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LYMPHEDEMA PRODUCT CATALOG

175 years of the

Thuasne

Dear Customers, We are pleased to share our lymphedema solutions, including our new Mobiderm® Intimate Bra made possible by the dedication of our research and development, marketing, design, and industrial teams. In addition, we are excited to introduce lymphedema garments from our U.S. subsidiary, Therafirm®. Therafirm is a leading manufacturer of quality compression socks and hosiery and has been developing scientifically advanced compression products for more than 60 years. Together, Thuasne and Therafirm remain committed to providing innovative, efficient and adapted solutions to improve the mobility and the quality of life of patients.

Delphine Hanton Chief Executive Officer

Group

The know-how of the Thuasne Group is rooted in Saint-Étienne, having imagined, developed and produced medical devices for over 175 years, allowing everyone to take charge of their own health. As a result of the shared history of 6 generations of entrepreneurs, Thuasne offers specific, simple, adapted and innovative health solutions supporting mobility in over 85 countries. We offer our expertise to patients in the fields of orthopaedics (belts, orthoses), medical compression (phlebology, lymphology, healing), femininity (external breast prostheses, underwear) and home care.

“Made in Thuasne”: the ability to control the whole value chain Because Thuasne pursues the objective of offering patients and healthcare professionals effective, quality products, it can guarantee that its products are designed, produced and distributed using technologies controlled by the Group, after extensive accumulated experience.

Elizabeth Ducottet Chairman and CEO In everything we do, we believe in challenging the status quo. We believe that we must think differently.

Take care wisely

Our way of challenging the status quo is to manufacture our solutions by ensuring that they are efficient(1,2), medically proven(2,3,4), easy to use(1) and comfortable(2,5).

with Thuasne solutions

• 40 years of medical and technical expertise in compression devices • Network of specialized fitters • Expertise of our made-to-measure customer services • Recognized brands • Efficiency proven solutions • Individualized solutions all along the patient’s treatment

Be sure to inquire

about the possibility of lymphedema treatment products being covered by the Lymphedema Treatment Act.

Quality standards Some of our products comply with Oeko-Tex 100 standard(6). Thus Thuasne ensure that materials used for the manufacturing of our products are safe for the health and the environnement.

(1) Please refer to the internal CE data. (2) Mestre Interest of an auto adjustable night time compression sleeve (MOBIDERM Autofit in maintenance phase of upper extremity lymphedema: the MARILYN pilot RCT Support Care Cancer (25:2455 2462) 2017 Page 6 & 7. (3) Todd Mobiderm Autofit: an adjustable sleeve that enables patients to self manage lymphedema Chronic edema April 2018 (4) POLIT Prospective multicentre observational study of lymphedema therapy: POLIT study Pr Quéré Journal des maladies Vasculaires 2014. (5) Lymphatrex Expert: ETN 280 Dossier Textile Polyamide July Aug2017. (6) The list of products Oeko-Tex certified is available on demand.

LYMPHEDEMA PRODUCTS

Content

Management of Lymphedema Patients presenting lymphedema should benefit from coordinated management and receive information adapted to their needs.

The main objectives of the treatment are: • Reduction, then stabilization of the volume • Improvement of the extremity function • Prevention of complication risks • Patient education and psycho-social support

LYMPHEDEMA TREATMENTS

This chronic disease therefore requires continuous management, which can be split into two essential and complementary phases:

The reduction phase �� 6 - Mobiderm technology �� 8 - Mobiderm bandages and pads �� 9 - Other bandaging supplies �� 9 The maintenance phase ��10 - Mobiderm Intimate Bra ��12 - Mobiderm Intimate Shorts �� 14 - Mobiderm Standard �� 16 - Mobiderm Autofit �� 18 - Biflex Self Adjust �� 22 - Ease Lymphedema �� 26 - Ease Adjust �� 28 Fitting and measurement �� 30 - Mobiderm fitting and care instructions ��30 - Mobiderm measurement tips ��31

The REDUCTION phase

The MAINTENANCE phase

that will follow one another depending on the evolution of the lymphedema.

Medical compression is one of the key elements of the treatment . (8)

USEFUL THINGS TO KNOW

CARE INSTRUCTIONS

STANDARD DEVICE

CIRCULAR KNIT

FITTING INSTRUCTIONS

(8) Haute Autorité de Santé - La compression médicale dans le traitement du lymphœdème - Fiche BUTS 2010 French National Authority for Health - Medical Compression in the Treatment of Lymphedema - BUTS Sheet 2010

LYMPHEDEMA PRODUCTS

Thuasne Protocol

The reduction phase The reduction phase is also known as the intensive decongestive treatment. Its goal is to achieve maximum reduction of the edema to come as close as possible to the volume of the opposite healthy extremity. The main treatments used are:

The reduction phase is usually performed using multi-component bandages (1)

The advantage of bandages is that they can be repositioned over and over to ensure the best possible fit to successive variations in edema volume. There are different sorts of bandages and it is their combined use that reduces edema(2).

• Manual lymphatic drainage (MLD), carried out by a specifically trained lymphedema therapists, to stimulate and facilitate the circulation of the lymph by promoting the unblocking of the lymph nodes. • Reducing and draining bandages requiring the use of multi-component bandages which can be adapted to the volume and repositioned at will. • Coached physical activity under bandages to improve lymph circulation, regain mobility and flexibility.

PROTECT the skin PROTECTIVE COTTON BANDAGE In direct contact with the skin, this tubular cotton bandage provides tight containment of the extremity. Made of cotton, it provides soft(3) and lined protection of the skin weakened by the lymphedema.

MOBILIZE the edema BANDAGE Used under a reducing bandage or garment (e.g. adjustable wrap), the Mobiderm technology mobilizes edematous or indurated subcutaneous tissue.

