10. When desired position is attained, engage the Patient Compliance
Lockout located behind the Height Adjustment Button by moving the
lever to the left. (Figure 8)
11. Hook Straps must be aligned symmetrically with respect to the Hook
Landing Areas. When patient is properly fit, there should be equal
amounts of excess straps overhanging the Hook Landing Area. These
may be trimmed, and optional Repeatable Fit Tabs can be added to
the strap ends. (Figure 9)
Additional f it notes
1. Optional Repeatable Fit Tabs can be used to finish off trimmed straps
to the front of the Hook Landing Areas. These provide a contact point
for the patient to don and doff the collar to a repeatable position. To
use, thread the strap end through the tab and attach to the hook
molded into the tab. (Figure 10) Patient can then grab the tabs and
pull to the same position on the front of the Hook Landing Area. With
practice, the patient can repeat without the use of a mirror or other
aids.
2. The blue Sternum Relief Knob adds a degree of freedom for the
patient so that activities such as eating or talking can be performed
with greater comfort. The knob turns 90 degrees clockwise when
looking at the collar from the front. (Figure 11)
Final f itting checklist
A properly applied Miami J Select will look like (Figure 12).
• Collar extends from mandible to just below sternal notch. Chin is
centered comfortably in Chin Support. Chin should not extend over
edge of Sorbatex™ pad, nor fall inside collar.
• Collar straps are aligned straight, both tabs the same length.
• Sides of Back should overlap sides of Front.
• Front of collar angled up toward ears. Lower plastic edge should not
be resting on patient´s clavicles nor digging into trapezius.
• No plastic touching skin. Sorbatex™ pads extend beyond all plastic
edges.
• No slack or gaps in any of the straps.
• Tracheal opening and posterior vent are midline.
• Collar sits away from the neck. There should be a "finger" gap
between the tracheal opening and the neck. If the collar is fit too
closely/tightly to the neck, size up to the next taller size.
Other modif ications
Upon physician recommendation, collar corners and edges may be
modified or trimmed to relieve discomfort or pressure.
COLLAR CLEANING (Figure 13)
• Remove the pads from the plastic parts.
• Hand wash the pads with mild soap and water. Rinse.
• Wring out the excess water and squeeze in towel.
• Lay flat to dry.
• Wipe the plastic collar shell clean with mild soap and water.
• Replace pads by attaching the dull side to the hook on the inside of
the collar.
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