Walgreen Health Solutions HEELIFT AFO Ultra User manual

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Customization (Note: Customization should only be performed by your healthcare provider. If using the HEELIFT® Ultra
boots pull back the removable elevation cover first )
The HEELIFT® offloading boot can be customized to offload other at-risk areas in addition to
the back of the heel including the Achilles Tendon, Malleolar Decubitus, Foot Drop, hip and/or
foot rotation, and SCD Tubing.
1. Achilles Tendon. (see exhibit K.)
• Make an upside-down V cut or an upside-down U cut as determined
appropriate by your healthcare provider in the bottom of the fixed
elevation pad to appropriately offload the Achilles tendon.
2. Malleoli (ankle bones) (see exhibit L.)
• Make an oblique cut or an upside-down hockey stick cut as
determined appropriate by your healthcare provider on the side of
the elevation pad starting from a point just above the ankle bone
and cutting downward through the bottom of the fixed elevation
pad so that the ankle bone is completely offloaded.
• If further offloading is required as determined by your healthcare
provider place the extra foam pad in the groove on the side of the
ankle bone needing to be offloaded with the bottom of the pad just
above the ankle bone and cut the top of the extra foam pad flush with the
top of the boot. Attach the extra foam pad to the side of the boot once appropriately
positioned in the groove by peeling the adhesive backing off the extra foam pad. Make sure the
adhesive side never touches the skin.
3. Foot Drop (see exhibit M.)
• Measure the extra foam pad from the tip of the toes to the area
where the arch meets the heel.
• Cut the extra foam pad at the area where the arch meets the heel
and bevel the edge.
• Peel the adhesive backing off the extra foam pad.
• Position the extra foam pad vertically under the patient’s foot so that
the beveled edge is under the area where the arch meets the heel, and
the adhesive side of the pad, is against the bottom of the boot to not touch the skin (make sure
adhesive never touches the skin).
4.Hip and/or Foot Rotation (see exhibit N.)
• Use the optional Anti-Rotation Wedge to prevent hip and/or foot
rotation. See instructions included with the wedge.
• The Anti-Rotation Wedge gives you the flexibility needed to stop
rotation in immobile patients. The easy to apply, reusable wedge
attaches to either side of the boot, and prevents rotation.
• Works for both external and internal rotation.
5.SCD Tubing Placement (see exhibit O.)
• Place SCD tubing in the groove built into the boot along the side of
the boot, between the elevation pad and the side of the boot
opposite the side with the attached D-rings. The allows the tubing to
lay flat and to exit the boot without touching the skin.
• SCD tubing should always carefully be placed into the groove, built
into the boot, so that it never touches the skin to avoid compromise
of the skin from the tubing.
• Ventilation holes are meant for air circulation within the boot. Do not
place any tubing through the ventilation holes in the boot.
Cleaning (Caution: Clean or disinfect using a nonbleach gentle detergent or a nonbleach disinfectant. As with any medical
device, bleach can breakdown the integrity of the material of the HEELIFT® offloading boot. To maintain the integrity of the HEELIFT® we
recommend sanitizing or hand washing.)
1. To sanitize
• Use a nonbleach disinfectant wipe or spray.
2. To hand wash
• Wash in warm water with a mild nonbleach detergent.
3. To machine wash and dry
• Secure all straps.
• Remove traction device is using HEELIFT® traction boot.
• Place in mesh HEELIFT® brand, regular mesh laundry bag, or pillowcase.
• Machine wash in warm water (60˚C/140˚F) gentle cycle with a mild nonbleach detergent.
• Machine dry on low heat. MADE IN CHINA
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4 To sterilize
• Keep the straps loosely affixed and
sterilize in steam autoclave using
standard protocol.
• Allow the HEELIFT® boot to completely
cool and dry before reapplying device.
Walgreen Health Solutions, LLC
1316 Sherman Avenue
Evanston, IL 60201
Phone: [phone]
Email: [e-mail]
www.walgreenhealthsolutions.com
Distributor
Moorings Medical
Equipment UK Ltd.
51 Slaght Road
BT42 2JH N. Ireland
Phone: [phone]
Emergo Europe B.V.
Prinsessegracht 202514AP
The Hague, Netherlands
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Indications for Use of HEELIFT® Classic, HEELIFT® Glide, HEELIFT®
Glide Ultra, and HEELIFT® Traction Boots.
• Any person who is immobile or who has limited mobility who has an area at-risk for a pressure ulcer
to develop on the foot or ankle.
• Any person who is immobile or who has limited mobility who has a preexisting pressure ulcer on their
heel and/or ankle.
• Any person who has a Braden Score of less than or equal to 14 (<14).
Cautions
• The HEELIFT® offloading boot is a medical device used for the prevention and treatment of
pressure ulcers. It should only be used under the guidance of your healthcare provider.
• A HEELIFT® offloading boot with a convoluted interior should only be used on a person with good
skin integrity. If used on a person with poor skin integrity the convoluted texture can lead to
compromise of the skin.
• Make sure the HEELIFT® boot is of the appropriate size before applying. Always measure the calf
circumference and correlate the measurement of the calf circumference to the sizing chart to
determine the appropriate size of the HEELIFT® boot.
• Note: It is important to determine the appropriate size of the HEELIFT® boot for each individual
person so that the boot is not too small causing pressure on the skin leading to a pressure ulcer and
so that the boot is not too loose causing sheer and friction forces on the skin leading to a pressure
ulcer.
