made to measure (m2m) made easy The most effective compression garments for your lymphoedema patients. medi. I feel better.

Transcription

1 made to measure (m2m) made easy The most effective compression garments for your lymphoedema patients. medi. I feel better.

2 2 made to measure

3 Introduction Lymphoedema is a chronic condition which, if untreated, has the potential to deteriorate. One of the elements of successful treatment is the use of quality compression garments. medi UK offers the most comprehensive range of sizes and styles off the shelf (OTS) of compression garments. However, we are aware that some patients require bespoke garments that address their individual physical requirements. Therefore we are able to offer a comprehensive made to measure (m2m) range. This m2m booklet is designed to guide you through the process in order to choose the most effective m2m garment for your patient. In the back of the booklet you will find tables for your final choice of product summarising the available options and codes. made to measure 3

4 4 made to measure

5 Ordering process guide m2m overview 1. Overview of tailor made compression hosiery 2. Choice of compression class 3. Choice of fabric 4. Styles 5. Features and benefits of m2m round knit and flat knit 6. Measuring and ordering Styles Choice of fabric Choice of compression class Overview of tailor made compression hosiery made to measure 5 Measuring Features and benefits of m2m round knit and flat knit

6 6 made to measure Overview of tailor made compression hosiery

7 Overview of tailor made compression hosiery Our aim Our aim is to provide you with top quality made-tomeasure garments that are both comfortable and effective for your patients. Each garment is tailor made specifically to your patients needs. Every m2m garment from medi UK is manufactured in Germany and we aim to get it to you as soon as possible. The time taken to do this will depend upon the complexity of the garment and the colour choice; our average turnaround is six working days for round knit garments, eight working days for flat knit trend colours may take a little more time due to the extended dying process. What we need from you to help make the perfect garment Measurements A measurement form with all relevant parts completed. Accurate measurements are a very important part of this process and it is a combination of length and circumference measurements that will allow us to make a comfortable and effective garment. medi m2m pads are supplied with a measuring guide, if you would like further details on how to measure accurately please contact your medi Account Manager or our team in Hereford. Product details In addition to the measurements we need to know the fabric, style of garment, compression class and colour of the garment before we can start making it for you. If one or more of these details are missing we will have to come back to you for clarification and this may delay the manufacturing process. Our m2m forms are laid out to help make sure that these essential details are provided. We are here to help. We understand m2m and take pride in providing all the support that you need to make the whole process as simple as possible for you and your patients. In addition to our dedicated Account Managers we have a specialist m2m team in Hereford who will be able to assist with technical questions. We also have a simple coding system to help you to identify the correct m2m code in your Procurement System. If you need any additional information, code lists, measurement pads or further support with m2m please contact your medi Account Manager or our Hereford team by telephone on , by at m2m@mediuk.co.uk or by fax on Further information can also be found on our website Styles Choice of fabric Choice of compression class Overview of tailor made compression hosiery Optional extras These are extra items that may help your patient with their garment for example a zip, a silicone top band or a silk lining. Sometimes it helps with complex requests if you send in a diagram or photograph with the order form; this will be passed to our manufacturing team to help us to get it right first time. The Drug Tariff A selection of styles of mediven garments m2m are available on FP10/GP10. For further details please contact your Account Manager or our team in Hereford. Overview of tailor made compression hosiery made to measure 7 Measuring Features and benefits of m2m round knit and flat knit

8 8 made to measure Choise of compression class

9 RAL compression classes medi m2m garments comply with the strict standards that are laid down by the 'Reichs-Ausschuss für Lieferbedingungen' (RAL) Institute. This is the gold standard for compression garments. All medi m2m garments are guaranteed to provide effective compression for 6 months of daily use if used and laundered correctly. Selection of the correct compression class (ccl) will help to ensure that your patients receive a garment that is suited to their condition: RAL class 1 (18 21mmHg) Prevention or early treatment of lymphoedema, venous disease and for use on palliative limbs. RAL class 2 (23 32mmHg) Mild / moderate lymphatic conditions, pronounced varicosis with oedema present and after healing minor ulcers. RAL class 3 (34 46mmHg) Lymphoedema, significant varicosis or after healing long standing ulcers; use if condition fails to respond to class 2. RAL class 4 (min. 60 mmhg) Lymphoedema and elephantiasis. Styles Choice of fabric Choice of compression class Overview of tailor made compression hosiery Choise of compression class made to measure 9 Measuring Features and benefits of m2m round knit and flat knit

10 Does your patient require m2m compression? Some patients will require m2m garments to optimise the compression for their condition. Many factors could contribute to patients requiring m2m garments such as the shape, size or volume of the limb, tissue changes or the need for options that are not available from stock. Our aim is to offer effective control of oedema with a garment that is as comfortable to wear and easy to use as possible. Every garment is made specifically to your requests so the range is limitless if you want something special medi will be able to help. At times compression is not always appropriate. In the following situations mediven compression is contraindicated. Contraindications: According to the guidelines of the German Phlebological Society (published in 1996, German Journal Phlebologie ) Absolute contraindications: Advanced, peripheral arterial occlusive disease, decompensated heart disease, septic phlebitis, phlegmasia coerulea dolens. Note m2m hosiery is tailor made for your patient. In order to help our specialist m2m department tailor the garment to your patients requirements including photos and diagrams can help this process. Photos can help with manufacturing of complex garments (these photos are only used for the manufacturing process). Relative contraindications: Suppurative dermatoses, intolerance of compression stocking fabric, sensory disturbances of the limb, advanced peripheral neuropathy, primary chronic arthritis. medi assumes no liability as a result of any contraindicated use of this product. 10 made to measure Choise of fabric

