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.
- While standing, open both of the anterior/side Velcro panels. With the shoulder straps attached and extended to maximum length, lift the TLSO over the patient’s head. Lower the TLSO into position, keeping the patient’s head between the two shoulder straps. Let the anterior panel and posterior panel hand over the torso. Be sure to maintain the bottom edge of the anterior panel aligned with the pubic symphysis and the posterior panel aligned between the scapular spine and mid-gluteal fold.
- To adjust the shoulder straps, release and adjust the posterior Velcro straps first. Adjust to desired length. Be sure to maintain the bottom edge of the anterior panel with the pubic symphysis and the posterior panel between the scapular spine and mi-gluteal fold. Use the anterior straps (closest to the quick release buckle) for fine adjustments.
- Now close both of the compression side panels so that they are even and comfortably snug on the anterior panel.
- Adjust the sternal Y-bar while the patient is seated in prescribed posture. Pull up on the black release button (on top of the anterior panel) to release the sternal bar lock. Slide the sternal y-bar into position, so that the top of the sternal pad fits 1/2 inch below the sternal notch. Be sure to keep the bottom edge of the anterior panel aligned with the pubic symphysis. (if desired, the sternal strut may be locked in place by unscrewing the provided sternal lock-out screw location 2 inches below the release button. Remove the screw in its current location and place into the hole that is in-line with the strut).
- To activate compression, grasp each of the two pull-handles, simultaneously pull both straight out in front of the torso. After the desired level of compression has been achieved, fasten the pull handles to the anterior portion of the compression panels. To avoid tangling of the lacer cords, position one pull-handle higher up on the side panel than the other. Adjust compression after five minutes, then re-adjust as needed. A properly applied brace.
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.