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X

 = 

Absolute Contraindication

 –  

Therapy in these situations should 

not

 be used in patients:

R

 = 

Relative Contraindication

 –  

Therapy for these conditions should 
be used only under the supervision 
of a licensed healthcare practitioner 
in patients:

THERAPY 

MODE

Cryotherapy

Compression

Who are in the acute stages of inflammatory phlebitis in 
the affected region.

X

Who have any current clinical signs suggestive of deep 
vein thrombosis in the affected region.

X

Who have significant arteriosclerosis or other vascular 
ischemic disease in the affected region.

X

Who have any significant risk factors or current clinical 
signs of embolism (e.g. pulmonary embolus, cerebral 
infarction, atrial fibrillation, endocarditis, myocardial 
infarction, or atheromatous embolic plaque).

X

Who have a condition in which increased venous or 
lymphatic return is not desired in the affected extremity 
(e.g., carcinoma).

X

Who have decompensated hypertonia in the affected 
region.

X

Who have an open wound in the affected region (the 
wound must be dressed prior to use of Game Ready).

R

Who have an acute, unstable (untreated) fracture in the 
affected region.

R

Who are children under 18 years old or patients who 
have cognitive disabilities or communication barriers, 
whether temporary (due to medication) or permanent.

R

R

Who have a cardiac insufficiency or congestive heart 
failure (with associated edema in the extremities or 
lungs).

R

Who have a localized unstable skin condition (e.g., 
dermatitis, vein ligation, gangrene, or recent skin graft) 
in the affected region.

R

R

Who have erysipelas or other active infection in the 
affected region.

R

Who have significant vascular impairment in the 
affected region (e.g., from prior frostbite, diabetes, 
arteriosclerosis or ischemia).

X

Who have known hematological dyscrasias which affect 
thrombosis (e.g., paroxysmal cold hemoglobinuria, 
cryoglobulinemia, sickle-cell disease, serum cold 
agglutinins).

X

Who have Raynaud’s disease or cold hypersensitivity 
(cold urticaria).

R

Who have hypertension or extreme low blood pressure.

R

Who have diabetes.

R

Who have compromised local circulation or neurologic 
impairment (including paralysis or localized compromise 
due to multiple surgical procedures) in the affected 
region.

R

Who have rheumatoid arthritis in the affected region.

R

GRPRO 2.1 CONTRAINDICATIONS

GENERAL

IMPORTANT 

READ THIS COMPLETE USE GUIDE AND GAME READY GRPRO 2.1 SYSTEM USER 
MANUAL AND/OR MED4 ELITE SYSTEM USER MANUAL INCLUDING INDICATIONS, 
CONTRAINDICATIONS, CAUTIONS AND WARNINGS BEFORE USING THIS 
PRODUCT!

WARNINGS

1.  Follow the recommendations of your health care practitioner regarding the 
frequency and duration of use. 

2.  Improper placement or prolonged use of the Game Ready System or Med4 Elite 
System could result in tissue damage. During the course of therapy, patients should 
monitor the skin surrounding the treated region or the digits of the extremities of the 
treated limb for any burning, itching, increased swelling, or pain. If any of these signs 
present, or any changes in skin appearance occur (such as blisters, increased redness, 
discoloration, or other noticeable skin changes), patients are advised to discontinue 
use and consult a physician.

3.  Game Ready Wraps are not sterile; do not place directly against open wounds, 
sores, rashes, infections, or stitches. The Wrap may be applied over clothing or 
dressing. A layer between Wrap and skin is recommended for all patients.

4.  Game Ready Wraps are available in multiple configurations but are not intended for 
all possible physiologic uses. For example, the Ankle Wrap is not designed for use on 
the toes and the Back Wrap is not designed for use in the abdominal region.

5.  To avoid potential damage to the Control Unit, do not use other manufacturers’ 
Wraps with the Control Unit.

6.  Use extra caution during the immediate postoperative period, especially when 
sedated or on any medication that could alter normal pain sensation. Check the skin 
of the treated region frequently and use mid-to-higher (warmer) temperature range 
settings or leave more time between treatments, if necessary.

7.  Monitor the level of heat throughout treatment session. Caution should be used 
with the Med4 Elite System or any thermotherapy (Heat Therapy) device generating 
high intensity heat at 113°F or above. Check the skin of the treated region frequently 
and use mid-to-lower (cooler) temperature range settings or leave more time between 
treatments, if necessary.

8.  The Med4 Elite System is not intended for use with numbing agents.

9.  When using heat and rapid contrast therapy, skin should be protected in heat- 
sensitive or high-risk patients, especially over regions with sensory deficits.

10.  Heating of the gonads should be avoided.

11.  Do not cover the toes with the Full Leg Boot.

AVERAGE LIFE EXPECTANCY

The life expectancy of Sleeves and Heat Exchangers will vary widely depending on 
frequency of use.  Please reference chart below to determine when to replace product. 

Sleeve

Light Use (Personal) ......................................................12 months 

Medium Use .................................................................6 months 

Heavy Use (Clinic or training facility) ............................3 months

Heat Exchanger

Light Use (Personal) ......................................................24 months

Medium Use .................................................................18 months

Heavy Use (Clinic or training facility) ............................12 months

WARRANTY INFORMATION

Sleeve:

 In case of manufacturer defect, Sleeve may be returned within 7 days of 

purchase.

Heat Exchanger:

 1 year from date of purchase.  See warranty card included with 

Heat Exchanger.

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