Ossur Miami Jr. Bedienungsanleitung Seite 7

offset the occipital prominence (Figure 3).
4. After placement of padding, the second caregiver can apply the back portion of the collar symmetri-
cally under child's neck before log rolling the child back into the supine position.
SCOOP IT UP! Hospital Setting:
Optional for P2 & P3 collars: Attach the Assist Strap to the Front Piece of the collar. The
Assist Strap can act like an extra pair of hands to hold the Front Piece in place when
applying the collar to a sitting child (Figure 4).
Keep Assist Strap with child's belongings in case collar is prescribed for long-term or at
home use. The function of the Assist Strap is primarily to assist in independent
application.
1. Slide the Back Piece behind the child's neck and center it or logroll the child and place the Back.
Make sure that the blue Sorbatex ™ padding does not fold away from the edge of the plastic. Long
hair should be placed outside of the plastic (Figure 5).
2. Flare sides of the Front out, slide it up the chest and scoop it up under the chin
3. Sides of the Front should be oriented up, off the shoulder and toward the ears (Figure 7).
SNUG IT UP!
4. While holding the Front securely, curl the ends snugly against child's neck. Apply the velcro strap
and secure the opposite side of the collar in the same fashion. Tighten straps alternately, one at a
time, to an equal length on both sides. Place the front of the collar inside the back (Figure 8).
5. Velcro straps must be aligned symmetrically and oriented "blue-on-blue" to the Front adhesive
sections. When the collar is properly fit, there should be equal amounts of excess velcro over-
hanging the Front blue adhesive sections. These may be trimmed (Figure 9).
Collar application must be secure to ensure proper fit, maintain alignment, and prevent
the chin from slipping inside. If the child can slip his/her chin inside the collar it is a
clear indication that it is not snug enough. It is nearly impossible to fit a properly sized
collar too tight.
FINAL ADJUSTMENTS
Angulation Buttons: used to fine-tune the fit of the collar for better anatomical
conformity, pressure distribution and comfort. Minor adjustments in angulation of the
Chin and Occipital Support can significantly reduce pressure areas at these critical
contact points. It is easier to adjust the angulation buttons if you first remove the collar
(Figure 10).
CHIN SUPPORT POSITIONING GUIDELINES:
For a heart-shape face, set the Chin Support Buttons to top position. For a square shape
face, set the Chin Support Buttons to down position. Slide up to relieve chin tip pressure
or discomfort. Slide down to relieve jaw mandibular pressure or discomfort (Figure 11).
OCCIPUT SUPPORT POSITIONING GUIDELINES:
- Slide up to relieve occipital pressure or discomfort.
- Slide sternal pad down to enhance extension control.
The Miami Jr. (sizes P1, P2 & P3 only) include a removable sternal pad to distribute
ambulatory pressure. It may be removed if child's anatomy dictates, for comfort during
sleep and/or during meals to ease chewing and swallowing
Sternal Pad with child's belongings in case collar is prescribed for long-term or at home
use.
ROUTINE COLLAR CARE
Keeping your child's Miami Jr. or Papoose
part of treatment. Daily cleaning will help to prevent skin irritation. Cleaning the collar
will require at least one set of replacement pads. While at home, your child should
shower or bathe with the collar on. After bathing, you will need to remove the collar to
wash his/her neck and change the pads.
7
® and the skin beneath clean is an important
(Figure 6).
(Figure 11). Please keep