About Peninsula Medical, Inc.

Peninsula Medical understands that effective treatment of edema requires compression that reaches the deep subcutaneous tissues without obstructing the lymphatic and venous outflow. The soft, convoluted foam design of these products create high pressure points which provide a gentle, deep-tissue compression, while the low-pressure points help to prevent blocking vascular flow.

Peninsula Medical is the maker of the ReidSleeve and the Optiflow SC. These innovative products utilize a patented tissue gradient technology that effectively:

• Improves lymphatic flow
• Reduces numbness, tingling and pain often associated with standard compression pumps
• Decreases the risk of tissue and venous damage.

Peninsula Medical Products

The ReidSleeve

The ReidSleeve applies a gentle, gradient pressure by use of a unique, soft foam insert. Compression is tailored to the patient's needs by a series of adjustable straps. The sleeve easily slides over the affected limb and then the compression bands are adjusted. A specially designed gauge (U.S. Patent 5,904,145) is used to assess the pressure exerted over any region of the limb. The gauge is as easy to use as a blood pressure cuff. This simple procedure insures that compression applied to the patient's limb is consistently applied and in the proper range to provide optimal results. Patients can fit the sleeve in minutes without assistance and have the confidence of knowing they are applying the most effective pressure. As the patient improves the ReidSleeve can be adjusted to the new arm size thereby maintaining the proper pressure range.

ReidSleeve® Classic Color Availability for:

• Full arm, including hand
• 1/2 arm, including hand
• Hand (glove)
• Full leg, including foot
• 1/2 leg, including foot
• Boot (for foot and ankle only)

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The OptiFlow®RM

The OptiFlow®RM brings the ReidSleeve tissue gradient technology to patients in Ready Made (RM) standard sizing. The OptiFlow RM is a less expensive and effective addition to the treatment options available to the lymphedema patient. The OptiFlow RM utilizes the Tissue Gradient Technology® (U.S. Patent 5,916,183) that has proven so effective in the ReidSleeve®Classic.

The ReidSleeve Classic has helped thousands of patients overcome lymphedema. The ReidSleeve Classic is a custom made garment used at night, replacing bandaging. Peninsula Medical is now offering standard sizing in the OptiFlow RM. Standard sizing eliminates the lengthy lead times often associated with custom garments. Additionally, the cost is significantly lower with standard sizes and makes the OptiFlowRM more affordable for patients with limited or no insurance coverage.

Advantages

Patients have reported increased comfort and more consistent compression, while gaining the proven advantages of the high and low pressure points of the Tissue Gradient Technology. This patented design provides variable tissue pressure, while maximizing compression, softening tissue, and minimizing the obstruction of normal lymphatic and venous flow.

Bandages and wraps can be very useful, but do have some limitations. First, bandages and wraps are often difficult to apply properly and consistently. Second, the pressure applied may encircle, constrict, and/or obstruct normal lymphatic and venous flow. The OptiFlow RM helps overcome to these problems. This unique system provides effective and comfortable compression therapy for lymphedema patients.

The OptiFlow RM is a lightweight, cooler and slimmer garment than the ReidSleeve Classic. It is an ideal option for patients with mild to moderate lymphedema.

The OptiFlow RM is also an effective complement to Complex Decongestive Therapy (CDT). The OptiFlow RM can help the patient effectively maintain their edema reduction achieved through CDT.

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The OptiFlow EC

Designed for treatment of mild to severe lymphedema.

The original ReidSleeve Classic has helped thousands of patients overcome lymphedema. The ReidSleeve Classic is used mainly at night and many patients wanted something that could be used to enhance compression during the day or during exercise plans. The OptiFlow EC achieves this objective. The OptiFlow EC provides a consistent, snug fit with additional compression obtained from bandaging. The OptiFlow EC brings the ReidSleeve Classic technology to patients who utilize bandaging as a component of their therapy.

