table of contents - henry schein · hypercontrol™ elbow brace • constructed of breathable...

DeRoyal • 200 DeBusk Lane • Powell, TN 37849 • 888.938.7828 • 865.938.7828 • www.deroyal.com

Head/Neck ........................................................................1-2

Traction ................................................................................3

Shoulder/Arm ...................................................................4-5

Elbow ...............................................................................6-7

Wrist/Thumb ...................................................................8-10

Finger ...........................................................................11-12

Abdominal/Rib/Spine .........................................................13

Spine .............................................................................14-17

Knee/Leg .......................................................................18-26

Ankle ............................................................................27-29

Walker ..........................................................................30-32

Foot ..............................................................................32-36

Temperature Therapy ...................................................37-39

Fracture Bracing ................................................................40

Wraps & Bandages ............................................................41

Physician Billing & Accreditation Program ...................42-45

Table of Contents

DeRoyal • 200 DeBusk Lane • Powell, TN 37849 • 888.938.7828 • 865.938.7828 • www.deroyal.com

Dear Valued Customer:

For over thirty-five years, we have been privileged to stand quietly behind you in your emergency departments, orthopedic hospital floors, healthcare clinics, and physical therapy / rehab centers.

We are proud to be the largest supplier of orthopedic softgoods to hospitals and clinics in the nation. The diversity of our product line, the quality inherent in our manufacturing process and our committed staff enable us to offer our customers exceptional products at reasonable prices. Our value added services complement your treatment options when you choose DeRoyal. We serve your patients when they are hospitalized, and we would like to serve them from your office as well. DeRoyal is committed to sharing these resources with you to expand your patient’s treatment options.

This commitment continues - a commitment to providing patients with the best products available today. Using our own raw materials and many modern manufacturing techniques, we make comfortable, affordable products which improve your patients’ quality of life.

We intend for this catalog to provide you with the information necessary to order and use our products. For more information regarding treatment options, billing, accreditation or any other DeRoyal value-added service, please contact your local DeRoyal Sales Representative. To place an order, fax us at 800.543.2182, e-mail [email protected] or call Customer Service directly at 800.251.9864.

Finally, as in any successsful partnership, please let us know how we can best serve you. We strive for continuous improvement based on customer input, and we very much look forward to hearing from you.

Pete DeBuskChairman and CEO, DeRoyal

1DeRoyal • 200 DeBusk Lane • Powell, TN 37849 • 888.938.7828 • 865.938.7828 • www.deroyal.com

XTW Extended Wear Collar

HCPCS Code: L0120

Designed to help restrict flexion, extension, lateral bending and axial rotation•High density polyethylene frame for maximum rigidity and support•Shoulder and mandible contours for increased stability•Anterior and posterior flex tabs for individual comfort•Latex-safe, non-toxic, open-cell liner helps prevent skin breakdown•Five adult and five child sizes to ensure best patient fit•X-ray, CT and MRI lucent•Replacement pad set available upon request•

Indications: Cervical sprains and strains; Cervical spinal stenosis; Cervical disc displacement; Cervical arthritis; Whiplash injury; Cervical spondylosis and spondylolisthesis; Degenerative disc disease; Cervicalgia

Size Collar Collar & Pad SetAdult X-Short 11201000 11202000Adult Short 11211000 11212000Adult Regular 11221000 11222000Adult Tall 11231000 11232000Adult X-Tall 11241000 11242000Infant Short 11251000 11252000Infant Regular 11261000 11262000Child Tot 11271000 11272000Child Short 11281000 11282000Child Regular 11291000 11292000

Medium density foam construction •Breathable cotton stockinette liner•Additional cover included for better patient hygiene•Deep contour holds the head in a neutral position•

Indications: Cervical facet syndrome; Cervical sprains and strains; Discogenic pain; Degenerative disc disease with and without radiculopathy Size Length 2½” 3” 4”Universal 22” 1061-00 1057-00 1056-00X-Small 13” 1061-01 1057-01 —Small 15” 1061-02 1057-02 1056-02Medium 17” 1061-03 1057-03 1056-03Large 18” 1061-04 1057-04 1056-04X-Large 20” 1061-05 1057-05 1056-05

Contoured Foam Cervical Collar

HCPCS Code: L0172

Head/Neck

DeRoyal • 200 DeBusk Lane • Powell, TN 37849 • 888.938.7828 • 865.938.7828 • www.deroyal.com2

Cervical Thoracic Orthosis

Designed to provide immobilization of cervical and upper thoracic spine•Provides anterior/posterior, medial/lateral support and rotational control•Features 3-in-1 system: cervical collar, 2 post collar and 4 post collar•3-in-1 system allows for step down during patient recovery•Latex-safe, non-toxic, hypoallergenic open-cell liner helps prevent skin •breakdown and increase patient complianceReplacement pad set available upon request•

Indications: Stable cervical or high thoracic fractures or dislocations; Post-operative immobilization; Trauma Size Product #Adult Short 11216000Adult Regular 11226000Adult Tall 11236000Adult X-Tall 11246000Pediatric 11256000

HCPCS Code: L0200

Head/Neck


Exo-Static Over-Door/Exo-Bed Traction Unit

Unit comes with standard discard flannel head halter•Includes 12” spreader bar, traction cord and vinyl water bag•Extra support on over-door bar and bracket for increased security•

Indications: Degenerative disc disease; Cervical facet syndrome; Herniated nucleus pulposus with or without radiculopathy; Chronic cervical strains

Over Door Unit w/ 20 lb. BagUniversal 7101-20

Over-Door Traction Kit w/ Deluxe Head Halter

Unit comes with deluxe head halter•12” spreader bar, traction cord and vinyl water bag included•Extra support on over-door bar and bracket for increased security•

Indications: Degenerative disc disease; Cervical facet syndrome; Herniated nucleus pulposus with or without radiculopathy; Chronic cervical strains Size w/ 10 lb. Bag w/ 20 lb. BagMedium 7104-02 7104-22

TractionStandard Over-Door Traction Unit

Unit comes with standard discard flannel head halter•12” spreader bar, traction cord and vinyl water bag included•Fits easily on any door•

Indications: Degenerative disc disease; Cervical facet syndrome; Herniated nucleus pulposus with or without radiculopathy; Chronic cervical strains Size w/ 10 lb. Bag w/ 20 lb. BagUniversal 7102-00 7102-22


Constructed of hook receivable material for infinite adjustability•Soft breathable liner wicks away moisture •Foam pillow provides 35° of abduction•Shoulder and waist straps can be trimmed to desired length•Adjustable for open or closed pouch design•Quick-release buckle on waist strap for ease of application and removal•Adjustable thumb loop to prevent wrist drop•Arm can be positioned more anteriorly or posteriorly depending on the •post-operative requirementsExercise ball packaged with product•Universal right/left•

Indications: Surgical rotator cuff repairs; Anterior glenohumeral capsular reconstruction; Dislocation/subluxation of G-H joint; S/P glenohumeral acromioplasty; Bankart repairs; Soft tissue repairs; Shoulder sprains and strains

Size Pouch Size Product #Small 7” x 16” 11630005Medium 7” x 17” 11630006Large 7” x 18” 11630007X-Large 7” x 19” 11630008

Shoulder P.A.D. II

HCPCS Code: L3670

Shoulder/Arm

Shoulder Abduction Pillow

Constructed of hook receivable material for infinite adjustability•Foam pillow provides 55° of abduction•Adjustable wrist and humeral cuffs for proper positioning•Foam shoulder pad for additional patient comfort•Designed for abduction and immobilization of the shoulder•Universal right/left•

Indications: Acute shoulder instability; Surgical rotator cuff repair; Anterior glenohumeral capsular reconstruction; Acute rotator cuff tendinopathy; Dislocation/subluxation of G-H joint; Acromioclavicular joint dislocations; S/P glenohumeral acromioplasty; Bankart repairs; Soft tissue repairs; Shoulder sprains and strains

Size Pillow Dimensions Product #Small 25¼” x 23¾” 11650005Medium 29½” x 26¾” 11650006Large 30½” x 36” 11650007

HCPCS Code: L3670


Shoulder Immobilizer w/ Foam Straps

Constructed of canvas or lightweight tietex material with foam shoulder and • waist strapsAdjustable straps feature o-ring/hook and loop closure•Thumb loop helps prevent wrist drop•Universal right/left•

Indications: S/P glenohumeral acromioplasty; Surgical repairs of the rotator cuff; Anterior glenohumeral capsular reconstruction; Anterior dislocation of the G-H joint

Size Pouch Size Canvas TietexX-Small 6” x 12½” 9023-00 TX9023-00Small 7” x 13½” 9023-01 TX9023-01Medium 8” x 16½” 9023-02 TX9023-02Large 9” x 19½” 9023-03 TX9023-03X-Large 9” x 22½” 9023-04 TX9023-04

Deep pocket pouch design constructed of black cotton material•Infant and child sizes feature cartoon print •Foam shoulder pad provides additional patient comfort•Thumb loop helps prevent wrist drop•Adjustable slide buckle on strap for best fit•Hook and loop closure with o-rings•

Indications: Cast support; Injuries to the arm, wrist or hand; Acromioclavicular sprains; Anterior glenohumeral dislocations

Size Pouch Size Strap Length Product #Infant 5” x 9” 1” x 21” 11690001Child 6” x 11” 1” x 27” 11690002Small 7” x 13” 2” x 34” 11690005Medium 8” x 17” 2” x 37” 11690006Large 9” x 20” 2” x 37” 11690007 X-Large 9” x 23” 2” x 42” 11690008

Premium Arm Sling

HCPCS Code: L3650

HCPCS Code: A4565(not covered by Medicare)

Shoulder/ArmDeluxe Sling & Swathe

Lightweight perforated foam material provides patient comfort•Adjustable shoulder straps attach to hook receivable sling to ensure accurate fit•Open or closed elbow designs•Swathe attaches at any point on sling•Available in pediatric and extra long versions•Universal right/left•

Indications: S/P glenohumeral acromioplasty; Surgical repairs of the rotator cuff; Anterior glenohumeral capsular reconstruction; Anterior dislocation of the G-H joint

Size Swathe Size Pouch Size Product #Universal 5” x 54” 13” x 19” 9006-00Universal w/ X-Long Swathe 5” x 58” 13” x 19” 9006-50Universal Enclosed Elbow 5” x 54” 17” x 19” 9014-00Universal Pediatric 4½” x 44” 9” x 16½” 9007-00

HCPCS Code: L3650


Premium Tennis Elbow Support

Made of lightweight, ventilated material•Support is low profile increasing patient compliance•Inner pad can be strategically placed for maximum pain relief•D-ring closure for easy application•Universal one size fits all•

Indications: Medial and lateral epicondylitis

Size Measurement Product #Universal 2” x 16” 12870000

PneuGel™ Tennis Elbow Support

Constructed of soft foam material for patient comfort•Concentration of pressure allows compression to be applied where •needed while not constricting uninvolved muscles or blood flowAir/gel removable bladder can be placed in freezer to provide cold therapy•Inflation bulb included to adjust bladder•Universal one size fits all•

Indications: Medial and lateral epicondylitis

Size Measurement Product #Universal 2” x 20” 12840000

Neoprene Elbow Sleeve

⅛• ” neoprene construction provides compression, warmth and supportAnatomically contours to the elbow•Available with or without elbow strap•

Indications: Tendonitis; Osteoarthritis; Arthritis; Olecranon bursitis; Medial and lateral epicondylitis (w/ strap)

ForearmSize Circumference w/o Strap w/ StrapSmall 9” - 10” NE7727-72 NE7728-72Medium 10” - 11” NE7727-73 NE7728-73Large 11” - 12” NE7727-74 NE7728-74X-Large 12” - 14” NE7727-75 NE7728-75XX-Large 14” - 16” NE7727-76 NE7728-76

HCPCS Code: L3701(not covered by Medicare)


HCPCS Code: L3701(w/ strap only)

(not covered by Medicare)

Elbow


Hypercontrol™ Elbow Brace

Constructed of breathable Tri-tex material with four way stretch•Medial and lateral hinges control hyperextension of the elbow•Criss-cross straps assist in controlling hyperextension •Elbow pad protects bony prominence•Proximal and distal straps provide secure fit and help prevent migration•

Indications: Medial/lateral ligament instabilities; Hyperextension of the elbow; UCL sprains; Valgus Extension Overload (VEO); Joint capsular sprains

ForearmSize Circumference* Product #X-Small 8” - 9” 12850004Small 9” - 10” 12850005Medium 10” - 11” 12850006Large 11” - 12” 12850007X-Large 12” - 13” 12850008XX-Large 13” - 14” 12850009XXX-Large 14” - 15” 12850010XXXX-Large 15” - 16” 12850011

*Measure largest circumference of forearm

Breathable foam softgoods are trimmable for a customized fit•Hinge can be easily adjusted in 10-degree increments without tools •(Flexion: 120° to 0° and Extension: 90° to 0°)Loop lock strapping is trimmable to allow for superior fit •Length can be adjusted from 19” to 16”•Universal right/left•

Indications: Post-operative rehabilitation

Size Measurement* Product #Small 6” - 8” EB5000-01Medium 8” - 10” EB5000-02Large 10” + EB5000-03

*Measure from axis of elbow to axis of wrist

Transition Elbow Brace

HCPCS Code: L3710

HCPCS Code: L3760

Elbow


Premium Wrist Splint

Breathable material with four way stretch provides patient comfort•Removable/malleable palmar stay•Low profile and lightweight design•D-ring closures for easy application and removal•Does not extend past distal palmar crease allowing full finger range of motion•

Indications: Mild sprains and strains of the wrist; Tendonitis, Carpal tunnel syndrome; Overuse injuries; Tenosynovitis

