made to measure (m2m) made easy - medi UK Ltd...compression classes medi m2m garments comply with...

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made to measure (m2m) made easy

The most effective compression garments for your lymphoedema patients.

2 • made to measure

made to measure • 3

IntroductionLymphoedema is a chronic condition which, if untreated, has the potential to deteriorate. One of the elements of successful treatment is the use of quality compression garments.

medi UK offers the most comprehensive range of sizes and styles off the shelf (OTS) of compression garments. However, we are aware that some patients require bespoke garments that address their individual physical requirements. Therefore we are able to offer a comprehensive made to measure (m2m) range.

This m2m booklet is designed to guide you through the process in order to choose the most effective m2m garment for your patient. In the back of the booklet you will find tables for your final choice of product summarising the available options and codes.

4 • made to measure

made to measure • 5

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Ordering process guide m2m overview

1. Overview of tailor made compression hosiery

3. Choice of fabric

5. Features and benefits of m2m round knit and flat knit

6. Measuring and ordering

4. Styles

2. Choice of compression class

6 • made to measure • Overview of tailor made compression hosiery

Overview of tailor made compression hosiery • made to measure • 7

Overview of tailor made compression hosieryOur aim Our aim is to provide you with top quality made-to-measure garments that are both comfortable and effective for your patients. Each garment is tailor made specifically to your patients needs. Every m2m garment from medi UK is manufactured in Germany and we aim to get it to you as soon as possible. The time taken to do this will depend upon the complexity of the garment and the colour choice; our average turnaround is six working days for round knit garments, eight working days for flat knit – trend colours may take a little more time due to the extended dying process.

What we need from you to help make the perfect garment

Measurements A measurement form with all relevant parts completed. Accurate measurements are a very important part of this process and it is a combination of length and circumference measurements that will allow us to make a comfortable and effective garment. Medi m2m pads are supplied with a measuring guide, if you would like further details on how to measure accurately please contact your medi Account Manager or our team in Hereford.

Product details In addition to the measurements we need to know the fabric, style of garment , compression class and colour of the garment before we can start making it for you. If one or more of these details are missing we will have to come back to you for clarification and this may delay the manufacturing process. Our m2m forms are laid out to help make sure that these essential details are provided.

Optional extras These are extra items that may help your patient with their garment – for example a zip, a silicone top band or a silk lining. Sometimes it helps with complex requests if you send in a diagram or photograph with the order form; this will be passed to our manufacturing team to help us to get it right first time.

The Drug Tariff A selection of styles of mediven garments m2m are available on FP10/GP10. For further details please contact your Account Manager or our team in Hereford.

We are here to help. We understand m2m and take pride in providing all the support that you need to make the whole process as simple as possible for you and your patients. In addition to our dedicated Account Managers we have a specialist m2m team in Hereford who will be able to assist with technical questions. We also have a simple coding system to help you to identify the correct m2m code in your Procurement System. If you need any additional information, code lists, measurement pads or further support with m2m please contact your medi Account Manager or our Hereford team by telephone on 01432 373508, by email at [email protected] or by fax on 01432 373510. Further information can also be found on our website www.mediuk.co.uk/compression/made-to-measure.

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8 • made to measure • Choise of compression class

Choise of compression class • made to measure • 9

RAL compression classesmedi m2m garments comply with the strict standards that are laid down by the 'Reichs-Ausschuss für Lieferbedingungen' (RAL) Institute. This is the gold standard for compression garments. All medi m2m garments are guaranteed to provide effective compression for 6 months of daily use if used and laundered correctly.

Selection of the correct compression class (ccl) will help to ensure that your patients receive a garment that is suited to their condition:

RAL class 1 (18 – 21mmHg)Prevention or early treatment of lymphoedema, venous disease and for use on palliative limbs.

RAL class 2 (23 – 32mmHg)Mild / moderate lymphatic conditions, pronounced varicosis with oedema present and after healing minor ulcers.

RAL class 3 (34 – 46mmHg)Lymphoedema, significant varicosis or after healing long standing ulcers; use if condition fails to respond to class 2.

RAL class 4 (min. 60 mmHg)Lymphoedema and elephantiasis.

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10 • made to measure • Choise of fabric

Does your patient require m2m compression?

Upper limb

•RAL compression classes 1 – 2

•Wrist: 13.5 cm minimum

•Upper arm: 50 cm maximum

•Unilength: 41 – 47 cm

Round knit

•ankle: 15 cm minimum

•thigh: 90 cm maximum

Lower limb

•RAL Compression classes 1 – 3

•Thigh: 85 cm maximum

•Calf: 52 cm maximum

•2 lengths available

Flat knit

•5.500 variants available Most of what you can imagine for your patient is available

Off the shelf (OTS) Made-to-measure (m2m)

Note

m2m hosiery is tailor made for your patient. In order to help our specialist m2m department tailor the garment to your patients requirements including photos and diagrams can help this process. Photos can help with manufacturing of complex garments (these photos are only used for the manufacturing process).

At times compression is not always appropriate. In the following situations mediven compression is contraindicated.

Contraindications:According to the guidelines of the German Phlebological Society (published in 1996, German Journal ’Phlebologie‘)

Absolute contraindications:Advanced, peripheral arterial occlusive disease, decompensated heart disease, septic phlebitis,phlegmasia coerulea dolens.

Relative contraindications:Suppurative dermatoses, intolerance of compression stocking fabric, sensory disturbances of the limb, advanced peripheral neuropathy, primary chronic arthritis. medi assumes no liability as a result of any contraindicated use of this product.

Choise of fabric • made to measure • 11

Difference between round knit and flat knit garments

Difference Round knit compression stockings Flat knit compression stockings

Seam Seamless With seam

Knit Knitted on a round cylinder Knitted in flat rows

Stitches per row Constant Variable

Shape Shaped by variable mesh size & pretension of the inlaid elastic thread

Shaped by variable number of stitches with the elastic thread laid in

Stretch High Low

Elastic thread Not covered Covered

Working pressure Low High

Effect Effect on vessels – veins Primary effect: increase tissue pressure, secondary effect on the vessels

Measurement When measuring take the surface circumferences

When measuring there is a degree of interpretation required as the garment is designed to sculpt the limb, not necessarily to match the size presented

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12 • made to measure • Styles

Round knit Lower limbs

Styles • made to measure • 13

Round knit Lower limbs

Available styles m2m round knit leg garments

Styles

AD AG / SN AG AT

calf thighwith top-band

thighwith waist attachment

tights

pantyhose with one leg ATE

leggings BT

capri shorts CT

cycling shorts ET

Note

All styles available with open or closed toe.

