Latmedical, LLC is the only Caribbean authorize distributor

Transcription

1 Ossur is in the business of improving people s mobility. A leading global company in noninvasive orthopaedics, we deliver advanced and innovative technologies within the fields of prosthetics, braces, supports and compression therapy. Latmedical, LLC is the only Caribbean authorize distributor

2 Agenda

3 Ossur AFO (Ankle-Foot Orthosis) AFO Leaf Spring AFO Light AFO Dynamic

4 Important Terms PlantarFlexion Flexion of the entire foot downward (i.e. pushing down on the gas pedal) DorsiFlexion Flexion of the entire foot upwards (i.e. lifting your foot off the gas pedal) Charcot-Marie-Tooth Disease (CMT) One of the most common inherited neurological disorders, affecting approximately 1 in 2,500 people in the United States. The disease is named for the three physicians who first identified it in Jean-Martin Charcot and Pierre Marie in Paris, France, and Howard Henry Tooth in Cambridge, England. CMT, also known as hereditary motor and sensory neuropathy (HMSN) or Peroneal muscular atrophy, comprises a group of disorders that affect peripheral nerves. The peripheral nerves lie outside the brain and spinal cord and supply the muscles and sensory organs in the limbs. Disorders that affect the peripheral nerves are called peripheral neuropathies. Spasticity: involuntary muscle contractions leading to spasms and stiffness or rigidity. CVA (Cerebrovascular accident) The sudden death of some brain cells due to lack of oxygen when the blood flow to the brain is impaired by blockage or rupture of an artery to the brain. A CVA is also referred to as a stroke

5 Anatomy of the Foot

6 Etiology Cause Foot drop is caused by weakness that occurs in specific muscles of the ankle and the foot. The affected muscles participate in the downward and upward movement of the ankle and the foot. The specific muscles include the anterior tibialis, extensor hallucis longus, and the extensor digitorum longus. The normal function of these muscles is to allow the toes to swing up from the ground during the beginning of a stride and to control the movement of the foot following the planting of the heel towards the end of the stride. Abnormal muscle function makes it difficult to prevent the toes from clearing the ground during the stride. There are three general causes of the muscle weakness. Damage to nerves can affect the transmission of impulses that help control muscle movement and function. Motor neuron diseases such as amyotrophiclateral sclerosis (ALS) or post-polio syndrome, tumors in the brain or spinal cord, or diseases of the nerve roots of the lumbar spine are all neurological conditions that may produce foot drop. Second, the muscles themselves may be damaged. Third, there can be some skeletal or other anatomical abnormality that affects the movement of the ankle or foot. A combination of these factors can also be involved, as is the case with the drop foot malady known as Charcot foot.

7 Ossur AFO Leaf Spring The OSSUR AFO Leaf Spring is a prefabricated, off-the-shelf polypropylene ankle foot orthosis designed to support flaccid drop foot. Indications: Drop foot secondary to CVA Mild drop foot secondary to other neurological pathologies Contra-Indication: Servere Drop foot Long term bracing need Ankle-foot deformities Spasticity M-L instability

8 Ossur AFO Leaf Spring Product Description Foam padding Simple velcro strap Open calf-frame Open heel-frame Flexible footplate OSSUR AFO Leaf Spring Essential support provided in a lightweight solution

9 Ossur AFO Light The OSSUR AFO Light The integration of function and comfort in a simple and easy solution. OSSUR AFO Light integrates Flex-Foot technology into Ossur Orthotics. Dynamic function Durable design Light weight Indications: Mild to moderate drop-foot secondary to neurological conditions Contra-indications: Excessive ankle instability or excessive deformities Severe spasticity Extreme activities Innovative Technology Years of Prosthetic Carbon Graphite Foot Technology

10 Ossur AFO Light Product Description Calf piece and velcro strap Elastic connection strap Posterior upright: 1. Gastrocnemius curve 2. Achilles curve 3. Calcaneal curve Thermoformable -tube Tapered footplate

11 Ossur AFO Light Function Ground Clearance during Mid-Swing Active Tibial Progression Proportional Response Dorsiflexion assist Optimal toe clearance Reduces need for Hip Hiking Reduces foot slap Controlled Plantarflexion Stores energy Promotes tibia progression Mid-swing Initial contact

