1 JAECOCatalog2011
User Manual: JAECOCatalog2011
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JAECO Orthopedic has supplied quality upper extremity
orthotic equipment to the rehabilitation field in many countries
since 1955.We wish to thank you for your past patronage and
look forward to serving you in the future.
JAECO is also able to customize its products to meet
individual needs, and is ready to work on any specialized items
that you may need manufactured.
Mark Conry, CPO
President
Randall Sims
Manager
Table of Contents
1 WREX
2 MultiLink Mobile Arm Supports
3 Mount Relocators
4 Original Mobile Arm Supports
5Mobile Arm Support Mounts
6Mobile Arm Support Components
7Forearm Support Mounts
8Suspension Products
9Quad Reacher & Self Closing Reacher
9 Knee Spreader
9 Joystick Adapters
10 Wrist / Hand Orthosis (Opponen Splints)
11 Hand Orthosis and Attachments
12 Flexor Hinge Orthosis
13 Tools
14-16 Order Forms
17 Orthometry Form
WREX Forearm Support
Measure distance from Olecranon Process
to Ulnar Styloid minus 1”. Note: If measured
distance is ½” longer, choose
next larger size.
Universal left or right.
WFS-6: 6” Extra Small
WFS-8: 8” Small
WFS-9: 9” Medium
WFS-10: 10” Large
Note: Custom sizes available upon request.
The JAECO WREX is a functional upper limb orthosis designed to enhance movement for
individuals with neuromuscular disabilities. Its state-of-the-art construction utilizes a
light weight exoskeleton that approximates normal human anatomy. Linear elastic
bands are used both for balance and to assist movement in three dimensions against
the effects of gravity. These features provide for exceptional range of motion to aid in
a variety of therapeutic and daily living activities.
The WREX can be attached to most common wheelchairs and mobility seating systems
utilizing one of the three Mount Bases provided with the arm. These are the same
attachment systems that are the basis of our JAECO Mount Relocator.
A video of a patient using the WREX can be viewed at www.jaecoorthopedic.com.
Note: A complete WREX will consist of two product numbers (1) Either a Rt or Lt WREX Arm with Mount
(2) The WREX forearm Support that is size appropriate for your patient.
WREX Order Form -page 14
(501) 623-5944 * Fax: (501) 623-0159 * Email: info@jaecoorthopedic.com * Web: www.jaecoorthopedic.com
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WREX Arm with Mount attachments
JWREX-1R: WREX Arm Right
JWREX-1L: WREX Arm Left
JAECO WREX -Wilmington Robotic EXoskeleton
Sold separately
JAECO/Rancho MultiLink Arm
The JAECO/Rancho MultiLink MAS is a lightweight anodized
aluminum arm. The three articulated segment gives this design
a more compact
profile without
sacrificing range
of motion. This
will, in many cases,
eliminate the need to
remove the MAS from
the wheelchair in order to clear doorways or other obstacles. A
slide attachment with a down or up stop has been added to
simplify balancing especially with use of the
JAECO/Rancho Mount (JRMT-1).Two sizes cover children
through adult, universal left or right.
Note: Mount and Forearm Support sold separately.
It is recommended that the JMA-1 be ordered for most patients
(pediatric to adult). This 20 inch MultiLink has the same
functional reach as the Original Mobile Arm Support (MAS-1).
If you encounter a patient with a greater than normal
functional reach, order the 24 inch MultiLink, JMA-2.
JMA-1: JAECO/Rancho 20” Standard MultiLink Arm
JMA-2: JAECO/Rancho 24” MultiLink Arm
JAECO Table Mount
The JAECO Table Mount when utilized
with the MultiLink Arm increases functional
Range of desktop activities. Fits surfaces
up to 3”.
TM-1: JAECO Table Mount
JAECO/Rancho Mount
The JAECO/Rancho mount has been designed to address the
requests of therapists and DME
providers for a system that was
easier to set up and more
adaptable to the variety of
wheelchairs in use today.