Complements the ReidSleeve® Classic and CDT
The OptiFlow EC is also an ideal complement to the ReidSleeve Classic. Many patients obtain additional therapeutic compression during the day by using The OptiFlow EC, especially patients who have been advised by their therapist to undergo an exercise program while using compressive therapy. The combination of the ReidSleeve Classic and the OptiFlow EC allows these patients to maintain the results obtained with the ReidSleeve Classic and even obtain further improvement.

The OptiFlow EC is also an effective complement to CDT. The OptiFlow EC can help the patient effectively maintain the edema reduction achieved through decongestive therapy. Many therapists are now recommending the use of The OptiFlow EC along with compressive bandages during periods between CDT.

Advantages

Patients report increased comfort and more consistent compression, while gaining the proven advantages of the high and low pressure points of the patented ReidSleeve Classic Tissue Gradient Technology. This patented design concept provides variable tissue pressure, maximizing compression while minimizing the obstruction of normal lymphatic flow.
Bandages and wraps can be very useful, but do have some limitations. First, bandages and wraps are often difficult to apply properly and consistently. Second, the pressure applied may encircle, constrict, and obstruct normal lymphatic and venous flow. The OptiFlow EC helps overcome these problems. This unique system provides effective, comfortable compressive therapy for lymphedema.

• Eliminates 20-30 minutes off wrapping time.
• Eliminates the need for custom cut foam.
• Eliminates gapping that commonly occurs with foam on large legs.
• Eliminates slipping of wrapping over foam. Eliminates the need of gauze commonly known to cause irritation.
• Patients are more compliant with wrapping made simple with the OptiFlow EC.
• Brings the ReidSleeve Classic technology to patients who utilize bandaging as a component of their therapy.

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The OptiFlow SC

Sequential Compression iis a treatment modality to be used in conjunction with mechanical pumps.

The OptiFlow SC applies the gradient tissue technology (U.S. Patent 5,916,183) proven so effective in the ReidSleeve Classic while avoiding the problems associated with standard pump sleeves.

Advantages

Studies have shown as much as an overall reduction of excess edema of 80% over 12 weeks. Patients report significant reduction or complete elimination of the typical complaints associated with mechanical pumps, ie. numbness, tingling, and pain. Patients report their extremities to be softer and improvement of limb contours. Patients report troubled spots responding to treatment, where previously no modalities had effectively addressed those areas.

The materials and craftsmanship are of the same stringent standards as the ReidSleeve Classic.

The OptiFlow SC can be easily applied, feels comfortable, and is designed to fit inside existing pump sleeves.

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OptiFlow Packs

Taking the ReidSleeve patented Tissue Gradient Technology further, now available are a variety of shaped pads that significantly enhance the various lymphedema treatment modalities. The soft, convoluted foam design creates high pressure points which provide a gentle, deep-tissue compression while the low-pressure points help to prevent blocking vascular flow. This is the only technology specifically designed to apply effective pressure to the skin, subcutaneous tissue and the connective tissue of the deep dermis, the areas where edema can accumulate and where fibrosis can build up. Patients report significant softening of fibrosis utilizing this technology. The pads comes in a variety of shapes and sizes, are machine washable and can be used in conjunction with most outer compression sources to focus on trouble areas and assist the filling of cavities, folds and assymmetry areas.

Available Shapes

• Oval (Large)
• Oval (Small)
• 1/2 Oval
• Round (Large)
• Round (Small)
• T (Large)
• T (Small)
• Rectangle (Small)
• U

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The Contour

Designed for treatment of mild to moderate lymphedema.

We are excited to introduce The CONTOUR (U.S. Patent 5,916,183). Several years in development and testing, this new sleeve is the ultimate in comfort and ease of application. It is lighter and cooler than the ReidSleeve® Classic while maintaining the original concept of the ReidSleeve Classic. Simply slip it on for the comforting and consistent pressure you have come to expect from the ReidSleeve Classic. Variable compression is obtained through a unique outer PowerSleeve®.

The ReidSleeve Classic has helped thousands of patients overcome lymphedema. As these patients achieved control of their lymphedema, we wanted a lighter and cooler sleeve to provide therapeutic maintenance. The CONTOUR achieves this objective. The custom unit construction provides a consistent snug fit and adjustable compression is obtained by the outer PowerSleeve. The PowerSleeve comes in several levels of compression, allowing the patient to adjust the pressure to the ideal level.

Tissue Gradient Technology

The CONTOUR is based on the ReidSleeve Tissue Gradient Technology (U.S. Patent 5,916,183). The foam insert provides both high and low pressure points. This patented design concept provides variable tissue pressure, maximizing compression while minimizing the obstruction of normal lymphatic flow. With older technologies, the pressure applied encircled and constricted normal lymphatic and venous flow. Our patented Tissue Gradient Technology prevents the generation of this constricting. This unique system provides effective, comfortable compressive therapy for lymphedema.

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The Contour Plus

Designed for treatment of mild to moderate lymphedema.

The newest addition to our line of products is The ContourPlus(U.S. Patent 5,916,183). This is a slightly more aggressive version of the original Contour, but still very lightweight and comfortable. It utilizes denser foam and extends to the base of the fingers, where the standard Contour goes to the wrist, with a separate hand piece. Both of the designs, Contour and ContourPlus have slightly different characteristics and each may benefit a patient uniquely depending on their needs. They are lighter and cooler than the ReidSleeve® Classic while maintaining the original concept of the ReidSleeve Classic. Simply slip it on for the comforting and consistent pressure you have come to expect from the ReidSleeve Classic. Variable compression is obtained through a unique outer PowerSleeve ®.

The ReidSleeve Classic has helped thousands of patients overcome lymphedema. As these patients achieved control of their lymphedema, we wanted a lighter and cooler sleeve to provide therapeutic maintenance. The ContourPlus achieves this objective. The custom unit construction provides a consistent snug fit and adjustable compression is obtained by the outer PowerSleeve.

The ContourPlus is a modular design consisting of a base sleeve and an outer PowerSleeve. The base sleeve applies the patented Tissue Gradient Technology to the surface of the extremity while the PowerSleeve, constructed of a special highly elastic fabric is the main source of compression. The compression level with the combination of the main sleeve and one PowerSleeve is approximately 15-20 mmHg. Higher compression can simply be achieved by additional PowerSleeves. Each PowerSleeve raises compression by approximately 8-12 mmHg. The uniqueness of this modular design allows a wide range of compression levels while the ultra low friction of the specially selected fabrics, avoids discomfort in application associated with more traditional elastic garments.

Comfort and Results

The outer PowerSleeve is designed to overcome the friction that can build up between traditional garments and the skin. This friction can make it very difficult to apply traditional garments. However, this is overcome by the unique design of The ContourPlus. The materials used are designed to reduce the friction making it easier to slide The ContourPlus into proper position.

Many patients have mild lymphedema and do not require the full therapeutic compression provided by the ReidSleeve Classic. For these patients, The ContourPlus is ideal. The ContourPlus still provides the Tissue Gradient Technology of the ReidSleeve Classic but does so in a lighter and easier to use garment.

With so many different variations to lymphedema, from preventative garments to treatment for chronic and severe lymphedema, we have found the need to design and provide custom garments to fit the needs of most patients. The ContourPlus may be the ideal solution for your condition.

Many patients suffer mild to moderate edema after surgery such as axillary dissection, mastectomy or radiation treatment. These patients are finding that The ContourPlus effectively controls their edema. The results have prompted many patients to comment that they felt that if they had used The ContourPlus from the first signs of edema, they could have avoided developing more severe lymphedema.

The ContourPlus is also an ideal compliment to the ReidSleeve Classic. Many patients obtain additional therapeutic compression during the day by using The ContourPlus. This allows these patients to maintain the results obtained with the ReidSleeve Classic and experience additional improvement. By coming at lymphedema from multiple angles, you can be successful in the fight to obtain lasting reduction.

