Introduction to Scanning for Spinals

Spinals by Scanning

Weighing the Options

Direct ScanningClinical OptionsCasting PatientBy Measurement OnlyUsing ScannerSpinal Applications

Direct Scanning of Patient

Spinal ScanningModificationScanningPreparing PatientFabrication

Preparing the patient; scanning techniques

Scanning Spinals

Preparing PatientPositioningTarget & LandmarksMeasurementsSpinal Scanning

Preparing PatientPositioningTargets & LandmarksMeasurementsStanding vs. Lying Down1-Part vs. 2-Part1-Part Options2-Part OptionsEntire torsoScan half & mirrorAnterior/ PosteriorLeft/ RightSpinal Scanning

2-Part Scans: Anterior/Posterior

2-Part Scans: Left/Right

1-Part Scanning & Mirroring

Preparing PatientPositioningTargets & LandmarksMeasurementsAnatomical LandmarksReference Landmarks (2-Part Scans only) Sternal NotchAxilla XyphoidWaist Rt. & Lt. WaistASIS Rt. & Lt. ASIS Pubis Lumbar AreaMid Scapular LevelSet of 3 common landmarks in each scanSpinal Scanning

Preparing PatientPositioningTargets & LandmarksMeasurementsAnatomical LandmarksReference Landmarks (2-Part Scans only) Spinal Scanning

Preparing PatientPositioningTargets & LandmarksMeasurementsAnatomical LandmarksReference Landmarks (2-Part Scans only) Spinal Scanning

Preparing PatientPositioningTargets & LandmarksMeasurementsAnatomical LandmarksReference Landmarks (2-Part Scans only)Spinal Scanning

Preparing PatientPositioningTargets & LandmarksMeasurementsCompressed or passive?Orthometry FormShould I still take measurements?Standing vs. lying downElectronicYESClinician PreferenceClinician PreferenceSpinal Scanning

**Note: Recommend taking passive and compressed measurements at waistPatient Measurements

Landmark Locate & LabelWidthsCircDistancesSternal Notch RECNANAOPTAxilla REC REC RECOPTNipple LineOPTOPTOPTOPTXyphoid REC REC RECOPTLower RibOPTOPTOPTOPT**Waist** REC REC RECOPTASIS REC REC RECOPTPubis REC REC RECOPT

ScanningInspect ScanMerging & Aligning of 2-Part ScanAlignment of Complete ScanPreparing PatientSpinal Scanning

ScanningInspect ScanMerging & Aligning of 2-Part ScanAlignment of Complete ScanPreparing PatientEraseRemove GroupsKnife PlaneSpinal Scanning

ScanningInspect ScanMerging & Aligning of 2-Part ScanAlignment of Complete ScanPreparing PatientPosteriorAnteriorLeftRightSpinal Scanning

2-Part Scans: Anterior/Posterior

2-Part Scans: Left/Right

ScanningInspect ScanMerging & Aligning of 2-Part ScanAlignment of Complete ScanPreparing PatientFine Alignment of the 2-Part ScanSpinal Scanning

Correcting Rotation of SCAN 1-RED (anterior scan) using TILT from a distal viewCorrecting Rotation of SCAN 1-RED (anterior scan) by using TILT

Correcting Lateral Tilt of SCAN 1-RED (anterior scan) using TILT from the anterior viewCorrecting A/P depth by moving SCAN 2-BLUE (posterior scan) using SHIFT from a lateral view

ScanningInspect ScanMerging & Aligning of 2-Part ScanAlignment of Complete ScanPreparing PatientEdit Landmarks

Trimming Model Most Distal Most Proximal

Positioning of vertical axisFine Tuning Anterior or Posterior View Lateral ViewAnterior OrientationInitial - AnteriorFine Tuning Anterior View Distal ViewSpinal Scanning

