Technician Safety: Best Practices in the Fab Lab
By Linda M. Hellow
O&P fabrication labs are noisy, dusty, and often smelly. Thetools of the trade can cut, grind, burn, and bruise. Forsome, such working conditions might seem intolerable.Many O&P technicians, however, would tell you that there isno place they'd rat...
Central Fabrication Accreditation: Has the Time Come?
By Garrison Wells
Robert Pierre, orthotic technician, uses a cast saw whilefabricating an AFO. Trevor Dehaan, prosthetic technician, grinds trim lines into a transtibial check socket. Photographs courtesy of Grace Prosthetic Fabrication unless otherwise stated.
CAD/CAM’s Expanding Potential
By Miki Fairley
Rodin4D CAD/CAM software. Image courtesy of Rodin4D. Imagine taking a scoliosis patient's measurements by snappinga photograph and importing the image into CAD software.Imagine using this data not only to digitally designand modify the brace but a...
Prosthetic Prescription for an Obese Patient: A Case Report
By Erin Sutton, BME; Erica Gaussa; Samantha Staubach; and Lucinda Busch, CP
Following amputation, individuals often experiencesignificant psychological challenges, including depressionand decreased motivation to move, which often leadto a more sedentary lifestyle, weight gain, and ultimatelyobesity. Obesity is a risk fact...
Carl Caspers, CPO: Innovation Sparked by Personal Experience
By Garrison Wells
Carl Caspers, CPO, widely recognized as the father of vacuum suspension, was a pioneer in using scientific inquiry andresearch to develop groundbreaking products in the O&P industry early in his career, long before science was a part ofthe profess...
Pedorthists: Patient Care and Fabrication Are Not Mutually Exclusive
By Howard Hillman, CPed
Fabrication: (Fab-ri-cate) to make; create. To construct by combiningor assembling. Clinicians' knowledge of fabrication techniques allows for seamless and coherent communication with central fabrication technicians.
What Resin Am I Using? Let the Truth Be Known
By Greg Mattson, CPA, CTPO
When I sat down to write this article on laminatingusing epoxy resins, I began reflectingon how many phones calls I field each weekfrom customers who think they are usingan epoxy when, in fact, they aren't. Manytechnicians and clinicians in our in...
Kenneth Cook Sr.: Testing the Limit
By Laura Fonda Hochnadel
Cook, center, with his wife and Hogan. Photographs courtesy of Al Hogan. Kenneth Cook Sr.
NCOPE Accreditation Process
By Michael Brncick, CPO
When I entered the profession, practitioners spent a considerableamount of time fabricating and less time on patient care. In today'spractice model, practitioners typically rely more on a support groupof additional team members in order to evaluat...
Face to Face
Ron Dominy, CTP, CP, BOCP
Basingstoke, England, was a small country village when Ron Dominy was born there. It was a growingtown when he began his career there with O&P pioneer Chas A Blatchford & Sons, and by thetime he moved to the United States in 1988 with his wife Pau...
Fab Lab Lingo
The O&P technician's domain is the fabrication laboratory, whether in-house as part of an O&P practitioner's patient care facility or a stand-alone central fabrication facility. While technicians often operate behind the scenes, their importance i...
Billing and Collections Q&A
By Lisa Lake-Salmon
Denials are difficult to identify and time consuming to appeal. With mandatory accreditation, continual codingupdates, and increased paperwork, running an O&P practice gets more complicated every year. Count on Got FAQsto answer your billing and c...
Industry Review - Conferences
Policy Forum 2013: What’s at Stake for O&P?
By Laura Fonda Hochnadel
Exclusive live coverage from The O&P EDGE Kirk concludes his discussion at the AOPA Policy Forum. Policy Forum photographs courtesy of AOPA. "We are faced with the challenge of going up on the Hilland making our presence known," American Orth...
