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Skin Care & Protection

by

Supporting your needs

Healthcare Innovations Australia (HIA) is a provider of specialised

skin protection products for the requirements of modern healthcare.

About Shear ComfortTM

To find out more contact Healthcare Innovations Australia on 1300 499 282, E: [email protected], or visit www.hiaus.net.au, or scan this QR code.

This catalogue focusses on the Shear Comfort™ skin care range. We also have a range of footwear for those at risk of damage to their feet.

HIA has over a decade of experience in the healthcare arena, because of this experience we understand three key things about modern healthcare: it can take time, it can cost money, and it can be complicated. But this need not be the case. We aim to address this with our range of products that not only improve the quality of life and assist in day-to-day living activities of the end user. We also offer the clinician, technician, or specialist an effective, affordable, and straightforward tool to achieve positive results time and again. We do this through the Shear Comfort™ range, of which HIA is the sole producer.

The Shear Comfort XD1900™ skin care range is manufactured through our proprietary manufacturing techniques of taking natural wool and weaving it into a density of 1900 gsm, i.e. more fibres per square metre than is possible in a natural sheepskin. This is done by weaving natural wool fibres onto fabric backing, creating a product

which is more effective at redistributing pressure, lighter to carry, and easier to wash. Shear Comfort™ products can withstand multiple washes at up to 80° C, effectively killing any bacteria. The Shear Comfort XD1900™ range can even be washed over 80° C or over, with normal detergents. All our footwear and skin care products have been designed to offer the best protection possible, with all seams and attachments positioned so as not to interfere with the pressure care qualities. All Shear Comfort™ Skin Care products are fire retardant and carry the medical Class 1 CE mark, meaning you can be assured of receiving the highest possible quality designed for specific medical benefits. Air Tec™ gives a matrix of small holes across the leather surface to aid in air and water vapour exchange, thereby increasing the products’ effectiveness in wound prevention, healing, and comfort. See page 14 for Clinical Benefits summaries.

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distributing pressure, lighter to

ContentsThe Benefits of Wool-basedProducts for Tissue Integrity

XD1900TM – Extra Density, Extra Benefits,Natural vs Synthetic Wool

Overlays

Washinng – Infection Prevention

Cliinical Evidence – Wool-basedProoducts for Tissue Integrity

Frequenttly AAsked Questions (FAQs)

Pressure RedistributionFriction and Shear Reduction

Seating and Wheelchair Protection, Cushion-ItTM, Foot Plate, Calf Plate, Arm Support Protectors

Targetted Protectors – Palm, Neck,Elbow, Knee, and Heel

3

4

The studies referred to on page 14 give the research evidence that shows that high grade wool products are effective in reducing the incidence of pressure ulcers. What are the unique properties of wool that make these products so effective?

Gefen, A (2011) How do microclimate factors affect the risk for superficial pressure ulcers: A mathematical

modeling study Journal Tissue Viability 20, 81-88.

Gefen (2011) showed that skin breakdown increases with increased skin temperature, increased ambient temperature, increased relative humidity, increased skin contact pressure, and decreased permeability of materials touching the skin. Wool-based products are the ideal basis for tissue integrity solutions to meet these challenges, in that they minimise the influence of these elements identified by Gefen.

Moisture ReductionMoisture build up next to the skin can lead to maceration of the skin at the surface, affecting the properties of the

skin. Wool is hydrophilic, meaning that it takes up or wicks away moisture from the skin. Wool can hold up to a third of its weight of water vapour before ‘feeling’ wet, and therefore helps to protect against maceration, and leads to greater comfort.

Temperature RegulationTemperature affects at the skin are important. Resting humans eliminate 25% of their basal metabolic rate through the skin. Sitting on a cold surface results in capillary closure, which in turn results in reduced supply and exchange of nutrients to the

cells of the skin. Conversely, increased temperature results in a higher metabolic rate: a five degree increase in temperature creates a 35-40% increase in ‘metabolic stress’, meaning available nutrients are used up, and waste products built up, more quickly.

Also, as body temperatures rise, sweating increases. The air zone encapsulated by the fibres in wool insulates against the cold, while allowing the air to circulate when it gets hot. Wool’s ability to wick moisture assists the body’s natural cooling mechanism of sweating.

Benefits of Woolfor tissue integrity

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Wool Fibre Structure

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5

Friction from movement across bed surfaces, and shear displacement of body soft tissues, can lead to long term tissue damage. The outer protein layer of the wool fibre is very smooth making the fibres slippery. This means one’s skin can move across a wool surface with lessened resistance. This also allows the fibres to move past one another easily – the fibres move with the user’s movements rather than pulling on the skin, thereby reducing frictional forces. The ability of the wool pile to collapse sideways under pressure reduces the shear forces – this varies according to the ‘nap’ of the wool in the support surface: there is less resistance in one direction than the other. This is similar to the pile of an animal’s fur, which feels smooth when you stroke it in one direction, and rough when the direction is reversed.

Medical Sheepskin and XD1900TM

The high density of wool fibres found in medical sheepskin and in our XD1900™ do a great job of redistributing pressure. This is because each fibre acts as a small spring: when multiplied out this produces a very supportive surface.

Pressure Redistribution

Friction and Shear Reduction

XD1900TM

vsNatural Synthetic

6

Extra Density, Extra BenefitsHealthcare Innovations Australia (HIA), following years

of research, has brought XD1900TM to the market. XD1900TM is an extra high density woven wool material specially developed for skin and pressure care.

XD1900TM uses natural wool and a manufacturing process to achieve the extra density. It is the natural properties of wool that provide the protective and therapeutic benefits of our overlays.

• Polyester and other artificial fibres were brought to the market because of their ease of washing at high temperatures, but they do not provide the resilience of wool fibres, and are easily compressed, thus having minimal pressure redistribution properties.

• Synthetic fibres are also hydrophobic, so cannot provide the moisture absorbing properties of wool.

Medical grade sheepskin has been proven to reduce the occurrence of pressure ulcers (see p14), but HIA wanted to go one step further and improve upon what Nature could produce. Sheepskins are natural products, but Nature is variable. Natural sheepskin wool density varies from animal to animal, and can range from 800 to 1200 grams per square metre (gsm).

