Creative Orthotic Design Epione orthotics Introduction At Epione, We specialise in the design and fabrication of superior quality, custom prescription foot orthoses. We operate a state of the art manufacturing lab that couples the latest in computer aided technology with the personal hand made care of our skilled craftsmen. Ultimately this ensures that we deliver precision accurate, aesthetically pleasing orthotic devices everytime. Our philosophy is simple: to give our customers exactly what they deserve. To us this means an extensive, yet fully adaptable range of devices, a fast turnaround time, a competitive pricing structure and an excellent support service. Let Epione be your 1st choice for custom prescription foot orthoses. Contents Design & manufacture protocol .............................................. 3 Functional Orthoses Daily Functional / Daily Flex .................................................... 5 Dress Orthoses Dress Standard / Cobra Dress .................................................. 7 Sport Orthoses: Sportech / Sport Impact ................................................................. 9 Runner / Carbon Sport ................................................................. 10 Soccer / Golf .............................................................................................. 11 Sportysoft / Ski ...................................................................................... 12 Specialised Orthoses: Diabe-tech / Control Max I ....................................................... 14 Control Max II / Control Max III ....................................... 15 Control Max IV ....................................................................................... 16 Shell Materials Matrix ..................................................................... 17 Shell Specifications ............................................................................ 18 Additions & Accommodations ............................................... 20 Contact & Policies ............................................................................... 24 2 • www.epioneorthotics.com Design & Manufacture Protocol Traditional or Digital Stream Your 3-d scans/plaster molds/impression foam boxes & completed prescription form are sent to the labsporting activities. Your 3/d scans/ plaster casts/foam boxes are scanned into our cad software. Your prescription variables are applied and the resultant design is sent to our cnc machine where a positive mold or direct milled polypropylene orthotic is machined. Direct Milled Orthotic The direct milled device is then trimmed and a finish grind is applied to the shell profile. Vacuum Formed Orthotic Extensions, additions and a top cover is applied and the devices is polished, labeled and quality checked by our technician. From the positive mold we then thermoform the material of your choice over the positive, trim and finish the shell profile. www.epioneorthotics.com • 3 Functional 4 • www.epioneorthotics.com Functional Daily Functional Daily Flex Our premium entry level orthotic, ideal for everyday activities and light sporting activities. Our entry level semi flex orthotic, for patients requiring only minimal biomechanical control. Lab Standard • Semi rigid direct milled polypropylene shell • 14mm heel cup depth • Functional shell grind • Unitized extrinsic rearfoot post • Black ultravinyl top cover Lab Standard • Semi flexible Direct milled polypropylene shell • 12mm Heel cup depth • Functional Shell grind • Unitized extrinsic rearfoot post • Tan ultravinyl top cover Applications Most men and women’s casual, walking, athletic, lace-up, and slip on shoes with a deep heel counter and adequate forefoot width. Optional Shell Materials • XT Sprint Applications Most men and women’s casual, walking, athletic, lace-up and slip-on shoes with a deep heel counter and adequate forefoot width. www.epioneorthotics.com • 5 Dress 6 • www.epioneorthotics.com Dress Specially designed for use with ladies and gents fashion / dress shoes Dress Standard Lab Standard • Semi flexible Direct milled polypropylene shell • 10mm heel cup depth • Dress shell grind • Intrinsic rearfoot grind • 3.2mm poron extension to sulcus • Black ultrasuede top cover to sulcus Dress Cobra Applications Suitable for dress shoes with a heel height no greater than 1.5 inches in height. Lab Standard • Semi flexible Direct milled polypropylene shell • 8mm heel cup depth • Cobra cut out shell design • Intrinsic rearfoot grind • Poron plantar arch fill • 3mm black neolon top cover to sulcus Applications Suitable for fashionable high heeled shoes. www.epioneorthotics.com • 7 Sport 8 • www.epioneorthotics.com Sport High performance orthotics specifically designed for a variety of athletic applications Sportech Sport Impact Designed for maximum shock absorption and functional control. Lab Standard • Semi-Rigid Direct milled polypropylene Shell. • 16mm heel cup depth • Sport Shell width • Unitized