Align-Right Transfer System
Procedure # 3040 and 3045
Swanson Regional
Orthotic & Prosthetic Research Center has developed
the
RapidFit Method to improve patient care for lower
limb amputees.
RapidFit
Overview
- Apply the suction liner to
the residual limb.
- Screw the 2-piece Align-Right
casting cylinder clockwise into the end of the
suction locking liner.
- Make the cast of the
patient's residual limb and reinforce around the
casting cylinder with plaster bandage. Do not
cover the distal end of the casting cylinder with
plaster bandage so that a wrench or screwdriver
may be used to unscrew it.
- After the cast has set,
unscrew the Align-Right casting cylinder counter
clockwise to release the casting cylinder from the
suction liner.
- After the casting cylinder is
unscrewed remove the cast from the patient's
residual limb.
Filling the cast with molding
plaster:
- Install the Align-Right
fastener screw (6mm or 8 mm) in the end of the
casting cylinder from the bottom to the inside of
the cast.
- Apply an O ring over the
fastener screw on the inside of the cast and push
down until the O ring seals against the casting
cylinder. Fill any void with fitting gel or putty
to prevent plaster from leaking out when the cast
is filled with plaster.
- Put reinforcing tape over the
bottom of the fastener screw to ensure that
plaster will not leak.
- Screw the Align-Right plastic
anchor clockwise onto the fastener screw until the
anchor is about a ½ inch from the bottom of the
cast.
- Set the fill pipe to be in
the cast about 1 inch from the top of the
Align-Right plastic anchor.
- Mix the molding plaster with
water and fill the cast. Return the fill pipe to
the same position inside the cast and let the
plaster set.
- Strip off the casting
material once the molding plaster has set. Remove
the fastener screw.
- Modify the cast of the
residual limb for proper weight bearing.
To Fabricate a Thermoplastic
Rapidfit Socket without a lock mechanism using
the Align-Right Transfer System
- Apply a nylon to the plaster
mold. Screw the fastener screw clockwise through
the RapidFit Adapter and center hole threated
plug.
- Apply the fastener screw
through the distal end foam and screw clockwise
into the plastic anchor inside the plaster mold.
Tighten the fastener screw against the distal end
foam until properly secured. Adjust the alignment
of the RapidFit Adapter so that the four-hole
pattern is in the line of progression.
- Fabricate the thermoplastic
socket with the RapidFit Adapter.
- Remove the fastener screw and
trim out the socket.
To Fabricate a Thermoplastic
Rapidfit Socket with a lock mechanism using the
Align-Right Transfer System:
- Apply a nylon to the plaster
mold. Install the Rapidfit Adapter with the center
plug through hole. Push the fastener screw through
the fabrication block, RapidFit Adapter and lock
mechanism.
- Apply the fastener screw
through the hole in the distal end of the mold and
screw clockwise into the plastic anchor inside the
plaster mold. Tighten the fastener screw against
the fabrication block on the RapidFit Adapter
until properly secured.
- Adjust the alignment of the
RapidFit Adapter and lock mechanism so that the
four-hole pattern is in the line of
progression.
- Fabricate the thermoplastic
socket with the Rapidfit Adapter and lock
mechanism.
- Remove the fastener screw and
trim out the socket.
To Fabricate a Laminated
Rapidfit Socket without lock mechanism using the
Align-Right Transfer System
- Apply nylon to the plaster
mold. Install a PVA separator bag. Apply a small
piece of tape over the hole for the bolt on the
distal end of the plaster mold. Punch a hole in
the tape and PVA bag for the bolt. Install the
RapidFit Adapter with the center hole threaded
plug by screwing the fastener screw clockwise
through the RapidFit Adapter with threaded plug.
- Apply the fastener screw
through the hole in the distal end of the mold and
screw clockwise into the plastic anchor inside the
plaster mold. Tighten the fastener screw until the
RapidFit Adapter is at the proper height above the
mold. Allow enough room for the thickness of the
lamination.
- Apply the lay-up under the
RapidFit Adapter. Adjust the alignment of the
RapidFit Adapter so that the four-hole pattern is
in the line of progression. Apply the rest of the
lay-up over the RapidFit Adapter. Apply the PVA
bag and laminate the socket.
- Remove the fastener screw and
trim out the socket.
To Fabricate a Laminated
Rapidfit Socket with lock mechanism using the
Align-Right Transfer System
- Apply a nylon to the plaster
mold. Install a PVA separator bag. Apply a small
piece of tape over the hole for the bolt on the
distal end of the plaster mold. Punch a hole in
the tape and PVA bag for the bolt. Install the
RapidFit Adapter with the center plug through
hole. Push the fastener screw through the
fabrication block, RapidFit Adapter and lock
mechanism.
- Apply the fastener screw
through the hole in the distal end of the mold and
screw clockwise into the plastic anchor inside the
plaster mold. Tighten the fastener screw against
the fabrication block on the RapidFit Adapter
until properly secured. Allow enough room for the
thickness of the lamination.
- Apply the lay-up under the
RapidFit Adapter. Adjust the alignment of the
RapidFit Adapter and lock mechanism so that the
four-hole pattern is in the line of progression.
Apply the rest of the lay-up over the RapidFit
Adapter. Apply the PVA bag and laminate the
socket.
- Remove the fastener screw and
trim out the socket.
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