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The Opera

Designed for treatment of mild lymphedema in upper extremities.

Our newest addition to the CONTOUR family is The Opera! (U.S. Patent 5,916,183) The Opera is lighter and slimmer than the other existing CONTOUR products. The Opera maintains the original concept of the patented tissue gradient technology found in the ReidSleeve Classic. The Opera simply slides on for the comfort and consistent pressure you have come to expect from the ReidSleeve Classic. Variable compression is obtained through the patented outer PowerSleeve (U.S. Patent 6,656,141).

The ReidSleeve Classic has helped thousands of patients overcome lymphedema. As these patients achieved control of their lymphedema, we sought for a lighter and cooler sleeve to provide therapeutic maintenance. The CONTOUR products achieve this objective. To take this a step further, The Opera was developed to offer a yet lighter and slimmer product. The custom unit construction provides a consistent snug fit and adjustable compression is obtained by the outer PowerSleeve. The PowerSleeve comes in several levels of compression, allowing the patient to adjust the pressure to the ideal level.

The foam insert provides both high and low pressure points. This patented design concept provides variable tissue pressure, maximizing compression while minimizing the obstruction of normal lymphatic flow. With older technologies, the pressure applied encircled and constricted normal lymphatic and venous flow. This unique system provides effective, comfortable compressive therapy for lymphedema.

Many patients have mild lymphedema and do not require the full therapeutic compression provided by the ReidSleeve Classic. For these patients, The CONTOUR products are ideal. The Opera provides the same Tissue Gradient Technology of the ReidSleeve Classic and the other CONTOUR products, but does so in a lighter and slimmer design. Despite the fact that it is light and easy to use, many patients report significant reductions in their edema as a result of the use of The Opera. Therefore, if your lymphedema is mild, The Opera may be the ideal solution for your condition.

The Opera is also an effective compliment to CDT (complex decongestive therapy). The Opera can help the patient effectively maintain the edema reduction achieved through decongestive massage. Many therapists are now recommending the use of The Opera during periods between CDT.

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The Cinch

With the quickness and ease of application of the TheCinch, patients will find themselves to be more compliant with compression. As we all have found out, compliance is absolutely the most important factor when it comes to compression. Peninsula Medical has continuously made progress in developing effective products that present with quick and easy application.

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The Precise Gauge

Accurate and reproducible determination of compression is essential to effective therapy. Pressures that are too high can have a tourniquet effect, blocking the outflow of lymphatic and venous circulation, forcing fluid into the tissue. Pressures that are too low will have little or no effect. To overcome these problems, we have developed the Precise Gauge (U.S. Patent 5,904,145) for use with the ReidSleeve. The optimal compression can be determined by a simple procedure, assuring the patient of the best possible results.

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The Indigo Precise Gauge

Introducing a new version of the Precise Gauge. The Indigo Precise presents with a large, easy to read dial and a satin cover for the bladder. The Indigo Precise is ideal for measuring the actual compression applied to the skin so that the correct gradient pressure can be applied at all times and the tourniquet effective can be avoided. The Indigo Precise can help optimize compression so that the best possible results can be achieved. The satin cover allows for the bladder to slide easily out from the outer compression source.

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The New ReidSleeve ® Precise TapeMeasure

The New ReidSleeve ® Precise TapeMeasure overcomes the challenges of varied tensions, twisting, turning or sagging of the tape, numbers difficult to read, and the ultimate challenge of measuring with only one hand free. It is ergonomically designed to be easy to use. The numbers are large and easy to read. Patients can make most measurements with one hand and it applies a consistent amount of tension for accurate, reproducible results. Encouragement is sometimes difficult to come by and the added encouragement of seeing measurable improvements has helped many patients stay with their treatment program and achieve maximal results.

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