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Flat knit Lower limbs


Available styles m2m flat knit leg garmentsfrom AA1 toe cap to BG cuff

Styles

toe cap AA1

AB sock & AB1 sock AB AB1

below knee stocking AD

thigh length stocking AF AG

pantyhose & men's leotardAT ATH

pantyhose with one legATE / ATEH

maternity panty ATU

capri shorts CT / CTHB1T / B1TH

leggings BT

cycling shorts ET

sleeves BG CG

Please note

All mediven leg garments are supplied with an oblique border and foot as standard.

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Lower limb garment options

3D panty top Advantage

Anatomically shaped panty topThe shape of the 3D panty top is determined by the circumferential measurements and lengths in the panty area. Standard for all mediven flat knit garments.

The perfect fit on the abdomen and bottom, shaping of the abdomen and bottom.

Oblique borders Advantage

‘Flat oblique’ Anatomically correct borderStandard for all mediven flat knit garments. Knitted fabric for outer leg extended by x cm.

Optimum anatomical fit, appropriate for routine presentations.

‘Steep oblique’ Anatomically correct borderKnitted fabric for outer leg extended by x cm.

Optimum anatomical fit, ideal for larger circumferences.

Anterior thigh longer Advantage

Accurate pressure gradient up to groinAnterior thigh extended.

Optimum anatomical fit where low buttock fold is present to ensure appropriate compression on the anterior thigh.

Comfort heel= standard heel

Advantage

Individual angle at the heelThe individual angle is calculated from the measurements you supply. ‘cY’= Standard.

Optimum wearing comfort.

Front view Side view


3D panty top Advantage

Anatomically shaped panty topThe shape of the 3D panty top is determined by the circumferential measurements and lengths in the panty area. Standard for all mediven flat knit garments.

The perfect fit on the abdomen and bottom, shaping of the abdomen and bottom.


‘Flat oblique’ Anatomically correct borderStandard for all mediven flat knit garments. Knitted fabric for outer leg extended by x cm.

Optimum anatomical fit, appropriate for routine presentations.

‘Steep oblique’ Anatomically correct borderKnitted fabric for outer leg extended by x cm.

Optimum anatomical fit, ideal for larger circumferences.

Anterior thigh longer Advantage

Accurate pressure gradient up to groinAnterior thigh extended.

Optimum anatomical fit where low buttock fold is present to ensure appropriate compression on the anterior thigh.

Comfort heel= standard heel

Advantage

Individual angle at the heelThe individual angle is calculated from the measurements you supply. ‘cY’= Standard.

Optimum wearing comfort.

Ordering Information

Where on the measurement form?

The ‘flat oblique’ is standard for all mediven garments. You do not need to make a selection on the measurement form.

Tips

medi always produces flat knit products with an oblique border.

The standard is ‘flat oblique’ = approx. 5% of the circumference. A ‘steep oblique’ = approx. 10% of the circumference and can be selected as an option. The obliques optimise the fit around the top of the thigh.


Mark ‘steep oblique’ with a cross.

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Ellipse form at ‘E’ Advantage

Additional knit marks added at the knee to create a natural profile for patients who have limited mobilty and tend to spend most of their time with the knee bent(e.g. people in wheelchairs).

To reduce excessive pressure on the veins at the back of the knee and the major lymphatic trunks. Also reduces wrinkles in the fabric.

Y- knitting marks = 90° heel Advantage

Additional Y- knitting marks in heel and arch areas

Reduces pressure on the instep and to bridge deep skin creases.

Oblique forefoot Advantage

Oblique line of compressive knitted fabricStandard for all mediven flat knit garments

Optimum pressure gradient down to the metatarsophalangeal joints with an anatomical gradient, no circular constriction in the forefoot.

Long sole Advantage

Extension of the compressive knit along the sole of the foot

Optimises the fit in the forefoot, relieves pressure on the toes with closed toe garments.

Soft toe Advantage

Particularly soft and elastic knitted fabric for the toe area

mediven 550 leg only

Improved comfort for particularly sensitive toes.



Ellipse form at ‘E’ Advantage

Additional knit marks added at the knee to create a natural profile for patients who have limited mobilty and tend to spend most of their time with the knee bent(e.g. people in wheelchairs).

To reduce excessive pressure on the veins at the back of the knee and the major lymphatic trunks. Also reduces wrinkles in the fabric.

Y- knitting marks = 90° heel Advantage

Additional Y- knitting marks in heel and arch areas

Reduces pressure on the instep and to bridge deep skin creases.

Oblique forefoot Advantage

Oblique line of compressive knitted fabricStandard for all mediven flat knit garments

Optimum pressure gradient down to the metatarsophalangeal joints with an anatomical gradient, no circular constriction in the forefoot.

Long sole Advantage

Extension of the compressive knit along the sole of the foot

Optimises the fit in the forefoot, relieves pressure on the toes with closed toe garments.

Soft toe Advantage

Particularly soft and elastic knitted fabric for the toe area

mediven 550 leg only

Improved comfort for particularly sensitive toes.


Tips

medi produces all flat knit garments with an ‘oblique foot border’. This guarantees the best possible fit to follow the anatomical line of the metatarsophalangeal joints. It also prevents constriction of the forefoot. The ‘oblique border’ is standard for both open and closed toes. The oblique border of the compressive knit is given by the difference between the medial foot length lAi and the lateral foot length lA. The largest possible oblique is 4 cm.


Mark ‘open’ or ‘closed’ toe with a cross.

Also please give the dimensions l Z (total length) lAi (medial length) lA (lateral length)

Tips

The incorporation of Y- knitting marks at the ankle holds the foot in about 90° flexion.


Mark ‘Y-knitting mark’ with a cross.

Tips

The long sole optimises the fit in the forefoot region. It can be advantageous where foot deformities such as hallux valgus or hammer toe are present.Knitting the compressive knit along the sole of the foot gives the stocking a circular grip at the metatarsophalangeal joints.This stops the foot section slipping back towards the heel.The length of the long sole depends on cA and is produced automatically.


Mark ‘Long sole’ field with a cross.

