The field of prosthetics has seen huge advancements in technology in the last decade. Coyote Prosthetics and Orthotics has been able to stay on the forefront of these advancements with close relationships to the companies producing these new products and by having amputees on staff to test these products. Unfortunately a carbon foot or a computerized knee does not provide a better fitting prosthetic. Coyote P&O maintains its focus on the most important aspect of the prosthetic device, the fit. With a good fit in place, the new product advancements can be used to further improve and complement the system.
Much emphasis has been placed on computer-aided technology over the last couple of years. While these advancements are important to the future of prosthetics, the key factor to patient satisfaction is comfort and suspension. Coyote P&O has helped develop some of the newest systems used to optimize the fit and comfort of the prosthetic, and with amputees on staff, we are able to personally test different systems to find the optimal setup for individual patients.
From personal experience as an amputee, Dale Perkins, CPO has developed a new below-the-knee fitting method. It features a patented socket design which removes pressure from the patellar tendon and distributes it throughout the limb for increased comfort and knee motion. This system works in conjunction with an airtight locking mechanism co-designed by Coyote Prosthetics and Orthotics which reduces movement within the socket, it also works in suction and vacuum sockets. Coyote Design’s Air-Lock and Easy Off Locks provide a mechanical lock between the patient and the artificial limb, while their airtight feature maintains a consistent hold on the limb without the pulling sensation on the bottom of the limb at the lock location.
Dale Perkins, CPO began to develop unique fitting techniques for above-the-knee amputees after the birth of his second son Matt, an AK amputee. A number of different techniques and components can be determined by the patient’s limb and preferences. One of the more recent techniques features a casting technique that allows the amputee to comfortably lay down while creating a mold using non-invasive methods. The fitting is done with a locking system called the Proximal Lock (developed in part by Coyote P&O) along with a gel liner. These two components combine a good fitting “suction” system, with a back-up locking mechanism which also controls rotation. This results in optimal comfort and convenience and does not require space at the bottom of the limb, helping to maintain a correct knee center.
Vacuum Suspension Systems are designed for amputees who have fleshy tissue and who need optimal stability. It works by rolling a gel liner on the limb and then donning the prosthesis and rolling a suspension sleeve over the top. A small vacuum pump draws all air out of the socket, thereby creating an intimate fit, and providing the patient with increased stability, increased proprioception and increased comfort.
Microprocessor knees are designed for above-knee-amputees who are active but need the added confidence of a stable knee. It works via a hydraulic cylinder. In addition, a computer chip controls the stability of the knee and how easily it bends. Thereby preventing any stumbles or trips if the foot catches on something. The patient is able to regain control and prevent a fall, a function not available in other knees.
Increased off-loading of the foot and ankle. Fits inside most orthopedic and walking shoes. Gives support and strength to the end of the foot. Custom, comfortable plastic interboot that improves gait. Allows most patients to walk on uneven surfaces including sand and uphill.
The options for upper extremity prosthetics have become almost overwhelming. Many options are now available for any activity an amputee may be interested in from weight lifting and golfing to fishing and cooking. Various tools and componentry allow for a wide range of daily activities, specialized sports and hobbies. The different terminal devices offer high strength solutions and durability for even the most aggressive user.
These prosthetics are designed for upper extremity amputees who have good muscle control and who are interested in both the cosmetic aspect as well as function that is most comparable to a human hand. The prosthetic works by way of myoelectric signals relayed from the muscles to electrodes. This transmission tells the hand to open or close, and can even grip objects, all with cosmetic appeal. Newer versions, including the I-Limb, feature five controllable fingers with superior sensitivity and control.
The Removable Rigid Dressing is designed for use immediately after amputation. The removable rigid dressing helps protect the healing residual limb and provides mild compression to minimize edema. It is easily removed for wound inspection and dressing changes. The removable rigid dressing can be fit efficiently with little inconvenience or discomfort to the amputee.
Any needed adjustments or repairs within the warranty period will be done at no charge. The warranty period for custom orthoses and prostheses is three months for workmanship and materials. We honor all manufacturer’s warranties on the separate components of your device (i.e. ankle joints, prosthetic feet and knees). There will be a separate charge for adjustments or repairs that are made as a result of abuse or undue rough wear, as well as normal wear for leatherwork, liners, and any additional adjustments which are prescribed by a physician.
Failure to contact the treating practitioner or infrequent or non-use of a device does not absolve the patient from the responsibility for payment. Since the device is custom fabricated and prescribed by your physician, it cannot be returned for credit on your account. Prescribed “off the shelf” items cannot be returned for hygienic reasons. However, patients may refuse delivery of any item if they feel it is not what was ordered or what they expected after their initial assessment with the practitioner. It is the practitioner’s responsibility to assess your disability and let you know what the ordered device will provide, its disadvantages and what its limitations are.
The company will not be responsible for any changes or additions to the appliance not ordered by the prescribing physician or in the event the appliance has been altered or repaired by anyone other than representatives of this company.
It is in your best interest to communicate with your practitioner on a timely basis and to allow us to resolve any problems you are experiencing as efficiently and quickly as possible. It is our goal to provide you with the best care possible and we will make every attempt to meet your needs. Please contact us if there is a question or concern that your practitioner cannot resolve for you.
Revision 1 – 04132016