• Skin care to prevent complications related to lymph accumulation. This phase may vary from one to several weeks, depending on the severity of the lymphedema, and can be renewed later.

CONTAIN the edema BIFLEXIDEAL SHORT-STRETCH BANDAGE A short-stretch bandage (<100% stretch) as the third layer helps with containment of the edema, as well as drainage in case of physical activity (high working pressure)(4).

(1) HAS – Dispositifs de compression médicale à usage individuel – Utilisation en pathologies vasculaires – Sept 2010 – Page 14 (Medical compression devices for individual use - Use in vascular pathologies) (2) European Wound Management Association (EWMA). Focus Document: Lymphoedema bandaging in practice. London: MEP Ltd, 2005. (3) Futura Tech - Du végétal aux textiles - Récolte, transformation et utilisation du coton (From plant to textile - Harvesting, processing and use of cotton). (4) Quéré - Prospective multicenter observational study of lymphedema therapy: POLIT study - Vascular Desease Journal - 2014 - Pages 4 et 5

LYMPHEDEMA PRODUCTS

Dimensions

is a medical device made up of foam blocks encased between two non-woven bandages.

The

Technology The can be used under a reducing bandage (in its bandage or pad forms), or incorporated into mobilizing garments.

Technology

Epidermis Dermis

Lymph flow

Due to the difference in pressure created between the support area of the blocks and their surrounding area, it promotes the flow of lymphatic fluid and optimizes the drainage efficacy(1).

Designation

Reference

25 cm x 25 cm 25 cm x 1 m

Small blocks 5 mm x 5 mm

371001 02502501 371001 03310001

20 cm x 1 m

Big blocks 15 mm x 15 mm

371001 03310002

Dimensions Skin

® Pads

10 cm x 3 m

® Bandages Designation

Reference

Small blocks 5 mm x 5 mm

372001 01030001

Big blocks 15 mm x 15 mm

372001 01030002

Biflex 16+ - Light Elastic Bandage Dimensions

8 cm x 5 m 10 cm x 3 m 10 cm x 5 m

Color

Reference

Beige

16000200850002 16000201030002 16000201050002

Biflex 17+ - Strong Elastic Bandage Dimensions

Color

Reference

Beige

17000200840002 17000201030002 17000201050002

EFFECTIVE

8 cm x 4 m 10 cm x 3 m 10 cm x 5 m

PRACTICAL

Biflexideal - Short Stretch Bandage

• Rapid volume reduction of the edema(2). •L ight and comfortable, it enables the patient to keep their freedom of movement(3).

COMFORTABLE

• Ability of the product to contour the extremity Conseils provides an adapted anatomical fit.

Patented

device

(4)

d’entretien

Dimensions

3 cm x 5 m 6 cm x 5 m 8 cm x 5 m 10 cm x 5 m

Color

Reference

White

11000200350000 11000200650000 11000200850000 11000201050000

Biplast - Adhesive Bandage Patented

2 SIZES OF BLOCKS

technology

SMALL BLOCKS

Dimensions

Standard products

Faster* availability

• More effective in highly indurated areasStandard products Faster* availability • Better adapted to small anatomies (pediatric patients, hands/foot, breast…) • Lower profile for discreet care

BIG BLOCKS • Better adapted along the extremity

(1) Todd – Mobiderm Autofit: an adjustable sleeve that enables patients to self-manage lymphedema – Chronic edema – April 2018 – Page 6 (2) Quéré - Prospective multicenter observational study of lymphedema therapy: POLIT study - Vascular Desease Journal – 2014 – Pages 4 and 5 (3) Mestre – Interest of an auto-adjustable night-time compression sleeve (MOBIDERM Autofit) in maintenance phase of upper extremity lymphedema: the MARILYN pilot RCT Support Care Cancer (25:2455-2462) – 2017 – Page 7 (4) Only in following countries: Algeria, Austria, Belgium, Canada, China, Czech Republic, Denmark, Finland, France, Germany, Hungary, India, Morocco, Italy, Netherlands, Poland, Portugal, Romania, Russian Federation, Slovakia, Slovenia, Spain, Sweden, Switzerland, Tunisia, United-Kingdom, USA

3 cm x 2.5 m 5 cm x 2.5 m 6 cm x 2.5 m 8 cm x 2.5 m 10 cm x 2.5 m 20 cm x 2.5 m

Color

Reference

White

20000100325000 20000201525000 20000200625000 20000100825000 20000201025000 20000202025000

Biflex Kit - Reusable Two Layer Compression System Dimensions

Reference

S1 (Layer 1: 10 cm x 4 m, Layer 2: 10 cm x 3.5 m) S1 (Layer 1: 10 cm x 4 m, Layer 2: 10 cm x 3.5 m) S1 (Layer 1: 10 cm x 4 m, Layer 2: 10 cm x 3.5 m)

17005020199999 17005020299999 17005020399999

LYMPHEDEMA PRODUCTS

How to choose the right solution?

CON T

UPPER LIMB

MILD LYMPHEDEMA Stage 0 & I : Regular extremity shape Liquid consistency No skin folds <20% volume excess

This phase is conducted first with elastic compression garments which will be renewed regularly under the supervision of a healthcare professional.

MODERATE LYMPHEDEMA

CON T

LIZE BI

N AI

AIN & M NT O O

REST AND NIGHTTIME COMPRESSION

PELVIS/GENITAL

BREAST

Intimate Shorts

Intimate Bra

EASE ADJUST by THERAFIRM®

EASE OPAQUE by THERAFIRM®

EASE LYMPHEDEMA

CORE-SPUN by THERAFIRM®

STANDARD

EASE ADJUST

Stage II & Late II: Regular extremity shape Liquid consistency 20-40% volume excess

CONTAIN AND MOBILIZE

LOWER LIMB

STANDARD

by THERAFIRM®

Its role is to stabilize the volume of the reduced extremity in the inital phase, or even to continue the volume reduction, but also to avoid relapses and enable the patient to recover normal mobility.