Size Length Right LeftX-Small 8” 351XSR 351XSLSmall 8” 351SR 351SLMedium 8” 351MR 351MLLarge 8” 351LR 351LLX-Large 8” 351XLR 351XLLXX-Large 8” 351XXLR 351XXLL

Lace Up Suede Leatherette Wrist Splint

Soft perforated suede leatherette material with nylon tricot lining•Removable/malleable palmar stay•Single pull lace closure for compression and easy adjustment•Does not extend past distal palmar crease allowing full finger range of motion•

Indications: Mild sprains and strains of the wrist; Tendonitis; Carpal tunnel syndrome; Overuse injuries; Tenosynovitis

Size Length Right LeftX-Small 8” 5023-01 5023-06Small 8” 5023-02 5023-07Medium 8” 5023-03 5023-08Large 8” 5023-04 5023-09X-Large 8” 5023-05 5023-10

Black Wrist Splint

Constructed of comfortable black foam material•Malleable palmar stay provides anatomical fit and rigid support•Low profile and lightweight design•D-ring closures for easy application and removal•Does not extend past distal palmar crease allowing full finger range of motion•


HCPCS Code: L3908

HCPCS Code: L3908

HCPCS Code: L3908

Size Length Right Left Length Right LeftPediatric 4” 5073-11 5073-12 — — —X-Small 8” 5073-01 5073-06 10” 5074-01 5074-06Small 8” 5073-02 5073-07 10” 5074-02 5074-07Medium 8” 5073-03 5073-08 10” 5074-03 5074-08Large 8” 5073-04 5073-09 10” 5074-04 5074-09X-Large 8” 5073-05 5073-10 10” 5074-05 5074-10

Wrist/Thumb


Functional Wrist Splint

Soft, microfleece construction for warmth and patient comfort•Extra-wide loop lock strap at wrist (9” version) for compression and support•Malleable thermoplastic palmar stay provides flexible support•Does not extend past the distal palmar crease allowing full finger range of •motion

Indications: Mild sprains and strains of the wrist; Tendonitis, Carpal tunnel syndrome; Overuse injuries; Tenosynovitis; Osteoarthritis; Arthritis

Size Length Right Left Length Right LeftX-Small 7” 12951204 12951104 — — —Small 7” 12951205 12951105 9” 12952205 12952105Medium 7” 12951206 12951106 9” 12952206 12952106Large 7” 12951207 12951107 9” 12952207 12952107X-Large 7” 12951208 12951108 9” 12952208 12952108

Universal Black Foam Wrist Splint

Constructed of comfortable black foam material•Malleable palmar and dorsal stays provide anatomical fit and rigid support•Moveable dorsal stay makes product universal in size•D-ring closures for easy application and removal•


Size Length Right LeftUniversal 7” 5067-01 5067-02

Suede Leatherette Wrist & Wrist/Forearm Splint

Suede leatherette material reduces migration•Unique wedge contour design ensures an intimate fit increasing patient comfort•Extra-wide loop lock strap at wrist for compression and support•Removable/malleable palmar and dorsal stays•Does not extend past the distal palmar crease allowing full finger range of motion•

Indications: Carpal tunnel syndrome; Sprains and strains of the wrist; Post-operative immobilization and rehabilitation; Stable fractures of the distal radius and carpal joints Wrist Wrist/ForearmSize Length Right Left Length Right LeftPediatric — — — 6” 12991202 12991102 Child — — — 9” 12992202 12992102 Small 8” 12982205 12982105 11½” 12993205 12993105 Medium 8” 12982206 12982106 11½” 12993206 12993106 Large 8” 12982207 12982107 11½” 12993207 12993107 X-Large 8” 12982208 12982108 11½” 12993208 12993108

HCPCS Code: L3908

HCPCS Code: L3908

HCPCS Code: L3908

Wrist/Thumb


Premium Wrist & Thumb Splint

Breathable material with four way stretch provides patient comfort•Removable/adjustable thumb and palmar stay•Low profile and lightweight design•D-ring closures for easy application and removal•Does not extend past distal palmar crease allowing full finger range of motion•

Indications: De Quervain’s syndrome; Scaphoid injuries; Carpometacarpal instabilities; Metacarpal fractures; Post cast healing; Gamekeeper’s thumb; Cumulative trauma injuries

Size Length Right LeftX-Small 8” 350XSR 350XSLSmall 8” 350SR 350SLMedium 8” 350MR 350MLLarge 8” 350LR 350LLX-Large 8” 350XLR 350XLLXX-Large 8” 350XXLR 350XXLL

Comfort Cool™ Thumb Wrap

Constructed of thin neoprene that conforms to hand contours •Features tiny perforations for cool, comfortable wear •Soft terry cloth lining•Provides excellent stability without excessive bulk•

Indications: Thumb CMC joint support; CMC joint arthritis/instability; Tenosynovitis of thumb extensors/abductors Size Measurement* Right LeftSmall 6” - 7” 348SR 348SLMedium 7” - 8” 348MR 348MLLarge 8” - 9” 348LR 348LL

*Measure circumference of MP joints

Universal Neoprene Wristlet

Neoprene construction provides compression, warmth and support•Lightweight and low profile design•Hook and loop contact closure for a secure fit•Universal one size fits all•

Indications: Wrist sprains and strains

Size Product #Universal 5019-00

HCPCS Code: L3908(when wrist injury is indicated)

Wrist/Thumb


LMB Spring Finger Extension Assist

High quality Wire-Foam™ construction for a customized fit•Versatile model extends PIP joint with a slight extension effect on MP joint•Designed for patient comfort with an emphasis on distal pad curvature•Tension is adjustable by careful bending•Force:15°flexion≈approx.8oz.;90°flexion≈approx.4lbs.•

Indications: Finger flexion tightness; Boutonniere deformity (allows IP flexion)

Size Measurement* Product # X-Small 2¼” 501AASmall 2⅝” 501AMedium 3” 501BLarge 3½” 501CX-Large 4” 501D

*Measure palmar crease to distal finger crease (extended)

LMB Finger-Hugger

Soft Lycra™ material is breathable for patient comfort and washable • for hygieneTwo positioning capabilities: dynamic extension assist and static • progressive (stays included)Adjustable compression provides gradual edema control•Ideal for DIP, PIP, total finger or thumb•

Indications: Post finger fractures; Sprains; Ligament and tendon injuries; Boutonniere deformity; Mallet finger

Size Measurement* Product # X-Small 1½” 670AABLK Small 2” 670ABLK Medium 2½” 670BBLK Large 3” 670CBLK X-Large 3½” 670DBLK

*Measure MP crease to end of finger (extended)

Finger Dressing/Finger Cage

25 yard roll of tubular bandage•Perfect for all types of dressings•

Dressing Size Width Product #Small Fingers & Toes 5/8” FD1Fingers & Toes, Infants Hands & Feet 1” FD2Small Adult Hands, Arms & Feet, Infant & Child Arms & Feet 1½” FD3

Cage constructed of durable aluminum•Assists in application of tubular finger dressing•Reusable•

Cage Size Diameter Length Product #Small 1” 6” 9150-01Large 1¾” 6” 9150-02

HCPCS Code: L3925

HCPCS Code: L3925

Finger


LMB Finger Splint Kit

Complete assortment of 29 dynamic Wire-Foam™ finger springs and LMB •Finger-Huggers in convenient storage container

Description Product #Complete Kit 6000

Kit Includes:One each of sizes A, B, C of models 502, 503, 504, 508, 601, 602One each of sizes A, B, C, D of models 501, 507One each of models 670ABLK, 670BBLK, 670CBLK(All sizes sold separately)

STAX Finger Splint Kit

Includes an assortment of 30 splints packaged in convenient storage container•Protects distal phalanx and extends the DIP joint•Open tip permits examination of fingertip and nailbed•

Indications: Fingertip injuries; Nailbed injuries; Mallet finger

Description Qty Product #Complete Kit 1 Kit 9122-00Kit Includes:Size 1 5 Each 9121-01Size 2 5 Each 9121-02Size 3 5 Each 9121-03Size 4 5 Each 9121-04Size 5 5 Each 9121-05Size 5½ 2 Each 9121-07Size 6 2 Each 9121-06Size 7 1 Each 9121-08(All sizes sold individually)

Finger


S-I Support Belt

Constructed of non-slip neoprene material to provide compression and allow • stretch for movement Inner adjustable pads can be customized to provide anterior and posterior •support to S-I jointProvides stability to S-I joint reducing strain on the S-I ligaments decreasing • pain and promoting faster healingLow profile, thin material allows belt to be worn comfortably under clothes•Simple hook closure eliminates need for bulky buckles•

Indications: Sacroiliac pain; Sacroiliac joint stability; Sacroiliac ligament strains

Size Length Product #Small/Medium 42” 13480056Large/X-Large 54” 13480078

Premium Sized Abdominal Binder

Constructed of latex-safe knit elastic with soft lining for extended wear and •comfortThree (9”) or four (12”) individual panel design for best patient fit•Unique stitching prevents individual panels from rolling•Hook and loop closure•

Indications: Abdominal muscle strain; Soreness in abdominal region; Post-abdominal surgery

Size Measurement* 9” 12”Small/Medium 30” - 45” 13991000 13981000Medium/Large 46” - 62” 13992000 13982000Large 63” - 74” 13993000 13983000X-Large 75” - 84” 13994000 13984000XX-Large 85” - 94” 13995000 13985000

*Measure circumference of male waist or female hips

Universal Rib Belt

Constructed of latex-safe knit elastic•Solid panel design•Hook and loop closure for ease of application•Available in universal, gender specific styles for best fit •

Indications: Fractured or bruised ribs; Intercostal strains; Costovertebral sprains

Size Dimensions Qty Male FemaleUniversal 6” x 40” 12/Case 13740300 13740400Universal X-Long 6” x 43” 12/Case 13749300 13749400



HCPCS Code: 0621(not covered by Medicare)

Abdominal/Rib/Spine


Elastic/Neoprene Back Support

Constructed of beige or black elastic material •Contoured shape for increased comfort in seated position•Two dynamic side pulls for optimal compression•Neoprene posterior pocket accommodates moldable thermoplastic insert •(insert sold separately)9” posterior height•

Indications: Mild to moderate low back pain; Lumbar muscle weakness; Lumbar sprains and strains; Lumbar instability

WaistSize Circumference Beige BlackSmall 26” - 30” NE7741-02 NE7741-12Medium 30” - 34” NE7741-03 NE7741-13Large 34” - 38” NE7741-04 NE7741-14X-Large 38” - 42” NE7741-05 NE7741-15XX-Large 42” - 46” NE7741-06 NE7741-16XXX-Large 46” - 50” NE7741-07 NE7741-17

Moldable Insert 13860900

Criss-Cross Lumbo Sacral Support

Durable latex-safe elastic construction with hook and loop closure •Contoured waist for maximum comfort•Two elastic side pulls for optimal compression•Four adjustable posterior stays for stability and support•12” posterior height•

Indications: Mild low back pain; Lumbar muscle weakness; Lumbar sprains and strains; Mechanical or discogenic thoracolumbar pain

Size Waist Circumference Product #Universal 26” - 46” 13850000Small 24” - 28” 13850005Small/Medium 28” - 32” 13850056Medium/Large 32” - 36” 13850067Large 36” - 40” 13850007X-Large 40” - 44” 13850008XX-Large 44” - 48” 13850009XXX-Large 48” - 52” 13850010XXXX-Large 52” - 56” 13850011


Spine



Prolign® Lumbar Orthosis

Constructed of hook receivable material with soft breathable liner that wicks •away moisture to help prevent skin breakdownPatented dual, dynamic closure system provides instant full range adjustment • and maximum compressionRigid anterior insert provides support to intra-abdominal and viscera region •helping to unload the spine under gravitational loadAvailable in 15° and 25° spot moldable posterior plastic inserts•Plastic d-rings for ease of application and removal•

Indications: Post-operative lumbar immobilization; Chronic low back pain; Lumbar muscle weakness; Lumbar strains and sprains; Mechanical or discogenic disc disease; Postural support; Degenerative disc disease; IDET procedure; Spinal blocks WaistSize Circumference 15˚ 25˚X-Small 25” - 30” 13501004 13500004 Small 30” - 35” 13501005 13500005 Medium 35” - 40” 13501006 13500006 Large 40” - 45” 13501007 13500007 X-Large 45” - 50” 13501008 13500008 XX-Large 50” - 55” 13501009 13500009

Solace™ Low Profile Back Brace

Soft, breathable material provides cool, comfortable fit increasing patient •complianceAdjustable pulley style closure system is easy to secure and provides •maximum compressionAnterior and posterior plastic inserts provide control and support•Low profile, lightweight design fits easily under patient’s clothing•Plastic d-rings for ease of application and removal•

Indications: Chronic low back pain; Lumbar muscle weakness; Lumbar sprains and strains; Mechanical or discogenic lumbar pain WaistSize Circumference Product #Small 26” - 34” 13400005Medium 32” - 40” 13400006Large 38” - 46” 13400007X-Large 44” - 51” 13400008

HCPCS Code: L0631

HCPCS Code: L0627

Spine


Ultralign®+ Lumbar Sacral Orthosis

Constructed of hook receivable material with soft, breathable liner that •provides a cooler, lighter fitPatented dual dynamic closure system allows infinite adjustability and maximum •compressionCombines heat-moldable plastic inserts (anterior, posterior, lateral) for rigid support•Availablein0˚,15˚or25˚lordosis•Non-tapered (male) and tapered (female) versions available for best patient fit•Mid and low profile versions for short-waisted patients•LSO meets requirements for most L1 to L5 pathologies•

