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Do not base your order on the picture presented.
Features of Sammons Preston Q Boot:
Eliminates heel pressure by total suspension of the heel for treatment and prevention of diabetic ulcers and pressure sores. Anatomical strapping pattern prevents migration. Ideal for side-lying patients and patients with diabetes, peripheral vascular disease, and others at risk for impaired skin integrity. The special fabric features control odors for up to 5 days, recharge after each wash, and last the lifetime of the product. Latex free.