ATTACHMENT - MTRs_ ORTHOTIC SOFTGOODS-PROSTHETIC SUPPLIES.pdf

ORTHOTIC SOFTGOODS AND PROSTHETIC SUPPLIES CONTRACT

LINE ITEMS AND MINIMUM TECHNICAL REQUIREMENTS FOR EACH

CONTRACT LINE ITEM NUMBER (CLIN) ARE AS FOLLOWS:

• Group 1 Foot and Ankle CLIN #s 001-099

• Group 2 Knee CLIN #s 100-199

• Group 3 Spinal CLIN #s 200-299

• Group 4 Upper Extremity CLIN #s 300-399

• Group 5 Compression Therapy CLIN #s 400-499

• Group 6 Prosthetic Socks CLIN #s 500-599

CATEGORY 1 - LOWEST PRICE TECHNICALLY ACCEPTABLE

GROUP 1 - CATEGORY 1 – FOOT AND ANKLE (CLINS 001 – 099)

LOWEST PRICE TECHNICALLY ACCEPTABLE (LPTA)

CLIN 001-GROUP 1 - CATEGORY 1 LPTA

DESCRIPTION: ZERO COMPRESSION NEUROPATHIC FOOT PROTECTIVE

INTERFACE (VA125)

Need total: 1 product Indications:

• Neuropathy

• Skin pathology as a protective interface

• Protective interface against orthotic fitting pressures

Minimum Technical Requirements: Item must have all of the below features.

• Type: Below the knee, non-constrictive proximal end, less constrictive than remaining stocking.

• Size: Must be clearly marked on product

• Equivalent shoe sizes on or visible through packaging

• Range Fits:

• All commercially available sizes

• Clearly indicate relative shoe sizing

• Height: Crew or above

• Seams: Non-prominent seams.

• Closure: Closed toe

• Material: Multi-fiber excluding cotton

• Colors: A minimum of 2 colors to include the following:

• White

• Black

• With or without antibacterial, antifungal finish

• Packaging

• Minimalist packaging to reduce waste and space

• Sizing to be listed on the package or visible through packaging.

CLIN 002 – GROUP 1 - CATEGORY 1 LPTA

DESCRIPTION: GEL HEEL CUPS (L3170)

Need total: 1 product Indications:

• Heel Spur

• Heel Pain

• Bursitis

• Achilles tendonitis

Minimum Technical Requirements: Item must have all of the below features.

• *Medical Grade Silicone (Hypoallergenic)

• Sold in Pairs

• Sizes:

• Small (S)

• Medium (M)

• Large (L)

• Extra-Large (XL)

• OR EQUIVALENT SIZES

CLIN 003 – GROUP 1 - CATEGORY 1 LPTA

DESCRIPTION: ELASTIC PULL-ON ANKLE ORTHOSES WITH GEL MALLEOLI

SUPPORT (L1902)

Need total: 2 products Indications:

• Stabilizes the ankle muscles and joints for healing and pain relief following injury or surgery.

• Mild ankle sprains

• Mild instabilities

• Ankle arthritis

• Ankle pain

• Ankle swelling

Minimum Technical Requirements: Item must have all of the below features.

• Available in right and left

• Two-way stretch, Compression Reduced Along Distal & Proximal Edges of

Support

• Minimum 1/8” gel pads imbedded between fabric, positioned over each malleoli for malleolar relief/protection

• May or may-not contain spiral stays within material (not exposed)

• Breathable, elastic fabric, (latex free)

• Sizes range from:

• Extra- Small (XS)

• Small (S)

• Medium (M)

• Large (L)

• Extra- Large (XL)

*Salient Characteristics for Medical Grade Silicone (Hypoallergenic): Provides support and comfort, shock absorbing properties, able to withstand extreme temperatures, soft and pliable, making it ideal for contact with human skin, hypoallergenic, non-toxic, non-flammable and odor free, has even pressure distribution providing relief from heel pain, the products shall be compressible and be of one density, washable and transferable between footwear, will not get warmer than body temperature, will not deform or degrade with use.

If an equivalent product is being offered, documentation that demonstrates that the offered product meets the salient characteristics, as shown above, must be included with the technical proposal.

CLIN 004 – GROUP 1 - CATEGORY 1 LPTA

DESCRIPTION: HEEL LIFT (L3332)

Need total: 2 products Indications:

• Adjust for leg length inequality

• Allow for temporary contralateral orthotic interventions

Minimum Technical Requirements: Item must have all of the below features.

• Extra firm sponge rubber or equal (non-compressible)

• Tapered toward distal edge

• Size:

• Small (Narrow)

• Medium (Medium)

• Large (Wide)

• OR EQUIVALENT SIZES

• Height:

• 1/8”

• 3/8”

• 1/2”

CLIN 005 – GROUP 1 - CATEGORY 1 LPTA

DESCRIPTION: PREFABRICATED IN-SHOE FOOT ORTHOSES (L3040)

Need total: 2 products Indications:

• Foot Pain, discomfort.

• Plantar Fasciitis

Minimum Technical Requirements: Item must have all of the below features.

• Female 5-13

• Male 7-15

• Full Length

• Deep heel contour

• Fabric top-cover - Sheer or non-abrasive texture

• PDAC approved.

• Multi-layer cushioning construction

CLIN 006 – GROUP 1 - CATEGORY 1 LPTA

DESCRIPTION: HEEL OFF-LOADING SHOE (A9283)

Need total: 2 products Indications:

• Reduce weight bearing pressure on the heel postoperatively, post-trauma or when heel wounds or ulcerations are present.

Minimum Technical Requirements: Item must have all of the below features.

• Fits right or left

• Breathable Fabric Upper

• Top layer of shoe should be lightweight, non-toxic, odorless, nonabsorbent, washable, able to be disinfected and wiped clean and resilient

• Adjustable Closures at instep & forefoot

• Surgical Opening

• PDAC approved.

• Wedge Sole (In Plantarflexion) with good plantar traction

• Range Fits:

• All commercially available sizes

• Clearly indicate relative shoe sizing, visible on or through packaging

CLIN 007 – GROUP 1 - CATEGORY 1 LPTA

DESCRIPTION: FOREFOOT OFF-LOADING SHOE (A9283)

Need total: 2 products Indications:

• Reduce weight bearing pressure on the forefoot post operatively, post-trauma or when forefoot wounds or ulcerations are present.

Minimum Technical Requirements: Item must have all of the below features.

• Fits Left or Right

• Breathable Fabric Upper

• Removable insole or adjustable pressure relief system

• Top layer of shoe should be lightweight, non-toxic, odorless, nonabsorbent, washable, able to be disinfected and wiped clean and resilient

• PDAC approved

• Adjustable Closures at instep & forefoot

• Surgical Opening

• Wedge Sole (In Dorsiflexion) with good plantar traction

• Equivalent shoe sizes on or visible through packaging

• Range Fits:

• Women’s size 5 to Men’s size 14

• Clearly indicate relative shoe sizing visible on or through packaging

CLIN 008 – GROUP 1 - CATEGORY 1 LPTA

DESCRIPTION: NIGHT SPLINT- PLANTAR SURFACE DESIGN, CLOSED CELL

FOAM, DORI-ASSIST ADJUSTABLE HOOK AND LOOP STRAPS

(L4396)

Need total: 2 products Indications:

• Plantar Fasciitis

• Achilles Tendonitis

Minimum Technical Requirements: Item must have all of the below features.

