptoms or any other indication of improper
fit are noted, the user should be instructed to contact his / her physician
or prosthetist immediately.
Distal Attachments (Figure 2)
Caution must be taken in fitting the distal attachment to the locking liner.
Proper distal attachment is required to ensure user safety. Össur has
introduced a smaller thread for upper extremity use and recommends the
use of a lock from the Icelock 700 series together with Iceross Upper-X.
Most available lower extremity locks will not be compatible. Always apply
Loctite 410/411 or equivalent compound to the threads of the Össur
attachment pins (used with Icelock) and torque to 4 Nm (3 ft./lbs.). If
excessive movement or product wear is detected between the liner and
the pin or between the pin and the distal attachment at any time, the
patient should be instructed to immediately discontinue use of the device
and consult his / her physician or prosthetist.
Trimming an Iceross Liner (Figure 3)
Iceross liners may be trimmed for user preference and to increase range
of motion. The Iceross CurveMaster is specifically designed for this
function and produces a smooth, rounded edge, which will minimize the
risk of skin irritation and / or tears in the liner. Do not cut the below the
proximal trim lines of the socket. Excessive trimming may reduce the
natural suction between the liner and limb and / or compromise
suspension.
Donning an Iceross Liner (Figure 4 - 6)
The Iceross Upper-X is delivered rolled up into a doughnut shape. It
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