Tips

The ellipse form enhances comfort for people who spend most of their time sitting down. It compensates for the longer distance at the knee when sitting and thus reduces the pressure on the patella. Always give the measurement ‘l (length)back of the knee’. This is measured close to the body from the fold in the back of the knee to the heel with the patient standing. Note that lE must be at least 1 cm longer than ‘l (length) back of the knee’.Attention! For patients with voluminous knees (lipoedema) or a large cE measurement, the incorporation of ellipses increases wrinkling in the knee region. Wrinkles may also form below the patella. Do not use ellipses here.


Mark ‘Ellipse form’ with a cross. Please also show the height of the back of the knee separately.

Standard = 4 cm Minimum = 2 cm Maximum = 8 cm

Give any deviation from standard in cm in the field ‘Special request’.

Tips

This will be incorporated in the length measured - no additional measurement required.


Mark ’Soft toe’ with a cross.

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Levamed pads Advantage

Incorporation of medi lymph pads, pre-formed silicone pads and padding materials

• Specific pressure increase over the oedematous region or behind the malleolus.

Lymph pads Advantage

Incorporation of medi lymph pads

Local increase of targeted pressure where required.

Lining material Advantage

Lining with soft smooth material (texture similar to that of microfibre)

Additional comfort for sensitive areas.

Top bands Advantage

Most common method of securing stockings (AG, AF and AD)

Effective positioning of garments.

Waist attachments Advantage

Support of AG stockings at the waist

Alternative fastening method for thigh length garments, can be linked bilaterally.



Levamed pads Advantage

Incorporation of medi lymph pads, pre-formed silicone pads and padding materials

• Specific pressure increase over the oedematous region or behind the malleolus.


Incorporation of medi lymph pads



Lining with soft smooth material (texture similar to that of microfibre)


Top bands Advantage

Most common method of securing stockings (AG, AF and AD)


Waist attachments Advantage

Support of AG stockings at the waist

Alternative fastening method for thigh length garments, can be linked bilaterally.


Tips

Please always give us the exact size and positioning of the lining material.Lining material can also be added retrospectively.


Please state the position,size and shape. medi will then make these according to your individual instructions (Special request).


Add silk.


Please state choice and document the position and shape etc. medi will then make these according to your individual instructions (Special request).

Tips

Used when additional local compression is necessary or if support is required for dispersing fibrosis.Levamed pads and medi lymph pads that are positioned on the basis of measuring points can be incorporated directly during manufacture or retrospectively. For this, please give the exact size and positioning points. A photo or a sketch of the exact location will help with manufacturing.

Tips

Lymph pads can be added at the time of manufacturing or retrospectively.


Please select the required ’top band’ and provide any possible non-standard top band measurements.

Tips

medi needs the overall length lT for making up AG stockings with a waist attachment.


Mark ‘Waist attachment’ and ’left / right position’ with a cross and enter IT in the field ‘Special request’.

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Additional topband section Advantage

Additional support for leg garments. Only possible along the slip form, longitudinally above the patella or longitudinally on the back of the thigh

Additional security of fit.

Open crotch Advantage

Pantyhose without gusset

Maternity pantyhose Advantage

Compression pantyhose with front of panty top in ’knitted material‘ (no compressive fibres in the knitted fabric)

Expandable front panel provides gentle care required during pregnancy.

Incorporation of zips Advantage

Can be added to help accommodate unusual shapes.

Porous series – ‘half’ compression

Advantage

Reduced compression where garments are desigend to overlap.

Ensures correct pressure gradient at the overlapping junction with multi-part garments.




Additional support for leg garments. Only possible along the slip form, longitudinally above the patella or longitudinally on the back of the thigh

Additional security of fit.

Open crotch Advantage

Pantyhose without gusset

Maternity pantyhose Advantage

Compression pantyhose with front of panty top in ’knitted material‘ (no compressive fibres in the knitted fabric)

Expandable front panel provides gentle care required during pregnancy.


Can be added to help accommodate unusual shapes.

Porous series – ‘half’ compression

Advantage

Reduced compression where garments are desigend to overlap.

Ensures correct pressure gradient at the overlapping junction with multi-part garments.


Tips

Additional attachments for the thigh may be necessary due to large circumferences, lax connective tissue, deep skin and joint folds as well as conical and cylindrical limbs.

Tips

For AD stockings the incorporation of a zip on the inside of the leg is recommended – this zip fastener is similar to the zip on a boot. For AF-AG garments no zip should be sewn on the inside of the thigh. Zips on a pant section can be positioned either on the lateral seams or centrally on abdomen.

Tips

Please specify the length of the porous rows.


Please specify the type of top band.


Please specify the length of zip and its position (inclusion of a diagram or picture can be useful here).


Tick box under ‘Gusset’

Tips

During pregnancy, the circumference measurements of the legs show almost no changes if appropriate and optimum treatment is continued. In the abdominal area, however, sizes often change very rapidly. The gentle compression from the soft front panel is designed to accommodate this.


Mark the variantATU with a cross.

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Flat knit Upper limbs


Styles

AC1 glove

• Hand section without fingers with thumb opening

• Hand section without fingers with thumb piece

• Hand section with short fingers and thumb piece

• Hand section with long fingers and thumb piece

• Hand section with closed fingers

Available stylesFrom glove to armsleeve

You can choose between the following hand section variants – both for the individual and for the two-piece garment.

AD glove AE glove AF armsleeve AG armsleeve CG armsleeve

Attachment options

Topband At C or F

Shoulder strap Bra attachment

One-piece (AG / AF)Arm with hand knitted on

Two-piece (CG + AC1)Arm with separate hand piece

Attention!

medi produces all flat knit armsleeve variants with a standard flat oblique at the proximal end.

The AC1 glove is an exception to this. This is made with a 2 cm ‘porous’ border as standard.

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‘Flat oblique’ anatomically correct border at ‘G1’ Standard in all mediven flat knit garments.

Optimum anatomical fit, appropriate forroutine presentations.

‘Steep oblique’ anatomically correct border at ‘G1’

Outside of arm knitted x cm longer.

Optimum anatomical fit, ideal for largercircumferences.

Ellipse at ‘E’ Advantage

Knitting marks in elbow area

medi produces all arm garments with the standard angle of 160º at E.

To reduce excessive pressure on the elbow flexure and prevent wrinkles on movement.

Porous rows – ‘half’ compression

Advantage

Reduced compression to allow for two part garment overlap.