Open jaw clamp accommodates
tubing as small as ¾” and
as large as 1”, even if the
back posts are covered with fabric.
Unique scroll wheels for anterior/posterior
and medial/lateral adjustments, allow quick and simple
balancing without tools.
Universal left or right.
Note: Some seating systems will require a Mount Relocator for
optimum Mount positioning … see page 5 for additional
information.
JRMT-1 JAECO/Rancho Mount
Forearm Support with Offset Swivel and Slide
The attached Offset Swivel with Slide has an integral down or
up stop. This new design allows forearm balancing to be
accomplished quickly and easily with
minimal tools.
Sizing: Measure distance
from Olecranon Process
to Ulnar Styloid minus
1”. Note: If measured
distance is ½” longer, choose
next larger size.
Universal left or right.
FSAS-6: 6” Extra Small
FSAS-8: 8” Small
FSAS-9: 9” Medium
FSAS-10: 10” Large
FSAS-11: 11” Extra Large
Note: Custom sizes available upon request.
JAECO Elevating MultiLink Arm
The addition of an Elevation Assist to the MultiLink allows
significantly greater range of motion for
feeding and facial hygiene. ( Poor grade
deltoid muscle required.) This new
design has more lifting power with
fewer rubber bands. The Slide and
Offset Swivel have been
added to simplify
balancing especially
with use of the
JAECO/Rancho Mount
(JRMT-1 page 2). Two sizes cover children through adult,
Universal left or right.
Note: Mount and Forearm Support sold separately.
JME-1: JAECO 21” Elevating MultiLink Arm
JME-2: JAECO 22” Elevating MultiLink Arm
JAECO MultiLink Eval Kit
The MultiLink Eval Kit
contains enough MultiLink
product needed to evaluate
most patients.
Contents: 1-JAECO/Rancho
Mount, 1-Table Mount,
2-MultiLink Arms (1 Standard
& 1 Elevating), 1 Forearm
Support with Offset Swivel &
Slide, 1-Relocator Arm with
3 Base Mounts, Manual and
A variety of tools needed
for attachment.
MEK-1: JAECO MultiLink Eval Kit
Note: A complete MultiLink MAS (standard or elevating) consists
of at least three product numbers (1) either a 20” or 24” MultiLink
Arm / a 21” or 22” Elevating MultiLink Arm (2) a Mount, for a
wheelchair or table (3) a Forearm Support with Offset Swivel and
Slide that is size appropriate for your patient.
May also require a Mount Relocator depending on wheelchair
type.
MultiLink Order Form -Page 15
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Sold separately
JAECO MultiLink Mobile Arm Supports
(501) 623-5944 * Fax: (501) 623-0159 * Email: info@jaecoorthopedic.com * Web: www.jaecoorthopedic.com
MR-10: Standard Mount Relocator
For mounting to wheelchairs with round back posts.
Mounts to 3/4 inch up to 1 inch diameter
wheelchair tubing, even if back posts are covered
with fabric.
MR-7: Mount Relocator for Molded Backrest
For mounting to wheelchairs with molded
backrests when back posts are restricted or not
present. Mounts directly to the back of plastic or
metal molded backrests.
MR-8: Mount Relocator for Keyed Back Post
For mounting to wheelchairs with Keyed back
posts
MR-12: Evaluation Mount Relocator
Includes one articulated arm and all three mount
bases for round back post, molded backrest and
keyed back post This allows maximum flexibility
for mounting and positioning of the MAS on most
of the popular wheelchairs and seating mobility
systems.
-3-
The 10 inch long mounting shaft and articulated arms allow for optimum Mobile Arm Support mount
position. Relocators produce up to 8 inches of additional mounting space. The clamp assembly requires
1.5 inches of space to mount to the wheelchair back post. Solid anodized black aluminum construction
minimizes deflection. The Relocator arm can be removed and replaced with the turn of a knob without
losing the preset adjustments.
