Orbit Fracture Face Mask - Basketball

7/23/18
CLIENT: Dominique M’s 14 year old son
INJURY: Orbit Fracture Right
RX: Clyde’s Raptor Face Mask DuPont Surlyn
http://indianabrace.com/basketballfac...
SPORT: Basketball
SPECS: DuPont Surlyn
HISTORY: 5’5” male 121lbs 14 yrs

2nd QTR 2016 Hoosier Face Masks

Alex S./Sembilan, Malaysia "Online Order 8/30/16" (Madrid model/broken nose/soccer) - Nihal C./ Bangalore, India "Online Order 8/28/16" (Raptor model/right cheek fracture/soccer) - Sean M./Islip Terrace, NY "Online Order 8/24/16" (Madrid model/broken nose,soccer) - Connor O./San Francisco, CA "Online Order 8/21/16" (Hoosier model/broken nose/basketball) - Craig L./Overland Park, KS "Online Order 8/16/16" (Madrid model/broken nose/soccer) - Jill G./New York, NY "Online Order 8/15/16" (Hoosier model/broken nose/basketball) - Daniel E./Chesapeake, VA "Online Order 8/13/16" (Madrid model/broken nose/soccer) - Amir S./Brooklyn, NY "Online Order 8/3/16" (Hoosier model/broken nose/basketball) - Michelle E./Las Vegas, NV "Online Order 7/28/16" (Raptor model/facial fractures/basketball) - James A./Ft. Lauderdale, FL "Online Order 7/25/16" (Madrid model/broken nose/soccer) - Robert S./Rancho Santa Margarita, CA "Online Order 7/19/16" (Madrid model/broken nose/soccer) - Alexi N./Skokie, IL "Online Order 7/8/16" (Madrid model/broken nose/soccer) - Ana C./Winchester, CA "Online Order 7/7/16" CLICK HERE TO SEE ANA'S MASK (Madrid model/broken nose/soccer) - Susan J./Harrison, AR "Online Order 7/6/16" (Hoosier model/broken nose/basketball) - Ardenn T./Scarborough, Canada "Online Order 6/21/16" CLICK HERE TO SEE ARDENN'S MASK (Madrid model/broken nose/soccer/volleyball) - Kelly R./Kernersville, NC "Online Order 6/21/16" CLICK HERE TO SEE KELLY'S MASK (Raptor model/facial fractures/soccer) - Sam B./United Kingdom "Online Order 6/20/16" CLICK HERE TO SEE SAM'S MASK (Madrid model/broken nose/soccer-football) - Stephen K./St. Louis, MO "Online Order 6/17/16" CLICK HERE TO SEE STEPHEN'S MASK (Hoosier model/broken nose/basketball) - Cynthia F./Franklin, MA "Online Order 6/13/16" (Hoosier model/broken nose/basketball)

Orbit Fracture with Broken Nose: Hoosier Mask #6495 Raptor Model to Tim ...

Orbit Fracture: Hoosier Mask #6493 Raptor Model to Cole in Canonsburg, P...

Orbit Fracture: Hoosier Mask #6421 Raptor Model to Cole in Toronto, Canada

WEBSITE ORDER : 6/23/17 @ 11:05 PM STAT Shipped: 6/26/17 @ 5:00 PM

CARRIER: FedEx International Priority
PA: Cole R.'s(son)/Toronto, Ontario Canada
RX: Raptor Protective Face Mask for Facial Fracture
DX: Fracture of Left Orbit
ICD-10-CM Diagnosis Code: S02.102D
HX: Athlete has sustained right orbit fracture during a soccer match.

