DeRoyal LMB User manual

IMPORTANT INFORMATION
Please read all instructions, warnings and
precautions before use.
PRECAUTIONS
These products are to be fitted initially by a healthcare
professional whom is familiar with the purpose for
which they are used. The healthcare professional is
responsible for providing wearing instructions and
precautions to other healthcare professionals, care
providers involved in the patient’scare, and the patient.
If unusual swelling, skin discoloration or discomfort
occurs, use should be discontinued and a healthcare
professional consulted. Consult your medical
professional immediately if you experience sensation
changes, unusual reactions, swelling or prolonged
pain while using this product. The Ankle Contracture
Boot should be removed routinely and skin assessment
performed to check for any redness or pressure points.
If redness or pressure points are detected, adjust the
boot to eliminate pressure points or discontinue
wearing the boot and contact your physician or medical
practitioner.Open wounds should be covered, as
directed by the patient's physician, prior to use of this
Ankle Contracture Boot. Make sure there is no exertion
of friction or unwanted pressure on the patient's skin
or covered wounds while wearing the Ankle
Contracture Boot.
INTENDED USE
This product is intended to gently place the foot into
aneutral or dorsi-flexed position. It is intended to
help alleviate pressure on the heel. The padded anti-
rotation bar helps prevent external or internal
rotation of the foot. The padded toe piece assists in
keeping linen off of the toes to prevent possible
pressure sores. It is intended to help prevent hip
rotation when two Ankle Contracture Boots and the
hip abduction bar are utilized. With the Boot Sole
attached, the Ankle Contracture Boot may be used
for transfers and light gait training. Do not walk in
The LMB Ankle
Contracture Boot
Single Patient Use Only
Rx Only
this boot outside of the parameters defined below.
Transfers: Change of position from one surface to
another, i.e. bed to chair, bed to wheelchair, bed to
bedside commode.
Light gait training: To train the patient with standby
assistance and if prescribed, a cane, walker or
crutches for distances determined appropriate by the
physician or clinician.
INDICATIONS
Hip rotation and drop foot.
CONTRAINDICATIONS
Not recommended for severe plantar flexion
contractures, severe spasticity or thrombosis.
INSTRUCTIONS FOR USE
1. Open all hook and loop
closures on the Boot. Flex the
knee to approximately 45°.
Place the foot into the boot.
Make sure the sole of the foot
is resting on the bottom of the
boot, and the calf of the leg is
resting on the calf portion of
the boot. Note: The heel
should not come in contact
with the frame, but should be
“floating” in the boot.
2. Wrap the left side of the foot
cuff over the instep. Wrap the
right side of the foot cuff over
the top of the right, and
secure with the hook and loop.
3. Wrap the left side of the calf
cuff across the calf. Wrap the
right side of the cuff over the
top of the left and secure with the hook and loop.
3
2
1
IMPORTANT INFORMATION
Please read all instructions, warnings and
precautions before use.
PRECAUTIONS
These products are to be fitted initially by a healthcare
professional whom is familiar with the purpose for
which they are used. The healthcare professional is
responsible for providing wearing instructions and
precautions to other healthcare professionals, care
providers involved in the patient’scare, and the patient.
If unusual swelling, skin discoloration or discomfort
occurs, use should be discontinued and a healthcare
professional consulted. Consult your medical
professional immediately if you experience sensation
changes, unusual reactions, swelling or prolonged
pain while using this product. The Ankle Contracture
Boot should be removed routinely and skin assessment
performed to check for any redness or pressure points.
If redness or pressure points are detected, adjust the
boot to eliminate pressure points or discontinue
wearing the boot and contact your physician or medical
practitioner.Open wounds should be covered, as
directed by the patient's physician, prior to use of this
Ankle Contracture Boot. Make sure there is no exertion
of friction or unwanted pressure on the patient's skin
or covered wounds while wearing the Ankle
Contracture Boot.
INTENDED USE
This product is intended to gently place the foot into
aneutral or dorsi-flexed position. It is intended to
help alleviate pressure on the heel. The padded anti-
rotation bar helps prevent external or internal
rotation of the foot. The padded toe piece assists in
keeping linen off of the toes to prevent possible
pressure sores. It is intended to help prevent hip
rotation when two Ankle Contracture Boots and the
hip abduction bar are utilized. With the Boot Sole
attached, the Ankle Contracture Boot may be used
for transfers and light gait training. Do not walk in
this boot outside of the parameters defined below.
Transfers: Change of position from one surface to
another, i.e. bed to chair, bed to wheelchair, bed to
bedside commode.
Light gait training: To train the patient with standby
assistance and if prescribed, a cane, walker or
crutches for distances determined appropriate by the
physician or clinician.
INDICATIONS
Hip rotation and drop foot.
CONTRAINDICATIONS
Not recommended for severe plantar flexion
contractures, severe spasticity or thrombosis.
INSTRUCTIONS FOR USE
1. Open all hook and loop
closures on the Boot. Flex the
knee to approximately 45°.
Place the foot into the boot.
Make sure the sole of the foot
is resting on the bottom of the
boot, and the calf of the leg is
resting on the calf portion of
the boot. Note: The heel
should not come in contact
with the frame, but should be
“floating” in the boot.
2. Wrap the left side of the foot
cuff over the instep. Wrap the
right side of the foot cuff over
the top of the right, and
secure with the hook and loop.
3. Wrap the left side of the calf
cuff across the calf. Wrap the
right side of the cuff over the
top of the left and secure with the hook and loop.
3
2
1
The LMB Ankle
Contracture Boot
Single Patient Use Only
Rx Only

Manufacturer
DeRoyal
200 DeBusk Lane, Powell, TN 37849 U.S.A.
888.938.7828
©2006 DeRoyal. All Rights Reserved.
