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Enviando 2009 2010 Acor OrthoticsCatalog E
Enviando 2009 2010 Acor OrthoticsCatalog E
ORTHOTICS
Catalog
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Member of AOPA
Member of PFA
LITR-00061
Ta b l e o f C o n t e n t s
Table of Contents
(page)
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47 .
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H i g h l i g h t s
page
18
12
ACOR Accessories
page
page
32
41
Acor's Order Forms relevant to the products in this catalog may be found here.
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X - S t a t i c
While looking through the Acor catalog, you will notice that many
of our designs contain a material known as X-Static. It is a pure
silver fiber woven directly into our shoes, insoles and fabricating
materials and it offers the following superior benefits not found in
any other products in the medical footwear industry:
Kills Bacteria & Fungi
Our feet and shoes harbor millions of organisms and
bacteria which can be harmful to us. On average, our
feet sweat a cup of moisture
per day. The heat and
moisture that build up
in our shoes create a
breeding ground for
these bacteria and fungi
to grow. This is why
people experience such
maladies as Athletes Foot (tinea
pedis). The anti-microbial performance of
X- Static has been proven to have the following
distinct advantages:
X-Static
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Euro
Size
Euro
Size
U.S.
Men
U.S.
Med. Wide X-Wide
Women Width Width Width
U.S.
Men
U.S.
Med. Wide X-Wide
Women Width Width Width
O
31/2
51/2
37
38
37.5
31/2
51/2
Letter
38.5
41/2
61/2
38
39
38.5
41/2
61/2
39.5
51/2
71/2
39
40
39.5
51/2
71/2
40.5
61/2
81/2
40
41
40.5
61/2
81/2
A
B
C
D
E
F
41.5
71/2
91/2
41
42
10
41.5
71/2
91/2
42.5
81/2
101/2
42
10
43
11
42.5
81/2
101/2
43.5
91/2
111/2
43
11
12
44
10
43.5
91/2
111/2
44.5
101/2
44
10
12
45
11
44.5
101/2
45.5
111/2
45
11
46
12
45.5
111/2
47
13
46
12
48
14
47
13
14
Shoe Size
48
Shoe Size
Euro Sizing
5-6
37-38
5-6
7-8
39-40
7-8
9-10
41-42
9-10
11-12
43-44
11-12
13-14
45-46
13-14
15-16
47-48
ACOR M.Or.F.S.
Letter
1
2
3
4
5
6
Euro Sizing
5-6
37-38
5-6
7-8
39-40
7-8
9-10
41-42
9-10
11-12
43-44
11-12
13-14
45-46
13-14
15-16
47-48
Cushion Rankings
1. Rigid: Very Little Cushioning
2. Light Cushioning
3. Moderate Cushioning
4. Additional Cushioning
Support Rankings
1. Ultra-Conforming: No Support
2. Light Support
3. Moderate Support
4. Firm Support
5. Maximum Cushioning
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Lifestyle Or thotics
LIFESTYLE ORTHOTICS
Ta i l o re d for Your
B u s i n ess
____________
____________
____________
____________
____________
____________
____________
3 Activity Levels:
Athletic
Walking
Therapeutic
3 Styles:
Traditional
X-Static (Silver Lined)
M.Or.F.S.
(versatile modular system)
YOU CHOOSE:
activity level(s)
The
for your business
best style(s)
The
for your clients
YOU GET:
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Lifestyle Or thotics
MORF-0101
BEST
MADE WITH
RTINS-T1001
GOOD
RTINS-T1002
BETTER
1
2
3
Tri-layer construction provides:
1 - cushioning (P-Cell)
2 - shock absorption (PORON Medical Urethane)
3 - support (35 dur Microcel Puff)
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Lifestyle Or thotics
MADE WITH
MADE WITH
MORF-0102
RTINS-W1001
GOOD
RTINS-W1002
BETTER
1
2
3
Tri-layer construction provides:
1 - cushioning (Storm Microcel Puff)
2 - shock absorption (PORON Medical Urethane)
3 - support (55 dur Firm Microcel Puff)
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BEST
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Lifestyle Or thotics
MADE WITH
MORF-0103
RTINS-A1001
GOOD
1
RTINS-A1002
*RTINS-A1002H
*X-Static-lined Athletic Lifestyle
Orthotics are also available with High
Arch Support
2
3
Tri-layer construction provides:
1 - cushioning (Black Ice Microcel Puff)
2 - shock absorption (PORON Medical Urethane)
3 - support (65 dur Firm Microcel Puff)
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BETTER
BEST
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M.Or.F.S.