JAECO Mount Relocators
(501) 623-5944 * Fax: (501) 623-0159 * Email: info@jaecoorthopedic.com * Web: www.jaecoorthopedic.com
JAECO Original Mobile Arm Supports
MASEAL-1: MAS with Elevation Assist
The elastic band assisted Elevating Proximal Arm
of this MAS is designed to provide clients with
shoulder girdle weakness additional range of
movement. A client with as little as poor strength
in the shoulder can accomplish self-feeding, table
top activities and facial hygiene, while increasing
or maintaining ROM and strengthening muscles.
The new design is universal left or right and has
more lifting power with fewer elastic bands. The
addition of the Forearm Support Slide simplifies
forearm balancing, without tools.
Note: Mount Sold Separately
EV-1: Evaluation Stand
The Evaluation Stand allows a patient to use any Mobile Arm Support without
attaching it to a wheelchair or table top. The stand is useful for clinical
evaluations and exercise when a patient may be changing wheelchairs or to aid
with a specific activity in a patients home. The Evaluation Stand is
constructed of strong, light weight , chrome plated steel. It is portable and
adjustable.
MAS-1: Standard MAS
The Standard MAS is designed for clients with
severe shoulder girdle weakness. A client with as
little as poor minus strength in the shoulder can
accomplish self-feeding and table top activities,
while increasing or maintaining ROM and
strengthening muscles.
The Original Mobile Arm Support is manufactured
from durable metal alloys with low friction ball
bearing joints to enable longevity of operation and
easy movement.
MASF-2: Friction Controlled MAS
Friction helps to control extraneous shoulder and
elbow motion and aids in self help and recreational
activities. Friction bands at four joints assist
control of horizontal shoulder abduction and
adduction, plus control of elbow flexion and
extension.
MAST-1: Table Mount MAS
The Table Mount design allows the use of a Mobile
Arm Support without the need for it to be attached
to a wheelchair. Excellent for use as an aid for
ambulatory clients with shoulder girdle weakness,
as an evaluation tool, or for situations when the
MAS is used only for a specific table top activity.
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Original MAS Order Form –page 16
(501) 623-5944 * Fax: (501) 623-0159 * Email: info@jaecoorthopedic.com * Web: www.jaecoorthopedic.com
Mount Sold Separately
JRMT-1: JAECO/Rancho MAS Mount
The JAECO/Rancho mount has been designed to address the
requests of therapists and DME providers for a system that
was easier to set up and more adaptable to the variety of
wheelchairs in use today. Open jaw clamp accommodates
tubing as small as 3/4 inch and as large as 1 inch, even if the
back posts are covered with fabric. Unique scroll wheels for
anterior/posterior and medial/lateral adjustments, allow quick
and simple balancing without tools. Universal left or right.
Works with all of the current Mobile Arm Supports.
MT-1: Adjustable MAS Mount
Mounts to 7/8” tubular
wheelchair back posts (uprights).
Order MT-11 for 1” back posts.
Specify Left or Right
MT-2: Reclining MAS Mount
Mounts to 7/8” tubular
wheelchair back posts (uprights).
Order MT-21 for 1” back posts.
Specify Left or Right
Note: Mount Relocators can be used if the preferred attachment point is obstructed or if the wheelchair
design does not have tubing for the Mobile Arm Support Mount. Mount Relocators produce up to eight inches
of additional mounting space.
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JAECO Mobile Arm Supports Mounts
(501) 623-5944 * Fax: (501) 623-0159 * Email: info@jaecoorthopedic.com * Web: www.jaecoorthopedic.com
-6-
JAECO Mobile Arm Support Components
Original Forearm Supports
Original Forearm Supports are constructed of aircraft
strength matted finish aluminum with a flesh tone
plastazote padding.
Note: To determine Forearm Support size, measure
the forearm from the olecranon to the ulnar styloid
then subtract 1 inch.