Our proprietary manufacturing techniques are able to take natural wool, and weave it into a density of 1900 gsm. Thereby we boosted the already impressive capabilities of natural sheep skin, and are able to manufacture a product that is consistent from batch to batch, and across the whole surface area. We can manufacture overlays up to the width of a bed without the need to join sections together, with less wastage and therefore cost savings for our customers. An additional benefit is that because we no longer have a leather or skin backing, XD1900TM can be washed with standard detergents, for example in an institutional wash, at 80°C or over.

7

Therapeutic Properties

Density

Accepting that wool is a more beneficial material than synthetics, the density of the wool fibres in an overlay is still very important to ensure the therapeutic properties of the sheepskin. Lower densities compress too easily, removing the pressure redistribution, shear reduction, and temperature/moisture regulation properties. Over the years, low density (under 700 gsm), low cost sheepskins have tarnished the image of natural sheepskins. Indeed these low density products have very limited clinical application. Alongside you can see the comparison between the pressure distribution properties of a ‘high end’, but typically lower density woven wool product (700 gsm) and XD1900TM (1900 gsm)

Seated on a hard surface

Seated on a Shear Comfort Original

Seated on a 700gsm artificial sheepskin

Seated on Shear Comfort XD1900TM

• Synthetic fibres’ compressibility squeezes out trapped air, losing the temperature regulatory properties of the natural materials.

• Wool processing techniques have improved in the meantime, meaning that many wool based products such as XD1900TM can be washed at up to and over 80°C.

In summary, ‘synthetic wool’ products provide little

of the benefits of natural wool products.

Those with limited mobility, or those who spend most of their time seated, such as in an office chair, can be at risk of discomfort, or of developing pressure ulcers.These individuals can’t or don’t move frequently enough to relieve pressure or to allow air exchange. Our protectors are ideal for improving the well-being of these individuals. We also have ‘protectors’ for areas of the chair that can often cause abrasion or areas of higher pressure.

A well-positioned arm support can promote good posture and reduce pressure elsewhere on the body. Without sufficient

padding, this can lead to discomfort or damage to the forearm. Our Arm Support Protectors offer a simple

solution to this – they are easily slipped over the arm support of an office chair, wheelchair, etc.

The Cushion-It™ can be used for either or both the seat or back of a chair. Our Cushion-It™ is a very successful product that can improve

the comfort of any chair, whether it be an office chair, arm chair, a canvas wheelchair seat, or in combination with a pressure care cushion.

The Cushion-It™ features Velcro® fastening straps that can be fastened underneath existing seating materials if so-desired – others prefer to have

their Cushion-It™ loose so that they can transfer it easily between different chairs. The Cushion-It™ provides an ideal seating environment, allowing air to

circulate while dispersing pressure and shear forces.

These items fit easily over a wheelchair’s foot or calf plates to bring comfort and protection to otherwise rather unforgiving parts of the wheelchair. Tears and bruising as a result of bumps and scratches caused by the foot and calf plates are not uncommon, and can easily be prevented with the simple addition of our quality wool-based protectors. The Foot Plate Protectors come in pairs for split foot supports, or as a Single Foot Plate Protector for single foot supports. The Calf Plate Protectors come in pairs to fit over individual calf plates.

& Seating Wheelchair Protection

Cushion-It™

Foot Plate & Calf Plate Protectors

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Arm Support Protectors

9

Order Codes

Cushion-It™

Arm Support Protector

Order Code Description

002152 XD1900 Cushion-It™ (46 x 55cm)

Order Code Description

002145 XD1900TM Arm Support Protectors (Pair)

Order Code Description

002121 XD1900TM Foot Plate Protectors (Pair)

003326 XD1900TM Single Foot Plate Protector

002138 XD1900TM Calf Plate Protectors (Pair)

Foot & Calf Plate Protectors

Pressure Care Assistant™The Pressure Care Assistant™ can be positioned on the bed where comfort and protection is needed, for instance under the heels, hips, shoulders, or head. It features two large cotton flaps so that it can be securely tucked under the mattress to hold in position.

Overlays for neonatesThere has been a number of studies that illustrate the benefits for babies sleeping on wool. The rate of weight gain in underweight new-borns was 61% higher when sleeping on a wool underlay compared with a cotton sheet (Scott & Richards (1979); Scott et al (1983)). Jaundiced new-borns sleeping on wool were more settled when sleeping, as compared with those on cotton. Only around 30% of babies on wool cried compared with 67% on cotton (Powley et al (1980)). Our smallest overlay is cot-sized (Neonatal Overlay: 30 x 50cm) and ideal for babies until they move onto the next size (Paediatric Overlay: 45 x 75cm).

OverlaysWe offer a range of different overlays from cot-sized to full bed. All of our overlays are available in our XD1900TM material making them very cost effective at reducing the risk of developing pressure ulcers: they can be washed at 80°C or over, for infection control purposes using normal detergents. We also have some overlays available in medical sheepskin produced to AS4480.1 standards: these can also be washed at up to 80°C, but need a wool wash shampoo, to protect the suede material from damage.

Dickson, PR (1984) Effect of a fleecy wool underlay on sleep, Med J Austr 140, 87-89.

Kiyak, E et al (2009) The evaluation of the impact of the use of wool in patients with fibromyalgia on life quality Aust J Adv Nurs 26, 47 -52.

Powley, M. et al (1980) Nursing jaundiced babies on lambskin The Lancet 315, 979-980.

Scott, S. et al (1983) Weight gain and movement patterns of very low birthweight babies nursed on lambswool The Lancet 322, 1014-1016.

Scott, S. & Richards, M. (1979) Nursing low-birthweight babies on lambswool The Lancet 313, 1028.

Order Codes

Natural skin microclimate control

What your Shear Comfort™ overlay does is to provide the ideal microclimate for a good sleep, looking after temperature and perspiration regulation, with the excellent air redistribution properties of a wool product.

Silent pressure care

In a residential or medical care facility, Shear Comfort™ overlays are a lower cost pressure care solution, and remove the discomfort and noise experienced with plastic based options, such as plastic air filled overlays or alternating pressure mattresses.

Improved sleep quality

As far back as 1984, Dickson showed that a wool underlay decreased restlessness and improved sleep quality. Individuals with fibromyalgia, suffering from diffuse chronic pain and tender muscles, showed significant pain reduction and improved sleep quality when using wool overlays (Kiyak et al, 2009).