• Design: Non-ambulatory splint

• Size Range:

• Small (S)

• Medium (M)

• Large (L)

• Extra-Large (XL)

• Or Equivalent Sizes (between men’s 6 to 15)

• Calf Circumference: must accommodate minimum calf 12 inches

• Length: Full - foot length

• PDAC approved

• Closure: Hook & Loop Closures - calf, instep, and forefoot straps

• Material: Removable washable liner

• Semi-rigid frame with non-slip plantar sole

• Universal (fits Left or Right lower extremity)

CLIN 009 – GROUP 1 - CATEGORY 1 LPTA

DESCRIPTION: ANKLE ORTHOSIS, STIRRUP STYLE (L4350)

Need total: 2 products Indications:

• Acute ankle injury (ankle sprains/strains)

• Chronic ankle instability

Minimum Technical Requirements: Item must have all of the below features.

• Stirrup design

• Size: Universal

• Closure that is reinforced and securely attached to plastic facilitating multiple donning and doffing

• Gel, pneumatic padding or foam material within a plastic shell adhered with Hook & Loop closure

• Adjustability:

• Medial/Lateral width of heel

• Circumferentially around ankle

• PDAC approved

• Height: Minimum 6”

GROUP 2 KNEE (CLINS 100 – 199)

CATEGORY 1: LOWEST PRICE TECHNICALLY ACCEPTABLE (LPTA)

CLIN 100 – GROUP 2 - CATEGORY 1 LPTA

DESCRIPTION: KNEE IMMOBILIZER (L1830)

Need total: 2 products Indications:

• Post-Op or Post-Injury knee immobilization for mild to severe knee injuries when full knee extension is desired

Minimum Technical Requirements: Item must have all of the below features.

• Universal Tri-panel

• Hook & Loop Closures

• Minimum 4 Straps

• Minimum 2 straps (1½” or 2” width) proximal to the knee

• Minimum 2 straps (1½” or 2” width) distal to the knee

• Elastic strap providing compressive force to patella-minimum 1” width

• Malleable medial, lateral and posterior stays

• PDAC approved

• No sharp edges

• Non-Latex open celled foam

• Provide a range of sizes to include the following sizes:

• 16” Length

• 18” Length

• 20” Length

• 24” Length

• OR EQUIVALENT SIZES

• Must cover calf: 12” to 18”

• Must cover Thigh 14” to 25”

CLIN 101 – GROUP 2 - CATEGORY 1 LPTA

DESCRIPTION: IMMEDIATE POST-OP ROM KNEE ORTHOSIS-ADJUSTABLE

LOCKING KNEE JOINTS, POSITIONAL ORTHOSIS, RIGID

SUPPORT, BREATHABLE OR OPEN STYLE (L1832)

Need total: 2 products Indications:

• For swollen or tender knee resulting from sprains, strains, sports injuries, ligamentous injuries, arthritis, chondromalacia, patellar tracking abnormalities and tendonitis or post-operative rehabilitation.

• Size:

• Universal (Will accommodate mid-thigh circumference of at least 27” or above)

• Length: Adjustable/telescoping- Minimum 18 1/2” or less; Maximum 27” or more

• Closure: hook & loop closure or equivalent. Must have two straps proximal to knee and two straps distal to knee.

• Material: Must come in “cool version” which has foam only under the straps. Open

Cell Foam or equivalent material. No Latex.

• Knee joint component: Must have the ability to control range of motion with the ability to lock motion in 10 degree increments. Total range available must have Extension starting: -10 degrees to at least 110 degrees of Flexion. Range of motion increment stops should be clearly labeled according to the degree of measurement. Knee joint componentry must have the ability lock both the Extension limit and Flexion limit to be utilized to limit range of motion or fixed at a single ROM (e.g. 0 degrees).

• PDAC approved

• Special features: Contourable bars (aluminum)

CLIN 102 – GROUP 2 - CATEGORY 1 LPTA

LOCKING KNEE JOINTS, POSITIONAL ORTHOSIS, RIGID

SUPPORT, FULL FOAM WRAP-AROUND STYLE (L1832)

Need total: 2 products Indication:

• For swollen or tender knee resulting from sprains, strains, sports injuries, ligamentous injuries, arthritis, chondromalacia, patellar tracking abnormalities and tendonitis or post-operative rehabilitation.

Minimum Technical Requirements: Item must have all of the below features.

• Size:

• Universal (Will accommodate mid-thigh circumference of at least 27”)

• Length: Adjustable/telescoping- Minimum 18 1/2” or less; Maximum at least

27”)

• Closure: hook & loop closure or equivalent. Must have two straps proximal to knee and two straps distal to knee.

• PDAC approved

• Material: Must come in full foam which has full foam circumferential wraps.

Open Cell Foam or equivalent material. No Latex.

• Knee joint component: Must have the ability to control range of motion with the ability to lock motion in 10 degree increments. Total range available must have Extension starting: -10 degrees to at least 110 degrees of Flexion.

Range of motion increment stops should be clearly labeled according to the degree of measurement. Knee joint componentry must have the ability lock both the Extension limit and Flexion limit to be utilized to limit range of motion or fixed at a single ROM (e.g. 0 degrees).

• Special features: Contourable bars (aluminum)

GROUP 3: SPINAL (CLINS 200-299)

CATEGORY 1 LOWEST PRICE TECHNICALLY ACCEPTABLE (LPTA)

CLIN 200 – GROUP 3 - CATEGORY 1 LPTA

DESCRIPTION: LUMBAR-SACRAL ORTHOSIS (L0626, L0641)

Need total: 2 products Indications:

• Low back pain/strain

• Lumbar disc injury

• Post-operative discectomy/fusion (L1-5)

• Disc herniation and degeneration

• Spondylolisthesis

• Spondylolysis

• Breathable fabric (Latex Free)

• Universal sizing – Adjustable to fit a waist circumference range from at least

28” – 60”

• Low Profile, Minimum L1 to L5

• Hook & loop closure

• Single or double pulley system (or similar) for abdominal cavity compression

• Semi-rigid posterior panel or stays within soft covering

• No exposed metal or plastic

CLIN 201 – GROUP 3 - CATEGORY 1 LPTA

DESCRIPTION: LUMBOSACRAL ORTHOSIS - WITHOUT POSTERIOR INSERT

(L0628) Need total: 2 products Indications:

• Lower back pain

• Post-operative care

• Facet Syndrome

• Muscle spasms.

Minimum Technical Requirements: Item must have all of the below features.