Most DistalMost ProximalAfter Cutting

Editing Landmarks

Predefined Relief PadRequired LandmarkSternal Compression Sternal Notch Posterior Proximal Contouring Mid Scapular Level Lt. & Rt. Costal Margin BuildupXyphoid Lt. & Rt. Waist Groove LT. & RT. Waist Abdominal CompressionWaistLt. & Rt. Iliac Crest BuildupLT. & RT. WaistLumbar PadLumbar Area

Practical Application

ScanningModificationModification Wizard vs. Tool Menu selectionsPreparing PatientSpinal Scanning

ScanningModificationModification Wizard vs. Tool Menu selectionsPreparing PatientTool Menu SelectionsThe ability to pick and choose modification tools and/or tool groups independently from the main tool menu.Modification WizardsPredefined series of modification steps that the user is prompted through. Wizards are automatically provided with the OMEGA system software, but the user also has the ability to build and save custom wizards. Spinal Scanning

ScanningModificationModification Wizard vs. Tool Menu SelectionsPreparing PatientTool Menu Selections Modification Wizards Spinal by MeasurementMaleFemaleSpinal by ScanningMaleFemale Spinal Scanning

Four wizards Spinal By Scanning MaleSpinal By Scanning FemaleSpinal By Measurement MaleSpinal By Measurement FemaleDifference between Male and Female wizardsFemale wizards have Breast Height & Cup Size toolsDifference between Scanning and By Measurement wizardsScanning wizards have Blend Sides toolSpinal Modification Wizards

ScanningModificationModification Wizard vs. Tool Menu SelectionsPreparing PatientTool Menu Selections Modification Wizards Spinal Tool PageBendingCutting BreastAlignmentIndividual ToolsAll tools for all modelsSpinal Scanning

Tool Menu Selections Spinal Tool PageIndividual Tools

Tool Menu Selections Spinal Tool PageIndividual Tools

Template Selection & Shape CreationFabricationPrepare & Measure General C-FabOn-Site Carver Modification OMEGA C-Fab Spinal by Measurement

Spinals by Measurement

Effectively Accommodates For Varying Anatomical Shapes

Effectively Accommodates For Varying Anatomical Shapes

Appropriate for: PediatricAdultGeriatricTLSOLSO

Applications

Effectively Accommodates For Varying Anatomical Shapes

No uncomfortable casting process means increased patient comfort Electronic copy of every patient shapeProvides an effective and cleaner methodConvenience and efficiency of using off site fabrication while having complete control over the finished shapeEliminates maneuvering heavy positive models

Benefits

Spinal by MeasurementFabricationModificationTemplate Selection and Shape CreationPreparing Patient and Taking Measurements

Spinal by MeasurementPreparing Patient and Taking Measurements

Prepare & MeasureAnatomical LandmarksMeasurements Sternal NotchAxilla XyphoidWaist ASISPubis &/or Trochanter

Nipple Line Trimline Levels Lumbar AreaMid Scapular LevelSpinal by Measurements

Prepare & MeasureAnatomical LandmarksMeasurementsCompressed or passive?Orthometry FormStanding vs. lying downElectronicClinician PreferenceClinician PreferenceSpinal by Measurements

Landmarks & Measurements

**Note: Recommend taking passive and compressed measurements at waistPatient Measurements

Landmark Locate & LabelWidthsCircDistancesSternal Notch RECNANAOPTAxilla REC REC RECOPTNipple LineOPTOPTOPTOPTXyphoid REC REC RECOPTLower RibOPTOPTOPTOPT**Waist** REC REC RECOPTASIS REC REC RECOPTPubis REC REC RECOPT

Effectively Accommodates For Varying Anatomical Shapes

CircumferencesM/LDistancesSpacingWhich measurements used to "Create" shapeWhich measurements used for fine tuning with spinal toolsMeasurements

Not applying the chest circumference during the initial create process of a female shape

Making symmetrical modificationsGolden Rules

Linear vs. Surface Height measurementsLength measurements that follow the contour of surfaces with a significant curvature will be longer than a straight line

Locking posterior contourApplying Measurements

Spinal by MeasurementTemplate Selection and Shape CreationPreparing Patient and Taking Measurements

Using Templates: Demonstration

What are they?How are they made?How are they used?