Industry Review - Conferences
PrimeFare West Finds New Home in Colorado
By Victoria Clark
Exclusive live coverage by The O&P EDGE Photograph courtesy of PrimeCare O&P Network. The PrimeFare West Regional Scientific Symposium's relocationto Denver, Colorado, proved to be a popular move giventhat the event drew twice the number of a...
Letters to the Editor
Letters to the Editor
Dear Editors, The current LCD on prosthetic requirements for K3 and K4 componentsis unmanageable. My ability to control a physician's evaluationof an amputee and assure my evaluation concurs with his,without the use of preprinted forms or guidelin...
What’s Going On??
By Karen Henry
Various news reports put the number of traumaticamputations that surgeons have performed on victimsof the April 15 Boston Marathon bombingsbetween six and 13. According to an April 17 articlein The Wall Street Journal , "At least 13 people lostlim...
Reimbursement Support That Works For You
EDGE Direct Find our Audit Survival Kit, coding help, and documentation guides at Ottobock's Reimbursement website . The Audit Survival Kit was created specifically to help our customers pass audits. The documentation checklist in the kit was rev...
The AIRPUCK™ system is a cost-effective vacuum reservoir that can maintain negative pressure within the prosthetic socket for extended periods of time (6-10 hours). The AIRPUCK system completely seals the distal aspect of the socket, allowing users to open the valve and remove air in the socket to achieve vacuum suspension. The vacuum barb is neatly concealed in the valve housing. Blister pull fabrication makes an air-tight socket a breeze. No hoses, barbs, or ports to contend with. The AIRPUCK is a self-sealing, modular, drop-in vacuum component. Patent pending.
5280 PROSTHETICS LLC
Give your patients the most advanced KAFO technology combined with the most advanced fabrication! Ottobock's line of KAFOs is now available in prepreg, creating KAFOs up to 40 percent lighter than laminated alternatives. Prepreg also creates more consistent fabrication outcomes that avoid unwanted buildups.
Ottobock Fabrication Services offers decades of expertise, exceptional customer service, and an unparalleled reputation for quality. Our expert services include water transfer, lamination, and prepreg carbon fiber. You can count on timely turnaround and delivering the results you want.
College Park Industries has increased its offerings to include a line of commonly used endoskeletal components. Utilizing knowledge from 25 years of material research and product design, these endo components are carefully engineered for structural integrity and noise abatement. Tested to the highest quality standards, the endo components perfectly complement the performance and outcomes that College Park prosthetic feet are known for.
College Park Industries
The 4S and 4C milling machines allow you to carve positive forms, such as for transfemoral or transtibial prostheses and torso and helmet orthoses; negative forms, such as for seats, insoles, and mattresses; and also trim the plastic afterward with thermo molding to improve productivity. The 4S and 4C milling machines are fast, reliable, and easy to use and maintain.
The Stride4™ Shadow is a lightweight KAFO that combines structural strength and cosmetic appeal with the new Stride4 mechanical stance control orthotic knee joint from Becker Orthopedic.
Stride4 features include:
- Three operation modes: stance control, free motion, and locked with stance phase knee flexion.
- Four-bar linkage mechanism to afford stability and mimic anatomical knee motion.
- Integrated extension assist.
The inherent rigidity of the Stride4 Shadow ensures that optimal joint alignment and function is maintained throughout the gait cycle.
The echelonVT merges the fluid movement of our hydraulic ankle with the responsive function of our e-carbon foot springs and machined titanium spring. This combination results in a smooth heel-to-toe transition on all surfaces, absorbs ground forces, and provides energetic tibial progression and up to 15° of axial rotation.
- Self-aligning feature provides comfort while standing or traversing varied terrain.
- Independent, hydraulic-controlled plantarflexion and dorsiflexion.
- Hydraulic ankle dorsiflexes, which allows for greater toe clearance in swing phase.
- A dynamic, precision-engineered spring enhances the ankle's fluid movement.
- Foot shell and glide sock included.
The Genu Sleeve is a transtibial suspension sleeve that provides
the ultimate in comfort, suspension, and ease of use.