Turn a standard mattress into

a high end pressure care mattress

By simply adding one of our overlays you can turn a standard mattress into one that compares with far more expensive pressure care mattresses. Bear in mind that the best way to affect what you’re doing at the skin is by what is happening next to it – the further away from the skin you get the deeper into the body you are acting – the structure of a mattress does more for the skeleton than for the skin, whereas the overlay looks after the skin.

11

Overlays

Order Code Size (cm) Description

002251 30 x 50 XD1900TM Neonatal Overlay - Blue

005221 30 x 50 XD1900TM Neonatal Overlay - White

002169 30 x 70 XD1900TM Pressure Care Assistant™ - Blue

002244 45 x 75 XD1900TM Paediatric Overlay - Blue

003135 45 x 75 XD1900TM Paediatric Overlay - White

002756 50 x140 XD1900TM Day Chair Overlay - Blue

005207 50 x 140 XD1900TM Day Chair Overlay - White

005153 50 x 140 XD1900TM Day Chair Overlay - Blue with Straps

005177 50 x 140 XD1900TM Day Chair Overlay - White with Straps

003098 65 x 100 XD1900TM Single Overlay – White

002701 65 x 100 XD1900TM Single Overlay – Blue

010003 63 x 92 Shear ComfortTM Natural Overlay - Green

003111 75 x 125 XD1900TM Classic Overlay - White

003067 75 x 125 XD1900TM Classic Overlay - Blue

002015 75 x 125 Shear ComfortTM Classic Overlay - Green

002718 75 x 150 XD1900TM Superior Overlay - White

002633 75 x 150 XD1900TM Superior Overlay - Blue

002022 75 x 150 Shear ComfortTM Superior Overlay - Green

002640 75 x 180 XD1900TM Regal Overlay - White

002602 75 x 180 Shear Comfort Regal Overlay - Green

002190 92 x 187 XD1900TM Full Single Bed Overlay - White

002213 137 x 187 XD1900TM Double Bed Overlay - White

002237 150 x 200 XD1900TM Queen Bed Overlay - White

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Palm ProtectorsOur ambidextrous Palm Protectors are ideal for those who need to support their weight frequently with their hands, or those who have Dupuytren’s contractures. The Palm Protectors are put on over the thumb and secured with a Velcro® strap around the back of the hand.

Neck CollarIndividuals with weak neck muscles, and asymmetric head positioning have a tendency for the head to fall forward or sideways, and are thus unable to keep their head in a neutral position. This not only affects functional activities such as eye contact, breathing, swallowing, etc., but can also lead to skin excoriation due to sweat build-up under the neck. The Shear Comfort™ Neck Collar is a firm, but gentle support that helps keep the neck in a neutral position. The Neck Collar is comfortable and hypo-allergenic, even with prolonged skin contact. Available in green Shear Comfort TM, or blue XD1900TM

Elbow ProtectorsThe Elbow Protectors are designed in a ‘one size fits all’ style with the seams facing outwards to ensure the greatest comfort and protection. Shear Comfort Elbow Protectors fit snugly around the elbows, creating a shielded area for healing and protection against knocks. Elbow Protectors can be used to warm aching elbow joints, protect the elbows from injury, or shelter them during healing.

Certain areas of the body are at higher risk of developing pressure ulcers or skin breakages due to thin skin and/or boney protuberances, such as at the elbows, heels, ankles, sacrum, and under the buttocks. We have a range of specially designed products to target protection of these areas.

Targetted Protectors

thoseir hands, or thosures. The orsPalm Protectors are put ona

mb and secured with a Velcro® rap around the back ostrap

Elbow ProtectooorrrrrsssssssThe Elbow Protectors are designed in a ‘one size fits all’ style with the seams facing outwards to ensthe greatest comfort and protElbow Pr t

Knee Protector The Shear Comfort XD1900™ Knee Protector is designed for people in supine positions for extended periods, who are immobile and lack the ability to reposition themselves effectively, or those who lie on their side with their knees in close contact due to contractures. The Knee Protector places wool against the skin, and the material backing provides protection against abrasion with other tissues. The Velcro® straps allow for size adjustment. The Knee Protector can be used singly, or with one on each knee.

ee ProtectorKnehe Shear Comfort XD1900™TheThe ShTh Knee Protector is d si

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Order Code Description

005245 XD1900TM Knee Protector - Blue (Single)

Order Code Description

001568 Shear ComfortTM Neck Collar - Green (Single)

005269 XD1900TM Neck Collar - Blue (Single)

Neck Collar (single)

Palm Protectors (single)

Elbow Protectors (pair)

Order Code Description

003074 XD1900TM Palm Protectors - Blue (Single)

Order Code Description

003302 XD1900TM Elbow Protectors (Pair) - Blue

Order Code Description

002268 XD1900TM Heel Protectors Small - Blue

002275 XD1900TM Heel Protectors Medium - Blue

002282 XD1900TM Heel Protectors Large - Blue

Heel Protectors (pair)

Knee Protector (single)

In any healthcare institution, infection prevention and cleanliness are of the utmost importance. Our natural sheepskin products have been manufactured to AS4480.1 which means they can be washed a minimum of 30 times at 80°C (the temperature required to kill off the majority of bacteria within a minute) with a wool wash shampoo. We offer a suitable shampoo, with added tea tree oil, with its anti-dust mite properties. We have also thought about the needs of institutional laundries when developing XD1900TM as all our XD1900TM products can be washed at 80°C and over. Thanks to XD1900TM not having the leather backing of a natural sheepskin, normal detergents can be used.

13

Heel ProtectorsShear ComfortTM Heel Protectors shield the skin on the heels and ankles in this at-risk area, and provide protection for existing damaged skin. The wool layer wraps around the heel and ankle, leaving the rest of the foot free to move. Seams are positioned on the exterior of the protector to relieve the skin from areas of high pressure. The Velcro® straps give plenty of room for adjustment. We offer Heel Protectors in pairs which are designed in a style with no seams facing anywhere near the bones or tendons of the ankle. To provide comfort and protection to the individual foot, our Shear Comfort™ Total Foot Protector is also available.