Cole's (son) Raptor Face Mask

PLAN: Custom-fabricate Raptor model #6421 - (color:black) using LDP that will not fracture on impact, will shape to face naturally, and avoids protrusions that might disqualify it's use in competition by officials. Customize design for maximum left orbit protection and minimum obstruction of peripheral and downward vision. Low profile design to allow for headers both side and front. Add gentle moleskin felt contact bumper pads internally for comfort.
SKU: hoosierraptorldp
COUNTRY OF ORIGIN: Made in USA / Indianapolis, IN
SPORT: soccer
USER COMMENTS: male 5' 8 -" 145 lbs / This is for my son who has a left orbit fracture.
WEBSITE: www.indianabrace.com - Clyde's Hoosier Face Masks
PRACTITIONER: Clyde Peach, CO - ABC Certified Orthotist #1321 - 1979

CONTACT: Call: 800.253.6217 Text: 317.445.1475 Email: clyde.peach@gmail.com
American Board for Certification in Orthotics and Prosthetics

Orbit Fracture - Hoosier Raptor Mask 6418 to Amy's Son in Yukon, OK

WEBSITE ORDER : 6/21/17 @ 3:38 PM STAT Shipped: 6/22/17 @ 5:00 PM
CARRIER: UPS Next Day Air
PA: Amy O.'s (son)/Yukon, OK
RX: Raptor Protective Face Mask for Right Orbit Fracture
DX: Fractures of Right Orbit
ICD-10-CM Diagnosis Code: S02.102D
HX: Athlete has sustained right orbit fracture during a soccer match.
PLAN: Custom-fabricate Raptor model #6418
(color:clear) using patented DuPont Surlyn that will not fracture on impact and will shape to face naturally that avoids any unusual protrusions that might injure other players. Customize design for

Amy's (son) Raptor Mask #6418

maximum right orbit protection and minimum obstruction of peripheral anddownward vision. Low profile design to allow for headers both side andfront. Add gentle moleskin felt contact bumper pads internally for
comfort.
SKU: hoosierraptorsurlyn
COUNTRY OF ORIGIN: Made in USA / Indianapolis, IN
SPORT: all sports
USER COMMENTS: male 5' 11 -" 128 lbs / This is for my son who has a right orbit fracture.
WEBSITE: www.indianabrace.com - Clyde's Hoosier Face Masks

ABC Badge

PRACTITIONER: Clyde Peach, CO - ABC Certified Orthotist #1321 - 1979
CONTACT: Call: 800.253.6217 Text: 317.445.1475 Email: clyde.peach@gmail.com
American Board for Certification in Orthotics and Prosthetics Category

Raptor Face Mask to Kernersville, NC/ Soccer

Published on Jun 23, 2016

6/21/16
Kelly R./Kernersville, NC
Injury: Displaced fracture lateral wall left orbit. Minimally displaced fracture lateral wall left maxillary sinus.
Sport: Soccer
Model: Raptor model for facial fractures.

http://indianabrace.com/basketballfac...

Mayaguez, Puerto Rico - Hoosier Gladiator Facemask - Broken Nose w/ R Orbit fx

Hoosier Face Masks to:

 Mayaguez, PR "Online Order 4/10/13 8:15 PM" (Hoosier Gladiator/broken nose with right orbit fx/basketball)

Vilonia, AR - Hoosier OTS Mask for Soccer Player

Order Confirmation

Thank you for your order, Julie Sxxxxxxx. Your order number is: 3629 Date of order: 3/29/2013 9:04 PM Shipping Method: FedEx 2Day® Payment Method: Credit card payment
Ship To Julie Stephens 50 Barnard Lane Vilonia, AR 72173 United States Phone:(501)XXX-XXXX
Additional Information Diagnosis: Broken Nose / Soccer
Product Information
Product Name Part No. Quantity Item Price Total Price CLYDE'S HOOSIER MASKS - NO VISION OBSTRUCTION - EASY TO USE - WORLDWIDE SHIPPING Select A Model: OTS - Broken Nose Only What is the injury?: Broken Nose Only Measurement A: Inside ear to ear across tip of nose.: 11 1/2" (11.5 inches) Measurement B: Top of forehead to tip of nose.: 4 3/4" (4.75 inches) Height?: 5'10" (5 feet 10 inches) Weight?: 151 lbs (151 pounds) Sex?: Male Sport?: Soccer I ackknowledge and agree to the terms and conditions of Indiana Brace's Sales and Refund Policy.: Yes L2999 1 $229.00 $229.00 Subtotal: $229.00 Shipping: $25.26 Tax: $0.00 Order Total: $254.26

Clyde's Hoosier Facemask

Clyde's Hoosier Face mask was just sent to Carlsbad, CA for a soccer player who suffered a right orbit fracture.