supporting your needs skin care protection comfort sheepskin...frequently asked questions (faqs)...
TRANSCRIPT
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.
lised
thcare.
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
Th
e
Wool Fibre Structure
Cuticle Cortex Cortical Cell
Microfibril
Microfibril
MatrixTwisted MolecularChain and Helix Coil
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
caThe
undertheir Cu
chairs. Thcirculate wh
A well-positioned armreduce pressure el
padding, this cforearm. O
solutioarm
hey can transfer it easily between different so that they eating environment, allowing air toovides an ideal seati
ressure and shear forces.
to bringof the hes caused be prevented
ors. The FootSingle Foot Plate
come in pairs to
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
12
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
lfor p
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
Heat Transfer (Wm-2) Ranked
Air
tec
Eh
ob
Wa
ffle
Vit
afo
am
Vit
ality
Ro
ho
Ma
ttre
ss
Ka
rom
ed
Tra
nsv
isco
Pa
rkh
ou
se M
em
afl
ex
Hu
ntl
eig
h P
en
tafl
ex
Shea
r Com
fort
™ S
uper
ior
NH
S E
con
om
y M
att
ress
Sp
ina
l Pro
du
cts
Ha
rle
y D
esi
gn
er
Fro
nti
er
Re
po
se
Sp
en
co B
asi
x
Ka
ym
ed
35
30
25
20
15
10
5
0
Heel Peak Interface Pressure (mmHg) Ranked
Air
tec
Eh
ob
Wa
ffle
Vit
afo
am
Vit
ality
Ro
ho
Ma
ttre
ss
Ka
rom
ed
Tra
nsv
isco
Pa
rkh
ou
se M
em
afl
ex
Hu
ntl
eig
h P
en
tafl
ex
Shea
r Co
mfo
rt™
Sup
erio
r
NH
S E
con
om
y M
att
ress
Sp
ina
l Pro
du
cts
Ha
rle
y D
esi
gn
er
Fro
nti
er
Re
po
se
Sp
en
co B
asi
x
Ka
ym
ed
160
140
120
100
80
60
40
20
0
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))
% Relative Humidity at Indenter Interface100
90
80
70
60
50
40
30
20
10
0
Natural Sheepskin (Green)
ca 1200 gsmXD1900TM (Blue)
(1900 gsm)
Sherpa White(700 gsm)
Control(foam bed, no overlay)
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
EE
PS
KINA
US
TR
AL
IAN
HITEMP URAS 4480.1
SIZE
MNF I.D
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
10
41
51
Supporting your needs
Supporting your needs
Foot Care & Protection
by
Supporting your needs
The Shear Comfort™ Footwear Range
and Alluce Valgo® Solution StandEasy Footwear
Ab
ou
t Sh
ear
Co
mfo
rtT
M
This
cat
alog
ue fo
cuss
es o
n th
e Sh
ear C
omfo
rt™
Fo
ot c
are
rang
e. W
e al
so h
ave
a Sk
in c
are
rang
e fo
r tho
se a
t ris
k of
dev
elop
ing
pres
sure
ulc
ers.
To fi
nd o
ut m
ore
cont
act
Hea
lthca
re In
nova
tions
Au
stra
lia o
n 13
00 4
99 2
82,
E: s
ales
@hi
aus.n
et.a
u, o
r vis
it
ww
w.h
iaus
.net
.au
or s
can
the
QR
code
.