- Inner TPE gel surface provides optimal sealing and suspension.
- Longitudinal-knit cuff allows generous radial stretch for a secure and comfortable fit.
- Round-knit textile cover means no seams to unravel or irritate.
- Comfort zone knitting in patella and popliteal region for greater freedom of movement during knee flexion.
- Smooth outer textile slides easily against itself for simple donning.
- Includes free inner protector sleeve (also available separately).
- Can be used with the new medi Vacu-Valve with simple fabrication.
Stealth Air, OPTEC USA's latest spinal brace in the Stealth line, will soon be available as our newest L-0631 PDAC-approved brace. The new one-size-fits-all adjustability feature allows you to reduce in-house inventory, thereby dramatically reducing cost. Stealth Air also features built-in anterior panels and is supplied with arthritic grips for geriatric patients. The brace has no bulk underneath clothing; is made of comfortable, breathable fabric; and has a tear-resistant compression system.
The Syncor Original TES Belt was designed for clients with transfemoral amputations. The Silesian design evens out stress and eliminates the pull-down feeling associated with girdle-style belts. A wide, 360 degree, textured grip cuff grips a maximum surface with no air leaks, and a proportional adductor panel increases suspension capabilities.
Features and benefits include:
- User-friendly design includes a hand loop for easy donning/doffing.
- Replaceable Velcro® closure extends the wear of the belt.
- Low-profile design, with an anti-roll, anti-bunch panel.
- Reinforced, color-matched seams; washable.
- Sizes range from infant to XXL. Custom orders are welcome.
Have your patients experience the 3S80 Fitness Prosthesis—ask for a trial kit, which includes the 3S80 Fitness Knee, a variety of adapters, and a series of 1E90 Sprinter feet. The 3S80 Fitness Prosthesis makes it possible for your transfemoral patients to get up and move again, thereby increasing strength and mobility and enhancing overall health. Contact your sales representative to schedule a trial fitting. If you know which products your patients need, simply call our customer service department to order.
Orthomerica® Products is pleased to introduce a new addition to the Newport® hip line-the Newport lite™. The Newport lite complements the existing Newport 3 and Newport 4 by providing protection and support for patients at risk for hip instability-related problems.
The Newport lite is indicated for minimally invasive hip procedures and posterior hamstring repairs, and offers effective ROM control following primary or hip revision surgery. The Newport lite's comfortable, lightweight design is well tolerated by patients, resulting in improved patient compliance. The Newport lite is universal for the right or left side; one size fits most.
The Aeris Performance foot system improves upon the successful foundation of the Ibex foot from Emotis. The Aeris Performance foot uses compliant composite technology (CCT) with multiple springs to increase the range of flexibility. The result is a unique advanced energy release (AER) pylon design composed of nested parallel springs that enable the foot to react in a compliant manner at heel strike, then work together to create a dynamic push-off at toe release. The independent spring action provides smooth, stable progression while increasing the axial rotation, minimizing the forces transmitted to the residual limb.
PEL Supply Company
medi USA is proud to introduce the SLEEQ® series of spinal bracing solutions. The SLEEQ Spinal Therapy System's InvisAdjust™ technology enables a universal fit for nearly all patients while dramatically reducing the hassle and cost of unwanted inventory. SLEEQ's state-of-the-art TruGlide™ tightening makes it easy to achieve optimal compression for the most effective pain relief. The advanced eco-friendly Q-Lex™ OrthoSport Material promotes air flow to keep patients cool and dry. The low-profile ventilated AeroFlex™ support system automatically conforms to the patient's anatomy for a custom fit, providing optimum comfort and pain management or operative treatment support.
New Pneumatic Swing Phase Control Four-Axis Knee.
Matik, the latest release from PROTEOR, is designed to provide an affordable yet efficient and maintenance-free polycentric knee.
- Pneumatic knee with extension spring to provide full extension during stamping and slow walking.