AIN & M NT O O

LIZE BI

As soon as a satisfactory volume reduction is achieved, the maintenance phase of the lymphedema starts.

N AI

The maintenance phase

A full range of solutions in MAINTENANCE phase of lymphedema treatment

by THERAFIRM®

MADE-TO-MEASURE PATIENT

Worn daily during rest and nighttime, Mobiderm light compression garments offer an easy to use and comfortable alternative to self-bandage that mobilizes edema and optimizes treatment efficiency.(1) The maintenance phase also includes manual lymphatic drainage at a lesser frequency, as well as the learning of self-massaging and self-bandaging as needed. Lastly, it requires the practice of an adapted physical activity, skin cares and regular medical monitoring.

CON T

N AI

CONTAIN

DAYTIME COMPRESSION

AIN & M NT O O

LIZE BI

Worn daily from waking up to bedtime, daytime compression garments ensure both: • compression aimed at easing the circulation of the lymph to the heart, thus preventing the formation of edema.

• containment preventing the edema from recovering more than a certain percentage of volume, irrespective of its intrinsic expansion force.

SEVERE LYMPHEDEMA Stage III: Non regular extremity shape Skin folds Fibrotic consistency >40% volume excess

(1) Mestre – Interest of an auto-adjustable night-time compression sleeve (MOBIDERM Autofit) in maintenance phase of upper extremity lymphedema: the MARILYN pilot RCT Support Care Cancer (25:2455-2462) – 2017 – Page 4

Breast Area Soft Interior Seams

Adjustable Straps

Prevents skin irritations for patient compliance

Find the best personal fit with wide padded straps for your comfort

High Lateral Design Provides good coverage and added support for affected areas

INTIMATE BRA

Front Zippers with End Covers

Wide Band

Easy to put on and take off with covers to protect skin on each end

Prevents the bra from flipping up during wear

Description The Mobiderm® Intimate Bra provides strong compression and integrates removable and discreet foam compression pads to create high and low pressure differentials on the affected regions, in result, softening tissue and improving lymph drainage. Moreover, this controlled compression solution helps minimize scar tissue and the development of hematomas.

AIN & M NT O O

LIZE BI

LYMPHEDEMA PRODUCTS

Colored Hooks

Integrated Pockets

Come in a darker color than the bra to make it easier to see where the bra clasps together

For inserting the breast form of your choice and included Small Block Breast Pads

For which patients Mobiderm Intimate Bra is intended for patients with breast related edema or lymphedema.

Characteristics

Zipper Liner

Interior Back Pockets

Interior Side Pockets

Manufacturing Type: Off-The-Shelf Compression Values: 5 - 10 mmHg

1. Band Size

Colors: Nude

Measure the circumference just under the breast for band size

Composition Bra: Nylon, Elastane, Polyester, Polyurethane Pad: Polyester, Nylon, Acrylic glue, Polyethylene foam

Accessory

2.Cup Size

Learn more about the Mobiderm ® Intimate Bra

Measure the circumference of the fullest part of the breast for cup size

HCPCS: A6528

Description: Gradient compression garment, bra, for nighttime use, each

*Rounding may apply to inch measurements

Order extra pre-made pads! • 2 Mobiderm Small Block Breast Pads included • Fits into the integrated pockets • Provides discreet low profile therapy

Item Number

Size

T57135120199970

260 mm

155 mm

100 mm

T57135120299970

285 mm

160 mm

100 mm

T57135120399970

310 mm

165 mm

105 mm

T57135120499970

335 mm

170 mm

110 mm

T57135120599970

360 mm

180 mm

120 mm

Suggested HCPCS: A6609, A6593, or A6519 *The pre-made Mobiderm Small Block Breast Pads accommodate all cup sizes.

Additional Mobiderm® Mobilizing Pads available in Big and Small Block (sold separately) to cut and use for different desired shapes or sizes. See page 9 for product sizes and reference numbers.

LYMPHEDEMA PRODUCTS

AIN & M NT O O

LIZE BI

Pelvic and Genital Area Clinical study

INTIMATE SHORTS

Soft fabric(2)(3) for more comfort

Patent deposit on the model, with sober colors: black and blue

Adaptable to most morphologies(3): 6 sizes for women and 6 sizes for men

Description

Flexible and thin: Due to the physical properties of the materials, their location and their assembly according to the body areas (3)

Compression and mobilization shorts Treatment of pelvic and genital lymphedema

For which patients Mobiderm® Intimate Shorts is intended for patients with: • Pelvic and/or genital edema • Mild to severe lymphedema • Stable or progressive edema • Regular or irregular morphology

Is used as underwear

- Targeted compression and retention (15 - 20 mmHg) in the pelvic area, genitals, buttocks and thighs*. - Decreasing compression upwards and downwards the pelvis.* - Compatible with compression stockings.*

A complete solution: shorts + pad • 89% of patients think that this device provides a differentiating solution compared to what exists on the market(1)

Can be worn during the day as well as at night

• 83% of patients think that this device is better than existing products(1) (aesthetics, thickness, ability to movement, comfort, daily use).

Characteristics Manufacturing Type: Off-the-Shelf Colors : Black and Navy Blue

Possibility to insert the pad inside the shorts or remove it according to the patient's needs.

