Immediate Post-Operative Prosthesis (IPOP) Instructions.

Instructions for fitting of Ipop:

  1. Top left square: Patient has already been measured for the proper size of Limbguard by a professional orthotist. Apply device over surgical dressing and/or prosthetic sock.
  2. Roll sock on patient, pull sock up as stretching it out. Make sure there are no wrinkles or extra material at the distal end of the limb. Place limb inside of the outer thermoplastic shell. Make sure the blue foam is at the distal end to provide cushioning.
  3. Top right square: Attach the long, narrower neoprene cover to the top Velcro hook area, as illustrated above. Only slight tension, to patient tolerance.
  4. Bottom left square: Un-attach the white foam from the larger neoprene cover. Place the white floating shell foam over the knee and distal end. The anterior shell should encompass the knee. When looking at the foam, the flexed knee shaped area goes towards the top. Place the larger neoprene cover over the Velcro hook area as illustrated in the image.
  5. Patient’s limb is protected. The goals of the device is to keep the knee extended, to prevent knee flexion contractures and to protect the residual limb incase of a fall.
  6. If given a belt, attach the “Y” shaped strap upside down, attaching the “V” section to the Velcro hook of the top long narrower neoprene section. Adjust the strap to the length needed with the provided double sided Velcro hook. loop it through the belt to suspend the IPOP and prevent it from falling. See images below.

If any questions please feel free to contact our office. We would love to be able to help you.


MARTIN BIONICS: SOCKETLESS SOCKET

Innovative Prosthetic Solutions, Inc is a proud partner of Martin Bionics’ Clinical Network Practitioners.

The unique conformability of the Socket-less Socket™ technology has changed comfort and quality of life for those who use this type of prosthesis. Hot sweaty enclosed sockets are things of the past. The unique open socket designs help keep the limb cool, which eliminates sweating issues for a lot of users. This type of socket also helps with tendon impingement due to its flexibility; it bends and conforms with the patient. We believe the socket should conform to your every move. Sitting with a prosthetic is now so comfortable you’ll forget you are wearing it.

For more information please follow the link below to Martin Bionic’s main website

https://martinbionics.com/

Martin Bionics AK (Above Knee) Socketless Socket

ICON BK STYLE SOCKETLESS SOCKET BY MARTIN BIONICS

Below Knee BK Socketless Socket
Hammock Style BK ICON Martin Bionic’s Socketless Socket

ICON BK-HYBRID STYLE SOCKETLESS SOCKET BY MARTIN BIONICS

ICON BK HYBRID SOCKETLESS SOCKET

Wrist Extension Orthosis

The custom design below is intended to help extend the wrist and provide static stretching overtime. The joint allows for adjustability to adjust the angle of the wrist as needed. This devices is designed for patient’s who present with tone, wrist flexion contractures secondary to CVA (Stroke), cerebral palsy (CP), traumatic brain injury (TBI), spinal chord injury (SCI), etc. The device is very comfortable and effective. Please call our office at (949) 699-0600 if you or a loved one is in need of a orthotic device.


El diseño personalizado esta destinado para ayudar a extender la muñeca y proporcionar estiramiento estatico. La articulacian permite la capacidad de ajuste al angulo de la muñeca segun sea necesario. Este dispositivo esta diseñado para pacientes que presentan con tono, contracturas de flexion de muñeca secundarias a ACV (Ictus), paralisis cerebral (PC), lesion cerebral traumatica (TBI), lesion medular (LME), etc. El dispositivo es muy comodo y efectivo. Llame a nuestra oficina al (949) 699-0600 si usted o un ser querido necesita un dispositivo ortopedico.

Partial Hand Prosthesis

Jason’s dream was to return to flying his plane. He was born with a congenital limb difference, he gave up due to it being difficult flying with just his right hand. We helped make his dream come true and he is so ecstatic to be able to return to soaring in the blue sky!


El sueño de Jason era volver a volar su avión. Nació con una diferencia congénita en una extremidad, se rindió debido a que le costaba volar solo con la mano derecha. Ayudamos a hacer realidad su sueño y está tan extasiado de poder volver a elevarse en el cielo azul.