Cont
ents
44C
lin
ica
l Be
ne
fitsts
&
Pre
sssu
re R
ed
isttr
ibu
tiooo
n
55D
iabb
Pro
TMMM
Se
rie
s
77P
reess
ure
CCCa
re B
oB
oo
tTM
88S
ho
rttSS
lip
ppe
r B
ooo
tTM
& S
ovve
reig
nnn S
nuu
gT
M
99Ta
ll S
lip
pe
r B
ooo
tTM
& H
ee
l P
rote
ctoo
rs
0110To
tal
Foo
tPP
roooteee
ctccco
r
010S
ha
mp
oo
& C
are
Inn
stttru
ctio
ns
111V
alg
o S
tan
dE
asyy
FFFo
otw
ea
r
66C
lasss
ic c WW
rap
aap
RRRo
un
d B
oo
tTMM
t
& S
limmlin
eeeW
rapp
Ro
un
d B
ooo
to
limmlin
eeeWWW
rap
Ro
un
dBB
oo
tto
tTM
TM
t
Hea
lthca
re In
nova
tions
Aus
tral
ia (H
IA) i
s a p
rovi
der o
f sp
ecia
lised
skin
pro
tect
ion
prod
ucts
for t
he re
quire
men
ts o
f m
oder
n he
alth
care
. We
have
ove
r a d
ecad
e of
exp
erie
nce
in th
e he
alth
care
are
na, b
ecau
se o
f thi
s exp
erie
nce
we
unde
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
n, a
nd is
idea
l for
use
in
door
s bot
h in
and
out
of b
ed.
Sho
rt S
lipp
er B
oo
tTM
Hee
l Pro
tect
or
Prot
ectio
n of
the
who
le lo
wer
le
g m
akes
the
Tall
Slip
per B
oot™
id
eal f
or p
rovi
ding
the
nece
ssar
y se
curit
y to
thos
e at
risk
from
ul
cers
of t
he le
gs a
nd fe
et, o
r th
ose
with
vas
cula
r pro
blem
s.
Gen
erou
s Vel
cro®
stra
ppin
g up
th
e en
tire
boot
ens
ures
that
m
ost l
ower
legs
or f
eet a
re
acco
mod
ated
secu
rely
and
co
mfo
rtab
ly, d
espi
te a
ny sw
ellin
g,
and
can
be re
adily
adj
uste
d
as re
quire
d. T
his a
lso e
nsur
es
that
the
boot
can
be
used
in
conj
unct
ion
with
com
pres
sion
band
ages
or s
uppo
rt h
osie
ry.
The
open
toe
desi
gn e
nsur
es
toe
sepa
ratio
n, a
nd th
e fa
cilit
y to
che
ck fo
r blo
od c
ircul
atio
n.
Insp
ectio
n of
the
toes
can
be
carr
ied
out w
ithou
t the
nee
d to
re
mov
e th
e bo
ot. T
he T
all S
lippe
r Bo
ot™
has
no
sole
, mak
ing
it id
eal f
or u
se in
door
s, in
clud
ing
in
bed
or a
recl
ined
cha
ir.
The
Tall S
lippe
r Boo
t™ is
des
igne
d to
pro
vide
com
fort
, eas
y ad
just
men
t, pr
otec
tion,
and
supp
ort t
o th
e en
tire
low
er le
g.
9
Tall
Sli
pp
er
Bo
ot
XD
19
00
™ (P
air
)
Ord
er
Co
de
Na
me
De
scri
pti
on
0051
15XD
TSB
Tall
Slip
per B
oot™
8
Tall
Slip
per
Bo
otT
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
as
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
y an
d co
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
e pr
even
tion
of s
kin
ulce
rs in
thes
e ‘a
t ris
k’ a
reas
.
Sove
reig
n S
nu
gT
M
XD19
00 m
mat
eria
l, m
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.
The
Velc
ro®
str
appi
ng a
nd to
ngue
flap
ove
r the
leng
th o
f the
up
per p
art o
f the
boo
ts, e
nsur
es th
ey a
re e
asy
to p
ut o
n an
d ad
just
thro
ugho
ut th
e da
y, p
rovi
ding
ada
ptab
le s
ecur
ity a
nd
com
fort
. By
not i
ncor
pora
ting
a so
le, t
he S
hort
Slip
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
the
boot
des
ign
ensu
res
this
area
is fu
lly p
rote
cted
, pro
vidi
ng c
omfo
rt a
nd in
crea
sed
prot
ectio
n w
hen
wor
n in
bed
, or w
ith y
our f
eet u
p.