• 2 cm standard border in CG sleeves and AC hand parts.

Ease of handling of compression garment without the risk of congestion, correct pressure gradient for multi-part garments, optimum transition from compressed to uncompressed areas.

Upper limbs Arm accessories



‘Flat oblique’ anatomically correct border at ‘G1’ Standard in all mediven flat knit garments.

Optimum anatomical fit, appropriate forroutine presentations.

‘Steep oblique’ anatomically correct border at ‘G1’

Outside of arm knitted x cm longer.

Optimum anatomical fit, ideal for largercircumferences.

Ellipse at ‘E’ Advantage

Knitting marks in elbow area

medi produces all arm garments with the standard angle of 160º at E.

To reduce excessive pressure on the elbow flexure and prevent wrinkles on movement.

Porous rows – ‘half’ compression

Advantage

Reduced compression to allow for two part garment overlap.

• 2 cm standard border in CG sleeves and AC hand parts.

Ease of handling of compression garment without the risk of congestion, correct pressure gradient for multi-part garments, optimum transition from compressed to uncompressed areas.

Tips

medi always produces flat knit products with an oblique border at the proximal end.

The standard is ‘flat oblique’ = approx. 5% of the circumference.A ‘steep oblique’ = approx. 10% of the circumference can be selected as an option.


Mark the ‘steep oblique’ field with a cross.

Tips

If you order a CG sleeve + AC1 hand part together on one measurement sheet, the overlap zone of the glove will automatically be made porous from C – C1. With individual or follow-up orders, you must give the desired ‘porous’ cm separately.


Please state ‘x cm porous’

Tips

In most cases, the standard 160° bend is adequate.

For patients with, for example, paralysis who constantly hold their arm close to the body in a flexed position, the sleeve may be ordered with an angle of 135°.


Tick the box if 135 is required


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Incorporation of medi lymphpads



Reduction of wrinkles


Lining with soft smoothmaterial (texture similar tothat of microfibre)


Top bands Advantage

Most common method of securing sleeves



Additional security of fit in the area of the oblique border

Optimum security of fit.




Incorporation of medi lymphpads



Reduction of wrinkles


Lining with soft smoothmaterial (texture similar tothat of microfibre)


Top bands Advantage

Most common method of securing sleeves



Additional security of fit in the area of the oblique border

Optimum security of fit.

Tips

If local additional pressure is needed or if support is required to loosen fibrosis, we recommend the mediven 550 models. Lymph pads can be added at time of manufacturing or retrospectively.


Please mark the appropriate selection. Show desired position/area with length and width.

Tips

Please always give us the exact size and positioning of the lining material.

Lining material can also be sewn in later.


Please mark the appropriate selection. Show desired position/area with length and width.

Tips

For each model and each top band type medi uses the appropriate circumference conversion, i.e. the ’table measurements‘ for the top band are based on years of experience and numerous tests. If, in exceptional cases, it is necessary to fit a tighter or looser top band than usual, please show the appropriate circumference in cm after the variant.


Mark the required variant with a cross.

Tips

This additional top band can be incorporated as the only support or in addition to a topband. It can be incorporated at the time of manufacturing or retrospectively. For clients who cannot have the top band at ‘G1’, (particularly on the inside of the upper arm), this is the ideal support.




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Attachments / support devices

Advantage

Available Styles:• Shoulder cap with bra

attachment• Shoulder cap with shoulder

strap

Additional variants:• Standard• Anatomical

Optional methods of securing the armsleeve.


May aid application and removal.

Oblique border hand part Advantage

Anatomically correct border for long hand part (AD and AE)

Standard for all mediven flat knit models. The hand part is knitted longer at the proximal seam edge.

Optimum anatomical fit.


Standard Shoulder Cap Anatomically Shaped Shoulder Pad


Attachments / support devices

Advantage

Available Styles:• Shoulder cap with bra

attachment• Shoulder cap with shoulder

strap

Additional variants:• Standard• Anatomical

Optional methods of securing the armsleeve.


May aid application and removal.

Oblique border hand part Advantage

Anatomically correct border for long hand part (AD and AE)

Standard for all mediven flat knit models. The hand part is knitted longer at the proximal seam edge.

Optimum anatomical fit.



Tips

Beneficial to aid garment application where the distal limb has a greater volume / circumference than the proximal aspect. The incorporation of a short zip on the outside of the arm is recommended. A zip can be incorporated into the seam at any point.


Please specify the length and position required under ‘special requests’.


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32 • made to measure • Features and benefits of m2m round knit and flat knit

Features and benefits – m2m round knit garments

Leg – round knit

mediven elegance mediven plus mediven forte

The sheer and elegant stocking in a wide range of colours.

The comprehensive solution for your round knit patients.

Robust hosiery.

Gentle on the skin, flattering fit Reliable, accurate and comfortable compression

Maximum compression stability

Compression class: CCL 1, 2

Compression class: CCL 1, 2, 3

Compression class: CCL 2, 3

Available in standard colours: Available in standard colours: Available in standard colours:

Beige

Caramel

Black

White

Sand

Siena

Navy

Diamond

Anthracite

medi Magenta

Montana

Caramel

Black

Beige Caramel

Black

Note

m2m toe caps and hand/arm garments not available in round knit

Trend colours are available see the range at www.mediuk.co.uk

Features and benefits of m2m round knit and flat knit • made to measure • 33

Features and benefits – m2m flat knit garments

Lower limb – flat knit

mediven 550 mediven mondi mediven sensoo

Provides the highest level of static stiffness for optimal control of complex lymphoedema.

Softer than our 550 range, whilst maintaining the benefits of high static stiffness.

Our softest flat knit fabric, for mild to moderate lymphoedema.

Compression class: 1, 2, 3, 4Compression class toe cap: 1, 2, 3

Compression class: 1, 2, 3Compression class toe cap: 1, 2

Compression class: 2

Available with special design elements

Diamonds Pearls

Stripes

Available in standard and trend colours:


Available in standard colours:

Navy

Anthracite

Aqua

medi Magenta

Brown

Caramel

Black

Sand

Navy

Anthracite

Aqua

medi Magenta

Brown

Caramel

Black

Sand

Caramel

Black

Sand

Important

Design element /trend colours take longer to make

Hand / arm – flat knit

mediven 550 mediven esprit

Provides the highest level of static stiffness for optimal control of complex lymphoedema.

