FASTFORM UNIVERSAL GUTTER S/M (EA) (EACH)

3203
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FastForm® Splint Cast Brace FastForm’s technology is based on a highly conformable and biodegradable polymer (PolyTrexX™) combined with an effective wicking and fast-dry liner (DermaWick™). When properly heated, PolyTrexX converts from a rigid state to a very pliable and conformable material (plaster-like). After sculpting to a desired position and shape, PolytrexX rapidly reverts to a high strength, ventilated immobilizer that’s radiolucent. Clinically, a precise customized fit is easily and quickly achieved in length and circumference, while securing anatomical conformity for repair preservation.1

Short Arm Multifunctional Orthosis (SAMO): Used for injuries of the wrist and forearm, this brace can be trimmed and stretched to accommodate each patient’s anatomy.

Thumb Spica Multifunctional Orthosis (TSMO):
 An integrated thumb spica makes this brace suitable for injuries of the thumb, first metacarpophalangeal and carpophalangeal joints.

Multifunctional Orthosis (UGMO): All-in-one gutter fracture brace treats injuries that are difficult to cast. Stabilizes fractures on either side of the hand and wrist.

Hand-based Thumb Spica Orthosis (HTSO):
 Used for treatment of the ulnar collateral ligament injuries and provides stabilization and immobilization of the first metacarpophalangeal (MCP) joint. Used preoperative, postoperative or post-trauma.

Versi-Sheets: can be trimmed, molded together and formed to meet specific needs.

  • SAMO
  • TSMO
  • UGMO
  • HTSO
  • Versi-Sheet

FastForm Short Arm Multifunctional Orthosis (SAMO)*

The SAMO is a multifunction fracture brace that can be used for a variety of injuries.

Common Examples of Use
• Injuries of the wrist and forearm, including:
  ○ Fractures
  ○ Sprains and strains
  ○ Post-operative use
  ○ Cumulative trauma injuries
  ○ Pain management and tendonitis

FastForm Thumb Spica Multifunctional Orthosis (TSMO)*

The TSMO includes the benefit of an integrated thumb spica. This brace is well suited for specialized needs that require additional stabilization of the bones and joints around and including the thumb.

Common Examples of Use
• Injuries of the thumb, first metacarpophalangeal (MCP) joint, first carpometacarpal (CMC) joint, wrist and forearm, including:
  ○ Typical fractures
  ○ Bennet’s, Rolando’s, Schaphoid, & Colles fractures
  ○ Sprains and strains
  ○ Post-operative use
  ○ Cumulative trauma injuries
  ○ Pain management and tendonitis
  ○ Salter-Harris pediatric injuries

Coding Disclaimer: The information provided may suggest HCPCS codes and descriptors for Breg products that are based on publicly available information. The primary and final responsibility to determine the correct product coding rests with the billing provider. Please note, where certain products have been reviewed by the PDAC (Medicare Pricing, Data Analysis and Coding) contractor and assigned a specific HCPCS code for Medicare Billing, the PDAC assigned code is the required billing code. Refer to www.dmepdac.com for more information.

Third Party Reimbursement: The purchaser shall be solely responsible for: (i) determining if, and under what circumstance, it can seek third party reimbursement for the product(s); (ii) obtaining, as necessary, third party payer pre-authorizations for the product(s) and (iii) any and all coding, billing, coverage, medical necessity or documentation requirements, and collections of payment from third party payers or patients. Breg accepts no responsibility whatsoever in this regard, nor does Breg make any claims, promises, or guarantees as to the availability of reimbursement for any Breg product.

FastForm Universal Gutter Multifunctional Orthosis (UGMO)*

The UGMO is an all-in-one gutter fracture brace that can be used to stabilize fractures and injuries on either side of the hand and wrist, providing a better solution to treating injuries that are typically difficult to cast. The UGMO is also left / right universal providing a unique stock keeping advantage.


Common Examples of Use
• Injuries of the hand, wrist and forearm, including:
   ○ Stabilization of the metacarpals
   ○ Fractures such as boxer’s fractures and 2nd / 3rd metacarpal fractures
   ○ Sprains and strains
   ○ Post-operative use
   ○ Cumulative trauma injuries
   ○ Pain management and tendonitis


Features
• One brace for radial and ulnar gutter injuries

FastForm Hand Based Thumb Spica Orthosis (HTSO)*

The HTSO can be used for treatment of the ulnar collateral ligament injuries and provides stabilization and immobilization of the first metacarpophalangeal (MCP) joint. It may also be used preoperative, postoperative or post-trauma.

Common Examples of Use
• Customized care of injuries of the hand, including:
   ○ Ulnar collateral ligament injuries
   ○ Stabilization of metacarpophalangeal (MCP) joint


FastForm Versi-Sheet*

Versi-Sheets are a blank canvas combination of the PolytrexX shell and DermaWick liner. They can be molded, trimmed and formed to meet specific needs. When heated, PolyTrexX material can be fused together. For example, a Versi-Sheet can be gently kneaded to another FastForm brace when heated to extend the length of the existing product.

Common Examples of Use
• Customized care of injuries of the hand, wrist and forearm, including:
   ○ Fractures
   ○ Sprains and strains
   ○ Post-operative use
   ○ Cumulative trauma injuries
   ○ Pain management and tendonitis

Features
• Sheet design can be molded by clinician into any splint configuration