Washing Infection Prevention

Shampoo Order Code Description

002527 Wool Shampoo 250 ml Bottle

000905 Wool Shampoo 1 Litre Bottle

also available.

Total Foot Protector (single) Order Code Description

005252 Total Foot Protector (Single)

14

Call et al (2010) confirmed these physical characteristics (which have a relevance for clinical benefits for tissue integrity) of natural sheepskins, but also the greater benefits of Shear Comfort XD1900TM material in, for example, reducing the relative humidity against the skin.

wool based products for tissue integrity

Bain, D et al (2004) Pressure reducing overlays. MHRA Evaluation Reports MHRA 04101-0. Call, E et al (2010) ISO 16840 testing for Shear Comfort XD1900TM skin care material Proc EPUAP Sept 2010.Jolley, DJ et al (2004) Preventing pressure ulcers with the Australian Medical Sheepskin: an open-label randomised controlled trial. Med J Aust 180,324-327.McGowan, S et al (2000) The role of sheepskins in preventing pressure ulcers in elderly orthopaedic patients Primary Intention 8, 127-134.Mistiaen, P et al (2010) The effectiveness of the Australian Medical Sheepskin for the prevention of pressure ulcers in somatic nursing home patients: a prospective multicenter randomized-controlled trial Wound Repair Regen 8, 572-9.National Pressure Ulcer Advisory Panel and European Pressure Ulcer Advisory Panel (2009) Prevention and treatment of pressure ulcers: clinical practice guidelines National Pressure Ulcer Advisory Panel.Stacey, MC (2004) Preventing pressure ulcers Med J Austr 180, 316-318.

Unlike the large amount of anecdotal evidence around different means to reduce the incidence of pressure ulceration, there have been randomised clinical trials showing the benefits of medical sheepskin.

Clinical Evidence

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Three randomised clinical trials (RCTs) have been published recently which have demonstrated a positive impact on pressure ulcer (PU) rates comparing a significant number of patients using medical grade sheepskins vs those without:• Mistiaen et al (2010) demonstrated

a significant reduction of PU rates from 14.7 to 8.9% in a RCT with 588 subjects

• Jolley et al (2004) in an open label randomized trial with 441 subjects

demonstrated a 16.6% risk of PU without sheepskin vs 9.6% with a medical sheepskin (CL 95%)

• McGowan et al (2000) showed in a trial with 297 subjects, a reduced PU rate of 9% on medical sheepskin, as compared with 30% for those without.

However, as Stacey (2004) proposed, no individual strategy or device will completely resolve PU incidence. It is therefore appropriate to consider the physical properties that contribute

to the observed beneficial effects of sheepskin in PU prevention. Current views are that shear, heat, and water vapour, are significant contributing factors, together with pressure, in causes of tissue breakdown (NPUAP and EPUAP, 2009). Bain et al (2004) showed that natural sheepskin was comparable with plastic air-filled products for pressure redistribution, but had much better characteristics in relation to heat and water vapour dissipation. (Bar charts below: Bain, D et al (2004))

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15

Can wool products be washed, and at high enough temperatures to kill bacteria?

Shear Comfort™ products can be washed at up to 80°C, or over 80° C for XD1900TM time and again – see ‘Washing – Infection Prevention’ section on p13.

Isn’t wool an outdated form of tissue protection?

Sheepskins had been used for years before more recent plastic based products appeared, the latter being perceived as easier to disinfect. The new wool treatment standards have meant that the infection control concerns were able to be put to bed, so to speak. Recent research has emphasised that the relative importance of the microclimate at the skin is particularly important for skin integrity, and high density wool products give better protection than synthetic materials.

Isn’t wool itchy?

This can be down to the wool fibre coarseness and to the presence of lanolin. We remove all lanolin from the wool and use a fibre size that is soft and relatively smooth to the touch.

I’ve seen guidelines against the use of sheepskin.There have been guidelines deprecating the use of sheepskin. This recommendation related only to synthetic sheepskins, and rightly so in that their fibre density has not been sufficient to redistribute pressures, nor give the microclimate benefits. All of our products meet and surpass the Australian Medical Sheepskin standard, AS4480.1.

Aren’t some people allergic to wool?

People can sometimes have an allergic reaction to the lanolin in wool, but in all our products the lanolin is removed. There is little or no evidence to show that people are allergic to wool itself (Fischer (1973); Hatch & Maibach (1985); Moscato et al (2000).

Fischer, AA (1973) Contact Dermatitis, 2nd Edition, Lea and Febiger, Philadelphia, 135.Hatch, KL & Maibach HI.(1985), Textile Fibre Dermatitis, Contact Dermatitis, 12, 1-11.Moscato, G, et al (2000) A respiratory and allergy survey in textile workers employed in early stages of wool processing, G. Ita, Med Lav Ergon 2293, 236-40.

FAQs

Dealer Stamp

Microclimate ControlNatural Wool

MEDICAL SH

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Healthcare Innovations Australia PO Box 34, Salisbury South BC, SA 5106T: 1300 499 282 F: 08 8125 5990 Intl T: +61 8 8285 8440 F: +61 8 8125 5990

Email: [email protected] www.hiaus.net.au© 2015 Healthcare Innovations Australia

EOE: Errors and omissions excepted AC

AT

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51

Supporting your needs

Supporting your needs

Foot Care & Protection

by

Supporting your needs

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rsta

nd th

ree

key

thin

gs a

bout

mod

ern

heal

thca

re: i

t ca

n ta

ke ti

me,

it c

an c

ost m

oney

, and

it c

an b

e co

mpl

icat

ed.

But t

his n

eed

not b

e th

e ca

se. W

e ai

m to

add

ress

this

with

ou

r ran

ge o

f pro

duct

s tha

t not

onl

y im

prov

e th

e qu

ality

of

life

and

ass

ist in

day

-to-d

ay li

ving

act

iviti

es o

f the

end

us

er. W

e al

so o

ffer

the

clin

icia

n, te

chni

cian

, or s

peci

alist

an

effe

ctiv

e, a

ffor

dabl

e, a

nd st

raig

htfo

rwar

d to

ol to

ach

ieve

po

sitiv

e re

sults

tim

e an

d tim

e ag

ain.