Softer than our 550 range, whilst maintaining the benefits of high static stiffness.

Compression class: 1, 2, 3 Compression class: 1, 2, 3



Live Laugh Love Timeless

Sportive

Live Laugh Love Timeless

Sportive



Navy

Anthracite

Aqua

medi Magenta

Brown

Caramel

Black

Sand

Navy

Anthracite

Aqua

medi Magenta

Brown

Caramel

Black

Sand

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34 • made to measure • Measuring and ordering

Measuring leg garments

Measuring and ordering • made to measure • 35

V1V2

V1= oblique borderV2= straight border

Correct fitting of compression stockingsIn order to make an m2m garment we need to know the circumference measured at various points on the limb and exactly where they were measured (the length from a known point). Circumference and length measurements are taken in a distal to proximal direction. The measuring points on the leg must be marked so that the circumference and length measurements are taken at the same location. Our measurement forms are designed to make this process as simple as possible. Other details that we require as a minimum are the compression class and colour.

1. Foot circumference

a) Leg is resting relaxed on a horizontal supportb) During this measurement, the foot is relaxed, not held in a 90° positionc) Measure circumference according to model being fitted

2. Foot length

Open toe oblique border

a) Measure lengths on the inside and outside of weight-bearing foot

3. Foot length

Closed toe oblique border

a) Measure lengths on inside, outside and entire weight-bearing foot

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4. Foot length

Open toe straight border

a) Measure length on outside of weight-bearing foot

5. Foot length

Closed toe straight border

a) Measure length of entire, weight-bearing footb) Generally, this design is made to allow a 6 cm long toe area

6. Leg circumference

a) Leg is lying in a relaxed position on a horizontal supportb) Mark measuring pointsc) For circumference measurement cY, flex foot in dorsal direction to maximum extentd) Measure the remaining circumferences up to cF with the leg in a relaxed positione) For circumference measurement cE, bend knee slightly

7. Leg length

a) Measure leg ength along the inner side of the leg with patient standing up following the contours of the limb

cF cGcEcDcC

cA

cB cB1cY

foot at 90°knee slightly bent

2 cm

lBlB

1lC

l

D

lE

lF


8. Border on thigh

a) Measure circumference cG at the top of the thigh/below crotch b) Measure length lG along the inner side of the leg with patient standing upc) Measure lK2 from ground to gluteal fold along body with patient standing up = posterior leg lengthd) Measure lK1 from ground to pubis symphysis along body with patient standing up = anterior leg length (Difference between lK1 and lK2 = high front/low back)

9. Waist/hip circumference length

a) Measure circumference cK up at the widest section around both thighs below the gluteal fold with patient standing b) Measure circumference cH at the widest section of the hips with patient standing upc) Measure circumference cT at the waist or the desired waist border with patient standing upd) Measure length lH along body up to desired height = outer leg length to the waist following the contours

10. Waist/hip lengths

a) Measure anterior pelvic height lK1T along body from pubis to waist or desired height following contoursb) Measure posterior pelvic height lK2T along body from gluteal fold to waist or desired height following contours

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Hilfsmittelnummer alt 05.04.02.2048 neu 23.04.03.2008

Measuring toe caps Flat knit


Tips for measuring for flat knit toe capsAvailable as a one piece garment or as a seamless addition to a garment (see opposite).

cA

cA1

1234

5

cZ

cX

Länge innen

Länge außen

lZ

lX

lXZ lXZ lXZ lXZ lXZ

1234

5

1. Foot circumference

a) Leg is placed flat on a support b) Mark the measuring pointsc) Measure circumference

2. Foot length

a) Measure the length on the inside and outside of the footb) Measuring the distance from mark to mark

3. Toe circumference

a) Mark and measure circumference cX at web areab) For open toe toe caps mark and measure cZ (where you wish the garment to finish). For closed toe toe caps measure the circumference around the end of the toe at the widest point as shown on the left. Measure the circumference cZ

4. Toe lengths

a) Measure length from web to the end of the toe for closed toe pieces, or to Z for open toe

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Measuring hand and arm garments Flat knit


1. Finger circumference

a) Hand is resting lightly on a surface with the palm down

b) Mark and measure circumference cX at the web between fingersc) Mark and measure cZ the point where you would

like the garment to finish (usually nail bed).

2. Finger length

a) Hand is resting lightly on a surface with the palm down

b) Length is measured from the web to the mark at Z

3. Hand circumference

a) Hand should be pressed lightly on surface with the palm down

b) Mark the measuring points on the inside of the hand

c) Measure circumference

4. Hand length

a) Hand is resting lightly on a surface with the palm of the hand facing up

b) Length is measured from mark to mark

Tips for measuring hand / arm garmentsMeasuring points for hand garments should be marked prior to measuring.

lAB

lAC

lAC1

cA cB cC cC1

cZ cX90°

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Gl l l l l lC D E FC1

5. Arm circumference

a) Lightly rest hand and forearm on a surface b) Mark measuring points for length measurement c) Measure circumference as shown in drawing 6. Arm length

a) Lightly rest hand and forearm on a surface. b) All lengths are measured from C following the

contour of the arm

Tips for measuring hand / arm garments

Gc c c c c cC D E FC1


7. Upper arm circumference

a) For the shoulder cap, measure from point G to H, where H is where the bra strap sits. Do not measure past the bra strap.

8. Attachments

a) Shoulder strap The length of the shoulder strap is measured according to method 1 or 2 (full circumference)

b) Anatomical shoulder caps are measured from the anterior to the posterior axillary fold (G1)

H

G

lG-H

V1G1

V2

lHb)a)

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The m2m flat knit and round knit range is now summarised for you in tables showing which fabric, compression class and optional extras are available for each product type.

To provide a user-friendly order, the code numbers follow a logical system:

F 3 4

fabric product style

compression class (1,2,3)

Code list Optional Extras

Add silicone - lace / sensitive topband

Waist attachment M2M

CCL 1 CCL 2 CCL 3 SIL WAT

Below knee

mediven forte F24 F34 ●

mediven plus 4A4 4B4 4C4 ●

mediven elegance O14 O24 ●

Thigh length

mediven forte F26 F36 ● ●

mediven plus 4A6 4B6 4C6 ● ●

mediven elegance O16 O26 ●

Pantyhose/Cycling shorts/Capri shorts/Leggings

mediven forte F31 F41

mediven plus 4A1 4B1 4C1

mediven elegance (Cyc. shorts, Leggings excluded)

O11 O21

One legged panty

mediven forte F22 F32

mediven plus 4AE 4BE 4CE

m2m round knit hosiery


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Add

silic

one

- to

pban

d / p

atch

/ o

ver r

ear s

eam

Wai

st

atta

chm

ent

Slan

ted

foot

Zip

- lon

g / s

hort

Pock

et

Padd

ing

Leva

med

pad

s

Lini

ng

Knit

ting

mar

ks

- Y /

E

Gus

set -

co

mpr

essi

ve /

open

cro

tch

Bord

er -

stee

p /

stra

ight

CCL 1 CCL 2 CCL 3 CCL 4 SIL WAT SFT ZIP PKT PAD LEV LNG KNT GUS BDR

Below knee

mediven 550 B14 B24 B34 B44 ● ● ● ● ● ● ● ● ●

mediven mondi C14 C24 C34 ● ● ● ● ● ● ● ● ●

mediven sensoo S24 ●

Mid thigh length

mediven 550 B15 B25 B35 B45 ● ● ● ● ● ● ● ● ●


Full thigh length

mediven 550 B16 B26 B36 B46 ● ● ● ● ● ● ● ● ● ●

mediven mondi C16 C26 C36 ● ● ● ● ● ● ● ● ● ●


Pantyhose

mediven 550 B11 B21 B31 B41 ● ● ● ● ● ● ● ● ● ●


mediven sensoo S21 ● ●

One legged panty, right

mediven 550 B13 B23 B33 B43 ● ● ● ● ● ● ● ● ● ●


One legged panty, left

mediven 550 B12 B22 B32 B42 ● ● ● ● ● ● ● ● ●


Leggings

mediven 550 B1L B2L B3L B4L ● ● ● ● ● ● ●

mediven mondi C1L C2L C3L ● ● ● ● ● ● ●

Capri shorts

mediven 550 B1C B2C B3C B4C ● ● ● ● ● ● ●

mediven mondi C1C C2C C3C ● ● ● ● ● ● ●

Cycling shorts

mediven 550 B1M B2M B3M B4M ● ● ● ● ● ● ●

mediven mondi C1M C2M C3M ● ● ● ● ● ● ●

Toe caps

mediven 550 B10 B20 B30 ● ●

mediven mondi C10 C20 ● ●

m2m flat knit hosiery



Add

silic

one

- to

pban

d / p

atch

/ o

ver r

ear s

eam

Wai

st

atta

chm

ent

Slan

ted

foot

Zip

- lon

g / s

hort

Pock

et

Padd

ing

Leva

med

pad

s

Lini

ng

Knit

ting

mar

ks

- Y /

E

Gus

set -

co

mpr

essi

ve /

open

cro

tch

Bord

er -

stee

p /

stra

ight

CCL 1 CCL 2 CCL 3 CCL 4 SIL WAT SFT ZIP PKT PAD LEV LNG KNT GUS BDR

Below knee

mediven 550 B14 B24 B34 B44 ● ● ● ● ● ● ● ● ●



Mid thigh length

mediven 550 B15 B25 B35 B45 ● ● ● ● ● ● ● ● ●


Full thigh length

mediven 550 B16 B26 B36 B46 ● ● ● ● ● ● ● ● ● ●



Pantyhose

mediven 550 B11 B21 B31 B41 ● ● ● ● ● ● ● ● ● ●


mediven sensoo S21 ● ●

One legged panty, right

mediven 550 B13 B23 B33 B43 ● ● ● ● ● ● ● ● ● ●


One legged panty, left

mediven 550 B12 B22 B32 B42 ● ● ● ● ● ● ● ● ●


Leggings

mediven 550 B1L B2L B3L B4L ● ● ● ● ● ● ●

mediven mondi C1L C2L C3L ● ● ● ● ● ● ●

Capri shorts

mediven 550 B1C B2C B3C B4C ● ● ● ● ● ● ●

mediven mondi C1C C2C C3C ● ● ● ● ● ● ●

Cycling shorts

mediven 550 B1M B2M B3M B4M ● ● ● ● ● ● ●

mediven mondi C1M C2M C3M ● ● ● ● ● ● ●

Toe caps

mediven 550 B10 B20 B30 ● ●

mediven mondi C10 C20 ● ●

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cbusek

Comment on Text

Please delete this dot.


m2m flat knit arm garmentsCode list Optional Extras

Add

silic

one

- to

pban

d / p

atch

Atta

chm

ent -

bra

/ sh

ould

er

Zip

Pock

et

Padd

ing

Linn

ing

Knit

ting

- E

Add

finge

rs (o

pen

ende

d / c

lose

d)

Handpiece without fingers, with thumb opening from A-AC1

CCL 1 CCL 2 CCL 3 SIL AAT ZIP PKT PAD LNG KNT DIG

mediven esprit J12 J22 J32 ● ● ● ● ●

mediven 550 A12 A22 A32 ● ● ● ● ●

Handpiece without fingers, with thumb opening from A-D

mediven esprit J11 J21 J31 ● ● ● ● ●

mediven 550 A11 A21 A31 ● ● ● ● ●

Armsleeve, A to E

mediven esprit J13 J23 J33 ● ● ● ● ● ●

mediven 550 A13 A23 A33 ● ● ● ● ● ●

Armsleeve, A to F

mediven esprit J14 J24 J34 ● ● ● ● ● ● ●

mediven 550 A14 A24 A34 ● ● ● ● ● ● ●

Armsleeve, A to G

mediven esprit J15 J25 J35 ● ● ● ● ● ● ● ●

mediven 550 A15 A25 A35 ● ● ● ● ● ● ● ●

Armsleeve, C to D

mediven esprit J1D J2D J3D ● ● ● ● ●

mediven 550 A1D A2D A3D ● ● ● ● ●

Armsleeve, C to E

mediven esprit J1E J2E J3E ● ● ● ● ●

mediven 550 A1E A2E A3E ● ● ● ● ●

Armsleeve, C to F

mediven esprit J1F J2F J3F ● ● ● ● ● ●

mediven 550 A1F A2F A3F ● ● ● ● ● ●

Armsleeve, C to G

mediven esprit J1G J2G J3G ● ● ● ● ● ● ●

mediven 550 A1G A2G A3G ● ● ● ● ● ● ●


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medi UK Ltd.Plough LaneHereford HR4 OELGreat BritainTel. 01432 373500Fax 01432 [email protected]

Styles below knee (AD) pantyhose (AT) thigh length (AG) one-legged panty (ATE)

G – F / E cm short leg section

not available in mediven elegance

capri shorts leggings men s̓ panty (standard flies) maternity panty

Quality CCL

mediven plus 1, 2, 3 mediven elegance 1 & 2 mediven forte 2, 3

Compression CCL 1 CCL 2 CCL 3

panty section

left leg

right leg

Quantity

pieces

Topband waist rubberband waistband

Gussettricot is standard

netting compressive

wide cm

Attachmentsilicone topband on mediven forte only available in 5 cms width

waist attachment not available in mediven elegance

silicone topband narrow (2.5 cm) broad (5 cm)

sensitive silicone topband (2.5 cm) broad (5 cm)

lace topband (5 cm)

medi. I feel better.medi is not responsible for incorrect measurements. medi assumes no liability as a result of any contraindicated use of this product.

Made to measure order form Round knit . Fax 01432 373510

med

iven

® com

pres

sion

gar

men

ts le

g ro

und-

knit

ted

Special requests

Measure all lengths along body

Foot length to heel

Closed toe

lZ cm (total size)

Open toe

lA cm (straight foot)

lef t patients leg / cm right patients leg / cm

Length Circumference Circumference Length

l T cT cT l T

l H cH cH l H

cK cK

l G cG cG l G

l F cF cF l F

l E cE cE l E

l D cD cD l D

l C cC cC l C

l B1 cB1 cB1 l B1

l B cB cB l B

cY cY

cA cA

lZ

lAFoot lengths

Left

leg

Righ

t leg

lZ

lA

Waist

Hips

From:

Order Ref No:

Patients Name: Stamp / Signature

Measured by: Contact Tel. No.: Date: e-mail:

Colours mediven plus Beige Black Caramel

mediven elegance Beige Black Caramel Sand Siena White Navy Diamant Montana Trend colour:

mediven forte Beige Black

cT

cHcKcG

cF

cE

cDcC

cB11

cB

Left

leg

Righ

t leg

cYc A

l T

l Hl Kl G

l F

l E

l Dl C

l B

l B

lK1T lK

lCreaseof knee

left right

2T

lK2

lK1

cT

cHcKcG

cF

cE

cDcC

cB1 1

cBcYc A

l T

l Hl Kl G

lF

l E

l Dl C

l B

l B

K

T T

K2

Measure from groin to floor

Measure from gluteal fold to floor


Special requests

Quality mediven esprit mediven 550

Compression CCL 1 2 3

Hand section Arm sleeve

Colour caramel sand black aqua brown navy anthracite medi magenta

Quantitypieces

Other accessories 10 x 5 cm topband piece in upper arm, oblique cm porous in hand section (proximal – standard 2 cm)

cm porous in arm sleeve (distal – standard 2 cm)

Lymphpad Padded pocket Open pocket Lining Zips

(please specify length, width, position – diagram required)

Design elements: ¨ Live Laugh Love ¨ Timeless ¨ Sportive Attachment

Silicone topband narrow (2,5 cm) wide (5 cm)

anatomical shoulder cap with shoulder strap K

strap width 2.5 cm 5 cm with bra attachment

width of bra strap cm

Knitting marks elbow area160 ° (standard)

135°

Options left fingers open without fingers

right fingers closed

Styles Standard border Variable BorderHandsection (proximal)

AC1 straight (porous - 2 cm) slight oblique steep oblique

AD/AE slight oblique steep oblique straight

Armsleeve

CD/CE/CF/CG slight oblique steep oblique straight

AC/AG combined slight oblique steep oblique straight

Made to measure order form Flat knit . Fax 01432 373510

Hand sectionCircumferencesArmsleeve

Circumferences

Shoulderstrap

K

H

l GH

G 1AcG

cF

cE

cD

cC1

cC

cc

Z

c

c

c

c

c

c

cc

cc

X

ZX

ZX

B

C

C1

D

E

Length

Length

AE

AD

AC1

AC

l G

l F

lE

lD

lC1

l

l

l

l

l

AB

Hand sectionCircumferencesArmsleeve

Circumferences

Shoulderstrap

K

H

l GH

G 1AcG

cF

cE

cD

cC1

cC

cc

Z

c

c

c

c

c

c

cc

cc

X

ZX

ZX

B

C

C1

D

E

Length

Length

AE

AD

AC1

AC

l G

l F

lE

lD

lC1

l

l

l

l

l

AB


From:

Order Ref No:

Patients Name: Stamp/Signature


All measurements must follow contours of body.

Mea

suri

ng a

nd o

rder

ing

Feat

ures

and

ben

efits

of m

2m

roun

d kn

it a

nd fl

at k

nit

Styl

es

Choi

ce o

f fab

ric

Choi

ce o

f com

pres

sion

cla

ssO

verv

iew

of t

ailo

r mad

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mpr

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on h

osie

ry

Made to measure order form Flat knit . Fax 01432 373510


Special requests

Styles below knee (AD) thigh-length (AG) pantyhose (AT) men s̓ panty (ATH) maternity panty (ATU) one-legged panty-, (ATE) mens one legged panty

Short leg lG - F/E length cm

cycling shorts capri shorts leggings toe cap sewn on seamless integrated toe cap individual toe cap

Quality CCL

mediven mondi 1, 2, 3

mediven 550 1, 2, 3, 4

Compression CCL 1 2 3 4

Panty section left leg right leg

Colour * extended delivery period

Caramel Black Sand Navy* Brown* Anthracite* Aqua* medi Magenta*

Quantity

pieces

BorderSlight oblique is standard.Or options:

steep oblique straight border

Accessories Y knitting mark (90° heel) elliptical form at knee porous cm

WaistWaistband is standard. Or options:

knitted border

Other accessories cm topband section

along oblique (standard 15 cm)

cm topband section above knee (standard 8 cm)

cm topband section at rear over seam (standard 8 cm)

