Flexitouch® Plus

program options

Lower Extremity Treatment Options

Full Leg and Core: Program L1

About Full Leg and Core Treatment
This program provides distal to proximal treatment preceded by proximal clearing of lymphatic fluid in the trunk, thigh, calf, and foot. Enhanced programming applies treatment that extends past the inguinal area into the trunk, providing comprehensive treatment to patients when clinically appropriate.
TREATMENT Time: 1 Hour
How it Works

  1. TRUNK: directs fluid from the groin toward the waist; cycle repeats
  2. THIGH: directs fluid from the knee toward the top of the thighs; cycle repeats
  3. CALF: directs fluid from the ankle toward the knee; cycle repeats
  4. FOOT: directs fluid from the foot toward the ankle; cycle repeats
  5. FULL LEG AND TRUNK: directs fluid from the toes to the waist in one continuous motion; cycle repeats

Full Leg Plus: Program L4

About Full Leg Plus Treatment
This program provides distal to proximal treatment preceded by proximal clearing of lymphatic fluid in the thigh, calf and foot.
TREATMENT TIME: 1 HOUR
How It Works

  1. THIGH: directs fluid from the knee toward the top of the thigh; cycle repeats
  2. CALF: directs fluid from the ankle toward the knee; cycle repeats
  3. FOOT: directs fluid from the foot toward the ankle; cycle repeats
  4. FULL LEG: directs fluid from the toes to the top of the thigh in one continuous motion; cycle repeats

Half Leg Plus: Program L5

About Half Leg Plus Treatment
This program provides distal to proximal treatment preceded by proximal clearing of lymphatic fluid in the calf and foot.
TREATMENT TIME: 30 MINUTES 
How It Works

  1. CALF: directs fluid from the ankle toward the knee; cycle repeats
  2. FOOT: directs fluid from the foot toward the ankle; cycle repeats
  3. HALF LEG: directs fluid from the foot toward the knee; cycle repeats

Upper Extremity Treatment Options

Full Arm and Core: Program U1

About Full Arm and Core Treatment
This program provides distal to proximal treatment preceded by proximal clearing of lymphatic fluid in the trunk, chest, shoulder, biceps, forearm, and hand. Enhanced programming applies treatment that extends past the axilla area into the chest and trunk, providing comprehensive treatment to patients when clinically appropriate.
TREATMENT TIME: 1 hour
How It Works

  1. TRUNK: directs fluid from the waist toward the top of the thighs; cycle repeats
  2. CHEST: directs fluid from the shoulder toward the waist; cycle repeats
  3. BICEPS: directs fluid from the elbow toward the shoulder; cycle repeats
  4. FOREARM: directs fluid from the wrist toward the elbow; cycle repeats
  5. HAND: directs fluid from the fingers toward the wrist; cycle repeats
  6. FULL ARM, SHOULDER, CHEST, AND TRUNK: directs fluid from the fingers to the top of the thigh in one continuous motion; cycle repeats

Arm-Shoulder: Program U4

About Arm-shoulder Treatment
This treatment program provides distal to proximal treatment preceded by proximal clearing of lymphatic fluid in the chest, shoulder, biceps, forearm, and hand. The chambers sequentially inflate and deflate to stimulate and decongest this region of the lymphatic system. Only one chamber is fully inflated at any point in time.
TREATMENT TIME: 50 MINUTES 
How It Works

  1. CHEST: directs fluid from the shoulder toward the waist; cycle repeats
  2. BICEPS: directs fluid from the elbow toward the shoulder; cycle repeats
  3. FOREARM: directs fluid from the wrist toward the elbow; cycle repeats
  4. HAND: directs fluid from the fingers toward the wrist; cycle repeats
  5. FULL ARM, SHOULDER AND CHEST: directs fluid proximally from the fingers up to the shoulder, then to the top of the waist in one continuous motion; cycle repeats

Head and Neck Treatment Options

Head, Neck & Vest: Program H1

About Head, Neck & Vest Treatment
This program provides therapy to the head, neck and chest areas. The therapy begins with stimulation to adjacent healthy lymph node groups in the chest and axilla to allow for optimal lymph drainage of the head, neck and face.
TREATMENT TIME: 32 MINUTES
How It Works

  1. CHEST AND NECK: directs fluid from the neck and the chest, toward the underarm (axilla); cycle repeats
  2. HEAD: directs fluid from head and face toward the neck; cycle repeats
  3. HEAD, NECK AND CHEST: directs fluid from head, neck and face proximally toward the healthy regions of the chest, in one continuous motion; cycle repeats

Flexitouch Plus User Guide & Additional Information

The Flexitouch Plus system is designed for at-home treatment of lymphedema, chronic edema and chronic wounds. This guide provides the information needed to set up and use your Flexitouch Plus system.