The
natu
ral p
rope
rtie
s of
woo
l also
hel
p to
kee
p fe
et w
arm
, be
nefit
ting
thos
e of
any
age
with
poo
r circ
ulat
ion,
and
for
man
y pr
ovid
ing
alle
viat
ion
of th
e pa
in o
f art
hriti
s.
The
Sove
reig
n Sn
ugTM
has
a s
hort
er w
ool p
ile th
an
our o
ther
foot
wea
r, w
hich
giv
es it
a s
limm
er lo
ok
and
a re
duce
d bu
lk. W
ith V
elcr
o® fa
sten
ings
and
a
non-
slip
sued
e so
le, t
he S
over
eign
Snu
gTM o
ffer
s co
mfo
rt a
nd s
uppo
rt to
the
wea
rer a
nd is
idea
l for
us
e ar
ound
the
hom
e or
whi
lst tr
avel
ling.
The
Sove
reig
n Sn
ug si
zes h
ave
been
refo
rmul
ated
to m
atch
the
sizin
g ta
ble
on th
e ba
ck c
over
. As a
resu
lt th
e fo
rmer
M is
now
des
crib
ed a
s an
S.
Sh
ort
Sli
pp
er
Bo
ot™
(Pa
ir)
Ord
er
Co
de
Na
me
De
scri
pti
on
0023
67SS
B XX
SSh
ort S
lippe
r Boo
t™ E
xtra
Ext
ra S
mal
l
0023
74SS
B XS
Shor
t Slip
per B
oot™
Ext
ra S
mal
l
0023
81SS
B S
Shor
t Slip
per B
oot™
Sm
all
0023
98SS
B M
Shor
t Slip
per B
oot™
Med
ium
0024
04SS
B L
Shor
t Slip
per B
oot™
Lar
ge
0024
11SS
B XL
Shor
t Slip
per B
oot™
Ext
ra L
arge
0024
28SS
B XX
LSh
ort S
lippe
r Boo
t™ E
xtra
Ext
ra L
arge
Sh
ort
Slip
pe
r B
oo
t X
D1
90
0™
(Pa
ir)
Ord
er
Co
de
Na
me
De
scri
pti
on
0033
40XD
SSB
XXS
Shor
t Slip
per B
oot™
Ext
ra E
xtra
Sm
all
0033
57XD
SSB
XSSh
ort S
lippe
r Boo
t™ E
xtra
Sm
all
0031
80XD
SSB
SSh
ort S
lippe
r Boo
t™ S
mal
l
0031
97XD
SSB
MSh
ort S
lippe
r Boo
t™ M
ediu
m
0032
03XD
SSB
LSh
ort S
lippe
r Boo
t™ L
arge
0033
64XD
SSB
XLSh
ort S
lippe
r Boo
t™ E
xtra
Lar
ge
0035
17XD
SSB
XXL
Shor
t Slip
per B
oot™
Ext
ra E
xtra
Lar
ge
He
el
Pro
tect
or
XD
19
00
™ (P
air
)
Ord
er
Co
de
Na
me
De
scri
pti
on
0022
68XD
HP
SXD
1900
TM H
eel P
rote
ctor
Sm
all
0022
75XD
HP
MXD
1900
TM H
eel P
rote
ctor
Med
ium
0022
82XD
HP
LXD
1900
TM H
eel P
rote
ctor
Lar
ge
T t
So
vere
ign
Sn
ug
™ (P
air
)
Ord
er
Co
de
Na
me
De
scri
pti
on
0025
58SN
UG
SSo
vere
ign
Snug
Sm
all
0025
65SN
UG
MSo
vere
ign
Snug
Med
ium
0025
72SN
UG
LSo
vere
ign
Snug
Lar
ge
To
tal
Foo
t P
rote
cto
rO
rde
r C
od
eN
am
eD
esc
rip
tio
n
0052
52SB
TFP
Tota
l Foo
t Pro
tect
or (S
ingl
e)
Tota
l Fo
ot
Pro
tect
or
11
The
Shea
r Com
fort
™ T
otal
Foo
t Pro
tect
or is
des
igne
d to
pro
vide
pr
otec
tion
and
com
fort
for t
he w
hole
foot
, pro
vidi
ng e
xtra
pro
tect
ion
for t
he a
nkle
and
hee
l are
a. T
his
prod
uct g
ives
bro
ader
pro
tect
ion
than
the
heel
pro
tect
or, a
nd is
the
idea
l pro
duct
whe
re p
rote
ctio
n is
ne
eded
for j
ust t
he o
ne fo
ot.
