Formula Ultra Replacement Heel Spring

Replacement heel spring for the Formula Ultra

Suggested L-Codes

L5980
PDAC Approved

Suggested L-Codes are provided as a reference only. It is the responsibility of the practitioner and/or patient care facility submitting this claim to determine and submit the correct coding within all established rules and guidelines.

Featured Specifications

Functional Level

K3, K4

Mount

Posterior Mount

Patient Weight Maximum

330 lbs. (150 kg)

Ordering Information

	Size	Patient Weight	SKU
Formula Ultra Heel Spring	Heel Spring Softer	130 lbs. (59 kg) - 159 lbs. (72 kg)	178-110-5
Formula Ultra Heel Spring	Heel Spring Softer	160 lbs. (73 kg) - 189 lbs. (85 kg)	178-110-6
Formula Ultra Heel Spring	Heel Spring Softer	190 lbs. (86 kg) - 219 lbs. (99 kg)	178-110-7
Formula Ultra Heel Spring	Heel Spring Softer	220 lbs. (100 kg) - 249 lbs. (113 kg)	178-110-8
Formula Ultra Heel Spring	Heel Spring Softer	250 lbs. (114 kg) - 289 lbs. (131 kg)	178-110-9
Formula Ultra Heel Spring	Heel Spring Softer	290 lbs. (132 kg) - 330 lbs. (150 kg)	178-110-10
Formula Ultra Heel Spring	Heel Spring Standard	100 lbs. (45 kg) - 129 lbs. (58 kg)	178-110-5
Formula Ultra Heel Spring	Heel Spring Standard	130 lbs. (59 kg) - 159 lbs. (72 kg)	178-110-6
Formula Ultra Heel Spring	Heel Spring Standard	160 lbs. (73 kg) - 189 lbs. (85 kg)	178-110-7
Formula Ultra Heel Spring	Heel Spring Standard	190 lbs. (86 kg) - 219 lbs. (99 kg)	178-110-8
Formula Ultra Heel Spring	Heel Spring Standard	220 lbs. (100 kg) - 249 lbs. (113 kg)	178-110-9
Formula Ultra Heel Spring	Heel Spring Standard	250 lbs. (114 kg) - 289 lbs. (131 kg)	178-110-10
Formula Ultra Heel Spring	Heel Spring Standard	290 lbs. (132 kg) - 330 lbs. (150 kg)	178-110-11
Formula Ultra Heel Spring	Heel Spring Stiffer	100 lbs. (45 kg) - 129 lbs. (58 kg)	178-110-6
Formula Ultra Heel Spring	Heel Spring Stiffer	130 lbs. (59 kg) - 159 lbs. (72 kg)	178-110-7
Formula Ultra Heel Spring	Heel Spring Stiffer	160 lbs. (73 kg) - 189 lbs. (85 kg)	178-110-8
Formula Ultra Heel Spring	Heel Spring Stiffer	190 lbs. (86 kg) - 219 lbs. (99 kg)	178-110-9
Formula Ultra Heel Spring	Heel Spring Stiffer	220 lbs. (100 kg) - 249 lbs. (113 kg)	178-110-10
Formula Ultra Heel Spring	Heel Spring Stiffer	250 lbs. (114 kg) - 289 lbs. (131 kg)	178-110-11

Warranty

2 years from date of patient fitting

The Formula has been designed and manufactured for specific patient weights. Failure to follow the weight guidelines and/or overload conditions caused by the patient, such as heavy lifting, high impact sports, or abusive activities, that would otherwise damage the natural limb, may void the warranty.