What is the Molnlycke Z-Flex Heel Boot?
The Molnlycke Z-Flex Heel Boot is a protective boot designed to prevent pressure and pressure sores on the heel and Achilles area. These boots come with three adjustable shin straps and two adjustable ankle straps and will fit most users. The adjustable ankle straps support the foot and ensure it is held in a natural and anatomically correct position. In addition, the Z-Flex boot has a pressure ulcer viewing door build into the bottom of the boot. This door can easily be opened to assess the condition of existing pressure sores without the pain and stress of taking the entire boot off. In addition to these benefits, Z-Flex heel protection boots are made out of a temperature regulating material to enhance patient comfort.
How the Molnlycke Z-Flex Heel Boot Works
This Z-Flex boot features a low-pressure air chamber and a fluidized positioner. The fluidized positioner conforms to the Achilles area to protect and support the Achilles tendon while the air chamber evenly redistributes weight throughout the lower leg and foot. These factors contribute to both natural body alignment and the user's comfort, so it eliminates the need for knee Wedges and Pillows. As recommended by international guidelines, the Z-Flex fluidized boot lifts the heel completely off of the contact surface.
Features and Benefits
- Fluidized Heel Boot
- Alleviates Heel Pressure
- Redistributes Weight
- Built-In Door for Checking Pressure Sores
- Anatomically Correct Foot Position
- Molds Around the Achilles Tendon
- Redistributes Pressure to Entire Leg
- Achilles Tendon Protection
- Positive Air Displacement Feature
- Compatible with Most Sequential Compression Devices
- Temperature Regulating Material
- Adjustable Shin and Ankle Straps
- Comfortable Wear
- Easy to Use
- Single-Patient Use
- Can Be Used throughout the Care Continuum
- Latex-Free
- DEHP-Free
- One-Size-Fits-Most
Who Might Benefit from the Use of the Z-Flex?
The second most common location for pressure ulcers in adults is the heel. Heel pressure ulcers can lead to gangrene, infection, osteomyelitis, immobililty, and in extreme situations can result in foot amputation. This fluidized heel boot is a great option for users who want to heal or prevent pressure ulcers on their heels. The following conditions increase the risk of pressure ulcers:
- Immobility
- A Braden Score of 18 or Lower
- Diabetes Mellitus
- Vascular Disease

How to Use the Z-Flex Boot
- Step 1: Unstrap all of the bootstraps.
- Step 2: Center the heel over the heel opening as you place the leg and foot into the boot.
- Step 3: Strap the elastic shin straps around the leg, either bottom to top or top to bottom. Ensure that the straps are not too tight.
- Step 4: Attach the ankle straps on each side. Never cross the ankle straps.
- Step 5: Ensure that the foot is in an anatomically neutral position and that the pressure ulcer viewing door is closed.
- Step 6: To check on pressure ulcer sores, undo the ankle straps and open the pressure ulcer viewing door at the bottom of the boot. Close the door and straps back up when the task is complete.
To use in conjunction with a Sequential Compression Device:
- Ensure that lines or tubes are not passing through the boot's top or its heel opening.
- Exit the lines or tubes through the ankle strap and top shin strap if possible.
- If exiting the lines or tubes through the ankle strap and top shin strap is an impossibility, exit the lines or tubes through the top and middle shin straps or the middle and bottom shin straps.
- Lines and tubes should never come in contact with the user's skin.
Related Products
Complementary Products
- Apollo Cream by Apollo: A condition barrier cream to sooth irritated and burned skin caused by skin breakdown.
- Heel Elbow Protector by Posey: A latex-free slip-on heel and elbow protector with embedded foam that helps treat pressure ulcers. These elbow and heel protectors come in four sizes.
- Alternating Pressure Mattress by Drive Medical: A low air-loss, alternating pressure mattress for pressure ulcer prevention and treatment.
- Mepilex Heel Dressings by M??ycke: A pressure ulcer foam dressing designed to form-fit to heels.
- Zero-G Heel Elevator Pillow by NYOrtho: A slip resistant, anti-microbial heel elevating pillow designed especially for users with pressure sores.
Alternative Products
- Foot Elevator by Posey: A foam ankle wrap-around foot elevator.
- Adapter Pad Cushion by ROHO: An air cell cushion and protector. This adapter cushion cuts to fit for versatile use .
- Heel Pillow Support by Posey: An adjustable padded hook and loop strap heel boot.
- Premium Heel Guard by Posey: A breathable foam boot with a built in foot drop.
Product Specifications
- Manufacturer: M??ycke
- Brand: Z-Flex
- Item Number: 1400123
- Application: Pressure Ulcer Prevention Boot
- Type: Open Toe
- Size: One-Size
- Fastening Type: Strap Closure
- Latex-Free: Yes
- DEHP-Free: Yes
- HCPCS: E0191
Manuals and Documents
Product Brochure contains product information.
Application Guide contains product instructions.
M??ycke Product Selection Guide information about M??ycke products.
Product Videos
How it works - M??ycke Z-Flex Fluidized Heel Boot (2:26 minutes)
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