11 Difference between round knit and flat knit garments Difference Round knit compression stockings Flat knit compression stockings Seam Seamless With seam Knit Knitted on a round cylinder Knitted in flat rows Stitches per row Constant Variable Shape Shaped by variable mesh size & pretension of the inlaid elastic thread Stretch High Low Elastic thread Not covered Covered Working pressure Low High Shaped by variable number of stitches with the elastic thread laid in Effect Effect on vessels veins Primary effect: increase tissue pressure, secondary effect on the vessels Measurement When measuring take the surface circumferences When measuring there is a degree of interpretation required as the garment is designed to sculpt the limb, not necessarily to match the size presented Choise of fabric made to measure 11 Styles Choice of fabric Choice of compression class Overview of tailor made compression hosiery Measuring Features and benefits of m2m round knit and flat knit

12 12 made to measure Styles Round knit Lower limbs

13 Available styles m2m round knit leg garments Styles AD AG / SN AG AT calf pantyhose with one leg ATE thigh with top-band leggings BT thigh with waist attachment capri shorts CT tights cycling shorts ET Note All styles available with open or closed toe. Styles Choice of fabric Choice of compression class Overview of tailor made compression hosiery Styles made to measure 13 Measuring Features and benefits of m2m round knit and flat knit

14 Flat knit Lower limbs 14 made to measure Styles

15 Available styles m2m flat knit leg garments from AA1 toe cap to BG cuff Styles toe cap AA1 pantyhose & men's leotard AT ATH leggings BT AB sock & AB1 sock AB AB1 pantyhose with one leg ATE / ATEH cycling shorts ET sleeves BG below knee stocking AD maternity panty ATU CG thigh length stocking AF AG capri shorts CT / CTH B1T / B1TH Please note All mediven leg garments are supplied with an oblique border and foot as standard. Styles Choice of fabric Choice of compression class Overview of tailor made compression hosiery Styles made to measure 15 Measuring Features and benefits of m2m round knit and flat knit

16 Lower limb garment options 3D panty top Anatomically shaped panty top The shape of the 3D panty top is determined by the circumferential measurements and lengths in the panty area. Standard for all mediven flat knit garments. The perfect fit on the abdomen and bottom, shaping of the abdomen and bottom. Oblique borders Flat oblique Anatomically correct border Standard for all mediven flat knit garments. Knitted fabric for outer leg extended by x cm. Steep oblique Anatomically correct border Knitted fabric for outer leg extended by x cm. Optimum anatomical fit, appropriate for routine presentations. Optimum anatomical fit, ideal for larger circumferences. Anterior thigh longer Accurate pressure gradient up to groin Anterior thigh extended. Optimum anatomical fit where low buttock fold is present to ensure appropriate compression on the anterior thigh. Front view Side view Comfort heel = standard heel Individual angle at the heel The individual angle is calculated from the measurements you supply. cy = Standard. Optimum wearing comfort. 16 made to measure Styles

17 Tips medi always produces flat knit products with an oblique border. The standard is flat oblique = approx. 5% of the circumference. A steep oblique = approx. 10% of the circumference and can be selected as an option. The obliques optimise the fit around the top of the thigh. Ordering Information Where on the measurement form? The flat oblique is standard for all mediven garments. You do not need to make a selection on the measurement form. Where on the measurement form? Mark steep oblique with a cross. Styles Choice of fabric Choice of compression class Overview of tailor made compression hosiery Styles made to measure 17 Measuring Features and benefits of m2m round knit and flat knit

18 Lower limb garment options Ellipse form at E Additional knit marks added at the knee to create a natural profile for patients who have limited mobilty and tend to spend most of their time with the knee bent (e.g. people in wheelchairs). To reduce excessive pressure on the veins at the back of the knee and the major lymphatic trunks. Also reduces wrinkles in the fabric. Y- knitting marks = 90 heel Additional Y- knitting marks in heel and arch areas Reduces pressure on the instep and to bridge deep skin creases. Oblique forefoot Oblique line of compressive knitted fabric Standard for all mediven flat knit garments Optimum pressure gradient down to the metatarsophalangeal joints with an anatomical gradient, no circular constriction in the forefoot. Long sole Extension of the compressive knit along the sole of the foot Optimises the fit in the forefoot, relieves pressure on the toes with closed toe garments. Soft toe Particularly soft and elastic knitted fabric for the toe area Improved comfort for particularly sensitive toes. mediven 550 leg only 18 made to measure Styles

