The LMB Ankle The LMB Ankle Contracture Boot Contracture Boot

Single Patient Use Only Single Patient Use Only

Rx Only Rx Only

IMPORTANT INFORMATION this boot outside of the parameters defined below. IMPORTANT INFORMATION this boot outside of the parameters defined below. Please read all instructions, warnings and Transfers: Change of position from one surface to Please read all instructions, warnings and Transfers: Change of position from one surface to precautions before use. another, i.e. bed to chair, bed to wheelchair, bed to precautions before use. another, i.e. bed to chair, bed to wheelchair, bed to bedside commode. bedside commode. PRECAUTIONS PRECAUTIONS These products are to be fitted initially by a healthcare Light gait training: To train the patient with standby These products are to be fitted initially by a healthcare Light gait training: To train the patient with standby professional whom is familiar with the purpose for assistance and if prescribed, a cane, walker or professional whom is familiar with the purpose for assistance and if prescribed, a cane, walker or which they are used. The healthcare professional is crutches for distances determined appropriate by the which they are used. The healthcare professional is crutches for distances determined appropriate by the responsible for providing wearing instructions and physician or clinician. responsible for providing wearing instructions and physician or clinician. precautions to other healthcare professionals, care precautions to other healthcare professionals, care providers involved in the patient’s care, and the patient. INDICATIONS providers involved in the patient’s care, and the patient. INDICATIONS If unusual swelling, skin discoloration or discomfort Hip rotation and drop foot. If unusual swelling, skin discoloration or discomfort Hip rotation and drop foot. occurs, use should be discontinued and a healthcare occurs, use should be discontinued and a healthcare professional consulted. Consult your medical CONTRAINDICATIONS professional consulted. Consult your medical CONTRAINDICATIONS professional immediately if you experience sensation Not recommended for severe plantar flexion professional immediately if you experience sensation Not recommended for severe plantar flexion changes, unusual reactions, swelling or prolonged contractures, severe spasticity or thrombosis. changes, unusual reactions, swelling or prolonged contractures, severe spasticity or thrombosis. pain while using this product. The Ankle Contracture pain while using this product. The Ankle Contracture Boot should be removed routinely and skin assessment INSTRUCTIONS FOR USE Boot should be removed routinely and skin assessment INSTRUCTIONS FOR USE performed to check for any redness or pressure points. 1. Open all hook and loop performed to check for any redness or pressure points. 1. Open all hook and loop If redness or pressure points are detected, adjust the closures on the Boot. Flex the If redness or pressure points are detected, adjust the closures on the Boot. Flex the boot to eliminate pressure points or discontinue knee to approximately 45°. boot to eliminate pressure points or discontinue knee to approximately 45°. wearing the boot and contact your physician or medical Place the foot into the boot. wearing the boot and contact your physician or medical Place the foot into the boot. practitioner. Open wounds should be covered, as Make sure the sole of the foot practitioner. Open wounds should be covered, as Make sure the sole of the foot directed by the patient's physician, prior to use of this is resting on the bottom of the 1 directed by the patient's physician, prior to use of this is resting on the bottom of the 1 Ankle Contracture Boot. Make sure there is no exertion boot, and the calf of the leg is Ankle Contracture Boot. Make sure there is no exertion boot, and the calf of the leg is of friction or unwanted pressure on the patient's skin resting on the calf portion of of friction or unwanted pressure on the patient's skin resting on the calf portion of or covered wounds while wearing the Ankle the boot. Note: The heel or covered wounds while wearing the Ankle the boot. Note: The heel Contracture Boot. should not come in contact Contracture Boot. should not come in contact with the frame, but should be with the frame, but should be INTENDED USE “floating” in the boot. INTENDED USE “floating” in the boot. This product is intended to gently place the foot into 2. Wrap the left side of the foot 2 This product is intended to gently place the foot into 2. Wrap the left side of the foot 2 a neutral or dorsi-flexed position. It is intended to cuff over the instep. Wrap the a neutral or dorsi-flexed position. It is intended to cuff over the instep. Wrap the help alleviate pressure on the heel. The padded anti- right side of the foot cuff over help alleviate pressure on the heel. The padded anti- right side of the foot cuff over rotation bar helps prevent external or internal the top of the right, and rotation bar helps prevent external or internal the top of the right, and rotation of the foot. The padded toe piece assists in secure with the hook and loop. rotation of the foot. The padded toe piece assists in secure with the hook and loop. keeping linen off of the toes to prevent possible 3. Wrap the left side of the calf keeping linen off of the toes to prevent possible 3. Wrap the left side of the calf pressure sores. It is intended to help prevent hip cuff across the calf. Wrap the pressure sores. It is intended to help prevent hip cuff across the calf. Wrap the rotation when two Ankle Contracture Boots and the right side of the cuff over the 3 rotation when two Ankle Contracture Boots and the right side of the cuff over the 3 hip abduction bar are utilized. With the Boot Sole top of the left and secure with the hook and loop. hip abduction bar are utilized. With the Boot