Indications: Post-operative lumbar fusion; Laminectomy or discectomy; Lumbar compression fractures; Degenerative disc disease; Osteoporosis; Spondylolisthesis; Spondylolysis; Spinal stenosis; Facet syndrome

Sizing Guide

Sizing determined by three circumferential measurements:1.1”belowtipofbreastboneorxyphoidprocess2.Aroundnavelorwaist3.Aroundfullestareaoftrochanterorhips

Non-Tapered Xyphoid Waist Trochanter Small 31” - 35” 31” - 35” 31” - 35”Medium 34” - 38” 32” - 38” 34” - 39”Large 37” - 41” 35” - 41” 38” - 42”X-Large 38” - 45” 38” - 45” 38” - 45”XX-Large 45” - 53” 45” - 53” 45” - 53”

Tapered Xyphoid Waist TrochanterSmall 25” - 31” 25” - 31” 27” - 33”Medium 28” - 35” 29” - 36” 32” - 38”Large 32” - 38” 32” - 38” 35” - 41”X-Large 35” - 42” 36” - 42” 38” - 46”XX-Large 40” - 46” 39” - 47” 43” - 49”

Product #Non-Tapered 0º 15º 25º Small UPL1330-0 UPL1330-15 UPL1330-25Medium UPL1430-0 UPL1430-15 UPL1430-25Large UPL1530-0 UPL1530-15 UPL1530-25X-Large UPL1630-0 UPL1630-15 UPL1630-25XX-Large UPL1730-0 UPL1730-15 UPL1730-25

Tapered 0º 15º 25ºSmall UPL2330-0 UPL2330-15 UPL2330-25Medium UPL2430-0 UPL2430-15 UPL2430-25Large UPL2530-0 UPL2530-15 UPL2530-25X-Large UPL2630-0 UPL2630-15 UPL2630-25XX-Large UPL2730-0 UPL2730-15 UPL2730-25

Low Profile Tapered 15º 25º Small UPLP2330-15 UPLP2330-25Medium UPLP2430-15 UPLP2430-25Large UPLP2530-15 UPLP2530-25 X-Large UPLP2630-15 UPLP2630-25 XX-Large UPLP2730-15 UPLP2730-25

Mid Profile Non-Tapered 15º Small UPMP1330-15Medium UPMP1430-15Large UPMP1530-15 X-Large UPMP1630-15 XX-Large UPMP1730-15

HCPCS Code: L0637

Spine


Ultralign®+ Thoracic Lumbar Sacral Orthosis

Constructed of hook receivable material with soft, breathable liner that •provides a cooler, lighter fitPatented dual dynamic closure system allows infinite adjustability and maximum •compressionCombines heat-moldable plastic inserts (anterior, posterior, lateral) for rigid support•Availablein15˚or25˚lordosis•Non-tapered (male) and tapered (female) versions available for best patient fit•DLE (Dorsal Lumbar Extension) or SPK (Sternal Pad Kit) available for maximum •controlLow profile version for short waisted patients•TLSO meets requirements for most T6 to L5 pathologies•

Indications: Post-operative thoracic/lumbar fusion; Laminectomy or discectomy; Compression fractures; Degenerative disc disease; Osteoporosis; Single column instability immobilization; Facet syndrome

SPK

DLE

Sizing Guide

Sizing determined by three circumferential measurements:1.1”belowtipofbreastboneorxyphoidprocess2.Aroundnavelorwaist3.Aroundfullestareaoftrochanterorhips

Non-Tapered Xyphoid Waist Trochanter Small 31” - 35” 31” - 35” 31” - 35”Medium 34” - 38” 32” - 38” 34” - 39”Large 37” - 41” 35” - 41” 38” - 42”X-Large 38” - 45” 38” - 45” 38” - 45”XX-Large 45” - 53” 45” - 53” 45” - 53”

Tapered Xyphoid Waist TrochanterSmall 25” - 31” 25” - 31” 27” - 33”Medium 28” - 35” 29” - 36” 32” - 38”Large 32” - 38” 32” - 38” 35” - 41”X-Large 35” - 42” 36” - 42” 38” - 46”XX-Large 40” - 46” 39” - 47” 43” - 49”

Low Profile

Accessories Product #Dorsal Lumbar Extension UDLE Sternal Pad Kit USPK3 ½” Extension Panels UEP20315 ½” Extension Panels UEP2051

Product #Non-Tapered 15º 25º Small UPT1333-15 UPT1333-25Medium UPT1433-15 UPT1433-25Large UPT1533-15 UPT1533-25X-Large UPT1633-15 UPT1633-25XX-Large UPT1733-15 UPT1733-25

Tapered 15º 25ºSmall UPT2333-15 UPT2333-25Medium UPT2433-15 UPT2433-25Large UPT2533-15 UPT2533-25X-Large UPT2633-15 UPT2633-25XX-Large UPT2733-15 UPT2733-25

Low Profile Tapered 15º 25º Small UPLT2333-15 UPLT2333-25Medium UPLT2433-15 UPLT2433-25Large UPLT2533-15 UPLT2533-25 X-Large UPLT2633-15 UPLT2633-25 XX-Large UPLT2733-15 UPLT2733-25

HCPCS Code: L0458 (w/ or w/o DLE) L0460 (w/ sternal pad)

Spine


Constructed of foam body with durable blue canvas panels•T-bar stays provide optimal strength•Contoured posterior stays for correct anatomical fit•Adjustable medial and lateral panels allow for universal sizing•Patella strap assists with application•Also available in black foam construction•

Indications: Mild to severe knee injuries; Post-operative immobilization; Grade II and III collateral ligament sprain; Patellar dislocations; Osteochondral fractures

Length Canvas Foam 12” 1120917 BF112091714” 1140917 —16” 1160917 BF116091719” 1190917 BF119091722” 1220917 BF122091724” 1240917 BF1240917

*Universal size fits thigh circumference 12” - 24”

Deluxe Tri-Panel Knee Immobilizer

Perforated foam construction for patient comfort and breathability•T-bar stays provide optimal strength•Adjustable medial and lateral stays allow for universal sizing•Elastic straps provide compression helping to reduce edema•

Indications: Mild to severe knee injuries; Post-operative immobilization; Grade II and III collateral ligament sprain; Patellar dislocations; Osteochondral fractures

Length Blue Black12” — BF7072-0116” 7072-02 BF7072-02 20” 7072-03 BF7072-0322” 7072-04 BF7072-0424” 7072-05 BF7072-0526” — BF7072-06

*Universal size fits thigh circumference 12” - 24”

Knee Immobilizer w/ Elastic Straps

HCPCS Code: L1830

HCPCS Code: L1830

Knee/Leg


Constructed of neoprene for durability•Unique bi-lateral strapping allows for greater control of buttress tension over •patellar tendonPull-up design helps promote compliance and reduce migration•Low-profile design provides patient comfort•

Indications: Patella tendonitis; Osgood-Schlatter’s disease; Jumper’s knee

Size Measurement* Product #X-Small 11” - 12” 14640004 Small 12” - 13” 14640005 Medium 13” - 14” 14640006 Large 14” - 15” 14640007 X-Large 15” - 16” 14640008 XX-Large 16” - 17” 14640009

*Measure knee circumference below patella

Patella Band

Full Length Patella Stabilizer

⅛”• neoprene construction provides warmth, compression and supportAlso available in breathable Tri-tex material•Full-length design for maximum support and compression•Unique strapping system pulls patella into desired position•Horseshoe-shaped pad can be placed on medial or lateral side of patella•Medial and lateral hinges for additional ligament support (Tri-tex only)•

Indications: Medial or lateral patella subluxation; Chondromalacia; Patellofemoral tracking dysfunction

Neoprene Neoprene Tri-tex Tri-texSize Measurement* Right Left Right LeftX-Small 13½” - 15½” NEP779371R NEP779371L 14840204 14840104Small 15½” - 18” NEP779372R NEP779372L 14840205 14840105Medium 18” - 20½” NEP779373R NEP779373L 14840206 14840106Large 20½” - 23” NEP779374R NEP779374L 14840207 14840107X-Large 23” - 25½” NEP779375R NEP779375L 14840208 14840108XX-Large 25½” - 28” NEP779376R NEP779376L 14840209 14840109

*Measure circumference 6” above mid-patella

HCPCS Code: L1810 (w/ hinges) L1800 (w/o hinges)

(L1800 not covered by Medicare)

Knee/Leg


Concise Patella Stabilizer

• ⅛” neoprene construction provides warmth, compression and support• Also available in breathable Tri-tex material• Low-profile design allows for increased range of motion during activity• Unique strapping system pulls patella into desired position• Universal right/left

Indications: Medial or lateral patella subluxation; Chondromalacia; Patellofemoral tracking dysfunction

Size Measurement* Neoprene Tri-texX-Small 13½” - 15½” NEP7790-71 14750004Small 15½” - 18” NEP7790-72 14750005Medium 18” - 20½” NEP7790-73 14750006Large 20½” - 23” NEP7790-74 14750007X-Large 23” - 25½” NEP7790-75 14750008XX-Large 25½” - 28” NEP7790-76 14750009


Visco Elastic Knee Support

Visco elastic construction with four way stretch for maximum compression•Silicone buttress option features spiral stays•Closed patella design•

Indications: Grade I collateral ligament sprain; Knee sprains and strains; Osteoarthritis; Mild joint effusion; Baker’s cyst; Bursitis; Pes anserinus

Size Measurement* w/o Buttress w/ ButtressX-Small 13½” - 15½” 14761004 14801004Small 15½” - 18” 14761005 14801005Medium 18” - 20½” 14761006 14801006Large 20½” - 23” 14761007 14801007X-Large 23” - 25½” 14761008 14801008XX-Large 25½” - 28” 14761009 14801009XXX-Large 28” - 30½” 14761010 14801010




Universal Knee Support

⅛• ” neoprene construction provides warmth, compression and supportAnterior wrap around strapping above and below knee helps prevent •migrationEnclosed tubular buttress for desired patella position•Universal adult and pediatric sizes available•

Indications: Grade I collateral ligament sprain; Patellar subluxation; Chondromalacia; Patella tendonitis; Patellofemoral tracking dysfunction; Quadricep tendonitis; Plica syndrome

Size Measurement* Product #Adult up to 25” NE7710-70Pediatric up to 12” NE7710-71



Knee/Leg


Knee Support w/ Trimmable Buttress

⅛• ” neoprene construction provides warmth, compression and supportEnclosed tubular buttress can be trimmed for desired patella position•

Indications: Grade I collateral ligament sprain; Patellar subluxation; Chondromalacia; Patella tendonitis; Patellofemoral tracking dysfunction; Quadricep tendonitis; Plica syndrome

Size Measurement* Product #X-Small 13½” - 15½” NE7717-71Small 15½” - 18” NE7717-72Medium 18” - 20½” NE7717-73Large 20½” - 23” NE7717-74X-Large 23” - 25½” NE7717-75XX-Large 25½” - 28” NE7717-76XXX-Large 28” - 30½” NE7717-77



Deluxe Knee Support w/ Trimmable Buttress

⅛• ” neoprene construction provides warmth, compression and supportAnterior strapping above and below knee helps prevent migration while •medial/lateral stays provide additional stabilityEnclosed tubular buttress can be trimmed for desired patella position•Available in open or closed popliteal•

Indications: Grade I collateral ligament sprain; Patellar subluxation; Chondromalacia; Patella tendonitis; Patellofemoral tracking dysfunction; Patellar dislocation; Quadricep tendonitis; Plica syndrome Closed OpenSize Measurement* Popliteal PoplitealX-Small 13½” - 15½” NE7718-71 14882004Small 15½” - 18” NE7718-72 14882005Medium 18” - 20½” NE7718-73 14882006Large 20½” - 23” NE7718-74 14882007X-Large 23” - 25½” NE7718-75 14882008XX-Large 25½” - 28” NE7718-76 14882009XXX-Large 28” - 30½” NE7718-77 14882010



Knee/Leg


¼” neoprene construction provides warmth, compression and support•Medial and lateral hinges with range of motion at 0°, 15°, 30° and 45° to •limit extensionCovered hinges allow brace to be worn during contact sports•Elastic straps above and below knee help prevent migration•Superior felt buttress helps control patella•

Indications: Grade I collateral ligament sprain; Mild ACL/ PCL sprain; Grade I varus and valgus instability; Patellar subluxations; Osteoarthritis

Size Measurement* Product #Small 13” - 14” NE7722-72 Medium 14” - 15” NE7722-73 Large 15” - 17” NE7722-74 X-Large 17” - 18” NE7722-75 XX-Large 18” - 20” NE7722-76 XXX-Large 20” - 22” NE7722-77

*Measure knee circumference below patella

Deluxe Hinged Knee Support

HCPCS Code: L1810

Tri-tex construction serves as a breathable alternative to neoprene•Anatomical design features unique strapping system at the back of the knee •to help prevent hyperextensionPull up or wrap around designs available•Dual adjustable buttresses for maximum patella stabilization (pull up only)• Extension tabs at the thigh and calf accomodate circumferential variances •(pull up only)Superior adjustability for patient comfort•

Indications: Grade I or II collateral ligament sprain; Mild ACL/PCL sprain; Grade I varus and valgus instability

Size Measurement* Pull Up Wrap AroundX-Small 13½” - 15½” 14630004 —Small 15½” - 18” 14630005 14910005Medium 18” - 20½” 14630006 14910006Large 20½” - 23” 14630007 14910007X-Large 23” - 25½” 14630008 14910008XX-Large 25½” - 28” 14630009 14910009XXX-Large 28” - 30½” 14630010 14910010