extrinsic rearfoot post • Blue ultra vinyl top cover to mets Indications Most men and women’s athletic footwear. Optional Shell Materials • XT Sprint Lab Standard • Semi Flexible Direct milled polypropylene shell • 16mm heel cup depth • Sport shell width • Dual Density extrinsic rearfoot post • Low density eva plantar arch fill • 1mm eva base layer • 2mm Lunasoft top cover to toes • White nylon grip plate Indications Most men and women’s athletic footwear. Designed for high impact sports where shock absorption is important. www.epioneorthotics.com • 9 Sport High performance orthotics specifically designed for a variety of athletic applications Runner Carbon Sport Our running specific sport device with additional forefoot correction to aid propulsion in the push-off phase. Our gold standard lightweight, sport orthotic device. Lab Standard • Semi rigid direct milled Polypropylene shell • 16mm heel cup Depth • Sport shell width • High density EVA extrinsic rearfoot Post • Black nylon grip plate • Extrinsic forefoot varus post to sulcus (3 degrees) • Neoprene top cover to toes Lab Standard • Semi Rigid vacuum formed TL silver shell • 14mm Heel cup depth • Sport shell width • High density EVA extrinsic rearfoot post • White nylon grip plate • Silver ultra vinyl top cover to mets Indications Most men and women’s running shoes with sufficient heel cup & forefoot depth. 10 • www.epioneorthotics.com Indications Most men and women’s athletic shoes. Narrower / slim fitting running shoes. Sport High performance orthotics specifically designed for a variety of athletic applications Soccer Golf Designed specifically with the dynamics of golf in mind. Lab Standard • Semi Rigid Direct milled polypropylene shell • 10mm heel cup depth • Reduced shell grind (narrow midfoot cut) • Narrow bevel extrinsic EVA rearfoot post • White Nylon grip plate • Yellow/black marbel eva to sulcus • Black ultra suede bottom cover Application For use in all football and rugby boots. Note: A template of the boot is required to ensure a correct fit. Optional Shell Materials • XT Sprint Lab Standard • Semi flexible direct milled polypropylene shell • 12mm heel cup depth • Sport shell grind • Low density EVA plantar arch fill • 1mm medium density eva base layer • 3mm Neolon top cover to toes Application Designed specifically with the dynamics of golf in mind. This device will Gently control excessive frontal plane rotation without blocking the motions necessary during the swing phase of the activity. www.epioneorthotics.com • 11 Sport High performance orthotics specifically designed for a variety of athletic applications Sportysoft Lab Standard • Full length Direct milled medium density EVA shell • 16mm heel cup depth • Sport shell grind • 2mm blue/white EVA swirl pattern top cover. Ski Indications For the sporting client when rigid orthotic devices are poorly tolerated or minimal biomechanical correction/ control is required. Available in met length or full length. 12 • www.epioneorthotics.com Lab Standard • Semi rigid co-poly polypropylene shell • 12mm heel cup depth • Ski shell grind (boot liner required) • Unitized extrinsic rearfoot post • Poron forefoot extension to toes • 1mm EVA top cover to toes. • Black Vinyl bottom cover Application Modified functional shell style for use in all alpine, nordic and snowboard boots. Note: The boots liner should be traced or sent to ensure a good fit. Specialist www.epioneorthotics.com • 13 Specialised Diabe-tech Control Max I Designed for the at risk, sensitive, neuropathic or diabetic foot. UCBL design orthotic. Lab Standard • Low durometer direct milled polyurethane shell • Comfort shell grind • Total contact anatomical shell profile • Full length device • 1.6mm Luminair top cover to toes Lab Standard • Direct milled polypropylene shell • 25mm heel cup depth • Medial and lateral flanges • Wide shell profile • Unitized Extrinsic rearfoot post • 3mm Medium density EVA top cover to toes. Applications Specificaly designed for the at-risk, sensitive, diabetic or renopathic foot. Very soft with total contact for maximum pressure dispersion. 14 • www.epioneorthotics.com Applications Specially designed to offer maximum STJ control for the excessive pronator and paediatric / adultacquired flatfoot. Specialised Control Max II Control Max III Blake inverted device. Lab Standard • Direct milled polypropylene shell • 22mm medial heel cup, 12mm lateral heel cup height • Unitized Extrinsic rearfoot post • Unitized extrinsic forefoot post • 5 degree Inverted shell profile (std) • 4mm medial heel skive (std) • 3mm medium density eva top cover to toes • Black nylon grip plate Applications Specially designed to offer maximum STJ control for the excessive pronator and paediatric / adult-acquired flatfoot. Lab Standard • Semi rigid co-polymer polypropylene shell (vacuum pressed) • 25mm medial heel cup, 12mm lateral heel cup height • High density extrinsic EVA oblique hemi rearfoot post • Blake inverted shell profile (std 25 degrees) • 6mm medial heel skive • 1mm eva shell cover • 3mm medium density eva top cover to toes • Nylon grip plate Applications Specially designed to offer maximum STJ control for the excessive pronator and paediatric / adultacquired flatfoot. www.epioneorthotics.com • 15 Specialised Control Max IV Laterally wedged orthotic device for the supinator. Lab Standard • Semi flexible direct milled polypropylene shell • 20mm lat heel cup depth, 12mm medial heel cup depth • Unitized extrinsic rearfoot post • 2mm Lat heel skive • 2 degree valgus intrinsic forefoot post • 2 degree valgus forefoot post to sulcus. • 3mm medium density eva top cover to toes. Applications Lat deviated STJ axis/Peroneal tendinitis/lat ankle instability. 