■For CPO

Ankle Foot Orthosis

Pacific Supply CO.,LTD.
1-12-1 Goryo, Daito-shi, Osaka, 574-0064 Japan

Thank you for buying our “Ortop AFO”, “Ortop AFO LH”.
In this manual, we explain intelligibly how to use this “Ortop AFO”, “Ortop AFO LH” safely.
Please read this instruction manual thoroughly before the actual use and confirm safety precautions etc.
Please keep this instruction manual carefully and read this repeatedly.

Tel:+81-72-875-8013 Fax:+81-72-875-8017
http://www.p-supply.co.jp/Reproduction or republication prohibitedPacific Supply CO.,LTD. holds the copyright of this instruction manual.
No part of this instruction manual may be reproduced or revised without the prior written permission.

Ortop AFO・Ortop AFO LH Instruction manual / Pacific Supply( * ) Please contact a dealer or see the information in last page when you have any enquiry about this product.
All contents in this manual may be changed from the change of the specification of the product without notice.
Please confirm that you read an instruction manual packed in your own product.

Safety information
Contents
Safety information
What is “Ortop AFO”, “Ortop AFO LH” ?
Safety instruction symbols
Warnings
Cautions
Name of respective parts of Ortop AFO and specifications
How to apply adjustments on Ortop AFO
Adjusting Ortop AFO to a positive model
Widen Ortop AFO
Narrow Ortop AFO
Apply flair on Ortop AFO
Trimming with scissors
Trimming with curving machine
Inspection before use
How to don Ortop AFO
Daily maintenanceHow to store
Disposal

What is “Ortop AFO”?

What is “Ortop AFO LH” ?

“Ortop AFO” is a newly developed AFO with concepts“smaller” and “lighter” than conventional AFO. “Ortop AFO” isalso suitable for Japanese lifestyle. Since this AFO is smaller
and thinner than conventional AFO, this is not so conspicuousand has good feeling of touch from dorsal and planter flexibility.

“Ortop AFO LH” is an AFO that succeed to concepts of“Ortop AFO” and improve redressing force by extending
lower limb height and foot length.

Target case: Slight hemiplegia, peroneal nerve palsy
Weight: about 45 g (size M)
Size: S / M / L / LL
Color: White / Black / Pale blue / Pale green

Target case: Slight hemiplegia, peroneal nerve palsy
Weight: about 81.5 g (size M)
Size: S / M / L / LL
Color: White / Black

Safety instruction symbols
There are many Safety instruction symbols in this Instruction manual. These are the symbols to show you how you can use “OrtopAFO” or “Ortop AFO LH” safely and avoid possible injury or damage to a user or a medical staff. Symbols and the meaning arelisted below. Please read this thoroughly and move to the other contents.

SymbolMeaningWarning!

Important information about a possible dangerous situation which, if not avoided, leads
to serious injuries.

Caution!

Important information about a possible dangerous situation which, if not avoided, leads
to injuries or property damage.

Warnings

Warning!

Cautions
Important information about a possible dangerous situation which, if not avoided, leads
to serious injuries.

● Only a medical doctor can prescribe an AFO.
● Rehabilitation with this product should be done by a
medical doctor or a physical therapist.
● This product is designed as an ankle foot orthosis toimprove a user’s gait. Do not use this product for the otherpurposes.
● Do not apply any other force like squashing, pulling ordetaching except the force that is applied in actual use. It
may cause destruction.
● Stop using this product immediately and consult a doctor
if you had a skin flush, eruption or pain.

● Do not use this product unless a user of this orthosis orhelper can understand usage and safety precautions of thisproduct.
● Follow the safety precautions in this instruction manual.
● Do not walk on slippery floor with this product only. Theuser may tumble down. Please use a pair of shoes to avoidslipping when a user walk on slippery floor.
● Please take care on a step or a floor with slits. A belt ororthosis itself may be caught and a user may tumble
down.
● Please contact a dealer when you notice anything wrong
with this product.

Caution!

Important information about a possible dangerous situation which, if not avoided, leads
to injuries or property damage.

● Do not drop and avoid impact to the product. This may
cause destruction like crack.
● Do not keep this product in direct sunlight or in a car
under blazing sun. Please do not use this product nearheater (like stove). It may cause discoloration or deformation. Do not use discolored or deformed product.
● Do not wash a part except belts. (Please see “5. Dailymaintenance” when you want to wash belts)● A user or a helper must inspect and maintain the productonce a day before the use. Also, do not use before inspection and maintenance.
● When you notice anything wrong in inspection and maintenance, stop using this product immediately and consult adealer.
● You cannot use this product in extreme change in temperature. Please consult a dealer before you use it.