Hypercontrol™ Knee Brace

HCPCS Code: L1810

Knee/Leg


”Genucentric” hinge design tracks the knee’s instantaneous center of motion •throughout range of motionBreathable Tri-tex material helps keep skin cool by wicking away moisture •Darlex-lined popliteal region helps prevent material from bunching•Pull up or wrap around designs available•Two half-moon shaped buttresses can be aligned in desired position for •patellar control (pull up style only)Optional extension (0°, 5°, 10° and 15°) and flexion (0°, 25°, 45°, 75° and •100°) stopsExtension tabs at thigh and calf region accommodate circumferential •variances (pull up style only)Features pull-tabs to aid in donning•

Indications: Mild to moderate ACL, PCL, MCL, LCL; Combined ligament instabilities; Patellar subluxation

Warrior® Knee Brace

Regular Regular Short ShortSize Measurement* Pull Up Wrap Around Pull Up Wrap AroundSmall 15½” - 18” 14612005 14611005 14582005 14581005Medium 18” - 20½” 14612006 14611006 14582006 14581006Large 20½” - 23” 14612007 14611007 14582007 14581007X-Large 23” - 25½” 14612008 14611008 14582008 14581008XX-Large 25½” - 28” 14612009 14611009 14582009 14581009XXX-Large 28” - 30½” 14612010 14611010 14582010 14581010


HCPCS Code: L1832

Transition Knee Brace

Drop-lock design offers easy access for pin adjustment•Range of motion can be set in 10° increments•Superior and inferior score zones for length adjustment•Dial can be locked to encourage patient compliance•Circumferential loop lock straps allow for even compression•Trimmable softgoods available in full or cool foam options•

Indications: Post-operative stabilization and rehabilitation; Post total knee replacement; Post ORIF; Fractures of the femur, tibia, fibula or patella; Ligament reconstructive procedures; Meniscal repairs; Post-fracture management

Description Length Adjustment Product #Full Foam 23” - 17” KB5000-00Cool Foam 23” - 17” KB5000-01Full Foam, X-Long 26” - 20” KB5000-02

Cool Foam

HCPCS Code: L1832

Knee/Leg


Snap-lock hinge cover design with simple pin adjustment•Range of motion can be set at 5°, 15°, 30°, 60° or 90° of flexion and 0°, 15°, 30°, •60° or 90° of extensionSuperior and inferior score zones for length adjustment•Circumferential loop lock straps allow for even compression•Trimmable softgoods available in full or cool foam options•

Indications: Post-operative stabilization and rehabilitation; Post total knee replacement; Post ORIF; Fractures of the femur, tibia, fibula or patella; Ligament reconstructive procedures; Meniscal repairs; Post-fracture management

Description Length Adjustment Product #Full Foam 23” - 17” KB6000-00Cool Foam 23” - 17” KB6000-01

Cool Foam

Slimline II Knee Brace

HCPCS Code: L1832

M.4® OA Knee Brace

Provides exact and effective valgus and varus pressure adjustment exerted •close to the knee jointPhysioglide® hinge closely mimics normal knee motion•Patented flex bar allows transfer of force across joint removing pressure on •affected compartment4 point frame design to provide a precise fit to eliminate migration•Ultraflat, lightweight and low profile frame and hinge constructed of •Avional® aluminum is 30% more rigid than other aluminum alloy technologies of the same weightSoft grip straps and padding are comfortable and slip resistant to prevent •migration

Indications: Moderate to severe unicompartmental osteoarthritis

Thigh Varus/Medial Valgus/LateralSize Circumference* Left Right Left RightX-Small 12¼” - 14½” 14501104 14501204 14502104 14502204Small 14½” - 17¾” 14501105 14501205 14502105 14502205Medium 17¾” - 20” 14501106 14501206 14502106 14502206Large 20” - 22½” 14501107 14501207 14502107 14502207X-Large 22½” - 25½” 14501108 14501208 14502108 14502208XX-Large 25½” - 29” 14501109 14501209 14502109 14502209


HCPCS Code: L1845

Knee/Leg


M.4® ACL Knee Brace

Physioglide® hinge closely mimics normal knee motion•4 point frame design to provide a precise fit to eliminate migration•Ultraflat, lightweight and low profile frame and hinge constructed of •Avional® aluminum is 30% more rigid than other aluminum alloy technologies of the same weightSoft grip straps and padding are comfortable and slip resistant to prevent •migration

Indications: Mild to moderate ACL, PCL, MCL, LCL; Combined ligament instabilities

ThighSize Circumference* Left Right X-Small 12¼” - 14½” 14510104 14510204Small 14½” - 17¾” 14510105 14510205Medium 17¾” - 20” 14510106 14510206Large 20” - 22½” 14510107 14510207X-Large 22½” - 25½” 14510108 14510208XX-Large 25½” - 29” 14510109 14510209


HCPCS Code: L1845

Flexgard™ ACL Knee Brace

”Genucentric” hinge design tracks the knee’s instantaneous center of motion •throughout range of motion •Full body frame is lightweight and low profile for improved patient comfort and fitEight moldable contour zones to achieve an intimate fit and help prevent migration•0°, 5°, 10° and 15° extension stops•

Indications: Mild to moderate ACL, PCL, MCL, LCL; Combined ligament instabilities

Max Thigh Knee Max Calf Medial/ Size Circumference* Circumference* Circumference* Lateral* Left RightSmall 19½” 13½” - 14¾” 14” 3⅞” - 4¼” 14761105 14761205 Medium 21½” 14¾” - 16” 15¼” 4¼” - 4⅝” 14761106 14761206 Large 23½” 16” - 17¼” 17” 4⅝” - 5” 14761107 14761207 X-Large 25½” 17¼” - 18½” 18½” 5” - 5½” 14761108 14761208

*Measure thigh, knee and calf circumference and medial-lateral width

HCPCS Code: L1845

Knee/Leg


Thigh Sleeve

⅛• ” neoprene construction provides warmth, compression and supportAnatomically contoured to provide compression and support during healing•

Indications: Quadriceps, adductor and hamstring strains Mid ThighSize Circumference Product #X-Small 18” - 19” NE7734-71Small 19” - 20” NE7734-72 Medium 20” - 22” NE7734-73 Large 22” - 25” NE7734-74 X-Large 25” - 28” NE7734-75XX-Large 28” - 30” NE7734-76

Calf Sleeve

⅛• ” neoprene construction provides warmth, compression and supportSupport adequately covers calf area for all patients•Provides gentle compressive support to lower leg injuries•

Indications: Calf (Gastrocnemius and Soleus) strains; Medial tibial stress syndrome (Shin splints); Peroneal compartment pain

CalfSize Circumference* Product #X-Small 12” - 13” NE7744-71Small 13” - 14” NE7744-72 Medium 14” - 15” NE7744-73 Large 15” - 17” NE7744-74 X-Large 17” - 18” NE7744-75XX-Large 18” - 20” NE7744-76XXX-Large 20” - 22” NE7744-77

*Measure largest circumference of calf

Knee/Leg


Confor® open cell polyurethane foam provides a superior fit and has proven •to be one of the most conforming and shock absorbing materials on the marketRigid medial and lateral shells minimize ankle rotation and inversion/eversion•Elasticized Vel-stretch® straps provide compression to help reduce edema•Adjustable outside heel strap for maximum fit and comfort•Low profile design fits easily in shoe•Universal right/left•Available in each or 6/Case quantity•

Indications: Acute and chronic ankle sprains; Osteoarthritis; Syndesmosis sprain Size Height Each CaseStandard 10” AB2340-00 AB2340-06Small 8½” AB2341-00 AB2341-06

Confor® Ankle Stirrup

Air Ankle Stirrup

Rigid medial and lateral shells minimize ankle rotation and inversion/eversion•Air bladder allows for simple adjustment of air with inflation bulb•Swivel straps allow even compression when applied in opposite directions•Adjustable outside heel strap for maximum fit and comfort•Low profile design fits easily in shoe•Universal right/left•

Indications: Acute and chronic ankle sprains; Osteoarthritis; Syndesmosis sprain

Size Height Product #Standard 10” AB2360-00Small 8½” AB2361-00Pediatric 6” AB2362-00

Air/Gel Ankle Stirrup

Rigid medial and lateral shells minimize ankle rotation and inversion/eversion•Air/gel bladder can be placed in freezer for cold therapy•Swivel straps allow even compression when applied in opposite directions•Adjustable outside heel strap for maximum fit and comfort•Low profile design fits easily in shoe•Universal right/left•

Indications: Acute and chronic ankle sprains; Osteoarthritis; Syndesmosis sprain Size Height Product #Standard 10” AB2350-00Small 8½” AB2351-00

HCPCS Code: L4350

HCPCS Code: L4350

HCPCS Code: L4350

Ankle


Element® Ankle Brace

Patented heel control strapping system holds the calcaneus under the talus •controlling subtalar inversion and talar rotationRigid medial and lateral uprights prevent abnormal eversion and inversion and •provide protection during activityFunctional hinge design allows for utilization of the brace prophylacticly, after •acute injuries and during rehabilitationRear foot stabilization is enhanced with heat moldable footplate to control •pronation during loading and mid-stance phases of gaitPulley system strapping design provides optimal compression enhancing •proprioceptionWide base of support at impact reduces ankle inversion•Unique design provides syndesmosis stabilization•Concise version is 1½” shorter for lower profile fit•

Indications: Acute and chronic ankle sprains; Chronic ankle instability; Syndesmosis sprain; Posterior tibial tendonitis; Peroneal tendonitis; Osteoarthritis

HCPCS Code: L1971

Ankle Sprain Kit

Kit features: standard air ankle stirrup, ice pack, elastic bandage and exercise •bandSelf care guide included to inform and aid patient during rehabilitation•

Indications: Acute and chronic ankle sprains; Osteoarthritis; Syndesmosis sprain

Description Product #Kit SC1000-00

Ankle

HCPCS Code: L4350(ankle stirrup only)

Male Female Standard Standard Concise ConciseSize Shoe Size Shoe Size Right Left Right LeftSmall < 8 < 9½ AB2110-10 AB2110-16 AB2130-10 AB2130-16Medium 8 - 12 9½ - 13½ AB2110-12 AB2110-18 AB2130-12 AB2130-18Large 12 + 13½ + AB2110-14 AB2110-20 AB2130-14 AB2130-20

Male Female Wide WideSize Shoe Size Shoe Size Right LeftSmall < 8 < 9½ AB2120-10 AB2120-16Medium 8 - 12 9½ - 13½ AB2120-12 AB2120-18Large 12 + 13½ + AB2120-14 AB2120-20

*Measure calf circumference 8” from the ground: Standard and Concise < 10”; Wide > 10”


DeRoyal® Functional Ankle Brace

Anatomically designed uprights for a secure fit•Hinged stirrup maintains support throughout range of motion•Padded foam inlay for high energy absorption during activity•Polyurethane foam padding for patient comfort and shock absorption•Vel-stretch® straps for maximum support and edema control•Universal right/left•

Indications: Acute and chronic ankle sprains; Chronic instability; Prophylactic talocrural support

Male Female Size Shoe Size Shoe Size Product #X-Small — 5 - 7 AB2000-10Small 5 - 8 7½ - 10 AB2000-12Medium 8½ - 12 10½ - 13 AB2000-14Large 12½ - 16 13 + AB2000-16

DeRoyal® Sports Ankle Brace 2

Constructed of durable nylon for long lasting wear•Universal stabilization strap forces ankle into inversion or eversion•Cuff closure for added support and compression•Lace-up design for secure fit and primary stabilization•Low profile design allows use in athletic shoe•Universal right/left•

Indications: Chronic ankle instability; Prophylactic talocrural support; Prevention or treatment of acute ankle sprains; Subtalar joint sprain

Size Ankle Circumference* Product #X-Small 10” - 11” 15600004Small 11” - 12” 15600005Medium 12” - 13” 15600006Large 13” - 14” 15600007X-Large 14” - 15” 15600008XX-Large 15” - 16” 15600009

*Measure circumference from the base of heel around the ankle

HCPCS Code: L1902

HCPCS Code: L1906

Constructed of durable nylon for long lasting wear•Figure 8 strapping configuration, in conjunction with medial to lateral stirrup •straps, places foot in slightly everted position for maximum ankle stabilityRemovable medial and lateral plastic stays with malleoli cut-out provides •comfort and supportLace-up design for a secure fit •Low profile design allows use in athletic shoe•

Indications: Chronic ankle instability; Prophylactic talocrural support; Prevention or treatment of acute ankle sprains; Subtalar joint sprain

Male Female Size Shoe Size Shoe Size Right LeftX-Small 4 - 6 5 - 7 AB2801-20 AB2801-10Small 6½ - 8 7½ - 9 AB2801-22 AB2801-12Medium 8½ - 10 9½ - 11 AB2801-24 AB2801-14Large 10½ - 12 11½ - 13 AB2801-26 AB2801-16X-Large 12½ + 13½ + AB2801-28 AB2801-18

DeRoyal® Sports Ankle Brace

HCPCS Code: L1902

Ankle


Pacesetter™ Air Walker

Inflatable air bladder design for compression and stabilization•Unique non-welded air bladder reduces chance of over-inflation to the point •of bursting or tearingWide foot plate for patient comfort and stability•Rocker sole helps promote natural gait•Heel strap helps prevent foot migration•Offered in both standard and low top versions•

Indications: Moderate to severe ankle sprains and strains; Stable foot and/or ankle fractures; Syndesmosis sprain; Post ORIF

Male Female Standard Low TopSize Shoe Size Shoe Size Open Heel Open Heel Small 3 - 6½ 4 - 7½ 15780005 15800005Medium/Large 7 - 10½ 8 - 12½ 15780067 15800067X-Large 11 - 16 13 + 15780008 15800008

Rocker sole helps promote rolling gait pattern•Double laminated foam wrap is breathable to prevent skin breakdown•Wide foot plate for patient comfort and stability•Available in open or closed heel design•Offered in both standard and low top versions•