FS-6: 6 in. Pediatric
FS-8: 8 in. Small
FS-9: 9 in. Medium
FS-10: 10 in. Large
FS-11: 11 in. Extra Large
FS-1C: Custom –Smaller than 6 inches / Larger
than 11 inches
WHS-1: Wrist Hand Support
Adjustable wrist/hand support attaches to front of
Forearm Support. Supports hand when wrist
extensors are weak. Specify Left or Right
WHSC-1: Wrist / Hand Support Cover
These polyfoam covers provide a soft comfortable
interface, are machine washable and have velcro
closures.
FSC-1: Forearm Support Cover
These polyfoam covers provide a soft comfortable
interface, are machine washable and have velcro
closures.
RS-2: Riser
Fits between the Forearm Support
and the Distal Arm
Raises the Forearm Support 1” for
ADL.
V-1: Vertical Forearm Support Stop
Attaches to FSM-1 / Forearm Support Swivel stem.
Limits Forearm Support vertical motion.
(501) 623-5944 * Fax: (501) 623-0159 * Email: info@jaecoorthopedic.com * Web: www.jaecoorthopedic.com
FSM-1: Forearm Support Swivel
Standard Forearm Support mount
FSM-2: Supinator
Automatically supinates the
forearm 30 degrees when elbow
is flexed.
Available in left or right
FSM-4: Offset Swivel with Stops
Stops are adjustable to limit
vertical forearm support motion.
Available in left or right
FSM-5: Offset Swivel with Stops
and Humeral Rotation Assist
Rubber bands assist humeral
rotation and can be varied to suit
patient. Stops are adjustable to
limit vertical forearm support
motion.
Available in left or right
FSM-6: Offset Swivel with
Pronator Supinator Assist
Coil spring assists pronation or
supination. Stops limit forearm
rotation.
Available in left or right
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FSM-3: Offset Swivel
Places axis of forearm motion closer
to elbow to bring hand closer to
mouth allowing forearm support dial
to clear distal arm.
Available in left or right
JAECO Forearm Support Mounts
FSS-1: Forearm Support Slide
Makes Forearm Support balancing simple. With
the push of a button the Forearm Support can
be moved forward or back to optimize forearm
balance. Can be attached to all of the current
Forearm Support Mounts. Universal left or right.
FSM-7: Offset Swivel w/ Forearm Support Slide
Features of the Offset Swivel w/ Forearm Support
Slide. Multiple adjustments to optimize Mobile
Arm Support function Includes integral down or
up stop. Constructed of anodized aluminum.
Universal left or right. Works with all of the
current Mobile Arm Supports.
(501) 623-5944 * Fax: (501) 623-0159 * Email: info@jaecoorthopedic.com * Web: www.jaecoorthopedic.com
SF-1: Suspension Frame
Lightweight, portable frame
slides under wheelchair or
standard chair to support
arms in functional position.
Can be used with either
Suspension Sling or
Suspension MAS.
Rolls easily on large rubber
wheels. Folds compactly for
storage. Entire unit chrome
plated
SR-1: Suspension Rod
Chrome Plated steel built
for strength and durability.
Variable height adjustment.
S-1: Suspension Sling
Especially valuable for early muscle
re-education. Adjustable balance
bar allows optimum function.
Suspension Slings are constructed
of top grade smoked elk leather and
lined with soft durable pearl cow
leather.
SMAS-1: Suspension MAS
Ball bearing joint allows side arm
rotation to more closely approximate
the center of gravity. Adjustable to
permit optimum function.
Specify:
Left or Right & Forearm Support size
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SMT-1: Adjustable Suspension Mount
Mounts to 7/8” tubular wheelchair back
posts (uprights).
Order SMT-11 for 1” back posts.
Specify: Left or Right
SMT-2: Reclining Suspension Mount
Mounts to 7/8” tubular wheelchair back
posts (uprights).
Order SMT-21 for 1” back posts.