• Design: Lumbar-sacral orthosis

• Size Range:

• Universal sizing – Adjustable to fit a waist circumference range from at least 25” – 60”

• OR EQUIVALENT SIZES

• Length: extends from sacrococcygeal junction to T-9 vertebrae)

• Closure: Hook & Loop Closure (adjustable side pull straps)

• PDAC approved

• Material: Drytex®, Koolflex® or equal (no latex)

• Support: Intra-abdominal support and posterior stays, Without posterior insert

*Salient Characteristics for Drytex®: Constructed of a nylon core and polyester/lycra fabric, breathable, provides compression, hypoallergenic and able to draw moisture away from the skin.

*Salient Characteristics for Koolflex®: Constructed of a polyester/nylon core with a polyester spandex outer cover. Breathable, has good stretch and memory and able to draw moisture away from the skin.If an equivalent product is being offered, documentation that demonstrates that the offered product meets the salient characteristics, as shown above, must be included with the technical proposal.

CLIN 202 – GROUP 3 - CATEGORY 1 LPTA

DESCRIPTION: ABDOMINAL BINDER (A4467)

Need total: 2 products Indications:

• Lower back pain

• Control pendulous abdomen

• Muscle spasms

Minimum Technical Requirements: Item must have all of the below features.

• Design: abdominal binder, elastic wraparound

• Size Range Fits:

• Single sizes (not height) that fit a waist circumference range from 26” – 60”

• Length: extends from sacral-coccygeal junction to Thoracic vertebrae)

• Closure: Hook & Loop Closure

• PDAC approved

• Material: Lined elastic (No latex)

• Support: Intra-abdominal support, may include support stays within soft closure

• Height:

• 8”

• 10”

• 12”

CLIN 203 – GROUP 3 - CATEGORY 1 LPTA

DESCRIPTION: SEMI RIGID CERVICAL ORTHOSIS (L0172)

Need total: 1 product Indications:

• Post-operative care

• Severe spinal arthritis

• severe cervical syndrome

• slipped cervical discs

• Stable cervical fractures

Minimum Technical Requirements: Item must have all of the below features.

• Universal Sizing – Circumference & height adjustments with secure locking feature

• Hook & Loop Closure (both sides)

• Anterior and Posterior Sections

• Adequate Tracheal Access

• Semi-rigid thermoplastic with removable & replaceable, washable, soft-lined padding.

• Must include 1 additional replacement set of pads

CLIN 204 – GROUP 3 - CATEGORY 1 LPTA

DESCRIPTION: CERVICAL COLLAR (L0120)

Need total: 2 products Indications:

• Neck Extension Injuries (Whiplash)

• Cervical Spondylitis

• Cervical Spondylosis

• Rheumatoid Arthritis (R/A) & Osteoarthritis (OA) Cervical Spine

• Herniated Cervical Disc

Minimum Technical Requirements: Item must have all of the below features, and sizes.

• Design: Soft foam design

• Size: Universal

• Length: N/A

• Closure:

• Hook & loop

• Minimal length of strap should be 6 inches pile hook & loop closure for adjustability

• Minimum 2” hook & loop closure sewn on collar

• Strap extension to cover any exposed hook & loop closure for all sizes

• Minimum 1 Additional stockinette covering for hygiene

• PDAC approved

• Material:

• Medium density foam

• Contoured shape

• Soft tubular stockinet covering

• Height:

• 2 ½”

• 3”

• 4”

GROUP 4: UPPER EXTREMITY (CLINS 300-399)

CATEGORY 1 – LOWEST PRICE TECHNICALLY ACCEPTABLE (LPTA)

CLIN 300 – GROUP 4 - CATEGORY 1 LPTA

DESCRIPTION: HAND FINGER ORTHOSIS – THUMB SPICA; HFO WITHOUT

JOINTS (L3923)

Need total: 2 products Indications:

• De Quervaiin’s syndrome

• Sprains

• Strains

• Carpal tunnel syndrome

• Gamekeeper’s thumb

• Scaphoid injuries

Minimum Technical Requirements: Item must have all of the below features.

• Design: Thumb Spica

• Size Range:

• Multiple Sizes that fit a wrist circumference measurement range from 5” to 12”

• 5” – 6”

• 6” – 7”

• 7” – 8”

• 8” – 9”

• 9” – 10”

• 10 1/2” – 12”

• OR EQUIVALENT SIZES

• Closure: Hook & Loop Closure

• Material: *Drytex®, *Koolflex® or equal (no latex)

• Thumb, Palmer and Dorsal stays that are Removable/Malleable

• PDAC approved

• Allows full ROM of digits 2-5

• Sides: must have both sides in various sizes

• Right

• Left

CLIN 301 – GROUP 4 - CATEGORY 1 LPTA

DESCRIPTION: HEEL/ELBOW PADS (E0191)

Need total: 2 products Indications:

• Provides pressure relief for ulcerations at heel or elbow

• Protects against excessive pressure or contusion to heel or elbow

Minimum Technical Requirements: Item must have all of the below features.

• Pressure relief provided through elastomer gel or equivalent

• Breathable elastic, latex-free material that is machine washable

• Sleeve-type design to ensure proportional fit, minimizing migration

• Sold in pairs

• Minimum range of sizes to include:

• Medium (M)

• Large (L)

• Extra- Large (XL)

• OR EQUIVALENT SIZES

• Or Single Universal Size

• Universal for both heel and elbow

CLIN 302 – GROUP 4 - CATEGORY 1 LPTA

DESCRIPTION: ELBOW IMMOBILIZER – CUBITAL TUNNEL TYPE (L3762)

Need: 2 products Indication:

• Cubital Tunnel Syndrome Minimum Technical Requirements: Item must have all of the below features.

• Provide elbow immobilization in a slightly flexed position (from full extension) around 122 degrees, prevent hyperextension.

• Hook & Loop Closure – adjustable length, minimum 1 ½" wide for comfort

• Soft breathable interface – removable for washing.

• Universal side – Left or Right

• Available in short, medium and long lengths, or all commercially available sizes.

GROUP 5: COMPRESSION THERAPY (CLINS 400 – 499)

CATEGORY 1 – LOWEST PRICE TECHNICALLY ACCEPTABLE (LPTA)

CLIN 400 – GROUP 5 - CATEGORY 1 LPTA

DESCRIPTION: LOW COMPRESSION NEUROPATHIC FOOT PROTECTIVE

INTERFACE WITHOUT ANTIBACTERIAL (A4467)

Need total: 1 product Indications:

• Minimal edema

• Mild varicosities

• Neuropathic management

• Protective interface

Minimum Technical Requirements: Item must have all of the below features.

• Type: Below the knee, non-constrictive proximal end, less than remaining stocking.

• Pressure: approximately 8-15 mmHg. Gradient/graduated pressure

• Size: Must be clearly marked on product

• Equivalent shoe sizes on or visible through packaging

• Range Fits:

• Women’s size 5 to Men’s size 14

• Clearly indicate relative shoe sizing

• OR EQUIVALENT SIZES

• Height: knee high

• Seams: Non-prominent seams.