Male Female Standard Standard Low Top Size Shoe Size Shoe Size Open Heel Closed Heel Open HeelSmall 3 - 6½ 4 - 7½ CSG53510-A CSG53550-A CSG53520-A Medium/Large 7 - 10½ 8 - 12½ CSG53510-B CSG53550-B CSG53520-B X-Large 11 - 16 13 + CSG53510-C CSG53550-C CSG53520-C

Pacesetter™ II Walker

HCPCS Code: L4386

HCPCS Code: L4360

Inline Pneumatic Walker

Features inflatable air bladder wrap for compression and stabilization•Heavy duty flared uprights are color-coded for easy size identification•Low profile rocker sole promotes natural gait•Wide foot plate for patient comfort and stability•Treaded sole for patient safety•Available in open and closed heel design•Offered in both standard and low top versions•


Male Female Standard Standard Low Top Low Top Size Shoe Size Shoe Size Open Heel Closed Heel Open Heel Closed HeelSmall 3½ - 7 5 - 8½ 15470005 15490005 15480005 15500005 Medium 7½ - 8½ 9 - 10 15470006 15490006 15480006 15500006Large 9 - 10½ 10½ - 12 15470067 15490067 15480067 15500067 X-Large 11 + 12½ + 15470008 15490008 15480008 15500008Pediatric 8 - 12 (Child) 15470002 15490002 15480002 15500002

HCPCS Code: L4360

Walker


Inline Walker

Heavy duty flared uprights are color-coded for easy size identification•Low profile rocker bottom promotes natural gait•Flat, wide foot plate provides patient comfort and stability•Treaded sole for patient safety•Available in open or closed heel design•Offered in both standard and low top versions•


Male Female Standard Standard Low Top Low TopSize Shoe Size Shoe Size Open Heel Closed Heel Open Heel Closed Heel Small 3½ - 7 5 - 8½ 15520005 15530005 15540005 15550005Medium 7½ - 8½ 9 - 10 15520006 15530006 15540006 15550006Large 9 - 10½ 10½ - 12 15520067 15530067 15540067 15550067X-Large 11 + 12½ + 15520008 15530008 15540008 15550008Pediatric 8 - 12 (Child) 15520002 15530002 15540002 15550002

Three-D® Lowest Profile Walker

Extra low heel height helps prevent external hip rotation•Tri-radiate sole encourages natural gait pattern•Offset uprights at the malleoli accommodate swelling•Padded foam inlay for increased energy absorption•Flat foot bed keeps foot in neutral position •Criss-cross straps help eliminate forward foot migration•


Male Female Size Shoe Size Shoe Size Product # X-Small up to 5 up to 6 SL5002-01 Small 5 - 7 6 - 8 SL5002-03 Medium 7 - 10 8 - 11 SL5002-05 Large 10 - 12 11 - 13 SL5002-07 X-Large 12 + 13 + SL5002-09

One-Piece Samson Walker

Low profile anatomical design promotes natural gait pattern•Two layer memory foam inlay conforms to foot•Adjustable straps for even compression•Wrap material allows skin to breathe and helps to prevent skin breakdown•Available in standard and low top designs•


Male Female Size Shoe Size Shoe Size Standard Low TopX-Small up to 5 up to 6 SL8001-01 —Small 5 - 7 6 - 8 SL8001-03 SL8001-33Medium 7 - 10 8 - 11 SL8001-05 SL8001-35Large 10 - 12 11 - 13 SL8001-07 SL8001-37X-Large 12 + 13 + SL8001-09 —

HCPCS Code: L4386

HCPCS Code: L4386

HCPCS Code: L4386

Walker


Original Darby Shoe

Semi-rigid metatarsal shank provides controlled forefoot motion•Reinforced padded heel counter to help reduce slippage•Padded upper for patient comfort•Loop-lock closure for easy application•Universal right/left•

Indications: Post-operative foot protection and support; Minor foot fractures Male Female Size Shoe Size Product # Shoe Size Product #Small 6 - 8 DS1014-10 4 - 6 DS1013-10Medium 8½ - 10 DS1014-12 6½ - 8 DS1013-12Large 10½ - 12 DS1014-14 8½ - 10 DS1013-14X-Large 12½ - 14 DS1014-16 — —Pediatric 12 - 1 (Child) DS1012-00 — —

Aegis® Post-Op Shoe

Semi-rigid rubber sole for support•Reinforced padded heel counter to help reduce slippage•Padded upper for patient comfort•Loop-lock closure for easy application•Universal right/left•

Indications: Post-operative foot protection and support; Minor foot fractures Male Female Size Shoe Size Product # Shoe Size Product #Small 6 - 8 2044-01 4 - 6 2044-07Medium 8½ - 10 2044-02 6½ - 8 2044-08Large 10½ - 12 2044-03 8½ - 10 2044-09X-Large 12½ - 14 2044-04 — —

Grid Iron XR® R.O.M. Walker

Range of motion is adjustable from fixed to 45°•Rigid metal uprights for maximum stability•Low profile rocker bottom sole helps promote natural gait•Wide foot bed for patient comfort and stability•Closed heel design helps prevent heel migration•

Indications: Achilles tendon repair; Moderate to severe ankle sprains and strains; Stable foot and ankle fractures; Post ORIF

Male Female Size Shoe Size Shoe Size Product # X-Small up to 3½ up to 4½ 15510004Small 4 - 7 5 - 8½ 15510005 Medium 7½ - 10 9 - 11 15510006 Large 10½ - 12 11½ - 13 15510007 X-Large 12½ + 13½ + 15510008

HCPCS Code: L4386

Walker/Foot




Rigid wood sole with rubber bottom for support •Perforated suede upper for comfort and durability•Available in hook and loop or lace up closure design•Universal right/left•

Indications: Post-operative foot protection and support; Minor foot fractures

Male Hook/Loop Lace UpSize Shoe Size Closure ClosureChild 2 - 4½ 2007-01 2006-01Small 5 - 6½ 2007-02 2006-02Medium 7 - 8½ 2007-03 2006-03Large 9 - 11 2007-04 2006-04X-Large 11½ - 13 2007-05 2006-05

Female Hook/Loop Lace UpSize Shoe Size Closure ClosureChild 2 - 3½ 2007-06 2006-06Small 4 - 6 2007-07 2006-07Medium 6½ - 8 2007-08 2006-08Large 8½ - 10 2007-09 2006-09X-Large 10½ - 12 2007-10 2006-10

Deluxe Wooden Post-Op Shoe

HCPCS Code: L3260 (not covered by Medicare)

Foot

Darco® All Purpose Boot

Closed toe design provides all-season protection•High top design and ankle strap help eliminate heel slippage•Hook and loop closure for easy application•Universal right/left•

Indications: Post-operative foot protection and support; Minor foot fractures Male Female Size Shoe Size Shoe Size Product #X-Small 3 - 4½ 3 - 6½ 2045-01Small 5 - 6½ 7 - 9½ 2045-02Medium 7 - 8½ 10 - 12½ 2045-03Large 9 - 11 13 + 2045-04X-Large 11½ - 14 — 2045-05



Darco® Med-Surg™ Shoe

MetaShank™ protection provides rigid control under metatarsal heads•Strapless forefoot closure expands to accommodate bulky dressings•Square toe design serves as a bumper for additional protection•Rocker sole reduces plantar pressure on forefoot and heel•Ankle strap helps eliminate heel migration•Universal right/left•


Male Female Size Shoe Size Product # Shoe Size Product #Small 6 - 8 DS1016-10 4 - 6 DS1015-10Medium 8½ - 10 DS1016-12 6½ - 8 DS1015-12Large 10½ - 12 DS1016-14 8½ - 10 DS1015-14X-Large 12½ - 14 DS1016-16 — —

Reducesweightbearingpressurefromtheforefootwith15˚dorsi-angle•Removable 10 mm insole allows customization for offloading specific areas•Square toe design serves as a bumper for additional protection•Hook and loop closure for easy application•Universal right/left•


Male Female Size Shoe Size Shoe Size Product #X-Small — 4 - 7 HS1005-08Small 6 - 8 7½ - 10 HS1005-10Medium 8½ - 10 10½ - 13 HS1005-12Large 10½ - 12 13½ + HS1005-14X-Large 12½ - 14 — HS1005-16

Darco® Orthowedge™ Shoe

Foot



Comfo-Eze® Rocker Cast Shoe

Constructed of durable navy canvas material•Non-slip rubber sole for patient safety •Rocker bottom promotes rolling gait pattern•Heel strap helps prevent foot migration•Hook and loop closure for easy application•Available in open and closed toe design•

Indications: Lower extremity cast protection Size Length Width Open Toe Closed Toe Pediatric 5½” 2½” 2004-00 —X-Small 7” 3½” 2004-01 2038-01Small 8½” 4½” 2004-02 2038-02 Medium 10” 4¾” 2004-03 2038-03Large 11½” 5¼” 2004-04 2038-04X-Large 13” 5½” 2004-05 2038-05


Constructed of durable black canvas material•Non-slip rubber sole for patient safety •Rocker bottom promotes rolling gait pattern•Heel strap helps prevent foot migration•Hook and loop closure for easy application•

Indications: Lower extremity cast protection Size Length Width Product #X-Small 7” 3½” 2033-01Small 8½” 4½” 2033-02Medium 11½” 5¼” 2033-03Large 13” 5½” 2033-04

Black Canvas Cast Shoe

Darco® SlimLine Cast Boot

Square toe design serves as a bumper for protection and provides room for •larger castsStretchable upper material helps boot conform to cast allowing precise fit•Rocker sole promotes rolling gait pattern•Padded insole to cushion patient’s foot•Strapless forefoot closure adjusts easily to cast size•

Indications: Lower extremity cast protection Male Female Size Shoe Size Shoe Size Product #X-Small — 3 - 5 2039-01Small — 5½ - 8 2039-02Medium 6 - 8 8½ -10 2039-03Large 8½ - 11 10½ -13 2039-04X-Large 11½ - 14 13+ 2039-05 Size Child Shoe Size Product #Child/Small 8 - 10½ 2039-98 Child/Medium 11 - 1½ 2039-99Child/Large 2 - 4 2039-00

Foot


Constructed of medical grade silicone for long-lasting support and comfort•Soft blue spot helps relieve heel strike fatigue and discomfort through •shock absorption Packaged 1/Pair•

Indications: Heel spurs; Bruises; Callosites; Plantar fasciitis and apophyseal injuries; Retrocalcaneal bursitis; Fat pad atrophy

Size Product #Small HC2000-10Medium HC2000-12Large HC2000-14

Silicone Heel Cups

DeRoyal® Night Splint

Dorsiflexion design applies stretch for effective pain relief•Lightweight and low profile design for patient comfort•Adjustable straps to vary amount of stretch•Removable foam liner for laundering•Optional foam wedges provided for additional stretch•Kit features: night splint, ice pack, exercise band, heel cups, foot control strap •and self-management guide

Indications: Plantar fasciitis; Achilles tendonitis; Tendonosis

Male Female Size Shoe Size Shoe Size Splint KitSmall 4 - 6 5 - 7 NS2000-10 SC2000-10Medium 6½ - 9 7½ - 10 NS2000-12 SC2000-12Large 9½ + 10½ + NS2000-14 SC2000-14

HCPCS Code: L4396

Foot

Dorsal Night Splint

Thermoplastic design holds foot in 90• º neutral positionNeoprene straps with hook and loop closure•Plastic free bottom and non-skid transfer surface•Low profile allows for a cooler, more comfortable fit•

Indications: Plantar fasciitis; Achilles tendonitis; Tendonosis

Male Female Size Shoe Size Shoe Size Product # Small/Medium 4 - 9 5 - 10 NS2000-20Large/X-Large 9½ + 10½ + NS2000-21HCPCS Code: L4396


DeRoyal® Cold Therapy Unit

Automatic temperature controlled unit provides hours of cold therapy•Temperature control reduces risk of nerve damage or frostbite•Measures, adjusts and regulates motor speed for precision temperature control •without manual adjustmentPortable system suitable for any medical setting and continuous treatment at home•Lightweight, low-profile design is patient friendly•Automatic shut-off feature lets user know when to add ice•Coldtherapyrange(45˚-60˚F)•Cold therapy blankets available in sterile or non-sterile versions•Unit available in combo set with most popular cold therapy blankets•

Indications: Pain and soft tissue swelling as a result of surgery or trauma

Description Product #Cold Therapy Unit T505

Automatic temperature controlled unit provides hours of hot or cold therapy•Digital temperature read-out•Temperature control reduces risk of nerve damage or frostbite•Measures, adjusts and regulates motor speed for precision temperature control •without manual adjustmentPortable system suitable for any medical setting and continuous treatment at home•Lightweight, low-profile design is patient friendly•Automatic shut-off feature lets user know when to add ice•Hottherapyrange(90˚-120˚F);coldtherapyrange(45˚-60˚F)•Hot/cold therapy blankets available in both sterile and non-sterile versions•

Indications: Pain and soft tissue swelling as a result of surgery or trauma Description Product # Hot/Cold Therapy Unit T600

DeRoyal® Hot/Cold Therapy Unit

T505 cold therapy unit packaged with hot/cold therapy blanket•Available in non-sterile or sterile versions•

Description Non-Sterile SterileChest/Lumbar T520NS T520STKnee/Shoulder T530NS T530STKnee/Shoulder Full (w/ straps) T531NS T531STKnee Full (w/ attached straps) T532NS T532STShoulder Full (w/ attached straps) T533NS T533STFoot/Ankle T580NS T580ST

DeRoyal® Cold Therapy Unit Combos

45°

Temperature Therapy

HCPCS Code: E0218

HCPCS Code: E0218

HCPCS Codes: E0217 (Hot) E0218 (Cold)