Specify: Left or Right
JAECO Suspension Products
(501) 623-5944 * Fax: (501) 623-0159 * Email: info@jaecoorthopedic.com * Web: www.jaecoorthopedic.com
R-2: Quad Reacher
This unique device will allow a patient with
limited reach and grasp to utilize wrist extension
to open the jaw of a reacher. Rubber band
closure is easily varied to suit individual.
Available in 20” or 24” length.
Sizing:
Small: MP diameter less than 3”
Medium: MP diameter between 3” and 3 1/4”
Large: MP diameter larger than 3 1/4”
JAECO Reacher
These quality reachers are built to out last most
reachers. Constructed of stainless steel tubing with
mahogany handle. With rubber band closure for
varied individual need.
R-1-20: 20 inch Reacher
R-1-24: 24 inch Reacher
KS-1: JAECO Knee Spreader
Aluminum leg band construction which easily
adjusts to fit upper leg. Plastazote padding provides
effective pressure distribution and strong durable
chrome plated spreader bar. Standard Knee
Spreader has 5 1/2” width.
Custom widths available upon request .
Goal Post
Style
“V” Style
Wheelchair Joystick Adapters
Stainless steel with plastazote padding
Three different heights attained by trimming
the shaft.
GP-1: Goal Post Style
GP-2: “V” Style
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JAECO Products
(501) 623-5944 * Fax: (501) 623-0159 * Email: info@jaecoorthopedic.com * Web: www.jaecoorthopedic.comc
FOR CUSTOM FABRICATION
Use orthometry form
on page 17
TO ORDER KITS:
Specify Item No.
Left or Right and Size
Small–MP diameter
3” or Less
Large–MP diameter
Larger than 3”
WHO-5: Wrist HO with Free Moving Wrist and
Extension Assist
This hand orthosis has a free moving wrist with
rubber band assist. It can be modified to
incorporate a Locking Block at the wrist joint for
preset positions of the wrist (specify when ordering).
WHO-4 w/ AT-7: WHO (Wide Style) with Utensil
Cuff
This Wrist / Hand Orthosis incorporates a leather
utensil cuff which will accommodate most feeding
utensils. Velcro closures for secure fit.
WHO-3
WHO (Narrow Style)
P-3: JAECO Platform Orthosis with Adjustable
Locks
P-3 has 5 position locks at wrist for instant
adjustment. Designed to prevent wrist from pushing
out of orthosis. Open design for better air
circulation. Kydex, Aluminum, and Stainless Steel
construction. Preformed hand piece or cone
adjustable with heat gun.
P-1 Platform Orthosis
Same as P-3 except wrist is riveted in position.
No adjustable locks.
WHO-4 w/ AT-1
WHO (Wide Style) with IP Assist and MP Stop
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JAECO Wrist / Hand Orthosis
(501) 623-5944 * Fax: (501) 623-0159 * Email: info@jaecoorthopedic.com * Web: www.jaecoorthopedic.com
AT-3
MP extension Assist
(rubber band )
AT-5
MP Stop (Lumbrical Bar)
AT-0
Thumb Extension Assist
Spring Wire Assist
AT-11
Attachment
Bar
AT-10
Attachment Plate
Adapts plastic, plaster, or
aluminum orthosis to accept
JAECO attachments
HO-2 w/ AT-2
HO (Wide Style)
with IP Assist (spring wire) and
MP Stop
HO-2 w/ AT-1
HO (Wide Style)
with IP Assist (rubber band)
and MP Stop
-11-
JAECO Hand Orthosis and Hand Splint Attachments
(501) 623-5944 * Fax: (501) 623-0159 * Email: info@jaecoorthopedic.com * Web: www.jaecoorthopedic.com
FOR CUSTOM FABRICATION
Use orthometry form
on page 17
TO ORDER KITS:
Specify Item No.