Custom Modified
Why choose M.Or.F.S.?
Step One:
EASY
No need for foot impressions
FAST
Turnaround Time
INEXPENSIVE
Shipping Costs
3 Base Layers + 3 Top Layers + Modifications
Equals Hundreds of Choices
Which M.Or.F.S. Meets Your Needs?
(Modular Orthotic
Fitting System)
OR
SELECT THEM...
Therapeutic
MORF-0003
MORF-0050
P-Cell
Microcel Puff
Walking
MORF-0001
MORF-0053
Multicork
Athletic
MORF-0002
MORF-0051
ALL M.Or.F.S. have a central layer of PORON Medical Urethane in the top cover.
Therapeutic
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Walking
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Athletic
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MODIFY THEM...
Step Two: Order any modifications needed and let ACORs custom footwear
department do the work or simply modify in your own facility.
Metatarsal Bars
Metatarsal Pads
Metatarsal Reliefs
Heel Depressions
Wedging
Posting
Saddle Accommodations
Mortons Extension
Arch Fills
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INTRODUCING
/ O hio Willow Wo o d
AND
Recent progress in 3D scanning technology
has allowed for an advancement in the way
foot orthotics can be made. Ohio Willow Wood's
Omega Tracer System, widely respected for its
use in the manufacture of prosthetic devices, now
has the capability of being utilized for foot orthotic
applications.
The OMEGA Scanner is a hand-held 3D laser imager that
uses reflectors on a limb to capture shapes accurately. The
captured images can then be manipulated in OMEGA Tracer
software for the creation of prosthetic and orthotic devices. The
scanner and software are fully integrated, allowing for a seamless
workflow from shape capture to shape modification and device
fabrication.
Portable and easy-to-use, the OMEGA Scanner accommodates
limited patient movement during shape capture; it is ideal for capturing
deep scars and invaginations
and is accurate to +/- 0.5 mm
over the entire surface area. This
unique scanner can be paused and
then resumed with no re-scanning
necessary.
12
... and here the bottom of the foot is scanned, in the negative depression of
the foam mold. Carefully placed reflectors maintain the relative positioning.
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AND
AND
The patented DIApedia TrueContour system moves the stateof-the-art in foot orthotics forward by combining shape and
pressure to design an insole intended to maximize offloading
of dangerous high-pressure regions. Development of the
TrueContour technology was funded by grants from the
National Institutes of Health. This technology creates an
orthotic that incorporates the clinical factors you can see
(shape) with those you cannot see (dynamic pressure).
The TrueContour system comprises shape and pressure measurement devices (pictured above), operated by
an easy-to-use graphical user interface through which the practitioner gathers, and then transmits, the patient
data to Acors central fabrication facility.
Once the patient data arrives at Acor, the TrueContour insole design
system (pictured above) allows our technicians to create the optimum
off-loading device for that specific patients pressure patterns and foot
shape. Once designed, the orthotic is milled on a CNC router to exact
specifications.
14
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6W625
6W125
Shown with
smooth
PORON
Medical
Urethane
top cover
Once the data has been accumulated the blocker is set up and milled.
FP6W625
FP6W125
AND
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Tier 1 Base
THERA1
THERA2
55 dur Multicork
THERAMOD
Tier 2 Base
SPORTMOD
55 dur Multicork
All modifications
included except for
Carbon Foot Plate,
Morton's Extension
and Toe Filler
THERASUPREME 1
Tier 3 Base
SPORTSUPREME 1
WALKSUPREME 1
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WORKSUPREME 1
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Tier 4
Combination
Complete with
Top Cover
Metatarsal Pads
Heel Spur Depression
High Flanges: Medial, Lateral
High Heel Cup
Metatarsal Bars
Metatarsal Relief (Depression)
Saddle Accommodation
Toe Crest
Posting (Intrinsic/Extrinsic)
Elevations
Carbon Foot Plate
Mortons Extension
Toe Filler**
** Note: Amputation of toes may require
Carbon Foot Plate
WALKFUNCTIONAL 2
1.5 mm carbon
graphite, BMH
Same features as
Tier 2 but with
functional rigid
base
SPORTFUNCTIONAL 1
Copoly + Firm Microcel
Puff Post
SPORTFUNCTIONAL 2
2.3 mm Carbon Graphite
1.5 mm carbon
graphite with
Stress inlay
Modifications available:
WORKFUNCTIONAL 1
Polypro + Firm
Microcel Puff
Post
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WORKFUNCTIONAL 2
2.3 mm Carbon
Graphite
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SADMERC REVIEWED
Pre-Fabricated Orthotics
QF-04 is our most economic SADMERC reviewed orthotic and Acor's top seller!