Templates

More than 800 templates availableUse the Spinal Template Search featureFinding the Right Template

Why is a large template library important?How to make a template?Modify an existing templateSave any patient file as a templateTrace a modified positive modelScan a modified positive modelInternally trace a spinal orthosis or inner surface of a negative wrap from a modified shape

Creating Your Own Templates

Spinal by MeasurementModificationTemplate Selection and Shape CreationPreparing Patient and Taking Measurements

Template Selection & Shape CreationPrepare & MeasureModificationModification Wizard vs. Tool Menu SelectionsSpinal by Measurement

Template Selection & Shape CreationPrepare & MeasureModificationModification Wizard vs. Tool Menu SelectionsTool Menu SelectionsThe ability to pick and choose modification tools and/or tool groups independently from the main tool menu.Modification WizardsPredefined series of modification steps that the user is prompted through. Wizards are automatically provided with the OMEGA system software, but the user also has the ability to build and save custom wizards. Spinal by Measurement

ScanningModificationModification Wizard vs. Tool Menu SelectionsPreparing PatientTool Menu Selections Modification Wizards Spinal by MeasurementMaleFemaleSpinal by ScanningMaleFemale Spinal Scanning

Four wizards Spinal By Scanning MaleSpinal By Scanning FemaleSpinal By Measurement MaleSpinal By Measurement FemaleDifference between Male and Female wizardsFemale wizards have Breast Height & Cup Size toolsDifference between Scanning and By Measurement wizardsScanning wizards have Blend Sides toolSpinal Modification Wizards

Symmetry accuracyCustom & Predefined Relief PadsLordosis KyphosisBreast area modificationsTrimlines Modification Needs and Tools for Spinals

Spinal by MeasurementFabricationModificationTemplate Selection and Shape CreationPreparing Patient and Taking Measurements

Template Selection & Shape CreationFabricationPrepare & Measure General C-FabOn-Site Carver Modification OMEGA C-Fab Spinal by Measurement

Custom Modification Wizards

Insole

AFO

SpinalCustom Modification Wizards

Create your own modification wizardYou can select which tools you wish to be included and in what order they occur Custom Modification Wizards

Creating Templates

What is a template?A pre-modified shape, essentially a socket shape, that is resized by applying patient measurements Clinical considerationsBy Measurement vs. Shape CaptureIs the patients residual limb uniformly contoured? Does it have an irregularly shaped distal end? Does it have a shape not represented by any of the templates available?

Modifying existing template filesTo replace the existing template or create a new templateSaving finished patient files as templates Important to Save patient file first, then use Save Patient File as Template and name accordinglyCreating Templates From an Electronic File

Suggested method is to have a poured model of socket you wish to make into a templateIdentify Anatomical LandmarksMost important aspect to remember!MUST be accurately identified on the model before you beginCreating Templates From a Plaster Model

Scan models using MODEL ONLY to bypass merging or modifications

Creating Templates by Scanning

Take length measurement with a straight edge ruler with patients hip in extensionWhile the straight edge measuring device is in place, mark levels for circumferential measurementsTake & record circumferential measurements Record all measurements in the Electronic Orthometry Form (EOF)Measuring the Patient

Symmetry accuracyCustom & Predefined Relief PadsLordosis KyphosisBreast area modificationsTrimlines Modification Needs and Tools for Spinals

Spinal Tool PageAdjust ToolShift Area Relief PadMaking cutoutFixed Build Height + Fill Smoothing optionCreating and saving trimlinesAdjusting heights with ExtendSkeletal FitAdvanced Dual Model View & Set/Peek optionsAdditional Spinal Tools and Modification Techniques

Available in PDF formClick on any item in Table of Contents or Index to go to desired pageManuals

****Verify process of adding measures to template***