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Iceform Sleeve

Iceform Sleeve


HC050898

The Iceform Sleeve is made of Thermoplastic Elastomer (TPE) material and covered with seamless durable textile. The unique thermo-formability of the TPE material allows the sleeve to adapt to residual limb shape for optimal comfort. The elasticity of the TPE material and the featured Wave design allows for easy knee bending, while providing user comfort and safe suspension.

Össur recommends that the Iceform Sleeve is used in conjuction with the Iceform Cushion Liners, for low to medium impact use.

Impact Levels

Impact LevelExample

Low

Daily activities involving gentle, steady walking with the use of a walking aid.

Example: Moving around at home, modest walking in the community.

Moderate

Daily activities involving average walking with the ability to vary speed or walking pattern.

Example: Going to the shops, confident outdoor walking.

Reimbursement

L5685

Note: Responsibility for accurate coding lies solely with the provider treating the patient. Össur assumes no responsibility or liability for the provider’s coding decisions. Össur’s coding suggestions rest on its best judgment and are subject to revision based on additional information or changes in the alpha-numeric system.

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Iceform Sleeve Specifications

Iceform Sleeve Product Information
Amputation Level:

Transtibial

Impact Level: Low to Moderate
Size Standard: 35, 41, 49, 55, 62