Discontinuous 2-Part AK Foam Cover
Natural Appearance and Full Function!
No more ripped or torn covers! Durability and shape-ability are maximized thanks to a plastizote-like foam material. For best results, finish with 2-Part Megastretch DAWSkin for the ultimate protection and beauty!
Primary Benefits:
- No Artificial Extension Assist
- Custom Made For DAW Knees Providing a Reliable, Sound Fit
- Pre-Shaped Tibial Portion Saves Tech’s Time, Order Right Or Left
- Medicare Reimbursed
Order Includes:
- 1x Kneecap (specific to DAW Knee of choice)
- 1x Soft Inner Core (if required)
- 1x Ankle Core (if required)
Adult Tibial Section Measurements – Select Right (#:TFC-ECR) or Left (#:TFC-ECL)
| Ankle Circ. | 10 in | 25.4 cm |
| Calf Circ. | 141/16 in | 35.8 cm |
| Wall Thickness | 7/16 in | 11 mm |
*Same for Left or Right.
Pediatric Discontinuous Foam Cover Measurements – Not Side Specific (#:TFC-ECC)
| Length | 135/8 in | 346 mm |
| Diameter | 33/8 in | 85 mm |
| Bottom Pylon Hole | 7/8 in | 22 mm |
*Same for Left or Right.
ADULT 2-PART FOAM COVERS
| Knee Unit | Knee Stock Number | Complete Knee Cap, Shin, and Inner Core |
Knee Cap | Shin Only | Soft Inner Core |
|---|---|---|---|---|---|
| SLK Multi-Matrix 2.5 | TGK–5PS0SLKMTX | TFC–EG5PS0SLKR or L | TFC–ECG5PS0SLK | TFC–ECR or L | Not required |
| SLK Multi-Matrix 2.5 KD | TGK–5PS10SLKMTX | TFC–EG5PS10SLKR or L | TFC–ECG5PS10 | TFC–ECR or L | Not required |
| SURE STANCE | THK-4PSC | Shin Only | Not required | TFC–ECR or L | Not required |
| 5PS0-HW | TGK–5PS0HW | TFC–EG5PS0HWR or L | TFC–ECG5PS0HA | TFC–ECR or L | TFC–EI5P |
| 5P10-KD | TGK–5PS10 | TFC–EG5PS10R or L | TFC–ECG5PS10 | TFC–ECR or L | Not required |
| 50S0 Ultra-lite or Original | TGK–50S0 or TK-50S0 | TFC–EG50S0R or L | TFC–ECG50S0 | TFC–ECR or L | TFC–EI50 |
| 4P00 Ultra-lite or Original | TGK–4P00–P or TK-4P00-P | TFC–EG4P00–PR or L | TFC–EGC4P00–P | TFC–ECR or L | TFC–EI4P |
| 4P00-HW | TGK–4P00HW | TFC–EG4P00R or L | TFC–EGC4P00 | TFC–ECR or L | TFC-EIPR or L |
| 4P10-KD | TGK–4P10 | TFC–EG4P10R or L | TFC–EG4P10 | TFC–ECR or L | Not required |
| 4000 Ultra-lite or Original | TGK–4000 or TK-4000 | TFC–EG4000R or L | TFC–ECG4000B | TFC–ECR or L | TFC–EI0R or L |
| 4001 Ultra-lite or Original | TGK–4001 or TK-4001 | TFC–EG4000R or L | TFC–ECG4001B | TFC–ECR or L | TFC–EI0R or L |
| 30-Stop Ultra-lite or Original | TGK–4002 or TK-4002 | TFC–EG4000R or L | TFC–ECG4001B | TFC–ECR or L | TFC–EI0R or L |
| 4010-KD | TK–4010 | TFC–EK4010R or L | TFC–ECK4010 | TFC–ECR or L | Not required |
PEDIATRIC & ADOLESCENT 2-PART FOAM COVERS
| Knee Unit | Knee Stock Number | Complete 2-Part Cover (Includes Knee Cap and Shin) | Knee Cap | Shin Only |
|---|---|---|---|---|
| Fearless Knee K3 For Child | TK–4P0C | TFC–EK4P0C | TFC–ECK4P0C | TFC–ECC |
| Fearless Knee K3 Adolescent w/Adult Shin | TK–4P0C | TFC–EK4P0CLR or L | TFC–ECK4P0C | TFC–ECR or L (+TFC–22MI = Ped Pylon Sleeve) |
| Fearless Knee K2 For Child | TK–40C | TFC–EK40C | TFC–ECK40C | TFC–ECC |
| Fearless Knee K2 Adolescent w/Adult Shin | TK–40C | TFC–EK40CLR or L | TFC–ECK40CL | TFC–ECR or L (+TFC–22MI = Ped Pylon Sleeve) |
| 1C1 | TK–1C1 | TFC-EK1C1 | N/A | TFC–ECC |
Suggested L-Codes:
Short Description for L5705: Custom shape cover AK
Long Description for L5705: CUSTOM SHAPED PROTECTIVE COVER, ABOVE KNEE
Disclaimer: The suggested L-Codes, reimbursements, and knee costs are shown for illustration and comparative purposes only. While DAW Industries believes the suggested L-Codes to be consistent with the current policies of the DMERCs, it must be understood that only appropriate authorized officials of the DMERCs are qualified to interpret their policies and practices. Accordingly DAW does not warrant, nor does it take responsibility for the validity of the information presented here, nor for the actions of any DMERC or other entity with regard to reimbursement or any other issue. DAW also recognizes that practitioners’ costs for professional services and related overheads far exceed the costs shown herein. Nothing contained herein should be construed to contradict that obvious fact. All data is subject to change without notice.
Product Name: Discontinuous 2-Part AK Foam Cover
To Order by Phone:
Call DAW Customer Support at (800)252-2828. A trained Customer Support Representative is here to help from 6:30am to 5pm PST.
To Order by Email:
Send your email order to customercare@daw-usa.com.
In your email, please include:
- Your Company Name or DAW Account Number
- Purchase Order Number
- Shipping Address
- Items You Are Ordering
- Requested Shipping Method
DAW Customer Support will respond letting you know your order was received and when it will ship!