Page 1
DeRoyal® SHOULDER PAD III –
DeRoyal® SHOULDER PAD III –
ABDUCTION DEVICE
Single Patient Use Only
Rx Only
IMPORTANT INFORMATION
Please read all instructions, warnings and
precautions before use. Correct application is
essential for proper functioning of product. Use only
on the person it was provided to by a healthcare
professional and only for the use it was intended.
INTENDED USE
The DeRoyal® Shoulder Pad III is for surgical
rotator cuff repairs, anterior glenohumeral capsular
reconstruction, dislocation/subluxation of G-H joint,
S/P glenohumeral acromioplasty, Bankart repairs,
soft tissue repairs, and shoulder sprains and strains.
PRECAUTIONS
This product is to be fitted by a physician (or
properly licensed practitioner) who is familiar with
the purpose for which it is intended. The physician
or practitioner is responsible for providing wearing
instructions and precautions to other healthcare
practitioners or healthcare providers involved in
the patient’s care as well as the patient. Consult
your physician (or properly licensed practitioner)
immediately if you experience sensation changes,
unusual reactions, swelling or increased pain while
using this product. Follow the instructions of your
physician (or properly licensed practitioner) for
length and duration of use.
INSTRUCTIONS FOR USE
1. Brace is initially
configured to fit the
patient’s right shoulder.
To configure for the left
shoulder, release both
1
buckles at the forearm
cuff. Rotate the sling
and shoulder strap 180
degrees and reattach both
buckles. NOTE: Ensure the
front shoulder strap is not
twisted before reattaching
the buckles.
2. Release the front buckle
clasp on the shoulder
strap where the strap
attaches to forearm cuff
on sling.
3. Remove the thumb
and forearm straps to
completely open the
sling.
4. Place affected arm
in sling so it rests
comfortably in the fold of
the sling. Ensure patient’s
elbow is seated as far
back in the fold pocket of
the sling as possible. The
sling should extend to
the first joint of the pinky
finger. NOTE: Ensure all
open wounds are covered
before applying device.
5. Sling length can be
adjusted by removing the
forearm cuff and securing
in desired position. Note:
Attach forearm cuff
towards elbow pocket to
make sling shorter and
ABDUCTION DEVICE
Single Patient Use Only
Rx Only
3a
IMPORTANT INFORMATION
Please read all instructions, warnings and
precautions before use. Correct application is
essential for proper functioning of product. Use only
on the person it was provided to by a healthcare
professional and only for the use it was intended.
3b
INTENDED USE
The DeRoyal® Shoulder Pad III is for surgical
rotator cuff repairs, anterior glenohumeral capsular
reconstruction, dislocation/subluxation of G-H joint,
S/P glenohumeral acromioplasty, Bankart repairs,
soft tissue repairs, and shoulder sprains and strains.
4
PRECAUTIONS
This product is to be fitted by a physician (or
properly licensed practitioner) who is familiar with
the purpose for which it is intended. The physician
or practitioner is responsible for providing wearing
5a
instructions and precautions to other healthcare
practitioners or healthcare providers involved in
the patient’s care as well as the patient. Consult
your physician (or properly licensed practitioner)
immediately if you experience sensation changes,
unusual reactions, swelling or increased pain while
5b
using this product. Follow the instructions of your
physician (or properly licensed practitioner) for
length and duration of use.
INSTRUCTIONS FOR USE
5c
1. Brace is initially
1
configured to fit the
patient’s right shoulder.
To configure for the left
shoulder, release both
buckles at the forearm
cuff. Rotate the sling
and shoulder strap 180
degrees and reattach both
buckles. NOTE: Ensure the
front shoulder strap is not
twisted before reattaching
the buckles.
2. Release the front buckle
clasp on the shoulder
strap where the strap
attaches to forearm cuff
on sling.
3. Remove the thumb
and forearm straps to
completely open the
sling.
4. Place affected arm
in sling so it rests
comfortably in the fold of
the sling. Ensure patient’s
elbow is seated as far
back in the fold pocket of
the sling as possible. The
sling should extend to
the first joint of the pinky
finger. NOTE: Ensure all
open wounds are covered
before applying device.
5. Sling length can be
adjusted by removing the
forearm cuff and securing
in desired position. Note:
Attach forearm cuff
towards elbow pocket to
make sling shorter and
3a
3b
4
5a
5b
5c
Page 2
away from elbow pocket
6a
to make longer.
6. Reattach the front buckle
on the shoulder strap
to the receiving buckle
attachment located on the
forearm cuff of the sling.
6b
Reattach the forearm and
thumb straps on sling.