Silver only mediven mondi

“Y” to C left “Y” to D right “Y” to G

Design elements mediven 550 Diamonts Stripes Pearls

straight foot slanted foot

closed toe

open toe

soft toe

lZ cm (total)

lAi cm (inner)

lA cm (outer)

only mediven 550

GussetTricot is standard. Or options:

netting compressive

Levamed padsleft inner: P1 cm, P2 cm

right inner: P1 cm, P2 cm

left outer: P1 cm, P2 cm

right outer: P1 cm, P2 cm

med

iven

® com

pres

sion

gar

men

ts le

g fla

t-kn

itte

d

Add Silk Open pocket lining Padded pocket Lymphpad

size width cm length cm

Position Diagram(please specify length, width, position – diagram required)

Zips length cm


P1P2

cT

cHcKcG

cF

cE

cDcC

cB11

cB

Left

leg

Righ

t leg

cYc A

l T

l Hl Kl G

l F

l E

l Dl C

l B

l B

lK1T lK

lCreaseof knee

left right

2T

lK2

lK1

cT

cHcKcG

cF

cE

cDcC

cB1 1

cBcYc A

l T

l Hl Kl G

lF

l E

l Dl C

l B

l B

K

T T

K2

cT

cHcKcG

cF

cE

cDcC

cB11

cB

Left

leg

Righ

t leg

cYc A

l T

l Hl Kl G

l F

l E

l Dl C

l B

l B

lK1T lK

lCreaseof knee

left right

2T

lK2

lK1

cT

cHcKcG

cF

cE

cDcC

cB1 1

cBcYc A

l T

l Hl Kl G

lF

l E

l Dl C

l B

l B

K

T T

K2

Length left

Circumferences left

Circumferences right

Length right

Waist

From:

Order Ref No:



Please complete part A and B, as appropriate for length of garment. Length to crease of knee is required for all garments. All measurements must follow contours of body.

Hips

medi. I feel better.

medi is not responsible for incorrect measurements. medi assumes no liability as a result of any contraindicated use of this product.

AB

Attachment profile topband (5 cm) silicone topband

narrow (2.5 cm) wide (5 cm) below knee only

sensitive topband - wide (5 cm) waist attachment

left right

Measure from gluteal fold to floor

Measure from groin to floor


Design elements mediven 550

Pearls Stripes Diamonts

Special requests Special requests

Quantity leftpieces

Quantity rightpieces

Other accessories / right foot without small toe open toes closed toes toe cap sewn on to stocking separate toe cap toe cap seamless knitted to the stocking

Other accessories / right foot without small toe open toes closed toes toe cap sewn on to stocking separate toe cap toe cap seamless knitted to the stocking

Add silk Open pocket lining Padded pocket Lymphpad size width cm

lenght cm


Add silk Open pocket lining Padded pocket Lymphpad size width cm

lenght cm


Made to measure order form Toe Caps . Flat knit . Fax 01432 373510

med

iven

® toec

aps

flat k

nitt

ed w

ith

seam

model toe cap CCL 1 2 3

mediven mondi mediven 550

Colour * extended delivery period

caramel sand black navy* brown* anthracite* aqua* medi Magenta*

cX

cZ

cX

cZ

cX

cZ

cX

cZ

cX

cZ

lXZ lXZlXZlXZlXZ

cA

lAA1outside inside

lAA1

cA1

Circumferences and lengths left

cX

cZcX

cZ

cX

cZ

cX

cZ

cX

cZ

lXZlXZlXZlXZlXZ

lAA1inside outside

lAA1

Circumferences and lengths right

cA

cA1


From:

Order Ref No:



Mea

suri

ng a

nd o

rder

ing

Feat

ures

and

ben

efits

of m

2m

roun

d kn

it a

nd fl

at k

nit

Styl

es

Choi

ce o

f fab

ric

Choi

ce o

f com

pres

sion

cla

ssO

verv

iew

of t

ailo

r mad

e co

mpr

essi

on h

osie

ry

mediven® sensoo ccl 2 . Fax 01432 373510

Special requestsPlease use a separate sheet if required. Diagrams or photos will help if you have specific requests.

Styles below knee (AD) thigh-length (AG) Female tights (AT) Male tights (ATH)

Colour caramel black sand

Quantitypieces

BorderSlight oblique is standard Or option:

straight border

Foot Closed toe Open toe

lZ cm (total)

lAi cm (inner)

lA cm (outer)Attachment

profile topband (5 cm) silicone topband

narrow (2.5 cm) wide (5 cm) sensitive topband (5 cm)

med

iven

® com

pres

sion

gar

men

ts le

g fla

t-kn

itte

d

ZipsPlease include location diagram

In panty, central as open fly In panty, left or right hip

cT

cHcKcG

cF

cE

cDcC

cB11

cB

Left leg Right leg

cYc A

l T

l Hl Kl G

l F

l E

l Dl C

l B

l B

lK1T lK

lCreaseof knee

left

Measurementfrom heel to

crease of kneeis essential for

correct fit ofgarment.

right

2T

lK2

lK1

cT

cHcKcG

cF

cE

cDcC

cB1 1

cBcYc A

l T

l Hl Kl G

lF

l E

l Dl C

l B

l B

K

T T

K2cT

cHcKcG

cF

cE

cDcC

cB11

cB

Left leg Right leg

cYc A

l T

l Hl Kl G

l F

l E

l Dl C

l B

l B

lK1T lK

lCreaseof knee

left

Measurementfrom heel to

crease of kneeis essential for

correct fit ofgarment.

right

2T

lK2

lK1

cT

cHcKcG

cF

cE

cDcC

cB1 1

cBcYc A

l T

l Hl Kl G

lF

l E

l Dl C

l B

l B

K

T T

K2

Length left

Circumferences left

Circumferences right

Length right

Waist

From:

Order Ref No:



Measure all lengths along contours of body

Hips




Mea

suri

ng a

nd o

rder

ing

Feat

ures

and

ben

efits

of m

2m

roun

d kn

it a

nd fl

at k

nit

Styl

es

Choi

ce o

f fab

ric

Choi

ce o

f com

pres

sion

cla

ssO

verv

iew

of t

ailo

r mad

e co

mpr

essi

on h

osie

ry

300

46 /

05.2

013

Headquarters medi GmbH & Co. KG Medicusstraße 1 95448 BayreuthGermanyT +49 921 912-0F +49 921 912 [email protected]/en

medi UK LtdPlough Lane, Hereford HR4 0ELT 01432 373500F 01432 [email protected]

made to measure (m2m) made easy - medi UK Ltd...compression classes medi m2m garments comply with...

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Transcript of made to measure (m2m) made easy - medi UK Ltd...compression classes medi m2m garments comply with...