Accessories And Replacement Parts - Ossur MIAMI J Gebrauchsanweisung

4. Hook and Loop Straps must be aligned to the Front adhesive
sections. Excess may be trimmed (Fig. 7).
NOTE: Collar application must be secure to ensure proper fit, maintain
alignment, and to prevent the chin from slipping inside. If the patient can
slip his/her chin inside the collar, it is clear indication that it is not snug
enough.
Final Adjustments
Angulation Buttons: may be used to fine-tune the fit of the collar for
better anatomical conformity, pressure distribution and comfort. It is
easier to adjust the Angulation Buttons if you first remove the collar
(Fig. 8).
Chin Support Positioning Guidelines
• Slide up to relieve chin tip pressure or discomfort.
• Slide down to relieve jaw mandibular pressure or discomfort
Occiput Support Positioning Guidelines
• Slide up to relieve occipital pressure or discomfort.
• Slide down to enhance extension control.
NOTE: For a predominately supine patient keep Occipital Support
Buttons set to top position. This will direct the top edge of the collar shell
into the bed.
Sternal Pad: The sternal pad may be removed if the anatomy dictates, for
comfort during sleep and/or during meals to make chewing and
swallowing easier (Fig. 9).
Other Modif ications
Upon physician recommendation, collar corners and edges may be
modified or trimmed to relieve discomfort or pressure.
Final Fitting Checklist
A Properly applied Miami J will look like Fig. 10.
• 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.
• Hook and Loop Straps are equal length and aligned to Front adhesive
sections
• 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.

ACCESSORIES AND REPLACEMENT PARTS

Please refer to the Ossur Catalog for a list of available replacement parts
or accessories.
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