O
ne s
ize
fits
all.
Sold
sin
gly.
Pure
new
woo
l has
a c
oatin
g of
pro
tein
ove
r an
d ar
ound
eac
h fib
re w
hich
act
s as
a s
hiel
d an
d co
ntrib
utes
to th
e ai
r circ
ulat
ion
whi
ch
prov
ides
the
uniq
ue c
omfo
rt a
nd th
erap
eutic
ad
vant
ages
of w
ool.
On
woo
llen
garm
ents
it is
this
prot
ein
coat
ing
that
giv
es th
e un
ique
feel
of p
ure
new
w
ool.
Shea
r Com
fort
™ W
ool S
ham
poo
and
Cond
ition
er re
mov
es st
ains
and
con
tain
s a
cond
ition
ing
agen
t to
lubr
icat
e th
e le
athe
r and
en
hanc
e th
e pe
rform
ance
of t
he w
ool fi
bre.
The
sham
poo
incl
udes
Tea
Tre
e O
il w
hich
is
an a
ntib
acte
rial a
gent
pro
tect
ing
agai
nst
bact
eria
l gro
wth
, con
trol
ling
cros
s in
fect
ion,
an
d pr
even
ting
odou
rs, p
artic
ular
ly in
med
ical
an
d ba
by p
rodu
cts.
Cott
on, L
ycra
, and
ela
stic
nyl
on y
arns
are
wov
en in
to
band
s tha
t mov
e w
ith th
e fo
ot d
urin
g w
alki
ng, p
rodu
cing
a
mas
sagi
ng a
ffec
t tha
t ass
ists w
ith ly
mph
dra
inag
e an
d fir
min
g of
the
mus
cles
of t
he fe
et. F
or th
ose
on th
eir f
eet a
ll da
y, o
ur S
tand
Easy
foot
wea
r will
pro
vide
ext
ensiv
e be
nefit
s fo
r sup
port
, circ
ulat
ion,
and
mai
nten
ance
of f
oot s
hape
.
The
diff
eren
t wea
ve li
nes a
nd a
reas
of e
last
icity
resp
ect
the
natu
ral s
tren
gth
lines
of t
he fo
ot m
uscl
es a
nd jo
ints
, en
surin
g an
erg
onom
ic, c
omfo
rtab
le, a
nd su
ppor
tive
fit.
The
60%
cot
ton
cont
ent a
llow
s ski
n to
bre
athe
, mak
ing
sure
the
sock
rem
ains
com
fort
able
all
day
long
. Fee
t tha
t are
af
fect
ed b
y H
allu
x Va
lgus
or ‘
Buni
ons’
can
be
relie
ved
by th
e
targ
eted
supp
ort w
hich
redu
ces r
ubbi
ng o
f the
met
atar
sal
(big
toe)
join
t aga
inst
the
shoe
, and
enc
oura
ges t
he to
e to
re
st in
a n
atur
al p
ositi
on o
nce
firm
ly b
ound
in th
e fo
otw
ear.
The
Stan
dEas
y fo
otw
ear i
s ava
ilabl
e in
4 st
yles
for d
iffer
ent
lifes
tyle
nee
ds. T
he M
inim
ax
may
be
wor
n un
dern
eath
a
norm
al so
ck a
nd c
over
s the
foot
from
toe
to a
rch.
The
S
ho
rt si
ze re
sts j
ust b
elow
the
ankl
e fo
r disc
reet
supp
ort i
n a
varie
ty o
f foo
twea
r, an
d th
e M
ed
ium
size
rest
s jus
t abo
ve
the
ankl
e fo
r ext
ra w
arm
th a
nd a
nkle
supp
ort.
