Replies: K1 heavy duty foot suggestions
Kristin Faircloth
Description
Collection
Title:
Replies: K1 heavy duty foot suggestions
Creator:
Kristin Faircloth
Date:
12/3/2021
Text:
I have had two additional (helpful) replies to my search for a foot rated to 450 pounds:
--Freedom Innovations has the Highlander foot which is rated to 500 pounds but also can be customized up to 650 pounds I have fit them on many high activity heavy patients. It is an L 5981 K 3 foot, but it’s possible to work with your insurance company to get it paid for for a K-1. It is an L 5981K 3 foot. But it’s possible to work with your insurance company to get it paid for for a K-1.
--An interesting website to look at is one from Steeper created with the assistance of the (British)National Health Service. They listed a foot that might be helpful to you made by Trulife, the SZM45 Zumo K3 which Trulife lists adequate for a K-3 450 pound patient.
The additional problem is making sure all other materials and componentry meet that standard. If Trulife does the manufacture of socket, mounting system,etc I would use them to minimize potential liability claims. If they do not I think Bulldog Tools is a good second choice. There may be others as well but I would look to minimize liability rather than cost.
Steeper has an excellent Clinical Support and Best Practice Guideline section as I mentioned earlier:
<URL Redacted> < <URL Redacted> >
Original post:
I have a K1 patient whose weight fluctuates between 390-420 pounds. Since Kingsley is no longer able to manufacturer Sach feet, does anyone have a suggestion for a Sach type foot weighted for a 420 pound woman (or a right size 26 heavy duty foot laying around your office that I could buy from you)?
(To clarify, I am only interested in brand new, unused feet rated to 420 pounds. Looks like my only viable option is the energy storing carbon fiber foot from Dycor - hardly a K1 foot, but at least it's safe and cuts down our liability for this weight category.)
Replies:
--I used Ti-Med early this year, when I had the same situation. ( I purchased through Cascade, they have the heavy duty kits). Hope that helps.
(Upon further investigation: Ti-Med appears to only sell endo componentry, not feet)
--OWW magnum series feet and components
(Upon further investigation: This foot is only rated to 350 pounds)
--Ohio willow wood has your foot.
(Upon further investigation: Again, the WillowWood Magnum foot is only rated to 350 pounds)
--Due to her weight you may be able to get an exception for a k2 like the terion k2. I don’t know of any feet that are K1 heavy duty.
--Dycor custom builds composite SACH feet that conceivably support and control GRF of 420 lbs. (approx. 620.00 US, 11/4 lbs.) but you would have to use the larger diameter integrative endo. system (Bulldog).
Michael Wilson LP/CPO
Dycor Mfg Inc.
<URL Redacted>
(Upon further investigation: Turn around time is about 3 days and cost is around $620)
--Under no circumstances should you use a used foot. I just finished a year + long lawsuit for a supposed failure of a used knee that I installed while the patients knee was being repaired by the manufacturer. It’s not worth it. 390 - 420 ponds moved your patient to at least a k2, if not k3. I’d suggest looking at ST&G feet for those heavy ones.
(Upon further investigation: ST&G's highest weigth rating appears to be 275 pounds)
Kristin Faircloth, CPO
Certified Prosthetist Orthotist
Synergy Orthotics & Prosthetics
P: (503) 885-9448
F: (503) 885-9398
--Freedom Innovations has the Highlander foot which is rated to 500 pounds but also can be customized up to 650 pounds I have fit them on many high activity heavy patients. It is an L 5981 K 3 foot, but it’s possible to work with your insurance company to get it paid for for a K-1. It is an L 5981K 3 foot. But it’s possible to work with your insurance company to get it paid for for a K-1.
--An interesting website to look at is one from Steeper created with the assistance of the (British)National Health Service. They listed a foot that might be helpful to you made by Trulife, the SZM45 Zumo K3 which Trulife lists adequate for a K-3 450 pound patient.
The additional problem is making sure all other materials and componentry meet that standard. If Trulife does the manufacture of socket, mounting system,etc I would use them to minimize potential liability claims. If they do not I think Bulldog Tools is a good second choice. There may be others as well but I would look to minimize liability rather than cost.
Steeper has an excellent Clinical Support and Best Practice Guideline section as I mentioned earlier:
<URL Redacted> < <URL Redacted> >
Original post:
I have a K1 patient whose weight fluctuates between 390-420 pounds. Since Kingsley is no longer able to manufacturer Sach feet, does anyone have a suggestion for a Sach type foot weighted for a 420 pound woman (or a right size 26 heavy duty foot laying around your office that I could buy from you)?
(To clarify, I am only interested in brand new, unused feet rated to 420 pounds. Looks like my only viable option is the energy storing carbon fiber foot from Dycor - hardly a K1 foot, but at least it's safe and cuts down our liability for this weight category.)
Replies:
--I used Ti-Med early this year, when I had the same situation. ( I purchased through Cascade, they have the heavy duty kits). Hope that helps.
(Upon further investigation: Ti-Med appears to only sell endo componentry, not feet)
--OWW magnum series feet and components
(Upon further investigation: This foot is only rated to 350 pounds)
--Ohio willow wood has your foot.
(Upon further investigation: Again, the WillowWood Magnum foot is only rated to 350 pounds)
--Due to her weight you may be able to get an exception for a k2 like the terion k2. I don’t know of any feet that are K1 heavy duty.
--Dycor custom builds composite SACH feet that conceivably support and control GRF of 420 lbs. (approx. 620.00 US, 11/4 lbs.) but you would have to use the larger diameter integrative endo. system (Bulldog).
Michael Wilson LP/CPO
Dycor Mfg Inc.
<URL Redacted>
(Upon further investigation: Turn around time is about 3 days and cost is around $620)
--Under no circumstances should you use a used foot. I just finished a year + long lawsuit for a supposed failure of a used knee that I installed while the patients knee was being repaired by the manufacturer. It’s not worth it. 390 - 420 ponds moved your patient to at least a k2, if not k3. I’d suggest looking at ST&G feet for those heavy ones.
(Upon further investigation: ST&G's highest weigth rating appears to be 275 pounds)
Kristin Faircloth, CPO
Certified Prosthetist Orthotist
Synergy Orthotics & Prosthetics
P: (503) 885-9448
F: (503) 885-9398
Citation
Kristin Faircloth, “Replies: K1 heavy duty foot suggestions,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 1, 2024, https://library.drfop.org/items/show/255807.