Left or Right and Size
Small–MP diameter
3” or Less
Large–MP diameter
Larger than 3”
These wrist/ hand orthosis employ the Flexor Hinge Principal. The fingers and thumb are stabilized in the
position of function. Hand motion occurs only at the MP joints. Wrist extension produces pinch. Constructed of:
Polished Aluminum palm and forearm for strength with Stainless Steel parts for durability.
F-21: Wrist Driven Flexor Hinge
This unit has 5 position wrist which is achieved
through the Actuating Lever and Locking Block at
wrist joint. Adjustable finger pieces ( Available on
fabricated units ). Velcro closures with Plastazote
lining and Utensil spring .
F-21 Kits are also available.
F-22: Wrist Driven Flexor Hinge w/ MAPEL
This orthosis has: 5 position wrist prehension which
is achieved through the Actuating Lever and
Locking Block at wrist joint. Adjustable finger pieces
(Available on fabricated units ). Velcro closures
with Plastazote lining and Utensil spring .
Plus the F-22 has the MAPEL attached at the MP
joint. With a simple nudge an individual can grasp
items for extended periods of time and allow
functional extensors to rest during daily activities.
F-22 Kits are also available.
F-23G WD/WHO w/ FEA
The F-23 also has 5 position wrist Plus Finger
Extension Assist. This orthosis is for individuals
with Non-functional wrist. Prehension is
accomplished by pushing the Push Rod forward.
The fingers will maintain grasp until the Locking
Lever is pressed, then the fingers will open
automatically. Adjustable finger pieces (Available
on fabricated units). Velcro closures with
Plastazote lining and Utensil spring .
F-23G Kits are also available.
-12-
JAECO Flexor Hinges
(501) 623-5944 * Fax: (501) 623-0159 * Email: info@jaecoorthopedic.com * Web: www.jaecoorthopedic.comc
FOR CUSTOM FABRICATION
Use orthometry form
on page 17
TO ORDER KITS:
Specify Item No.
Left or Right and Size
Small–MP diameter
3” or Less
Large–MP diameter
Larger than 3”
F-6 : MAPEL
Mini Adjustable Prehension Easy Lock
Provides rest for functional wrist extensors while
maintaining grasp for extended periods of time.
Provides positive hold in 3.75 degree increments.
Slight nudge engages or disengages locking lever.
F-5: Adjustable Actuating Lever Kit
Allows prehension in choice of 5 settings
to obtain the most functional position
during activities.
T-3: T-Anvil
T-2: Three Prong Bending Bar
For bending flat metal and 1/8”
wire.
These vise held tools are invaluable for
shaping and riveting hand orthosis
T-1: Two Prong Bending Bar
For bending flat metal.
-13-
JAECO Flexor Hinge Components
JAECO Splint Fabrication Tools
(501) 623-5944 * Fax: (501) 623-0159 * Email: info@jaecoorthopedic.com * Web: www.jaecoorthopedic.comc
JAECO Power Driven Flexor Hinge
F-25: Power Driven Flexor Hinge
This electric powered Flexor hinge, commonly referred to as a
hand/wrist splint can be utilized by those who lack hand
grasp and sufficient tenodesis-enabling wrist extension
strength. This Flexor hinge is indispensable for providing the
ability to pickup, grasp, hold, and manipulate objects.
