Foam Cover AK
Item #: 3R24=K
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Suggested HCPCS Coding: L5705
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For knee joints: 3R17, 3R20, 3R22, 3R33, 3R34, 3R36, 3R40, 3R95, 3R95=1 and for prostheses that include a knee joint combined with the 99B17 Modular Knee Protector with Elastic Band Extension Assist. The covers for modular transfemoral prostheses have a stepped center hole and are pre-shaped.
| Calf Circumference | Length | Knee Flexion | Material | Color | Article Number (Left) | Article Number (Right) |
|---|---|---|---|---|---|---|
| 36 cm | approx. 94 cm | 30 degrees | PUR flexible foam | beige | 3R24=L36 | 3R24=R36 |
| 40 cm | approx. 94 cm | 30 degrees | PUR flexible foam | beige | 3R24=L40 | 3R24=R40 |
| 44 cm | approx. 94 cm | 30 degrees | PUR flexible foam | beige | 3R24=L44 | 3R24=R44 |
Safety Data Sheet
Published Date: March 16, 2015
3R6, 3R24, 3S26, 3S27, 3S106, 3S107, 3S124, 6R6, 6R7 - Instructions for Use
3R24 Foam Cover - Safety Data Sheet
Published Date: March 6, 2015
617Sx1 - Safety Data Sheet
Published Date: March 22, 2018