Custom ToeOFF & BlueRocker

Transcription

1 Custom ToeOFF & BlueRocker Achieving Success! After viewing this presentation you will be fully aware of the proper techniques required to fit a or BlueRocker.

2 This presentation will cover Indications Applications Process and procedures Model acquisition Reimbursement Agenda

3 Indications Some of the indications that have been successfully fit with both Standard and products are: CVA MS CMT ALS TBI GB SCI Neuropathy Post-Polio Soft-tissue Injuries

4 The primary reasons you would use a Custom over a standard product are for the following conditions: Applications Atrophy Obesity Deformity Modified ToeOFF or Blue Rocker properties

5 Some additional applications include: Change support level AP (crouch gait) ML (Trunk sway) Change heel rise Incorporate relief Tibial crest Cavus foot

6 A NOT an application for: Delamination Refer to the ToeOFF Customization guide to resolve delamination issues.

7 Process & Procedures Evaluate patient Assess in standard ToeOFF or BlueRocker whenever possible Establishes baseline for required dynamic response

8 Evaluate patient Complete forms Process & Procedures

9 Evaluate patient Complete forms Important to fill out information on size used for evaluation purposes. Process & Procedures

10 Evaluate patient Complete forms Page 4 allows changes to be made to the dynamic properties. Fill out all grey boxes. Process & Procedures

11 Evaluate patient Complete forms Measure the heel height of the patient s shoe to make sure the is aligned properly. Process & Procedures

12 Evaluate patient Complete forms Page 5 is only to be used when ordering by measurements. Photo must accompany the forms. Don t forget to attach pages 3 & 4. Process & Procedures

13 Process & Procedures Evaluate patient Complete forms Select footwear Shoe selection Shank & counter Rocker sole Facilitate 3 rd rocker Measure Heel Rise

14 Process & Procedures Evaluate patient Complete forms Select footwear Determine heel rise Inside heel = 5/8 Inside ball = 1/8 Needed rise = 1/2

15 Process & Procedures Evaluate patient Complete forms Select footwear Determine heel rise Manage the foot biomechanics. Foot orthotic shell At a minimum Custom if necessary Capture if casting or scanning

16 Evaluate patient Complete forms Select footwear Determine heel rise Manage the foot What is possible Process & Procedures

17 What is possible? Modify the properties of a Standard ToeOFF!

18 What is possible? Extra small No height restrictions on the low end. Smallest footplate is 190mm or 7 ½ Process & Procedures

19 What is possible? Extra small Extra tall Up to ¾ taller than an XL Max. Footplate length 310mm or 12¼ Process & Procedures

20 What is possible? Extra small Extra tall Increase or decrease stiffness by up to 2 times a standard product. AP ML Process & Procedures

21 Cast-requirements Fiberglass only Posterior-medial opening Neutral in sagittal plane or to proper heel height Anterior & Lateral plumb lines Model Acquisition

22 Cast Note: If there are any uncorrectable deformities in the frontal plane, they should be represented by standing the patient and then marking the plumb lines. Model Acquisition

23 Cast Measurement All forms must be completely filled out 4 (exactly) Piece of tape, placed vertically on calf Photo must accompany the forms Model Acquisition

24 Cast Measurement Scan Must have extension.cxpxp or export as a STL File Model Acquisition

25 Video of Patient A video of your patient is required to aid us in making the best possible brace for your patient. The video should be ten seconds long showing your patient walking toward and away from the camera with his/her knees visible. The video can be ed to Customs@allardusa.com

26 Two replacements within one year of the original fit date. Heel height from ¼ to 1 Warranty Greater than 1, covered for 6 months under GMP (Good Manufacturing Practices)

27 Casts shipped to Allard USA 3 4 week turnaround Turnaround Time

28 Solid Ankle Reimbursement Cost Materials $ 60 Labor $ 150 Total $ 210 Allowable Ceiling Floor L1960 $ 625 $ 469 L2270 $ 61 $ 45 Total $ 686 $ 514

29 Hinged AFO Reimbursement Cost Materials $ 100 Labor $ 150 Total $ 250 Allowable Ceiling Floor L1970 $ 802 $ 602 L2220x2 $ 92 $ 69 L2270 $ 61 $ 45 Total $ 955 $ 716

30 Reimbursement Cost Base $ 695 SoftKit $ 36 Total $ 731 Allowable Ceiling Floor L1945 $1,044 $ 738 L2232 $ 105 $ 79 L2755x2 $ 282 $ 212 L2820 $ 98 $ 73 Total $1,529 $1,147

31 Additional Information Contact Andrew Gonzalez Product Specialist Office: ext.1200 Fax: