Pediatric Formula

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)

Ordering Information

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

Stay up to date with new products and accessories.

Formula Adult Manual.pdf
Formula Custom Order Form.pdf
Formula Pediatric Custom Order Form
Formula Pediatric Manual – Dutch
Formula Pediatric Manual – Danish
Formula Pediatric Manual – English
Formula Pediatric Manual – Finnish
Formula Pediatric Manual – French
Formula Pediatric Manual – German
Formula Pediatric Manual – Italian
Formula Pediatric Manual – Norwegian
Formula Pediatric Manual – Spanish
Formula Pediatric Manual – Swedish
Pediatric Formula Drill Template.pdf
Pediatric Posterior Mounting-kit Instructions.pdf

Formula Pediatric Foot Plate

Size Side SKU
Pediatric Formula Foot Plate 16 cm Left 178-120-16L
Pediatric Formula Foot Plate 17 cm Left 178-120-17L
Pediatric Formula Foot Plate 18 cm Left 178-120-18L
Pediatric Formula Foot Plate 19 cm Left 178-120-19L
Pediatric Formula Foot Plate 20 cm Left 178-120-20L
Pediatric Formula Foot Plate 21 cm Left 178-120-21L
Pediatric Formula Foot Plate 22 cm Left 178-120-22L
Pediatric Formula Foot Plate 23 cm Left 178-120-23L
Pediatric Formula Foot Plate 24 cm Left 178-120-24L
Pediatric Formula Foot Plate 16 cm Right 178-120-16R
Pediatric Formula Foot Plate 17 cm Right 178-120-17R
Pediatric Formula Foot Plate 18 cm Right 178-120-18R
Pediatric Formula Foot Plate 19 cm Right 178-120-19R
Pediatric Formula Foot Plate 20 cm Right 178-120-20R
Pediatric Formula Foot Plate 21 cm Right 178-120-21R
Pediatric Formula Foot Plate 22 cm Right 178-120-22R
Pediatric Formula Foot Plate 23 cm Right 178-120-23R
Pediatric Formula 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
Maximum Patient Weight SKU
Posterior Mounting Bracket 125 lbs. (57 kg) 180-10-3000

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