protect.4 evo
Intended Purpose
protect.4 evo is a brace with a frame that is
intended to reinforce and stabilise the knee
joint using limitation of extension and flexion
Indications
All indications that require physiological
stabilisation and reinforcement of the knee joint
and/or stress relief of the joint in at least two
planes, such as:
• Following rupture of the cruciate ligament
(conservative/post-operative)
• Following rupture of the collateral ligament
(conservative/post-operative)
• For knee instability
• Following surgery on the meniscus
• Following cartilage surgery
Contraindications
None known at present.
Risks / Side Effects
If the aids are too tight, this can cause local
pressure sores or constriction of blood vessels or
nerves. Therefore you should consult the doctor
treating you before you use it if the following
circumstances apply to you:
• Condition or injury of the skin in the area of
application, particularly with infectious
indications (excessive heat, swelling or
reddening)
• Paraesthesia and circulatory disorders (e.g. as
seen in diabetes, varicose veins)
• Lymph drainage disorders – equally, swelling
of soft tissue adjacent to the area of applica-
tion which is not related to a condition
When wearing snug-fitting aids, this can result
in localised skin inflammation or irritation that
is due to mechanical irritation of the skin
(particularly in conjunction with sweating) or
due to the composition of the material.
Intended patient groups
Healthcare professionals should provide care to
the adults and children, applying the available
information on the measurements/sizes and
necessary functions/indications and in line with
the information provided by the manufacturer,
and acting under their own responsibility.
Setting the flexion / extension limits
Extension limit wedge, silver:
0°, 10°, 20°, 30°, 45°
Flexion limit wedge, black:
0°, 10°, 20°, 30°, 45°, 60°, 75°, 90°
Can be immobilised at:
0°, 10°, 20°, 30°, 45°
For immobilising the orthosis first insert the
flexion wedge and then the corresponding
extension wedge. The medial (inside) and the
lateral (outside) wedge settings must always be
the same.
1. 0° extension and 90° flexion wedges are
pre-installed in your knee brace
as standard (In the UK only 10° extension
wedges fitted, remainder included as spare
parts).
2. To replace the wedges first loosen the screws
in the joint cover, then take the cover off, the
wedges can now be removed by being gently
pulled out in a forwards direction.
3. To change the silver extension wedge loosen
the screw and pull the wedge out from the
front of the joint. You will find the
replacement wedge in the wedge set. It is
marked with the corresponding wedge
setting. Slide the new extension wedge into
the front of the joint. Now replace the screw
in the threaded hole and screw it tight.
4. The flexion wedges are installed from the
back of the joint. Select the suitable wedge
from the wedge set. Insert the wedge and
secure it with the appropriate screw
(enclosed).
5. Bend and flex the brace 'joint' a couple of
times and check that the wedges are
positioned correctly. Finally, secure the joint
cover.
Important notes
Only change the extension and flexion limits on
instruction from your doctor or orthotist. In
order to prevent hyperextension, always insert
English