The
Lo
ng
vers
ion
asce
nds t
o m
id-c
alf t
o re
lieve
swol
len
ankl
es w
hich
ca
n so
met
imes
bec
ome
pinc
hed
by th
e sh
orte
r ver
sions
. All
styl
es a
re a
vaila
ble
in b
lack
or w
hite
.
‘Allu
ce V
algo
® S
olut
ion’
Sta
ndEa
sy Fo
otw
ear i
s a te
chno
logi
cally
inno
vativ
e ph
ysio
ther
apeu
tic to
ol d
esig
ned
to
embr
ace
the
foot
and
aid
it in
its f
unct
ions
, for
thos
e on
thei
r fee
t all d
ay, w
heth
er st
andi
ng, w
alkin
g, o
r run
ning
.
Min
imax
Med
ium
Shor
tLo
ng
pro
vide
tr
a pr
otec
tion
prot
ectio
n pr
otec
tion
is
Sha
mp
oo
C
are
In
stru
ctio
ns
&
Sh
am
po
oO
rde
r C
od
eN
am
eD
esc
rip
tio
n
0025
27Sh
ampo
o 25
0ml
Woo
l Sha
mpo
o 25
0ml B
ottle
0009
05Sh
ampo
o 1L
Woo
l Sha
mpo
o 1L
itre
Bott
le
All
uce
Va
lgo
® S
tan
dE
asy
Fo
otw
ea
r
Na
me
De
scri
pti
on
S
(1
-3 A
us)
M
(4-6
Au
s)
L
(7-8
Au
s)
XL
(9-1
1 A
us)
Stan
dEas
y M
inim
ax W
hite
M
id-a
rch
Stan
dEas
y Fo
otw
ear,
whi
te10
587
1060
010
624
n/a
Stan
dEas
y M
inim
ax B
lack
Mid
-arc
h St
andE
asy
Foot
wea
r, bl
ack
1059
410
617
1063
1n/
a
Stan
dEas
y Sh
ort W
hite
Trai
ner-s
tyle
Sta
ndEa
sy F
ootw
ear,
whi
te10
044
1006
810
082
1010
5
Stan
dEas
y Sh
ort B
lack
Trai
ner-s
tyle
Sta
ndEa
sy F
ootw
ear,
blac
k10
051
1007
510
099
1011
2
Stan
dEas
y M
ediu
m W
hite
Ankl
e-le
ngth
Sta
ndEa
sy F
ootw
ear,
whi
te10
129
1014
310
167
1018
1
Stan
dEas
y M
ediu
m B
lack
Ankl
e-le
ngth
Sta
ndEa
sy F
ootw
ear,
blac
k10
136
1015
010
174
1019
8
Stan
dEas
y Lo
ng W
hite
Long
-leng
th S
tand
Easy
Foo
twea
r, w
hite
1020
410
228
1024
210
266
Stan
dEas
y Lo
ng B
lack
Long
-leng
th S
tand
Easy
Foo
twea
r, bl
ack
1021
110
235
1025
910
273
Siz
e C
ha
rt
S
1 - 3
34 - 3
61
- 3
M4
- 637
- 39
4 - 6
L7
- 840
- 42
7 - 8
XL
9 - 1
143
- 45
9 - 1
1
and
cont
ribut
es to
the
air
prov
ides
the
uniq
ue c
omfo
adva
ntag
es o
f woo
l.
olle
n ga
rmen
ts it
is t
On
woo
llen
gth
at g
ives
the
uniq
ue fe
el o
that
giv
es th
e un
ique
woo
l. Sh
ear C
omfo
rt™
Woo
ear C
omfo
rt™
Woo
Ord
er
Co
0025
27
0009
05
Dealer Stamp
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
EOE: Errors and omissions excepted AC
AT
20
41
51
Supporting your needs
MEDICAL SH
EE
PS
KINA
US
TR
AL
IAN
HITEMP URAS 4480.1
SIZE
MNF I.D