Ossur MIAMI J User manual

MIAMI J®
Instructions for use
EN
Sizing & Application Instructions

2
A specific anatomical indicator best characterizes each of
these collar sizes:
200S
Super Short/Kyphotic
Does your
patient have a
kyphotic (chin-
on-chest) neck?
• Kyphotic
• Chin-on-chest
• Geriatric
• Osteoporitic
and/or
ankylosing
spondylitic
200L
Stout
Does your
patient have a
very large neck
circumference?
• Very large
circumference
• Obese
• “No-neck”
• Massive
shoulders
250
XS
Does your
patient have a
very short, thin
neck?
• Very short thin
neck
• Principally female
• More prevalent in
the Asian
population
• Rare
SPECIALITY SIZES: <30% of Population
123

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SIMPLE SIZING
STANDARD SIZES: >70% of Population
500
Tall
Does your
patient have a
long tall neck?
• Long, tall neck
• “Swan neck”
• Young women
• Adolescents
400
Regular
Is your patient
female?
• Female
• Standard size for
mature women
• Thin, mature
men
300
Short
All other adults.
• Standard size for
adult men
• Short-necked
women
A specific anatomical indicator best characterizes each of
these collar sizes:
Proper sizing is critical to achieving
comfort and proper immobilization.
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4

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INTRODUCTION:
FRONT
BACK
Occipital
Support
Chin
Support
Tracheal
Opening
Sternal
Pad
Angulation
Buttons
Hook and Loop Strap
Useful Terminology

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The Miami J®collar sizes are phenotype-driven. By identify-
ing your patient´s phenotype according to the Sizing Silhou-
ettes & Simple Sizing Questions, you may quickly determine
the appropriate collar size.
Collar size is best determined by observing the vertical dis-
tance between the highest point of the trapezius and the top
of the chin when the head is in the desired treatment align-
ment.
QUICK SIZE CHECK:
(Optional Alternative)
Use your fingers to measure the
vertical chin-to shoulder distance.
On the collar, this measurement
corresponds to the distance from
the top of the hook and loop
strap to the bottom edge of the
collar plastic.
SIZE IT UP!
The Miami J
®
Simple Sizing Questions
1
Identify phenotype based on
patient characteristics.
2
Easily select appropriate
collar size.

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Is your patient a child (12 years or under?)
SIZING TIPS:
Refer to Miami Jr.
®
Sizing and Application Instructions.
• If you are deciding between two consecutive
sizes, try the smaller size first.
• Use the largest size that st comfortably and
maintains desired treatment position.
• To insure proper sizing, it is a good idea to t
operative patients prior to surgery.
For your smallest, most important
patients, Össur oers the Miami Jr.®
pediatric collar line. These collars are
specifically engineered to meet the
unique anatomical needs of children
during the growth transition from
birth to adolescence. Please contact
Össur for more information about
these distinctive collars.
- Collar size may be incorrectly identied in the
presence of post-operative dressings and
swelling.
• Miami J® Fronts and Backs are interchangeable;
However, this is rarely necessary.
- e.g., To accommodate a larger neck circumfer-
ence with use of the 200S (Super Short), the Back
of the 200L (Stout) size may be substituted.

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Application Instructions (Supine)
At least two persons are needed for initial collar placement:
one to maintain the patien´s head and neck in proper align-
ment, the second to t the collar.
SCOOP IT UP!
1Remove any pillows from
behind the patient’s
head. Position patient
with arms to the side,
shoulders down and head
centrally aligned.
2Slide the Back Piece
behind the patient´s
neck and center it.
Ensure the blue
Sorbatex™ padding
extends beyond the
edge of the plastic.

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Application Instructions (Supine)
SCOOP IT UP! (cont´d)
3Flare the sides of the
Front out, slide it up the
chest wall and scoop it
up under the chin.
4Sides of the collar Front
should be oriented up, o
the trapezius, and toward
the ears.
Place the Front of collar
inside the Back.
5While holding the Front
securely, curl the ends
snugly against the
patient´s neck. Apply the
hook and loop strap
and secure the opposite
side of the collar in the
same fashion. Tighten
straps alternately, one
at a time, to an equal
length on both sides.

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Application Instructions (Supine)
SNUG IT UP! (cont´d)
Hook and loop straps must be
aligned symmetrically and oriented
“blue-on-blue” to the Front
adhesive sections. When the
patient is properly fit, there should
be equal amounts of excess hook
and loop overhanging the Front
blue adhesive sections. These may
be trimmed.
6
Whenever
possible, t
the collar to a sitting
or standing patient.
Collar application must be secure to ensure proper t, main-
tain alignment, and to prevent the chin from slipping inside.
If the patient can slip his/her chin inside the collar, it is clear
indication that it is not snug enough. It is nearly impossible
to t a properly sized collar too tight.
UPRIGHT APPLICATION:
To t the collar to a sitting or standing patient, follow the in-
structions for supine application except apply the Front rst
with the Assist Strap.
Attach the Assist
Strap
Inside of
Collar Front
Hook and loop
Pile

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UPRIGHT APPLICATION: (cont´d)
A unique feature of the Miami J® Collar is the optional Assist
Strap. This elasticized strap may be attached to the Front of
the collar. The main purpose of this strap is to free the
hands of the person applying the collar, and it does not
need to be tight.
Assist Strap:
Bring the Assist Strap
around the back of the
neck and attach the white
portion loosely to the blue
hook and loop section on
the opposite side of the
collar.
“What is that extra strap for?”
• It assists the patient in applying the collar independently,
at home.
• It may be useful during routine skin care and hygiene. If /
when you logroll the patient to cleanse the back of the
neck and check for occipital pressure, the Assist Strap
allows the Front of the collar to remain in place and
maintain critical flexion control.
• For the predominantly supine Trauma or ICU patient, the
Assist Strap is unnecessary.