12 Ossur AFO Dynamic OSSUR AFO Dynamic integrates Flex-Foot technology into Ossur Orthotics. Dynamic function Durable design Light weight Indications: Mild Knee Instability Ankle instability Drop Foot secondary to CVA MS Charcot Marie Tooth disease Other neurological conditions

13 Ossur AFO Dynamic Product Description Carbon Fiber, Kevlar and Fiberglass structure Strength and durablity Proximal velcro strap Simple strap mechanism Textile cover Protects skin Open structure tibia shell Cooler, better anatomic fit Lateral Support Support during midstance Medial Strut Enhances cosmetics and strength Tapered footplate Smooth roll over, energy return

14 Ground Clearance during Mid-Swing Dorsiflexion assist Optimal toe clearance Reduces need for Hip Hiking Ossur AFO Dynamic Active Tibial Progression Function Proportional Response Active Heel Reduces foot slap Controlled Plantarflexion Stores energy Promotes tibia progression Mid-swing Loading response

15 What are the main benefits of the Medial strut design? Better fit in the shoe Optimal toe clearance, during swing phase More medial support at mid-stance, preventing excessive pronation Cosmetically less apparent What are the benefits of the split anterior shell? Better anatomical fit Less contact reduces heat and shear More comfort Ossur AFO Dynamic F.A.Q. Can the OSSUR AFO Dynamic be altered for customisation? The footplate: Yes.. The strut and the uprights: No.. Note: grinding the strut and the upright will void the warranty. Proximal calf pieces and the lateral support: Yes

16 Ossur AFO Dynamic F.A.Q. My patient is an excessive pronator, which results in occasional contact with the medial strut and signs of pressure at the medial arch of the foot, how do I solve this? Foot Orthotic with the AFO, Leave lateral side of foot plate long Use a 3mm medial wedge. Can the OSSUR AFO Dynamic be re-shaped applying heat? No.. Applying heat to the AFO will delaminate the internal structure of the orthosis. Note: Delaminating the AFO with heat will void the warranty.

17 Agenda

18 Ossur Equalizer Walker

19 Equalizer Walker Closed Heel with Flare out Contoured Insole Plastic material, no metal Flexible and Rotating D-rings Open toe area with no side walls Shock Absorbing Outsole Low Profile Wide, Rocker Bottom

20 Equalizer Premium Air Walker Wide, Flared Strut Design with Auto-Fit Feature Dual Inflatable bladder for superior fit Adjustable Air Feature Attached Top Strap with additional hook Movable leg straps Darted Bladder to prevent overinflation

21 Low Top Air Walker Soft-good Addition and Black Foam Adjustable Air Soft-good Extended air bladder behind top strap & behind struts Additional attached dorsum padding Black insole foam padding

22 Adjustable Air Soft-good Low Top Air Walker Soft-good Technical Description and Features Adjustable air bladder system is the same as current short leg walkers. Raised soft-good height above struts for attaching air bulb pump and valve. Air bladder is raised above the struts to prevent discomfort caused by struts. Extended bladder behind top strap Redesigned bladder to include extended bladder between top strap and shin. (This is an area where patients frequently report discomfort)

23 Low Top Air Walker Soft-good Technical Description and Features Black insole foam padding Black insole foam padding has been a frequent customer request. Using black instead of white helps to hide the dirt and grime from everyday use. This is just a color change, the material specifications are the same.

24 Agenda

25 Ossur Ankle Braces and Supports

26 The four symptoms common to all ankle sprains are: Pain Swelling Bruising Indications Ankle Sprains Joint instability - When the ankle is severely sprained, there is commonly a feeling of "wobbling" or "looseness." Lateral ankle sprain injures the anterior talofibular and calcaneofibular ligaments and is the most common injury. High ankle sprain injures the ligaments connecting the two bones of the lower leg (the tibia and fibula) at the ankle joint. Medial ankle sprain injures the inside ligaments, collectively referred to as the deltoid ligament. Low ankle sprain involves the ligaments supporting the subtalar joint. This is the joint just below the true ankle joint. The subtalar joint is responsible for the foot's ability to turn to the inside and outside. Almost 85% of ankle sprains occur at the lateral (outside) aspect of the true ankle joint. This article will focus primarily on the most common type of ankle sprain: the lateral ankle sprain.