Materials
Activity Level
Cushion
Materials
Activity Level
Support
A5512
Cushion
Support
A5512
Materials
Cushion
Support
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A5512
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QuikFit Pro 98
Materials
Activity Level
Cushion
A5512
P-Cell + Multicork
Jogging, Soccer and Other
Field Sports
Support
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SADMERC REVIEWED
Pre-Fabricated Orthotics
QuikFit Pro 9L
**
Activity Level
P-Cell
Activity Level
Cushion
Cushion
Support
Support
A5512
Cushion
Support
QuikFit Pro 6L
Materials
Activity Level
Cushion
Materials
A5512
**
Microcel Puff
Light Active and Community
Walking
Support
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Materials
Activity Level
Cushion
Support
Materials
Activity Level
Cushion
Support
Activity Level
Cushion
Support
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Cushion
Support
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K i d Fi t s O r t h o t i c s
KidFits pediatric arch supports contain no rigid plastics
and offer gentle corrective control. They are made of
EVA laminates, which gain structural support through
curvature and void-space fill. KidFits are heat moldable
and grindable . Adjust them easily to suit the needs of
your little patients.
KidFits Sizing Chart
Child
3-4
5-6
7-8
8-9
10-11 12-13
Youth
1-2
3-4
KidFits XI8
Activity Level
Cushion
KidFits 6E
Materials
Activity Level
Support
The 6E is available in
blue (as shown) and
also with your choice
of other Microcel
Puff top covers.
Minimums may apply
to alternate colors.
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K idFits O r thotics
Materials
Cushion
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Support
21
SADMERC REVIEWED
Medical-Grade Custom Orthotics
CORT-9P6
A5513
Materials
Activity Level
Cushion
Support
CORT-96
A5513
Materials
Activity Level
Cushion
Support
CORT-6P6
A5513
Materials
Activity Level
Cushion
Support
Free Impression Foam and a pre-paid shipping label with each Custom Orthotic order!
22
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SADMERC REVIEWED
Medical-Grade Custom Orthotics
A5513
Materials
Activity Level
Cushion
CORT-9P8
Support
CORT-98
A5513
Materials
Activity Level
P-Cell + Multicork
Aggressive and Power Walking
Cushion
Support
CORT-XI8
A5513
Materials
Activity Level
Cushion
Support
Free Impression Foam and a pre-paid shipping label with each Custom Orthotic order!
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SADMERC REVIEWED
Medical-Grade Custom Orthotics
CORT-XIP6 A5513
X-Static Lined Impression Puff + PORON
Medical Urethane + Microcel Puff
Jogging, Soccer and Field Sports
Materials
Activity Level
Cushion
Support
CORT-6P8
A5513
Materials
Activity Level
Cushion
Support
CORT-XI6
A5513
Materials
Activity Level
Cushion
Support
Free Impression Foam and a pre-paid shipping label with each Custom Orthotic order!
24
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WALK-CO1
X-Static Lined NeoSponge
+ Microcel Puff
Walking- Soft
Materials
Activity Level
Cushion
Support
WALK-CO3
WALK-CO2
X-Static Lined NeoSponge
+ Multicork
Walking- Medium
Materials
Activity Level
Cushion
Support
Materials
Activity Level
Cushion
Support
Free Impression Foam and a pre-paid shipping label with each Custom Orthotic order!
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SPRT-CO1
Materials
Activity Level
Cushion
Support
SPRT-CO3
SPRT-CO2
X-Static Lined NeoSponge
+ EFM + Multicork
Sport - Medium Impact
Materials
Activity Level
Cushion
Support
Materials
Activity Level
Cushion
Support
Free Impression Foam and a pre-paid shipping label with each Custom Orthotic order!
26
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SPRT-CO4
Materials
Activity Level
Cushion
Support
SPRT-CO5
Materials
Activity Level
Cushion
Support
Free Impression Foam and a pre-paid shipping label with each Custom Orthotic order!