• Closure: Compression relieved closed toe

• Material: Acrylic/multi-fiber

• Colors: at least 2, including

• White

• Black

• Without antibacterial, antifungal finish

• Packaging

• Sizing to be listed on the package or visible through packaging

CLIN 401- GROUP 5 - CATEGORY 1 LPTA

DESCRIPTION: LOW COMPRESSION NEUROPATHIC FOOT PROTECTIVE

INTERFACE WITH ANTIBACTERIAL (A4467)

Need total: 1 product Indications:

• Minimal edema

• Mild varicosities

• Neuropathic management

• Protective interface

Minimum Technical Requirements: Item must have all of the below features.

• Type: Below the knee, non-constrictive proximal end, less than remaining stocking.

• Pressure: approximately 8-15 mmHg. Gradient/graduated pressure

• Size: Must be clearly marked on product

• Equivalent shoe sizes on or visible through packaging

• Range Fits:

• Women’s size 5 to Men’s size 14

• Clearly indicate relative shoe sizing

• OR EQUIVALENT SIZES

• Height: knee high

• Seams: Non-prominent seams.

• Closure: Compression relieved closed toe

• Material: Acrylic/multi-fiber

• Colors: at least 2, including

• White

• Black

• With antibacterial, antifungal finish

• Packaging

• Minimalist packaging to reduce waste and space

• Sizing to be listed on the package or visible through packaging.

List all advanced features: examples include but not limited to the following features:

• With antibacterial, antifungal treatment

• Moisture -wicking materials to include but not limited blends of cotton, wool and synthetic fibers

CATEGORY 2 - BEST VALUE

ORTHOTIC SOFTGOODS AND PROSTHETIC SUPPLIES CONTRACT LINE ITEMS

AND MINIMUM TECHNICAL REQUIREMENTS FOR EACH CONTRACT LINE ITEM

NUMBER (CLIN) ARE AS FOLLOWS:

• Group 1 Foot and Ankle CLIN #s 001-099

• Group 2 Knee CLIN #s 100-199

• Group 3 Spinal CLIN #s 200-299

• Group 4 Upper Extremity CLIN #s 300-399

• Group 5 Compression Therapy CLIN #s 400-499

• Group 6 Prosthetic Socks CLIN #s 500-599

GROUP 1 – FOOT AND ANKLE (CLINS 001 – 099)

CATEGORY 2 – BEST VALUE (BV)

CLIN 010- GROUP 1 – CATEGORY 2 (BV)

DESCRIPTION: ZERO COMPRESSION NEUROPATHIC FOOT PROTECTIVE

INTERFACE WITH ADVANCED FEATURES/MATERIALS (VA125)

Need total: 1 product Indications:

• Neuropathy

• Skin pathology as a protective interface

• Protective interface against orthotic fitting pressures

Minimum Technical Requirements: Item must have all of the below features.

• Type: Below the knee, non-constrictive proximal end, less constrictive than remaining stocking.

• Size: Must be clearly marked on product

• Range Fits:

• All commercially available sizes

• Clearly indicate relative shoe sizing

• Height: Crew or above

• Seams: Non-prominent seams.

• Closure: Closed toe

• Material: Multi-fiber excluding cotton

• A minimum of 2 colors to include the following:

• White

• Black

• List all advanced features: examples include but not limited to the following features, antibacterial, antifungal finish, non-cotton fibers, wicking materials, and reinforced toes/heels

• Packaging

• Sizing to be listed on the package or visible through packaging.

CLIN 011- GROUP 1 – CATEGORY 2 (BV)

DESCRIPTION: GEL HEEL CUPS (L3170)

Need total: 1 product Indications:

• Heel Spur

• Heel Pain

• Bursitis

• Achilles tendonitis

Minimum Technical Requirements: Item must have all of the below features.

• *Medical Grade Silicone (Hypoallergenic)

• Sold in Pairs

• Sizes:

• Small (S)

• Medium (M)

• Large (L)

• Extra-Large (XL)

• OR EQUIVALENT SIZES

List all advanced features: examples include but not limited to the following features:

Muli-durometer, aperture relief

CLIN 012 – GROUP 1 – CATEGORY 2 (BV)BV

DESCRIPTION: PREFABRICATED IN-SHOE FOOT ORTHOSES WITH ADVANCED

FEATURES (L3040)

• Foot Pain, discomfort.

• Plantar Fasciitis

Minimum Technical Requirements: Item must have all of the below features.

• Female 5-13

• Male 7-15

• Full Length

• Deep heel contour

• Fabric top-cover - Sheer or non-abrasive texture

• Multi-layer cushioning construction

• List all advanced features: examples include but not limited to the following features: semi-rigid moldable shell, easily adjustable, PDAC approved.

CLIN 013 - GROUP 1 – CATEGORY 2 (BV)

DESCRIPTION: DIABETIC MULTI-DENSITY INSERTS (A5510)

Need total: 2 products Indications:

• Foot Pain, discomfort.

• Neuropathic discomfort

• Metatarsalgia

Minimum Technical Requirements: Item must have all of the below features.

• Female 5-13

• Male 7-15

• Full Length with metatarsal pad

• Deep heel contour, conformable

• Plastizote or similar top cover

• Multi-layer cushioning/density construction

CLIN 014- GROUP 1 – CATEGORY 2 (BV)

DESCRIPTION: PREFABRICATED IN-SHOE FOOT ORTHOSES WITH MET PADS

(L3060) Need total: 2 products Indications:

• Foot Pain, discomfort.

• Plantar Fasciitis

• Metatarsalgia

Minimum Technical Requirements: Item must have all of the below features.

• Female 5-13

• Male 7-15

• Full Length with metatarsal pad

• Deep heel contour

• Fabric top-cover - Sheer or non-abrasive texture

• Multi-layer cushioning construction

CLIN 015 – GROUP 1 – CATEGORY 2 (BV)

DESCRIPTION: HEEL OFF-LOADING SHOE WITH ADVANCED FEATURES(A9283)

Need total: 2 products Indications:

• Reduce weight bearing pressure on the heel postoperatively, post-trauma or when heel wounds or ulcerations are present.

Minimum Technical Requirements: Item must have all of the below features.

• Fits right or left

• Breathable Fabric Upper

• Top layer of shoe should be lightweight, non-toxic, odorless, nonabsorbent, washable, able to be disinfected and wiped clean and resilient

• Adjustable Closures at instep & forefoot

• Surgical Opening

• Wedge Sole (In Plantarflexion) with good plantar traction

• Range Fits:

• All commercially available sizes

• Clearly indicate relative shoe sizing, visible on or through packaging

• List all advanced features: examples include but not limited to the following features: multi-durometer, multi-layer, removable inserts, removable plugs to create aperture, PDAC approved

CLIN 016 – GROUP 1 – CATEGORY 2 (BV)

DESCRIPTION: FOREFOOT OFF-LOADING SHOE WITH ADVANCED FEATURES

(A9283) Need total: 2 products Indications:

• Reduce weight bearing pressure on the forefoot post operatively, post-trauma or when forefoot wounds or ulcerations are present.

Minimum Technical Requirements: Item must have all of the below features.

