Formula Pediatric

A first of its kind, the Pediatric Formula is a high-performance, customizable, pediatric foot that grows with the child. The long, lightweight carbon pylon provides critical energy return through the posterior attachment, while the compact shape of the ankle simplifies cosmetic finishing without hindering performance.

The Standard and Custom Pediatric Formula feet are transforming pediatric prosthetics for kids who require exceptional performance and flexibility. Let them be little. Let them play big!

Suggested L-Codes

L5980, L5986

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.

Features

Posterior mount design provides ideal balance of flexibility and power
16 in. carbon-composite pylon delivers lightweight, dynamic response
Pylon accommodates growth up to two additional foot plate sizes
Full-split sandal toe offers maximum multiaxial function
Fits a standard, sandal-toe foot shell
STF technology enhances durability

Featured Specifications

Functional Level

K3, K4

Mount

Posterior Mount

Patient Weight Maximum

125 lbs. (57 kg)

Weight

12 oz. (340 g)

Build Height

1.5 in. (38 mm)

The Pediatric Formula is supplied as a bonded foot assembly when a pylon and foot plate are ordered simultaneously. Please consider patient weight and growth when selecting weight category.

Warranty

2 year warranty, manufacturing defects only. No trial period.

The Pediatric 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.

Additional Specifications

Patient Weight Minimum: 30 lbs. (14 kg)

Resources

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Formula Pediatric Foot Plate

	Size	Side	SKU
Formula Pediatric Foot Plate	16 cm	Left	178-120-16L
Formula Pediatric Foot Plate	17 cm	Left	178-120-17L
Formula Pediatric Foot Plate	18 cm	Left	178-120-18L
Formula Pediatric Foot Plate	19 cm	Left	178-120-19L
Formula Pediatric Foot Plate	20 cm	Left	178-120-20L
Formula Pediatric Foot Plate	21 cm	Left	178-120-21L
Formula Pediatric Foot Plate	22 cm	Left	178-120-22L
Formula Pediatric Foot Plate	23 cm	Left	178-120-23L
Formula Pediatric Foot Plate	24 cm	Left	178-120-24L
Formula Pediatric Foot Plate	16 cm	Right	178-120-16R
Formula Pediatric Foot Plate	17 cm	Right	178-120-17R
Formula Pediatric Foot Plate	18 cm	Right	178-120-18R
Formula Pediatric Foot Plate	19 cm	Right	178-120-19R
Formula Pediatric Foot Plate	20 cm	Right	178-120-20R
Formula Pediatric Foot Plate	21 cm	Right	178-120-21R
Formula Pediatric Foot Plate	22 cm	Right	178-120-22R
Formula Pediatric Foot Plate	23 cm	Right	178-120-23R
Formula Pediatric Foot Plate	24 cm	Right	178-120-24R

Adjustable Alignment Bracket

The Adjustable Alignment Bracket is designed to assist in the fitting and alignment of posteriorly mounted feet. The bracket is for in-clinic fitting only — it is not a permanent mounting solution, but rather a fitting tool. The bracket is compatible with the Formula and AllPro Posterior Mount feet.

	Maximum Patient Weight	SKU
Adjustable Alignment Bracket	132 lbs. (60 kg)	180-10-5000

Posterior Mounting Bracket

The Posterior Mounting Bracket is designed for use with posteriorly mounted feet to ease the fabrication process for adjustments and socket replacements. Once correct alignment has been determined using the Adjustable Alignment tool, the foot can be mounted using the Posterior Mounting Bracket. Specifications refer to adult brackets