ENGLISH
A. 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.
B. INDICATION FOR USE
The Seal-In liner seal is designed to expand to accommodate daily volume
fluctuations up to 4–6 ply while maintaining a secure suspension. If daily
volume fluctuations are greater than 4–6 ply or the user experiences
compromised suspension one or more Seal-In socks can be added to
restore the socket fit (see Section H).
C. CONTRAINDICATIONS FOR USE
• Extremely conical limbs (see Section J).
• When expecting drastic volume changes within short period of
time, more than 8–10 ply.
• Very short residual limbs.
Minimum recommended length:
• To assess the minimum recommended length, measure the
residual limb length from the mid patella tendon to the distal end,
with knee in full extension.
• Seal-in V Standard: 9-12 cm depending on liner size
• Seal-In V High Profile: 13-15 cm depending on liner size
Note: Low posterior trim lines of the socket can affect suspension and
should be assessed on individual basis.
D. LINER SIZING:
To determine the correct Iceross size (Figure A):
1. Measure the circumference of the residual limb at 4cm from the
distal end with the tissue hanging down.
2. Choose the Iceross size, which corresponds to the measurement or
which, is immediately below the indicated measurement.
3. Do Not choose a liner size, which exceeds the measurement, or
round up.
Example: If the residual limb measures 31 cm at the indicated location,
choose size 30 not size 32. Selecting the correct size is very important. 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 seal. 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.
E. TRIMMING AN ICEROSS LINER
Iceross liners may be trimmed for user preference and to increase range
of motion (Figure B). 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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