Össur MIAMI LUMBAR Manual Del Usuario página 8

BRACE APPLICATION – STANDING
1. Position the back panel centered over the spine with the bottom of the rigid posterior panel at approximately
the sacrococcygeal junction.
2. To size the PTE, position it so that the shoulder extensions rest on top of the upper trapezius. Note the number
corresponding to the keyhole which lines up with the black posts in the posterior panel. Remove the brace from
the patient and assemble the PTE by sliding the extension behind the yellow attachment strap on the lumbar
belt. Align the black posts with the keyholes in the PTE that correspond with the correct number and slide the
PTE sideways to lock in place.
3. Loosen the overlap closure and attach the ATE to the belt by threading the blue attachment strap through the
"H" shaped slot on the anterior panel. It may be necessary to slide the ATE up to expose the anterior panel slot.
For different panel-belt attachment types and methods, please refer to QRC 0038, supplied as an insert along
with this manual.
4. Wrap the belt around the patient's waist and temporarily secure the belt with the overlap closure.
5. Take the long end of one of the axillary straps and wrap it through the patient's axilla, adjusting the padding as
necessary. Bring it across the back and affix it to the belt just above the contralateral hip. Repeat for the other
axillary strap. Do not tighten the straps at this time. (Disregard if not using axillary straps.)
6. Re-secure the overlap closure, adjusting the posterior and/or anterior panels as needed to achieve the correct
fit and positioning. The posterior panel should be centered on the spine with the bottom of the posterior panel
at approximately the sacrococcygeal junction. The anterior panel should be centered on the abdomen with the
bottom edge just above the symphysis pubis while still allowing the patient to sit comfortably.
7. Adjust the height of the ATE by pushing on the button and sliding the strut to the appropriate length. The
superior edge of the pectoral pads should be located approximately one inch below the sternal notch.
8. Using the provided black allen wrench, adjust the angles on the two hinged adjustment mechanisms to
accommodate sternal contours.
NOTE: Make sure the hinged adjustment mechanisms are tightened sufficiently to lock them into position.
9. Re-adjust the overlapping closure if necessary. To tighten the compression system, slide thumbs through the
holes in the two compression system handles and pull to the appropriate tightness.
10. Connect both quick-release buckles and tighten the shoulder straps.
11. Apply the axillary strap guides to both sides of the belt to serve as guides for the axillary straps during
re-application. Refer to step 13. in the instructions for supine application for correct attachment of the axillary
strap guides.
12. Tighten the axillary straps by pulling forward and attaching to the front of the brace. If necessary, adjust the
axillary strap padding for patient comfort and/or trim strap length.
13. Upon sitting, standing or ambulation, the brace may require fine-tuning for comfort, fit and stabilization. This
may include adjusting or tightening straps, compression system, rigid panels, and/or
ATE/PTE.
BRACE REMOVAL
1. Detach axillary straps and loosen (if applicable). Affix them on the brace just above the hip (Fig. 17).
2. Detach compression system handles and loosen. Affix them just above the axillary straps.
3. Detach the quick-release buckle at the right shoulder (if applicable).
4. Detach the overlap closure and remove brace (Fig. 18).
5. Before reapplying the brace and to ensure a proper fit, be sure the compression system is stretched to its full
width by pulling the ends of the belt apart (Fig. 19).
BRACE ADJUSTMENTS
• The posterior and anterior rigid panels can be modified as necessary to optimize patient fit and comfort.
Simply remove the panels from their fabric sleeve and adjust the rigid panel with a heat gun (F/C) and/or
trimming device.
• The Miami Lumbar system is completely modular and can be easily customized to the needs of your patient.
The ATE, PTE, anterior panels, posterior panels and/or strapping configurations can be added or removed
depending on the motion restriction and compression desired throughout the rehabilitation period.
BRACE MAINTENANCE
The Miami Lumbar system is designed for minimum maintenance and care. The padded covers may be removed
from the rigid panels for washing.
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