Please read these instructions completely and carefully before applying this product. Correct application is important for proper function of the brace.
Indications
Acute and chronic low back pain, post-operative support, spondylolisthesis, fusion, and compression fractures
Contradictions
Pregnancy and circulation, pulmonary, cardiovascular or skeletal conditions which have risk to be made worse as a result of compression and/or pressure.
Initial Fitting
(To be performed by a licensed medical professional only)
Make sure to wear a cotton t-shirt underneath. The brace is not to be applied directly to the skin.
- Position patient on their back with their hips slightly flexed. Palpate the waist to determine proper placement of the orthotic device.
- Raise patient’s arms above their head and log roll the patient towards you onto their side. Be sure that the upper and lower body roll together without twisting the patient’s spine.
- Identify the bottom of the orthosis and place it so that it rests between the scapular spine on the superior region (upper) and the mid-gluteal fold on the interior (lower) portion of the patients’ spine. Make sure that the anterior sternal Y-bar panel location is identified and the posterior Velcro straps are secured before the patient is rolled onto their back.
- Feed the compression side panel that is between the patient and the surface they are resting on towards the front of the body.
- Roll the patient back onto their back and check the alignment of the TLSO before securing the compression side panels.
- Adjust the position of the anterior sternal Y-bar so that it rests 1/2 inch below the sternal notch. By pulling up on the black release button, side the bar to the desired length and reset the release button. (Be sure to position the anterior abdominal panel at the same time)
- Adjust the anterior abdominal panel to rest 1 inch above the pubic symphysis and affix the compression side panels to the panel.
- Adjust the compression by grasping both of the compression straps and pull them straight out from the patient.
- Affix the straps to the anterior panels once the desired compression level has been achieved.
- Fine adjustment of the brace is accomplished by means of the Velcro straps on the front anterior sternal Y-bar panel adjacent to the buckles.
Removing TLSO
Lift and release both pull-handles on the compression panels simultaneously to relieve compression. To assist the process, push out the abdomen, allowing the handles to slide back into their original location. Now release one side of the compression side panel and unclip the quick release buckle on the same side.
Re-Applying TLSO
Place the BOA Duel back into proper position. Re-attach the quick release buckle on the shoulder strap. Close anterior panel and compression side panels as instructed in step 5 above
Customising TLSO
(To be performed by a licensed medical professional only).
The rigid anterior and posterior panels are made from thermo formable plastic. They can be heat formed or cut to provide a custom fit. Remove the rigid, thermoformable plastic anterior and/or posterior panels from their respective soft pockets.
The sternal bar may be bent as needed by using a stable edge of a table. Using both hands, bend the bar in a slow and controlled fashion to adjust to desired degree of offset. The stock sternal Y-bar is set at 15 degrees.
The side compression panels can be removed and reattached at different locations to ensure a proper fit.
Use and care
The liner and straps may be hand washed with a mild detergent. Air dry only. Foam and straps may be trimmed and adjusted for proper fit.
Warning
This product is to be used under the supervision of a medical health professional. This device is not intended for unsupervised public use. If you experience any pain, swelling, sensation changes, or any unusual reactions while wearing this product, consult your medical professional immediately.
Warranty
Top Shelf Orthopedics will replace all or part of the brace for defects in material or workmanship for the period of six months from the date of purchase.
Caution
Federal Law (USA) restricts this device for sale by or on the order of a licensed healthcare professional.