Gel formula prevents odors and limits the growth of microorganisms Gel formulated with skin nourishing additives Available in both Below-Knee and Above-Knee sizing Designed for moderate to high activity prosthetic users Uniform 3mm and 6mm thickness profile for both Cushion and Locking versions Latex free and hypoallergenic Dark Gray color Locking pin is not included *Not vacuum approved as a replacement for the gel liner initially provided with your Vacuum System 45cm length - trim with sharp scissors Made in Turkey Sold individually in a polybag   SIZE BOTTOM CIRCUMFERENCE(centimeters) TOP CIRCUMFERENCE(centimeters) Small 18-20 cm 23-40 cm Medium 20-24 cm 28-49 cm Medium Plus 24-30 cm 34-59 cm Large 30-34 cm 32-56 cm Large Plus 34-38 cm 39-67 cm X-Large 38-42 cm 45-78 cm   A prosthetic liner can offer functional value beyond simply suspending your prosthesis or offering gel cushion. The Amputee Essentials Alliance Liner was designed to offer a feature set that includes fighting odor causing bacteria, as well as manage excessive sweating. The Alliance Liner was thoughtfully engineered to meet the demands of today's prosthesis users using medical grade gel technologies and tons of research and development. The proprietary gel formula consists of skin friendly additives to help nourish skin, as well as fight friction. Alliance Liner is intended for moderate to high activity prosthesis users. Amputee Essentials evaluated each requirement and formulated this gel liner with an antibacterial and anti-sweating formula. Its gel firmness lessens the vertical and shear stresses your residual limb experiences while walking due to its firmer nature. The unique bottom configuration--consisting of an extra 3mm gel--lessens gel stretch, thereby reducing distraction or pulling on your limb. Firmer gel permits greater control of your prosthesis while protecting your residual limb from the stressor of wearing and walking with a prosthesis. Alliance Liner sizing is available for both BK and AK limb loss, in two different uniform thicknesses, 3mm and 6mm. Options also include either cushion or locking (pin lock.) Read our Prosthetic Liner Guide for more information on prosthetic liners. Materials Thermoplastic Elastomer (TPE), tested according to ISO 22196:2011 Measurement of Antibacterial Activity on Plastics and Other Non-Porous Surfaces standards. Directions for Use Prior to applying your Alliance Liner make sure your residual limb is clean, dry, and free of any soap residue. Cover any open wounds and non-intact skin with a product similar to Spenco. Amputee Essentials states to avoid using any type of animal based lotions or powders on your residual limb or liner. These products may damage your Alliance Liner. Invert your Alliance Prosthetic Liner so that the logo is on the inside. Place the end of your liner against the end of your limb. If using a pin lock liner, center the pin attachment on the bottom of your limb. Carefully roll your liner onto your limb. ***Warning: Do not pull your liner onto your limb. Pulling the liner may stretch the skin and result in an uncomfortable fit and possible skin issues along the edge of your liner. Last, make sure that there are no wrinkles or air pockets between the liner and your limb. Air pockets cause excessive sweating. Care Instructions Proper hygiene is critical when wearing any prosthetic liner. Your Alliance Prosthetic Liner must be thoroughly cleaned each day and disinfected once a week. Clean the gel side of your Alliance Liner using lukewarm water and a pH balanced prosthetic cleanser. Apply your prosthetic cleanser with a clean, soft cloth or sponge. **Warning: Do not scrub your liner on either the fabric or gel sides. Rinse the gel side with water and dry it with a clean and lint-free cloth. Place your Amputee Essentials Prosthetic Liner on a drying stand with the logo on the outside. Once a week spray the gel side of your liner with ethyl alcohol spray and wipe clean with a lint-free soft cloth. Last, rinse any alcohol from your liner with water and dry again using the above instructions. Precautions Do not place your Alliance Prosthetic Liner on an open wound. If irritation, discomfort or poor circulation occurs, discontinue use and notify your physician or Prosthetist immediately. Do not wear an Eco Liner for more than 20 hours daily. This Amputee Essentials Liner is not indicated for any amputee who has a skin condition which can be aggravated when covered by a non-porous gel material. Above Knee users should not wear a locking prosthetic liner if your residual limb is shorter than 3 inches, unless a secondary AK Belt is used.