Mechanism of work and implementation of providing services for all procedures to your clients who are in need. These services are as follows:

  1. Traditional lower limb prostheses, silicone, dynamic, hydraulic, and smart prostheses.
  2. Upper formal and limited functional prostheses (mechanical, electronic) and multi-functional smart (bionic).
  3. Spinal orthotic devices.
  4. Paralysis devices and fixed and dynamic plastic orthoses.
  5. Specialized diabetic footwear, both customized and ready-made.
  6. Medical shoes for foot deformities and deviations.
  7. Ready-made braces and devices.
  8. Post-cosmeticsurgery garments.
  9. Custom burngarments.

The details provided outline the mechanism of executing the artistic works and installation procedures by the technical team of the contracting party (hospital or medical rehabilitation center, etc.).

Introduction:

If this contract is referred to our institution for service provision, we will strive, with the will of Allah, to serve your patients as follows:

1- Location:

As expected, the hospital administration will provide a suitable place for taking measurements and negative molds for patients, in addition to a small operating room equipped with necessary tools for adjustments during fittings and delivery. It is also preferable to have space for training patients on motor skills.

2- Necessary Equipment:

a) The operating room, measurement room, and training room will be equipped with all necessary tools and equipment by us.

b) We hope the hospital will provide all necessary administrative furniture for the site.

3- The Staff:

The site will be staffed with a prosthetic technician and orthotic devices technician throughout the days of patient follow-up, along with an experienced consultant overseeing measurements and deliveries (with prior coordination).

4- Work Mechanism:

a) Special medical prescriptions will be prepared, including:

– Upper limb prostheses.

– Lower limb prostheses.

– Paralysis devices and plastic orthoses.

– Spinal orthotic devices.

– Medical shoes and specialized footwear.

– Ready-made braces and devices.

– Post-cosmetic surgery garments.

– Custom burn garments.

Prescription books will be distributed to relevant physicians for approval as a medical referral model and for financial and administrative purposes. The hospital administration is responsible for clarifying the process of passing these prescriptions from the physician to the technician for selecting the appropriate installation procedure agreed upon with the physician. We suggest forwarding these prescriptions to the procurement department (or as suggested by the hospital administration) and then to the financial management for billing.

b) Receiving cases by the specialized technician:

– Through the prosthetic and orthotic clinic, if available, or

– Through orthopedic, joint, rehabilitation, or related clinics.

– Or through other arrangements as deemed appropriate by the hospital administration.

c) Work mechanism for receiving cases by the specialized technician:

In cases of amputation, after notifying the resident technician about the amputation post-surgery, they will work according to the following globally recognized program:

After being informed about someone’s amputation surgery, coordination will be made with a physiotherapist working at the hospital to perform the necessary rehabilitation according to scientifically recognized rehabilitation programs, as is the case in advanced countries.

a)Immediate Rehabilitation Program:

