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Iceform® Liner

Part # Description  

Product Information

The Iceform® liner features thermoformability, which allows the liner to capture the patient’s limb shape for increased comfort. Constructed with Thermoplastic Elastomer (TPE) material and covered with durable textile. The Icelock® 600 series is recommended for use with the locking liner, while the Iceform sleeve is recommended for the cushion liner.

  • Stretchable, seamless nylon fabric outer cover
  • Adapts to residual limb irregularities and shape, providing optimal comfort

Specifications

  • Amputation Level: Transtibial
  • Activity Level: K1, K2
  • Type: Cushion, Locking
  • Material: Thermoplastic Elastomer
  • Cover: Fabric Cover
  • Profile: Uniform
  • Style: Standard
  • Color: Dark blue
  • Thickness (mm): 3,6,9 Anterior, 3 Posterior
  • Sizes (cm): SM-XL
  • Trial Period: N/A
  • Warranty: 3 months from ship date
Sold each.

If packaging is opened, product is not eligible for return.

Measure circumference of residual limb 4cm from distal end. Select as measured, or the next size below.

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: L5673, L5679
User: Adult
Amputation Level: Transtibial (TT/BK)
Activity Level: K1 (Low), K2 (Moderate), K3 (High)
Liner Type: Cushion, Locking
Liner Style: Standard
Liner Thickness: 3 mm (1/8 in), 6 mm (1/4 in), 9 mm (3/8 in)
Liner Profile: Uniform
Key Features: Heat Moldable
Material: Thermoplastic Elastomer (TPE/Gel)