Your® Liner - Ordering platform

Due to recent server error, the present form sometimes doesn't display properly. If some elements of this page appear to be unusual, please check this page again later.

If you are currently with a patient, please use the following Memo Sheet to collect key info, and come back later to place your order:

Your® Liner Memo Sheet
Current lead time
/!\ in WEEKdays /!\ Only works if this value is below 50. Contact CGA if we need to put a higher number there.
Your® Liner can only be ordered by a Certified prosthetic technician. If you are a user and are curious about how Your® Liner could help you in your daily life, please get in touch with your CPO, or take a look at our partner centers:

https://www.motiontech.ch/partner-centers
Prescriber & Patient
PRESCRIBER
Company*
Shipping address*
If you already ordered a liner from us, just put the city (not complete address).
Billing address*

Same as shipping addressDifferent from shipping address
Prosthetist Name / Surname*
Prosthetist e-mail*
Prosthetist phone number
Purchase Order n°
Ref n° for your accounting department (optional)
PATIENT
Patient Name / Code*
Ideally anonymous. This name / code must stay the same for future orders.
Has this patient ever had a Your® Liner ?*

NoYes, but I want to start over from a new scanYes, I want to order a renewal / duplicate liner (without a new scan)
Do you intend to do a new socket for this patient ?*

Yes (recommended)No
Serial n° of previous Your® Liner*
Serial n° of the last Your® Liner of this patient (code printed on the liner starting with SMT-...)
Why do you want to make a new 3D model for this patient ?*

Volume change / unadapted compressionsPatient's expectations changedShape change (e.g. surgery, exostosis, etc.)Different type of prosthesisOther

Starting a liner from scratch from a new scan can result in a quite different shape.

If you intend to keep the same socket, we strongly recommend modifying the already existing model, using the Your® Liner Follow-up Platform to explain what modifications you expect (e.g. send new measurements, attach new scan file, explain where to reduce thickness, etc.).

=> Your® Liner Follow-up Platform
Renewal / duplicate liners and warranty requests should be done using the Your® Liner Follow-up Platform. Please access the following link:

=> Your® Liner Follow-up Platform
Amputation level*

Ankle-Ex.TranstibialKnee-Ex.TransfemoralOther
Amputation side*

LeftRight
Auto- Amputation level
Field set automatically and used by suspension workflows
NOTE: For TF stumps with abundant soft tissue, please either:
- Pre-compress the soft tissue with an elastic stocking to obtain homogeneous shape, OR
- Take a plaster cast and send the scan of the positive model (do not apply reductions on the positive model)
Activity level*

K1K2K3K4
Prehension ability / strength ? (ability to don & doff the liner)*

Very highGoodSome limitationsStrong limitations
Details on prehension limitations
any info which is relevant to understand how capable is this patient for donning & doffing a liner
Weight
in kg
Birth year
Only the year, not full birth date
Started using a prosthesis in
year of 1st prosthetic fitting
Former liner
Which liner model is this patient used to the most
WHY IS A YOUR® LINER IS NEEDED
Is this residual limb pear-shaped ?*

YesNo
What socket type do you intend to make ?*

Without boa / soft socket : liner must compensate pear-shapeSocket with modular opening / boa system / soft socketI'm not sure - please contact me
Why not using a standard liner for this patient ?

Custom shape neededCustom paddings / thicknesses neededHandling invaginations / scarsOther

Uploads
UPLOADS
Upload your scan(s) here*

.stl, .obj, .ply, .cpx .iMed or .zip format - preferably upload 2 scans - max 100MB per file
Cancelof
Knee pre-flexion*

Keep knee-flexion of scanApply a different flexion angle:
WARNING: Editing the flexion angle digitally comes with some uncertainty. If you have the possibility, we recommend taking the scan directly with the desired flexion angle.
Upload pictures / videos of the stump here*

At least 4 pictures (Anterior, Posterior, Medial, Lateral). Videos to show soft / hard tissues are also very helpful.
Cancelof
Delivery date
Current date*

DayMonthYear
Estimated delivery date for today's orders:

{minDefault455} - {maxDefault459}

*MotionTech doesn't guarantee delays, these dates are only indicative.

MotionTech is closing for the Holiday season from 23rd December until 2nd January. The date indicated above is already accounting for this closure, but leadtime around that time is hard to forecast. We thank you for your understanding. For any urgent request, please contact your local MotionTech Sales representative.

WHY THESE DATES ?

Select an earlier / later shipping date ?*

I'm OK with default datesChoose a different date (against discount / extra charge)
Choose your shipping date*

DayMonthYear
Estimated delivery date for chosen shipping date:

{minDesired462} - {maxDesired464}

↳ Subsequent extra-charge: {extraCharge}
Estimated delivery date for chosen shipping date:

{minDesired462} - {maxDesired464}

↳ Subsequent discount / extra-charge: {extraCharge} (no discount / extra-charge)
Estimated delivery date for chosen shipping date:

{minDesired462} - {maxDesired464}

↳ Subsequent discount: {extraCharge}
I have seen and accept this extra charge*

YesNo

How are discounts / extra charges determined ?

Current date - string
(used for calculating default shipping date)
Displayed lead time
[weekdays] - This is equal to above number except if it's below 7 (=7 if current lead time below 7)
Default shipping date

DayMonthYear
Date type field
Default shipping date - string
.
Min default delivery date

DayMonthYear
Date type field
Min default delivery date - string
Max default delivery date

DayMonthYear
Date type field
Max default delivery date - string
Desired shipping date - string
Used to differentiate business days calculation based on which day is the desire shipping date
Min desired delivery date

DayMonthYear
Date type field
Min desired delivery date - string
Max desired delivery date

DayMonthYear
Date type field
Max desired delivery date - string
# Total days of difference with default lead time
Counts week ends, below property counts only business days
# Business days of difference with default lead time
/!\ Capped in negative (~-30 depending on week day) and in positive (~50 depending on week day)
# Days between requested shipping deadline and today
Used to calculate 10% fee when requested delivery date is in 5 days and actual lead time is between 7 and 10 days.
Is requested shipping deadline in 5 business days ?
=1 if yes, empty otherwise
Extra charge / discount - value
VALIDATE
Any final words ?
e.g. specific request / points of attention, remarks about patient's position during scan, etc.
Signature*

I agree to MotionTech's Terms & Conditions for the Your® Liner service. Clear
Should be Empty:

	Same as last liner	Different from last liner	NA / I don't know
Compressions
Thicknesses
Silicone hardness
Pre-flexion
Suspension
Aesthetic style

Prescriber & Patient

PRESCRIBER

PATIENT

WHY IS A YOUR® LINER IS NEEDED

3D Modeling Instructions

MEASUREMENTS

SILICONE TYPE & THICKNESSES

Other 3D modeling instructions

Suspension & Style

SUSPENSION

TEXTILE COVER STYLE

SOCKET CUSTOMISATION

Uploads

UPLOADS

Delivery date

VALIDATE