• Fits Left or Right

• Breathable Fabric Upper

• Removable insole or adjustable pressure relief system

• Top layer of shoe should be lightweight, non-toxic, odorless, nonabsorbent, washable, able to be disinfected and wiped clean and resilient

• Adjustable Closures at instep & forefoot

• Surgical Opening

• Wedge Sole (In Dorsiflexion) with good plantar traction

• Equivalent shoe sizes on or visible through packaging

• Range Fits:

• Women’s size 5 to Men’s size 14

• Clearly indicate relative shoe sizing visible on or through packaging

• All advanced features: examples include but not limited to the following features:

with removable toe cap and/or tongue, PDAC approved

CLIN 017 – GROUP 1- CATEGORY 2 (BV)

DESCRIPTION: NIGHT SPLINT-PLANTAR SURFACE DESIGN, CLOSED CELL

FOAM, DORSI-ASSIST ADJUSTABLE HOOK AND LOOP STRAPS

WITH ADVANCED FEATURES (L4396)

Need total: 2 products Indications:

• Plantar Fasciitis

• Achilles Tendonitis

Minimum Technical Requirements: Item must have all of the below features.

• Design: Non-ambulatory splint

• Size Range:

• Small (S)

• Medium (M)

• Large (L)

• Extra-Large (XL)

• OR EQUIVALENT SIZES (between men’s 6 to 15)

• Calf Circumference: must accommodate minimum calf 12 inches

• Length: Full - foot length

• Closure: Hook & Loop Closures - calf, instep and forefoot straps

• Material: Removable washable liner

• Semi-rigid frame with non-slip plantar sole

• Universal (fits Left or Right lower extremity)

• List all advanced features: examples include but not limited to the following features: non-slip sole/tread, quick-release buckles, strap pads, PDAC approved

CLIN 018 – GROUP 1 – CATEGORY 2 (BV)

DESCRIPTION: NIGHT SPLINT- DORSAL SURFACE DESIGN, CLOSED CELL

FOAM (L4396)4396)

Need total: 1 product

• Plantar Fasciitis

• Achilles Tendonitis

Minimum Technical Requirements: Item must have all of the below features.

• Design: Non-ambulatory splint

• Size Range:

• Small (S)

• Medium (M)

• Large (L)

• Extra-Large (XL)

• OR EQUIVELANT SIZES (between men’s 6 to 14)

• Calf Circumference: must accommodate minimum calf 12 inches

• Length: Full - foot length

• Closure: Hook & Loop Closures - calf, instep and forefoot straps

• Material: Removable washable liner

• Semi-rigid frame with soft interface (liner)

CLIN 019 – GROUP 1- CATEGORY 2 (BV)

DESCRIPTION: SURGICAL SHOE WITH TOE CAP AND TONGUE (L3260)

Need total: 1 product Indication:

• Post-op or healing shoe that provides the foot with solid protection and will accommodate bulky bandages

Minimum Technical Requirements: Item must have all of the below features.

• Rigid Rocker-bottom sole

• Adjustable Closures at instep & forefoot, two straps minimum - one strap at in-step; one strap at forefoot

• Top layer of shoe should be lightweight, non-toxic, odorless, nonabsorbent, washable, able to be disinfected and wiped clean and resilient

• Minimum of one (1) removable inner sole of at least ¼ “thickness

• Equivalent shoe sizes on or visible through packaging

• Range Fits:

• Women’s size 5 to Men’s size 14

• Breathable upper

CLIN 020 – GROUP 1 CATEGORY 2 BV

DESCRIPTION: SURGICAL SHOE WITHOUT TOE CAP AND TONGUE (L3260)

Indication:

• Post-op or healing shoe that provides the foot with solid protection and will accommodate bulky bandages

Minimum Technical Requirements: Item must have all of the below features.

• Rigid Rocker-bottom sole

• Adjustable Closures at instep & forefoot, two straps minimum - one strap at in-step; one strap at forefoot

• Top layer of shoe should be lightweight, non-toxic, odorless, nonabsorbent, washable, able to be disinfected and wiped clean and resilient

• Minimum of one (1) removable inner sole of at least ¼ “thickness

• Equivalent shoe sizes on or visible through packaging

• Range Fits:

• Women’s size 5 to Men’s size 14

• Breathable upper

CLIN 021 – GROUP 1 - CATEGORY 2 BV

DESCRIPTION: SURGICAL SHOE WITH ADVANCED FEATURES (L3260)

Need total: 1 product Indication:

• Post-op or healing shoe that provides the foot with solid protection and will accommodate bulky bandages

Minimum Technical Requirements: Item must have all of the below features.

• Rigid Rocker-bottom sole

• Adjustable Closures at instep & forefoot, two straps minimum - one strap at in-step; one strap at forefoot

• Top layer of shoe should be lightweight, non-toxic, odorless, nonabsorbent, washable, able to be disinfected and wiped clean and resilient

• Minimum of one (1) removable inner sole of at least ¼ “thickness

• Equivalent shoe sizes on or visible through packaging

• Range Fits:

• Women’s size 5 to Men’s size 14

• Clearly indicate relative shoe sizing visible on or through packaging

• Breathable upper

List all advanced features: examples include but not limited to the following features:

• Removeable toe cap, removeable tongue, adjustable pressure relief system, PDAC approved

CLIN 022 – GROUP 1 - CATEGORY 2 BV

DESCRIPTION: ANKLE STABALIZING ORTHOSIS (GAUNTLET) (L1902)

Need total: 1 product Indications:

• Chronic ankle instability

• Talocalcaneal Varus or valgus

• Severe pes planus

• Ankle arthritis

• Tarsal tunnel syndrome

• Non-operative management of certain cases of Charcot breakdown and degenerative joint disease (DJD) of the hind foot and ankle Minimum Technical Requirements: Item must have all of the below features.

• Design: Gauntlet- multi-ligamentous

• Size Range:

• Multiple Sizes that an instep to heel circumference measurement range from 10” to 16” plus

• OR EQUIVALENT SIZES

• Height: Minimum 8”

• Closure: Variable adjustable.

• Figure 8, non-stretch inversion/eversion control straps. Minimum 2 straps

• Material: Non-stretch nylon, coutil or equivalent

• Special Features: Medial/Lateral stays, Closed or open heel, PDAC approved

CLIN 023 – GROUP 1 - CATEGORY 2 BV

DESCRIPTION: STATIC ANKLE FOOT ORTHOSIS – MULTIPODUS TYPE (L4396)

Need total: 1 product Indication:

• Foot Drop, Prevention of foot ulcers, Foot contractures, Deformities of the foot and Positional support

• Design: Multi-podus posterior heel relief type

• Size Range:

• Small (S)

• Medium (M)

• Large (L)

• Extra-Large (XL)

• OR EQUIVALENT SIZES

• Closure: Hook & Loop Closures (calf, instep, and forefoot straps) with or without quick connect feature

• Material: Nylon or equivalent fabric with lamb’s wool or synthetic wool material, washable, replaceable and removable

• PDAC approved

• Height: Minimum 10”

• Aluminum or plastic posterior upright

• Integrated non-slip footplate for ambulation, toe-extension and anti-rotational bar

CLIN 024 – GROUP 1 - CATEGORY 2 BV

DESCRIPTION: NON-PNEUMATIC WALKING SPLINT –CAM-WALKER TYPE; NON-

HINGED BOOT (L4386)

Need total: 1 product Indications:

• Alternative to casting for fracture of the mid-tibia or fibula to mid-foot area

• Second and third-degree ankle sprains.