Compression Values: Black Fabric Zone: 15-20mmHg on the pelvic, genital and buttocks areas Blue Fabric Zone: 5-10mmHg on the lateral side and mid-thigh areas

Circumference

cK Around buttocks

Composition

cG Thigh (at widest

• Compression Shorts: Polyamide, Elastane, Polyester • Mobiderm mobilizing genital pad small blocks: Polyester, Polyamide, Acrylic Glue, Polyethylene Foam

point for left and right)

Accessory M en

DISCRETION(1)

COMFORT(1)

View product videos here!

Size

cK (in cm)

cG (in cm)

Women’s Item Numbers

Men’s Item Numbers

88–94

45–54

37360120109899

37370120109899‬

95–101

48–58

37360120209899

37370120209899

102–108

51–62

37360120309899

37370120309899

109–115

54–66

37360120409899

37370120409899

116–122

57–69

37360120509899

37370120509899

123–129

60–72

37360120609899

37370120609899

HCPCS: A6570

Women

Product thinness(1)

Description: Gradient compression garment, genital region, each

Order extra pre-made pads! Product Style

Product Code

HCPCS

Men's Genital Pad

37375029900399

A6609, A6593, or A6519*

Women's Genital Pad

37365029900399

A6609, A6593, or A6519*

The pre-made Genital Pads are one size fits most and come in Small Block only. * The Suggested HCPCS varies based on usage with bandaging (A6609), daytime garments (A6593), or nighttime garments (A6519)

• 1 Mobiderm Small Block Genital Pad included • Fits into the integrated pockets • Provides discreet low profile therapy

K = 272cm

K = 288cm L = 248cm

Conseils

Patented

device

(4)

d’entretien

Additional Mobiderm® Mobilizing Pads available in Big and Small Block (sold separately) to cut and use for different desired shapes or sizes. See page 9 for product sizes and reference numbers.

(1) O LYMPY study : Exploratory study to assess the clinical benefits of wearing the MOBIDERM Intimate Short in patients with pelvic and/or genital lymphedema. - 2021 - 32 patients - n° ID-RCB: 2020-A00247-32;primary objective: assessment of the effect of the MOBIDERM Intimate short, after 12 weeks, on an overall impression of change in their quality of life in relation to PL/GL. S. Mestre. New perspectives in genital lymphedema management. 46th European Society of Lymphology Congress – June 16-17-18 2022. Assisi Italy (2) CC1508 – Rationnel de formulation – Janvier 2022 (Formulation plan) (3) CC1508 - Panty Mobiderm - Plan de validation (2019) (Validation Plan) (4) Patent issued or filed in the following countries: China, EPE (European Patent Device), France, French Polynesia, Japan, South Korea, USA *Refer to the Instructions For Use

CON T N AI

Arms and Hands

AIN & M NT O O

LIZE BI

LYMPHEDEMA PRODUCTS Conseils

Patented

device

Patented

STANDARD

technology

AIN & M NT O O

LIZE BI

d’entretien

Standard products

Faster* availability

Standard products

Faster* availability

Description

The standard Arm Sleeve, Mitten, and Glove are designed to mobilize edematous or indurated subcutaneous tissues. They are intended for the treatment of lymphedema in maintenance phase for day at rest and night to maintain the volume reduction.

cC: Wrist circumference cE: Elbow circumference cG: Arm circumference

37300220100232

37300220100233

37300240100232

37300240100233

37300220200232

37300220200233

37300240200232

37300240200233

37300220300232

37300220300233

37300240300232

37300240300233

37300220400232

37300220400233

37300240400232

37300240400233

37300220500232

37300220500233

37300240500232

37300240500233

l: Length from wrist to axilla

For which patients standard garments are recommended for patients presenting: • Mild to moderate lymphedema • Regular extremity shape • Stable lymphedema volume

37310120100299 37310120200299 37310120300299

Characteristics

37310120400299

Manufacturing Type: Off-The-Shelf

37310120500299

Composition : • Outer layer: polyamide, elastane • Armsleeve inner layer: adhesive non-woven, polyurethane foam (15 x 15 mm blocks) • Mitten and glove inner layer: adhesive nonwoven, polyethylene foam (5 x 5 mm blocks)

37310120600299

(1)

cA: Hand circumference (head of metacarpal bones) cC: Wrist circumference

Color: Beige

Scan the QR code to download your form

37320120100201

37320120100202

37320120200201

37320120200202

37320120300201

37320120300202

37320120400201

37320120400202

37320120500201

37320120500202

37320120600201

37320120600202

cA: Hand circumference (head of metacarpal bones) cC: Wrist circumference

*Compared to Made-to-Measure patient devices (1) Please refer to the Instructions for Use of the product for the full list of components.

AIN & M NT O O

LIZE BI

LYMPHEDEMA PRODUCTS

Conseils

Patented

device

d’entretien

Patented

technology

Standard products Standard adjustable mobilizing garments Faster* availability

Characteristics Manufacturing Type: Off-The-Shelf

Standard products

Faster* availability

Composition(1): • Outer layer: polyester, polyamide, elastane • Inner layer along the leg/arm: adhesive non-woven, polyurethane foam (15 x 15 mm blocks) • Inner layer foot/hand level: adhesive non-woven, polyethylene foam (5 x 5 mm blocks)

Description

Color: Beige

The garments are designed to mobilize edematous or indurated subcutaneous tissues. They are intended for the treatment of lymphedema in maintenance phase for day at rest and night to maintain the volume reduction. The standard, self-adjustable garment adapts to most of patient’s individual body shape and evolution overtime. They are available in multiple models: • For upper extremity: armsleeve with mitten. • For lower extremity: below-knee or thigh-high.

