L
Loss of
Protective Sensation Test for the Foot
Self-Administered (In-Home
Sensory Test)
Loss of Protective Sensation Testing
in the foot is an important test for individuals with diabetes
and/or
any
other condition that can affect the ability of the
individual to recognize sensation in
the top and/or bottom of the foot. The test is designed to
allow clinically recommended site
testing on the top and bottom of each foot. Each site is
numbered for clinical interpretation
and/or mapping of progression of
loss of sensation.
Two types of kits available:
•
In-Home
Evaluation Kit:
(to be provided to Physician
for interpretation
and/or discussion
after evaluation).
Kit Includes:
•
Instructions for Use
(Easy to use).
•
Test Site Diagram
(24 sites- 12 Left and 12 Right Foot
spots)
Form includes
Patient
Name and
Date of evaluation.
•
5.07/10gm Level Monofilament Testing Device
attached to an easy to use paperboard card.
•
Storage
case to store the monofilament between use.
P/N STM 81034
Price: $4.95 each Includes shipping
Call 888.872.2443 to
order.
•
Outcomes Management Tool (HEDIS/NCQA) Mail-In Test
Kit Includes:
•
Kit
Mailer (affix Member name/address label) Postage Stamp included/affixed.
•
Kit
Return Mailer (pre-printed with company address and Postage Stamp).
•
24
point (12 left-12 Right) Test Site Response Diagram (numbered/viewed through
envelope mailer) for quick
assignment and tracking of ID number (s) (bar-coded).
•
5.07/10gm Level Monofilament Testing Device
attached to an easy to use paperboard
handle stored in protective Card
Sleeve.
•
Instructions for Use.
•
Meets
HEDIS Outcomes Screening/Testing Criteria.
•
Various models/custom orders
available.
P/N 81035: Price: $6.95 each,
Quantity discounts available.
Call for quotation:
888.872.2443
Diabetes
Technologies, Inc.
PO BOX
1954
Thomasville, GA
31799-1954
888.872.2443
Technology to
Improve Diabetes Care