Upper Extremity Supination Orthosis

The following custom device helps our lovely patient Alex out with supination of the forearm and hand due to the tension of the band. Its adjustable and perfect for physical and occupational therapy. Alex absolutely loves it, he says it’s very comfortable.

El siguiente dispositivo personalizado ayuda a nuestro paciente Alex con la supinación del antebrazo y la mano debido a la tensión de la banda. Es ajustable y perfecto para terapia física y ocupacional. A Alex le encanta, dice que es muy cómodo.

EWHFO: Elbow Wrist Hand Finger Orthosis

Below you will find examples of custom EWHFOs we’ve made at Innovative Prosthetic Solutions. These devices are great for patient’s that have contractures that need help with static stretching over time to prevent further contractures of their upper extremities. Very simple yet effective design.


A continuacion de la pagina encontrar ejemplos de EWHFOs personalizados que hemos hecho en Innovative Prosthetic Solutions. Estos dispositivos son ideales para pacientes que tienen contracturas que necesitan ayuda con el estiramiento estatico para evitar mas contracturas de sus extremidades superiores. Diseño muy simple y efectivo.


MyoPro Orthosis

MyoPro is a powered arm and hand orthosis (brace) designed to help restore function to the wearer’s paralyzed or weakened upper extremities. The MyoPro may also facilitate rehabilitation including muscle re-education and increasing range of motion.


MyoPro es una órtesis de brazo y mano (aparato ortopédico) con motor diseñada para ayudar a restaurar la función de las extremidades superiores paralizadas o debilitadas del usuario. El MyoPro también puede facilitar la rehabilitación, incluida la reeducación muscular y el aumento del rango de movimiento.

The most common medical conditions are those involving neuromuscular and neurological disease or injury, including:

  • Stroke Arm Paralysis
  • Brachial Plexus Injury
  • Cerebral Palsy
  • Multiple Sclerosis

Las condiciones médicas más comunes son aquellas que involucran enfermedades o lesiones neuromusculares y neurológicas, que incluyen:

  • Accidente cerebrovascular
  • Parálisis del brazo
  • Lesión del plexo braquial
  • Parálisis cerebral
  • Esclerosis múltiple





Things to Remember: Prosthetic Usage

We understand that a lot of the information provided at delivery can be overwhelming. We have provided you with a quick guide as a kind reminder of things to look out for, and what to do with your prosthesis. This has been tailored to our patients but we do hope it can help you too. If you need further assistance please reach out to our office.

Ottobock C-Leg


The C-Leg was the first prosthesis system to intelligently control and adapt to an individual’s gait. To do this, the C-Leg uses microprocessor-controlled hydraulics, which adapt dynamically to all walking speeds in real time. The revolutionary microprocessor receives feedback from multiple sensors 50 times a second, making adjustments accordingly. The result is a system that recognizes which phase of gait the user is in—and reacts. This keeps your knee stable when you weight it, free-swinging when you step through—and always ready to support you if you stumble offering stability. Below you will find pictures and videos of our C-leg wearing patients. If you’re interested in trying a C-leg, please give us a call. We would love to help you.


El C-Leg fue el primer sistema de protesis que controla y adapta inteligentemente a la marcha de un individuo. Para ello, el C-Leg utiliza un sistema hidraulico controlado por microprocesador, que se adapta dinamicamente a todas las velocidades del caminar en tiempo real. El revolucionario microprocesador recibe informacion de multiples sensores 50 veces por segundo, haciendo ajustes mientras sea necesario. El resultado es un sistema que reconoce en que fase de la marcha se encuentra el usuario y reacciona. Esto mantiene la rodilla estable mientras ponga peso, balanceandose libremente cuando pasa la pierna hacia adelante, y siempre listo para apoyarlo si tropieza. A continuacion encontrara fotos y videos de nuestros pacientes con pierna C-leg. Si esta interesado en probar una pierna C, llamenos. Nos encantaria ayudarlo/a.