We

do th

is th

roug

h th

e Sh

ear C

omfo

rt™

rang

e, o

f whi

ch H

IA is

the

sole

pro

duce

r.

The

Shea

r Com

fort

™ ra

nge

of fo

otw

ear i

s man

ufac

ture

d fro

m a

med

ical

gra

de n

atur

al w

ool b

ased

mat

eria

l mee

ting

the

Aust

ralia

n St

anda

rd fo

r Tex

tiles

for H

ealth

Car

e Fa

cilit

ies a

nd In

stitu

tions

(AS4

480.

1) th

at is

pro

cess

ed

thro

ugh

an a

dvan

ced,

mul

ti-st

age

tann

ing

proc

ess.

This

en

sure

s tha

t not

onl

y do

all

Shea

r Com

fort

™ F

oot C

are

prod

ucts

reta

in th

e na

tura

l and

pro

ven

effic

acy

of n

atur

al

shee

pski

n (p

ress

ure

redi

strib

utio

n, sh

ear r

educ

tion,

wat

er

vapo

ur d

issip

atio

n, a

nd h

eat c

ontr

ol),

but c

an a

lso g

o sa

fely

th

roug

h st

anda

rd th

erm

al d

isinf

ectio

n pr

oced

ures

. Thu

s Sh

ear C

omfo

rt™

pro

duct

s can

with

stan

d m

ultip

le w

ashe

s up

to 8

0OC,

eff

ectiv

ely

killi

ng a

ny b

acte

ria. A

furt

her b

enefi

t of

the

tann

ing

proc

ess i

s tha

t it m

akes

the

skin

s ure

a-re

sista

nt,

mea

ning

that

the

leat

her w

ill n

ot h

arde

n as

a re

sult

of

inte

ract

ion

with

skin

secr

etio

ns.

All o

ur fo

otw

ear h

as b

een

desig

ned

to o

ffer t

he b

est p

rote

ctio

n po

ssib

le, w

ith a

ll sea

ms a

nd a

ttac

hmen

ts p

ositi

oned

so a

s not

to

inte

rfere

with

the

pres

sure

care

qua

litie

s. Al

l She

ar C

omfo

rt™

and

XD19

00™

Skin

Car

e pr

oduc

ts a

re fi

re re

tard

ant a

nd ca

rry

the

med

ical C

lass

1 C

E m

ark,

mea

ning

you

can

be a

ssur

ed

of re

ceiv

ing

the

high

est p

ossib

le q

ualit

y de

signe

d fo

r spe

cific

med

ical b

enefi

ts. A

ir Te

c™ g

ives a

mat

rix o

f sm

all h

oles

acr

oss

the

leat

her s

urfa

ce to

aid

in a

ir an

d w

ater

vap

our e

xcha

nge,

th

ereb

y in

crea

sing

the

prod

uct’

s effe

ctive

ness

in w

ound

pr

even

tion,

hea

ling,

and

com

fort.

See

pag

e 4

for C

linica

l Be

nefit

s for

thos

e w

ith d

iabe

tes.

Sh

ea

r C

om

fort

XD

19

00

TM

Alon

g w

ith th

e Sh

ear C

omfo

rt™

rang

e, w

e al

so

man

ufac

ture

an

XD19

00™

rang

e of

foot

wea

r and

ski

ncar

e pr

oduc

ts. T

hese

pro

duct

s ar

e m

anuf

actu

red

thro

ugh

our

prop

rieta

ry m

anuf

actu

ring

tech

niqu

es o

f tak

ing

natu

ral

woo

l and

wea

ving

it in

to a

den

sity

of 1

900

gsm

, i.e

. m

ore

fibre

s pe

r squ

are

met

re th

an is

pos

sibl

e in

a n

atur

al

shee

pski

n. T

his

is d

one

by w

eavi

ng n

atur

al w

ool fi

bres

on

to fa

bric

bac

king

, cre

atin

g a

prod

uct w

hich

is m

ore

effe

ctiv

e at

redi

strib

utin

g pr

essu

re, l

ight

er to

car

ry, a

nd

easi

er to

was

h. T

he S

hear

Com

fort

XD

1900

™ ra

nge

can

even

be

was

hed

with

nor

mal

det

erge

nt a

bove

80O

C.

3

TM

foot

wea

r has

bee

n d

nddddde

siesi

esii

esi

esesi

esi

esi

esigg

negne

gne

gne

gne

ggneddd

tdd

tdd

ttd

td

tooo

oo

oo

ooo

oo of

fefffffeffeftr the

bes

t pro

tect

ion

e, w

ith a

ll sea

ms a

nd a

ttac

hmen

ts p

ositi

oned

so a

s not

fere

with

the

pres

sure

care

qual

ities

AllS

hear

Com

fort™

45

Exte

nded

per

iods

of h

igh

suga

r lev

els

expe

rienc

ed b

y pe

ople

with

dia

bete

s le

ad to

ner

ve a

nd b

lood

ves

sel

dam

age.

Thi

s le

ads

to g

reat

er ri

sk o

f dam

age

to th

e fe

et

and

to s

low

er re

cove

ry. D

amag

e to

the

skin

in tu

rn le

ads

to

risk

of in

fect

ion,

and

oft

en th

e ne

ed fo

r am

puta

tion

(low

er

extr

emity

am

puta

tion

is 1

5 to

46

times

mor

e fr

eque

nt fo

r th

ose

with

dia

bete

s). F

or th

e m

ajor

ity o

f dia

betic

s w

ho

have

had

an

ampu

tatio

n, li

fe e

xpec

tanc

y is

low

– o

f the

or

der o

f tw

o ye

ars

on a

vera

ge. T

here

fore

pro

tect

ing

the

feet

from

dam

age

can

be a

life

-sav

er.