19 Tips The ellipse form enhances comfort for people who spend most of their time sitting down. It compensates for the longer distance at the knee when sitting and thus reduces the pressure on the patella. Always give the measurement l (length)back of the knee. This is measured close to the body from the fold in the back of the knee to the heel with the patient standing. Note that le must be at least 1 cm longer than l (length) back of the knee. Attention! For patients with voluminous knees (lipoedema) or a large ce measurement, the incorporation of ellipses increases wrinkling in the knee region. Wrinkles may also form below the patella. Do not use ellipses here. Tips The incorporation of Y- knitting marks at the ankle holds the foot in about 90 flexion. Tips medi produces all flat knit garments with an oblique foot border. This guarantees the best possible fit to follow the anatomical line of the metatarsophalangeal joints. It also prevents constriction of the forefoot. The oblique border is standard for both open and closed toes. The oblique border of the compressive knit is given by the difference between the medial foot length lai and the lateral foot length la. The largest possible oblique is 4 cm. Tips The long sole optimises the fit in the forefoot region. It can be advantageous where foot deformities such as hallux valgus or hammer toe are present. Knitting the compressive knit along the sole of the foot gives the stocking a circular grip at the metatarsophalangeal joints. This stops the foot section slipping back towards the heel. The length of the long sole depends on ca and is produced automatically. Tips This will be incorporated in the length measured - no additional measurement required. Ordering Information Where on the measurement form? Mark Ellipse form with a cross. Please also show the height of the back of the knee separately. Standard = 4 cm Minimum = 2 cm Maximum = 8 cm Give any deviation from standard in cm in the field Special request. Where on the measurement form? Mark Y-knitting mark with a cross. Where on the measurement form? Mark open or closed toe with a cross. Also please give the dimensions l Z (total length) l Ai (medial length) l A (lateral length) Where on the measurement form? Mark Long sole field with a cross. Where on the measurement form? Mark Soft toe with a cross. Styles made to measure 19 Styles Choice of fabric Choice of compression class Overview of tailor made compression hosiery Measuring Features and benefits of m2m round knit and flat knit

20 Lower limb garment options Levamed pads Incorporation of medi lymph pads, pre-formed silicone pads and padding materials Specific pressure increase over the oedematous region or behind the malleolus. Lymph pads Incorporation of medi lymph pads Local increase of targeted pressure where required. Lining material Lining with soft smooth material (texture similar to that of microfibre) Additional comfort for sensitive areas. Top bands Most common method of securing stockings (AG, AF and AD) Effective positioning of garments. Waist attachments Support of AG stockings at the waist Alternative fastening method for thigh length garments, can be linked bilaterally. 20 made to measure Styles

21 Tips Used when additional local compression is necessary or if support is required for dispersing fibrosis. Levamed pads and medi lymph pads that are positioned on the basis of measuring points can be incorporated directly during manufacture or retrospectively. For this, please give the exact size and positioning points. A photo or a sketch of the exact location will help with manufacturing. Tips Lymph pads can be added at the time of manufacturing or retrospectively. Tips Please always give us the exact size and positioning of the lining material. Lining material can also be added retrospectively. Tips medi needs the overall length lt for making up AG stockings with a waist attachment. Ordering Information Where on the measurement form? Please state choice and document the position and shape etc. medi will then make these according to your individual instructions (Special request). Where on the measurement form? Please state the position,size and shape. medi will then make these according to your individual instructions (Special request). Where on the measurement form? Add silk. Where on the measurement form? Please select the required top band and provide any possible non-standard top band measurements. Where on the measurement form? Mark Waist attachment and left / right position with a cross and enter IT in the field Special request. Styles made to measure 21 Styles Choice of fabric Choice of compression class Overview of tailor made compression hosiery Measuring Features and benefits of m2m round knit and flat knit

22 Lower limb garment options Additional topband section Additional support for leg garments. Only possible along the slip form, longitudinally above the patella or longitudinally on the back of the thigh Additional security of fit. Open crotch Pantyhose without gusset Maternity pantyhose Compression pantyhose with front of panty top in knitted material (no compressive fibres in the knitted fabric) Expandable front panel provides gentle care required during pregnancy. Incorporation of zips Can be added to help accommodate unusual shapes. Porous series half compression Reduced compression where garments are desigend to overlap. Ensures correct pressure gradient at the overlapping junction with multi-part garments. 22 made to measure Styles

23 Tips Additional attachments for the thigh may be necessary due to large circumferences, lax connective tissue, deep skin and joint folds as well as conical and cylindrical limbs. Tips During pregnancy, the circumference measurements of the legs show almost no changes if appropriate and optimum treatment is continued. In the abdominal area, however, sizes often change very rapidly. The gentle compression from the soft front panel is designed to accommodate this. Tips For AD stockings the incorporation of a zip on the inside of the leg is recommended this zip fastener is similar to the zip on a boot. For AF- AG garments no zip should be sewn on the inside of the thigh. Zips on a pant section can be positioned either on the lateral seams or centrally on abdomen. Tips Please specify the length of the porous rows. Ordering Information Where on the measurement form? Please specify the type of top band. Where on the measurement form? Tick box under Gusset Where on the measurement form? Mark the variant ATU with a cross. Where on the measurement form? Please specify the length of zip and its position (inclusion of a diagram or picture can be useful here). Styles made to measure 23 Styles Choice of fabric Choice of compression class Overview of tailor made compression hosiery Measuring Features and benefits of m2m round knit and flat knit

24 Flat knit Upper limbs 24 made to measure Styles

25 Available styles From glove to armsleeve You can choose between the following hand section variants both for the individual and for the two-piece garment. Styles AC1 glove Hand section without fingers with thumb opening Hand section without fingers with thumb piece Hand section with short fingers and thumb piece Hand section with long fingers and thumb piece Hand section with closed fingers AD glove AE glove AF armsleeve AG armsleeve CG armsleeve Attachment options One-piece (AG / AF) Arm with hand knitted on Two-piece (CG + AC1) Arm with separate hand piece Topband At C or F Shoulder strap Bra attachment Styles Choice of fabric Choice of compression class Overview of tailor made compression hosiery Attention! medi produces all flat knit armsleeve variants with a standard flat oblique at the proximal end. The AC1 glove is an exception to this. This is made with a 2 cm porous border as standard. Styles made to measure 25 Measuring Features and benefits of m2m round knit and flat knit

