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ANKLE FOOT
ORTHOSIS
(AFO)
FastForm®... Custom-Molded Fit, Breathability and Comfort From Injury to Recovery
ANKLE FOOT ORTHOSIS
At FastForm® Medical our advanced treatment solutions are at the core of our multifunctional Ankle Foot Orthosis
for foot & ankle fractures, musculoskeletal injuries and related injuries.
Now you can reduce treatment costs and improve the economic performance of your clinic through increased efficiency and patient throughput, while enhancing your patients’ comfort and healing experiences.
The FastForm® AFO delivers the secure immobilization of a Cast combined with the convenience of an AFO/Brace.
With FastForm®’s new custom-fit ankle foot orthosis (AFO), you get the secure immobilization of a cast combined with the convenience of an AFO/Brace.
The FastForm® AFO is remoldable and the only custom moldable AFO with optional pneumatic padding to accommodate swelling while providing added comfort and protection, making it ideal for patients susceptible to fluctuating edema, complications, and multiple refits.
There is no need for additional devices as the FastForm® AFO is reusable, can be removed by HCPs without a cast saw for ROM exercises, and is easily refitted.
The Versi™ Compliance Lockstrap indicates and deters unauthorized removal and encourages patient compliance with treatment plans.
The FastForm® AFO is highly moldable, customizable, remoldable, reusable, and can function as a splint, cast, and brace throughout the healing episode.
Designed with breathability and hygiene at the core, it provides a better healing experience for patients from injury to recovery.
The FastForm® AFO is a load bearing orthosis intended to replace conventional AFOs, casting materials (plaster & fiberglass) and CAM walker boots, and is used for the following indications:
| HCPCS Code | Coding and Reimbursement Guide (USA) | |
|---|---|---|
| * | L2116 | Ankle Foot Orthosis, Fracture Orthosis, Tibial Fracture Orthosis, Rigid, Prefabricated, Includes Fitting and Adjustment |
* Approved PDAC codes
Please visit www.dmepdac.com for more info about codes and fees.
The codes listed show possible coding options and are for information purposes only. FastForm® Medical does not represent, promise, or guarantee levels of reimbursement, payment, calculations, patient eligibility or charges.
| Cat.# |
|
Leg | Size | Unit | Ordering & Shipping Pack Details | Footwear Size | Calf Circ. |
|---|---|---|---|---|---|---|---|
| 4001 | FastForm® Ankle Foot Orthosis | L/R | L | 1 Unit | Box of 1 | US (M) 6.5 - 13 / US (W) 8 - 14.5 UK (M) 6 - 12.5 / UK (W) 5.5 - 12 EU 38.5 - 47.5 | 15 - 18.5”/ (380 - 470mm) |
| 4002 | L/R | M | 1 Unit | Box of 1 | US (M) 6 – 12 / US (W) 7.5 - 13.5 UK (M) 5.5 - 11.5 / UK (W) 5 - 11 EU: 38 - 45.5 | 13.5 - 16.5”/ (343 - 420mm) | |
| 4003 | L/R | S | 1 Unit | Box of 1 | US (M) 4 – 9 / US (W) 5.5 - 10.5 UK (M) 3.5 - 8.5 / UK (W) 3 - 8 EU: 35.5 - 43 | 13 - 16.5”/ (330 - 420mm) | |
| 4006 | FastForm® Ankle Foot Orthosis with Pneumatic Malleoli Pad Set | L/R | L | 1 Unit | Box of 1 | US (M) 6.5 - 13 / US (W) 8 - 14.5 UK (M) 6 - 12.5 / UK (W) 5.5 - 12 EU 38.5 - 47.5 | 15 - 18.5”/ (380 - 470mm) |
| 4007 | L/R | M | 1 Unit | Box of 1 | US (M) 6 – 12 / US (W) 7.5 - 13.5 UK (M) 5.5 - 11.5 / UK (W) 5 - 11 EU: 38 - 45.5 | 13.5 - 16.5”/ (343 - 420mm) | |
| 4008 | L/R | S | 1 Unit | Box of 1 | US (M) 4 – 9 / US (W) 5.5 - 10.5 UK (M) 3.5 - 8.5 / UK (W) 3 - 8 EU: 35.5 - 43 | 13 - 16.5”/ (330 - 420mm) | |
| Measure the calf circumference at the widest point. | |||||||
Alternatively, please send us an email to info@fastformmedical.com and we will connect you to the nearest distributor in your area who will follow up directly with you.
Click here for product instructions and guidelines.
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