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These orthotics are designed for "business as usual", whether you are in
the office or on a construction site. They offer form-fitting support in a
combination of materials that provide comfort and integrity when you
are on your feet all day.
WORK-CO2
WORK-CO1
X-Static Lined NeoSponge
+ Firm Microcel Puff
Work- Light Duty
Materials
Activity Level
Cushion
Support
Materials
Activity Level
Cushion
Support
Free Impression Foam and a pre-paid shipping label with each Custom Orthotic order!
28
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WORK-CO4
WORK-CO3
Materials
Activity Level
Cushion
Support
Materials
Activity Level
Cushion
Support
Free Impression Foam and a pre-paid shipping label with each Custom Orthotic order!
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Our dress orthotics "just fit" in any style dress shoe for men or
women. We offer several flexibilities and lengths designed to
make even the most non-supportive footwear a comfortable fit.
DRES-CO2
DRES-CO1
Materials
Activity Level
Cushion
Support
Materials
Activity Level
Cushion
Support
Free Impression Foam and a pre-paid shipping label with each Custom Orthotic order!
30
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DRES-CO4
DRES-CO3
Materials
Activity Level
Cushion
Support
Materials
Activity Level
Cushion
Support
Free Impression Foam and a pre-paid shipping label with each Custom Orthotic order!
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QuikFormable
QuikFormable
Q uikFormable
QuikFormable custom foot orthoses fabricating blanks are THE time saver. Designed to cut
fabrication time in half, QuikFormable will help you to produce truly custom-made orthoses
that are indistinguishable from orthoses made by old, traditional methods. QuikFormable
also aid in the cast modification process, making this chore simple, neat, and fast!
QuikFormable is available in six different stock options or you can design your own using the
simple instructions, below.
The QuikFormable is an Acor invention created to aid the practitioner with limited time. It is designed
to save your busy schedule approximately 40 minutes of gluing, drying, and molding time!
QuikFormable (Stocked)
Item
Available Sizes
Description
QFAB-0301
LD45 Pink Plzt + Blue PORON Medical Urethane + 35 dur Puff w/ 55 dur MultiCork Post
QFAB-0302
LD45 Pink Plzt + Blue PORON Medical Urethane + 35 dur Puff w/ 35 dur Puff Post
QFAB-0401
35 dur Puff + Blue PORON Medical Urethane + 35 dur Puff w/ 55 dur MultiCork Post
QFAB-0402
35 dur Puff + Blue PORON Medical Urethane + 35 dur Puff w/ 35 dur Puff Post
QFAB-1501
20 dur P-Cell + Blue PORON Medical Urethane + 35 dur Puff w/ 55 dur MultiCork Post
QFAB-1502
20 dur P-Cell + Blue PORON Medical Urethane + 35 dur Puff w/35 dur Puff Post
XSQFAB-U68 X-Static + PORON Medical Urethane + 35 dur Puff + 55 dur Muticork w/ Flat MultiCork Post
QFAB-01
QFAB-02
QFAB-05
Description
Description
MultiCork
Microcel Puff
EFM
Small
Medium
Large
X-Large
Women Men
6-8
9-11
12-14
15-17
SADMERC
Reviewed
A5513
L3002 Orthotics
Technical Note
For instructions on
how to mold your
own QuikFormable
product, please
consult our technical
guide, located on
pg.37 of this catalog.
* - included in price
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4-6
7-9
10-12
13-15
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Rigid Orthotics
Rigid Copoly
Rigid Euroflex
Rigid CP Plastic
Item
91 S
98 S
ACCS-003xx
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Description
Item
ACCS-00195 Supreme Mini Grind Pro, Kit
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Custom Accessories
Item numbers in red are in stock for immediate shipment
Therma-Shape Pad
Item
11996
Description
Therma-Shape Pad
Custom Accessories
Impression Foam
Item
ACCS-00046
ACCS-00165
ACCS-00173
ACCS-00172
Description
Bulk Packed, 24 Singles, 1 case
Boxed, 9 Pairs, 1 case
Boxed, 18 Singles, 1 case
Plastic Foam Tray (reusable), each
Heat Gun
Description
Item
ACCS-00121 Heat Gun - Master 300-500 F.
This professional tool is ideal for use as an
external heat source while working with
moldable materials. The heat gun has an
adjustable non-slip base plate for stationary
hold.
