Flexitouch® Plus User Guide for Lower Body
The Flexitouch Plus system is designed for at-home treatment of lymphedema, chronic edema, chronic venous insufficiency (CVI) and chronic wounds. This guide provides the information needed to set up and use your Flexitouch Plus system.
HELPFUL VIDEOS
FLEXITOUCH PLUS PROGRAM OPTIONS FOR LOWER BODY
Full Leg and Core: Program L1/CL1
This option delivers treatment to both the leg and trunk regions when clinically appropriate. It provides incremental proximal clearing of lymphatic fluid in the trunk, thigh, calf and foot regions, followed by a traditional full leg and trunk treatment.
Treatment time:
60 minutes
How it works:
- Trunk: directs fluid from top of the thigh toward the waist; cycle repeats
- Thigh: directs fluid from knee toward the top of the thigh; cycle repeats
- Calf: directs fluid from ankle toward the knee; cycle repeats
- Foot: directs fluid from the toes toward the ankle; cycle repeats
- Full leg and trunk: directs fluid from the toes toward the top of waist in one continuous motion; cycle repeats

FULL LEG TREATMENT: PROGRAM L4/CL4
This option delivers treatment to the leg when clinically appropriate. It provides incremental proximal clearing of lymphatic fluid in the thigh, calf and foot regions, followed by a traditional full leg treatment.
Treatment time:
45 minutes
How it works:
- Thigh: directs fluid from the knee toward the top of the thigh; cycle repeats
- Calf: directs fluid from the ankle toward the knee; cycle repeats
- Foot: directs fluid from the toes toward the ankle; cycle repeats
- Full leg: directs fluid from the toes to the top of the thigh in one continuous motion; cycle repeats

HALF LEG PLUS TREATMENT: PROGRAM L5/CL5
This program provides distal to proximal treatment preceded by proximal clearing of lymphatic fluid in the calf and foot.
Treatment time:
30 minutes
How it works:
- Calf: directs fluid from the ankle toward the knee; cycle repeats
- Foot: directs fluid from the foot toward the ankle; cycle repeats
- Half leg: directs fluid from the foot toward the knee; cycle repeats

INDICATIONS FOR USE:
The Flexitouch Plus system and garments for legs, arms, trunk and chest are intended for use by medical professionals and patients who are under medical supervision for the treatment of many conditions, such as:
- Lymphedema
- Primary Lymphedema
- Post mastectomy edema
- Phlebolymphedema
- Lipedema
- Edema following trauma and sports injuries
- Post immobilization edema
- Venous insufficiency
- Reducing wound healing time
- Treatment and assistance in healing stasis dermatitis, venous stasis ulcers, or arterial and diabetic leg ulcers
CONTRAINDICATIONS:
The Flexitouch Plus system should not be used if you have one or more of the following conditions:
- Heart failure (acute pulmonary edema, decompensated acute heart failure)
- Acute venous disease (acute thrombophlebitis, acute deep venous thrombosis, acute pulmonary embolism)
- Severe peripheral artery disease (critical limb ischemia including ischemic rest pain, arterial wounds or gangrene)
- Active skin or limb infection/inflammatory disease (acute cellulitis, other uncontrolled skin or untreated inflammatory skin disease)
- Any circumstance where increased lymphatic or venous return is undesirable
- During pregnancy (applies only to the Flexitouch Plus trunk accessory)
CLINICAL DOCUMENTATION GUIDELINES FOR FLEXITOUCH PLUS THERAPY:
Some health plans may not approve payment for the Flexitouch Plus system until the patient has first tried a basic compression pump and found it to be ineffective. The patient’s medical records may require documentation that the patient:
- Has tried at least four weeks of conservative home therapy, including the use of compression bandaging or garment, exercise and elevation
- Continues to manifest significant symptoms, such as continued swelling, fibrosis, impaired skin integrity, pain, impaired mobility and recurrent cellulitis
TRAVELING WITH YOUR FLEXITOUCH PLUS SYSTEM:
Patients may travel with any device that is medically necessary and can go through the x-ray screening process. Tactile Medical recommends patients traveling with their device do the following:
- Carry on their controller and power cord. Patients may pack any garments/sleeves in their checked luggage.
- Bring their user guide and prescription card with them to better help explain what the device does to a TSA agent.
- Take the controller out of the carry on, as is done with a laptop.
- Be prepared to turn the device on and show a TSA agent how the device works, if asked to do so.
- For more information, visit our travel page at https://tactilemedical.com/travel/
- Websites such as www.tsa.gov, or the equivalent agency in your destination country may be able to give your more information.
ADDITIONAL HELPFUL INFORMATION:
- The device will operate from 100 – 240 volts, 50/60 Hz, working nearly anywhere in the world without the need for a transformer or voltage converter. If traveling outside the US, a plug adapter may be necessary, and can be purchased at a retail store. Tactile Medical does not supply plug adapters.
- Websites such as www.tsa.gov, or the equivalent agency in your destination country may be able to give your more information.
- The following FDA website link show our products have been cleared to market in the US: https://www.accessdata.fda.gov/cdrh_docs/pdf17/K170216.pdf
- If you have any additional questions, please contact Tactile Medical at 1.833.3TACTILE (1-833-382-2845)