TRANSHUMERAL DEFINITIVE SOCKET

  • - Please create a new account to use the Save Draft feature - 

  • Legacy form will no longer be accepted.

  • Access Legacy PDF work order. Legacy form will be accepted until Mar 4th. 

  • Access Legacy PDF work orders below. Legacy form will be accepted until Mar 4th. 

    Transhumeral External Powered Transhumeral Body Powered Transhumeral Hybrid

  • Please do not print the Review page.

    Scroll to the bottom, hit Complete and then download the work order. 

  • TRANSHUMERAL DEFINITIVE SOCKET

    Intake Information
    • Patient Information: 

    • Bilateral Symmetrical: 

      • Left and Right sides can have different Measurements
      • Same Alignment, Design and Finishing options

    • Upload Scan at the end. 

    • Submission Type:

      • Diagnostic Socket

        Please include a printed Work Order with the cast when shipping.

    • Your order will be sent to CDC after submission. 

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      • Please complete this form. Next, after acquiring the scan via the Hanger3D app, go to Order Forms > Jotform Order and fill out the required information and submit the scan. 

        

    • The Cast Measurement fields are available at the end of the Form. 

    • Due to the scan being modified, the Alignment and Modification options will not be displayed.

      Any Alignment or Modification changes can be called out in the Notes section. 

    • Since the Positive plaster model is already modified, the Alignment and Modification options will not be displayed.

      Any Alignment or Modification changes can be called out in the Notes section. 

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    • Daily HFN Capacity

    • {requestedInoffice}{requestedInoffice1573}{requestedInoffice1574}{requestedInoffice1575}

    • Requested In-Office Date: 
    • Image-1578

    • Clinicians can still coordinate special in-office requests by emailing:
      HFN_Hypercare@hanger.com

  • TRANSHUMERAL DEFINITIVE SOCKET

    Device Type

  • TRANSHUMERAL DEFINITIVE SOCKET

    Configurator

  • NOTE TO CLINICIAN

    It is strongly advised that ALL external powered devices be sent to fab in a trial fitting setup with all components aligned and tested for operation. Include TD & chargers with the setup.

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    • Measurements: 

    • Best Practice  - Hand closed, thumb in lateral/key grip–side of index finger

    • Adjustments to Diagnostic Set up:

    • Patient Measurements
    • Alignment: 

    • i

      NEUTRAL is the Tibia perpendicular to the floor based on Heel Height. 

    • Standard Alignment:

      • Elbow perpendicular to the Socket

    • Final Elbow Position:

    •    *      degrees from current position.                              

    • Final Elbow Position:

    •    *            degrees from current alignment.

    • Final Elbow Position:

    •     *        *in from current position.

    •     *        *cm from current position.

    •     *        *in from current position.

    •     *        *cm from current position.

    • Modifications/Trimlines: 

    • Standard Mods include:

      • 1/8" (3 mm) buildup at the Malleoli, Navicular and Base of the 5th. 
      • 1/8" (3 mm) reduction at the Medial Longitudinal Arch Apex. 
    • Materials/Design: 
    • External Powered: 

    • Standard Harness:

      •  Chest strap (Details in Notes)

    • Electronics:

    • Body Powered: 

    • Standard Cabling:

      • Spectra with Teflon
      • Ball terminal & hanger attached
      • TRS ferrule in housing
      • Plastic covering over housing
      • Leather lift assist

    • Standard Harness:

      • Fig. 8 with Large NW ring
      • Four-Bar buckles
      • Anterior elastic strap and 1/2" Dacron for elbow lock
      • Lateral support anterior to acromion
    • Hybrid Powered: 

    • Standard Cabling:

      • Spectra with Teflon
      • Hanger attached
      • TRS ferrule in housing
      • Plastic covering over housing
      • Leather lift assist or directly to forearm (OB)

    • Standard Harness:

      •  Fig. 8 with Large NW ring
      • Four-Bar buckles
      • Anterior elastic strap and 1/2" Dacron for elbow lock
      • Lateral support anterior to acromion

    • Electronics:

    • Suspension: 
    • Image-1299
    • Image-1294
    • Image-1295
    • Image-1438

    • i

      Finshed Plastic thickness will be within 10% of requested thickness.

    • Inner Socket:

    • Standard Anchor Placement/Quantity:

      • 4 Anchors
      • Location:
        • 1 Anterior Wing
        • 1 Posterior Wing
        • 1 Proximal Axilla
        • 1 Distal Lateral

    • Outer Frame:

    • Padding: 

    • Additional Padding

    • Finishing: 
    • Image-1065
    • Image-1069
    • Image-1142

  • TRANSHUMERAL DEFINITIVE SOCKET

    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)

  • Your order will be sent to CDC after submission. No futher action is needed.

    (No Entry required at the LEO portal)

    • Please complete this form. Next, after acquiring the scan via the Hanger3D app, go to Order Forms > Jotform Order and fill out the required information and submit the scan. 

      

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