-14-
JAECO WREX Order Form
1BILL TO:
Customer Name
Address
City State Zip
Phone ( )
Fax ( )
Your Name
2SHIP TO:
Customer Name
Address
City State Zip
Attention
Department
3Method of Payment:
Check (Payable to JAECO Orthopedic) Bill our Account: Purchase order Number
Credit Card: Visa MasterCard
4Shipping: Ground 1-5 Days 3-Day 2nd Day Air Next Day Air
5Select WREX Arm:
Qty. Product # Product Description
JWREX-1L WREX Arm Left
JWREX-1R WREX Arm Right
6Select WREX Forearm Support:
Qty. Product # Product Description
WFS-6 6 in. Pediatric
WFS-8 8 in. Small
WFS-9 9 in. Medium
WFS-10 10 in. Large
FSC-1 Custom: Supply measurements
Forearm Length
Wrist Circumference
Forearm Circumference
Custom Forearm Support Measurements
Credit Card Number: Expiration date:
Printed Name:
Signature: Date:
CC Billing Address City State Zip
(501) 623-5944 * Fax: (501) 623-0159 * Email: info@jaecoorthopedic.com * Web: www.jaecoorthopedic.com
-15-
JAECO MultiLink Mobile Arm Support Order Form
1BILL TO:
Customer Name
Address
City State Zip
Phone ( )
Fax ( )
Your Name
2SHIP TO:
Customer Name
Address
City State Zip
Attention
Department
3Method of Payment:
Check (Payable to JAECO Orthopedic) Bill our Account: Purchase order Number
4Shipping: Ground 1-5 Days 3-Day 2nd Day Air Next Day Air
5Select MultiLink Mount:
Qty. Product # Product Description
JMA-1 20 in. MultiLink Arm (Standard)
JMA-2 24 in. MultiLink Arm
JME-1 21 in. Elevating MultiLink Arm
JME-2 22 in. Elevating MultiLink Arm
Qty. Product # Product Description
JRMT-1 JAECO / Rancho Mount
TM-1 JAECO Table Mount
6Select MultiLink Arm:
7Select MultiLink Forearm Support:
Qty. Product # Product Description
FSAS-6 6 in. Pediatric
FSAS-8 8 in. Small
FSAS-9 9 in. Medium
FSAS-10 10 in. Large
FSAS-11 11 in. Extra Large
FSAS-1C Custom: Supply measurements
Qty. Product # Product Description
MR-7 For Molded Backrest
MR-8 For Keyed Back Post
MR-10 For Tubular Back Post
8Select Mount Relocator: (if needed)
9Select Accessory:
Qty. Product # Product Description
FSC-1 Forearm Support Cover
JRHA-1 MultiLink Height Adjuster
Forearm Length
Wrist Circumference
Forearm Circumference
Custom Forearm Support Measurements
Credit Card: Visa MasterCard Credit Card Number: Expiration date:
Printed Name:
Signature: Date:
CC Billing Address City State Zip
(501) 623-5944 * Fax: (501) 623-0159 * Email: info@jaecoorthopedic.com * Web: www.jaecoorthopedic.com
-16-
Qty. Product # Description
JRMT-1 JAECO / Rancho Mount
MT-1 Adjustable Mount for 7/8” Tubing
MT-11 Adjustable Mount for 1” Tubing
MT-2 Reclining Mount for 7/8” Tubing
MT-21 Reclining Mount for 1” Tubing
TM-1 JAECO Table Mount
JAECO Original Mobile Arm Support Order Form
1BILL TO:
Customer Name
Address
City State Zip
Phone ( )
Fax ( )
Your Name
2SHIP TO:
Customer Name
Address
City State Zip
Attention
Department
3Method of Payment:
Check (Payable to JAECO Orthopedic) Bill our Account: Purchase order Number
Credit Card: Visa MasterCard
4Shipping: Ground 1-5 Days 3-Day 2nd Day Air Next Day Air
6Select MAS Mount: 7Select MAS Arm:
5Side: Left Right Bi-Lateral
Qty. Product # Description
MAS-1 Standard 20 inch MAS Arm
MASEAL-1 Standard 22 inch Elevating Arm
MAST-1 Standard19 inch Table Mount Arm
Qty. Product # Description
FS-6 6 in. Pediatric
FS-8 8 in. Small
FS-9 9 in. Medium
FS-10 10 in. Large
FS-11 11 in. Extra Large
FS-1C Custom: Supply Measurements
8Select Forearm Support:
9Select Mount Relocator: if needed
Qty. Product # Description
MR-7 For Molded Backrests
MR-8 For Keyed Back Post
MR-10 For Tubular Back Post
Forearm Length