Note: If desired, rest thumb
on adjustable thumb strap
for additional comfort.
7. Shoulder strap length can
6c
be adjusted at both ends
of the strap. To adjust the
front of the shoulder strap,
remove Y-tab, trim strap to
desired length and reapply
7
Y-tab. To adjust the back
of the shoulder strap,
simple release hook strap
and reattach at desired
length. NOTE: Shoulder
pad should be positioned
8
evenly over non-affected
shoulder for comfort.
8. Align the foam block at
waistline on patient’s
affected side. Attach arm
sling to the foam block by
9a
securing hook and loop
portions together.
9. Detach the buckle at
end of the foam block.
Place waist strap around
patient’s waist and fasten
9b
buckle. To adjust strap
length, pull the waist strap
for a secure fit. Attach
Y-tab hook end back
onto strap. Note: If strap
9c
is too long, remove Y-tab
and trim strap to desired
length. The position of
the foam block may be
adjusted by sliding the
block forward or backward along the waistline to
achieve the desired external or internal rotation.
If foam block can be pushed downward with
pressure, the waist strap should be tightened.
Stress ball included to promote proper circulation
and encourage exercise.
CARE INSTRUCTIONS
Hand wash arm sling and foam block cover in
lukewarm water and air dry.
WARRANTY
DEROYAL PRODUCTS ARE WARRANTED FOR
NINETY (90) DAYS FROM THE DATE OF SHIPMENT
FROM DEROYAL AS TO PRODUCT QUALITY AND
WORKMANSHIP. DEROYAL’S WRITTEN WARRANTIES
ARE GIVEN IN LIEU OF ANY IMPLIED WARRANTIES,
INCLUDING WARRANTIES OF MERCHANTABILITY OR
FITNESS FOR A PARTICULAR PURPOSE.
Scan code for more product information
or visit http://www.deroyal.com/videos/
shoulderpadiii
Improving Care. Improving Business.
Manufactured by DeRoyal Industries, Inc.
200 DeBusk Lane
Powell, TN 37849 U.S.A.
888.938.7828
865.938.7828
©2012 DeRoyal Industries, Inc. All Rights Reserved.
Part#0-1864 Revised 1/13
1. away from elbow pocket
6a
to make longer.
2. Reattach the front buckle
on the shoulder strap
to the receiving buckle
attachment located on the
forearm cuff of the sling.
6b
Reattach the forearm and
thumb straps on sling.
Note: If desired, rest thumb
on adjustable thumb strap
for additional comfort.
3. Shoulder strap length can
6c
be adjusted at both ends
of the strap. To adjust the
front of the shoulder strap,
remove Y-tab, trim strap to
desired length and reapply
7
Y-tab. To adjust the back
of the shoulder strap,
simple release hook strap
and reattach at desired
length. NOTE: Shoulder
pad should be positioned
8
evenly over non-affected
shoulder for comfort.
4. Align the foam block at
waistline on patient’s
affected side. Attach arm
sling to the foam block by
9a
securing hook and loop
portions together.
5. Detach the buckle at
end of the foam block.
Place waist strap around
patient’s waist and fasten
9b
buckle. To adjust strap
length, pull the waist strap
for a secure fit. Attach
Y-tab hook end back
onto strap. Note: If strap
9c
is too long, remove Y-tab
and trim strap to desired
length. The position of
the foam block may be
adjusted by sliding the
block forward or backward along the waistline to
achieve the desired external or internal rotation.
If foam block can be pushed downward with
pressure, the waist strap should be tightened.
Stress ball included to promote proper circulation
and encourage exercise.
CARE INSTRUCTIONS
Hand wash arm sling and foam block cover in
lukewarm water and air dry.
WARRANTY
DEROYAL PRODUCTS ARE WARRANTED FOR
NINETY (90) DAYS FROM THE DATE OF SHIPMENT
FROM DEROYAL AS TO PRODUCT QUALITY AND
WORKMANSHIP. DEROYAL’S WRITTEN WARRANTIES
ARE GIVEN IN LIEU OF ANY IMPLIED WARRANTIES,
INCLUDING WARRANTIES OF MERCHANTABILITY OR
FITNESS FOR A PARTICULAR PURPOSE.
Scan code for more product information
or visit http://www.deroyal.com/videos/
shoulderpadiii
Improving Care. Improving Business.
Manufactured by DeRoyal Industries, Inc.
200 DeBusk Lane
Powell, TN 37849 U.S.A.
888.938.7828
865.938.7828
©2012 DeRoyal Industries, Inc. All Rights Reserved.
Part#0-1864 Revised 1/13
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