Ossur MIAMI LUMBAR Gebrauchsanweisung Seite 8

bottom of the posterior panel at approximately the sacrococcygeal
junction. The anterior panel should be centered on the abdomen with
the bottom edge just above the symphysis pubis while still allowing
the patient to sit comfortably.
9. Adjust the height of the ATE by pushing on the button in the anterior
panel and sliding the strut to the appropriate length
(Fig. 11). The superior edge of the pectoral pads should be located
approximately one inch below the sternal notch.
10. Using the provided black allen wrench, adjust the angles on the two
hinged adjustment mechanisms to accommodate sternal contours
(Fig. 12).
note: Make sure the hinged adjustment mechanisms are tightened
sufficiently to lock them into position.
11. Re-adjust the overlapping closure if necessary. To tighten the
compression system, slide thumbs through the holes in the two
compression system handles and pull to the appropriate tightness
(Fig. 13).
12. Connect both quick-release buckles and tighten the shoulder straps
(Fig. 14).
13. Apply the axillary strap guides to both sides of the belt to serve as
guides for the axillary straps during re-application (Fig. 15). Place the
distal edge of the guides under the Velcro connection of the belt arm
to back panel (Fig 15a). The guides may be angled and/or trimmed to
ensure straight positioning of the axillary straps. Figures 15b and 15c
depict the right and wrong way of attaching the guides, respectively.
14. Tighten the axillary straps by pulling forward and attaching to the
front of the brace (Fig. 16). If necessary, adjust the axillary strap
padding for patient comfort and/or trim strap length.
15. Upon sitting, standing or ambulation, the brace may require fine-
tuning for comfort, fit and stabilization. This may include adjusting or
tightening straps, compression system, rigid panels, and/or
ATE/PTE.
BRACE APPLICATION – STANDING
1. Position the back panel centered over the spine with the bottom of
the rigid posterior panel at approximately the sacrococcygeal junction.
2. To size the PTE, position it so that the shoulder extensions rest on
top of the upper trapezius. Note the number corresponding to the
keyhole which lines up with the black posts in the posterior panel.
Remove the brace from the patient and assemble the PTE by sliding
the extension behind the yellow attachment strap on the lumbar belt.
Align the black posts with the keyholes in the PTE that correspond
with the correct number and slide the PTE sideways to lock in place.
3. Loosen the overlap closure and attach the ATE to the belt by threading
the blue attachment strap through the "H" shaped slot on the
anterior panel. It may be necessary to slide the ATE up to expose the
anterior panel slot. For different panel-belt attachment types and
methods, please refer to QRC 0038, supplied as an insert along with
this manual.
4. Wrap the belt around the patient's waist and temporarily secure the
belt with the overlap closure.
5. Take the long end of one of the axillary straps and wrap it through the
patient's axilla, adjusting the padding as necessary. Bring it across the
back and affix it to the belt just above the contralateral hip. Repeat for
the other axillary strap. Do not tighten the straps at this time.
(Disregard if not using axillary straps.)
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