Sole top of the left and secure with the hook and loop. attached, the Ankle Contracture Boot may be used attached, the Ankle Contracture Boot may be used for transfers and light gait training. Do not walk in for transfers and light gait training. Do not walk in Adjusting the toe piece REPLACING LINERS 1 Adjusting the toe piece REPLACING LINERS 1 Adjust the length of the toe piece 1. To remove the liners, pull Adjust the length of the toe piece 1. To remove the liners, pull by loosening the thumb knob on the toe and anti-rotation by loosening the thumb knob on the toe and anti-rotation the under side of the sole. Position bar covers off. Unfasten the the under side of the sole. Position bar covers off. Unfasten the the toe piece to the desired length, hook and loop closure at the the toe piece to the desired length, hook and loop closure at the and retighten the knob. The toe 1 back of the heel and pull the and retighten the knob. The toe 1 back of the heel and pull the piece can also be adjusted to either side of the foot cuff forward off the piece can also be adjusted to either side of the foot cuff forward off the foot, to prevent pressure sores in those areas. NOTE: plastic frame. 2 foot, to prevent pressure sores in those areas. NOTE: plastic frame. 2 The thumb knob does not detach from the Boot. 2. Pull the calf portion of The thumb knob does not detach from the Boot. 2. Pull the calf portion of the liner up and off of the liner up and off of Adjusting the Anti-rotation Bar the frame. Adjusting the Anti-rotation Bar the frame. Rotate the bar clock-wise or 3. To apply the liners, slide Rotate the bar clock-wise or 3. To apply the liners, slide counter clock-wise to the desired the calf of the frame into the calf pocket of the counter clock-wise to the desired the calf of the frame into the calf pocket of the position. This will assist in the liner. Slide the foot of the frame into the foot position. This will assist in the liner. Slide the foot of the frame into the foot prevention of inversion or eversion. pocket of the liner. Secure the hook and loop prevention of inversion or eversion. pocket of the liner. Secure the hook and loop closure at the back of the heel. Slide the covers closure at the back of the heel. Slide the covers Attaching and Removing the Boot Sole over the anti-rotation bar and toe piece. Attaching and Removing the Boot Sole over the anti-rotation bar and toe piece. To apply, place the Boot Sole on bottom of the To apply, place the Boot Sole on bottom of the frame, aligning the hole in the sole with the thumb SIZING frame, aligning the hole in the sole with the thumb SIZING knob. With thumbs on either Measure circumference calf foot knob. With thumbs on either Measure circumference calf foot side of the hole, push the sole B 10" – 14" 7" – 9" side of the hole, push the sole B 10" – 14" 7" – 9" down and toward the heel. The C 14" – 16" 9" – 11" down and toward the heel. The C 14" – 16" 9" – 11" thumb knob will slide to the back D 16" – 21" 11" – 13" thumb knob will slide to the back D 16" – 21" 11" – 13" of the slot on the sole. Push E 16" – 21" 13" + of the slot on the sole. Push E 16" – 21" 13" + down on the sole at the heel until down on the sole at the heel until it locks into place. To remove, OPTIONS it locks into place. To remove, OPTIONS position the fingers between the Hip Abduction Bar 4300/05AB position the fingers between the Hip Abduction Bar 4300/05AB sole and the frame at the heel. Boot Sole 4300/05WK sole and the frame at the heel. Boot Sole 4300/05WK Push the heel of the hand against Fleece Softgoods 4305K Push the heel of the hand against Fleece Softgoods 4305K the sole while pulling the sole Vel-foam™ Softgoods 4300K the sole while pulling the sole Vel-foam™ Softgoods 4300K away from the frame with the away from the frame with the fingers until it unsnaps. Slide the WASHING INSTRUCTIONS fingers until it unsnaps. Slide the WASHING INSTRUCTIONS sole toward the toes until the Remove all liner pieces and fasten all hook and loop sole toward the toes until the Remove all liner pieces and fasten all hook and loop thumb knob is even with the hole, closures. Place in mesh laundry bag. Machine wash thumb knob is even with the hole, closures. Place in mesh laundry bag. Machine wash and remove. with mild detergent and warm water. Use no bleach. and remove. with mild detergent and warm water. Use no bleach. Rinse and tumble dry. Liners can be washed but not Rinse and tumble dry. Liners can be washed but not LINER OPTIONS sterilized. Single Patient Use Only. LINER OPTIONS sterilized. Single Patient Use Only. The single piece Vel-foam liner comfortably wraps The single piece Vel-foam liner comfortably wraps around the foot and ankle, and allows airflow. Hook around the foot and ankle, and allows airflow. Hook and loop closures make donning and doffing of the and loop closures make donning and doffing of the boot easy. boot easy. The single piece 1” Fleece liner offers maximum The single piece 1” Fleece liner offers maximum comfort for the patient. This is especially important comfort for the patient. This is especially important for patients with a tendency of skin shear. Hook and Manufacturer for patients with a tendency of skin shear. Hook and Manufacturer DeRoyal DeRoyal loop closures allow for easy donning and doffing of 200 DeBusk Lane, Powell, TN 37849 U.S.A. loop closures allow for easy donning and doffing of 200 DeBusk Lane, Powell, TN 37849 U.S.A. the boot. 888.938.7828 the boot. 888.938.7828 Each Ankle Contracture Boot is supplied with a Each Ankle Contracture Boot is supplied with a mesh laundry bag. The liners can be machine ©2006 DeRoyal. All Rights Reserved. mesh laundry bag. The liners can be machine ©2006 DeRoyal. All Rights Reserved. washed and dried. Part #1-4300/05 washed and dried. Part #1-4300/05 Revision 09 Revised 8/06 Revision 09 Revised 8/06 Patent Pending Patent Pending