26 Upper limbs Arm accessories Oblique borders Flat oblique anatomically correct border at G1 Optimum anatomical fit, appropriate for routine presentations. Standard in all mediven flat knit garments. Steep oblique anatomically correct border at G1 Optimum anatomical fit, ideal for larger circumferences. Outside of arm knitted x cm longer. Ellipse at E Knitting marks in elbow area medi produces all arm garments with the standard angle of 160º at E. To reduce excessive pressure on the elbow flexure and prevent wrinkles on movement. Porous rows half compression Reduced compression to allow for two part garment overlap. 2 cm standard border in CG sleeves and AC hand parts. Ease of handling of compression garment without the risk of congestion, correct pressure gradient for multi-part garments, optimum transition from compressed to uncompressed areas. 26 made to measure Styles

27 Tips medi always produces flat knit products with an oblique border at the proximal end. The standard is flat oblique = approx. 5% of the circumference. A steep oblique = approx. 10% of the circumference can be selected as an option. Tips In most cases, the standard 160 bend is adequate. For patients with, for example, paralysis who constantly hold their arm close to the body in a flexed position, the sleeve may be ordered with an angle of 135. Tips If you order a CG sleeve + AC1 hand part together on one measurement sheet, the overlap zone of the glove will automatically be made porous from C C1. With individual or follow-up orders, you must give the desired porous cm separately. Ordering Information Where on the measurement form? Mark the steep oblique field with a cross. Where on the measurement form? Tick the box if 135 is required Where on the measurement form? Please state x cm porous Styles Choice of fabric Choice of compression class Overview of tailor made compression hosiery Styles made to measure 27 Measuring Features and benefits of m2m round knit and flat knit

28 Upper limbs Arm accessories Lymph pads Incorporation of medi lymph pads Local increase of targeted pressure where required. Lymph pads Reduction of wrinkles Lining material Lining with soft smooth material (texture similar to that of microfibre) Additional comfort for sensitive areas. Top bands Most common method of securing sleeves Effective positioning of garments. Additional topband section Additional security of fit in the area of the oblique border Optimum security of fit. 28 made to measure Styles

29 Tips If local additional pressure is needed or if support is required to loosen fibrosis, we recommend the mediven 550 models. Lymph pads can be added at time of manufacturing or retrospectively. Tips Please always give us the exact size and positioning of the lining material. Lining material can also be sewn in later. Tips For each model and each top band type medi uses the appropriate circumference conversion, i.e. the table measurements for the top band are based on years of experience and numerous tests. If, in exceptional cases, it is necessary to fit a tighter or looser top band than usual, please show the appropriate circumference in cm after the variant. Tips This additional top band can be incorporated as the only support or in addition to a topband. It can be incorporated at the time of manufacturing or retrospectively. For clients who cannot have the top band at G1, (particularly on the inside of the upper arm), this is the ideal support. Ordering Information Where on the measurement form? Please mark the appropriate selection. Show desired position/area with length and width. Where on the measurement form? Please mark the appropriate selection. Show desired position/area with length and width. Where on the measurement form? Mark the required variant with a cross. Where on the measurement form? Mark the required variant with a cross. Styles made to measure 29 Styles Choice of fabric Choice of compression class Overview of tailor made compression hosiery Measuring Features and benefits of m2m round knit and flat knit

30 Upper limbs Arm accessories Attachments / support devices Available Styles: Shoulder cap with bra attachment Shoulder cap with shoulder strap Optional methods of securing the armsleeve. Standard Shoulder Cap Anatomically Shaped Shoulder Pad Additional variants: Standard Anatomical Incorporation of zips May aid application and removal. Oblique border hand part Anatomically correct border for long hand part (AD and AE) Optimum anatomical fit. Standard for all mediven flat knit models. The hand part is knitted longer at the proximal seam edge. 30 made to measure Styles

31 Tips Beneficial to aid garment application where the distal limb has a greater volume / circumference than the proximal aspect. The incorporation of a short zip on the outside of the arm is recommended. A zip can be incorporated into the seam at any point. Ordering Information Where on the measurement form? Mark the required variant with a cross. Where on the measurement form? Please specify the length and position required under special requests. Styles Choice of fabric Choice of compression class Overview of tailor made compression hosiery Styles made to measure 31 Measuring Features and benefits of m2m round knit and flat knit

32 Features and benefits m2m round knit garments Leg round knit mediven elegance mediven plus mediven forte The sheer and elegant stocking in a wide range of colours. Gentle on the skin, flattering fit Compression class: CCL 1, 2 The comprehensive solution for your round knit patients. Reliable, accurate and comfortable compression Compression class: CCL 1, 2, 3 Robust hosiery. Maximum compression stability Compression class: CCL 2, 3 Available in standard colours: Available in standard colours: Available in standard colours: Note m2m toe caps and hand/arm garments not available in round knit Trend colours are available see the range at Beige Siena Beige Caramel Caramel Navy Caramel Black Black Diamond Black White Anthracite Sand medi Magenta Montana 32 made to measure Features and benefits of m2m round knit and flat knit