Wrap keeps blanket well insulated and provides a simple way to ensure •precise blanket placement

Description Dimensions Product #Chest/Lumbar 12” x 58” T6100Knee 15” x 27” T6110Shoulder 10½” x 10½” T6120Hip 17” x 58” T6160

Description Dimensions Qty Non-Sterile SterileArm/Leg 10” x 5” 1 Each T5010NS T5010ST

Chest/Lumbar 10½” x 11½” 1 Each T5020NS T5020ST

Knee/Shoulder 10½” x 10½” 1 Each T5030NS T5030ST 10/Case T5030NS-10 T5030ST-10

Knee/Shoulder Full, w/ Straps 10½” x 10½” 1 Each T5031NS T5031ST 10/Case T5031NS-10 T5031ST-10

Knee Full, Attached Straps 10½” x 10½” 1 Each T5032NS T5032ST 10/Case T5032NS-10 T5032ST-10

Shoulder Full, Attached Straps 10½” x 10½” 1 Each T5033NS T5033ST 10/Case T5033NS-10 T5033ST-10

Hand/Wrist - Double 3½” x 5” 2 Each T5040NS T5040ST

Hand/Wrist 3½” x 5” 1 Each T5050NS T5050ST

Hip 15½” x 18” 1 Each T5060NS T5060ST

Cervical 10” x 21½” 1 Each T5070NS T5070ST

Foot/Ankle 10” x 11½” 1 Each T5080NS T5080ST

Blankets feature unique channel construction to move water directly to the •injury siteAvailable in non-sterile or sterile versions•Universal right/left•To be used with DeRoyal temperature therapy units•

Hot/Cold Therapy Blankets

Hot/Cold Therapy Wraps

Foot/Ankle

Hand/Wrist

Lumbar

Knee/Shoulder

Knee - Full w/Attached Straps

Temperature Therapy


ActiveWrap® Thermal Supports

Constructed of comfortable Active Medical Plush™ material for best •ergonomic fitGel packs provide hot or cold long lasting therapy•Packs can be removed and uniquely positioned within wraps to provide •more targeted treatment and improved compression Can be used without thermal packs for compression, support and warmth•Post-op knee/leg and replacement packs are designed to stay cold for •2+ hours (for cold therapy only)

Indications: Pain and soft tissue swelling as a result of surgery or trauma

SHOULDER ChestSize Circumference Packs Product #Small/Medium < 38” 2 9371-00Large/X-Large 38” + 2 9371-01

KNEE/LEG ThighSize Circumference Packs Product #Small/Medium < 16” 2 9373-00Large/X-Large 16” + 2 9373-01

BACK WaistSize Circumference Packs Product #Small/Medium < 35” 1 9374-00Large/X-Large 35” - 54” 1 9374-01

FOOT/ANKLE Male FemaleSize Shoe Size Shoe Size Packs Product #Small/Medium 4 - 10 4 - 11 2 9375-00Large/X-Large 10 + 11+ 2 9375-01

WRIST/HAND

Size Packs Product #Universal 2 9376-00

POST-OP KNEE/LEG ThighSize Circumference Packs Product #Small/Medium < 16” 2 9373-02Large/X-Large 16” + 2 9373-03Small/Medium < 16” 4 9373-04Large/X-Large 16” + 4 9373-05 X-Wide 16” + 3 9373-06

POST-OP KNEE/LEG REPLACEMENT PACKSSize Qty Product #Small/Medium 48/Case 9378-01Large/X-Large 24/Case 9378-02Large/X-Large 12/Case 9378-03



HCPCS Code: L1901 (not covered by Medicare)


Temperature Therapy

HCPCS Code: L3670


Fracture Bracing

HUMERAL

Distal ProximalSize Circumference Circumference Regular Extended Small 7” - 9” 9” - 11” FB1000-10 FB2000-10Medium 9” - 11” 11” - 13” FB1000-12 FB2000-12Large 11” - 13” 13” - 15” FB1000-14 FB2000-14X-Large 13” - 15” 15” - 17” FB1000-16 FB2000-16

TIBIAL

Calf AnkleSize Circumference Circumference Left Right Small 12½” 9” FB3000-10 FB3000-20Medium 14” 10” FB3000-12 FB3000-22Medium/Long 15” 10” FB3000-14 FB3000-24Large 16” 11” FB3000-16 FB3000-26

ULNAR

Distal ProximalSize Circumference Circumference Product # Small 6½” - 7½” 7½” - 9” FB4000-10Medium 7½” - 8½” 9” - 11” FB4000-12Large 8½” - 9½” 11” - 13” FB4000-14

HAND/THUMB

Size Palm Width Left Right Small 2½” - 3” FB5000-10 FB5000-16Medium 3” - 3½” FB5000-12 FB5000-18Large 3½” - 4” FB5000-14 FB5000-20

WRIST

Size Palm Width Left Right Small 2½” - 3” FB5000-30 FB5000-36Medium 3” - 3½” FB5000-32 FB5000-38 Large 3½” - 4” FB5000-34 FB5000-40

HCPCS Codes: L3980 & L3995

Orthopedic grade thermoplastic construction•Prefabricated and anatomically designed for best fit•Durable, lightweight, adjustable and easy to remove for proper hygiene•Allows for movement of muscles surrounding fracture site•Hook and loop closures help maintain soft tissue compression•

Indications: Treatment and management of diaphysical fractures; Post surgical immobilization




Fracture Bracing



Elastic Bandage

Durable elastic construction•Available in standard (5 yds) and double length (10 yds)•Packaged individually •Non-sterile•Available in Velcro® or clip closure•Premium option features hook closure on both ends of roll•

Premium Premium Econo EconoSize Qty Clip Closure Velcro® Closure Clip Closure Velcro® Closure2” x 5 yds 10 Rolls/Case EB2 EBV2 DEB2 DEBV2 3” x 5 yds 10 Rolls/Case EB3 EBV3 DEB3 DEBV34” x 5 yds 10 Rolls/Case EB4 EBV4 DEB4 DEBV46” x 5 yds 10 Rolls/Case EB6 EBV6 DEB6 DEBV64” x 10 yds 6 Rolls/Case HEB4 — — —6” x 10 yds 6 Rolls/Case HEB6 — — —

Wraps & Bandages


Labeling

Peel away labels may be used for inventory management through bar code information,

documentation in patient chart and/or easy reference ofrecommendedHCPCScodesforbillingpurposes.

3 Peel Away Labels

HCPCS Code

DeRoyal® Peel Off Label


Treatment & Reimbursement Protocol Program

A protocol program offers full support for treatment and reimbursement

DeRoyal’s Protocol Program is a value-added service intended to help you select the mostappropriateorthoticdevicesforthetreatmentofmusculoskeletalpathologies.This program supports your need for documentation by offering standardized treatmentforthemostcommonindicationsseeninaphysician’soffice.Thisprogramlinks to the most commonly used ICD-9 codes (and the appropriate diagnosis terminology)tothemostappropriateorthoticdeviceswiththeircodesanddescriptors.

While you’re expanding your patients’ treatment options, consider expanding your billing options

DeRoyal has developed a product offering with the highest quality products matched with the most commondiagnosesseeninorthopedicpractices.Theseitemsmeetthestandardofcareyouexpect,aswellasgovernmentregulations.Whileyouareexpandingyourpatients’treatmentoptions,considerexpandingyourbillingoptions.

ClarificationsintheStarkAmendmentregulations,publishedintheJan.4,2001FederalRegister(effectiveJan.4,2002),spellsoutingreatclarityhowphysicianscanstock,aswellasbill,fororthoticbracesandsupportsaslongastheymeetcertainguidelines.Inadditionto providing even wider treatment options, physicians can consider alternatives to sending patientstootherclinicalspecialistsorusingstockandbillprograms.Theexceptionthatallows physicians to bill for neck, arm, back and leg braces is the “In-office ancillary services exception.”Thisexceptionspecifiesthatforpatientconvenience,thedesignatedhealthservice of orthotics may be provided in a physician office if the physicians act as their own DMEPOSsupplier(byapplyingforandreceivingaDMEPOSsuppliernumber).PhysicianofficesuseLcodesorEcodes(subcategoryofHCPCSdevicecodesfororthotics)whenbilling.

DeRoyal has developed many tools FREE of charge to support you and your staff when decidingtostockandbillfororthoticsinyouroffice(s).Thesetoolsaredesignedtohelpyouobtain your DMEPOS Supplier Number and Accreditation for each facility, comply with all DMEPOS Supplier Standards and set up a program to track each product through the system fromtheclinicalthroughthebillingcycle.Wehavetheabilitytoguideandassistyoutoensureyourcodesanddiagnosesareappropriateandthatyouaremaximizingyourrevenuepotential. These tools include:

Treatment & Reimbursement Protocol Program • Impact Analysis Report • DeRoyal Order Connection and Inventory System (DOC) • Billing Index Web Tool • DMEPOS Supplier Number and Accreditation Guidance • Consignment Program • Personal Consultation •

*The Stark Amendment regulations can be found at www.gpoaccess.gov

Physician Billing Program & Guide

Value Added Services


Value Added ServicesImpact Analysis Report

While you’re expanding your patients’ treatment options, consider expanding your billing options

DeRoyal has developed a product offering with the highest quality products matched with the most common diagnoses seen in orthopedicpractices.Theseitemsmeet the standard of care you expect, as well as government regulations.Whileyouareexpanding your patients’ treatment options, consider expanding your billingoptions.

Clarifications in the Stark Amendment regulations, published intheJan.4,2001FederalRegister(effectiveJan.4,2002),spellsoutin great clarity how physicians can stock, as well as bill, for orthotic braces and supports as long as theymeetcertainguidelines.Inaddition to providing even wider treatment options, physicians can consider alternatives to sending patientstootherclinicalspecialistsorusingstockandbillprograms.Theexceptionthatallowsphysicianstobillforneck,arm,backandlegbracesisthe“In-officeancillaryservicesexception.”This exception specifies that for patient convenience, the designated health service of orthotics may be provided in a physician office if the physicians act as their own DMEPOS supplier (by applying for andreceivingaDMEPOSsuppliernumber).PhysicianofficesuseLcodesorEcodes(subcategoryofHCPCSdevicecodesfororthotics)whenbilling.

DeRoyal has developed many tools FREE of charge to support you and your staff when deciding tostockandbillfororthoticsinyouroffice(s).ThesetoolsaredesignedtohelpyouobtainyourDMEPOS Supplier Number and Accreditation for each facility, comply with all DMEPOS Supplier Standards and set up a program to track each product through the system from the clinical through thebillingcycle.Wehavetheabilitytoguideandassistyoutoensureyourcodesanddiagnosesareappropriateandthatyouaremaximizingyourrevenuepotential. These tools include:

Treatment & Reimbursement Protocol Program • Impact Analysis Report • DeRoyal Order Connection and Inventory System (DOC) • Billing Index Web Tool • DMEPOS Supplier Number and Accreditation Guidance • Consignment Program • Personal Consultation •

*The Stark Amendment regulations can be found at www.gpoaccess.gov


Value Added Services

The Billing Index answers coding and reimbursement questions

The web-based Billing Index helps answer all your coding and reimbursementquestions.ItisaneasyreferencetothelatestLcodeassignments and corresponding Medicare reimbursement in your state.Aloginandpasswordprotectedsiteavailableonlytoourphysician billing customers, the Billing Index can be a useful tool foryourclinicalandbillingstaff.Itwillhelpensuretheinformationin the patient chart is accurate so that your reimbursement is appropriateforthetreatmentprovided.Thissiteistheplacetofindthe latest breaking information and changes to product specific L code recommendations and the most current fee schedule amounts fromtheDMEPOSfeeschedule.

Billing Index Web Tool

To replenish inventory, use DOC (DeRoyal Order Connection)

Spaceandresourcesarealwaysanissuewhenmanaginginventory.DeRoyal has developed a perpetual online system that links your office(s)directlytoourcustomerservice.Utilizingbar-codetechnology,this system makes it easy to scan each item used and automatically createreplenishmentorders.Thisnotonlysavestimenotcountingandplacing multiple reorders, but by managing your par levels, prevents expensive over-stocking of supplies, avoids running short on productandeffectivelymanagesyourstoragespace.

DOC (DeRoyal Order Connection and Inventory System) allows youtoviewallyourinventorydetails.YoucanfilterbySupplierand/orInventoryLocation.Youcanfolloweverytransactionforan item through the system from usage, order and receipt of replenishmentstock.Thesystemallowsyoutoviewtransactionhistory by product, by location, by patient, by physician, by type, etc.(whateveryoudetermineisthebestwaytodocumentandtrackyourusage).Itisalivesystemthatyoucanupdateandedit at any time – par levels, pricing changes, addition/deletion products or suppliers and any account maintenance information that needstobedocumented.Italsoprovidesmanyreportingcapabilitiesthat can be managed from an Acrobat PDF or Microsoft Excel format thatallowsyoutosave,emailorprintreports.

Everything from orders and shipments, usage by date range or location or physician, inventory valuation and expected reimbursement amounts can be extracted from our Order Connection and Inventory Systemtohelpyoumanageyourbusiness.