• Make sure straps never touches the skin to not cause pressure, shear, or forces on the skin which
could cause a pressure ulcer.
• Use the 2-finger test after securing the straps to make sure the boot is not too tight or too loose.
• The HEELIFT® offloading boot is a single patient only – limited multiple use medical device.
Warning
• All customization of the HEELIFT® boot should only be performed by the healthcare provider. If
the boot is not customized appropriately to properly offload an at-risk area or area of pre-existing
wound undue pressure can occur on the skin therefore leading to development of a pressure ulcer
or worsening of a pre-existing wound.
• Forefoot strap on HEELIFT® Glide boot should only by people with good skin integrity. If used on
a person with poor skin integrity can cause pressure or sheer and friction force on underlying skin
resulting in a pressure ulcer. Please seek opinion of healthcare provider before using.
• The leg should never move within the boot. If the leg moves within the boot, the boot is not
applied appropriately and injury to the skin from sheer and friction forces against the skin from the
boot can cause injury to the skin.
• Make sure adhesive side of extra foam pad never touches the skin to avoid any reaction from the
adhesive on the skin, or any compromise of the skin from the adhesive.
• SCD tubing should always carefully be placed into the groove built into the boot so that it never
touches the skin, to avoid compromise of the skin from the tubing.
• Ventilation holes are meant for air circulation within the boot. Do not place any tubing through the
ventilation holes in the boot.
• As per standard of care, remove HEELIFT® boot and inspect skin every 8 hours to ensure no
compromise of the skin has occurred.
• Discontinue the HEELIFT® offloading boot if you experience any pain, compromise of the skin or
skin break down, redness or other changes in skin color, abnormal swelling, or other issue while
wearing the boot and contact your healthcare provider immediately or go to your nearest
emergency room for immediate care and attention.
Technical Data
Contents of Package
• HEELIFT® offloading boot
• Extra foam pad for optional customization of
boot (should only be performed by your healthcare
provider)
• Instructions for use
• Anti-Rotation Wedges (optional)
•HEELIFT® Ultra models include an
Anti-Rotation Wedge
Size:Calf Circumference
• Petite: 15-25 cm (6-10 inches)
• Standard: 25-38 cm (10-15 inches)
• Bariatric: 38-58 cm (15-23 inches
Interior
• Smooth
• Convoluted (should only be used by people with
good skin integrity and without comorbidity)
• Ultra (lined with water repellant liner indicated for
draining wounds)
Instructions for Use (Note: Review cautions and warnings related to HEELIFT® device before selection and use.)
1. Determine appropriate size.
• Measure calf circumference. (see exhibit A.)
• Correlate the size of the calf circumference with the appropriate size
of the HEELIFT® offloading boot on sizing chart and determine the
proper size.
• Open the boot by undoing straps. (see exhibit B.)
• Set extra foam pad aside for optional customization. (Note: Customiza-
tion should only be performed by your healthcare provider)
• Place foot in boot. (see exhibit C.)
• Place the lower extremity in the boot with the leg resting on the fixed
elevation pad and the back of heel hanging off the fixed elevation
pad over the heel opening so that no pressure is on heel.
(see exhibit D.)
2. Secure the straps.
• Secure each strap. (see exhibit E.)
• Pull each strap over the foam pad of the boot over the leg and feed
through the respective D-ring and then fasten the strap Velcro back
onto itself. (see exhibit E.)
• Start with the top strap and work your way downwards with each
strap. (see exhibit E.)
• Straps should never be in contact with the skin. (see exhibit E.)
• Make sure each strap is fastened back onto itself with the Velcro
closure so that the hook & loop side of the strap is not exposed.
(see exhibit F.)
• Use the Two-Finger Test to check to make sure each strap is fastened
appropriately to ensure the boot is not too tight or not too loose and
does not contact the skin. (see exhibit F.)
3. Check to make sure the heel is completely offloaded by:
• Lifting the leg and looking in the heel opening to ensure heel is
completely offloaded and no pressure is on the back of the heel.
(see exhibit G.)
• Put hand through heel opening and cup heel to ensure heel is
completely offloaded and no pressure is on the back of the
heel. (see exhibit H.)
4. Use of the Forefoot strap (Note: Use of forefoot strap should only
be performed by your healthcare provider)
• The additional forefoot strap is only available on the Glide,
Glide Ultra, AFO, and AFO Ultra HEELIFT® boot.
• The forefoot strap should only be used on people with good skin
integrity.
• If not using the forefoot strap: Wrap strap around the underside of
the boot, pull the strap through the D-ring, and secure the hook&
loop to itself. (see exhibit I.)
• If using the forefoot strap: Secure the forefoot strap. (see exhibit J.)
• Pull the strap over the top of the forefoot portion of the boot and
feed through its respective D-ring and secure the Velcro to itself.
(see exhibit J)
• The forefoot strap should never be in contact with the skin.
(see exhibit J)
• Make sure each hook & loop strap is fastened back onto itself with the
D-ring closure so that the hook & loop side is not exposed.
(see exhibit J.)
• Use the Two-Finger Test to check to make sure each strap is fastened
appropriately to ensure the boot is not too tight or not too loose and
does not touch the skin. (see exhibit J.)
C.
D.
E.
F.
J.
I.
G.
H.
B.
A.
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