Miami LSO. Clinical Starcast Presentation. Lauren Gavrailoff. Sept 2017

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1 Miami LSO Clinical Starcast Presentation Lauren Gavrailoff Sept 2017

2 Miami LSO Key Message Clinical Indications Medical Necessity Treatment Pathway List of parts Product Highlights Practitioner Fitting Order Information Marketing Materials Conclusion 9/5/2017 1

3 Key Message Miami LSO is a lumbo-sacral orthosis designed for pain relief, protection of injured ligaments or muscles and postsurgical immobilization. It provides low profile, anatomical immobilization, easy fit and wear, options for modular support and an advanced pulley system with a lengthadjustable pulley cord. 9/5/2017 2

4 Miami LSO Indications for use Indications: Conditions requiring gross immobilization of the trunk in the lumbar region. Such conditions may include: Contra-indication: Unstable, Displaced fractures Stable, non-displaced spinal fractures (L1-L5) Spinal stenosis Herniated disc Degenerative spinal pathologies Spondylolithesis Spondylolysis Level of Immobilization Miami LSO belt Miami LSO belt + panels 9/5/2017 3

5 North American Spine Society Example of Non-Surgical Treatment Guidelines NASS - Patient Education - Spinal Manipulative therapy (SMT) - Physical agents (eg. heat, cold, ultrasound, dry needling, traction, TENS) - Acupuncture - Active stabilization exercise - McKenzie exercise (includes directional preference, centralization, and mechanical diagnosis and therapy MDT) - Work hardening or conditioning - Bracing - Yoga / aerobic exercise - NSAIDS 9/5/2017 4

6 Miami LSO Medical Necessity USER NEEDS: Effective motion control MEDICAL NECESSITY: Limit lumbar range of motion post surgical repair Relief of lumbar pain during non-surgical treatment Ease of Use Easy to fit by practitioner Easy donning, doffing and adjusting of compression system by the patient Comfort / Compliance Minimize discomfort 9/5/2017 5

7 Miami LSO Achieving effective motion control 1. Immobilization Through Lateral Bending, Spinal rotation, Lumbar Flexion, Extension, & Pelvic Tilt Pelvic stabilization Maintains proper alignment of the pelvis in relation to the spine, reduces pain in the lumbo-sacral region 3. Hydrostatic lift When the abdominal cavity is gently compressed, the intraabdominal pressure increases and hydrostatic lift is created Lordosis support Introduces/maintains correct lumbar lordosis for pain relief, spinal stabilization and improved posture 9/5/2017 6

8 Miami LSO List of parts List of parts 1. Universally adjustable Belt 2. Belt Compression System 3. Compression System Handles 4. Overlap Closures + Quick-fit pocket 5. Velcro Stay Fit Tabs 6. Össur Fit Tool 7. Belt Extenders 8. Anterior Panel 9. Standard Posterior Panel 10. Posterior Panel without Lateral Support 11. Posterior Panel with Lateral Support 11. Also available in select markets: Americas: Universal posterior panels. EMEA: Non-lordotic posterior panels. 9/5/2017 7

9 Miami LSO Product Highlights Anatomically correct panels Contour the back and reduce pressure points, improve comfort, stabilization and compliance Universal / size adjustable belt Fold-over belt arms with Precise-Size landmarks, no trimming needed Thin, discreet belt Low profile and lightweight Quick-fit pocket On the overlap closure for easier donning and doffing Double pulley system with length-adjustable cords Compression system is easy to use with blue patient touch-points and easy for practitioners with adjustable pulley cord Breathable and comfortable material Durable, ventilated fabric Customizable, modular system Provides the ability to step up or step down the support level to satisfy the immobilization needs of any patient. 9/5/2017 8

10 Miami LSO Product Highlights Universal / Size Adjustable Belt: Fold-over belt arms with Precise-Size landmarks, no trimming needed. Two easy ways to fit: 1. Össur Fit Tool: The use of the Fit Tool allows for the product to bet fit directly on the patient. Adjust the size on the first try! 2. Sizing Reference Guide: Located right on the product packaging, size the belt arms easily after measuring patient waist circumference. 9/5/2017 9

11 Miami LSO Product Highlights The proven power of the pulley. Miami LSO uses our unique double pulley system that practitioners trust and patients love for its powerful leverage. And now it features a length adjustable pulley cord, enabling tailored placement and compression. 9/5/

12 Miami LSO Product Highlights Customizable, modular system Provides the ability to step up or step down the support level to satisfy the immobilization needs of any patient. 9/5/

13 Miami LSO Product Highlights Anatomically correct panels & Spinal relief Truly shaped to fit the anatomy, the anatomically contoured design better immobilizes the spine while maximizing patient comfort Prevents any pressure on the surgical site and provides pressure on the para-spinal muscles 9/5/

14 Miami LSO Practitioner Fitting - go to 9/5/

15 Miami LSO Tech Specifications Type of product: Version: Belt: Width: Weight: Sizing: Panels: Modifications: Contains latex: Product care: Warranty: Lumbar Sacral Orthosis Universal, Modular system Standard or Slim Version 8 (standard) / 6 (slim) 435 gr (standard) / 340 gr (slim) Universal waist circ / cm With belt extension up to 70 / 177 cm Anterior (standard or slim) Standrd Posterior (pulley cover) Posterior w/wo lateral supports (SM-XL) Posterior lordotic/non-lordotic (SM- XL) Universal w/wo lateral supports Heat moldable panels, foldable / trimmable belt arms, adjustable pulley cord length No Hand wash, with mild detergent and cold water (30 C/86 F) Do not bleach, iron or dry clean. Belts & Panels: 6 months 9/5/

16 Miami LSO Order Information: ALL MARKETS SIZE W AIST CIRCU M FEREN CE PART# AM ERICAS PART# EM EA 6" Universal(Slim ) (66-127cm ) M LSO -1 M LSO -1E 8" Universal(Standard) (66-127cm ) M LSO -2 M LSO -2E 6" (Slim ) BeltExtension* ( cm ) 8" (Standard) BeltExtension* ( cm ) * Beltextenders can only be used in com bination with M iam ilso M LSO -1EXT M LSO -2EXT 9/5/

17 Miami LSO Order Information: Select Markets EMEA selective Non-Lordotic option Americas Universal Option 9/5/

18 Miami LSO Order Information: Select Markets Americas Option to order in pre-assembled kits 9/5/

19 Miami LSO Marketing Material Patient Fitting Video Practitioner Fitting Video Brochure Reimbursement Sell Sheet (Americas only) Product Sheet isell Miami LSO Patient Guide Animation 9/5/

20 Miami LSO Summary / Animation go to 9/5/

21 Contact Information Local Product Marketing Managers EMEA Jurgen van Lieshout Americas Lauren Gavrailoff APAC Clare Liu / Christopher Wallis cliu@ossur.com cwallis@ossur.com 9/5/

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