The

dam

age

caus

ed b

y hi

gh b

lood

sug

ar le

vels

can

have

a

knoc

k-on

eff

ect o

n th

ree

type

s of

ner

ves:

• Se

nsor

y ne

rves

, lea

ding

to lo

ss o

f sen

satio

n w

arni

ngs

of

dam

age,

pai

n, te

mpe

ratu

re, o

r vib

ratio

ns

• M

otor

ner

ves,

affe

ctin

g lo

wer

ext

rem

ity m

uscl

es re

sulti

ng

in c

hang

es to

the

shap

e of

the

toes

and

feet

• A

uton

omic

nerv

es, r

esul

ting

in re

duct

ion

of sw

eat p

rodu

ctio

n,

leav

ing

the

skin

dry

and

at r

isk o

f cra

ckin

g as

a re

sult

On

top

of th

is th

e ef

fect

s on

bloo

d su

pply

to th

e fe

et m

ean

that

any

inju

ries w

ill n

ot h

eal a

s qui

ckly

as n

orm

al, w

hich

in

turn

mea

ns th

at c

uts a

nd b

liste

rs a

re a

t mor

e ris

k of

infe

ctio

n.

Shea

r Com

fort

™ fo

otw

ear w

orks

to p

rote

ct y

our f

eet i

n m

any

way

s:

• T

heir

cove

red

seam

s an

d hi

gh d

ensi

ty w

ool h

elp

to

prot

ect t

he fe

et fr

om e

xter

nal d

amag

e

• T

he p

ress

ure

redi

strib

utio

n pr

oper

ties h

elp

to d

issip

ate

the

build

up

of p

ress

ure,

redu

cing

the

risk

of in

tern

al d

amag

e

• T

he s

hear

redu

ctio

n pr

oper

ties

of w

ool r

educ

e th

e ris

k of

fr

ictio

n da

mag

e

• T

he w

arm

th fr

om th

e ai

r ins

ulat

ion

in th

e w

ool h

elps

to

prom

ote

bett

er b

lood

circ

ulat

ion

• T

he m

oist

ure

abso

rbin

g pr

oper

ties

of w

ool r

educ

es th

e ris

k of

mac

erat

ion

from

sw

eat a

ccum

ulat

ion

Why

is S

hear

Com

fort

™ fo

otw

ear s

o im

porta

nt fo

r tho

se w

ith D

iabe

tes?

Thes

e tw

o pr

essu

re m

aps s

how

the

pres

sure

dist

ribut

ion

unde

r the

feet

of a

stoc

king

ed 9

0kg

indi

vidu

al, fi

rst

on a

nor

mal

shoe

surfa

ce, a

nd th

en w

ith S

hear

Com

fort

™ Pr

essu

re C

are

Boot

s™, s

how

ing

the

redu

ctio

n of

pe

ak p

ress

ure

poin

ts u

nder

the

feet

that

the

Pres

sure

Car

e Bo

ots™

pro

vide

d.

Clin

ica

l Ben

efits

Dia

bPr

oT

M

Ser

ies

Pres

sure

Red

istr

ibu

tio

n

Som

e in

divi

dual

s, es

peci

ally

thos

e w

ith

diab

etes

, req

uire

a h

igh

leve

l of s

kin

and

pres

sure

pro

tect

ion,

but

also

look

for g

reat

er

supp

ort o

f the

foot

esp

ecia

lly a

t the

hee

l.

Our

new

foot

wea

r, th

e D

IABP

RO™

ser

ies,

for D

iabe

tic

Prot

ectio

n, p

rovi

des

an a

djus

tabl

e fit

acr

oss

the

foot

as

com

pare

d w

ith th

e ot

her S

hear

Com

fort

™ b

oots

, and

also

a

post

ed s

uppo

rt a

t the

hee

l.

Fast

enin

g is

by

two

Velc

ro®

str

aps

acro

ss th

e to

p of

the

arch

of

the

shoe

. The

nar

row

sol

e gi

ves

a sle

ek lo

ok, a

nd m

akes

fo

r eas

ier w

alki

ng. T

he s

ole

can

be b

uilt

up w

ith a

rock

er p

ad

if re

quire

d to

ass

ist i

n ad

just

ing

the

gait

patt

ern.

risk

of m

acer

atio

n fr

om s

wea

t acc

umu

mul

atio

n

id

thf

tf

tki

d90

ki

diid

lfit

Dia

bP

ro™

Fo

otw

ea

r (P

air

)

Ord

er

Co

de

Na

me

De

scri

pti

on

0052

38D

PRO

XXS

Dia

bPro

™ E

xtra

Ext

ra S

mal

l

0033

88D

PRO

XS

Dia

bPro

™ E

xtra

Sm

all

0033

95D

PRO

SD

iabP

ro™

Sm

all

0034

01D

PRO

MD

iabP

ro™

Med

ium

0034

18D

PRO

LD

iabP

ro™

Lar

ge

0034

25D

RPO

XL

Dia

bPro

™ E

xtra

Lar

ge

0034

32D

PRO

XXL

Dia

bPro

™ E

xtra

Ext

ra L

arge

5

ss th

e to

p of

the

arch

hek

look

, and

mak

es

t up

with

a ro

cker

pad

t pat

tern

.

r (P

air

)

Extr

a Sm

all

Smal

l

um e Larg

e

Extr

a La

rge

76

The

Wra

p Ro

und

Boot

™ ha

s bee

n de

signe

d fo

r tho

se w

ho re

quire

an

easy

to p

ut o

n or

take

off

item

of p

rote

ctiv

e fo

otw

ear.

Com

fort

and

an

acco

mm

odat

ing

fit a

re e

nsur

ed b

y th

e ge

nero

us V

elcr

o® s

trap

ping

on

the

heel

and

top

of th

e fo

ot, a

llow

ing

sim

ple

adju

stm

ent t

hrou

ghou

t the

day

to

acco

mm

odat

e an

y ch

ange

s in

sw

ellin

g. In

corp

orat

ing

a lo

w

profi

le ru

bber

sol

e en

sure

s th

e sh

oe c

an b

e w

orn

outs

ide

as

wel

l as

in, o

ffer

ing

free

dom

of m

ovem

ent t

o th

e w

eare

r.

The

rubb

er s

ole

does

not

aff

ect t

he w

asha

bilit

y of

the

shoe

. Th

e na

tura

l pro

pert

ies

of s

heep

skin

ens

ure

that

com

fort

is

pro

vide

d to

the

foot

as

it is

fully

enc

lose

d. T

he w

ater

va

pour

dis

sipa

tion

qual

ities

of t

he w

ool e

nsur

e pe

rspi

ratio

n is

eff

ectiv

ely

wic

ked

away

from

the

skin

.