27 Indications Why Ankle Bracing? 1. Compression reduces swelling and retains heat 2. Range of Motion Control protects damaged ligaments and reduces incidence of ligament elongation (instability) 3. Proprioception increases joint awareness (non visual sensory nervous system) in order to prevent injuries from happening

28 US Market Stats Ankle sprains are one of the most common orthopedic injuries, occurring equally in both sexes and all ages. These injuries are most often reported by athletes; although it is not uncommon to see ankle sprains in those who suddenly trip on a step, slip without warning or ignore feelings of fatigue during exercise. There are over one million ankle injuries each year and approximately 85% of these injuries are ankle sprains. As a result, more than 2 million people experience permanent ankle disability leading to a higher recurrence of sprains. There are indications that chronic ankle instability can lead to other associated injuries.

29 Brace Highlights

30 Exoform Ankle Brace Product Type: Figure 8 Lace Up

31 Canvas Ankle Support Product Type: Canvas

32 Elastic Ankle Sleeve Product Type: Sleeve

33 Neoprene Ankle Sleeve Product Type: Sleeve

34 Airform Inflatable Stirrup Product Type: Ankle Brace Stirrup

35 Airform Universal Inflatable Stirrup Product Type: Ankle Brace Stirrup

36 Airform Pre-Inflated Stirrup Product Type: Stirrup

37 Form Fit Foam Ankle Brace Product Type: Stirrup

38 Form Fit Honeycomb Foam Product Type: Ankle Brace Stirrup

39 Gel Ankle Brace Product Type: Stirrup Part numbers: Part# Description Size E5050R 50% Gel RT Adult E5050L 50% Gel LT Adult E200PR 50% Gel RT Pony E200PL 50% Gel LT Pony E8020R 80% Gel RT Adult E8020L 80% Gel LT Adult U.S. Patent#: 4,844,094; 4,913,755; Re35,113

40 GameDay Ankle Brace Product Type: Figure 8 Lace Up

41 GameDay Ankle Brace Technical Description

42 GameDay Ankle Brace Instructions and Sizing

43 GameDay Ankle Brace Agility Test Results 100% of fifteen athletes tested (volleyball, soccer, basketball, and tennis) reported that they felt confident during cutting maneuvers and trusted that if they were to turn an ankle, they would probably avoid a sprain. 12 out of 15 athletes (80%) tested recorded either reduced or similar ground contact time while braced during a Jumpmat Test. -A stable ankle needs less time in contact with the ground before it is able produce a max jump; -An instable ankle requires more time in contact with the ground before it is able produce a max jump. Mechanics of the Jump Approach A Manuscript by Irving Schexnayder, University of Southwestern Louisiana Single-Leg Jump-Landing Stabilization Times in Subjects With Functionally Unstable Ankles Scott E. Ross; Kevin M. Guskiewicz; Bing Yu Virginia Commonwealth University, Richmond, VA; University of North Carolina at Chapel Hill, Chapel Hill, NC

44 Ossur Ankle Selection Product Indication Activity Level Rigidity Additional Benefit GameDay Exoform Canvas Sleeves For preventative use, mild to moderate ankle sprain, and compression For preventative use and mild to moderate ankle sprain Used for mild to moderate ankle sprain Used for warmth and compression Uninhibited agility, moderate to high activity Moderate to high activity Moderate to high activity High range of motion, uninhibited agility Very good when applied due to nonstretch straps and ballistic nylon Very good when applied due to plastic fingers Moderate additional stays available None Figure 8 straps, circumferential strap, and highly durable ballistic nylon Conformable rigidity of plastic, option of figure 8 straps No laces, optional stays High added proprioception Stirrup Braces Used for mild to moderate ankle sprain, post cast support, and trauma Minimal activity due to severity of injury High Variety of liners available: Honeycomb, Airform, Foam, Form Fit, Gel

45 Ankle Support vs Stirrup? In the continuum of care, a stirrup more closely follows a cast or walking boot. Figure 8 lace ups, such as the Exoform and GameDay, address less severe injuries and are often used to prevent sprains in a previously injured ankle. GameDay vs Exoform? Ossur Ankle Braces and Supports F.A.Q. Although the Figure 8 straps in both products mimic the benefits of athletic tape and are meant to fit easily inside an athletic shoe, the GameDay allows more mobility and agility while the Exoform provides more support. What benefits does a soft product give? Although sleeves and lace ups are not rigid, they provide compression, warmth, and additional proprioception to a swollen and instable ankle.

