BOA TECHNOLOGY MEDICAL PRODUCT WORKBOOK 2014/15

BOA TECHNOLOGY MEDICAL PRODUCT WORKBOOK 2014/15

GET DIALED IN WITH BOA MEDICAL The reels, lace, and lace guides that comprise the Boa Closure System were originally developed to create a better closure for snowboard boots and other sports footwear. Drawing from over 10 years of experience with sporting good brands, Boa now applies its technology to the medical category where we can deliver a wide variety of dynamic closure, fit, and adjustment solutions. This workbook will aid you in understanding how to best utilize Boa s unique closure and adjustment properties for your various braces and devices. Within this book, we will provide many answers for integrating Boa into your products. In doing so, we hope to inspire creative thought and illustrate new solutions to age-old problems of fit and adjustment. TABLE OF CONTENTS CLICKFIT. 6 + Methods to create products which fully open easy don/doff improves the patient experience. STRAPS. 10 + Replacing hook and loop closure with a clean, easy to use, micro-adjustable strap. ALTERNATIVE ATTACHMENT. 12 + Understanding how to install reels and guides on non-textile applications. OPTIMIZING REEL POSITION. 14 + Placing the reel to customize the fit and function of your device. STATIC & DYNAMIC FIT. 16 + Creating optimal fit with static and dynamic closure systems understanding even pressure and anti-migration applications for various body shapes. MANAGING COMPLIANCE. 18 + How to proactively manage patient compliance, by using the L4 locking ring to control patient access to the device. GROSS ADJUSTMENT. 20 + Applications that enable Boa to fit a wider range of body sizes with a reduced SKU count. 1

THE BOA ADVANTAGE Boa s suite of medical product solutions create opportunities for providers to deliver their patients with a whole new level of fit, function, and comfort which aim to improve patient compliance and outcomes. Versatile enough to enhance any number of medical applications from medical bracing to prosthetics, the Boa Closure System is the ultimate solution in medical closure and adjustment. FIT An adaptive fit that improves comfort and support. EASE OF USE Improves patient compliance and outcomes. 2

SECURITY & STABILITY The Boa Closure System is precise, keeping the exact fit throughout the day. SKU REDUCTION AND INCREASED SIZE RANGE Boa is uniquely able to cover larger size ranges with a cleaner closure system. 3

CLICKFIT SYSTEM The ClickFit System introduces a seamless way to integrate Boa into braces that fully open and close. The easy-touse, low-profile system allows for simple don and doff while still delivering the Boa Closure System s trademark fit and micro-adjustability. Guides D Rings Receivers FEATURES Optimal Fit Ease of Installation Ease of Design The ClickFit System combines guides, D Rings, and receivers to provide a convenient, low profile, quick release system to open and close a brace. The ClickFit System is secured with a single click of two intuitively paired guides. They can be easily operated by both patient and provider. The ClickFit System frees patients from cumbersome hook-and-loop straps and large clips that can compromise a precise, repeatable fit of the brace. 4

WRIST BRACE APPLICATIONS Single zone closure for point pressure Multi-zone closure for precise fit and stability KNEE BRACE APPLICATIONS Both upper straps are controlled by one reel Single straps Reels mounted on opposite side Both lower straps controlled by one reel One reel controls two straps simultaneously Lateral Stay Center Pad Medial Stay 5

CLICKFIT SYSTEM SPINAL BRACE APPLICATIONS Configuration A Anterior Opening Configuration B Lateral Dual Panel Opening Two easy attachment points Two dynamic straps controlled by one dial CERVICAL BRACE APPLICATIONS Don/doff becomes quick and easy Ability to click guides together in the correct location, even when out of sight 6

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STRAPS Boa-powered straps eliminate many of the limitations and inconveniences associated with traditional hook-and-loop strap closures. The secure, micro-adjustable Boa Closure System delivers a clean closure and adjustment solution. Using Boa s patented ClickFit technology, Boa s strap design provides enhanced compression, even fit, and greatly improved ease of use. Tunnel Strap Simple Strap with Pad Simple Strap FEATURES Better Patient Outcomes Ease of Use Simple Easy adjustability of Boa straps delivers optimal compression, point pressure, and directional force. This all leads to great fit, and enhanced patient outcome. Boa provides improved ease of use and better fit, assuring patient compliance and persistence. Boa s low-profile straps deliver a clean, comfortable, elegant closure solution, that won t pinch or irritate the patient. SINGLE STRAPS APPLICATIONS For creating circumferential and/or targeted fit solutions. Adding gross adjustment to a Boa strap Single strap with D Ring ClickFit attachment 8

DOUBLE STRAPS APPLICATIONS For creating dynamic fit over a larger area of the brace. Double strap Double Lace Strap Lateral Stay Center Pad Medial Stay Double D Ring Strap Double Tunnel Strap NOTES 9

ALTERNATIVE ATTACHMENT METHODS Boa is constantly striving for new ways to integrate and attach our components, in order to bring flexibility and adaptability to the construction and manufacturing of Boa-equipped braces. RIVET GUIDES If the brace material is not conducive to stitching Boa components, then consider our rivetable guides and reels. 20mm Modular Rivet Guide 15mm Modular Rivet Guide T Modular Rivet Guide 10mm Modular Rivet Guide Rivet guides can be placed along a variety of predetermined locations, vertically or horizontally, to create optimal fit Horizontal lace vectors provide optimal closure force FEATURES Optimal Fit Ease of Installation Ease of Design 10 Rivet Guides can be placed in various locations for creating optimal pressure and closure forces for a customized fit. Whether in a clinic or at the factory, rivets can be easily used to quickly install guides and reels. For plastic or rigid braces, rivets allow for ease of installation of Boa components into rigid materials.