34
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Orthotic Accessories
Item numbers in red are in stock for immediate shipment
Posting Strips
Description
Item
ACCS-00001
PSTS-00001
Metatarsal Pads
Description
Item
Metatarsal Bars
Description
Item
ACCS-00148
ACCS-00152
ACCS-00153
Scaphoid Pads
Item
ACCS-00149
ACCS-00155
ACCS-00150
ACCS-00300
ACCS-00302
ACCS-00303
O r thotic Accessories
ACCS-00145
ACCS-00146
ACCS-00147
ACCS-00156
ACCS-00157
ACCS-00158
Description
PORON Medical Urethane Scaphoid Pads (small), Dzn Pair
PORON Medical Urethane Scaphoid Pads (medium), Dzn Pair
PORON Medical Urethane Scaphoid Pads (large), Dzn Pair
Wool Scaphoid Pads (small) w/PSA* , Dzn Pair
Wool Scaphoid Pads (medium) w/PSA* , Dzn Pair
Wool Scaphoid Pads (large) w/PSA* , Dzn Pair
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Please review our web site at: www.acor.com/education.htm for more details.
36
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Te c h n i c a l T i p s
How to take a foam impression
2. Have the
patient relax. Using
downward pressure
on the knee and the
foot, with your right
and left hands, push
the foot evenly and
completely into the
foam. Make sure the
toes do not touch the
edge of the box, as
shown.
Technical Tips
fig. 1
fig. 2
fig. 3
fig. 4
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Merchandising
M erchandising
With an engaging
new interface that
features custom
retailer branding,
Acor Orthopaedic
drives the sale of
our products to
deliver a targeted
message right to
the end user.
Contact Acor at:
800-237-2267
(option 2)
for more details on
our merchandising
solutions.
38
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http://www.acor.com/Downloads/2009-Acor-Footwear-Catalog.pdf
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http://www.acor.com/Downloads/2008-Acor_Materials_Catalog.pdf
39
WARRANTY
Acor stands behind the quality of our products 100% in terms
of workmanship, materials, and fit.
If any defect is noted, please request a return of authorization
from our Customer Service Department (1-800-237-2267). Upon
receipt and confirmed inspection, we will adjust or remake the
product at no additional cost.
This warranty does not apply to adjustments incidental to the
wearing of an item, adjustments required due to physical changes
of the wearer, deliberate misuse of an item, or an item that has been
altered by anyone other than Acor.
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SHIP TO:_______________________________________
Address: ______________________________________
______________________________________
City: ________________ State: _____ Zip: ___________
Phone: ________________ fax: ____________________
FED EX
1 day
2 day
Ground
UPS
1 day
2 day
3 day
Ground
ORDER QUANTITY:
Pair(s)
OR
#3 CHOOSE SIZE
Size
1
2
3
4
5
6
Euro
37-38
39-40
41-42
43-44
45-46
47-48
Women's
5-6
7-8
9-10
11-12
13-14
15-16
#4 CHOOSE MODIFICATIONS
HEEL SPUR DEPRESSION
METATARSAL BARS
METATARSAL PADS
Microcel Puff
PORON Medical Urethane
L
L
R
R
METATARSAL RELIEF
LEFT
RIGHT
1 2 3 4 5
MORTON'S EXTENSION
SADDLE ACCOMMODATION
LEFT
1 2 3 4 5
POSTING / WEDGING
Men's
4
5-6
7-8
9-10
11-12
13-14
1 2 3 4 5
THICKNESS:
Full Foot
Rear Foot
Forefoot
1/16"
R
RIGHT
1 2 3 4 5
L
1/8"
MEDIAL
L/ R
L/ R
L/ R
R
1/4"
LATERAL
L/ R
L/ R
L/ R
To l l F r e e
800-237-2267
w w w. a c o r. c o m
41
SHIP TO ________________________________________
Address ________________________________________
________________________________________
________________________________________
City
________________________________________
State _______________
Zip ______________
Phone ________________________________________
