Contraindications - medi 4C Mode D'emploi

English
medi 4C
Intended purpose
medi 4C is a hyperextension brace. The
product is exclusively to be used for the
orthotic fitting of the lumbar spine /
thoracic spine and only on unbroken skin
or if any wounds have been properly
covered.
Indications
• Stable vertebral compression fractures
of the lower thoracic and lumbar spine
• Temporary immobilisation after
operations of unstable fractures of
vertebral bodies or veretebral discs
and after decompressing operations
with and without internal stabilisation
• Conservative inoperable or postoperative
treatment for tumours and metastases
of the spinal column
• Axial stabilisation for osteoporotic
vertebral colapse in the thoracic and
lumbar spine

Contraindications

The medi 4C hyperextension orthosis
should not be used for patients with
unstable lumbar or thoracic vertebral
fractures with and without neuroloical
deficit which require surgery.
Adjusting the width
First loosen the 4 allen screws on the
chassis (A/B) and adjust the orthosis to
the width of the patient's body.
Please ensure that the orthosis lies flat
against the body. Retighten the screws
on the chassis (A/B)
Adjusting the upper angle
Loosen the two upper screws (C). Adjust
the angle so that the two extension pads
lie just below the cavicle (Fig. 3) Tighten
the two screws (C).
Adjusting the length
Remove both side pads (G) and loosen
the screws on the lateral chasis (H).
Adjust the orthosis to the length of the
patient's body.
Important note: the chassis (H) can be
moved up or down on the connecting
sites to match the level of the lesion.
Take care not to bend the lateral
frame sections for adjusting the
length after removing from the
chassis. If necessary, only the upper
chest rod and pelvis clasp should be
set. Do not use any sharp-edged tools.
Sharply bent parts should be replaced
rather then re-bent.
Cut the padding (G) to the required
length and attach it with the Velcro
strip. Tighten the chassis screws (H).
Adjusting the extension pads
After loosening the screws you can
adjust the height of the extension pads
(D) and the lateral angle. Please ensure
that the central chassis (A) does not
come into contact with the sternum.
Adjusting the lower angle
Loosen the two screws (E). Adjust the
angle to position the symphysis pad (F)
to suit the body contours. Please ensure
that the symphysis pad is not too low to
allow the patient to sit upright. Now
tighten both screws.
medi 4C with ratchet closer
Closing the buckle
Fold back the buckles of both closers.
Push both ends of the straps into the clip
openings from the back until they
emerge from the front. Opening the
clasp to 90 degrees and closing it draws
the strap in and it can easily move into
hyperextension. Caution: Do not close
the belt by force! On reaching the
desired final position, press both buckles
closed. The strap can be shortened using