Minimum Technical Requirements: Item must have all of the below features.

• Design: Cam-Walker, non-hinged, non-pneumatic type

• Equivalent shoe sizes on or visible through packaging

• Size Range:

• Women’s size 6 to Men’s size 14

• MUST LIST CORRESPONDING SHOE SIZE

• Length: Full foot length

• Closure: Hook & Loop Closure - calf, instep and forefoot straps

• Material:

• Open celled foam or equivalent (no latex)

• Liner Must be removable

• Removeable, modifiable foam foot bed

• Height- Both Short and Tall versions are required

• Uprights: malleable that can be contoured into a preferred shape, non-hinged

• Rocker-bottom non-skid sole

CLIN 025 – GROUP 1 - CATEGORY 2 BV

DESCRIPTION: PNEUMATIC WALKING SPLINT – CAM-WALKER TYPE; NON-

HINGED (L4360)

Need total: 1 product Indications:

• Foot/Ankle protection

• Stable fracture of foot/ankle

• Severe ankle sprain (grade III)

• Post-op immobilization

Minimum Technical Requirements

• Design: Cam-Walker, non-hinged, non-pneumatic type

• Equivalent shoe sizes on or visible through packaging

• Size Range:

• Women’s size 6 to Men’s size 14

• MUST LIST CORRESPONDING SHOE SIZE

• Length: Full foot length

• Closure: Hook & Loop Closure - calf, instep and forefoot straps

• Material:

• Open celled foam or equivalent (no latex)

• Liner Must be removable

• Removeable, modifiable foam foot bed

• Height- Both Short and Tall versions are required

• Uprights: malleable that can be contoured into a preferred shape, non-hinged

• Rocker-bottom non-skid sole

• Pneumatic

GROUP 2 KNEE (CLINS 100 – 199)

CATEGORY 2 BEST VALUE (BV)

CLIN 103 – GROUP 2 - CATEGORY 2 BV

DESCRIPTION: KNEE ORTHOSIS – SLIP-ON, OPEN PATELLA, SUPRA-PATELLA

AND INFA-PATELLA CIRCUMFERENTIAL HOOK AND LOOP

STRAPS (A4467)

• For swollen or tender knee resulting from sprains, strains, sports injuries, arthritis, chondromalacia, patellar tracking abnormalities and tendonitis or post-operative rehabilitation.

• Design: Slip on (pull-up)

• Size Range:

• Multiple Sizes that fit all knee circumferences from at least 12” to 24”in 1 inch or 2 inch increments

• Length: Minimum 12”

• Flexible Medial/lateral stays

• Closure: two circumferential, Hook & Loop Closure (One – suprapatella, One-infrapatella)

• Material: *Drytex®, *Koolflex® or equal (no latex)

• Fits Left or Right

• Removable, Adjustable Patella Stabilizing Pad

• Open patella away from the skin.

*Salient Characteristics for Koolflex®: Constructed of a polyester/nylon core with a polyester spandex outer cover. Breathable, has good stretch and memory and able to draw moisture away from the skin.If an equivalent product is being offered, documentation that demonstrates that the offered product meets the salient characteristics, as shown above, must be included with the technical proposal.

CLIN 104 – GROUP 2 - CATEGORY 2 BV

DESCRIPTION: KNEE ORTHOSIS-WRAPAROUND DESIGN WITH JOINTS WITH

POPLITEAL REFLIEF (L1810)

Need total: 2 products Indications:

• Mild Anterior Cruciate Ligament (ACL) injuries and instabilities

• PCL injuries and instabilities

• MCL injuries and instabilities

• LCL injuries and instabilities

• Meniscus injuries

• Mild OA

• Design: Wraparound design with knee aluminum joints with popliteal relief

• Size Range:

• Multiple Sizes that fit all knee circumferences from at least 12” to 24” in 1 inch or 2 inch increments

• Length: Minimum 12”

• Closure: Anterior Hook & Loop Closure, with two circumferential Hook & Loop

Closure straps (one – supra-patella, one – infrapatella)

• Material: *Drytex®, *Koolflex® or equal material, (no Latex)

• Knee Joints: Enclosed single axis and/or polycentric, aluminum, removable

• Fits Left or Right away from the skin.

*Salient Characteristics for Koolflex®: Constructed of a polyester/nylon core with a polyester spandex outer cover. Breathable, has good stretch and memory and able to draw moisture away from the skin.

If an equivalent product is being offered, documentation that demonstrates that the offered product meets the salient characteristics, as shown above, must be included with the technical proposal.

CLIN 105 – GROUP 2 - CATEGORY 2 BV

DESCRIPTION: KNEE ORTHOSIS –OPEN PATELLA, SLIP-ON (SIMPLE

COMPRESSIVE, BASIC SLEEVE) (A4467)

Need total: 2 products Indications:

• For swollen or tender knee resulting from sprains, strains, sports injuries, arthritis, chondromalacia, patellar tracking abnormalities and tendonitis or post-operative rehabilitation.

Minimum Technical Requirements: Item must have all of the below features.

• Design: Slip on- open patella

• Size Range:

• Multiple Sizes that fit all knee circumferences from at least 12” to 24”in 1 inch or 2 inch increments

• Length: Minimum 12”

• Closure: no straps

• Material: *Koolflex®, *Drytex® or equal material, no latex

• With spiral flexible stays, (no Latex)

• Side: Fits Left or Right away from the skin.

*Salient Characteristics for Koolflex®: Constructed of a polyester/nylon core with a polyester spandex outer cover. Breathable, has good stretch and memory and able to draw moisture away from the skin.

If an equivalent product is being offered, documentation that demonstrates that the offered product meets the salient characteristics, as shown above, must be included with the technical proposal.

CLIN 106 – GROUP 2 - CATEGORY 2 BV

DESCRIPTION: KNEE ORTHOSIS – SLIP ON DESIGN WITH BUTTRESS FOR

PATELLAR TRACKING, WITH OR WITHOUT STAYS (A4467)

Need total: 2 products Indications:

• Patellofemoral pain syndrome

• Arthritis

• Patella subluxation

• Patellar tendonitis

• Osgood-Schlatter disease.

Minimum Technical Requirements: Item must have all of the below features.

• Design: Slip on (pull up) with or without medial and lateral stays

• Size Range:

• Multiple Sizes that fit all knee circumferences from at least 12” to 24”in 1 inch or 2 inch increments

• Length: Minimum 12”

• Patellar buttress made of elastomeric gel or foam rubber

• Material: *Drytex®, *Koolflex® or equal material, (no Latex)

• Adjustable tension straps to control patellar tracking

• Side: Fits Left or Right away from the skin.

*Salient Characteristics for Koolflex®: Constructed of a polyester/nylon core with a polyester spandex outer cover. Breathable, has good stretch and memory and able to draw moisture away from the skin.