- Secure four-axis geometry for high stability during stance phase.
- One inch of toe clearance during swing.
- Compact and lightweight: 26.21 oz.
- Rated up to 275 lb.; adapted for K2 users.
- Proximal connection, pyramidal or M36 threaded.
- Separated flexion-resistance and extension-dampering adjustments.
New for 2013: The AMP CAM Attachment Kit. The game changer!
The BTK AMP CAM Kit allows the highest tuning of tendon response within further progression of knee flexion.
Features and benefits include:
- Mimics natural muscle function.
- Adjustable tendon durometers.
- Adjustable extension stops.
- Adjustable dampening and rebound.
- 350 lb.; K4+ activity.
- Use in any environment.
- Light and strong.
- Military approved.
The Raize is a unique microprocessor-controlled hydraulic ankle/composite foot system in a low-profile, lightweight design. Its plantarflexion/dorsiflexion range reduces damaging forces on the residual limb and greatly enhances stability on slopes and slippery surfaces. By simply pressing a button, the wearer can control rollover resistance, lock or unlock the ankle, and adjust the heel height.
Features and benefits include:
- Adjustable plantarflexion/dorsiflexion resistance.
- Terrain accommodation aids gait on inclines and declines.
- Simulates natural ankle movement and reduces shock.
- Remote ankle lock for driving and for donning shoes and socks.
- Intuitive computer interface for initial setup by a prosthetist.
Breathable and lightweight, yet rigid and custom moldable! Boost patient compliance with a comfortable back support that delivers the stability your patient needs. The 3D-LITE™ LSO XTRA is designed to accommodate the healing process by applying adjustable compression and incorporating removable polyethylene anterior inserts and a 3D-LITE™ custom-moldable back panel that may be reheated and remolded.
Patient can easily slip hands into the hand loops sewn onto both anterior panels for simplified donning and doffing. Five sizes fit from 23½" to 55" waists. PDAC letter available for L-0631. Contact us to learn more!
Available on all Custom Origin Liners for greater freedom of movement.
Evolution Industries Inc.
Arizona AFO now offers a line of high-quality, custom functional and accommodative foot orthotics in a variety of materials and constructions. Our designs incorporate various top cover and extension options, shell modifications, padding, and accommodations—all included in the price of the device! Practitioners may send crush boxes with an accompanying work order or digital files from our exclusive ScanCast 3D System.
Find out more about this and other exciting new products by
visiting our website.
The SYMBIONIC LEG™ is the first commercially available, complete bionic leg that combines an MPK and a powered microprocessor ankle. It provides unmatched toe clearance for enhanced safety and enables transfemoral amputees to confidently traverse terrain they might otherwise avoid, without the gait deviations commonly seen in MPK users. The SYMBIONIC LEG is insurance billable using existing, approved L-Codes and, when used with RHEOLOGIC Workbench software, offers the ability to document actual user cadence variation to reduce insurance reimbursement risk.
Call Össur to learn more about the SYMBIONIC LEG.
The PreStride™ allows practitioners to make an informed decision regarding the suitability of Becker Stance Control Technology prior to manufacturing a definitive orthosis. Intended as an assessment tool for the FullStride™ and SafetyStride™ Stance Control Systems, the PreStride now also comes equipped with the GX-Assist. The GX-Assist accommodates individuals with significant weakness of hip musculature by use of a pneumatic spring to assist in knee extension during the swing phase of gait.
Apis believes there is a shoe for everyone.
Apis is a favorite for those who wear hard-to-find sizes—every shoe style is offered in a multitude of sizes and widths. Try the risk-free custom shoe program for great quality, guaranteed fit, and unbeatable service. You can choose any style in the catalog. If they don't fit, then don't pay. One pair of custom-molded inserts are included. Call for more information or free samples.
Apis Footwear Co.
The avalon foot provides 12° of controlled ankle motion, allowing the user to safely negotiate stairs, ramps, and environmental obstacles with increased confidence and security.