● Please take care not to tighten belts too strong.
● Do not step on the product. This may cause malfunction
with this product.
● You cannot use this product in a bathroom or where rain
can hit directory to the product.
● Some figures shown in this instruction manual may haveomitted or abstracted expression.
● The actual product owing to constant improvement may
differ from contents of this instruction manual in detail.
Please consult a dealer when you have any enquiry about
this product.
● Contact a dealer immediately when you lost or destroyed
this instruction manual.
● Please contact us whenever you find mistake, incorrect
collating, missing pages or omission.
● Unauthorized reproduction and copying from all or a partof this instruction manual is prohibited.

Name of respective parts of Ortop AFO and specifications

How to apply adjustments on Ortop AFO

This product is constituted from these parts. Please confirm that you can find every part. Please see a sticker
on main body or a tag on ring strap and confirm Left / Right is correct.
Main body(Hook and loop fastener in 8 different places left and right side)
Hook andloop fastener

Select proper size of a product and apply adjustments on the orthosis to fit each user by following theway that is described below before the actual use.
Do not apply any adjustment by user himself. This may cause misalignment of the orthosis and lose stability

Warning! in gait. Please consult a medical doctor or PO or PT when you want to apply any adjustment on the orthosis.

A sticker to show
Left / RightLower limb belt
(Hook and loop fastener)

Caution! ● Using this orthosis without adjustment may cause skin flush or pain. Apply proper adjustment before the actual use.
Work environment ● To keep the appearance of the product good, you should keep your work environment clean without waste or dust.
Flame bending ● You should put a pair of gloves or wear shirts with long sleeves to prevent a skin burn.

Ring strap(Hook and loop fastener in 4 different places on the inside)
A tag to show Left / Right on belt mount
Ring strap belt

Instep belt
(Hook and loop fastener)● Do not heat this product with a gas torch or a gas lighter. This may cause excessive heating and cause discoloration
or destruction.
● Do not apply bending only on small part to prevent stress concentration.
● Do not repeat heating and cooling many times. This may deteriorate resin and cause destruction.
● Please take care not to heat this product excessively, since softening point of this product is low and excessive heating may cause deterioration or discoloration on the surface.
● Do not apply heat on hook-and-loop fastener. Hooks on a fastener may be deformed and it may weaken fastening.
When you want to heat the area around a fastener, please remove the fastener before.
● Do not use removed fastener again. This may cause peeling off.
● Water between hook and loop fastener may weaken fastening and cause coming off.
● Do not apply rapid cooling like putting in water on a main body. This may cause crack on the main body. (Pleaseapply natural cooling in the air.)

Trimming ● You can apply trimming only on the area less than 3mm from the edge of a main body. Trimming over 3mm from theedge may weaken strength of a main body and cause destruction.
● Clean the profile smoothly without a burr after trimming. A burr on the edge may injure user’s skin.

Loop

Hook andloop fastener

Expertise ● Adjusting this product needs experience and skill for production of general plastic AFO. If you don’t have expertisecorrespond to (First class certified orthisis technician), you should not apply adjustment on this product.

Adjusting Ortop AFO to a positive model

Widen Ortop AFO

When you want to fit this product to an
actual positive model from a user, Please
follow the process below.

When the Ortop AFO width is narrower thanactual foot width of a user, Please follow theprocess below and adjust the width.

【Equipment used】【Equipment used】

An oven, a positive model, a pair of protective
gloves, an elastic bandage.

A heat gun (about 1kw), a pair of protective gloves, atowel, a piece of cloth, a piece of sandpaper (over #600).

【Process】① Set an oven around 145℃ and heat it.
② Remove hook-and-loop fasteners and a sticker on the main body.
③ Put the main body on mold release seat distant from direct heat fromthe oven.
④ Heat the main body about 5 minutes. (Please adjust actual heatingtime concerning a property of the oven.)⑤ Put the main body on a positive model and adjust setting. (Fig.1)⑥ Fix the main body on the positive model with elastic bandage.
(When you want to push over strongly, put a sheet of cloth between
the main body and elastic bandage.)⑦ After this process, try the product on a user and confirm fitting.

Positivemodel(Fig.1)【Process】① Heat where you want to widen from inside and outside. (Fig.2)② After the surface of main body became shiny, stop heating and take acooling for a while. When the surface of main body became matt,widen the main body by pushing from inside with dry cloth orgloves. (Fig.3)③ Take a natural cooling for a while until you can touch the main body
directly and after that, cool the main body completely with wet
towel.
④ Confirm proper alignment of the product and ground contact ofwhole planter foot.
⑤ Polish the edge of the main body smoothly with a piece of sandpaper
when you find any burr or scratch.

(Fig.2)(Fig.3)

Narrow Ortop AFO

Apply flair on Ortop AFO

When the Ortop AFO width is wider thanactual foot width of a user, Please follow theprocess below and adjust the width.

When the edge of Ortop AFO touches auser and the user feels pain, Please follow
the process below and apply flair on theedge of main body.