If an equivalent product is being offered, documentation that demonstrates that the offered product meets the salient characteristics, as shown above, must be included with the technical proposal.

CLIN 107 – GROUP 2 - CATEGORY 2 BV

LOCKING KNEE JOINTS, POSITIONAL ORTHOSIS, RIGID

SUPPORT, BREATHABLE OR OPEN STYLE WITH ADVANCED

FEATURES (L1832)

Need total: 1 product Indications:

• For swollen or tender knee resulting from sprains, strains, sports injuries, ligamentous injuries, arthritis, chondromalacia, patellar tracking abnormalities and tendonitis or post-operative rehabilitation.

Minimum Technical Requirements: Item must have all of the below features.

• Size:

• Universal (Will accommodate mid-thigh circumference of at least 27” or above)

• Length: Adjustable/telescoping- Minimum 18 1/2” or less; Maximum 27” or more

• Closure: hook & loop closure or equivalent. Must have two straps proximal to knee and two straps distal to knee.

• Material: Must come in “cool version” which has foam only under the straps.

Open Cell Foam or equivalent material. No Latex.

• Knee joint component: Must have the ability to control range of motion with the ability to lock motion in 10 degree increments. Total range available must have Extension starting: -10 degrees to at least 110 degrees of Flexion.

Range of motion increment stops should be clearly labeled according to the degree of measurement. Knee joint componentry must have the ability lock both the Extension limit and Flexion limit to be utilized to limit range of motion or fixed at a single ROM (e.g. 0 degrees).

• Universal (fits Left or Right lower extremity)

• List all advanced features: examples include but not limited to the following features: Contourable bars (aluminum) Antimigration material added to padding Quick connecting buckles Vertically adjustable cuffs and straps proximal and distal to knee joint

CLIN 108- GROUP 2 - CATEGORY 2 BV

LOCKING KNEE JOINTS, POSITIONAL ORTHOSIS, RIGID

SUPPORT, FULL FOAM WRAP-AROUND STYLE WITH ADVANCED

FEATURES (L1832)

Indication:

• For swollen or tender knee resulting from sprains, strains, sports injuries, ligamentous injuries, arthritis, chondromalacia, patellar tracking abnormalities and tendonitis or post-operative rehabilitation.

Minimum Technical Requirements: Item must have all of the below features.

• Size:

• Universal (Will accommodate mid-thigh circumference of at least 27”)

• Length: Adjustable/telescoping- Minimum 18 1/2” or less; Maximum at least

27”)

• Closure: hook & loop closure or equivalent. Must have two straps proximal to knee and two straps distal to knee.

• Material: Must come in full foam which has full foam circumferential wraps.

Open Cell Foam or equivalent material. No Latex.

• Knee joint component: Must have the ability to control range of motion with the ability to lock motion in 10 degree increments. Total range available must have Extension starting: -10 degrees to at least 110 degrees of Flexion.

Range of motion increment stops should be clearly labeled according to the degree of measurement. Knee joint componentry must have the ability lock both the Extension limit and Flexion limit to be utilized to limit range of motion or fixed at a single ROM (e.g. 0 degrees).

• Advanced Features:

• Antimigration material added to padding

• Quick connecting buckles

• Vertically adjustable cuffs proximal and distal to knee joint

• Universal (fits Left or Right lower extremity)

• Special features: Contourable bars (aluminum)

• List all advanced features: examples include but not limited to the following features: Contourable bars (aluminum) Antimigration material added to padding Quick connecting buckles Vertically adjustable cuffs and straps proximal and distal to knee joint, PDAC approved

GROUP 3 SPINAL (CLINS 200 – 299)

CATEGORY 2 BEST VALUE (BV)

CLIN 205 – GROUP 3 - CATEGORY 2 BV

DESCRIPTION: LUMBAR SACRAL ORTHOSIS - ANTERIOR-POSTERIOR

CONTROL, WITH RIGID OR SEMI RIGID ANTERIOR AND

POSTERIOR PANEL (L0631, L0648)

Need total: 2 products Indications:

• Lower back pain/strain

• Post-operative care

• Facet Syndrome

• Muscle spasms.

• Lumbar disc injury

• Disc herniation and degeneration

• Spondylolisthesis

• Spondylolysis

Minimum Technical Requirements: Item must have all of the below features.

• Design: Lumbar sacral orthosis with rigid posterior panel with or within soft covering

• Size Range:

• Multiple Sizes that fit a waist circumference measurement range from 26” to 56”

• OR EQUIVALENT SIZES

• Length: extends from sacro-coccygeal junction to T-9 vertebrae)

• Closure: Hook & Loop Closure (adjustable side pull straps)

• Double pulley system (or similar) for abdominal cavity compression

• Material: Drytex, Koolflex® or equal material (no Latex)

• Posterior Panel: Removable thermoplastic posterior panel with fabric covering, formable

• Anterior Panel: thermoplastic posterior panel with fabric covering, formable

• No exposed metal or plastic away from the skin.

*Salient Characteristics for Koolflex®: Constructed of a polyester/nylon core with a polyester spandex outer cover. Breathable, has good stretch and memory and able to draw moisture away from the skin. If an equivalent product is being offered, documentation that demonstrates that the offered product meets the salient characteristics, as shown above, must be included with the technical proposal.

CLIN 206 – GROUP 3 - CATEGORY 2 BV

DESCRIPTION: SEMI RIGID CERVICAL ORTHOSIS WITH ADVANCED FEATURES

(L0172) Need total: 1 product Indications:

• Post-operative care

• Severe spinal arthritis

• severe cervical syndrome

• slipped cervical discs

• Stable cervical fractures

Minimum Technical Requirements: Item must have all of the below features.

• Universal Sizing – Circumference & height adjustments with secure locking feature

• Hook & Loop Closure (both sides)

• Anterior and Posterior Sections

• Adequate Tracheal Access

• Semi-rigid thermoplastic with removable & replaceable, washable, soft-lined padding.

• Must include 1 additional replacement set of pads

List all advanced features: examples include but not limited to the following features:

• Antimicrobial pads

• Flexible edges to reduce pressure

GROUP 4 UPPER EXTREMITY (CLINS 300 – 399)

CATEGORY 2 – BEST VALUE

CLIN 303 – GROUP 4 – CATEGORY 2 (BV)

DESCRIPTION: HEEL/ELBOW PADS (E0191)

Need total: 1 product Indications:

• Provides pressure relief for ulcerations at heel or elbow

• Protects against excessive pressure or contusion to heel or elbow

Minimum Technical Requirements: Item must have all of the below features.

• Pressure relief provided through elastomer gel or equivalent

• Breathable elastic, latex-free material that is machine washable

• Sleeve-type design to ensure proportional fit, minimizing migration

• Sold in pairs

• Minimum range of sizes to include:

• Medium (M)

• Large (L)

• Extra- Large (XL)

• OR EQUIVALENT SIZES

• Or Single Universal Size

• Universal for both heel and elbow wraparound style, PDAC approved

CLIN 304 – GROUP 4 - CATEGORY 2 BV

DESCRIPTION: TENNIS ELBOW SUPPORT (A4467)

Need: 1 product Indication:

• Medial or Lateral epicondylitis Minimum Technical Requirements: Item must have all of the below features.

