Ossur MIAMI J User manual

MIAMI J®
Instructions for use
EN
PATIENT CARE HANDBOOK

3
INTRODUCTION:
Not made with natural rubber latex
Your doctor has determined that wearing a
Miami J®collar will aid in your rehabilitation.
The collar will maintain your neck in the
proper position while it is healing. Not being
able to turn or shake your head “yes” or
“no” may seem unusual, but limiting the motion of your
neck is an important part of your treatment.
This pamphlet will explain the things you should do to prop-
erly use and care for your Miami J®Cervical Collar. You can
help the healing process by following your
doctor’s instructions and the guidelines in this pamphlet.

4
You must be lying flat to remove the collar unless your
doctor gives you permission to do this in a sitting position.
You will need a second person to help you in order to
maintain the proper head, neck, and airway alignment.
C-SPINE PRECAUTIONS:
Position patient with
arms to the side,
shoulders down
and head aligned
centrally.
Unless otherwise specified by your doctor: Do not remove
the collar except to wash under it and change the pads.

5
COLLAR REMOVAL & SKIN CARE
Keeping your Miami J®and the skin beneath clean is an
important part of your treatment. Daily cleaning will help
to prevent skin irritation. Cleaning the collar will require at
least one set of replacement pads.
When you are at home you should shower or bathe with the
collar on. After you wash you will need to take the collar o
to wash your neck and change the pads.
To wash under collar and change pads while lying down:
Lie flat in bed without a pillow. Keep your head in a neutral
position.
Do not bend your neck forward, back-
ward or from side to side.
Before removing the
collar, note where the
ends of the straps are.
When you put the
collar back on, the
straps should be in the
same position. You
may use a pen to mark
the positions on the
white plastic shell.

6
COLLAR REMOVAL (cont’d):
Front
Back
1
Undo the straps.
Remove the Back of the
collar, sliding out from
under neck if necessary.
ALTERNATIVE POSITION
To wash under collar and change pads while sitting:
You must have permission from your
doctor to do this.
Sit up straight in a
firm chair in front of
a mirror.
Keep your head and
neck in a neutral
position (nose in
line with belly but-
ton, chin level). Do
not bend you neck
forward, backward or
side ways.
Be very careful not to move your neck while
this is done.

7
2Remove the Front.
3Wash front and back
of neck with mild facial
soap and water and
completely dry the skin.
Observe for any redness
or irritation under the
collar, especially over
bony areas like the chin,
clavicles, or back of the
head.
Patient laying down: Back of the head will
be checked and cleaned at a later step.
Wearing a beard may cause skin irritation in men.
Redness on chin may indicate improper use of
a pillow. If permitted, pillows must always be
placed behind the head and shoulders.
Clavicle
4Clean the Front and Back of collar and replace
the soiled pads with clean ones as directed
below.

8
CLEANING & SKIN CARE:
Call Össur Customer Service (1 800 257 8440) to
purchase extra pads.
5Peel the soiled, blue pads o.
Look carefully at the shape as
you remove them so that you can
reposition the clean pads
properly. The pads attach with
hook and loop.
6Wash the pads with mild facial
soap and water. DO NOT use
bleach or harsh detergents.
Thoroughly rinse the pads with
clean water. Wring out the excess
water and squeeze in a towel.
Lay the pads out flat to air dry. It
should take less than 60 minutes
for them to dry.
7Wipe the white plastic
collar shell clean with
mild soap and water.

9
9A
Slide the Back carefully
behind the patient’s
neck. Make sure it is
centered evenly.
Long hair should be
placed outside the collar.
8Attach the replacement
pads. Fold the pads in
half with the dull side
out next to the hook
and loop (the shiny
side goes against the
skin); then center the
pad in the white shell.
Adjust pads as needed to make sure
no plastic touches the skin.
9B
Flare the sides of
the Front out, slide it up
the chest wall and scoop
it up! under the chin.
Patient laying down:
REPLACE COLLAR:

10
REPLACE COLLAR (cont’d):
10A
Sides of the collar Front
should be directed up
toward the patient´s
ears.
10B
Patient sitting:
Place the Back behind
the patient´s neck. Make
sure it is centered evenly.
Attach the Back straps
loosely to the Front.

11
Snug it up!
While holding the
Front securely, curl the
ends snugly against the
patient’s neck. Fasten the
strap, then secure the
other side in the same way.
Alternately tighten the
straps, one at a time, until
they are in the original
position.
11
If the patient can slip his/her chin inside the collar, it
is a clear indication collar is not snug enough.
The straps must be
aligned symmetrically
and oriented “blue-on-
blue” to the hook and
loop on the front.

12
REPLACE COLLAR (cont’d):
12
After the collar is in place, gently roll the patient onto
his/her side. (Place a small pillow or folded towel
under his/her cheek to prevent the head from tilting
sideways.)
Patient laying down:
13
Undo the strap
on the top side of the
collar and fold the Back
down to clean and
check the back of the
patient’s head for
redness or irritation.
Make sure the Back collar is replaced and securely
re-fastened after skin check.
13

13
FINAL CHECKLIST:
A properly applied Miami J® will look like the above
illustrations:
Chin is centered comfortably in the chin piece.
Collar straps oriented blue-on-blue, both tabs the same
length.
Front of collar angled up toward ears. The lower plastic
edge should not be resting on clavicles or digging into
shoulder.
Sides of the Back overlap the sides of the Front.
No plastic touching the skin. Blue SorbatexTM pads
extend beyond all plastic edges.
No slack or gaps in any of the straps.
The large front and back openings are centered on the
neck.
13

If you experience sudden neck or back pain, numbness or
tingling, contact your doctor.
Doctor’s Name/Number: ____________________________
If you have any problems or questions about the use
and care of your brace, contact your doctor or orthotic
professional.
Orthotist Name/Number:
____________________________
These instructions do not supercede the specific orders of
your physician.
FOLLOW-UP
Time: ________________ Location: ____________________
ADDITIONAL INSTRUCTIONS

©Copyright Össur 2015IFU0267 Rev. 4
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