• Triggering of non-compliance or agitation
• Delay to definitive treatment
• Impaired physical examination/secondary survey
Caution: Cervical spine immobilization, including use of a cervical collar,
has been associated with:
• Increased pain and discomfort, which may lead to increased spinal
movement
• Impaired swallowing
Caution: Perfumes and harsh cleaning agents should not be used on or
under the collar, as they may compromise the integrity of materials.
Caution: Use of a cervical collar for cervical spine immobilization is not
recommended in situations where patients are awake, alert, not
intoxicated, without neck tenderness or pain and without abnormal
sensory or motor findings on examination.
Caution: Regular cleaning of the collar, pads and the skin beneath along
with inspection of the skin for any signs of irritation is required to reduce
the risk of skin ulceration. Bedridden patients are at an increased risk for
skin ulceration.
Precautions:
• At least two persons are needed for initial collar placement: one to
maintain the patient's head and neck in proper alignment, the second
to fit the collar.
• Collar removal or any adjustments to the collar should be done with
physician permission only and according to the physician's
instructions.
• Unless otherwise specified by the physician, the patient should not
remove the collar except to wash under it and change the pads.
• The patient will need a second person to help when cleaning the
collar.
These instructions do not supersede hospital protocol and/or direct
orders of the patient's healthcare professional.
GENERAL SAFETY INSTRUCTIONS
The healthcare professional should inform the patient about everything in
this document that is required for safe use of this device.
Any serious incident in relation to the device must be reported to the
manufacturer and relevant authorities.
The patient should immediately contact a healthcare professional:
• If there is a change or loss in device functionality, or if the device
shows signs of damage or wear hindering its normal functions.
• If any pain, skin irritation, or unusual reaction occurs with the use of
the device.
The device is for single patient – multiple use.
FITTING INSTRUCTIONS
Size Selection
• Miami J Select is an adjustable collar suitable for most adult and
adolescent patients; some patient phenotypes (Fig. 2) and anatomical
variations may not be accommodated.
– The Miami J Select is suitable for Stout (Fig. 2b), Tall (Fig. 2d),
Regular (Fig. 2e), and Short (Fig. 2f ) patient phenotypes.
– The Miami J Select has not been tested in Super Short (Fig. 2a)
and XSmall (Fig. 2c) patient phenotypes and should therefore not
be used on these patients.
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