For which patients garments are recommended for patients presenting: • Mild to moderate lymphedema • Regular or non-regular extremity shape • Stable or fluctuating edema

(1) Please refer to the Instructions for Use of the product for the full list of components * Compared to Made-to-Measure patient devices

Several tightening notches

device

•a djustment marks: precise and repeatable application, control of the edema volume variation

Standard products

Faster* availability

Self-gripping fasteners • easy and quick set up(2)

Scan the QR code to download your form

d’e

Patented

technology

Several tightening notches

Standard products

Con

Patented

•a daptation to most of patient’s individual extremity shape

technology

Stan

Fast

• adaptation to most of patient’s individual extremity shape • adjustment marks: precise and repeatable application, control of the edema volume variation

Standard p

Faster* av

Semi open garment easy to put on, easy to take off(2)

or view measurement forms on pages 30-33.

Sleeve with attached retractable mitten

Semi-open garment

Self-gripping fasteners

•e asy to put on, easy to take off(2)

• easy and quick set up(2)

• helps limiting the risk of edema migration

Double row of fasteners

• the hand can be freed for usual tasks

• wide adaptation range • allows right or left leg use

Size

cA (in cm)

cC (in cm)

cD (in cm)

cG (in cm)

Reference normal l = 40 - 45 cm

17 - 21 17 - 21 18 - 22 18 - 22 19 - 23 20 - 24

15 - 19 16 - 20 17 - 21 17 - 21 18 - 22 19 - 23

22 - 28 24 - 30 26 - 32 28 - 34 30 - 36 31 - 37

25 - 32 29 - 36 33 - 40 37 - 44 41 - 48 45 - 52

37330620100261 37330620200261 37330620300261 37330620400261 37330620500261 37330620600261

37330620100271 37330620200271 37330620300271 37330620400271 37330620500271 37330620600271

Sizes Below Knee - Reference (right/left)

37330620100262 37330620200262 37330620300262 37330620400262 37330620500262 37330620600262

37330620100272 37330620200272 37330620300272 37330620400272 37330620500272 37330620600272

l AD: Floor-to-knee height

(measurement taken below the bend of the knee, back side) l AG: Floor-to-thigh height (measurement at the gluteal fold) cB: Ankle circumference (at the narrowest point) cC: Calf circumference (at the widest point) cD: Below knee circumference (on the head of the fibula) cG: Thigh circumference (at the widest point)

Left Arm Sleeve 1 2 3 4 5

17 - 21 17 - 21 18 - 22 18 - 22 19 - 23

15 - 19 16 - 20 17 - 21 17 - 21 18 - 22

22 - 28 24 - 30 26 - 32 28 - 34 30 - 36

25 - 32 29 - 36 33 - 40 37 - 44 41 - 48

20 - 24

19 - 23

31 - 37

45 - 52

HCPCS A6520 (Hand Portion)

A6522 (Arm Portion)

(1) Patent issued or filed in the following countries: Algeria, Austria, Belgium, Canada, China, Czech Republic, Denmark, Finland, France, Germany, Hungary, India, Morocco, Italy, Netherlands, Poland, Portugal, Romania, Russian Federation, Slovakia, Slovenia, Spain, Sweden, Switzerland, Tunisia, United-Kingdom, USA (2) M estre – Interest of an auto-adjustable night-time compression sleeve (MOBIDERM Autofit) in maintenance phase of upper extremity lymphedema: the MARILYN pilot RCT – Support Care Cancer (25:2455-2462) – 2017 – Page 6

• limits slippage when walking

p.36/37

Reference long l = 45 - 50 cm

Right Arm Sleeve 1 2 3 4 5 6

Anti-slip sole

Clinical study

Sizes

cA: Hand circumference cC: Wrist circumference cD: Forearm circumference (at the widest point) cG: Axillary arm circumference

LIZE BI

d’entretien

(1)

Patented

l CG: Length from wrist to axillary

AIN & M NT O O

Conseils

Patented

device

Lower Extremity

Upper Extremity

LYMPHEDEMA PRODUCTS

cB cC Size (in cm) (in cm)

Short Size l D = 38 - 40 cm

Normal

l D = 40 - 42 cm

Long

l D = 42 - 44 cm

Xtra long

l D = 44 - 46 cm

37340520100231 37340520100232 37340520100233 37340520100234

37340520200231 37340520200232 37340520200233 37340520200234

37340520300231 37340520300232 37340520300233 37340520300234

37340520400231 37340520400232 37340520400233 37340520400234

Size

Short l G = 67 - 72 cm

Thigh High - Reference (right/left) Normal

l G = 72 - 77 cm

Long

l G = 77 - 82 cm

Xtra long

l G = 82 - 87 cm

Below Knee cD (in cm)

Thigh High cG (in cm)

37350520100231 37350520100232 37350520100233 37350520100234

37350520200231 37350520200232 37350520200233 37350520200234

37350520300231 37350520300232 37350520300233 37350520300234

37350520400231 37350520400232 37350520400233 37350520400234

16 - 24 24 - 35

25 - 36

46 - 57

20 - 28 32 - 43

32 - 43

53 - 65

24 - 32 40 - 51

39 - 50

61 - 72

28 - 36 48 - 59

46 - 57

68 - 80

Style

HCPCS

Below Knee

A6524

Thigh High

A6526

LYMPHEDEMA PRODUCTS

CON T N AI

Control Pressure Adjuster

Patented integrated system ensures precise 20-40mmHg Conseils Patented pressure every time.* d’entretien device

AIN & M NT O O

LIZE BI

(1)

Patented

technology

Standard products

Faster* availability

Description ▶ How to use the pressure adjuster?

BIFLEX Self-Adjust is a modular compression wrap system designed for effective, personalized care. Its cushioned open-cell foam absorbs and evenly distribute pressure, while wicking moisture away from the skin. Its low stretch material and overlapping straps** mimic bandaging. This wrap adjusts easily for a tailored fit—no compression guesswork required.

