3TO BRACE Setup guide

SET OF
INSTRUCTIONS

2

3
TABLE OF CONTENT
1. Introduction
1.1. Foreword 4
1.2. Treatment objectives
4
2. Work materials
2.1. Braces and loo s 5
2.2. Instruments 6
3. Ho to place the 3TO-Brace
3.1. Pre aring the nail fold 7
3.2. Pre aring the brace 7
3.3. Bending the 1. brace side 8
3.4. Placing the 1. brace side 11
3.5. Placing the 2. brace side 12
3.6. Installing the loo 13
3.7. Cutting off wire ends 15
3.8. Fix and seal connection area 16
4. Remove and re-adjust the 3TO-Brace
4.1. Remove the brace 17
4.2. Re-adjust the brace 18
5. Patient notes
19
6. Therapist notes
6.1. Safety hints 19
6.2. General treatment information 20
The information contained in this document must not be assed on or du licated,
ex loited or shared, unless ex ressly a roved in writing. Any violation shall result in
ayment of damages.
May 2013

4
1. Introduction
1.1. Foreword
These detailed instructions will hel rofessional thera ists to a ly
the 3TO-brace correctly. It contains ractical hints and describes all
ste s of the a lication in great detail.
Please read these instructions carefully after you have attended the
seminar and ay articular attention to the safety information for
your own and your atients’ safety.
1.2. Treatment objectives of the 3TO thera y
The 3TO thera y hel s to restore the natural growth of the damaged
nail.
The 3TO-BRACE
®
hel s to reduce ain by immediately lifting the
ingrown nail and it im roves the overall condition of the atient
quickly and effectively.
Toe before treatment Toe 10 days after start of
thera y

5
2. Work materials
2.1. Braces and loo s
Our 3TO-Brace
®
comes in four different variants:
Normal 3TO-Brace
®
Our normal 3TO-Brace is made of 0.4 mm thick, stainless s ring
steel wire and is suitable for almost all kinds of a lications.
3TO children braces
The 3TO children brace is designed for children braces and for all
small nails and fingernails. Like the normal brace, it is 0.4 mm thick,
only the distance between the S-bend and the omega is articularly
small in this design.
Strong 3TO-Brace
®
Our strong 3TO-Brace’s sha e is similar to our normal brace, but it is
made of 0.45 mm thick wire and is used for very thick and solid nails
only. The strong loo is used in order to contract it.
Our 3TO-Loops come in two different variants:
Normal loop
Our normal loo is made of a 0.3 mm thick wire and is suitable for
most a lications.
Strong loop
The strong loo is used for thick and solid nails. Wire thickness: 0.35
mm.

6
2.2. Instruments
Side-cutting- 3TO Combination- Fixation- Hook
ni ers liers liers

7
3. How to lace the 3TO-Brace
Please ensure that the entire area to be treated is
disinfected prior to treatment:
Please use either skin disinfection (i.e. Kodan
Tinktur Forte) or
suitable skin disinfection tissues (i.e. Kodan
tissues). Please
observe the a lication times recommended by the manufacturer.
Also protect your o n health hen treating your patients
ith our brace: Please wear gloves, mask and also wear rotective
s ectacles when cli ing off the wires.
3.1. Pre aring the nail fold
Reduce mani ulation of the nail fold to a minimum before lacing the
brace in order to avoid unnecessary irritation of the wound.
lease robe for a free s ot to fasten the brace
lease clean the nail fold as required to lace the brace
3.2. Pre aring the brace
The brace must be disinfected in an immersion bath using a
disinfectant generally acknowledged by your local medical
association for hygiene and microbiology (i.e. Lysetol
®
Med). Always
follow the instructions regarding concentration and a lication times
on the ackage or in the atient information leaflets. Please rinse the
brace with clear water after disinfection.

8
3.3. Bending the hook on the first brace side
Establish a diagnosis of the anatomic sha e of the nail
Defining a connection area (2) of a rox. 5 mm width (guess by
eye) for the loo . This area is normally located in the middle of the
toe but may also be located more to the side, if the nail is heavily
war ed or rolled-in. (see Picture 1 + drawing 1a
Drawing 1a Picture 1
Bend the hook with the combination liers:
Fix the brace in the area of the omega into the fixation liers
Pre-bend the first hook with the combination liers ( ictures 2a, 2b)
Picture 2a Picture 2b

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Press together the hook in a borehole of the combination liers.
The size of the holes will define the size of the hooks. The further
you move to the rear, the bigger the borehole.
Im ortant: The bend of the hook must be in the liers com letely
and may not look out on the other side.
Cut off the hook very short with the side-cutting ni ers (Picture 3
Picture 3

10
Deburr the hook using a sandstone milling device or a nail file
(Picture 4
Picture 4 Picture 5
Cut off the first brace side within the S-bend with the side-cutting
ni ers (Picture 5
Clam the “S-loo ” in the needle holder (Picture 6 and further
adjust the bend of the side to the war ing of the nail again.
Picture 6
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