  • The prosthetic technician, accompanied by the physiotherapist, will fit the temporary prosthetic limb suitable for the amputee’s condition within 24 hours post-surgery.
  • The patient will be trained daily in the late morning for a maximum of 30 minutes for two weeks, if surgical conditions allow.
  • The prosthetic technician will wrap the remaining stump using elastic bandages over the wound dressing to help alleviate phantom pains and maintain the cone shape of the amputation, as well as to reduce swelling.
  • The physiotherapist will recommend exercising the healthy leg during the patient’s bed rest period.b)Early Rehabilitation Program:
  • After ensuring wound healing and in coordination with the specialist physician, the prosthetic technician will start taking measurements and making the negative mold for the amputation approximately 15-20 days post-surgery.
  • Meanwhile, the physiotherapist will recommend exercising the healthy leg during the patient’s bed rest period.
  • The positive mold for the amputation will be designed and manufactured, and then the technical process to prepare the temporary prosthetic limb will begin.
  • The patient will be called in for the main fitting trial, during which the fit and comfort of the amputation inside the socket will be assessed, as well as the dynamic alignment of the limb, with any necessary adjustments made by the technician to improve gait and amputation comfort within the socket.
  • The final finishing works for the limb will be carried out and it will be prepared both technically and cosmetically for delivery to the patient.
  • The amputee will continue training with their prosthetic limb at home to gradually resume their normal daily activities, if possible, for a minimum of 10 weeks, using aids such as a metal walker or crutches.
  • The amputee will be reviewed as needed for any necessary adjustments, and even if no adjustments are required by the amputee, they will be called in twice every 6 months for monitoring and evaluating the condition of the amputee and the limb.
  • Once the technician ensures proper atrophy and strengthening of the remaining stump and rehabilitation of the motor performance, they proceed to take measurements and negative molds for the permanent limb after the amputee has spent no less than ten weeks training with the temporary limb.
    c)Late Fitting Rehabilitation Program:
  • This program is usually adopted when there is an injury to the non-amputated leg, such as a fracture, requiring the technician to refrain from manufacturing and designing the artificial limb until the non-amputated leg is healed, necessitating weight-bearing during movement.
  • Consequently, the technician continues to wrap the compressive bandage around the amputation, advising the patient, their relatives, or even the responsible nurse to maintain this procedure continuously.
  • The physiotherapist continues to exercise the patient and instructs them in the necessary exercises to maintain the functional performance of the remaining joints in the amputated leg.
  • In all cases mentioned above, work should not commence on any case received by the workshop from inside or outside the hospital unless it is referred by a specialized physician working in the hospital, with the appropriate case form signed by the physician and the responsible technician and stamped by the hospital department concerned.
  1. In cases of paralysis of the limbs
  • After the references are transferred by the doctor to the technician according to the approved prescription for these cases, the prescription is matched with what was prescribed and the doctor is contacted if there is a discrepancy between what is stated in the prescription and the nature of the disability.
  • The technician in charge takes the necessary measurements and a negative template for the case.
  • The technician prepares the positive template and then begins the technical process of manufacturing the required device and building it in a static alignment.
  • The patient is called for the main rehearsal, in which the limb is inspected and fitted into the device’s pods and the necessary joints. The dynamic alignment of the device is also examined, with any adjustments made that the technician deems necessary to improve the step and patient comfort.
  • The work of finishing the manufacture of the device and preparing it technically and formally for delivery to the patient is underway.
  • Visits the patient when necessary to make any required adjustments.
  • Even if there is no need to request this from the auditor, he is called twice every 6 months to monitor and evaluate the condition of the device and its functional performance.
  1. In cases of straightening and stabilizing the spine
  • It should be noted that there are some ready-made devices, especially in cases of stabilization and protection of the spine after surgery or any injury that requires it. Then the resident technician is called to install the required device within a period not exceeding 24 hours, if not immediately.
  • In cases of correcting spinal deviations and deformities, the same procedures mentioned above in Clause (2) are followed, in addition to the patient’s request for periodic review to monitor the progress of the correction under the supervision of the treating physician.
  • In such cases, speed of completion should be taken into account, because most cases related to the spine require this, especially if the patient is residing in the hospital.
  1. In cases of medical shoes and special diabetic shoes
  • The specialist technician agrees with the treating physician to prescribe the medical shoe that suits the medical condition.
  • The technician in charge takes the necessary measurements and a negative mold of the condition when needed.
  • In some cases, there are ready-made medical shoes that are issued directly to the patient, or the technician adds or changes what is necessary and appropriate for the medical condition.
  1. In cases of braces, joint stabilizers, and all ready-made devices:
  • The resident technician is summoned to install the required device within a period not exceeding 24 hours if not immediately available. Alternatively, the patient, if capable, is sent to the center’s location for the technician there to perform the necessary procedure.

In all the above-mentioned cases, work should not be initiated on any case received by the operator from inside or outside the hospital except with a referral from a specialist doctor working in the hospital along with the form designated for the case, signed by the doctor and technician in charge and stamped by the relevant department in the hospital.

  1. Ready-Made and Manufactured Installation Procedures:
  • An estimate of the costs of most common installation procedures will be provided in our proposal.
  • Regarding the types of these installations, they range from traditional to standard, dynamic, and electronic.
  • If any other installation procedure requested by the physician is not included in our offer, an evaluation of its costs will be agreed upon at that time and officially added to your approved price list.
  • In the case of periodic maintenance, the workshop does not charge any expenses unless some parts need to be replaced in any installation procedure. Then, a list of the prices of all expected replacement parts is used to cover only the cost of the part, without any labor charges.