Standard products

The adjuster comes with three levels of pressure: Faster* availability L low (light blue line), M medium (blue lines) and H high (dark blue lines). Pressure is reached by pulling on the strap which slides the adjuster until the outside of the loop is over the desired level of pressure.

For which patients

If necessary, the segment pressure can be modified by adjusting the loops from bottom to top.

BIFLEX Self-Adjust garments are recommended for patients with: • Lymphedema • Edema • Lipedema • Chronic Venous Insufficiency (C3 to C6)

Characteristics Manufacturing Type: Off-The-Shelf Composition: Calf, Thigh & Arm: • Wrap: Polyamide, Elastane, Polyurethane, Polyester • Indicators: Polyamide, Polyurethane Hand, Knee & Foot: • Wrap: Polyamide, Polyurethane, Polyester Protective Liner: • Socks: Polyamide, Elastane

Cushioned Open Cell Foam Comfortable, breathable open-cell foam facilitates moisture transfer from the skin. ***

No Gap Strapping System Built-in 50% overlapping straps designed to mimic bandaging application (1).

Color: Beige

Easy Built-in Donning Aid Simplifies donning and doffing by keeping the garment in place during strap application (2). Fewer straps also make for a simpler application.

Scan the QR code to learn more! 1 Calf and Thigh styles only 2 Calf, Thigh and Arm styles only

LYMPHEDEMA PRODUCTS

CON T

AIN & M NT O O

LIZE BI

Upper Extremity

N AI

Lower Extremity

(in cm)

15-19

15-20

18150120100299

19-24

17-21

18150120200299

24-29

18-23

18150120300299

Foot

Knee

Calf

Thigh

Circumference cA: Hand (head of metacarpal bones) cC: Wrist

Circumference cC: Wrist cD: Forearm (widest part of forearm) cG: Axillary arm (widest part of the axillary arm) Length l CG: Wrist to axillary arm

Item: 18305029900299

l EG

Product Style

HCPCS

Hand

A6584

Arm

A6588

l BD

cD cC cB

Circumference cG: Thigh (at the widest point) cE: Above the knee cD: Below knee (on the head of the fibula) cC: Calf (at the widest point) cB: Ankle (at the narrowest point) cH: Instep Length l AY: Heel to end of foot l BD: Ankle to knee height (ankle to just below bend of knee) l EG: Above knee to thigh height (just above knee to gluteal fold)

Product Style

HCPCS

Foot

A6587

Calf

A6583

Knee

A6584

Thigh

A6585

Protective Liner - Below Knee

A6593

l AY

Lower Leg and Foot

CON T N AI

EASE ADJUST BY THERAFIRM® INELASTIC BELOW KNEE COMPRESSION WRAP

• Made with premium grade materials for maximum durability • Anatomical design contours to the calf for a better fit • Seamless straps reduce pressure points

Description

• Inner sleeve allows for easy application by supporting the wrap while donning and adjusting straps

Adjustable gradient inelastic compression wrap for venous and lymphatic disease. Two patented Core-Spun compressive liner socks included.

For which patients Ease Lymphedema products are intended for patients with:

AIN & M NT O O

LIZE BI

Inelastic materials offer a high working pressure during the day and a low resting pressure with strong containment at night.

INNER SLEEVE Supports easy donning

LYMPHEDEMA PRODUCTS

• A pair of 10-15mmHg Core-Spun by Therafirm® Socks provide compression and added comfort in the feet and legs

STRONG HOLD Durable strength to withstand garment life

• Venous disease • Lymphatic disease • Wound care needs

How to Measure

Characteristics

1. On the affected leg, measure the circumference of the patient’s ankle at the narrowest point, directly above the ankle bone.

Manufacturing Type: Off-The-Shelf Compression values: • 30 - 50mmHg* in the wrap • 10 - 15mmHg* liner socks

2. Measure the circumference of the calf at the widest point. 3. Measure the circumference under the patient’s knee, just below the knee bend.

Colors : Black

4. Measure the length from the floor to the knee bend (in a straight line).

Size

Ankle

Calf

Under Knee

Small

6.5–9.5" (16–24cm)

9.5–14" (24–35cm)

10–14" (25–36cm)

Medium

8–11″ (20–28cm)

12.5–17″ (32–43cm)

Large

9.5–12.5″ (24–32cm)

16–20″ (40–51cm)

15.5–19.5″ (39–50cm)

X-Large

11–14″ (28–36cm)

19–23″ (48–59cm)

18–22.5″ (46–57cm)

Regular Length: Less than 14″ (36cm)

Tall Length: More than 14″ (36cm)

Ankle, calf, and length are required for proper fit. Sizes based on average. If any measurement is between sizes, select the larger size.

Ease Adjust Wrap Length

Regular

Tall

Size

Item Code

Small Medium Large X-Large Small Medium Large X-Large

68615 68625 68635 68645 68715 68725 68735 68745

*Designed to provide 30-50 mmHg pressure based on wearer needs. Contraindications: Compression products should not be worn and are contraindicated if you have any of the following conditions: arterial insufficiency or degeneration, acute DVT (deep vein thrombosis), untreated congestive heart failure, untreated cancer, untreated infection, absent or severely impaired sensation, allergy to materials, severe or moderate peripheral arterial disease, severe cognitive impairment.

LYMPHEDEMA PRODUCTS

CON T N AI

Arms and Hands

Description Ease by Therafirm® Lymphedema Arm Sleeves, Gauntlets, and Gloves are designed with true gradient compression for management and prevention of lymphedema, swelling and discomfort.