33 Features and benefits m2m flat knit garments Lower limb flat knit mediven 550 mediven mondi mediven sensoo Provides the highest level of static stiffness for optimal control of complex lymphoedema. Compression class: 1, 2, 3, 4 Compression class toe cap: 1, 2, 3 Available with special design elements Diamonds Stripes Pearls Available in standard and trend colours: Sand Caramel Black Brown Navy Anthracite Aqua medi Magenta Softer than our 550 range, whilst maintaining the benefits of high static stiffness. Compression class: 1, 2, 3 Compression class toe cap: 1, 2 Available in standard and trend colours: Sand Caramel Black Brown Navy Anthracite Aqua medi Magenta Hand / arm flat knit mediven 550 mediven esprit Provides the highest level of static Softer than our 550 range, whilst stiffness for optimal control of maintaining the benefits of high complex lymphoedema. static stiffness. Compression class: 1, 2, 3 Compression class: 1, 2, 3 Available with special design elements Available with special design elements Our softest flat knit fabric, for mild to moderate lymphoedema. Compression class: 2 Available in standard colours: Sand Caramel Black Important Design element / trend colours take longer to make Styles Choice of fabric Choice of compression class Overview of tailor made compression hosiery Live Laugh Love Sportive Timeless Available in standard and trend colours: Sand Caramel Black Brown Navy Anthracite Aqua medi Magenta Live Laugh Love Sportive Timeless Available in standard and trend colours: Sand Caramel Black Brown Navy Anthracite Aqua medi Magenta Features and benefits of m2m round knit and flat knit made to measure 33 Measuring Features and benefits of m2m round knit and flat knit

34 Measuring leg garments 34 made to measure Measuring and ordering

35 Correct fitting of compression stockings In order to make an m2m garment we need to know the circumference measured at various points on the limb and exactly where they were measured (the length from a known point). Circumference and length measurements are taken in a distal to proximal direction. The measuring points on the leg must be marked so that the circumference and length measurements are taken at the same location. Our measurement forms are designed to make this process as simple as possible. Other details that we require as a minimum are the compression class and colour. V1= oblique border V2= straight border V1 V2 1. Foot circumference a) Leg is resting relaxed on a horizontal support b) During this measurement, the foot is relaxed, not held in a 90 position c) Measure circumference according to model being fitted 2. Foot length Open toe oblique border a) Measure lengths on the inside and outside of weight-bearing foot 3. Foot length Closed toe oblique border a) Measure lengths on inside, outside and entire weight-bearing foot Styles Choice of fabric Choice of compression class Overview of tailor made compression hosiery Measuring and ordering made to measure 35 Measuring and ordering Features and benefits of m2m round knit and flat knit

36 4. Foot length Open toe straight border a) Measure length on outside of weight-bearing foot 5. Foot length Closed toe straight border a) Measure length of entire, weight-bearing foot b) Generally, this design is made to allow a 6 cm long toe area 2 cm 6. Leg circumference ca cy foot at 90 cb cb 1 cc cd ce knee slightly bent cf cg lb lb1 lc ld le lf a) Leg is lying in a relaxed position on a horizontal support b) Mark measuring points c) For circumference measurement cy, flex foot in dorsal direction to maximum extent d) Measure the remaining circumferences up to cf with the leg in a relaxed position e) For circumference measurement ce, bend knee slightly 7. Leg length a) Measure leg length along the inner side of the leg with patient standing up following the contours of the limb 36 made to measure Measuring and ordering

37 8. Border on thigh a) Measure circumference cg at the top of the thigh/below crotch b) Measure length lg along the inner side of the leg with patient standing up c) Measure lk2 from ground to gluteal fold along body with patient standing up = posterior leg length d) Measure lk1 from ground to pubis symphysis along body with patient standing up = anterior leg length (Difference between lk1 and lk2 = high front/low back) 9. Waist/hip circumference length a) Measure circumference ck up at the widest section around both thighs below the gluteal fold with patient standing b) Measure circumference ch at the widest section of the hips with patient standing up c) Measure circumference ct at the waist or the desired waist border with patient standing up d) Measure length lh along body up to desired height = outer leg length to the waist following the contours 10. Waist/hip lengths a) Measure anterior pelvic height lk1t along body from pubis to waist or desired height following contours b) Measure posterior pelvic height lk2t along body from gluteal fold to waist or desired height following contours Measuring and ordering made to measure 37 Styles Choice of fabric Choice of compression class Overview of tailor made compression hosiery Measuring and ordering Features and benefits of m2m round knit and flat knit

38 Measuring toe caps Flat knit Hilfsmittelnummer alt neu made to measure Measuring and ordering

39 Tips for measuring for flat knit toe caps Available as a one piece garment or as a seamless addition to a garment (see opposite). Länge außen lxz lxz lxz lxz lxz lz lx ca ca1 cz cx Länge innen 1. Foot circumference a) Leg is placed flat on a support b) Mark the measuring points c) Measure circumference 2. Foot length a) Measure the length on the inside and outside of the foot b) Measuring the distance from mark to mark 3. Toe circumference a) Mark and measure circumference cx at web area b) For open toe toe caps mark and measure cz (where you wish the garment to finish). For closed toe toe caps measure the circumference around the end of the toe at the widest point as shown on the left. Measure the circumference cz 4. Toe lengths a) Measure length from web to the end of the toe for closed toe pieces, or to Z for open toe Measuring and ordering made to measure 39 Styles Choice of fabric Choice of compression class Overview of tailor made compression hosiery Measuring and ordering Features and benefits of m2m round knit and flat knit

