Your® Liner - Ordering platform

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If you are currently with a patient, please use the following Memo Sheet to collect key info, and come back later to place your order:

Your® Liner Memo Sheet
Current lead time
/!\ in WEEKdays /!\ Only works if this value is below 50. Contact CGA if we need to put a higher number there.
Your® Liner can only be ordered by a Certified prosthetic technician. If you are a user and are curious about how Your® Liner could help you in your daily life, please get in touch with your CPO, or take a look at our partner centers:

https://www.motiontech.ch/partner-centers
Prescriber & Patient
PRESCRIBER
Company*
Shipping address*

MotionTech already knows my company - use same shipping data as usualNot sure if MotionTech has the right data registered for my company, please send to this address:
Billing address*

Same as shipping addressDifferent from shipping address
Prosthetist Name / Surname*
Prosthetist e-mail*
Prosthetist phone number
Purchase Order n°
Ref n° for your accounting department (optional)
PATIENT
Patient Name / Code*
Ideally anonymous. This name / code must stay the same for future orders.
Has this patient ever had a Your® Liner ?*

NoYes, but I want to start over from a new scanYes, I want to order a renewal / duplicate liner (without a new scan)
Do you intend to do a new socket for this patient ?*

Yes (recommended)No
Serial n° of previous Your® Liner*
Serial n° of the last Your® Liner of this patient (code printed on the liner starting with SMT-...)
Why do you want to make a new 3D model for this patient ?*

Volume change / unadapted compressionsPatient's expectations changedShape change (e.g. surgery, exostosis, etc.)Different type of prosthesisOther

Starting a liner from scratch from a new scan can result in a quite different shape.

If you intend to keep the same socket, we strongly recommend modifying the already existing model, using the Your® Liner Follow-up Platform to explain what modifications you expect (e.g. send new measurements, attach new scan file, explain where to reduce thickness, etc.).

=> Your® Liner Follow-up Platform
Renewal / duplicate liners and warranty requests should be done using the Your® Liner Follow-up Platform. Please access the following link:

=> Your® Liner Follow-up Platform
Amputation level*

Ankle-Ex.TranstibialKnee-Ex.TransfemoralOther
Amputation side*

LeftRight
Auto- Amputation level
Field set automatically and used by suspension workflows
NOTE: For TF stumps with abundant soft tissue, please either:
- Pre-compress the soft tissue with an elastic stocking to obtain homogeneous shape, OR
- Take a plaster cast and send the scan of the positive model (do not apply reductions on the positive model)
Activity level*

K1K2K3K4
Prehension ability / strength ? (ability to don & doff the liner)*

Very highGoodSome limitationsStrong limitations
Details on prehension limitations
any info which is relevant to understand how capable is this patient for donning & doffing a liner
Weight
in kg
Birth year
Only the year, not full birth date
Started using a prosthesis in
year of 1st prosthetic fitting
Former liner
Which liner model is this patient used to the most
WHY IS A YOUR® LINER IS NEEDED
Is this residual limb pear-shaped ?*

YesNo
What socket type do you intend to make ?*

Without boa / soft socket : liner must compensate pear-shapeSocket with modular opening / boa system / soft socketI'm not sure - please contact me
Why not using a standard liner for this patient ?

Custom shape neededCustom paddings / thicknesses neededHandling invaginations / scarsOther

Uploads
UPLOADS
Upload your scan(s) here*

.stl, .obj, .ply, .cpx .iMed or .zip format - preferably upload 2 scans - max 100MB per file
Cancelof
Knee pre-flexion*

Keep knee-flexion of scanApply a different flexion angle:
WARNING: Editing the flexion angle digitally comes with some uncertainty. If you have the possibility, we recommend taking the scan directly with the desired flexion angle.
Upload pictures / videos of the stump here*

At least 4 pictures (Anterior, Posterior, Medial, Lateral). Videos to show soft / hard tissues are also very helpful.
Cancelof
Delivery date
Current date*

DayMonthYear
Estimated delivery date for today's orders:

{minDefault455} - {maxDefault459}

*MotionTech doesn't guarantee delays, these dates are only indicative.

WHY THESE DATES ?

Select an earlier / later shipping date ?*

I'm OK with default datesChoose a different date (against discount / extra charge)
Choose your shipping date*

DayMonthYear
Estimated delivery date for chosen shipping date:

{minDesired462} - {maxDesired464}

↳ Subsequent extra-charge: {extraCharge}
Estimated delivery date for chosen shipping date:

{minDesired462} - {maxDesired464}

↳ Subsequent discount / extra-charge: {extraCharge} (no discount / extra-charge)
Estimated delivery date for chosen shipping date:

{minDesired462} - {maxDesired464}

↳ Subsequent discount: {extraCharge}
I have seen and accept this extra charge*

YesNo

How are discounts / extra charges determined ?

Current date - string
(used for calculating default shipping date)
Displayed lead time
[weekdays] - This is equal to above number except if it's below 7 (=7 if current lead time below 7)
Default shipping date

DayMonthYear
Date type field
Default shipping date - string
.
Min default delivery date

DayMonthYear
Date type field
Min default delivery date - string
Max default delivery date

DayMonthYear
Date type field
Max default delivery date - string
Desired shipping date - string
Used to differentiate business days calculation based on which day is the desire shipping date
Min desired delivery date

DayMonthYear
Date type field
Min desired delivery date - string
Max desired delivery date

DayMonthYear
Date type field
Max desired delivery date - string
# Total days of difference with default lead time
Counts week ends, below property counts only business days
# Business days of difference with default lead time
/!\ Capped in negative (~-30 depending on week day) and in positive (~50 depending on week day)
# Days between requested shipping deadline and today
Used to calculate 10% fee when requested delivery date is in 5 days and actual lead time is between 7 and 10 days.
Is requested shipping deadline in 5 business days ?
=1 if yes, empty otherwise
Extra charge / discount - value
VALIDATE
Any final words ?
e.g. specific request / points of attention, remarks about patient's position during scan, etc.
Signature*

I agree to MotionTech's Terms & Conditions for the Your® Liner service. Clear
Should be Empty:

	Same as last liner	Different from last liner	NA / I don't know
Compressions
Thicknesses
Silicone hardness
Pre-flexion
Suspension
Aesthetic style

Prescriber & Patient

PRESCRIBER

PATIENT

WHY IS A YOUR® LINER IS NEEDED

3D Modeling Instructions

MEASUREMENTS

SILICONE TYPE & THICKNESSES

Other 3D modeling instructions

Suspension & Style

SUSPENSION

TEXTILE COVER STYLE

SOCKET CUSTOMISATION

Uploads

UPLOADS

Delivery date

VALIDATE