Ossur MIAMI LUMBAR Gebrauchsanweisung Seite 9

6. Re-secure the overlap closure, adjusting the posterior and/or anterior
panels as needed to achieve the correct fit and positioning. The
posterior panel should be centered on the spine with the 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.
7. Adjust the height of the ATE by pushing on the button and sliding the
strut to the appropriate length. The superior edge of the pectoral pads
should be located approximately one inch below the sternal notch.
8. Using the provided black allen wrench, adjust the angles on the two
hinged adjustment mechanisms to accommodate sternal contours.
note: Make sure the hinged adjustment mechanisms are tightened
sufficiently to lock them into position.
9. 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.
10. Connect both quick-release buckles and tighten the shoulder straps.
11. Apply the axillary strap guides to both sides of the belt to serve as
guides for the axillary straps during re-application. Refer to step 13. in
the instructions for supine application for correct attachment of the
axillary strap guides.
12. Tighten the axillary straps by pulling forward and attaching to the
front of the brace. If necessary, adjust the axillary strap padding for
patient comfort and/or trim strap length.
13. 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 REMOVAL
1. Detach axillary straps and loosen (if applicable). Affix them on the
brace just above the hip (Fig. 17).
2. Detach compression system handles and loosen. Affix them just
above the axillary straps.
3. Detach the quick-release buckle at the right shoulder (if applicable).
4. Detach the overlap closure and remove brace (Fig. 18).
5. Before reapplying the brace and to ensure a proper fit, be sure the
compression system is stretched to its full width by pulling the ends
of the belt apart (Fig. 19).
BRACE ADJUSTMENTS
• The posterior and anterior rigid panels can be modified as necessary
to optimize patient fit and comfort. Simply remove the panels from
their fabric sleeve and adjust the rigid panel with a heat gun (F/C)
and/or trimming device.
• The Miami Lumbar system is completely modular and can be easily
customized to the needs of your patient. The ATE, PTE, anterior
panels, posterior panels and/or strapping configurations can be
added or removed depending on the motion restriction and
compression desired throughout the rehabilitation period.
BRACE MAINTENANCE
The Miami Lumbar system is designed for minimum maintenance and
care. The padded covers may be removed from the rigid panels
for washing.
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