Cla

ssic

Wra

p

R

ou

nd

Bo

otT

M

ned

for t

hose

who

requ

ire a

ntiv

e fo

otw

ear.

ed b

y th

eop

of t

he

the

day

to

pora

ting

a lo

wor

n ou

tsid

e as

he w

eare

r.

tyof

the

shoe

.

TM

The

Slim

line

Wra

p Ro

und

Boot

™ is

for c

lient

s w

ho

have

few

er c

halle

nges

from

sw

olle

n fe

et, a

nd w

ho

do n

ot re

quire

the

full

wid

th o

f the

Cla

ssic

ser

ies.

A

furt

her b

enefi

t is

that

the

narr

ow w

idth

mea

ns

the

Slim

line

serie

s is

less

bul

ky a

nd lo

oks

mor

e lik

e or

dina

ry fo

otw

ear.

Slim

line

W

rap

Ro

un

d

Bo

otT

M

As c

ompa

red

with

the

foot

wea

r on

the

prev

ious

two

page

s, th

e Pr

essu

re C

are

Boot

’s o

pen

toe

desig

n al

low

s toe

sepa

ratio

n an

d in

spec

tion,

with

out t

he n

eed

to re

mov

e th

e sh

oe.

The

Velc

ro®

str

aps

arou

nd th

e he

el a

nd a

cros

s th

e in

step

allo

w

the

shoe

to b

e op

ened

fully

and

adj

uste

d to

ens

ure

that

the

shoe

mou

lds

com

fort

ably

to th

e sh

ape

of th

e fo

ot, a

nd c

an

be a

djus

ted

as re

quire

d to

acc

omm

odat

e an

y ch

ange

s in

foot

si

ze th

roug

h th

e da

y. T

he lo

w p

rofil

e ru

bber

sol

e en

sure

s th

e fr

eedo

m to

exp

erie

nce

the

com

fort

and

sup

port

of t

he P

ress

ure

Care

Boo

t™, b

oth

insi

de a

nd o

ut.

The

Pres

sure

Car

e Bo

ot™

is de

signe

d to

pr

ovid

e co

mfo

rt, s

uppo

rt, a

nd fr

eedo

m to

thos

e

at ri

sk fr

om sk

in u

lcers

of t

he fo

ot o

r ank

le.

Cla

ssic

Wra

p R

ou

nd

Bo

ot™

(Pa

ir)

Ord

er

Co

de

Na

me

De

scri

pti

on

0024

35W

RB X

XSW

rap

Roun

d Bo

ot™

Ext

ra E

xtra

Sm

all

0024

42W

RB X

SW

rap

Roun

d Bo

ot™

Ext

ra S

mal

l

0024

59W

RB S

Wra

p Ro

und

Boot

™ S

mal

l

0024

66W

RB M

Wra

p Ro

und

Boot

™ M

ediu

m

0024

73W

RB L

Wra

p Ro

und

Boot

™ L

arge

0024

80W

RB X

LW

rap

Roun

d Bo

ot™

Ext

ra L

arge

0024

97W

RBXX

LW

rap

Roun

d Bo

ot™

Ext

ra E

xtra

Lar

ge

Slim

line

Wra

p R

ou

nd

Bo

ot™

(Pa

ir)

Ord

er

Co

de

Na

me

De

scri

pti

on

0034

49SL

XXS

Slim

line

Extr

a Ex

tra

Smal

l

0034

56SL

XS

Slim

line

Extr

a Sm

all

0034

63SL

SSl

imlin

e Sm

all

0034

70SL

MSl

imlin

e M

ediu

m

0034

87SL

LSl

imlin

e La

rge

0034

94SL

XL

Slim

line

Extr

a La

rge

0035

00SL

XXL

Slim

line

Extr

a Ex

tra

Larg

e

Pres

sure

C

are

Bo

otT

M

w e

Pre

ssu

re C

are

Bo

ot™

(Pa

ir)

Ord

er

Co

de

Na

me

De

scri

pti

on

0023

50PC

B XX

SPr

essu

re C

are

Boot

™ E

xtra

Ext

ra S

mal

l

0022

99PC

B XS

Pres

sure

Car

e Bo

ot™

Ext

ra S

mal

l

0023

05PC

B S

Pres

sure

Car

e Bo

ot™

Sm

all

0023

12PC

B M

Pres

sure

Car

e Bo

ot™

Med

ium

0023

29PC

B L

Pres

sure

Car

e Bo

ot™

Lar

ge

0023

36PC

B XL

Pres

sure

Car

e Bo

ot™

Ext

ra L

arge

0023

43PC

B XX

LPr

essu

re C

are

Boot

™ E

xtra

Ext

ra L

arge

ot™

is fo

r clie

nts

who

wol

len

feet

, and

who

of

the

Clas

sic

serie

s.ar

row

wid

thm

eans

9

The

Shor

t Slip

per B

oot™

is d

esig

ned

to p

rovi

de

full f

oot p

rote

ctio

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nd is

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l for

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door

s bot

h in

and

out

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ed.

Sho

rt S

lipp

er B

oo

tTM

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l Pro

tect

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Prot

ectio

n of

the

who

le lo

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akes

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oot™

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or p

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nece

ssar

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curit

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thos

e at

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cers

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r th

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r pro

blem

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cro®

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tire

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eet a

re

acco

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ated

secu

rely

and

co

mfo

rtab

ly, d

espi

te a

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ellin

g,

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can

be re

adily

adj

uste

d

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quire

d. T

his a

lso e

nsur

es

that

the

boot

can

be

used

in

conj

unct

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with

com

pres

sion

band

ages

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uppo

rt h

osie

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open

toe

desi

gn e

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ratio

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cilit

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che

ck fo

r blo

od c

ircul

atio

n.

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ectio

n of

the

toes

can

be

carr

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t the

nee

d to

re

mov

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all S

lippe

r Bo

ot™

has

no

sole

, mak

ing

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eal f

or u

se in

door

s, in

clud

ing

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bed

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recl

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cha

ir.

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lippe

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des

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pro

vide

com

fort

, eas

y ad

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supp

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tire

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er le

g.