Trademarks & Patents™ & ® Products

Patents

Element™ - Patent PendingUltralign® – #5,853,378; #5,967,998 and #6,478,759Prolign® – #6,666,838

Active Medical Plush™ isatrademarkofActiveWrap,Inc.ActiveWrap® isaregisteredtrademarkofShawnJ.HicklingAvional® is a registered trademark of Medi™Comfo-EZE®isaregisteredtrademarkofDeRoyal,Inc.Comfort Cool™ isatrademarkofNorthCoastMedicalInc.Confor®isaregisteredtrademarkofDeRoyal,Inc.DeRoyal®isaregisteredtrademarkofDeRoyal,Inc.Element®isatrademarkofDeRoyal,Inc.Flexgard™isatrademarkofDeRoyal,Inc.Grid Iron XR®isaregisteredtrademarkofDeRoyal,Inc.Hypercontrol™isatrademarkofDeRoyal,Inc.M.4® is a registered trademark of Medi™Pacesetter™isatrademarkofDeRoyal,Inc.Physioglide® is a registered trademark of Medi™PneuGel™isatrademarkofSroufeHealthcareProducts,Inc.Prolign®isaregisteredtrademarkofDeRoyal,Inc.Solace™isatrademarkofDeRoyal,Inc.Three-D®isaregisteredtrademarkofDeRoyal,Inc.Ultralign®isaregisteredtrademarkofDeRoyal,Inc.Warrior®isatrademarkofDeRoyal,Inc.Vel-stretch®isaregisteredtrademarkofVelcroIndustriesB.V.

iDeRoyal • 200 DeBusk Lane • Powell, TN 37849 • 888.938.7828 • 865.938.7828 • www.deroyal.com

Index by Product Number1056-00............................ 11056-02............................ 11056-03............................ 11056-04............................ 11056-05............................ 11057-00............................ 11057-01............................ 11057-02............................ 11057-03............................ 11057-04............................ 11057-05............................ 11061-00............................ 11061-01............................ 11061-02............................ 11061-03............................ 11061-04............................ 11061-05............................ 111201000.......................... 111202000.......................... 11120917.......................... 1811211000.......................... 111212000.......................... 111216000.......................... 211221000.......................... 111222000.......................... 111226000.......................... 211231000.......................... 111232000.......................... 111236000.......................... 211241000.......................... 111242000.......................... 111246000.......................... 211251000.......................... 111252000.......................... 111256000.......................... 211261000.......................... 111262000.......................... 111271000.......................... 111272000.......................... 111281000.......................... 111282000.......................... 111291000.......................... 111292000.......................... 11140917.......................... 181160917.......................... 1811630005.......................... 411630006.......................... 411630007.......................... 411630008.......................... 411650005.......................... 411650006.......................... 411650007.......................... 411690001.......................... 511690002.......................... 511690005.......................... 511690006.......................... 511690007.......................... 511690008.......................... 51190917.......................... 181220917.......................... 181240917.......................... 1812840000.......................... 612850004.......................... 7

12850005.......................... 712850006.......................... 712850007.......................... 712850008.......................... 712850009.......................... 712850010.......................... 712850011.......................... 712870000.......................... 612951104.......................... 912951105.......................... 912951106.......................... 912951107.......................... 912951108.......................... 912951204.......................... 912951205.......................... 912951206.......................... 912951207.......................... 912951208.......................... 912952105.......................... 912952106.......................... 912952107.......................... 912952108.......................... 912952205.......................... 912952206.......................... 912952207.......................... 912952208.......................... 912982105.......................... 912982106.......................... 912982107.......................... 912982108.......................... 912982205.......................... 912982206.......................... 912982207.......................... 912982208.......................... 912991102.......................... 912991202.......................... 912992102.......................... 912992202.......................... 912993105.......................... 912993106.......................... 912993107.......................... 912993108.......................... 912993205.......................... 912993206.......................... 912993207.......................... 912993208.......................... 913400005........................ 1513400006........................ 1513400007........................ 1513400008........................ 1513480056........................ 1313480078........................ 1313500004........................ 1513500005........................ 1513500006........................ 1513500007........................ 1513500008........................ 1513500009........................ 1513501004........................ 1513501005........................ 1513501006........................ 1513501007........................ 1513501008........................ 15

13501009........................ 1513740300........................ 1313740400........................ 1313749300........................ 1313749400........................ 1313850000........................ 1413850005........................ 1413850007........................ 1413850008........................ 1413850009........................ 1413850010........................ 1413850011........................ 1413850056........................ 1413850067........................ 1413860900........................ 1413981000........................ 1313982000........................ 1313983000........................ 1313984000........................ 1313985000........................ 1313991000........................ 1313992000........................ 1313993000........................ 1313994000........................ 1313995000........................ 1314501104........................ 2414501105........................ 2414501106........................ 2414501107........................ 2414501108........................ 2414501109........................ 2414501204........................ 2414501205........................ 2414501206........................ 2414501207........................ 2414501208........................ 2414501209........................ 2414502104........................ 2414502105........................ 2414502106........................ 2414502107........................ 2414502108........................ 2414502109........................ 2414502204........................ 2414502205........................ 2414502206........................ 2414502207........................ 2414502208........................ 2414502209........................ 2414510104........................ 2514510105........................ 2514510106........................ 2514510107........................ 2514510108........................ 2514510109........................ 2514510204........................ 2514510205........................ 2514510206........................ 2514510207........................ 2514510208........................ 2514510209........................ 2514581005........................ 2314581006........................ 23

14581007........................ 2314581008........................ 2314581009........................ 2314581010........................ 2314582005........................ 2314582006........................ 2314582007........................ 2314582008........................ 2314582009........................ 2314582010........................ 2314611005........................ 2314611006........................ 2314611007........................ 2314611008........................ 2314611009........................ 2314611010........................ 2314612005........................ 2314612006........................ 2314612007........................ 2314612008........................ 2314612009........................ 2314612010........................ 2314630004........................ 2214630005........................ 2214630006........................ 2214630007........................ 2214630008........................ 2214630009........................ 2214630010........................ 2214640004........................ 1914640005........................ 1914640006........................ 1914640007........................ 1914640008........................ 1914640009........................ 1914750004........................ 2014750005........................ 2014750006........................ 2014750007........................ 2014750008........................ 2014750009........................ 2014761004........................ 2014761005........................ 2014761006........................ 2014761007........................ 2014761008........................ 2014761009........................ 2014761010........................ 2014761105........................ 2514761106........................ 2514761107........................ 2514761108........................ 2514761205........................ 2514761206........................ 2514761207........................ 2514761208........................ 2514801004........................ 2014801005........................ 2014801006........................ 2014801007........................ 2014801008........................ 2014801009........................ 2014801010........................ 20

DeRoyal • 200 DeBusk Lane • Powell, TN 37849 • 888.938.7828 • 865.938.7828 • www.deroyal.comii

Index by Product Number14840104........................ 1914840105........................ 1914840106........................ 1914840107........................ 1914840108........................ 1914840109........................ 1914840204........................ 1914840205........................ 1914840206........................ 1914840207........................ 1914840208........................ 1914840209........................ 1914882004........................ 2114882005........................ 2114882006........................ 2114882007........................ 2114882008........................ 2114882009........................ 2114882010........................ 2114910005........................ 2214910006........................ 2214910007........................ 2214910008........................ 2214910009........................ 2214910010........................ 2215470002........................ 3015470005........................ 3015470006........................ 3015470008........................ 3015470067........................ 3015480002........................ 3015480005........................ 3015480006........................ 3015480008........................ 3015480067........................ 3015490002........................ 3015490005........................ 3015490006........................ 3015490008........................ 3015490067........................ 3015500002........................ 3015500005........................ 3015500006........................ 3015500008........................ 3015500067........................ 3015510004........................ 3215510005........................ 3215510006........................ 3215510007........................ 3215510008........................ 3215520002........................ 3115520005........................ 3115520006........................ 3115520008........................ 3115520067........................ 3115530002........................ 3115530005........................ 3115530006........................ 3115530008........................ 3115530067........................ 3115540002........................ 3115540005........................ 3115540006........................ 31

15540008........................ 3115540067........................ 3115550002........................ 3115550005........................ 3115550006........................ 3115550008........................ 3115550067........................ 3115600004........................ 2915600005........................ 2915600006........................ 2915600007........................ 2915600008........................ 2915600009........................ 2915780005........................ 3015780008........................ 3015780067........................ 3015800005........................ 3015800008........................ 3015800067........................ 302004-00.......................... 342004-01.......................... 342004-02.......................... 342004-03.......................... 342004-04.......................... 342004-05.......................... 342006-01.......................... 332006-02.......................... 332006-03.......................... 332006-04.......................... 332006-05.......................... 332006-06.......................... 332006-07.......................... 332006-08.......................... 332006-09.......................... 332006-10.......................... 332007-01.......................... 332007-02.......................... 332007-03.......................... 332007-04.......................... 332007-05.......................... 332007-06.......................... 332007-07.......................... 332007-08.......................... 332007-09.......................... 332007-10.......................... 332033-01.......................... 352033-02.......................... 352033-03.......................... 352033-04.......................... 352038-01.......................... 342038-02.......................... 342038-03.......................... 342038-04.......................... 342038-05.......................... 342039-00.......................... 352039-01.......................... 352039-02.......................... 352039-03.......................... 352039-04.......................... 352039-05.......................... 352039-98.......................... 352039-99.......................... 352044-01.......................... 32

2044-02.......................... 322044-03.......................... 322044-04.......................... 322044-07.......................... 322044-08.......................... 322044-09.......................... 322045-01.......................... 332045-02.......................... 332045-03.......................... 332045-04.......................... 332045-05.......................... 33348LL.............................. 10348LR.............................. 10348ML............................. 10348MR............................ 10348SL.............................. 10348SR.............................. 10350LL.............................. 10350LR.............................. 10350ML............................. 10350MR............................ 10350SL.............................. 10350SR.............................. 10350XLL............................ 10350XLR............................ 10350XSL............................ 10350XSR............................ 10350XXLL.......................... 10350XXLR.......................... 10351LL................................ 8351LR................................ 8351ML............................... 8351MR.............................. 8351SL................................ 8351SR................................ 8351XLL.............................. 8351XLR.............................. 8351XSL.............................. 8351XSR.............................. 8351XXLL............................ 8351XXLR............................ 85019-00.......................... 10501A............................... 11501AA............................. 11501B................................ 11501C............................... 11501D............................... 115023-01............................ 85023-02............................ 85023-03............................ 85023-04............................ 85023-05............................ 85023-06............................ 85023-07............................ 85023-08............................ 85023-09............................ 85023-10............................ 85067-01............................ 95067-02............................ 95073-01............................ 85073-02............................ 85073-03............................ 85073-04............................ 8

5073-05............................ 85073-06............................ 85073-07............................ 85073-08............................ 85073-09............................ 85073-10............................ 85073-11............................ 85073-12............................ 85074-01............................ 85074-02............................ 85074-03............................ 85074-04............................ 85074-05............................ 85074-06............................ 85074-07............................ 85074-08............................ 85074-09............................ 85074-10............................ 86000................................ 12670AABLK....................... 11670ABLK.......................... 11670BBLK.......................... 11670CBLK.......................... 11670DBLK......................... 117072-02.......................... 187072-03.......................... 187072-04.......................... 187072-05.......................... 187101-20............................ 37102-00............................ 37102-22............................ 37104-02............................ 37104-22............................ 39006-00............................ 59006-50............................ 59007-00............................ 59014-00............................ 59023-00............................ 59023-01............................ 59023-02............................ 59023-03............................ 59023-04............................ 59121-01.......................... 129121-02.......................... 129121-03.......................... 129121-04.......................... 129121-05.......................... 129121-06.......................... 129121-07.......................... 129121-08.......................... 129122-00.......................... 129150-01.......................... 119150-02.......................... 119371-00.......................... 399371-01.......................... 399373-00.......................... 399373-01.......................... 399373-02.......................... 399373-03.......................... 399373-04.......................... 399373-05.......................... 399373-06.......................... 399374-00.......................... 39

iiiDeRoyal • 200 DeBusk Lane • Powell, TN 37849 • 888.938.7828 • 865.938.7828 • www.deroyal.com

Index by Product Number9374-01.......................... 399375-00.......................... 399375-01.......................... 399376-00.......................... 399378-01.......................... 399378-02.......................... 399378-03.......................... 39AB2000-10...................... 29AB2000-12...................... 29AB2000-14...................... 29AB2000-16...................... 29AB2110-10...................... 28AB2110-12...................... 28AB2110-14...................... 28AB2110-16...................... 28AB2110-18...................... 28AB2110-20...................... 28AB2120-10...................... 28AB2120-12...................... 28AB2120-14...................... 28AB2120-16...................... 28AB2120-18...................... 28AB2120-20...................... 28AB2130-10...................... 28AB2130-12...................... 28AB2130-14...................... 28AB2130-16...................... 28AB2130-18...................... 28AB2130-20...................... 28AB2340-00...................... 27AB2340-06...................... 27AB2341-00...................... 27AB2341-06...................... 27AB2350-00...................... 27AB2351-00...................... 27AB2360-00...................... 27AB2361-00...................... 27AB2362-00...................... 27AB2801-10...................... 29AB2801-12...................... 29AB2801-14...................... 29AB2801-16...................... 29AB2801-18...................... 29AB2801-20...................... 29AB2801-22...................... 29AB2801-24...................... 29AB2801-26...................... 29AB2801-28...................... 29BF1120917...................... 18BF1160917...................... 18BF1190917...................... 18BF1220917...................... 18BF1240917...................... 18BF7072-01....................... 18BF7072-02....................... 18BF7072-03....................... 18BF7072-04....................... 18BF7072-05....................... 18BF7072-06....................... 18CSG53510-A.................... 30CSG53510-B.................... 30CSG53510-C.................... 30CSG53520-A.................... 30