Wrist Circumference
Forearm Circumference
Custom Forearm Support Measurements
10 List Optional Components or Accessories:
Qty. Product # Description
Credit Card: Visa MasterCard Credit Card Number: Expiration date:
Printed Name:
Signature: Date:
CC Billing Address City State Zip
(501) 623-5944 * Fax: (501) 623-0159 * Email: info@jaecoorthopedic.com * Web: www.jaecoorthopedic.com
____ A. Circumference of wrist just Proximal to ulnar styloid
____ B. Circumference of forearm at cubital fold
____ C. Diameter of hand across MP joints
____ D. Diameter of wrist just proximal ulnar styloid
____ E. Diameter of forearm at cubital fold
____ F. Diameter of 2nd MP joint
____ G. Distance from ulnar styloid to 5th MP joint
____ H. Distance from cubital fold to radial styloid
____ I. Distance from radial styloid to 2nd MP joint
____ J. Distance from center of 2nd MP to 1st MP joint
____ K. Distance from 2nd MP crease to 1st IP crease
____ L. Distance from 2nd MP to 2nd MIP
____ M. Distance from 2nd MIP to 2nd DIP
____ N. Distance from 2nd DIP to nail bed
____ O. Circumference -between 2nd MP and 2nd PIP
____ P. Circumference -between 2nd PIP and 2nd DIP
____ R. Circumference -between 3rd MP and 3rd PIP
____ S. Circumference -between 3rd PIP and 3rd DIP
____ T. Distance from 1st MP to 1st DIP
____ U. Distance from 1st DIP to nail bed
____ V. Circumference -between 1st DIP and nail bed
JAECO Orthometry Form
Fabrication Requirements
For Flexor Hinge Orthosis we prefer a PLASTER cast of the forearm and hand and all
measurements below. Make sure the wrist has 30 degrees of extension, hand is not
deviated , palmar arch is well defined, thumb is abducted and rotated to oppose tips of
1st and 2nd fingers, tips of 1st and 2nd fingers must be even and directly adjacent to
each other, and the 1st and 2nd fingers should almost contact the thumb equally and
simultaneously.
NOTE: The Fabricated Orthosis we supply, can be no more accurate than the
measurements and cast you provide.
WD/WHO - A thru V
WHO - A thru K
HO - A thru G
Platform Orthosis - A thru K
Measurement
Requirements
V
C
G
D
E
H
BA
P
O
S
R
U
T
J
IK
FLM
N
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(501) 623-5944 * Fax: (501) 623-0159 * Email: info@jaecoorthopedic.com * Web: www.jaecoorthopedic.com
214 Drexel Street
Hot Springs, AR 71901
Phone: 501-623-5944
Fax: 501-623-0159
Email: info@jaecoorthopedic.com
Internet: www.jaecoorthopedic.com
JAECO Clinical Evaluation Products
JAECO MultiLink Eval Kit
The MultiLink Eval Kit contains enough MultiLink
product needed to evaluate most patients.
Contents:
1-JAECO/Rancho Mount, 1-Table Mount,
2-MultiLink Arms (1 Standard & 1 Elevating),
1 Forearm Support with Offset Swivel & Slide,
1-Relocator Arm with 3 Base Mounts,
Manual and a variety of tools needed for attachment.
MEK-1: JAECO MultiLink Eval Kit
MR-12: Evaluation Mount Relocator
Includes one articulated arm and all three mount
bases for round back post, molded backrest and
keyed back post This allows maximum flexibility
for mounting and positioning of the MAS on most
of the popular wheelchairs and seating mobility
systems.
EV-1: Evaluation Stand
The Evaluation Stand allows a patient to use any
Mobile Arm Support without attaching it to a
wheelchair or table top. The stand is useful for
clinical evaluations and exercise when a patient
may be changing wheelchairs or to aid with a
specific activity in a patients home. The
Evaluation Stand is constructed of strong, light
weight , chrome plated steel. It is portable and
adjustable.