• Universal Sizing - adjustable to fit at least 9”– 16” forearm circumference

• Hook & Loop Closure – counter pull strap with tongue

• Strap width – minimum 1”

• Bolster width – minimum 2”

• Padded Foam or Gel Pressure Pad (non-pneumatic)

• Breathable (Latex Free)

• List all advanced features: examples include but not limited to the following features: Removable gel pad that can heated or cooled, PDAC approved

CLIN 305 – GROUP 4 - CATEGORY 2 BV

DESCRIPTION: WRIST HAND ORTHOSIS – WRIST EXTENSION CONTROL COCK-

UP (L3908)

Need total: 1 product Indications:

• Wrist Sprains and Strains

• Wrist Fractures

• Post-Cast

• Carpal Tunnel Syndrome

• Night Splinting.

Minimum Technical Requirements: Item must have all of the below features.

• Design: wrist extension control cock-up, non-molded, prefabricated.

• Size Range:

• Multiple Sizes that fit wrist circumference measurements range from 5” to 12”

• 5” – 6”

• 6” – 7”

• 7” – 8”

• 8” – 9”

• 9” – 10”

• 101/2” – 12”

• OR EQUIVALENT SIZES

• Length: 9”

• Closure: Hook & Loop Closure and/or lace-up

• Material: *Drytex®, *Koolflex® or equal (no latex) Elastic, padded, non-irritating thumb web area

• Palmer and Dorsal stays Removable / Malleable

• Sides:

• Right

• Left

GROUP 5 COMPRESSION THERAPY (CLINS 400 – 499)

CATEGORY 2 – BEST VALUE (BV)

CLIN 402 – GROUP 5 - CATEGORY 2 BV

DESCRIPTION: COMPRESSION STOCKING – BELOW THE KNEE WITH CLOSED

TOE15-20mmHg (A6549) Need total: 2 products Indications:

• Minimal edema

• Mild varicosities

• Upper extremity weakness or lack of flexibility making higher compression difficult.

Minimum Technical Requirements: Item must have all of the below features.

• Type: Below the knee. Non-compressive, non-constrictive proximal end, less than remaining stocking.

• Pressure: approximately 15-20mmHg. Gradient/graduated pressure.

• Size: Must be clearly marked on product

• A minimum of size options to be inclusive of the following circumferential measurements:

• Ankle 7” to 14”

• Calf 11” to 24”

• Options

• Short

• Regular

• Tall

• Full Calf in some or all sizes

• Seams: Non-prominent seams.

• Closure: Compression relieved closed toe

• Material: Acrylic/cotton blend, nylon, (or combination)

• Colors:

• A minimum of 2 colors to include the following:

• Beige

• Black

• Minimalist packaging to reduce waste and space

• Sizing to be listed on the package or visible through packaging.

List all advanced features: examples include but not limited to the following features:

• Use of Dri-Release technology or equal

• Color options as available

• Sizing Options

• Short

• Regular

• Tall

• Full Calf in some or all sizes

CLIN 403 – GROUP 5 - CATEGORY 2 BV

DESCRIPTION: COMPRESSION STOCKING- BELOW THE KNEE WITH OPEN TOE;

15-20mmHg (A6549) Need total: 2 products Indications:

• Minimal edema

• Mild varicosities

• Upper extremity weakness or lack of flexibility making higher compression difficult.

Minimum Technical Requirements: Item must have all of the below features.

• Type: Below the knee. Non-compressive, non-constrictive proximal end, less than remaining stocking.

• Pressure: approximately 15-20mmHg. Gradient/graduated pressure.

• Size: Must be clearly marked on product

• A minimum of size options to be inclusive of the following circumferential measurements:

• Ankle 7” to 14”

• Calf 11” to 24”

• Options

• Short

• Regular

• Tall

• Full Calf in some or all sizes

• Seams: Non-prominent seams.

• Closure: open toe

• Material: Acrylic/cotton blend, nylon, (or combination)

• Colors:

• Black

• Sizing to be listed on the package or visible through packaging.

List all advanced features: examples include but not limited to the following features:

• Use of Dri-Release technology or equal

• Color options as available

• Sizing Options

• Short

• Regular

CLIN 404 – GROUP 5 - CATEGORY 2 BV

TOE,18-30mmHg (A6530) Need total: 2 products Indications:

• Minimal edema

• Mild varicosities

• Recovery post-surgery

• Prevention or management of DVT

Minimum Technical Requirements: Item must have all of the below features.

• Type: Below the knee. Non-compressive, non-constrictive proximal end, less than remaining stocking.

• Pressure: Falls Within 18-30mmHg. Gradient/graduated pressure.

• Size: Must be clearly marked on product

• A minimum of size options to be inclusive of the following circumferential measurements:

• Ankle 7” to 14”

• Calf 11” to 24”

• Options

• Regular

• Tall in some or all sizes

• Full Calf in some or all sizes

• Seams: Non-prominent seams.

• Closure: Compression relieved closed toe

• Material: Acrylic/cotton blend, nylon, (or combination) and at minimum 23% spandex/elastic component (non-latex)

• Black

• Packaging

• Minimalist packaging to reduce waste and space

• Sizing to be listed on the package or visible through packaging

List all advanced features: examples include but not limited to the following features:

• Use of Dri-Release technology or equal

• Color options as available

• Sizing Options

• Short

• Regular

CLIN 405 – GROUP 5 - CATEGORY 2 BV

TOE; 30-40mmHg (A6552) Need total: 2 products Indications:

• Mild varicosities

• Moderate edema

• Post fracture

• DVT

• Orthostatic/postural hypotension

Minimum Technical Requirements: Item must have all of the below features.

• Type: Below the knee. Non-compressive, non-constrictive proximal end, less than remaining stocking.

• Pressure: Falls Within 30-40mmHg. Gradient/graduated pressure.

• Size: Must be clearly marked on product and must include all the offeror’s commercially available sizes

• Options

• Short

• Regular

• Tall

• Full Calf in some or all sizes

• Seams: Non-prominent seams.

• Closure: Compression relieved closed toe

• Material: Acrylic/cotton blend, nylon, (or combination) and at minimum 23%

• Beige

• Black

• Packaging

• Minimalist packaging to reduce waste and space

• Sizing to be listed on the package or visible through packaging

List all advanced features: examples include but not limited to the following features:

• Use of Dri-Release technology or equal

• Color options as available

• Sizing Options

• Short

• Regular

CLIN 406 – GROUP 5 - CATEGORY 2 BV

DESCRIPTION: COMPRESSION STOCKING -BELOW THE KNEE WITH OPEN TOE;

30-40mmHg (A6552) Need total: 2 products Indications:

• Mild varicosities

• Moderate edema

• Post fracture

• DVT

• Orthostatic/postural hypotension

Minimum Technical Requirements: Item must have all of…