• Gradient compression is greatest at the wrist and gradually decreases toward the upper arm

Lab-tested true gradient compression gradually decreases upward to promote blood flow. Ultra-stretchy circular knit yarns and seamless engineering offer superior comfort and all-day wear Moisture wicking COOLMAX® fibers provide a comfortable coolness.

• Specialized knit pattern at the inside of elbow bend to help sleeve stay in place and prevent bunching • Features a 1.5” soft, silicone-dotted band to prevent rolling and provide superior comfort for all-day wear • Soft, comfortable non-restrictive wrist 20 – 30mmHg* Arm Sleeves

30 – 40mmHg* Arm Sleeves

Size

Black

Sand

Size

Black

Sand

Ease Lymphedema products are intended for patients with: • Mild to moderate edema • Mild lymphedema

Small

63015

63210

Small

63315

63310

Small Long

63215

63410

Small Long

63415

63410

Medium

63025

63220

Medium

63325

63320

Medium Long

63225

63420

Medium Long

63425

63420

Characteristics

Large

63035

63230

Large

63335

63330

Large Long

63235

63430

Large Long

63435

63430

X-Large

63045

63240

X-Large

63345

63340

X-Large Long

63245

63440

X-Large Long

63445

63440

For which patients

Manufacturing Type: Off-The-Shelf

AIN & M NT O O

LIZE BI

EASE BY THERAFIRM® LYMPHEDEMA GARMENTS

ARM SLEEVES

Colors : Black and Sand Compression values: • 20 - 30 mmHg* Arm Sleeve, Gauntlet, and Gloves • 30 - 40 mmHg* Arm Sleeve and Gauntlet

GAUNTLETS • Gradient compression gradually decreases toward the wrist • Soft, comfortable non-restrictive wrist

Arm Sleeve Size Chart Size

Wrist

Elbow

Axilla

20 – 30mmHg* Gauntlets

30 – 40mmHg* Gauntlets

Size

Black

Sand

Size

Black

Sand

Small

63715

63710

Small

63815

63810

Medium

63725

63720

Medium

63825

63820

Large

63735

63730

Large

63835

63830

X-Large

63745

63740

X-Large

63845

63840

Small

5.5"–6.5" (14–16.5cm)

7.5"–9" (19–23cm)

8.5"–11.5" (21.5–29cm)

Medium

6.25"–7.25" (16–18.5cm)

9"–10.5" (23–26.5cm)

11"–14" (28–35.5cm)

Large

7"–8" (18–20cm)

10.5"–12.25" (26.5–31cm)

13.5"–16.5" (34–42cm)

GLOVES

X-Large

7.75"–9" (19.5–23cm)

12.25–13.75" (31–35cm)

16"–19" (40.5–48cm)

• Gradient compression gradually decreases toward the wrist

Regular: 16" or less (41cm)

Long: over 16" (41cm)

Gauntlets + Gloves Size Chart Size

Palm Girth

Wrist Girth

• Seamless, compressive fingers • Soft, comfortable non-restrictive wrist 20 – 30mmHg* Gloves Size

Black

Sand

Small

63915

63910

63925

63920 63930 63940

Small

6.75"–7.5" (17–19cm)

5.5"–6.5" (14–16.5cm)

Medium Large

63935

Medium

7.5"–8.25" (19–21cm)

6.25"–7.25" (16–18.5cm)

X-Large

63945

Large

8.25"–9" (21–23cm)

7"–8" (18–20cm)

X-Large

9"–9.75" (23–25cm)

7.75–9" (19.5–23cm)

*The mean compression for an average ankle size. Contraindications: Severe arterial insufficiency, cutaneous infections, acute dermatitis, wet dermatosis, uncontrolled congestive heart failure, skin irritations, allergies to dyes. COOLMAX® is a registered trademark of The LYCRA Company.

AIN & M NT O O

Fitting Instructions

LIZE BI

LYMPHEDEMA PRODUCTS

Measurement Tips A Few Essential Reminders

garments can be worn directly on the skin or with a cotton layer in between in case of sensitive skin. STANDARD • Turn the garment over onto itself 1 • Slide the garment along the extremity to the desired position 2 • Massage the extremity to ensure an even distribution of foam blocks 3 • For Mitten and Glove - Make sure the foam blocks are positioned on top of the hand • For Mitten and Glove - If combined with an armsleeve, position it over the armsleeve • For Mitten - The garment is bilateral, simply flip it inside out for opposite hand.

• Open all hook-and-loop fasteners 1 • Slide the garment along the extremity to the desired position 2 • Close the hook-and-loop fasteners by starting with the distal extremity and moving up 3 • Proceed in several steps until you reach the setting recommended by your healthcare professional (+/++/++/++++++) • Massage the extremity to ensure an even distribution of foam blocks 4

• Measurements must be taken by a healthcare professional or fitter trained to the specificities of garment measurements for the delivery of our devices. • Proper adjustment of the garment on the patient will depend on the transmission of correct measurements.

• Measurements are preferably made in the morning or after manual lymphatic drainage and at the end of the intensive treatment in case of first use of the device.

General Protocol

1 – Select the measurement form corresponding to the desired range and type of garment. 2 – Read the whole form. 3 – Complete the header information. 4 – Select the desired model, draw it on the form and cross out useless measures. 5 – Select the desired options. 6 – Draw all anatomical markers on the patient based on the measurement form guidelines. 7 – Measure circumferences at these various markers. 8 – Measure heights associated with the markers.

Take the time to take those measurements and do not hesitate to attach photographs or additional measures to your request.

Care Instructions It is recommended to wash your ALL GARMENTS

garment daily (or after each use).

