Final Checklist - Össur MIAMI J Instrucciones Para El Uso

slip his/her chin inside the collar, it is clear indication that it is not snug
enough. It is nearly impossible to fit a properly sized collar too tight.
UPRIGHT APPLICATION
To fit the collar to a sitting or standing patient, follow the instructions for
supine application.
▸ Whenever possible, fit the collar to a sitting or standing patient.
FINAL ADJUSTMENTS
Angulation Buttons
The Angulation Buttons may be used to fine-tune the fit of the collar for
better anatomical conformity, pressure distribution and comfort. Minor
adjustments in angulation of the Chin and Occipital Support can
significantly reduce pressure area as at these critical contact points.
▸ It is easier to adjust the Angulation Buttons if you first remove the collar.
Chin Support Positioning Guidelines
• Slide up to relieve chin tip pressure or discomfort.
• Slide down to relieve jaw/mandibular pressure or discomort.
▸ For a patient with a heart-shape face, set the Chin Support
Buttons to top position.
▸ For a square face, set the Chin Support Buttons to
bottom position.
Occiput Support Positioning Guidelines
• Slide up to relieve occipital pressure or discomfort.
• Slide down to enhance extension control.
▸ 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 (Figure 10)
The Miami J includes a removable sternal pad to dstribute ambulatory
pressure. It may be removed if patient anatomy dictates, for comfort
during sleep and/or during meals to ease chewing and swallowing.
▸ Please keep sternal pad with patient´s belongings in case collar is prescribed
for long-term or at-home use.
OTHER MODIFICATIONS
Upon physician recommendation, collar corners and edges may be
modified or trimmed to relieve discomfort or pressure. Excess velcro
strap may also be trimmed as necessary.

FINAL CHECKLIST

A properly applied Miami J will look like on Figure 11–12:
• 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 velcro straps oriented blue-on-blue, 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.
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