Formula™ Ultra Pylon
Formula™ Ultra Pylon
Product number:
178-110-A
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| Part # | Description |
|---|
Product information
The Formula™ Ultra posterior mount (PM) foot provides flexibility and power, creating a dynamic foot that fits a wide breadth of patients.
- Pylon only
- Long carbon composite pylon
- Maximum multiaxial function
- Rocker toe supports easy and smooth roll-over
- Fully customizable
- PDAC Approved
Specifications
- Foot Type: Flex Foot System
- Material Composition: Carbon Fiber
- Amputation Level: Transtibial, Transfemoral
- Activity Level: K3, K4
- Foot Shell: Not Included
- Foot Shell Color: Beige, Tan, Brown, Black
- Sandal Toe: No
- Waterproof: Yes
- Split Keel: Yes
- Adjustable Heel: No
- Weight Rating: 330lbs (150kg)
- Stiffness Categories: 2A-F
- Sizes (cm): 22-31
- Product Weight (g): 675
- Build Height: 3 in (76mm)
- Heel Height: 3/8in (10mm)
- Connector: Posterior Mount
- Trial Period: N/A
- Warranty: 24 months from fit date
Foot plate and pylon sold seprately.
Ordering Information:
- Order pylon based on patient weight
- Order heel spring based on desired stiffness
- Transfemoral or patients 6'2" (188 cm) or taller should move up one weight class for the pylon and heel spring standard
All items shipped ground, 2nd Day Air, and 3rd Day Air direct from the manufacturer will be a flat rate of $10 per shipment. All items shipped Next Day Air Saver will be $40 and $55.00 for Next Day Air.
| HCPCS: | L5980 |
|---|---|
| User: | Adult |
| Amputation Level: | Transfemoral (TF/AK), Transtibial (TT/BK) |
| Activity Level: | K3 (High), K4 (Very High) |
| Foot Type: | Flex-Foot |
| Build Height: | 77-101 mm (3-3.9 in) |
| Foot Shell Included: | No |
| Key Features: | Exclusive Distributor, High Weight Limit |
| Weight Limit: | 100 kg (220 lbs), 125 kg (275 lbs), 136 kg (300 lbs), 150 kg (330 lbs) |
| Material: | Carbon Composite |