• Machine wash at wool cycle or cold temperature. • Use a washing product without softener. Do not use detergents, fabric softeners or aggressive products (products containing chlorine). • Place the garment in a wash bag to make sure other garments (particularly those with touch fasteners or zips) do not damage it. • Dry well away from any direct heat source (radiator, sun, etc.). • Do not tumble-dry. • Do not iron.

• Measurement forms • Dermatological felt-tip pen, or kohl pencil to point the markers • Measuring tape (for arm/leg) • "Lasso" tape (for fingers/toes) • Flexible ruler • Wipes

Measurement Sheets To help healthcare professionals prescribe and dispense products, Thuasne provides measurement forms for compression and support hosiery and garments and made-to-measure orthotics.

When not used, the garment should be kept flat, with the selfgripping fasteners closed. If it must be folded, position the hooks pointing outward.

Discover all available video tutorials presenting instructions on our Thuasne YouTube channel!

Tools Required

fitting

LYMPHEDEMA PRODUCTS

WINGS FOR YOUR HEALTH THERAFIRM - THUASNE 120 Osage Ave. Kansas City, KS 66105 United States Phone: 1-800-821-3094 Fax: 1-913-281-5455 Email: cs@knitrite.com Therafirm® is a brand of Thuasne, LLC.

Biflex - Indications: Venous insufficiency, simple and complicated varicose veins, reduction of venous and post-traumatic edema, dermatitis/lipodermatosclerosis, varicose ulcers, deep vein thrombosis (prevention and confirmed accident), post-thrombotic syndrome, following sclerotherapy, treatment of lymphedema. Contraindications: PAD (peripheral arterial disease), skin wounds, abscess, infected skin conditions, extra-anatomic bypass, uncontrolled heart failure. BiflexIdeal® - Indications: Treatment of lymphedema, simple and complicated varicose veins, following sclerotherapy, following surgery, reduction of post-traumatic edema, varicose ulcers. Contraindication: Do not apply directly to an open wound. Biplast - Indications: Traumatology (joint or muscle compression sprain, dislocation, tendinitis), phlebology (reduction and stabilization of edema), lymphology. Contraindication: Do not apply the product in direct contact with broken skin. Mobiderm Pads & Bandages Indications: Acute or chronic edema management (e.g. lymphedema). Contraindications: skin infection of the extremity or acute inflammation, known allergy to components used, septic thrombosis, severe peripheral neuropathy of the extremity. Lower extremity - PAD (peripheral arterial disease) of lower extremitys with ABPI < 0.6, congestive heart failure, advanced diabetic microangiopathy, phlegmasia cerulea dolens, extra-anatomic bypass. Upper extremity - pathology of brachial plexus, vasculitis of the extremities. Mobiderm Autofit, Standard - Indication: Maintenance of volume reduction in lymphedema. Contraindications: Skin infection of the extremity or acute inflammation, known allergy to components used, septic thrombosis, severe peripheral neuropathy of the extremity. Lower extremity - PAD (peripheral arterial disease) of lower extremitys with ABPI < 0.6, congestive heart failure, advanced diabetic microangiopathy, phlegmasia cerulea dolens, extra-anatomic bypass. Upper extremity - pathology of brachial plexus, vasculitis of the extremities. Mobiderm Intimate Bra - Indications: Acute or chronic edemas of the breast and/or the chest wall, post-operative edemas or edemas after radio therapy (only on intact skin), chronic infiltration after reconstruction, remaining chronic chest wall edemas. Contraindications: Allergic or inflammatory skin changes (e.g. swelling, reddening of the body area to be cared for). Use only on intact skin, not on infected or acutely inflammatory skin. Please consult with the treating physician regarding the indication and wearing mode of this orthopedic aid. Mobiderm Intimate Shorts – Indication: Treatment of pelvic and genital lymphedema. Contraindications: Skin infections on the pelvis or legs ; Pregnant women (from the first month) ; Known allergies to any of the components ; Lower extremity peripheral arterial disease (PAD) with ankle brachial index (ABI) < 0.6 ; Decompensated heart failure ;Septic thrombosis of the proximal veins ; Phlegmasia cerulea dolens (painful blue edema with arterial compression) in the thighs ; Posthectomy (circumcision) within the past three months ; Female patient with marked localized edema of the labia minora only. Foam bandage, Protective underwrap - Indications: Protection of cutaneous surfaces to cover. Foam bandages and Varico products contain latex. Ease by Therafirm® Lymphedema garments -Contraindications: Severe arterial insufficiency, cutaneous infections, acute dermatitis, wet dermatosis, uncontrolled congestive heart failure, skin irritations, allergies to dyes. Ease Adjust by Therafirm® Wrap - Contraindications: Severe arterial insufficiency, cutaneous infections, acute dermatitis, wet dermatosis, uncontrolled congestive heart failure, skin irritations, allergies to dyes.

THUASNE 120 rue Marius Aufan 92300 Levallois-Perret Cedex - France

, , Biplast, BIFLEXIDEAL, bandages accessories,

Therafirm 120 Osage Avenue Kansas City, KS 66105

Ease Lymphedema, Ease Adjust Wrap

Availability of these products might vary from a given country or region to another, as a result of specific local regulatory approval or clearance requirements for sale in such country or region. All the medical devices mentioned on this document are CE marked according to the Regulation 2017/745 on medical devices, unless specifically identified as “NOT CE MARKED”. Products mentioned in this document are CE class I devices. Please contact Thuasne should you need any additional information on devices classification. Please read carefully the instructions for use, indications and contraindications of the product. We reserve the r ight to modify our products as shown and described in this catalogue, without previous notice. Non-contractual photographs. Please check the availability of products according to the countries. Last revision date: (2023-03). Ref: 0116 092 164 – 11 - 2210309. Photos: Studio Caterin

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