Ottobock C-Brace

Innovative KAFO brace to help Post Polio, spinal cord injured, quad weakened patients walk.

Microprocessor allows patient to bend the knee while taking a step and then come down with full weight bearing on a bent knee without buckling.  No longer needing to walk stiff legged with drop locks. The images below is an evaluative device. If anyone you know is interested in an evaluation please give us a call 949-699-0600, we would love to help you.



Innovador aparato ortopédico KAFO para ayudar a caminar a los pacientes post polio, lesionados de la médula espinal y cuadriceptos debilitados.

El microprocesador permite al paciente doblar la rodilla mientras da un paso y bajar con todo su peso. El aparato ayuda al paciente mediante el soporte a la rodilla doblada sin que se caiga.  Ya no es necesario caminar con las piernas rígidas o extendidas usando ferulas o aparatos ortopedicos con bloqueos de caída. El aparato ayuda tener un paso mas fluido, seguro y natural con la ayuda de fisioterapia. Las imágenes a continuación son un dispositivo de evaluación. Si alguien que conoce está interesado en una evaluación, llámenos al 949-699-0600, nos encantaría ayudarlo.

We do not own the rights to this video. We would just like to illustrate what the C-brace might be able to do to help individuals. We do have access to setting up a trial appointment, if requested.

Traveling with a Prosthesis 101


Traveling with a prosthesis? Tips and Tricks to make sure your trip goes smooth sailing or flying!

Not knowing what to expect when traveling with a prosthetic device can be a frightening. Do not fear, here are some things to keep in mind when traveling.

Going on a trip can be exciting, especially when you are going to a new destination or visiting friends and family. However, it is also notorious for being a tedious affair, especially for those that wear a prosthesis. But the thought of preparing everything you need to ensure a hassle-free trip does not have to put a damper on your travel spirits. So, we’ve put together this handy travel guide for you to ensure smooth sailing.

Prior to scheduling your itinerary

Keep in mind your travel connections:
Some airports are larger than others, trams might need to be taken, stairs, and a lot of walking. Ensuring a proper layover and keeping in mind the airport you will be making a connection in will allow you to have a stress-free journey to your destination.

For example, bilateral above-knee amputees, expend a lot of energy just walking, and airports can be very exhausting. They are even exhausting for able-bodied individuals.  So, as you travel, you might want to keep a running list of the best and the worst airports in which to connect, and if you, unfortunately, have to stop at one of the bad ones, ensure you have enough of a layover to get where you need to go without having to rush.

Contact TSA Cares

Hopefully, you’re reading this at least a few days before your flight because it is recommended to get in touch with TSA Cares at least 72 hours in prior to departure. TSA Cares is the TSA’s dedicated helpline that assists travelers with medical conditions. If you are traveling with a prosthetic arm or leg, they will provide you with guidance on what you can expect during the TSA’s screening process. They will also be able to assist you with any questions or concerns you might have with a representative

If the representative deems it necessary, they will refer you to a passenger support specialist, who is trained to help individuals with specific needs. They can also assist you throughout the safety screening process to ensure that someone can take care of your needs.

If you want to request for a passenger support specialist, call TSA Cares at 855-2227 and 787-2227. They are open on Mondays through Fridays, from 8:00 AM until 11:00 PM Eastern Standard Time (EST). Meanwhile, on weekends and holidays, you can speak to a representative or a specialist from 9:00 AM until 8:00 PM.

Be sure to notify the TSA officer that you have a prosthetic device before screening begins. You have the option to remove your prosthetic and have the device x-ray screened. If you’d prefer to not mention your prosthetic verbally, the TSA provides a notification card which you can print out on the TSA’s website and hand it to the agent. Should you wish for a private screening, remember that you can request for it.

You can find that notification card here:

https://www.tsa.gov/sites/default/files/disability_notification_card_508.pdf

If you opt for a private screening, remember that you can ask to be accompanied by an assistant, friend, or family member who can assist you, but only after they have been successfully screened themselves. If you are not comfortable with a private screening, you have the right to refuse it, but you will still need to complete a security screening to proceed beyond the security checkpoint.