Download User Guide

Indications for Use:

The Flexitouch Plus system and garments for legs, arms, trunk, and chest are intended for use by medical professionals and patients who are under medical supervision, for the treatment of many conditions such as:

  • Lymphedema
  • Primary Lymphedema
  • Post mastectomy edema
  • Edema following trauma and sports injuries
  • Post immobilization edema
  • Venous insufficiency
  • Reducing wound healing time
  • Treatment and assistance in healing stasis dermatitis, venous stasis ulcers, or arterial and diabetic leg ulcers

The Flexitouch Plus system and garments for the head and neck are intended for use by medical professionals and patients who are under medical supervision for the treatment of head and neck lymphedema.

Contraindications:

The Flexitouch Plus system should not be used if you have one or more of the following conditions:

  • Heart failure (acute pulmonary edema, decompensated acute heart failure)
  • Acute venous disease (acute thrombophlebitis, acute deep venous thrombosis, acute pulmonary embolism)
  • Severe peripheral artery disease (critical limb ischemia including ischemic rest pain, arterial wounds or gangrene)
  • Active skin or limb infection/inflammatory disease (acute cellulitis, other uncontrolled skin or untreated inflammatory skin disease)
  • Active cancer (cancer that is currently under treatment, but not yet in remission)
  • Any circumstance where increased lymphatic or venous return is undesirable
  • During pregnancy (applies only to the Flexitouch Plus trunk accessory)

The head garment and vest for head and neck for the Flexitouch Plus system should not be used if you have one or more of the following conditions:

  • Uncontrolled hyperthyroidism or parathyroidism (for which an endocrinologist recommends against neck compression)
  • Carotid sinus hypersensitivity syndrome
  • Symptomatic carotid artery disease, as manifested by a recent transient ischemic attack (within 30 days), ischemic stroke, or amaurosis fugax (monocular visual ischemic symptoms or blindness)
  • Symptomatic bradycardia in the absence of a pacemaker
  • Internal jugular venous thrombosis (within 3 months)
  • Increased intracranial pressure or other contraindication to internal or external jugular venous compression
  • Acute radiation dermatitis, unhealed surgical scar, unhealed or open wound(s), surgical flap less than 6–8 week post-operative
  • Facial or head and neck dermal metastasis
  • Acute facial infection (e.g., facial or parotid gland abscess)
  • Any condition in which increased venous and lymphatic return is undesirable

Clinical Documentation Guidelines for Flexitouch Plus Therapy

Some health plans may not approve payment for the Flexitouch Plus system until the patient has first tried a basic compression pump and found it to be ineffective. The patient’s medical records may require documentation that the patient:

  • Has tried at least four weeks of conservative home therapy, including the use of compression bandaging or garment, exercise, and elevation
  • Continues to manifest significant symptoms, such as continued swelling, fibrosis, impaired skin integrity, pain, impaired mobility and recurrent cellulitis

Traveling with Your Flexitouch Plus System

Patients may travel with any device that is medically necessary and can go through the x-ray screening process. Tactile Medical recommends patients traveling with their device do the following:

  • Carry on their controller and power cord. Patients may pack any garments/sleeves in their checked luggage.
  • Bring their user guide and prescription card with them to better help explain what the device does to a TSA agent.
  • Take the controller out of the carry on, as is done with a laptop.
  • Be prepared to turn the device on and show a TSA agent how the device works, if asked to do so.
  • Websites such as www.tsa.gov, or the equivalent agency in your destination country may be able to give your more information.

Additional Helpful Information:

  • The device will operate from 100 – 240 volts, 50/60 Hz, working nearly anywhere in the world without the need for a transformer or voltage converted.  If traveling outside the U.S., a plug adapter may be necessary, and can be purchased at a retail store.  Tactile Medical does not supply plug adapters.
  • Websites such as www.tsa.gov, or the equivalent agency in your destination country may be able to give your more information.
  • The following FDA website link show our products have been cleared to market in the U.S.: https://www.accessdata.fda.gov/cdrh_docs/pdf17/K170216.pdf
  • If you have any additional questions, please contact Tactile Medical at 866.435.3948.