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INTRODUCTION
Thank you for choosing a high quality silicone liner from Össur. We can
assure you that you have made the right choice. Please carefully review
and follow these instructions before fitting a patient with the liner or
accessory products. Remember that informing the patient concerning
proper handling and care of the liner, as set forth in these instructions, is
important to achieve patient comfort and maximum product life.
PRODUCT SELECTION AND FITTING (Figure 1)
Liner Sizing
To determine the correct Iceross size:
1. Measure the circumference of the residual limb at 4cm from the distal
end.
2. Choose the Iceross size, which corresponds to the measurement or
which, is immediately below the indicated measurement.
3. Never choose a liner size, which exceeds the measurement, or round
up.
Example: If the residual limb measures 24.5cm at the indicated location,
choose Iceross size 23.5 NOT size 25.
It is essential that the Hypobaric Sealing Membrane (HSM
correctly against the liner around its full circumference. To ensure the
HSM is correctly positioned, run your fingers around the seal and assess
the tension.
To ensure optimal suspension with the Iceross Seal-In liner there must
be a slight tension around the proximal edge of the HSM seal. If the seal
is at all loose than a crease may form when donning the socket, this may
be prevented by selecting the next liner size below.If the liner is too tight,
this may cause pistoning and/or numbness and blistering. A Seal-In
Liner that is too tight will also produce excessive ring tension to the
residual limb from the HSM. If the liner is too loose, increased
perspiration and/or movement of the limb inside the liner may occur.
Perspiration and movement can lead to blisters and rashes. If any of the
above symptoms or any other indication of improper fit are noted, the
user should be instructed to contact his/her physician or prosthetist
immediately.
Note: The matrix present within the liner extends 10cm from the distal
end of the liner. Ensure that this matrix does not extend over the fibular
head.
Trimming an Iceross Liner (Figure 2)
Iceross liners may be trimmed for user preference and to increase range
of motion. The Iceross CurveMaster is specifically designed for this
function and to produce a smooth, rounded edge, which will minimize
the risk of skin irritation and/or tears of the liner. Do not cut the liner
below the level of the matrix or below the proximal trim-lines of the
socket. Excessive trimming may reduce the natural suction between the
liner and limb and/or compromise suspension.
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