40 Measuring hand and arm garments Flat knit 40 made to measure Measuring and ordering

41 Tips for measuring hand / arm garments Measuring points for hand garments should be marked prior to measuring. cz cx lab 90 ca cb cc cc1 lac lac1 1. Finger circumference a) Hand is resting lightly on a surface with the palm down b) Mark and measure circumference cx at the web between fingers c) Mark and measure cz the point where you would like the garment to finish (usually nail bed). 2. Finger length a) Hand is resting lightly on a surface with the palm down b) Length is measured from the web to the mark at Z 3. Hand circumference a) Hand should be pressed lightly on surface with the palm down b) Mark the measuring points on the inside of the hand c) Measure circumference 4. Hand length a) Hand is resting lightly on a surface with the palm of the hand facing up b) Length is measured from mark to mark Measuring and ordering made to measure 41 Styles Choice of fabric Choice of compression class Overview of tailor made compression hosiery Measuring and ordering Features and benefits of m2m round knit and flat knit

42 Tips for measuring hand / arm garments 5. Arm circumference a) Lightly rest hand and forearm on a surface b) Mark measuring points for length measurement c) Measure circumference as shown in drawing cc cc1 cd ce cf cg 6. Arm length a) Lightly rest hand and forearm on a surface. b) All lengths are measured from C following the contour of the arm lc l C1 l D l E l F l G 42 made to measure Measuring and ordering

43 lh a) V1 V2 H lg-h G b) G1 7. Upper arm circumference a) For the shoulder cap, measure from point G to H, where H is where the bra strap sits. Do not measure past the bra strap. 8. Attachments a) Shoulder strap The length of the shoulder strap is measured according to method 1 or 2 (full circumference) b) Anatomical shoulder caps are measured from the anterior to the posterior axillary fold (G1) Styles Choice of fabric Choice of compression class Overview of tailor made compression hosiery Measuring and ordering made to measure 43 Measuring and ordering Features and benefits of m2m round knit and flat knit

44 The m2m flat knit and round knit range is now summarised for you in tables showing which fabric, compression class and optional extras are available for each product type. To provide a user-friendly order, the code numbers follow a logical system: F 3 4 fabric product style compression class (1,2,3) m2m round knit hosiery Code list Optional Extras Add silicone - lace / sensitive Waist attachment M2M topband CCL 1 CCL 2 CCL 3 SIL WAT Below knee mediven forte F24 F34 mediven plus mediven elegance O14 O24 Thigh length mediven forte F26 F36 mediven plus mediven elegance O16 O26 Pantyhose/Cycling shorts/capri shorts/leggings mediven forte F21 F31 mediven plus mediven elegance O11 O21 (Cyc. shorts, Leggings excluded) One legged panty mediven forte F22 F32 mediven plus 41E 42E 43E 44 made to measure Measuring and ordering

45 Styles Choice of fabric Choice of compression class Overview of tailor made compression hosiery Measuring and ordering made to measure 45 Measuring and ordering Features and benefits of m2m round knit and flat knit

46 m2m flat knit hosiery Code list Optional Extras Add silicone - topband / patch / over rear seam Waist attachment Slanted foot Zip - long / short Pocket Padding Levamed pads Lining CCL 1 CCL 2 CCL 3 CCL 4 SIL WAT SFT ZIP PKT PAD ALV ALG Below knee mediven 550 B14 B24 B34 B44 mediven mondi C14 C24 C34 mediven sensoo S24 Mid thigh length mediven 550 B15 B25 B35 B45 mediven mondi C15 C25 C35 Full thigh length mediven 550 B16 B26 B36 B46 mediven mondi C16 C26 C36 mediven sensoo S26 Pantyhose mediven 550 B11 B21 B31 B41 mediven mondi C11 C21 C31 mediven sensoo S21 One legged panty, right mediven 550 B13 B23 B33 B43 mediven mondi C13 C23 C33 One legged panty, left mediven 550 B12 B22 B32 B42 mediven mondi C12 C22 C32 Leggings mediven 550 B1L B2L B3L B4L mediven mondi C1L C2L C3L Capri shorts mediven 550 B1C B2C B3C B4C mediven mondi C1C C2C C3C Cycling shorts mediven 550 B1M B2M B3M B4M mediven mondi C1M C2M C3M Toe caps mediven 550 B10 B20 B30 mediven mondi C10 C20 46 made to measure Measuring and ordering

47 Knitting marks - Y / E Gusset - compressive / open crotch Border - steep / straight KNT GUS BDR Styles Choice of fabric Choice of compression class Overview of tailor made compression hosiery Measuring and ordering made to measure 47 Measuring and ordering Features and benefits of m2m round knit and flat knit

48 m2m flat knit arm garments Code list Optional Extras Add silicone - topband / patch Attachment - bra / shoulder Zip Pocket Padding Linning Knitting - E Add fingers (open ended / closed) Handpiece without fingers, with thumb opening to C1 CCL 1 CCL 2 CCL 3 SIL AAT ZIP PKT PAD LNG KNT DIG mediven esprit J12 J22 J32 mediven 550 A12 A22 A32 Handpiece without fingers, with thumb opening to D mediven esprit J11 J21 J31 mediven 550 A11 A21 A31 Glove to C1 mediven esprit J1J J2J J3J mediven 550 A1J A2J A3J Glove to D mediven esprit J1K J2K J3K mediven 550 A1K A2K A3K Armsleeve, A to E mediven esprit J13 J23 J33 mediven 550 A13 A23 A33 Armsleeve, A to F mediven esprit J14 J24 J34 mediven 550 A14 A24 A34 Armsleeve, A to G mediven esprit J15 J25 J35 mediven 550 A15 A25 A35 Armsleeve, C to D mediven esprit J1D J2D J3D mediven 550 A1D A2D A3D Armsleeve, C to E mediven esprit J1E J2E J3E mediven 550 A1E A2E A3E Armsleeve, C to F mediven esprit J1F J2F J3F mediven 550 A1F A2F A3F Armsleeve, C to G mediven esprit J1G J2G J3G mediven 550 A1G A2G A3G 48 made to measure Measuring and ordering