16 • www.epioneorthotics.com Shell Materials Matrix Thermoplastics Carboplastics Impact Sport Molds Material Thickness (mm) 180-220 220-270 Polypro 5mm R <80 R R R S/R Polypro 4mm R R R S/R S/F Polypro 3mm R R S/R S/F F Polypro 2mm S/R S/F S/F F F Copoly 5mm R R S/R S/F F Copoly 3mm R S/R S/F F XT Sprint 3mm R R R R S/R XT Sprint 2.7mm R R R S/R S/F XT Sprint 2.3mm R R S/R S/F F XT Sprint 1.9mm R S/R S/F F TL Silver 2.8mm R TL Silver 2.8mm R R R R S/R TL Silver 2.2mm R R R S/R S/F Polypro / Poron® 5mm R R R R S/R Polypro / Poron® 4mm R R R S/R S/F Polypro / Poron® 3mm R R S/R S/F F Polypro / Poron® 3mm R S/R S/F F Polypro / Poron® 2mm S/R S/F S/F F Polypro / Poron® 1.5mm S/F S/F F R = Rigid 80-120 120-180 S/R = Semi Rigid S/F = Semi Flexible F = Flexible www.epioneorthotics.com • 17 Shell Specifications Orthotic Width PF Groove Location / Characteristics Wide (a) • a) Shell to be 3-4mm wider than lab standard Narrow (b) • b) Shell to be 3-4mm narrower than lab standard Location / Characteristics • Groove incorporated into shell material in area of medial plantar aponeurosis / flexor hallucis brevis (as marked on casts) Indications • a) Excessive pronator to maximize contact area with plantar surface area • b) Slender / narrow foot-type, low profile footwear Indications • Anatomically tight plantar fascia (especially if prominent with dorsiflexion of 1st MPJ) Deep Heel Cup Lateral Flange Location / Characteristics • Heel cup depth greater than lab standard for desired device: (range from 14mm-32mm) • Device altered to deepen and subsequently widen area of heel cup will widen entire device slightly Location / Characteristics • Lateral border of device extended to encompass more of the LLA Indications • Addition of skive to a device • Optimization of rearfoot control Indications • Supinated foot type • Chronic lateral ankle instability Contraindications • Dress footwear - deeper heel cup may cause footwear fitting problems due to added depth / width of device Contraindications • a) Low profile / narrow footwear • b) Wide footwear deep heel cup (>14mm) Contraindications • Footwear which cannot accommodate extra width needed for device 18 • www.epioneorthotics.com Shell Specifications 1st Met Cutout Navicular Aperture Location / Characteristics • Corner of shell material removed in area sub 1st MPJ Location / Characteristics • Depression / cavity in shell material (in area as marked on cast), filled with Poron® contoured to surrounding shell shape Indications • Dancers pad / FHL accommodation • Plantarflexed 1st ray Contraindications • Hallux Rigidus Indications • Accessory navicular • Bony exostosis • Prominent navicular / cuneiform 1st Ray Cutout Contraindications • Desired sweet spot in area which will not be in contact with the device Location / Characteristics • Corner of shell material removed in area sub 1st Metatarsal, proximally extending to base of 1st Metatarsal shaft. Indications • Functional Hallux Limitus • Rigid Plantarflexed 1st ray • The addition of a FHL extension Contraindications • Hallux Rigidus Medial Flange Location / Characteristics • Medial border of device extended to encompass more of MLA • Maximize control / contact area between foot and device Indications • Excessively pronated foot type • Medially deviated STJ axis Contraindications • Footwear which cannot accomodate extra width needed for device www.epioneorthotics.com • 19 Additions & Accommodations Heel Cushion Heel Aperture c Poron® Fill Material / Characteristics • 3mm Poron® Material / Characteristics • Cavity in shell material, filled with Poron® and contoured to shape of heel cup Location • Entire surface of heel cup, extending distally to level of anterior calcaneus Indications • Heel pain • Heel spur • Reduced fibro-fatty pad Heel Raise Material / Characteristics • Firm EVA Location • Adhered to plantar surface of extrinsic rearfoot post Indications • Leg length discrepancies (unilaterally) • Achilles tendinitis (use bilaterally) 20 • www.epioneorthotics.com Location • Medial calcaneal tubercle Indications • Heel spur • Plantar Aponeurosis insertional pain Contraindications • No intrinsic rearfoot stabiliser (excluding molds, sport impact devices Additions & Accommodations Met Bar Met Dome