FastForm®... Custom-Molded Fit, Breathability and Comfort From Injury to Recovery
Featuring PolyTrexX® smart polymer and DermaWick® active liner
With FastForm®, you can treat your patients cost effectively, with our ultra moldable products that provide a perfect fit and superior comfort from injury to recovery. The FastForm® Short Arm Multifunctional Orthosis (SAMO) is revolutionizing the treatment of short arm fractures and tissue traumas.
The SAMO can be used as a splint, cast or brace and is quick, easy and clean to apply. After activation by heat, the SAMO is designed to mold perfectly to the patient’s body contours. In addition, its inner surface is layered with DermaWick®; a special fabric liner that wicks away moisture from the skin.
A superior alternative to conventional casting material and non-custom moldable orthoses, the FastForm® SAMO allows patients the freedom to swim, shower and carry out daily activities with greater ease and comfort. Your patients will love how the enhanced comfort of FastForm® improves their healing experience and quality of life.
Use the FastForm® SAMO for a variety of injuries; stabilization of simple wrist fractures, sprains and strains, tendonitis, cumulative trauma injuries, pain management, and post operative support and protection.
|HCPCS Code||Coding and Reimbursement guide (USA)|
|*||L3982||Upper Extremity Fracture orthosis; For radius/Ulnar, prefabricated, includes fitting and adjustment|
|*||L3984||Upper Extremity Fracture orthosis; For wrist, prefabricated, includes fitting and adjustment|
|**||L3807||Wrist hand finger orthosis, without joint(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise.|
* Approved PDAC codes
** Discretional: May be applicable and suitable
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.
Thanks to our highly moldable PolyTrexX® polymer which has zero memory, the SAMO molds faithfully to fit limb contours. Focal compression can be applied with ease to maximize positioning and alignment.
Patients can shower and swim when authorized
Ultra comfort with reduced itch and odor. The integrated DermaWick® liner means there is no need for cast padding.
A custom fit is quick, easy and clean to achieve without fumes or dust.
Compensates for swelling or muscle atrophy throughout the healing process, making it ideal for susceptible patients, sports, active people and authorized air travel.
Compliance lock strap indicates and deters unauthorized removal.
No cast saw required for removal once healing is complete.
An integrated hinge allows the SAMO to be converted into a wearable rehab splint for continued support.
No need to remove the SAMO for follow-up X-Ray examinations.
FastForm®’s PolyTrexX® polymer is environmentally friendly.
Minimal SKU categories and only three sizes required, thanks to stretch and trim features. Saves space and keeps inventory requirements and management to a minimum.
|Cat.#||Arm||Size||Unit||Ordering & Shipping Pack Details||Wrist Circ.||Forearm Circ.|
|3001||Short Arm Multifunctional Orthosis||Left||M/L||1 Unit||Box of 6||7”– 8.5” (180 – 220mm)||8.5”– 15.5” (220 – 390mm)|
|3002||Right||M/L||1 Unit||Box of 6||As above||As above|
|3003||Left||SM/M||1 Unit||Box of 6||5.5”– 7.5” (145 – 190mm)||6”– 10” (150 – 260mm)|
|3004||Right||SM/M||1 Unit||Box of 6||As above||As above|
|3007||Left||XS||1 Unit||Box of 6||5”– 6” (125 – 150mm)||5.4”– 8.7” (137 – 220mm)|
|3008||Right||XS||1 Unit||Box of 6||As above||As above|
|3005||SAMO Variety Pack (1 each of 3001, 3002, 3003, 3004)||--||--||4 Pk||1 Box||--||--|
|Measure the wrist circumference at the ulna head and the forearm circumference at the widest point.|
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