49 Styles Choice of fabric Choice of compression class Overview of tailor made compression hosiery Measuring and ordering made to measure 49 Measuring and ordering Features and benefits of m2m round knit and flat knit

50 Made to measure order form Round knit. Fax From: Order Ref No: Patients Name: Measured by: Date: Contact Tel. No.: Stamp / Signature medi UK Ltd. Plough Lane Hereford HR4 OEL Great Britain Tel Fax m2m@mediuk.co.uk mediven compression garments leg round-knitted left patients leg / cm right patients leg / cm Length Circumference Circumference Length l T ct ct l T Waist l H ch ch l H ck Hips ck l G cg cg l G l F cf cf l F l E ce ce l E l D cd cd l D l C cc cc l C l B 1 cb 1 cb 1 l B 1 l B cb cb l B cy ca la lz Left leg Right leg Foot lengths cy ca la lz Measure all lengths along body l K 1T l K 1 Measure from groin to floor Quality CCL mediven plus 1, 2, 3 mediven elegance 1 & 2 mediven forte 2, 3 Quantity pieces Compression CCL 1 CCL 2 CCL 3 panty section left leg right leg l K 2T l K 2 Measure from gluteal fold to floor Styles below knee pantyhose thigh length one-legged panty G F / E not available in mediven elegance capri shorts leggings men s panty (standard flies) maternity panty Foot length to heel Closed toe l Z (AD) (AT) (AG) (ATE) cm short leg section cm (total size) Colours mediven plus Beige Black Caramel mediven elegance Beige Black Caramel Sand Siena White Navy Diamant Montana Trend colour: mediven forte Beige Black Attachment silicone topband on mediven forte only available in 5 cms width waist attachment not available in mediven elegance silicone topband narrow (2.5 cm) broad (5 cm) sensitive silicone topband (2.5 cm) broad (5 cm) lace topband (5 cm) Topband waist rubberband waistband Gusset tricot is standard netting wide Special requests compressive cm Open toe l A cm (straight foot) medi is not responsible for incorrect measurements. medi assumes no liability as a result of any contraindicated use of this product. medi. I feel better.

51 Made to measure order form Flat knit. Fax From: Order Ref No: Patients Name: Measured by: Date: Hand section Circumferences c c c c c c A B C C 1 D E Quality mediven esprit mediven 550 Attachment Silicone topband narrow (2,5 cm) Compression CCL Hand section Arm sleeve wide (5 cm) anatomical shoulder cap with shoulder strap K strap width 2.5 cm 5 cm with bra attachment width of bra strap cm c c Z X Colour caramel sand black aqua brown navy anthracite medi magenta Styles Standard border Variable Border Handsection (proximal) AC 1 straight (porous - 2 cm) slight oblique steep oblique AD/AE slight oblique steep oblique straight Armsleeve CD/CE/CF/CG slight oblique steep oblique straight AC/AG combined slight oblique steep oblique straight medi is not responsible for incorrect measurements. medi assumes no liability as a result of any contraindicated use of this product. Contact Tel. No.: c c c c Z X Z X Stamp/Signature l AB l AC l AC 1 lad l AE Length Knitting marks elbow area 160 (standard) 135 cg cf ce cd cc 1 cc Armsleeve Circumferences l GH G 1 Quantity pieces Special requests H Shoulderstrap Options left fingers open without fingers medi UK Ltd. Plough Lane Hereford HR4 OEL Great Britain Tel Fax m2m@mediuk.co.uk All measurements must follow contours of body. Other accessories 10 x 5 cm topband piece in upper arm, oblique cm porous in hand section (proximal standard 2 cm) cm porous in arm sleeve (distal standard 2 cm) Lymphpad Padded pocket Open pocket Lining Zips (please specify length, width, position diagram required) Design elements: Live Laugh Love Timeless Sportive K Length l G l F l E l D l C 1 medi. I feel better. right fingers closed Styles Choice of fabric Choice of compression class Overview of tailor made compression hosiery Measuring and ordering Features and benefits of m2m round knit and flat knit