Fax
________________________________________
Email ________________________________________
________________________________________________
BILL TO ________________________________________
Address ________________________________________
________________________________________
________________________________________
City
________________________________________
State ______________
Zip _______________
Phone ________________________________________
Fax
________________________________________
Email ________________________________________
CHOOSE A SHIPPING METHOD
US Mail
FED EX
1 Day
2 Day
Ground
Item
CORT-96
CORT-9P6
CORT-6P6
CORT-98
CORT-9P8
CORT-6P8
CORT-XI6
CORT-XI8
CORT-XIP6
1 Day
2 Day
3 Day
Ground
Item
WALK-CO1
WALK-CO2
WALK-CO3
Description
X-Static lined NeoSponge + Microcel Puff
X-Static lined NeoSponge + Multicork
X-Static lined NeoSponge + EFM + Extra Firm Puff
QTY
Sport Orthotics
Item
SPRT-CO1
SPRT-CO2
SPRT-CO3
SPRT-CO4
Description
X-Static lined NeoSponge + EFM + Puff
X-Static lined NeoSponge + EFM + Multicork
X-Static lined NeoSponge + Copoly + Firm Puff Post
Syn Suede + P-Cell + PORON Medical Urethane + SRP
forefoot + 1.5mm Carbon
Syn Suede + P-Cell + PORON Medical Urethane + SRP
forefoot + 2.3mm Carbon
QTY
Work Orthotics
Item
WORK-CO1
WORK-CO2
WORK-CO3
WORK-CO4
Description
X-Static lined NeoSponge + Firm Puff
X-Static lined NeoSponge + EFM + Firm Puff
X-Static lined NeoSponge + PolyPro + Firm Puff Post
Syn Suede + PORON Medical Urethane + Vinyl Bottom +
2.3mm Carbon
QTY
Dress Orthotics
Item
DRES-CO1
DRES-CO2
DRES-CO3
DRES-CO4
Description
X-Static lined NeoSponge + Copoly
X-Static lined NeoSponge + Polypro + PORON Medical
Urethane Heel
Syn Suede + PORON Medical Urethane + 1.5mm Carbon +
Stress (Sulcus Topcover)
Syn Suede + PORON Medical Urethane + 1.5mm Carbon +
BMH (Sulcus Topcover)
42
QTY
Walking Orthotics
SPRT-CO5
UPS
Description
P-Cell + Microcel Puff
P-Cell + PORON Medical Urethane + Microcel Puff
Microcel Puff + PORON Medical Urethane + Microcel Puff
P-Cell + Multicork
P-Cell + PORON Medical Urethane + Multicork
Microcel Puff + PORON Medical Urethane + Multicork
X-Static lined Impression Puff + Microcel Puff
X-Static lined Impression Puff + Multicork
X-Static lined Impression Puff +PORON Medical Urethane
+ Puff
w w w. a c o r. c o m
To l l F r e e
800-237-2267
QTY
__________________________________________
HEEL SPUR DEPRESSION:
ELE VATIONS
(Check shoes for maximum elevation)
Heel
B all
Toe
Lef t
_____in.
_____in. _____in.
R ight _____in.
_____in. _____in.
FOOT E VALUATION
TOES
HIGH FLANGES:
LEFT
Medial
Lateral
RIGHT
Medial
Lateral
L
MARKS BAR
Steel Shank 3/4 length
Marks Bar (Heel-to-Toe shank)
L
L
R
R
METATARSAL BARS
METATARSAL PADS
Microcel Puff
PORON Medical Urethane
L
L
R
R
L
L
R
R
L
L
L
R
R
R
L
L
L
R
R
R
ARCH T YPE
Flat
St andard
H i gh
LEFT
RIGHT
1 2 3 4 5
1 2 3 4 5
MORTON'S EXTENSION
RIGHT
SADDLE ACCOMMODATION
(Please indicate on cast and drawing to right)
LEFT
LEFT
RIGHT
1 2 3 4 5
1 2 3 4 5
SPRINGLITE PLATE
TOE CREST
TOE FILLER*
O ver lap p ed
Ham m ered
LEFT
RIGHT
1 2 3 4 5
1 2 3 4 5
WEDGING
Full Foot
Rear Foot
Forefoot
Medial
L
R
L
R
L
R
_______________________________________
Lateral
L
R
L
R
L
R
CASTS
_______________________________________
_______________________________________
_______________________________________
_______________________________________
_______________________________________
_______________________________________
COPY THIS PAGE AND USE FOR FUTURE ORDERS
To l l F r e e
800-237-2267
w w w. a c o r. c o m
43
www.acor.com
Tier 1
THERA1
THERA2
55 dur Multicork
Tier 2
THERAMOD
SPORTMOD
55 dur Multicork
lbs.