46 Agenda

47 Night Splints

48 Airform Night Splints Indications Plantar Fasciitis Achilles Tendonitis Post-static pain Features and Benefits Light weight Low profile Bilateral Available in singles or six packs

49 Form Fit Night Splints Indications Plantar Fascitis Achilles Tendonitis Lower extremity overuse Features and Benefits Adjustable Flexion straps adjust from dorsiflexion Patented 3 dimensional molding Lycra lining

50 Exoform Night Splints Indications Plantar Fascitis Achilles Tendonitis Drop Foot Post-Static Pain Features and Benefits Fully adjustable dorsal shell Highly effective at maintaining the desired angle of dorsiflexion 3D molded padding for superior comfort.

51 Agenda

52 Form Fit Neoprene Knee Support With Stabilized Patella Form Fit Neoprene Hinged Knee Support Knee Support Form Fit Knee Support Form Fit Knee sleeve. Form Fit Multi- Functional Knee Support. Form Fit Supports comes with the power of popliteal scoring and comfortable, lycra lining for superior skin care.

53 Knee Support Form Fit Neoprene Hinged Indications include: Ligament Sprain Grade 1 Grade 2 or Chronic conditions of instability Features Include: Dual Action Hinges 3D Molding Technology Accordion Molding Reduces Bunching Less Irritation from Lycra Lining Superior Aesthetics

54 Knee Support Form Fit Neoprene Knee Support with Stabilized Patella Indications include: Patella Subluxation Chondromalacia Features Include: Patella Buttresses inside the support may be universally applied with velcro or sewn in. Accordion Molding eliminates bunching Lycra lining for skin care Low profile Superior Appearance

55 Knee Support Form Fit Neoprene Knee Sleeve Indications include: Minor Strains and Sprains Chronic Knee pain Features Include: Unique Accordion Design enhances fit and comfort Available in 1/8 or 1/4 neoprene (open or closed patella) Available with Patella Buttresses sewn in Blue and Black

56 Knee Support Form Fit Multi-functional Knee Support Indications include: Ligamentus (up to grade II) When surgery is not required or desired Features Include: Cuffs at the Thigh and Calf add greater stability. Length is 17 inches also adding greater stability Hinges may be adjusted for flexion and extension Tamper proof hinge caps increase compliance

57 Universal Wraparound Knee Support with Gel Universal Wraparound Knee With Patella Support Knee Support Wraparound Support Wraparound Hinged Knee Support Delivering patella control, medial lateral support, inventory reduction and/or cold therapy.

58 Knee Support Neoprene Wraparound Hinged Knee Support Indications include: Ligamentus Soft tissue sprains and strains Features Include: Dual action hinges are removable for easy cleaning Open Popliteal area eliminates bunching Front contact closures allow for unusual shape differentiation from Thigh and calf area. Easy to apply

59 Knee Support Universal Wraparound Knee with Patella Support Indications include: Patella Subluxation Chondromalacia One size fits all (R&L) The Internal Patellar Buttress system connects to external straps to enable the patient and/or the caregiver to manage tension and adjust easily.

60 Knee Support Universal Wraparound Knee Support with Gel Indications include: Great for Post-op use Delivers 20 minutes of cryotherapy Delivers controlled compression that reduces edema. Gel also may be heated. One size fits all (R and L)

61 Elastic Knees Regular Elastic Knee Supports: Great when customers want compression without the heat from neoprene. Closed patella only. Premium Elastic Knee Support: Open patella only. Includes lateral/medial stays for stability. Premium elastic knee support adds stability to the kneecap with a horseshoe shaped silicone insert.

62 Thank you