SPECIAL ORDER PEDIATRIC AFO

SPECIAL ORDER PEDIATRIC AFO

Device Type
Device Type*
Raven Base Code:

F1967 - PEDIATRIC PLASTIC AFOF1971 - PEDIATRIC ARTICULATED PLASTIC AFO
Device Type

SOLIDSEMI-SOLIDPOSTERIOR LEAF SPRINGARTICULATED W/STOPARTICULATED (FREE MOTION)ARTICULATED (POSTERIOR ENTRY)
Tuning Principles can be applied to Solid/Semi-Solid AFOs.
Unfinished:

DO NOT ARTICULATE

SPECIAL ORDER PEDIATRIC AFO

Configurator

Measurements:
Submissions with Scans require measurements. Go By Impression will be disabled.
Go by:*

ImpressionMeasurements
Please indicate measurement unit:*

incm
Selected unit: {pleaseIndicate910}
Left - Selection
Right - Selection
L - Finished Orthosis Height: *
Decimal value optional
R - Finished Orthosis Height: *
Decimal value optional
Finished Orthosis Height - Container:
L - Finished Plastic Footplate length: *
Decimal value optional
R - Finished Plastic Footplate length: *
Decimal value optional
Finished Plastic Footplate Length - Container:
L - Calf Circ:*
Decimal value optional
R - Calf Circ:*
Decimal value optional
Calf Circ - Container:
L - Calf ML:*
Decimal value optional
R - Calf ML:*
Decimal value optional
Calf ML - Container:
L - Ankle ML:*
Decimal value optional
R - Ankle ML:*
Decimal value optional
Ankle ML - Container:
L - Met Head ML (Semi-weight bearing):*
Decimal value optional
R - Met Head ML (Semi-weight bearing):*
Decimal value optional
Met Head ML - Container:
L - Ankle Joint Height:*
Decimal value optional
R - Ankle Joint Height:*
Decimal value optional
Ankle Joint Height - Container:
L - Anatomical Foot Length (Weight Bearing):*
Decimal value optional
R - Anatomical Foot Length (Weight Bearing):*
Decimal value optional
Anatomical Foot Length - Container:
L - Finished Orthosis Height: *
Decimal value optional
R - Finished Orthosis Height: *
Decimal value optional
L - Finished Plastic Footplate length: *
Decimal value optional
R - Finished Plastic Footplate length: *
Decimal value optional
L - Calf Circ:*
Decimal value optional
R - Calf Circ:*
Decimal value optional
L - Calf ML:*
Decimal value optional
R - Calf ML:*
Decimal value optional
L - Ankle ML:*
Decimal value optional
R - Ankle ML:*
Decimal value optional
L - Met Head ML (Semi-weight bearing):*
Decimal value optional
R - Met Head ML (Semi-weight bearing):*
Decimal value optional
L - Ankle Joint Height:*
Decimal value optional
R - Ankle Joint Height:*
Decimal value optional
L - Anatomical Foot Length (Weight Bearing):*
Decimal value optional
R - Anatomical Foot Length (Weight Bearing):*
Decimal value optional

SPECIAL ORDER PEDIATRIC AFO

Notes
Your order will be sent to CDC after submission along with the Scan. No futher action is needed.

(No Entry required at the LEO portal)
Scan Upload:*

Accepted File types: med, fsn, op3, stl - 60 MB File Size Limit
Cancelof
Average Cast Thickness - Left (mm): *
Decimal Value Optional
Average Cast Thickness - Right (mm): *
Decimal Value Optional
Outside Cast Forefoot ML - Left (mm):*
Decimal Value Optional
Outside Cast Forefoot ML - Right (mm):*
Decimal Value Optional
Outside Cast Ankle ML - Left (mm):*
Decimal Value Optional
Outside Cast Ankle ML - Right (mm):*
Decimal Value Optional
Technical Consult: I would like a call to discuss prior to starting fabrication.

Yes
Who would you like a call from?*

Modifications (Modifier)Design options on device (Fab Supervisor)Shipping/Billing (Customer Support)
Technical Consult Team:
Notes:

0/250
Image upload (Optional):

Allowed Image types: jpg, jpeg, png, gif
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Bilateral
- F0036
- F2600
- F0051
-F2840
-F2860
- F2820
- F1915
- F0040
- F0040
- F0028
- F3310
- F0046
- F0046
- F0046
- F0047
- F0053
- P1000
Raven Component Codes:
Joints:
Posterior Stop:
- P9000
Should be Empty:

SPECIAL ORDER PEDIATRIC AFO

SPECIAL ORDER PEDIATRIC AFO

SPECIAL ORDER PEDIATRIC AFO

SPECIAL ORDER PEDIATRIC AFO

Intrinsic Heel Skive requires external posting/wedging.

Posting options will not be available if a Heel Wedge is selected.

Ankle Joints

Plastic

Special Order Transfer Papers can increase device turnaround time.

SPECIAL ORDER PEDIATRIC AFO