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oot™

8

Tall

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M

The

woo

l wra

ps a

roun

d th

e he

el a

nd a

nkle

, whi

le

leav

ing

the

rest

of t

he fo

ot u

nenc

umbe

red,

and

is h

eld

in p

lace

by

a Ve

lcro

® s

trap

. Sea

ms

are

posi

tione

d to

be

away

from

any

ski

n ar

eas

at ri

sk o

f ulc

ers.

Sold

in p

airs

, the

Hee

l Pro

tect

or is

mad

e ou

t of o

ur

XD19

00TM

mat

eria

l. XD

1900

TM is

our

ext

ra d

ensi

ty

mat

eria

l, m

ade

from

nat

ural

woo

l, bu

t man

ufac

ture

d in

suc

h a

way

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to im

prov

e th

e w

ool fi

bre

dens

ity a

nd

ther

efor

e th

e pr

otec

tive

prop

ertie

s.

Prov

idin

g se

curit

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mfo

rt to

the

heel

an

d an

kle

area

s, th

e Sh

ear C

omfo

rt™

Hee

l Pr

otec

tor p

rovi

des

effe

ctiv

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even

tion

of s

kin

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reas

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nu

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XD19

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mat

eria

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ain

suc

h a

way

ther

efor

e th

e

Prot

ecto

r pro

vide

s ef

fect

ive

prev

entio

n of

ski

n ul

cers

in th

ese

‘at r

isk’

are

as.

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ro®

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appi

ng a

nd to

ngue

flap

ove

r the

leng

th o

f the

up

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art o

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boo

ts, e

nsur

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re e

asy

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just

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rovi

ding

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ptab

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ecur

ity a

nd

com

fort

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not i

ncor

pora

ting

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le, t

he S

hort

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per B

oot™

m

ould

s m

ore

easi

ly to

the

foot

, and

allo

ws

the

boot

to b

e w

orn

com

fort

ably

in b

ed.

The

bony

pro

min

ence

s of t

he a

nkle

are

one

of t

he a

reas

at

grea

test

risk

of t

issue

bre

akdo

wn,

and

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boot

des

ign

ensu

res

this

area

is fu

lly p

rote

cted

, pro

vidi

ng c

omfo

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crea

sed

prot

ectio

n w

hen

wor

n in

bed

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our f

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p.

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rope

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woo

l also

hel

p to

kee

p fe

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arm

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any

age

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poo

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Sove

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tein

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vant

ages

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ool.

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woo

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garm

ents

it is

this

prot

ein

coat

ing

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giv

es th

e un

ique

feel

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new

w

ool.

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r Com

fort

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ool S

ham

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sham

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il w

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mph

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or th

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eet a

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ur S

tand

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foot

wea

r will

pro

vide

ext

ensiv

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nefit

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r sup

port

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ulat

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mai

nten

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oot s

hape

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reas

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natu

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tren

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lines

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ot m

uscl

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nd jo

ints

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surin

g an

erg

onom

ic, c

omfo

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nd su

ppor

tive

fit.

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60%

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ton

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llow

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n to

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sock

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fect

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allu

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lgus

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Buni

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supp

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hich

redu

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ubbi

ng o

f the

met

atar

sal

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toe)

join

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inst

the

shoe

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enc

oura

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he to

e to

re

st in

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atur

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nce

firm

ly b

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dern

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al so

ck a

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over

s the

foot

from

toe

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rch.

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rt si

ze re

sts j

ust b

elow

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ankl

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r disc

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supp

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varie

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t abo

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Shear Comfort™ Skin Care products are designed to facilitate effective and consistent skin pressure ulcer management. Thus our Skin Care range offers the following benefits: Skin Ulcer Prevention, Wound Healing, Improved Sleep, Cost Efficiencies, Infection Control, Hypoallergenicity, Fire Retardancy.

XD1900™All of these overlay products are also available in our most recent innovation, XD1900™. XD1900™ is our extra density material, also made from natural wool, but manufactured in

such a way as to improve the wool fibre density and therefore the care properties. The manufacturing of the material ensures better consistency in wool density, reduces waste, and is kinder to the environment. At the same time you obtain equal or better shear reduction, pressure redistribution, temperature regulation, and perspiration absorption.

Contact Healthcare Innovations Australia for further information on our Skin Care ranges, or scan this QR code.

Shear ComfortTM

Skin Care For those looking to prevent and rehabilitate pressure ulcers, Shear Comfort™ offers a broad range of skin care products in addition to our footwear range, incorporating the great performance of Shear Comfort™ into overlays, wheelchair covers, and protectors for at-risk areas.

Shear Comfort™ Shoe Size Conversion Charts

M F M F M F M F

XXS 2.0 - 4.0 4.0 - 5.5 2.0 - 3.5 2.0 - 3.0 35.0 - 36.5 34.0 - 35.5 2.0 - 3.5 3.0 - 4.0

XS 4.5 - 5.5 6.0 - 7.0 4.0 - 5.0 3.5 - 4.5 37.0 - 38.0 36.0 - 37.5 4.0 - 5.0 4.5 - 5.5

S 6.0 - 7.5 7.5 - 9.0 5.5 - 7.0 5.0 - 6.5 38.5 - 40.0 38.0 - 40.0 5.5 - 7.0 6.0 - 7.5

M 8.0 - 9.0 9.5 - 10.5 7.5 - 8.5 7.0 - 8.0 41.0 - 43.0 41.0 - 42.5 7.5 - 8.5 8.0 - 9.0

L 9.5 - 10.5 11.0 - 12.0 9.0 - 10.0 8.5 - 9.5 43.5 - 44.5 43.0 - 44.0 9.0 - 10.0 9.5 - 10.5

XL 11.0 - 12.5 12.5 - 14.0 10.5 - 12.0 10.0 - 11.5 45.0 - 46.5 45.0 - 46.5 10.5 - 12.0 11.0 - 12.5

XXL 13.0 - 14.5 14.5 - 16.0 12.5 - 14.0 12.0 - 13.5 47.0 - 49.0 47.0 - 49.0 12.5 - 14.0 13.0 - 14.5

Supporting your needs

Healthcare Innovations Australia PO Box 34, Salisbury South BC, SA 5106T: 1300 499 282 F: 08 8125 5990 Intl T: +61 8 8285 8440 F: +61 8 8125 5990

Email: [email protected] www.hiaus.net.au© 2015 Healthcare Innovations Australia

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Supporting your needs

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