crown cradle - dandle•lion medical...with a plug when prone positioning is desired. studies have...

The Crown Cradle:• Promotesphysiologicflexion,containment,andmidlinepositioning

• Encouragesproperalignment ofhead,neck,andspine

• Canbeusedduringx-rays andMRI’s

• Helpstokeepheadinmidline positionwhenusedincombinationwiththeDandlePALorCozyCub

• Positionstheinfantata4degreeincline

Crown Cradle™

A preemie orthotic device to support the development of an infant’s natural head shape

Protectingtheinfant’sbrainisalwaysapriority.Youdoeverythingyoucantoprotecttheinfant’sdevelopingbrain.Now,youcanalsohelptoprotectcranialformation,aswellashead,neck,andspinalalignment,withonepositioningdevice–thepatentedCrownCradle.Positioningofhospitalizedinfantsischallengingduetoseverityofillness,placementofmedicaldevices,caregiverpreferences,and/orlimitedresourcesforimplementingholdinganddevelopmentalplay.Deformationalplagiocephaly(DP),hallmarkedbycranialflattening,earmisalignment,frontalbossing,andfacialasymmetry,canoccurasaresultoflimitedpositioningoptionsonabedsurfacethatisoftentoofirm.DPcannegativelyaffecthospitalizedinfantsintheshort-andlong-term,contributingtoalteredparentalattachment,neurobehavioralproblems, andsocialisolation.StudieshavealsolinkedDPwithgrossandfinemotordelays,communicationdeficits,andvisionandhearingproblems.3

TheCrownCradleisanoninvasive,nonrestrictiveadjustableorthoticdevicethatsupportsdevelopmentofahospitalizedinfant’snaturalhead

shape.TheCrownCradlerelievespressureontheocciput,allowingcranialdevelopmentwithouttheimpactofnegativeexternalforces.Thetwo-partsystemincludesaspecializedmattresswithremovablefoaminsertsthatcomfortablycradletheheadandhelppromoteproperalignmentofthehead,neck,andspine.Thefoamlayeriseasilyremovedandreplacedwithaplugwhenpronepositioningisdesired.StudieshaveshownthattheCrownCradle(referredtointheliteratureastheCranialCup,PlagioCradle,andPOD)mayreducethepotentialimpacttotheinfant’sheadbyredistributingcontactpressure,supportingthecranium,andprovidingapathwayformoresymmetricalskullgrowth.Developedbyneonatalprofessionalscommittedtoadvancingneurodevelopmentalcare,theCrownCradleallowsthebedsidecaregivertoconfidentlypositiontheinfantwhileprovidingproperalignmentofthehead,neck,andspineandsupportinghealthycranialgrowth.

U.S.PatentNos7,810,501;8,186,354&8,758,283

Crown Cradle

Dandle•LIONMedical|22ShelterRockLane|Danbury,CT06810|(203-791-9001)|www.dandleLIONmedical.com Rev1:319

Specialized foam mattress, witharecessedareafortheinfant’shead,iswipeableandreusablebetweenpatients.Eachsize foammattresscomeswitha“plug”thatcanbeinsertedinto therecessedareaforpronepositioning.

Aninternal pocket inthesoft,highperformancefabriccover holdsthefoaminsertinplace.

Crown Cradle Part Numbers:

D18510B2 CrownCradleSystem,SMALL(Infants<1800g),IncludesMattress,MattressPlug,MattressCover,FoamInsertSizes1-4 Boxof2

D18530B2 CrownCradleSystem,LARGE(Infants>1800g),IncludesMattress,MattressPlug,MattressCover,FoamInsertSizes5-8 Boxof2

See website for part numbers for individual part numbers and accessories.

References:1.Badr(Zahr),L.K.,&Abdallah,B.(2001).PhysicalattractivenessofprematureinfantsaffectsoutcomeatdischargefromtheNICU.InfantBehaviorandDevelopment,24(1),129–133. http://dx.doi.org/10.1016/S0163-6383(01)00068-6.2.Balan,P.,Kushnerenko,E.,Sahlin,P.,Huotilainen,M.,Naatanen,R.,&Hukki,J.(2002).AuditoryERPsrevealbraindysfunctionininfantswithplagiocephaly.TheJournalofCraniofacialSurgery, 13(4),520–525.http://dx.doi.org/10.1097/00001665-200207000-00008.3.DeGrazia,M.,Giambanco,D.,Hamn,G.,Ditzel,A.,Tucker,L.,&Gauvreau,K.(2015).Preventionofdeformationalplagiocephalyinhospitalizedinfantsusinganeworthoticdevice.Journalof Obstetric,Gynecologic,&NeonatalNursing,44(1),28–41.http://dx.doi.org/10.1111/1552-6909.12523.4.Knorr,A.,Gauvreau,K.,Porter,C.,Serino,E.andDeGrazia,M.,(2016).UseoftheCranialCuptoCorrectPositionalHeadShapeDeformitiesinHospitalizedPrematureInfants.JournalofObstetric, Gynecologic,&NeonatalNursing,45,542–552;2016.http://dx.doi.org/10.1016/j.jogn.2016.03.141.5.Siatkowski,R.M.,Fortney,A.C.,Nazir,S.A.,Cannon,S.L.,Panchal,J.,Francel,P.,Ahmad,W.(2005).Visualfielddefectsindeformationalposteriorplagiocephaly.JournalofAmericanAssociation PediatricOphthalmologyandStrabismus,9(3),274–278.http://dx.doi.org/10.1016/j.aapos.2005.01.011.Formorereferences,pleasetogotowww.dandleLIONmedical.com/crowncradle.

The foam insert isinsertedintheinternalpocketandnested intotherecessed area ofthemattress.Thestrapscanbecrossedovertheinfant,aswellasanypositioningaidsthat areused,andthentuckedinunderthemattress.

Eachmattresssizecomeswithfoursequentially-sizedfoam insertsthatcanbeupsizedastheinfant’sheadgrows.

• Smallmattressforinfants<1800g,withfoaminsertsizes1-4: –Size1:<750g –Size2:750-1000g• Largemattressforinfants1800-3600g,withfoaminsert sizes5-8: –Size5:1800-2150g –Size6:2150-2500g

–Size3:1000-1400g –Size4:1400-1800g

–Size7:2500-3000g –Size8:3000-3600g

RecessedareaPlug

Strapsfor bothsides

Strapsfor bothsides

Foaminsert

Recessedarea

Embossednumbersmakefoaminsertsizeseasytoidentify