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The Crown Cradle: • Promotes physiologic flexion, containment, and midline positioning • Encourages proper alignment of head, neck, and spine • Can be used during x-rays and MRI’s • Helps to keep head in midline position when used in combination with the Dandle PAL or Cozy Cub • Positions the infant at a 4 degree incline Crown Cradle ™ A preemie orthotic device to support the development of an infant’s natural head shape Protecting the infant’s brain is always a priority. You do everything you can to protect the infant’s developing brain. Now, you can also help to protect cranial formation, as well as head, neck, and spinal alignment, with one positioning device – the patented Crown Cradle. Positioning of hospitalized infants is challenging due to severity of illness, placement of medical devices, caregiver preferences, and/or limited resources for implementing holding and developmental play. Deformational plagiocephaly (DP), hallmarked by cranial flattening, ear misalignment, frontal bossing, and facial asymmetry, can occur as a result of limited positioning options on a bed surface that is often too firm. DP can negatively affect hospitalized infants in the short- and long-term, contributing to altered parental attachment, neurobehavioral problems, and social isolation. Studies have also linked DP with gross and fine motor delays, communication deficits, and vision and hearing problems. 3 The Crown Cradle is a noninvasive, nonrestrictive adjustable orthotic device that supports development of a hospitalized infant’s natural head shape. The Crown Cradle relieves pressure on the occiput, allowing cranial development without the impact of negative external forces. The two-part system includes a specialized mattress with removable foam inserts that comfortably cradle the head and help promote proper alignment of the head, neck, and spine. The foam layer is easily removed and replaced with a plug when prone positioning is desired. Studies have shown that the Crown Cradle (referred to in the literature as the Cranial Cup, Plagio Cradle, and POD) may reduce the potential impact to the infant’s head by redistributing contact pressure, supporting the cranium, and providing a pathway for more symmetrical skull growth. Developed by neonatal professionals committed to advancing neurodevelopmental care, the Crown Cradle allows the bedside caregiver to confidently position the infant while providing proper alignment of the head, neck, and spine and supporting healthy cranial growth. U.S. Patent Nos 7,810,501; 8,186,354 & 8,758,283

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Page 1: Crown Cradle - Dandle•LION Medical...with a plug when prone positioning is desired. Studies have shown that the Crown Cradle (referred to in the literature as the Cranial Cup, Plagio

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

Page 2: Crown Cradle - Dandle•LION Medical...with a plug when prone positioning is desired. Studies have shown that the Crown Cradle (referred to in the literature as the Cranial Cup, Plagio

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


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