Rx: 2/9/16 - PA: Erin H. ---- Pair X1 Blades - all composite material please, create plantar flexion room at great toe, 1/8" intrinsic lateral force Hallux wedge, pad heel with 1/8" moleskin and cover great toe relief with ShearBan.

Diagnosis: Turf Toe / ICD-10-CM diagnosis code M79.672

History: Erin is an active runner who suffers from a turf toe injury.

Plan: Fabricate Bilateral X1 Blade Runner models for Erin H. with: medium great toe pocket covered in ShearBan, padded moleskin heel, flexible midfoot zone so as not to restrict normal ankle motion, intrinsic unloading lateral force wedge, StiFlex +2 at great toe to be used cross country running and athletics. Approximate Weight  1 oz. Density 0.04

Sx: Order received 2/9/16 via website http://indianabrace.com/turftoe.aspx  Shipped 02/12/16 to Sydney, Australia by FedEx International Priority. Expect delivery in 3-4 days.

FU: email customer satisfaction questionnaire on 2/26/16

Hoosier Face Mask #5686 - Broken Nose Only

Rx: 2/9/16 protective face mask #5686 for James S.

Diagnosis: fracture of nasal bones / ICD-10-CM diagnosis code group S02.3XXA

History: Broken nose playing basketball. 58" tall / 94 lbs. male. No facial fractures.

Plan: Fabricate Hoosier model broken nose face mask. Use clear DuPont Surlyn shatter proof material for eye safety and endurance with black WBC Velcro elastic straps. Broken nose only used for basketball and soccer. http://indianabrace.com/basketballfacemask.aspx

Sx: Order received 2/9/16 8:55 PM via website www.indianabrace.com. Shipped UPS Next Day Air 2/10/ 16 to Chicago, IL Expect delivery in 1 day.

FU: email customer satisfaction questionnaire on 02/17/16.

Clyde Peach, CO
www.indianbrace.com

Hallux Rigidus Insert - Runner

Rx: 2/6/16 - PA:Robert  M.
Right Great Toe Pain Insert - composite material please, plantar flexion room at great toe, 1/8" intrinsic lateral force wedge under great toe.

Diagnosis: Hallux Rigidus / ICD-10-CM diagnosis code M20.22

History: Robert is an active runner and walker who suffers for Hallux Rigidus. He had a bone spur removed from his great toe 4 years ago.

Plan: Fabricate X1 Blade - Runner model for Robert M. with: medium great toe pocket covered in ShearBan, padded moleskin heel, flexible midfoot zone so as not to restrict normal ankle motion, intrinsic unloading lateral force wedge, StiFlex +2 at great toe to be used During running and walking. Approximate Weight  1.103 oz. Density 0.0450"

Sx: Order received 2/6/16  via website www.indianabrace.com. Shipped USPS Priority 02/09/16 to Miwaukee, WI USPS Priority Mail Expect delivery in 2 days.

FU: email customer satisfaction questionnaire on 1/29/16

Broken Nose Mask #5684 - Soccer

Rx: 2/8/16 protective face mask #5684 for Xavier W.

Diagnosis: fracture of nasal bones / ICD-10-CM diagnosis code group S02.3XXA

Plan: Fabricate Milan model soccer broken nose face mask. Use black HDPE safety material with black straps. Broken nose only.

Sx: Order received 2/8/16 6:47 PM via website www.indianabrace.com. Shipped USPS Priority 2/9/16 to Runnemede, NJ Expect delivery in 2 days.

FU: email customer satisfaction questionnaire on 02/17/16.

Clyde Peach, CO
www.indianbrace.com

Morton's Foot Insert

Rx: 2/1/16 X1 Blade Orthotic - Morton's Foot/Toe Insert

Diagnosis: Second toe longer than Big toe - excessive pressure on second metatarsal head.

Plan: Fabricate composite structure to fit into shoe that relieves pressure on second metatarsal head. Use standard fabrication techniques the create a light and flexible insert the includes a relief pocket under second ray.

Sx: Order received 2/1/16 6:00 PM via our website www.indianabrace.com. Shipped USPS Priority 02/03/16 to Bronx, NY Expect delivery in 2 - 3 days.

FU: email customer satisfaction questionnaire on 02/12/16.

Clyde Peach, CO
www.indianbrace.com

Broken Nose Mask - Basketball

 

Rx: 1/30/16 protective face mask  #5673 for Carl B.

Diagnosis: fracture of nasal bones / ICD-10-CM diagnosis code group S02.3XXA

Plan: Fabricate Hoosier model basketball  broken nose face mask. Use clear DuPont Surlyn with black straps. Broken nose only.

Sx: Order received 1/30/16 12:21 PM via website www.indianabrace.com. Shipped USPS Priority 02/01/16 to Sherbrooke, QC Canada. Expect delivery in 4 days.

FU: email customer satisfaction questionnaire on 02/12/16.

Clyde Peach, CO
www.indianbrace.com

Hoosier Model Broken Nose Mask

Rx: 1/26/16 protective face mask  #5667 for M.M.

Diagnosis: fracture of nasal bones / ICD-10-CM diagnosis code group S02.3XXA

Plan: Fabricate Hoosier model basketball  broken nose face mask. Use black high density polyethalene with black straps. Broken nose only.

Sx: Order received 1/26/ 16 5:05 PM via website www.indianabrace.com. Shipped UPS Ground 01/27/16 to Lebanon, IN Expect delivery in 1days.

FU: email customer satisfaction questionnaire on 2/10/16

Clyde Peach, CO
www.indianbrace.com