BAYONET Mounting a reel via a Boa bayonet allows for easy installation onto a brace. Similar to a printer cartridge or a camera lens, the reel can be easily installed and/or replaced if needed. Rivetable M3 housing CLICK Click in Low Power Screw down M3 Tab in NOTES 11

OPTIMIZING REEL POSITION When placing a Boa Reel on a medical brace, there are various considerations to take into account. Boa has many options and techniques to aid our partners in optimizing the ease of access, closure distance, static vs. dynamic stability, and fit profile to create the ideal solution for your product. LOCATION OF REEL ON BRACE Center Placement Lateral Placement Medial Placement + Center placement allows for a universal SKU + Proper configuration is key + Improved ease of access for patient + Improved integration options for protection of the reel + Ideal for sports and active patient activities + Medial placement can aid ease of access for patients on some brace types + Impact protection can often be accomplished with medial placement FIT PROFILE Proximal Placement Distal Placement Center Placement + Provides even fit with added stability at the proximal portion of the brace + Provides even fit with added stability at the distal portion of the brace + Provides the most even fit across the entire brace 12

IMMOBILIZATION CONSIDERATIONS Boa can provide even fit using the dynamic nature of our system. It can also be fine-tuned to provide increased immobilization over targeted areas. Static Zonal Static/Dynamic Zonal Dynamic Zonal + Static zonal reels provide the optimal immobilization effect + A mixture of static and dynamic systems can provide great fit plus targeted immobilization + A dynamic system creates comfort and adaptability to limb shape, but less rigid immobilization. NOTES 13

STATIC & DYNAMIC FIT STATIC PRINCIPLES Static principles are generally applied in a strap format that allows for two independent zones. Static fit for optimal immobilization over various shapes of anatomy Ability to dial in specific tensions over specific areas along the brace BOA CLOSURE S DYNAMIC PRINCIPLES Dynamic principles occur when two zones are connected and controlled by one reel. The low friction inherent in the system, allows for the shape of the brace to accommodate and adapt to changes in limb shape during activity. Fits conical shapes with even pressure distribution Dynamic systems allow for excellent anti-migration benefits Ability to move limb in a limited fashion to promote muscle use Even pressure is maintained as shape of limb changes 14

APPLICATIONS Mixing static & dynamic configurations creates zonal fit, while still allowing for optimal support and comfort. Multiple zones allow for easily adjustable fit across the length of the brace, especially when crossing a joint. Static Zone + For optimal stability and immobility Zone 1 Zone 2 Allows for complex shapes to be easily accommodated Dynamic Zone + To accommodate multiple shapes + To provide some movement within the brace for comfort NOTES 15

MANAGING COMPLIANCE Boa s L4 locking dial allows a practitioner to manage patient compliance by temporarily locking the dial tension in place. Once locked, the L4 dial keeps brace tension exactly where prescribed for optimal patient outcome. The doctor can retain the key, or they can provide it to the patient with instructions for removal. L4 Locking Dial and Compliance Ring 1 2 3 FEATURES Improved Patient Compliance Persistence Security The ability to lock the dial creates the opportunity for the practitioner to set a preferred tension and know that the brace will be worn at that setting until the next office visit. The locking ring can also be used in high risk patients where the doctor desires a locked system to ensure patient compliance and persistence. Once the L4 Dial is used to lock the tension in place, it stays that way until the doctor removes the locking ring. This feature will maintain a prescribed setting during the healing period. 16

APPLICATION EXAMPLES ClickFit does not release under load ClickFit does not release under load ClickFit does not release under load NOTES 17

GROSS ADJUSTMENT The Boa reel best functions as a micro-adjustment feature of the brace. Given that there are many body types and sizes, having a strategy for proper initial fit of the brace (gross adjustment) is critical. Use these gross adjustment techniques to provide an initial optimal fit, maintain a one-size-fits-all strategy, and optimize the speed at which the patient can don/doff their braces. One time, set and forget. Gross adjustment strap can set the initial fit. Boa then becomes the only adjustment point. Multiple guide locations Gross adjustment strap coupled with a Boa strap FEATURES Better Fit Improved User Experience Reduced SKU Counts & Costs Creating proper gross adjustment options allows for a better fitting brace. Gross adjustment keeps excess lace from complicating the user interface and allows for a quicker, more elegant closure system. Gross adjustment plus Boa allows the manufacturer to provide fewer SKU s for easier inventory control at the OEM and at the clinic. 18

LACE STORAGE An additional gross adjustment strategy is to store excess lace outside of the reel. Use the following ideas for quick and easy lace length adjustment. NOTES 19

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