Part #1-4300/05
Revision 09 Revised 8/06
Patent Pending
Adjusting the toe piece
Adjust the length of the toe piece
by loosening the thumb knob on
the under side of the sole. Position
the toe piece to the desired length,
and retighten the knob. The toe
piece can also be adjusted to either side of the
foot, to prevent pressure sores in those areas. NOTE:
The thumb knob does not detach from the Boot.
Adjusting the Anti-rotation Bar
Rotate the bar clock-wise or
counter clock-wise to the desired
position. This will assist in the
prevention of inversion or eversion.
Attaching and Removing the Boot Sole
To apply, place the Boot Sole on bottom of the
frame, aligning the hole in the sole with the thumb
knob. With thumbs on either
side of the hole, push the sole
down and toward the heel. The
thumb knob will slide to the back
of the slot on the sole. Push
down on the sole at the heel until
it locks into place. To remove,
position the fingers between the
sole and the frame at the heel.
Push the heel of the hand against
the sole while pulling the sole
away from the frame with the
fingers until it unsnaps. Slide the
sole toward the toes until the
thumb knob is even with the hole,
and remove.
LINER OPTIONS
The single piece Vel-foam liner comfortably wraps
around the foot and ankle, and allows airflow. Hook
and loop closures make donning and doffing of the
boot easy.
The single piece 1” Fleece liner offers maximum
comfort for the patient. This is especially important
for patients with a tendency of skin shear. Hook and
loop closures allow for easy donning and doffing of
the boot.
Each Ankle Contracture Boot is supplied with a
mesh laundrybag. The liners can be machine
washed and dried.
REPLACING LINERS
1. To remove the liners, pull
the toe and anti-rotation
bar covers off. Unfasten the
hook and loop closure at the
back of the heel and pull the
foot cuff forward off the
plastic frame.
2. Pull the calf portion of
the liner up and off of
the frame.
3. Toapply the liners, slide
the calf of the frame into the calf pocket of the
liner. Slide the foot of the frame into the foot
pocket of the liner. Secure the hook and loop
closure at the back of the heel. Slide the covers
over the anti-rotation bar and toe piece.
SIZING
Measure circumference calf foot
B10" – 14" 7" – 9"
C14" – 16" 9" – 11"
D16" – 21" 11" – 13"
E16" – 21" 13" +
OPTIONS
Hip Abduction Bar 4300/05AB
Boot Sole 4300/05WK
Fleece Softgoods 4305K
Vel-foam™Softgoods 4300K
WASHING INSTRUCTIONS
Remove all liner pieces and fasten all hook and loop
closures. Place in mesh laundrybag. Machine wash
with mild detergent and warm water.Use no bleach.
Rinse and tumble dry. Liners can be washed but not
sterilized. Single Patient Use Only.
1
2
1
Manufacturer
DeRoyal
200 DeBusk Lane, Powell, TN 37849 U.S.A.
888.938.7828
©2006 DeRoyal. All Rights Reserved.
Part #1-4300/05
Revision 09 Revised 8/06
Patent Pending
Adjusting the toe piece
Adjust the length of the toe piece
by loosening the thumb knob on
the under side of the sole. Position
the toe piece to the desired length,
and retighten the knob. The toe
piece can also be adjusted to either side of the
foot, to prevent pressure sores in those areas. NOTE:
The thumb knob does not detach from the Boot.
Adjusting the Anti-rotation Bar
Rotate the bar clock-wise or
counter clock-wise to the desired
position. This will assist in the
prevention of inversion or eversion.
Attaching and Removing the Boot Sole
To apply, place the Boot Sole on bottom of the
frame, aligning the hole in the sole with the thumb
knob. With thumbs on either
side of the hole, push the sole
down and toward the heel. The
thumb knob will slide to the back
of the slot on the sole. Push
down on the sole at the heel until
it locks into place. To remove,
position the fingers between the
sole and the frame at the heel.
Push the heel of the hand against
the sole while pulling the sole
away from the frame with the
fingers until it unsnaps. Slide the
sole toward the toes until the
thumb knob is even with the hole,
and remove.
LINER OPTIONS
The single piece Vel-foam liner comfortably wraps
around the foot and ankle, and allows airflow. Hook
and loop closures make donning and doffing of the
boot easy.
The single piece 1” Fleece liner offers maximum
comfort for the patient. This is especially important
for patients with a tendency of skin shear. Hook and
loop closures allow for easy donning and doffing of
the boot.
Each Ankle Contracture Boot is supplied with a
mesh laundrybag. The liners can be machine
washed and dried.
REPLACING LINERS
1. To remove the liners, pull
the toe and anti-rotation
bar covers off. Unfasten the
hook and loop closure at the
back of the heel and pull the
foot cuff forward off the
plastic frame.
2. Pull the calf portion of
the liner up and off of
the frame.
3. Toapply the liners, slide
the calf of the frame into the calf pocket of the
liner. Slide the foot of the frame into the foot
pocket of the liner. Secure the hook and loop
closure at the back of the heel. Slide the covers
over the anti-rotation bar and toe piece.
SIZING
Measure circumference calf foot
B10" – 14" 7" – 9"
C14" – 16" 9" – 11"
D16" – 21" 11" – 13"
E16" – 21" 13" +
OPTIONS
Hip Abduction Bar 4300/05AB
Boot Sole 4300/05WK
Fleece Softgoods 4305K
Vel-foam™Softgoods 4300K
WASHING INSTRUCTIONS
Remove all liner pieces and fasten all hook and loop
closures. Place in mesh laundrybag. Machine wash
with mild detergent and warm water.Use no bleach.
Rinse and tumble dry. Liners can be washed but not
sterilized. Single Patient Use Only.
1
2
1