Tier 3
THERASUPREME 1
THERASUPREME 2
WALKSUPREME 1
Zip
SPORTSUPREME 1
WORKSUPREME 1
BILL TO
Address
City
State
Phone
Fax
Email
Tier 4
WALKFUNCTIONAL 1
Zip
WALKFUNCTIONAL 2
1.5mm carbon graphite, BMH
SPORTFUNCTIONAL 1
UPS
1 Day
2 Day
Ground
SPORTFUNCTIONAL 2
2.3mm carbon graphite
WORKFUNCTIONAL 1
Polypro + Firm Microcel Puff Post
WORKFUNCTIONAL 2
2.3mm carbon graphite + Firm Microcel
Puff Post
44
w w w. a c o r. c o m
To l l F r e e
800-237-2267
www.acor.com
Please choose the Trim Level needed for the
Base Orthotic you wish to order (pick ONE)
Full
Length
Sulcus (3/4 length)
Metatarsal
BMH (Behind
Head)
Top Cover (please choose ONE) -Available with Tiers 1, 2 &3 ONLY!
1/8 P-Cell (Self-conforming, moldable)
1/16 P-Cell + 1/16 PORON Medical Urethane (Superior cushioning
with a self-conforming top layer) -additional charge for Tier 1
material)
cushioning)
Metatarsal
BMH (Behind
Head)
Foot Structure
Normal
Flaccid
Rigid
Arch Type:
Flat
Standard
High
L
L
L
L
L
L
R
R
R
Metatarsal Pads
Microcel Puff
PORON Medical Urethane
Heel Spur Depression
High Flanges
Left
Right
Medial
Medial
Lateral
Lateral
High Heel Cup
Metatarsal Bars
Metatarsal Relief (Depression)
Left
Right
1 2 3 4 5
Saddle Accommodation
Left
R
R
R
L
L
L
L
L
R
R
R
R
R
1 2 3 4 5
Right
1 2 3 4 5
1 2 3 4 5
Toe Crest
L
R
Posting (Intrinsic)
Medial
Lateral
Full Foot
___ L ___R
___ L ___R
Rear Foot
___ L ___R
___ L ___R
Forefoot
___ L ___R
___ L ___R
Posting (Extrinsic)
Medial
Lateral
Full Foot
___ L ___R
___ L ___R
Rear Foot
___ L ___R
___ L ___R
Forefoot
___ L ___R
___ L ___R
Elevations
Foot Evaluation
Heel
Ball
Toe]
____in ____in ____in
____in ____in ____in
Carbon Foot Plate
L
R
Mortons Extension
L
R
Toe Filler* (Please specify which toes amputated)
Left
Right
Left
Right
1 2 3 4 5
1 2 3 4 5
To l l F r e e
800-237-2267
w w w. a c o r. c o m
45
G e n e r a l O r d e r Fo r m
Acor Orthopaedic
18530 S. Miles Parkway
Cleveland, OH 44128
ph. 800-237-2267 (select option 2)
fax 800-830-8445
email: orderentry@acor.com
Orderer:
Order Number:
P.O. Number:
Account Number:
Bill to:
Ship To:
Name:
Address:
1st Order:
YES
NO
Sales By:
Name:
Address:
City:
Shipping Information:
Date Needed:
Via:
State:
Zip:
Special Instructions:
City:
Quantity:
Order Date:
Item Number:
Description:
State:
Zip:
Billing Information:
Open Account
C.O.D.
Credit Card (Type):
Acct. Number:
Exp. Date:
CVC Code:
Unit Price:
Amount:
Sub-Total:
Tax:
Shipping:
Handling:
Total:
46
w w w. a c o r. c o m
To l l F r e e
800-237-2267
I N D E X
To l l F r e e
800-237-2267
ITEM
PAGE
12-17
18
18
19
19
19
18
19
18
32
37
33
22-24
18-19
35
5
20
20
20
20
26
26
26
27
27
33
2-3
36-37
34
36
40
25
25
25
28
28
29
29
4
22
24
22
23
22
23
24
23
24
44-45
30-31
41
42-43
26-27
25
28-29
14-15
30
30
31
31
36
37
46
34
34
21
21
21
6-9
10-11
38
35
35
12-13
33-35
39
35
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INDEX
PAGE
47
800-237-2267
ACOR Orthopaedic, Inc.
18530 South Miles Parkway
Cleveland, Ohio 44128
fax: 800-830-8445
www.acor.com
Therapeutic Shoes
AFO Gauntlets
New Custom Products
LITR-00061
Materials