Ossur MIAMI J SELECT Gebrauchsanweisung Seite 8

– 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.
• Adjust to the height that fits most comfortably and maintains desired
treatment position.
– Height settings 2-5 will be used most frequently. Height settings 1,
6 and 7 will be required less frequently.
• Once patient can sit/stand following initial application, check spine is
in desired treatment position and adjust height setting if necessary.
• To ensure proper sizing, it is a good idea to fit operative patients prior
to surgery.
– Collar size may be incorrectly identified in the presence of
postoperative dressings and swelling.
Application Instructions
Ensure that correct spinal protocol is followed throughout the
application.
1. Ensure the padding extends beyond the edge of the plastic and the
Sternum Relief Knob is oriented vertically as shown in Fig. 1.
2. Slide the Back Panel behind the patient's neck and center it, noting
arrow on panel pointing up (Fig. 3).
Note: Long hair should be placed outside of the plastic.
3. Slide the Front of collar up the chest wall until the bottom of the
tracheal opening is at the level of sternal notch. Chin Support may not
contact chin at this point. (Fig. 4). Sides of the collar Front should be
oriented up, off the trapezius, and toward the ears.
4. Holding the collar against the chest with the bottom of the tracheal
opening at the level of the sternal notch, depress the Height
Adjustment Button and manually adjust the Chin Support to achieve
the desired height (Fig. 5).
5. When desired height is attained, release Height Adjustment Button to
lock in place.
6. Verify that desired height is achieved on both sides of the brace.
Depress Height Adjustment Button and make micro adjustments as
necessary.
7. While holding the Front securely, place the sides of the collar Front
within the sides of the Back Panel. Apply the Straps of the back panel
to the Hook Landing Areas on the front. Tighten Straps alternately to
an equal length on both sides. (Fig. 6)
8. If further height adjustment is required, depress Height Adjustment
Button, and manually move to position. Use the Height Indicator
Marks to record patient's collar height.
9. When desired position is attained, engage the Patient Compliance
Lockout located behind the Height Adjustment Button by moving the
lever to the left. (Fig. 7)
10. Straps must be aligned with 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 (Fig. 8).
Final Adjustments
1. Optional Repeatable Fit Tabs can be applied to trimmed straps to
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 (Fig. 9).
8