【Equipment used】【Equipment used】

A heat gun (about 1kw), a pair of protective gloves, atowel, a piece of cloth, a piece of sandpaper (over #600).

【Process】① Heat where you want to narrow from inside and outside. (Fig.4)② After the surface of main body became shiny, stop heating and take acooling for a while. When the surface of main body became matt,narrow the main body by pushing from outside with dry cloth orgloves. (Fig.5)③ Keep holding main body from outside and take a natural cooling fora while until you can touch the main body directly and after that,cool the main body completely with wet towel.
④ Confirm proper alignment of the product and ground contact ofwhole planter foot.
⑤ Polish the edge of the main body smoothly with a piece of sandpaperwhen you find any burr or scratch.

【Process】(Fig.4)(Fig.5)

A heat gun (about 1kw), a pair of protective gloves, atowel, a piece of cloth, a piece of sandpaper (over #600).

① Heat where you want to apply flair from inside and outside.
② After the surface of main body became shiny, stop heating and takea cooling for a while. When the surface of main body becamematt, apply flair on the edge of main body by pushing on something like pipe from inside. (Fig.6)③ Take a natural cooling for a while until you can touch the main body
directly and after that, cool the main body completely with wet towel.
④ After this process, try the product on a user and confirm that theuser has pain or not. Confirm that the width of the product stays
the same as before.
⑤ Polish the edge of the main body smoothly with a piece of sandpaper when you find any burr or scratch.

(Fig.6)

Trimming with scissors

Trimming with curving machine

When the Ortop AFO is bigger than actual
foot of a user, Please follow the process
below and adjust the size.

When the Ortop AFO is bigger than actual
foot of a user, Please follow the process
below and adjust the size.

【Equipment used】【Equipment used】

A pair of scissors, a rasp, two pieces of sandpaper(#150, #600).

A curving machine (set about 2900rpm), a curving cone, a felt cone.

【Process】① Fit the product on a user and decide trimming line.
② Cut the main body with scissors following trimming line. (Fig.7)③ Rasp off the edge of cut section with rasp and take out big unevenness.
④ Polish the edge of the cut section smoothly with a piece of sandpaper. Start from rough sandpaper and change to a finer one. Finishpolishing with #600 paper and confirm that there is no burr orscratch.
⑤ After this process, try the product on a user and confirm fitting.

【Process】(Fig.7)① Fit the product on a user and decide trimming line.
② Grind off the main body with a curving cone following trimming
line. (Fig.8)③ Polish the edge of the grind section smoothly with a felt cone.
Confirm that there is no burr or scratch.
④ After this process, try the product on a user and confirm fitting.

(Fig.8)

Inspection before use

How to don Ortop AFO

Inspect and maintain this product by following this list once a day before you don it.

Caution!

Inspect and maintain this product before you don it to notice if it has something unusualor not. In the unlikely event of failure, do not use it and consult a dealer to repair orreplace it. Also, do not use this product if it has something wrong.

Please push belts firmly when you fasten hook and loop fastener. There is possibility of peeling off incase of insufficient fastening. Confirm that the orthosis is donned properly.

Warning!

● No unusual thing in belts.
● Ring strap direction is proper.
● No deformation or destruction in each part.
● No discoloration in each part.
● No peeling off between main body and glued hook-and-loop fastener.

* Do not don this product like the diagrams above.

● Fastening between hook and loop fastener is proper.
● No frayed spot on sewn part.

Caution!

Do not pull on the tip of belts when you fasten belts. This may cause destruction.
Do not cut ring strap belt. The coming out prevention is lost and the belt may come out.

Daily maintenance
To use this product for a long term, please maintain this product daily on the list below.
● This product is not waterproof. Wipe water drop immediately with dry towel when water drops on.
● Remove fibers on hook and loop fastener as required.
(Fibers on hook and loop fastener may weaken fastening and cause coming off)
● Wipe with dry towel when you find any dirt on main body.
● Wash belts with lukewarm water (below 40℃) when each belt gets dirty.
* When you use hot water over 40℃, the hooks on a fastener may be deformed and may weaken fastening.
* After you wash belts, dehydrate the belts with dry towel and dry them in the shade.

Put hook andloop side together

Attach slacked ring strap on main body andfix the ring strap by putting hook and loop
side together.

Put your foot through ring strap belt on
main body.

Fasten ring strap belt to fix your foot on
main body.

How to store● Keep out of moisture or direct sunlight and store in the shadeDisposal● Follow local ordinances or regulations for proper disposal of each part.
Fasten lower limb belt and instep belt to fix yourfoot firmly on main body. (Please cut out lower
limb belt or instep belt when the belt is too long.)

Confirm that the tightness of each belt isproper.

・Main body … Polypropylene (PP)・Ring strap … Polyurethane (PU) / Nylon (PA)・Lower limb belt・instep belt … Polyurethane (PU) / Nylon (PA)