- Dorsiflexes from midstance to toe off for a smooth rollover.
- Remains dorsiflexed through swing phase for improved toe clearance, to minimize the risk of falls.
- Provides a more natural gait; reduces the need to compensate by hip hiking, circumduction, or lifting the knee to clear the toe during swing phase.
- Biomimetic ankle motion encourages equal loading during ambulation, which leads to less stress and thereby preserves the sound side.
Hersco Ortho Labs is now a Richie Brace® partner lab! Podiatrists often insist on dispensing the original Richie for cases of PTTD, ankle instability, arthritis, and more. For faster turnaround on your Richie orders, send casts directly to Hersco.
Download prescription forms at www.hersco.com. Click on our Education tab for great tips and casting methods.
Certified pedorthists are available to answer any prescription questions you may have.
Hersco Ortho Labs
Prosthetic Design Inc. features in-house fabrication of elevated vacuum and traditional transfemoral and transtibial sockets, with many types of components specially engineered for both the practitioner and the patient. We use state-of-the-art, 3D CAD/CAM software to provide anything from foam carvings to check sockets to definitive sockets using your required specifications.
In addition to using 3D CAD/CAM software to quickly design or modify limb shapes, the materials we use have been chosen because they offer the top quality, strength, and durability that you and your patients expect.
Prosthetic Design Inc.
Accepting Applications Now!
Begin your P&O career at NUPOC! Learn from leaders in the P&O profession! The NUPOC MPO is a 21-month graduate curriculum that prepares you to enter an accredited residency, sit for certification examinations, and become a P&O practitioner.
The online portion of the program includes live and streamed lectures, videoconference discussions, group projects, and case-study sessions that help you learn, apply, and review knowledge.
The on-campus practicum offers supervised opportunities to practice technical and clinical skills with patient models who have neuromuscular impairments.
Northwestern University Prosthetics-Orthotics Center
Feinberg School of Medicine
Cascade Orthopedic is proud to offer the new Vari-Flex® XC Rotate™, which combines smooth rollover, excellent rotation, and shock absorption to meet the daily demands of the moderate- to high-activity user. Central to the Vari-Flex XC Rotate is the respected torsion cell that makes turning easier while helping to reduce rotary forces on the knee joint and shear forces on the residual limb. The dual carbon keel lessens the impact of vertical forces, while the EVO feature within the foot cover helps to enhance stance control and rollover motion to boost overall walking comfort.
Cascade Orthopedic Supply
WillowWood's custom fabrication team provides high-quality craftsmanship and prompt turnaround for prosthetic fabrication jobs. Our custom fabrication department offers a full range of services, including check sockets, single- and double-wall socket laminations, and sockets with a flexible liner and laminated frame.
Skilled in both traditional and CAD/CAM workflows, WillowWood's custom fabrication team has the best turnaround in the industry. Casts and CAD files (OMEGA® and AOP) are accepted. Same-day shipping is available on BK and AK check sockets for orders received before noon ET. Maximum turnaround for more complex fabrication jobs is four days.
Provel offers fast, easy to use, and reliable automation for small clinics as well as large central fabs. The new, soon to be released S1 Scanner allows fast, accurate 3D shape capture with unmatched ease of use and low cost. The C7 Carver is not only fast and precise, its self contained dust collection system is extremely quiet. The T7 Thermoformer, now with IR sensing, consistently produces high quality thermoplastic sockets from industry standard preforms. Two year warranty. S1 and C7 are AOP, OBJ, and STL file compatible.
The One-Stop Shop for ALL of Your Stockinette Needs.
• Cotton • Nylon • Perlon
• Nyglass • Multi-Size • Aralon
• Spectralon • SpectraCarb • SpectraCarb/Aralon
• Fiberglass • Carbon/Fiberglass • Carbon/Fiberglass Kevlar
• Nylon Helanca Stretch • Modelsoft
For more information, e-mail