52 Made to measure order form Flat knit. Fax From: Order Ref No: Patients Name: Measured by: Date: Length left l T ct Circumferences left Waist Contact Tel. No.: A Stamp/Signature Circumferences right ct Length right l T medi UK Ltd. Plough Lane Hereford HR4 OEL Great Britain Tel Fax m2m@mediuk.co.uk Please complete part A and B, as appropriate for length of garment. Length to crease of knee is required for all garments. All measurements must follow contours of body. T l K 1T B l K 2T T mediven compression garments leg flat-knitted l H l K l G l F l E l D l C l B1 l B ch ck cg cf ce cd cc cb 1 cb cy c A Hips Left leg Right leg ch ck cg cf ce cd cc cb 1 1 cb cy c A l H l K l G l F l E l D l C l B l B K l K 1 Measure from groin to floor l Crease of knee left l K 2 Measure from gluteal fold to floor right K2 Quality CCL mediven mondi 1, 2, 3 mediven 550 1, 2, 3, 4 Compression CCL Panty section left leg right leg Colour Caramel Sand Brown* Aqua* * extended delivery period Black Navy* Anthracite* medi Magenta* Quantity pieces straight foot closed toe l Z open toe l Ai l A slanted foot cm (total) cm (inner) cm (outer) Styles below knee (AD) thigh-length (AG) pantyhose (AT) men s panty (ATH) maternity panty (ATU) one-legged panty-, (ATE) mens one legged panty Short leg l G - F/E length cm cycling shorts capri shorts leggings toe cap sewn on seamless integrated toe cap individual toe cap Border Slight oblique is standard. Or options: steep oblique straight border Accessories Y knitting mark (90 heel) elliptical form at knee porous cm Waist Waistband is standard. Or options: knitted border Add Silk Open pocket lining Padded pocket Lymphpad size width cm length cm Position Diagram (please specify length, width, position diagram required) Gusset Tricot is standard. Or options: netting compressive medi is not responsible for incorrect measurements. medi assumes no liability as a result of any contraindicated use of this product. Other accessories cm topband section along oblique (standard 15 cm) cm topband section above knee (standard 8 cm) cm topband section at rear over seam (standard 8 cm) Silver Y to C Y to D Y to G only mediven mondi left right Attachment profile topband (5 cm) silicone topband narrow (2.5 cm) wide (5 cm) below knee only sensitive topband - wide (5 cm) waist attachment left right Zips length cm Position Diagram (please specify length, width, position diagram required) soft toe only mediven 550 P2 Levamed pads P1 left inner: P1 cm, P2 cm right inner: P1 cm, P2 cm left outer: P1 cm, P2 cm right outer: P1 cm, P2 cm Design elements mediven 550 Diamonts Stripes Pearls Special requests medi. I feel better.

53 mediven toecaps flat knitted with seam Made to measure order form Toe Caps. Flat knit. Fax From: Order Ref No: Patients Name: Measured by: Date: outside laa1 model toe cap mediven mondi mediven 550 CCL Colour * extended delivery period caramel sand black navy* brown* anthracite* aqua* medi Magenta* Design elements mediven 550 Pearls Stripes Diamonts lxz cz cx lxz cz cx ca ca1 lxz cz cx lxz cz cx cz cx Quantity left pieces lxz Other accessories / right foot without small toe open toes closed toes toe cap sewn on to stocking separate toe cap toe cap seamless knitted to the stocking Add silk Open pocket lining Padded pocket Lymphpad size width cm lenght cm Position Diagram (please specify length, width, position diagram required) Special requests Contact Tel. No.: Circumferences and lengths left medi is not responsible for incorrect measurements. medi assumes no liability as a result of any contraindicated use of this product. Stamp/Signature inside laa1 inside laa1 lxz cz cx lxz cz cx Quantity right pieces Special requests lxz cz cx medi UK Ltd. Plough Lane Hereford HR4 OEL Great Britain Tel Fax m2m@mediuk.co.uk Circumferences and lengths right ca ca1 Other accessories / right foot without small toe open toes closed toes toe cap sewn on to stocking separate toe cap toe cap seamless knitted to the stocking Add silk Open pocket lining Padded pocket Lymphpad size width cm lenght cm Position Diagram (please specify length, width, position diagram required) lxz cz cx lxz cz cx medi. I feel better. outside laa1 Styles Choice of fabric Choice of compression class Overview of tailor made compression hosiery Measuring and ordering Features and benefits of m2m round knit and flat knit

54 mediven sensoo ccl 2. Fax From: Order Ref No: Patients Name: Measured by: Date: Contact Tel. No.: Stamp/Signature medi UK Ltd. Plough Lane Hereford HR4 OEL Great Britain Tel Fax Length left Circumferences left Circumferences right Length right Measure all lengths along contours of body l T ct Waist ct l T T l K 1T l K 2T T mediven compression garments leg flat-knitted l H l K l G l F l E l D l C l B1 l B ch ck cg cf ce cd cc cb 1 cb cy c A Left leg Hips Measurement from heel to crease of knee is essential for correct fit of garment. Right leg ch ck cg cf ce cd cc cb 1 1 cb cy c A l H l K l G l F l E l D l C l B l B K l K 1 l Crease of knee left l K 2 right K2 Styles below knee thigh-length Female tights Male tights (AD) (AG) (AT) (ATH) Colour caramel black sand Quantity pieces Zips Please include location diagram In panty, central as open fly In panty, left or right hip Foot Closed toe lz lai Open toe cm (total) cm (inner) Border Slight oblique is standard Or option: straight border Attachment profile topband (5 cm) silicone topband narrow (2.5 cm) wide (5 cm) sensitive topband (5 cm) la cm (outer) Special requests Please use a separate sheet if required. Diagrams or photos will help if you have specific requests. medi is not responsible for incorrect measurements. medi assumes no liability as a result of any contraindicated use of this product. medi. I feel better.

55 Styles Choice of fabric Choice of compression class Overview of tailor made compression hosiery Measuring and ordering made to measure 55 Measuring and ordering Features and benefits of m2m round knit and flat knit

56 Headquarters medi GmbH & Co. KG Medicusstraße Bayreuth Germany T F export@medi.de medi UK Ltd Plough Lane, Hereford HR4 0EL T F m2m@mediuk.co.uk 98E65 /