CSG53520-B.................... 30CSG53520-C.................... 30CSG53550-A.................... 30CSG53550-B.................... 30CSG53550-C.................... 30DEB2............................... 41DEB3............................... 41DEB4............................... 41DEB6............................... 41DEBV2............................. 41DEBV3............................. 41DEBV4............................. 41DEBV6............................. 41DS1012-00...................... 32DS1013-10...................... 32DS1013-12...................... 32DS1013-14...................... 32DS1014-10...................... 32DS1014-12...................... 32DS1014-14...................... 32DS1014-16...................... 32DS1015-10...................... 34DS1015-12...................... 34DS1015-14...................... 34DS1016-10...................... 34DS1016-12...................... 34DS1016-14...................... 34DS1016-16...................... 34EB2.................................. 41EB3.................................. 41EB4.................................. 41EB5000-01........................ 7EB5000-02........................ 7EB5000-03........................ 7EB6.................................. 41EBV2................................ 41EBV3................................ 41EBV4................................ 41EBV6................................ 41FB1000-10....................... 40FB1000-12....................... 40FB1000-14....................... 40FB1000-16....................... 40FB2000-10....................... 40FB2000-12....................... 40FB2000-14....................... 40FB2000-16....................... 40FB3000-10....................... 40FB3000-12....................... 40FB3000-14....................... 40FB3000-16....................... 40FB3000-20....................... 40FB3000-22....................... 40FB3000-24....................... 40FB3000-26....................... 40FB4000-10....................... 40FB4000-12....................... 40FB4000-14....................... 40FB5000-10....................... 40FB5000-12....................... 40FB5000-14....................... 40FB5000-16....................... 40FB5000-18....................... 40

FB5000-20....................... 40FB5000-30....................... 40FB5000-32....................... 40FB5000-34....................... 40FB5000-36....................... 40FB5000-38....................... 40FB5000-40....................... 40FD1................................. 11FD2................................. 11FD3................................. 11HC2000-10...................... 36HC2000-12...................... 36HC2000-14...................... 36HEB4............................... 41HEB6............................... 41HS1005-08...................... 34HS1005-10...................... 34HS1005-12...................... 34HS1005-14...................... 34HS1005-16...................... 34KB5000-00...................... 23KB5000-01...................... 23KB5000-02...................... 23KB6000-00...................... 24KB6000-01...................... 24NE7710-70...................... 20NE7710-71...................... 20NE7717-71...................... 21NE7717-72...................... 21NE7717-73...................... 21NE7717-74...................... 21NE7717-75...................... 21NE7717-76...................... 21NE7717-77...................... 21NE7718-71...................... 21NE7718-72...................... 21NE7718-73...................... 21NE7718-74...................... 21NE7718-75...................... 21NE7718-76...................... 21NE7718-77...................... 21NE7722-72...................... 22NE7722-73...................... 22NE7722-74...................... 22NE7722-75...................... 22NE7722-76...................... 22NE7722-77...................... 22NE7727-72........................ 6NE7727-73........................ 6NE7727-74........................ 6NE7727-75........................ 6NE7727-76........................ 6NE7728-72........................ 6NE7728-73........................ 6NE7728-74........................ 6NE7728-75........................ 6NE7728-76........................ 6NE7734-71...................... 26NE7734-72...................... 26NE7734-73...................... 26NE7734-74...................... 26NE7734-75...................... 26NE7734-76...................... 26

NE7741-02...................... 14NE7741-03...................... 14NE7741-04...................... 14NE7741-05...................... 14NE7741-06...................... 14NE7741-07...................... 14NE7741-12...................... 14NE7741-13...................... 14NE7741-14...................... 14NE7741-15...................... 14NE7741-16...................... 14NE7741-17...................... 14NE7744-71...................... 26NE7744-72...................... 26NE7744-73...................... 26NE7744-74...................... 26NE7744-75...................... 26NE7744-76...................... 26NE7744-77...................... 26NEP7790-71.................... 20NEP7790-72.................... 20NEP7790-73.................... 20NEP7790-74.................... 20NEP7790-75.................... 20NEP7790-76.................... 20NEP779371L.................... 19NEP779371R................... 19NEP779372L.................... 19NEP779372R................... 19NEP779373L.................... 19NEP779373R................... 19NEP779374L.................... 19NEP779374R................... 19NEP779375L.................... 19NEP779375R................... 19NEP779376L.................... 19NEP779376R................... 19NS2000-10...................... 36NS2000-12...................... 36NS2000-14...................... 36NS2000-20...................... 36NS2000-21...................... 36SC1000-00...................... 28SC2000-10...................... 36SC2000-12...................... 36SC2000-14...................... 36SL5002-01....................... 31SL5002-03....................... 31SL5002-05....................... 31SL5002-07....................... 31SL5002-09....................... 31SL8001-01....................... 31SL8001-03....................... 31SL8001-05....................... 31SL8001-07....................... 31SL8001-09....................... 31SL8001-33....................... 31SL8001-35....................... 31SL8001-37....................... 31T5010NS......................... 38T5010ST.......................... 38T5020NS......................... 38T5020ST.......................... 38

DeRoyal • 200 DeBusk Lane • Powell, TN 37849 • 888.938.7828 • 865.938.7828 • www.deroyal.comiv

Index by Product NumberT5030NS......................... 38T5030NS-10.................... 38T5030ST.......................... 38T5030ST-10..................... 38T5031NS......................... 38T5031NS-10.................... 38T5031ST.......................... 38T5031ST-10..................... 38T5032NS......................... 38T5032NS-10.................... 38T5032ST.......................... 38T5032ST-10..................... 38T5033NS......................... 38T5033NS-10.................... 38T5033ST.......................... 38T5033ST-10..................... 38T5040NS......................... 38T5040ST.......................... 38T505................................ 37T5050NS......................... 38T5050ST.......................... 38T5060NS......................... 38T5060ST.......................... 38T5070NS......................... 38T5070ST.......................... 38T5080NS......................... 38T5080ST.......................... 38T520NS........................... 37T520ST............................ 37T530NS........................... 37T530ST............................ 37T531NS........................... 37T531ST............................ 37T532NS........................... 37T532ST............................ 37T533NS........................... 37T533ST............................ 37T580NS........................... 37T580ST............................ 37T600................................ 37T6100.............................. 38T6110.............................. 38T6120.............................. 38T6160.............................. 38TX9023-00........................ 5TX9023-01........................ 5TX9023-02........................ 5TX9023-03........................ 5TX9023-04........................ 5UDLE............................... 17UEP2031......................... 17UEP2051......................... 17UPL1330-0...................... 16UPL1330-15.................... 16UPL1330-25.................... 16UPL1430-0...................... 16UPL1430-15.................... 16UPL1430-25.................... 16UPL1530-0...................... 16UPL1530-15.................... 16UPL1530-25.................... 16UPL1630-0...................... 16UPL1630-15.................... 16

UPL1630-25.................... 16UPL1730-0...................... 16UPL1730-15.................... 16UPL1730-25.................... 16UPL2330-0...................... 16UPL2330-15.................... 16UPL2330-25.................... 16UPL2430-0...................... 16UPL2430-15.................... 16UPL2430-25.................... 16UPL2530-0...................... 16UPL2530-15.................... 16UPL2530-25.................... 16UPL2630-0...................... 16UPL2630-15.................... 16UPL2630-25.................... 16UPL2730-0...................... 16UPL2730-15.................... 16UPL2730-25.................... 16UPLP2330-15................... 16UPLP2330-25................... 16UPLP2430-15................... 16UPLP2430-25................... 16UPLP2530-15................... 16UPLP2530-25................... 16UPLP2630-15................... 16UPLP2630-25................... 16UPLP2730-15................... 16UPLP2730-25................... 16UPLT2333-15................... 17UPLT2333-25................... 17UPLT2433-15................... 17UPLT2433-25................... 17UPLT2533-15................... 17UPLT2533-25................... 17UPLT2633-15................... 17UPLT2633-25................... 17UPLT2733-15................... 17UPLT2733-25................... 17UPMP1330-15................. 16UPMP1430-15................. 16UPMP1530-15................. 16UPMP1630-15................. 16UPMP1730-15................. 16UPT1333-15.................... 17UPT1333-25.................... 17UPT1433-15.................... 17UPT1433-25.................... 17UPT1533-15.................... 17UPT1533-25.................... 17UPT1633-15.................... 17UPT1633-25.................... 17UPT1733-15.................... 17UPT1733-25.................... 17UPT2333-15.................... 17UPT2333-25.................... 17UPT2433-15.................... 17UPT2433-25.................... 17UPT2533-15.................... 17UPT2533-25.................... 17UPT2633-15.................... 17UPT2633-25.................... 17UPT2733-15.................... 17

UPT2733-25.................... 17USPK............................... 17

vDeRoyal • 200 DeBusk Lane • Powell, TN 37849 • 888.938.7828 • 865.938.7828 • www.deroyal.com

Index by Product NameHead/Neck

Cervical Thoracic Orthosis...............................................................2Contoured Foam Cervical Collar......................................................1

XTW Extended Wear Collar..............................................................1

Elbow

Finger

Abdominal/Rib/Spine

Hypercontrol™ Elbow Brace............................................................7Neoprene Elbow Sleeve...................................................................6PneuGel™ Tennis Elbow Support.....................................................6

Finger Dressing/Finger Cage..........................................................11LMB Finger-Hugger.......................................................................11LMB Spring Finger Extension Assist...............................................11

Premium Sized Abdominal Binder.................................................13

Ankle

Air Ankle Stirrup............................................................................27Air/Gel Ankle Stirrup......................................................................27Ankle Sprain Kit.............................................................................28Confor® Ankle Stirrup...................................................................27

Fracture Bracing

Fracture Bracing............................................................................40

Universal Rib Belt..........................................................................13

DeRoyal® Functional Ankle Brace..................................................29DeRoyal® Sports Ankle Brace.........................................................29DeRoyal® Sports Ankle Brace 2......................................................29Element™ Ankle Brace...................................................................28

Premium Tennis Elbow Support.......................................................6Transition Elbow Brace....................................................................7

LMB Finger Splint Kit.....................................................................12STAX Finger Splint Kit....................................................................12

Foot

Aegis® Post-Op Shoe.....................................................................32Black Canvas Cast Shoe.................................................................35Comfo-Eze® Rocker Cast Shoe.......................................................34Darco® All Purpose Boot...............................................................33Darco® Med-Surg™ Shoe..............................................................34Darco® Orthowedge Shoe.............................................................34

Darco® SlimLine Cast Boot............................................................35Deluxe Wooden Post-Op Shoe.......................................................33DeRoyal® Night Splint ..................................................................36Dorsal Night Splint........................................................................36Original Darby Shoe......................................................................32Silicone Heel Cups.........................................................................36

DeRoyal • 200 DeBusk Lane • Powell, TN 37849 • 888.938.7828 • 865.938.7828 • www.deroyal.comvi

Index by Product Name

Calf Sleeve.....................................................................................26Concise Patella Stabilizer...............................................................20Deluxe Hinged Knee Support.........................................................22Deluxe Knee Support w/ Trimmable Buttress.................................21Deluxe Tri-Panel Knee Immobilizer.................................................18Flexgard™ ACL Knee Brace............................................................25Full Length Patella Stabilizer..........................................................19Hypercontrol™ Knee Brace............................................................22Knee Immobilizer w/ Elastic Straps................................................18Knee Support w/ Trimmable Buttress.............................................21

Deluxe Sling and Swathe.................................................................5Premium Arm Sling.........................................................................5Shoulder Abduction Pillow..............................................................4

Exo-Static Over-Door/Exo-Bed Traction Unit.....................................3Standard Over-Door Traction Unit...................................................3

Criss-Cross Lumbo Sacral Support.................................................14Elastic/Neoprene Back Support......................................................14Prolign® Lumbar Orthosis.............................................................15S-I Support Belt.............................................................................13

ActiveWrap® Thermal Supports.....................................................39DeRoyal® Cold Therapy Unit..........................................................37DeRoyal® Cold Therapy Unit Combos............................................37

Knee/Leg

Traction

Shoulder/Arm

Temperature Therapy

Spine

M.4® OA Knee Brace.....................................................................24M.4® ACL Knee Brace....................................................................25Patella Band..................................................................................19Slimline II Knee Brace....................................................................24Thigh Sleeve..................................................................................26Transition Knee Brace....................................................................23Universal Knee Support.................................................................20Visco Elastic Knee Support............................................................20Warrior® Knee Brace.....................................................................23

Solace™ Low Profile Back Brace.....................................................15Ultralign® + Lumbar Sacral Orthosis.............................................16Ultralign® + Thoracic Lumbar Sacral Support...............................17

Shoulder Immobilizer w/ Foam Straps.............................................5ShoulderP.A.D.II.............................................................................4

DeRoyal® Hot/Cold Therapy Unit...................................................37Hot/Cold Therapy Blankets............................................................38Hot/Cold Therapy Wraps...............................................................38

Over-Door Traction Kit w/ Deluxe Head Halter.................................3

Walkers

Pacesetter™ Air Walker..................................................................30Inline Pneumatic Walker................................................................30Pacesetter™ II Walker....................................................................30Inline Walker.................................................................................31

Three-D® Lowest Profile Walker.....................................................31One-Piece Samson Walker.............................................................31Grid Iron XR®R.O.MWalker..........................................................32

viiDeRoyal • 200 DeBusk Lane • Powell, TN 37849 • 888.938.7828 • 865.938.7828 • www.deroyal.com

Index by Product NameWraps & Bandages

Elastic Bandage.............................................................................41

Wrist/Thumb

Black Wrist Splint............................................................................8Comfort Cool™ Thumb Wrap........................................................10Functional Wrist Splint....................................................................9Lace Up Suede Leatherette Wrist Splint...........................................8Suede Leatherette Wrist & Wrist/Forearm Splint..............................9

Premium Wrist Splint......................................................................8Premium Wrist & Thumb Splint.....................................................10Universal Black Foam Wrist Splint....................................................9Universal Neoprene Wristlet..........................................................10

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