Material / Characteristics • Prefabricated Poron® pad (small, med, large sizes-based on foot size) Material / Characteristics • Prefabricated Poron® pad (tear-drop shaped) small, med, large size - based on foot size) Location • Centered on 2-4 Metatarsals extending 3-4mm beyond distal edge of device Indications • Metatarsalgia • Forefoot callusing Rigid Shaft Extension Material / Characteristics • Extension of shell material sub 1st Metatarsal-Phalangeal joint • Polypropylene only Location • Centered on 3rd Metatarsal, extending 3-4mm beyond distal edge of device Indications • Metatarsalgia • Dropped lesser Metatarsal • Forefoot callusing • Interdigital neuroma • Intermetatarsal-phalangeal bursitis Contraindications • Rigid / immobile forefoot Location • Continuation of shell material to end of 1st digit Indications • Hallux Limitus / Rigidus • Short 1st Metatarsal with Hallux Limitus or pain on dorsiflexion • Turf toe Contraindications • Normal 1st MPJ ROM (will act as a splint / facilitate low gear toe-off) www.epioneorthotics.com • 21 Additions & Accommodations Reverse Mortons Extension Material / Characteristics • 3mm Cushion Cork Location • Applied to distal / dorsal aspect of shell to level of sulcus 2-5 MPJ (no cork sub 1st MPJ) Indications • Plantar-flexed 1st ray • Low gear push off • Forefoot Valgus Contraindications • Hallux Limitus / Rigidus • O/A with Osteophytic Lipping Mortons Extensions Material / Characteristics • 3mm cushion cork Location • Sub 1st Metatarsal - phalangeal joint extended from distal end of shell to sulcus Indications • Short 1st Metatarsal in relation to length of 4th / 5th Metatarsals • Dorsiflexed 1st Ray • Hallux Limitus (mild) Contraindications • Long 2nd Metatarsal in relation to Metatarsal 22 • www.epioneorthotics.com Functional Hallux Limitus Accommodation Material / Characteristics • 3mm EVA Location • Applied from distal / plantar aspect of shell to sulcus, square-shaped cut out to 1st MPJ (*1st Met cutout in shell automatically performed with this addition) Indications • Functional Hallus Limitus Contraindications • Anatomical Hallux Rigidus / Limitus 1st MPJ O/A with osteophytic lipping Additions & Accommodations Forefoot / MPJ Lesion Accommodation Material / Characteristics • 3mm cushion cork extension (or Poron®) Location • Forefoot extension tapered onto distaldorsal aspect of shell extending to level of sulcus (1-5) with cutout to lesion site (as marked on negative cast) Indications • Persistant / painful corn, callus or plantar warts / ulceration • Dropped Metatarsal-phalangeal joint • MTPS Capsulitis Contraindications • Will add extra thickness in forefoot area, therefore not recommended unless footwear can accommodate adequately Dancer’s Pad Material / Characteristics • 3mm cushion cork extension to sulcus Location • Forefoot extension started at the base of the Metatarsal, extending to level of sulcus with a cutout to the 1st MPJ (*1st Met cutout in shell automatically performed with this addition) Indications • Rigid, severely plantarflexed 1st ray • Sesamoiditis • Fractured Sesamoiditis • Contused Sesamoiditis Contraindications • Hallux Limitus / Rigidus • 1st MPJ O/A www.epioneorthotics.com • 23 Policies Product Guarantees Production Time • Polypropylene, coplymer and carboplastic shells are guaranteed against breakage for the functional life of the device • Soft mould devices are guaranteed against excessive compression for 6 months • Top covers, additions and extensions cannot be guaranteed as individual body chemistry, weight and activity levels can cause wear at varying rates We guarantee that all orders will be fabricated and shipped within 10 working days from receipt of order. 5 working day rush service is available at an additional cost. Order will be shipped 5 days from receipt of casts/scans. Second Pair Orders Adjustments Minor adjustments to your original prescription for fit, function or comfort will be made AT NO CHARGE within 6 months from date of shipping. Charges will apply for new components / additions or major changes to your original prescription. Returns Custom orthotics are not returnable for credit as each device is fabricated from your mould / impression and your prescription. We can not be held responsible for error on your behalf. We will however work with you to attempt to resolve your orthotic problems. Epione Orthotics Rush Orders Second or subsequent pair orders will receive a 10% discount. Cast Storage Negative Scanned negative impressions and digital corrections are stored for 5 years. Credit Card Payment We offer our customers the option of paying invoices with visa, mastercard or debit cards. Payment terms are net 14 days from invoice issue date. 10a Albert Street Aberdeen AB25 1XQ t: 01224 561999 e:[email protected] - General Enquiries e:[email protected] - Customer Support www.epioneorthotics.com VAT Registration No. 928 9957 47 Company Registration No. 296949
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