Regardless of the chosen screening method, your prosthesis will always need to undergo additional screening. The TSA officer may ask to see and touch your prosthesis but will not request or require you to remove it.

Pro tip:
Expect that you might set off security monitors, and wear comfortable, loose clothing and slip-on shoes so it’s easy to show your devices when requested. Also, get to the airport with plenty of time to spare, it’s better to get to your gate with extra time than to miss your flight due to security delays.

Prior to date of departure
First and foremost, it is important to check your prosthesis thoroughly to make sure it is in good shape. If you will be out of town for a couple of days or a few weeks it is imperative to make sure there are no cracks, leaks, etc. This is so that you have enough time to schedule an appointment with your prosthetist to make adjustments and repairs before you leave on business, vacation, or any scheduled trip.

Miscellaneous, yet important, things to keep in mind when travelling

Be mindful of hygiene. Travel exposes you to more people and places than your everyday life. Make sure you bring whatever you need in order to keep your prosthesis and your skin clean and disinfected.

If you think you might need it (ask your prosthetist), bring spare parts with you, especially because medical devices travel for free. If an airline ever wants to charge extra for a bag that contains prosthetic parts or supplies, just let them know that the bag contains medical devices; the bag should go free of charge. Do note that this only applies to bags that contain only medical devices, but some airlines are stricter than others on this rule.

Extra Things You Might Want to Pack:

– Extra prosthetic socks

– Extra socket liner

– Duct and filament tape to repair strap or buckle breaks

– Antibacterial cream for abrasions from overuse

– Spare suction valve

– Plastic bags to protect your prosthesis if you wear it around water or sand

– Phone numbers of certified prosthetists and prosthetic facilities in the area in which you are vacationing (just in case).

Here is a link to a handy prosthetic bag:

https://amputeestore.com/products/amputee-essentials-prosthetic-leg-bag

While traveling with a prosthesis may seem like a recipe for airport security disaster, it is not always the case. If you have done your research and you took the necessary steps to prepare for it, the odds are most likely in your favor.

If you have any tricks you would like for us to add to this post, please let us know in the comments! Any other questions? Please contact our office 949-699-0600.

What are K-Levels?


K-levels are a rating system used by Medicare to indicate an amputee’s rehabilitation potential. The system is a rating from 0 through 4 and it indicates a person’s potential to use a prosthetic device. K-level designation is important because it is one of the determining factors in the decision of componentry that can be chosen by the prosthetist for the prosthetic device.

There are a total of 5 levels (K-levels 0-4), and Medicare defines them as follows:

K-0
The patient does not have the ability or potential to ambulate or transfer safely with or without assistance and a prosthesis does not enhance their quality of life or mobility.
K-1
The patient has the ability or potential to use a prosthesis for transfers or ambulation on level surfaces at fixed cadence or speed. This is typical of a household ambulator or a person who only walks in their own home.
K-2
The patient has the ability or potential for ambulation with the ability to traverse low-level environmental barriers such as curbs, stairs or uneven surfaces. This is typical of the limited community ambulator.
K-3
The patient has the ability or potential for ambulation with variable cadence or multiple speeds. A person at level 3 is typically a community ambulator who also has the ability to traverse most environmental barriers and may have vocational, therapeutic or exercise activity that demands prosthetic use beyond simple locomotion.
K-4
The patient has the ability or potential for prosthetic ambulation that exceeds basic ambulation skills, exhibiting high impact, stress or energy levels. This is typical of the prosthetic demands of the child, active adult or athlete.

How are K-levels determined?

K-levels are determined by the clinician (prosthetist, therapist or physician), using one of the following commonly used outcome measures.
Amputee Mobility Predictor (AMP)
Patient Assessment Validation Evaluation Test (PAVET)
Prosthesis Evaluation Questionnaire (PEQ)
Timed Up and Go (TUG)
Timed Walk Tests
Distance Walk Tests

Interested in knowing your K-level or your loved one’s potential K-level? We’re here to help you reach your fullest potential. Please contact our office for an evaluation or if you have any questions!